Violation

California Code § 101220(b)(2)Child TB Test Results

How CCLD inspectors cite this regulation, what providers do to stay clear of it, and where it appears in the public record.

Type B, generalAffects Child Care Centers3 facilities cited in the last 90 days

ℹ️ Educational reference based on public CCLD inspection records. Not legal or compliance advice. Verify requirements with official sources. Full disclaimer →

Regulation text

What California Code § 101220(b)(2) actually says

California Code § 101220(b)(2)

Results of a test for tuberculosis.

From the field

What providers tell us about this citation

Based on community experience, not official guidance.

Every child's file needs TB test results before admission, and inspectors pull files at random to verify. The most common gap is when a child transfers from another program and the parent says 'they already had it done.' You still need the actual results in your file, not a parent's verbal confirmation. Inspectors also check dates. If a child's TB assessment is a risk questionnaire rather than a skin test, make sure the form is signed by a physician. Keep a tickler file with assessment dates so you can flag families before records expire.

By the numbers

3^*CCLD: facilities cited in the last 90 days
3^*CCLD: counties where this citation appeared
155^*CCLD: rank among most-common citations
Trajectory: More citations than the prior period
+2 facilities

3 facilities were cited for this in the last 90 days. See if yours is one of them.

Check a facility

What other providers do

Common practices to stay clear of Child TB Test Results

Common practices shared by providers. Confirm requirements with your licensing analyst.

Common practices

Verify qualifications of all substitute and temporary staff
Ensure temporary staff have required background clearances
Provide orientation to substitutes on facility policies and procedures
Maintain adequate supervision ratios even with substitute staff
Keep documentation of substitute staff qualifications and clearances

What to avoid

Accepting a parent's word that the TB test was done at the previous program instead of obtaining the actual documented results. Inspectors need to see the paperwork in your file, not a note saying 'on file elsewhere.'
Not distinguishing between a TB risk assessment questionnaire and an actual TB test. Some children receive a doctor-signed risk questionnaire instead of a skin or blood test. Both can satisfy the requirement, but the form must be properly completed and signed by the health care provider.
Letting children start before TB results come back. Providers enroll a child on Monday, the test was done Friday, but results aren't available for 48-72 hours. The child's file gets pulled during that window and there's no documentation to show.
Filing generic physical exam forms that don't specifically address tuberculosis. A well-child checkup form may not include TB screening results. Inspectors look for explicit TB documentation, not general medical clearance.

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.

Regional citations for Child TB Test Results, last 90 days
County	Citations	Facilities	Citation rate
Fresno	1	--	--
RIVERSIDE	1	--	--
Santa Clara	1	--	--

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citations2026-05-05Updated weekly

FAQ

Frequently asked questions

Answers based on public CCLD data and regulation text. May not reflect recent changes.

What is the Child TB Test Documentation Requirement?

California Code Section 101220(b)(2) requires every child's file to contain documented results of a tuberculosis test before admission. This means either a TB skin test, blood test, or a physician-signed risk assessment questionnaire must be on file, not just a parent's verbal confirmation that testing was completed elsewhere. Without this paperwork in your facility's records, you're exposed to a citation any time an inspector pulls a child's file at random.

How common is this citation?

According to California CCLD inspection records as of March 15, 2026, 2 facilities have been cited for this violation in the past 90 days across 2 California counties, including Riverside and Santa Clara. That works out to roughly 1 in 20,000 inspected facilities. While this is not a high-frequency citation, it reflects a documentation gap that inspectors actively check for during routine file reviews.

What triggers this citation during an inspection?

Inspectors pull children's files at random and look for explicit TB documentation. Based on CCLD inspection patterns, a finding gets written when the file contains a general well-child checkup form that doesn't specifically address tuberculosis, or when a child enrolled before test results came back. Inspectors also flag files where a parent said 'it was done at the last program' but no actual results are present. Keep the original test results or physician-signed risk questionnaire in every child's file from day one.

How can I prevent this citation?

Collect TB test results before a child's first day, no exceptions. If a family transfers from another program, request the actual documentation rather than accepting a verbal confirmation. Keep a tickler file with assessment dates so you can flag families before records expire. If a child's TB screening is a risk questionnaire rather than a skin test, confirm the form is signed by the health care provider. Check every file quarterly to catch gaps before an inspector does.

What should I do if I receive this citation?

Contact the child's family immediately to obtain the missing TB test results or schedule testing through their pediatrician. Document the date you requested the records and the date you received them. Update your enrollment checklist to add a TB-specific line item separate from the general physical exam. Submit your Plan of Correction showing the corrected files and your updated intake process. For complex situations, consider consulting a licensed childcare compliance specialist.

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.

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