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

📋Type A Violation🏢Affects: Child Care Centers
52
facilities cited recently
That's 1 in 769 facilities
20
counties affected
Statewide issue - not isolated
7
most common citation
Inspectors are watching for this
📈
Increasing
Last 90 days vs. previous 90 days
52 facilities (was 31)+21 facilities

What's Being Cited in Each Region Over the Past 90 Days

Based on analysis of CA facilities, here's where California Code § 101216(g)(1): Staff Health Screening citations are happening over the past 90 days.

Los Angeles County

12 citations

Riverside County

5 citations

San Bernardino County

5 citations

Yuba County

3 citations

Orange County

3 citations

Solano County

3 citations

San Diego County

3 citations

Santa Clara County

3 citations

Monterey County

2 citations

Sacramento County

2 citations

Data updated weekly from CCLD public records. Last update: 12/15/2025

What Is California Code § 101216(g)(1): Staff Health Screening?

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.

Why This Matters

Set calendar reminders for TB test renewals based on your state's requirements (typically every 2-4 years). Never let someone work with children until their health screening is complete and documented.

See California Code § 101216(g)(1): Staff Health Screening Citations in Your County

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How to Avoid Staff Health Screening Citations

✓ Prevention Checklist

❌ Common Mistakes

  • Providers often allow staff to begin work before completing the TB test, or let health screenings expire without renewal. Some mistakenly believe only the initial screening is required and don't maintain current documentation.
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Frequently Asked Questions

What is Staff Health Screening?
This regulation requires all childcare personnel and licensees to complete a comprehensive health screening performed or supervised by a physician. The screening must include a tuberculosis (TB) test and verify that the person is in good physical health and able to care for children. This screening must be completed within one year before starting employment or licensure, or within seven days after beginning work.
How common is this citation?
As of November 23, 2025, 51 facilities have been cited for this violation across 20 counties in California. This represents about 1 in 800 facilities statewide (0.68% of the 7,551 facilities inspected in the past 90 days). Los Angeles County had the most citations with 13, followed by San Bernardino (5), Orange (4), Riverside (4), and Solano (3).
What triggers this citation?
Inspectors cite this regulation when staff begin working with children before completing their health screening or TB test, when health screenings are performed outside the allowed timeframe (more than one year before or more than seven days after employment), when TB test results are missing from personnel files, or when the health screening wasn't performed or supervised by a physician. Common triggers include hiring someone urgently and letting them start before paperwork is complete, or losing track of when screenings expire.
How do I avoid this citation?
Never allow anyone to work with children until their complete health screening and TB test are documented in their personnel file. Build the health screening into your hiring checklist as a mandatory first step. Set up a tracking system with calendar reminders for TB test renewals based on California requirements (typically every 4 years for negative results). Keep copies of all health screenings in each staff member's personnel file, and verify that screenings were performed within the required timeframe before employment begins.
What should I do if I get cited?
Immediately verify that all current staff have valid health screenings and TB tests on file. For any staff missing documentation, arrange for them to get screened within 7 days or remove them from working with children until screenings are complete. Submit your plan of correction showing how you'll ensure all current and future staff complete health screenings before beginning work. Implement a system to track screening expiration dates and prevent this from happening again. If you need help organizing personnel files or setting up tracking systems, consult with your licensing analyst.

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