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Violation

California Code § 102418(g)(1)Post-Enrollment Immunization Updates

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 Family Child Care Homes23 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 § 102418(g)(1) actually says

California Code § 102418(g)(1)

This requirement includes updating each child's PM 286 (6/95) when the child is due to receive required immunizations after enrollment in the family day care home.

From the field

What providers tell us about this citation

Based on community experience, not official guidance.

Inspectors pull immunization files during every routine visit, not just when they suspect a problem. They cross-check the PM 286 form against the child's age to see if any boosters were due and never documented. The most common write-up happens when a child turned 4 or 5 months ago and the form still shows their 18-month immunizations. Set a calendar reminder 30 days before each child's birthday to request updated records from parents. If a parent is slow to respond, document your follow-up attempts in writing. Inspectors distinguish between missing records and documented good-faith efforts to obtain them.

By the numbers

23*CCLD
facilities cited in the last 90 days

That is 1 in 5000 facilities CCLD inspected.

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly

12*CCLD
counties where this citation appeared

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly

33*CCLD
rank among most-common citations

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly

Trajectory
More citations than the prior period
+15 facilities

Last 90 days vs. previous 90 days.

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

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What other providers do

Common practices to stay clear of Post-Enrollment Immunization Updates

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

Common practices

What to avoid

  • Collecting immunization records at enrollment and never updating them. Providers assume the initial paperwork covers them, but CCLD expects the PM 286 to reflect every immunization milestone as the child ages. Inspectors document this as a deficiency even if the child is fully vaccinated but the form is outdated.
  • Accepting a parent's verbal confirmation that shots are up to date instead of requiring the actual immunization record from the pediatrician. Inspectors need to see documentation, not assurances, and will cite you for missing paperwork regardless of what the parent told you.
  • Filing immunization records in a general folder instead of in each child's individual file. When an inspector asks to see a specific child's PM 286, fumbling through a stack of loose papers signals disorganization and often leads to a more thorough file review.
  • Not tracking children with medical exemptions separately. Providers mix exempt children in with non-exempt files, then can't produce the physician's statement quickly during inspection. Keep exemption documentation clipped to the front of that child's file.

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 Post-Enrollment Immunization Updates, last 90 days
CountyCitations
Riverside8
Solano4
Contra Costa2
SUTTER1
Sonoma1
Ventura1
RIVERSIDE1
San Diego1
Santa Cruz1
Los Angeles1

SOURCE

*CCLD: California Community Care Licensing Divisionviolation_citationsUpdated weekly

Further reading

Articles about this topic

Public record

Check any facility for § 102418(g)(1)

Free public record. No account needed.

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FAQ

Frequently asked questions

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

What is Child Immunization Record Updates?
California Code 102418(g)(1) requires family child care homes to keep each child's PM 286 immunization form current as the child reaches new vaccination milestones after enrollment. This goes beyond collecting records at intake. You must update the form every time a child is due for additional immunizations based on their age. Falling behind on updates is one of the most common file deficiencies inspectors find during routine visits.
How common is this citation?
According to California CCLD inspection records as of March 15, 2026, 19 facilities have been cited for this violation in the past 90 days across 10 California counties. That's roughly 1 in 2,105 inspected facilities. Riverside County leads with 8 citations, followed by San Diego with 3. The geographic spread across 10 counties suggests this is a statewide documentation gap rather than a regional training issue.
What triggers this citation during an inspection?
Inspectors pull individual child files and cross-check the PM 286 form against the child's current age to verify all age-appropriate immunizations are documented. Based on CCLD inspection patterns, the most common write-up happens when a child turned 4 or 5 several months ago and the form still shows their 18-month vaccinations. Inspectors also flag files where a parent verbally confirmed shots are current but no updated documentation from the pediatrician is on file. They need paperwork, not assurances.
How can I prevent this citation?
Set a calendar reminder 30 days before each enrolled child's birthday to request updated immunization records from parents. Send the request in writing and keep a copy in the child's file. If a parent is slow to respond, document every follow-up attempt. Inspectors distinguish between missing records and a documented good-faith effort to obtain them. Review all PM 286 forms quarterly to catch any gaps before an inspector does.
What should I do if I receive this citation?
Contact every parent whose child has an outdated PM 286 and request current immunization records from their pediatrician within 5 business days. Update each form immediately upon receipt and note the date you made the correction. For children with medical exemptions, clip the physician's statement to the front of their file so it's visible instantly. Include a tracking spreadsheet in your Plan of Correction showing each child's next immunization milestone. 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.