California Code § 101220.1(a): Child Immunization Records

❌ Common Mistakes

• Admitting a child with a parent's verbal promise to bring immunization records 'next week.' Inspectors don't accept pending documentation. If the record isn't in the file on the day they visit, the child technically should not have been admitted.
• Accepting a parent's handwritten list of vaccines instead of official documentation from a healthcare provider. Only records from licensed physicians, clinics, or the California Immunization Registry (CAIR) satisfy the requirement.
• Not tracking when children need updated immunizations as they age. A child admitted at 12 months with complete records becomes noncompliant at 18 months when new vaccines are due. Set calendar reminders for each child's next required doses.
• Confusing a personal belief exemption with a medical exemption. Since SB 277, personal belief exemptions are no longer accepted for childcare. Only medical exemptions signed by a licensed physician are valid, and inspectors verify the documentation closely.