California Code § 101220(a): Child Medical Assessments
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.
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
Solano County
Ventura County
Butte County
Calaveras County
San Diego County
Stanislaus County
Santa Clara County
San Luis Obispo County
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
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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.