California Code § 101220(a): Child Medical Assessments

📋Type A Violation🏢Affects: Child Care Centers

What Is California Code § 101220(a): Child Medical Assessments?

California Code § 101220(a)

Prior to, or within 30 calendar days following the enrollment of a child, the licensee shall obtain a written medical assessment of the child. This medical assessment enables the licensee to assess whether the center can provide necessary health-related services to the child.

💡Insider's Tips

Inspectors pull random child files during visits and check the enrollment date against the medical assessment date. If that gap is over 30 days, it's an automatic write-up, no warnings. The trick is to hand parents the medical form packet at the tour, not at enrollment. Inspectors also look at whether the assessment is actually complete: missing immunization records or unsigned forms count as incomplete even if something is on file. Keep a tracking spreadsheet with enrollment date and medical due date for every child so nothing slips past day 30.

15
facilities cited recently
That's 1 in 2500 facilities
9
counties affected
34
most common citation
📉
Decreasing
Last 90 days vs. previous 90 days
15 facilities (was 24)9 facilities

Source: California CCLD inspection records | Data: last 90 days as of Feb 16, 2026

How to Avoid Child Medical Assessments Citations

✓ Prevention Checklist

❌ Common Mistakes

  • Letting children attend beyond 30 days without a completed medical assessment because the parent keeps promising to bring it. Providers feel uncomfortable enforcing deadlines with paying families, but inspectors count calendar days from enrollment and document every overdue file they find.
  • Accepting a partial medical form as 'good enough.' A form missing the physician signature, immunization history, or allergy section is treated as incomplete by CCLD. Inspectors check for all required fields, not just whether paper exists in the folder.
  • Filing the medical assessment but never actually reviewing it for health needs. Inspectors sometimes ask staff what allergies or conditions a child has. If staff can't answer and the info is on the form, it shows the assessment wasn't used for its intended purpose.
  • Using an expired medical assessment for a returning child. If a child leaves and re-enrolls, you need a current assessment. Providers assume the old one carries over, but inspectors check dates against the most recent enrollment.

What's Being Cited in Each Region Over the Past 90 Days

Based on facility inspection reports filed with California's Community Care Licensing Division, here's how this citation appears across different regions in the past 90 days.

Los Angeles County

4 citations

Solano County

3 citations

Ventura County

2 citations

Butte County

1 citations

Calaveras County

1 citations

San Diego County

1 citations

Stanislaus County

1 citations

Santa Clara County

1 citations

San Luis Obispo County

1 citations

Data updated weekly from CCLD public records. Last update: 2/16/2026

See California Code § 101220(a): Child Medical Assessments Citations in Your County

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Frequently Asked Questions

What is Child Medical Assessments?
California Code 101220(a) requires you to obtain a written medical assessment for every child either before enrollment or within 30 calendar days of their start date. This assessment must be complete with physician signature, immunization records, allergy information, and any conditions that affect how you care for the child. For your facility, the 30-day deadline is firm, and incomplete forms count the same as missing ones during an inspection.
How common is the Child Medical Assessments citation?
According to California CCLD inspection records as of February 08, 2026, 19 facilities have been cited for this violation in the past 90 days across 12 California counties. That's roughly 1 in 2,105 inspected facilities. Solano and Los Angeles lead with 3 citations each, followed by San Diego, Mendocino, and Butte with 2 each. This citation often results in multiple write-ups per visit because inspectors check several files and each overdue assessment is a separate finding.
What triggers this citation during an inspection?
Inspectors pull random child files and compare the enrollment date against the medical assessment date. If that gap exceeds 30 calendar days, it's an automatic citation with no warning period. Based on CCLD inspection patterns, they also flag forms missing a physician signature, blank immunization sections, or unsigned allergy pages as incomplete. Inspectors sometimes ask staff about a child's medical needs, and if staff can't answer, it signals the assessment was filed but never actually reviewed.
How can I prevent this citation?
Hand parents the medical form packet during the facility tour, not at enrollment, so they have extra time to schedule a doctor's visit. Keep a tracking spreadsheet with each child's enrollment date and their 30-day medical deadline, and set a reminder alert at day 15 and day 25. Review every returned form for completeness before filing it. A form missing the doctor's signature goes back to the parent that same day.
What should I do if I receive this citation?
Contact every family with an overdue or incomplete medical assessment and give them a specific deadline to return completed paperwork. For children past 30 days, you may need to pause attendance until the form is submitted, depending on your licensing analyst's guidance. Update your enrollment procedures to include the tracking spreadsheet and earlier form distribution. Document all corrective steps with dates for your Plan of Correction. For complex situations, consider consulting a licensed childcare compliance specialist.

Related Violations

This information is educational and does not constitute legal advice. Consult a licensed childcare compliance consultant for guidance specific to your facility. Citation data is sourced from California Community Care Licensing Division public records and is refreshed regularly.