Violation
California Code § 101220(a)Child Medical Assessments
How CCLD inspectors cite this regulation, what providers do to stay clear of it, and where it appears in the public record.
Regulation text
What California Code § 101220(a) actually says
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.
From the field
What providers tell us about this citation
Based on community experience, not official guidance.
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.
By the numbers
- 21*CCLD
- facilities cited in the last 90 days
- 12*CCLD
- counties where this citation appeared
- 35*CCLD
- rank among most-common citations
- Trajectory
- More citations than the prior period+4 facilities
That is 1 in 5000 facilities CCLD inspected.
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
Last 90 days vs. previous 90 days.
21 facilities were cited for this in the last 90 days. See if yours is one of them.
What other providers do
Common practices to stay clear of Child Medical Assessments
Common practices shared by providers. Confirm requirements with your licensing analyst.
Common practices
What to avoid
- 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.
Regional record
Where this citation appeared in the past 90 days
Citation counts and rates by California county, drawn from CCLD inspection records. Click a county to see its weekly intelligence report.
| County | Citations |
|---|---|
| Los Angeles | 8 |
| Riverside | 2 |
| Contra Costa | 2 |
| Butte | 1 |
| Merced | 1 |
| Placer | 1 |
| Shasta | 1 |
| Ventura | 1 |
| El Dorado | 1 |
| San Diego | 1 |
SOURCE
*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly
Public record
Check any facility for § 101220(a)
Free public record. No account needed.
FAQ
Frequently asked questions
Answers based on public CCLD data and regulation text. May not reflect recent changes.
What is Child Medical Assessments?
How common is this citation?
What triggers this citation during an inspection?
How can I prevent this citation?
What should I do if I receive this citation?
Related violations
Other citations in this regulation family
This information is educational and does not constitute legal advice. Consult a licensed child care compliance consultant for guidance specific to your facility. Citation data is sourced from California Community Care Licensing Division public records and is refreshed regularly.