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

❌ Common Mistakes

• 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 Inspectors document this as a deficiency even if the child is fully vaccinated but the form is outdated.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.