New Requirements
Immunizations

Children need to have these shots before they can begin child care, kindergarten and 7th grade.

Children entering child care should have:

Age when enrolling
Immunizations required
2-3 months
1 DTap, 1 Polio, 1 Hep B, 1 Hib
4-5 months
2 DTap, 2 Polio, 2 Hep B, 2 Hib
6-14 months
3 DTap, 2 Polio, 2 Hep B, 2 Hib
15-17 months 3 DTap, 3 Polio, 2 Hep B, 1 MMR*, 1 Hib**
18 months-4 years 4 DTap, 3 Polio, 3 Hep B, 1 MMR*, 1 Hib**, 1 Varicella
Children entering kindergarten should have:
  • 5 DTaP 4 doses meet requirement if at least one was given on or after the 4th birthday
  • 4 Polio 3 doses meet requirement if at least one was given on or after the 4th birthday
  • 3 Hep B
  • 2 MMR (1st dose on or after 1st birthday)
  • 1 Varicella

Children entering 7th grade should have:

  • 3 DTaP 1 more Td/Tdap required if the last dose was given before the 2nd birthday
  • 4 Polio 3 doses meet requirement if at least one was given on or after the 2nd birthday
  • 3 Hep B
  • 2 MMR 1st dose on or after 1st birthday
  • 1 Varicella
Children entering grades 7-12 must have:
  • 1 Tdap booster shot New state immunization law – AB 354 – effective for 2011-12 school year.

Student Health Requirements

Health Screenings

Hearing, vision, and scoliosis screenings will be provided as required by state law at the following levels:

  • Hearing screening for all students in grades K, 2, 5, 8;

  • Vision screening for grades K, 3, 6, 9;

  • Scoliosis (lateral curvature of the spine) screening for grade 7 girls and grade 8 boys.

  • New students and students referred by parents or school personnel may also be screened.

Exclusions from Screenings

Contact your school nurse or principal regarding excluding your child from any of these screenings.

Immunization (Shot) Requirements

State law requires that all students under age 18 years, pre-kindergarten through grade 12, be immunized against certain diseases unless they are exempt for medical reasons or because of personal beliefs. At the time of registration, the school is required to have proof that your child has received all currently due immunizations.

The district participates in the San Diego Regional Immunization Registry (SDIR), a county-wide computer system that keeps track of immunizations (shots). Immunizations required for school attendance are shown at right. Check with your pediatrician, family physician or medical clinic to make sure your child is fully immunized. Your child may be excluded from attending school if these requirements are not met.

Information on obtaining a permanent medical exemption or personal beliefs exemption for your child is available from the school nurse or office staff.

K-1 Physical Exam

California’s Child Health and Disability Prevention (CHDP) program mandates that every child have a physical examination before entering school in kindergarten or first grade.

The examination may be completed up to 18 months prior to the start of first grade. Parents/guardians are required to present a report of examination or a waiver statement to the school within 91 days of entry to first grade.

Students who have not met this requirement by the appropriate date may be excluded from school attendance for up to five days. Parents/guardians needing assistance meeting the requirements can call (800) 675-2229. You are encouraged to complete this exam at kindergarten entry to make sure your child is healthy and ready to learn.

K-1 Dental Exam (OHA)

Effective January 1, 2007, an Oral Health Assessment (dental examination) by a licensed California dental health professional is required for children entering public school for the first time (at kindergarten or first grade). The Oral Health Assessment must be completed and returned to the school by May 31 of that first school year. Assessments done 12 months prior to school entry also meet this requirement. Obtain the form from the school or your dental health provider to complete.

Parents/guardians may sign a waiver of this requirement which is found on the OHA form available at the school. There is no penalty or exclusion if this requirement is not met. The parent/guardian can call (800) 675-2229 for assistance in finding a provider for the Oral Health Assessment.

Pediculosis Policy (Head Lice)

The problem of head lice (pediculosis) is ongoing and can be difficult to control at home and at school. Even though head lice and nits (eggs) are not a threat to health, they are a frustrating nuisance. Prompt treatment of students with a positive diagnosis of head lice ensures minimal disruption of their education. When a student is identified as having head lice, the student is excluded at the end of the school day for treatment. After treatment at home, it is mandatory for the student to return to school the next day, via the health office, for inspection. The student may return to class provided the head lice has been treated and there are no live lice in the hair, even though nits (eggs) are still present. Reinfestation and/or recurrent infestation will result in exclusion until student is lice-free.

Parents/guardians are encouraged to incorporate inspecting their child’s hair as part of their regular hygiene routine. The School Attendance Review Board (SARB) may intervene in case of noncompliance or chronic infestations.

Control of Communicable Diseases

The district is required to cooperate with the San Diego County Department of Health and Human Services to prevent and control communicable diseases in school-age children.

When there is good reason to believe a student has a contagious or infectious disease, the parent/guardian will be contacted and the student sent home. The student may return to school when well and/or released by a physician. If there is reason to believe a student is suffering from a recognized contagious or infectious disease, the student will be excluded from school until school officials are satisfied that the student no longer has the contagious or infectious disease.

Administration of Medications

The California Education Code states that any student who is required to take medication prescribed by a physician during the regular school day, may be assisted by the school nurse or other designated school personnel if the district receives:

  1. A written statement from the physician detailing the method, amount and time schedules that the medication is to be taken and

  2. A written statement from the student's parent/guardian authorizing the school district to administer the medication. (California Education Code Sections 49422-49423)

Prescription medications must be in the original pharmacy container with the original prescription label adhered to the container. Students may carry and self-administer prescription auto-injectable epinephrine and asthma inhalers if certain requirements are met.

No other prescription or over-the-counter medications, vitamins, herbs, or alternative medications may be carried by students on their person, in a backpack or other container except as indicated above and with the express knowledge and permission of the school nurse. Limited over-the-counter medications may be available at some school sites and can be given only by a credentialed school nurse with a parent/guardian consent on file.

If a child requires an over-the-counter medication on an ongoing basis or when there is no school nurse available, the parent/guardian may obtain a physician’s order form authorizing other staff to give the medication.

Contact the school nurse if you have questions. Forms for medication administration are available at your child’s school and on the website.

Medication at home: The parent/guardian of a student on a continuing medication regimen at home are required to inform the school nurse or other designated certificated school employee of the medication being taken, the current dosage and the name of the supervising physician. The information is gathered annually on the Health Information Exchange form distributed at the beginning of each year. Notification is required to your child's school when new medications are started at any time during the school year.

Interscholastic Sports Physical Exam

An annual physical examination is required for all secondary students who participate in interscholastic athletic programs.

The coach or school nurse may arrange for health screenings at school. Complete physical exams by a personal physician are recommended.

In addition, the district recommends that new students submit reports of recent physical exams when they enter school. A parent/guardian may file a written, signed statement with the school principal stating that the parent/guardian will not consent to a physical examination of the child.

Health Instruction

Health instruction in areas such as nutrition, dental health, disease process,safe living, vision and hearing, drugs, alcohol, tobacco, community health, physical fitness, mental-emotional health, human reproduction, and sexually transmitted diseases including HIV/AIDS, is part of the school curriculum.

Prior to instruction, parents have opportunities to preview instruction and audio-visual materials dealing with human reproduction and sex education. A student may be excused from health instruction related to human reproduction and sexually transmitted diseases on written request from the parent/guardian.

Free Breakfast and Lunch

To help our students be prepared to learn, our district offers free and reduced-price meals. Information about this program is available from the Food Services Department, by calling (619) 627-7328, and at your child’s school.

Pesticide Use

The district annually provides all parents/guardians with a written notification of the names of all pesticide products that may be applied at the school facility during the school year to keep schools safe and control pests. The notification identifies the active ingredient or ingredients in each pesticide product. For information regarding pesticides and their alternatives, see: www.cdpr.ca.gov.

When a pesticide product not included in the annual notification is intended for use at the school site, the district will provide written notification at least 72 hours prior to application. The list of all pesticide products expected to be applied at school facilities can be found in the forms section at the back of this handbook. Persons wishing to be notified in advance of individual pesticide application may register with the district Physical Plant Operations Center. Call (858) 627-7223.