Violation

California Code § 101216(g)(1)Staff Health Screening

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

Type A, seriousAffects Child Care Centers34 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 § 101216(g)(1) actually says

California Code § 101216(g)(1)

Except as specified in (3) below, good physical health shall be verified by a health screening, including a test for tuberculosis, performed by or under the supervision of a physician not more than one year prior to or seven days after employment or licensure.

From the field

What providers tell us about this citation

Based on community experience, not official guidance.

The seven-day window after employment is not a suggestion, it's the hard limit inspectors enforce. They'll pull your personnel files, check hire dates against health screening dates, and if someone started on March 1 but the TB test is dated March 15, that's a citation. The most common scenario: you hire someone urgently to cover a staffing gap and figure you'll 'get the paperwork done soon.' Inspectors see this pattern constantly across San Bernardino and LA County. Schedule the health screening before the first day of work, not after. Walk-in clinics can usually turn around a TB risk assessment same-day, so there's no real excuse for missing the window.

By the numbers

34^*CCLD: facilities cited in the last 90 days
15^*CCLD: counties where this citation appeared
12^*CCLD: rank among most-common citations
Trajectory: Fewer citations than the prior period
6 facilities

34 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 Staff Health Screening

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

Common practices

Complete health screening performed or supervised by a physician
Include tuberculosis test in the health screening
Obtain screening within one year before or seven days after employment/licensure
Document good physical health status for all staff

What to avoid

Letting new staff work with children before the health screening is complete. Providers under staffing pressure allow a new hire to start immediately with plans to 'schedule the appointment this week.' Inspectors check the hire date against the screening date, and any gap beyond seven days is documented as a violation.
Confusing a TB risk assessment questionnaire with an actual tuberculosis test. Some providers accept the paper questionnaire as sufficient, but depending on risk factors, a skin test or chest X-ray may be required. Inspectors look for the complete screening, not just the questionnaire.
Failing to track health screening expiration dates for existing staff. The initial screening gets done at hire, then nobody monitors when renewals are due. Providers discover expired screenings only when an inspector flags them during a routine visit.
Assuming that a staff member's personal doctor visit covers the licensing requirement. The screening must specifically verify fitness to work in childcare and include the TB component. A general physical without the TB test doesn't satisfy the regulation.

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 Staff Health Screening, last 90 days
County	Citations	Facilities	Citation rate
Los Angeles	9	--	--
Solano	4	--	--
Riverside	3	--	--
San Bernardino	3	--	--
Orange	2	--	--
El Dorado	2	--	--
San Mateo	2	--	--
Santa Clara	2	--	--
ALAMEDA	1	--	--
Ventura	1	--	--

SOURCE

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

Articles about this topic

FAQ

Frequently asked questions

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

What is Staff Health Screening?

California regulation 101216(g)(1) requires all childcare staff and licensees to complete a health screening, including a tuberculosis test, performed by or supervised by a physician. The screening must happen within one year before or seven days after starting employment or receiving licensure. This verifies that every person working directly with children is physically capable and free from communicable tuberculosis, protecting both the children in your care and your other staff members.

How common is the Staff Health Screening citation?

According to California CCLD inspection records as of March 15, 2026, 34 facilities have been cited for this violation in the past 90 days across 15 California counties. That's roughly 1 in 1,176 inspected facilities. Solano, Los Angeles, and Riverside counties each had 4 citations, while Butte and Contra Costa followed with 3 each. The spread across 15 counties shows this isn't a regional issue. It hits facilities statewide, especially those dealing with urgent staffing gaps where paperwork gets pushed aside.

What triggers this citation during an inspection?

Inspectors pull your personnel files and compare each staff member's hire date against their health screening date. Based on CCLD inspection patterns, the most common write-up happens when a new hire started working with children before completing the screening, or when the seven-day post-employment window has passed without documentation. Inspectors also verify that the screening includes an actual TB test, not just a risk assessment questionnaire. A general physical from a personal doctor without the TB component doesn't satisfy the requirement.

How can I prevent this citation?

Schedule the health screening before a new hire's first day, not after. Walk-in clinics can turn around a TB risk assessment same-day, so there's no reason to miss the window. Create a tracking spreadsheet with hire dates and screening expiration dates for every staff member. Check it monthly so you catch renewals before they lapse. Keep copies of all screenings in each employee's personnel file where inspectors expect to find them.

What should I do if I receive this citation?

Get the missing staff member screened immediately, including the TB test component. If the screening was completed but the documentation is missing from the file, obtain copies from the provider's physician and file them properly. Set up a tracking system to prevent future lapses, with alerts 60 days before any screening expires. Include your corrective steps and new tracking process in your Plan of Correction. 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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