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Live Well San Diego Website
Click on the logo above to learn more about Live Well San Diego an initiative of the County of San Diego to improve health, safety and well-being for all residents.

Schools & Child Care Providers

Visit Shots fo School Website!

SB277: Personal Belief Exemption Law
Information & Resources - View FAQs

Click here for more info!

SB792: Daycare Facilities Immunization Law
Information & Resources

Click here for more info!

2018/2019 Regulation Changes for schools and child care

For informaton about immunization requirements trainings for school and childcare staff, please use the links below:

Flu Season is Here; Get Vaccinated!
Influenza can be a very serious disease, It can make you very sick and can even be fatal. Last year's flu season was one of the most severe on record. Here in San Diego County, there were 20,833 cases of flu reported and 342 people died. That far exceeds the 6,827 cases and 87 deaths reported the previous season.

(See related County News Center story,First Flu Death of Season Reported in San Diego.)

Flu vaccine is one of the best ways to get protected against flu. For more information about flu and flu season, please visit our Influenza Season 2018-19 web page. And for information about flu clinics at Public Health Centers and other locations, visit our Flu Clinics web page.

Your child will need videos to prepare for school and college; learn more with with this video from the CDC.


The California Department of Public Health (CDPH) has announced the release of the updated 2016 version of the California Immunization Handbook.

The 9th Edition of the Handbook (aka “Blue Book”) features all of the information you need to implement California child care and school immunization requirements, including updates on:

  • Senate Bill 277 and personal beliefs exemptions (page 7)
  • Medical exemptions (page 8)
  • Conditional admission (page 10)

Don’t miss the appendices (pages 20-23) with links to helpful resources and materials, such as:

The California Immunization Handbook and complementary tools are available electronically at: http://www.shotsforschool.org/laws/records-forms/. You are welcome to print specific parts or the entire handbook as a handy reference. Hard copies of the handbook are not available at this time.

CDPH will continue to update the resources, tools, and information posted on ShotsforSchool.org, so local health departments, child-care facilities, and schools will always have the latest information at your fingertips.

Thank you for your efforts in ensuring California’s kids are immunized.


For information about the law, which has been in effect Jan. 1, 2016, please visit the California Department of Public Health (CDPH) ShotsforSchool website.

Click here to see a sample letter schools can use to inform parents about the new law.

Additional information from CDPH about the implementation of the law is expected in the coming months.


Immunize children as young as four years now for transitional or regular kindergarten in the fall!
(A message from the California Department of Public Health)

Students are already registering for school this fall. Many four-year-old children in California with birthdays between September and December will be starting transitional kindergarten under a two-year program authorized under the Kindergarten Readiness Act of 2010.

Under California’s kindergarten immunization requirements, even four-year old children need their pre-kindergarten immunizations prior to the first day of transitional kindergarten. The federal ACIP, AAP, and AAFP recommend pre-kindergarten immunizations starting at four years of age. Make sure your patients are immunized before starting transitional or regular kindergarten!

Note: If a parent or guardian is requesting a personal beliefs exemption to a required immunization, documentation must be signed no sooner than 6 months prior to the first day of kindergarten. For more information, see www.shotsforschool.org.

Personal Belief Exemptions No Longer Accepted
Due to changes in the School Immunization Law as of Jan. 1, 2016, Personal Belief Exemptions to immunization requirements for school and child care are no longer accepted. For much more information, including lists of Frequently Asked Questions about the changes and how they affect child care and school staff, students and parents, please visit the California Department of Public Health Shots for School Exemptions web page.

Tools For School
Here is a link to assist you in getting ready for the new school year including the 7th Grade Tdap requirement.

Be prepared. Start your planning to get 6th graders vaccinated. Perhaps a check-up during Winter Break with their health care provider! Also, let parents know when and how to turn in documentation to your school.

Do you know how many incoming 7th graders have already provided documentation of their Tdap vaccination? Don't let your staff or your students be caught unprepared on the first day of school! Know how your school will collect vaccination documentation or an exemption by the time school starts!  

Still getting oriented?  Check out this page on the California Department of Public Health's ShotsforSchool website for information and resources. And see the sites listed below for more helpful information.

Resources to Help Schools

Resources to Help Parents

  • Educational Flyer for Parents & Students - 7th Grade Tdap Requirement  English | Spanish

Pregnant Teens Need Tdap Vaccine Protection
As part of an effort to help protect pregnant women and their unborn children from vaccine-preventable diseases like pertussis, the American College of Obstetricians and Gynecologists maintains a website just for women about immunization. One area of emphasis is pregnant women and the immunizations they need.

Pregnant adolescents are an important part of this population. Schools can help facilitate the promotion of immunization among their pregnant adolescent students, and one of the most pressing concerns is pertussis prevention, using the Tdap vaccine.

Current California Requirements for School and Childcare Entry
Flyer in downloadable PDF with latest requirements and information.

Pertussis Booster Video PSA:     English   Spanish

Watch The Pertussis School Entry Requirement Video:  English   Spanish

The following links have been created by CDPH to assist you in protecting and educating your staff and students.

Would your staff benefit from learning more about Pertussis?
San Diego Immunization Program has created a short presentation that highlights the current state-wide pertussis epidemic and vaccine recommendations. We encourage our community partners to share this information within your own organization:

You will find flyers and posters to use within your organization by clicking here.

If you have any questions regarding immunizations for school or childcare, or if you would like an SDIP staff person to speak at your next school or childcare staff meeting or training session about the importance of vaccination, please call:

Jennifer Sterling (619) 692-8366

Mother Urges Adults to Get Whooping Cough Vaccine

Vaccines.gov: Consumer-Based Immunization Information Website!
The U.S. Department of Health and Human Services today unveiled an innovative new website to help parents and other consumers learn about the most effective way to protect themselves and their children from infectious diseases and learn about immunization. Vaccines.gov brings together the best in federal resources on vaccine and immunizations to provide consumers with easy-to-understand health information specifically for their needs.

Washing your hands often and properly with soap and warm water
is one of the best ways of protecting yourself against the flu and other contagious diseases. Here’s a podcast from the federal Centers for Disease Control for kids about the importance of handwashing, called:
“All You Have To Do Is Wash Your Hands”

Now Available:
Schools & Child Care Response Kits for Influenza

Vaccinate B4U Graduate
is a campaign developed by the California School Nurses Organization in partnership with the California Department of Health Services to encourage high school seniors and 8th graders to get immunized before graduation.

Hot Topics

Day Care Facilities Immunization Law (SB792)
California law now requires that employees or volunteers at a day care center or day care home must be immunized against flu, pertussis and measles. Learn more at this page on the California Department of Public Health (CDPH) Shots for Schools Website.

Parents Who Decide Not To Vaccinate Their Children Should Understand the Risks
Click here to view and download a flyer for parents about the risks and responsibilities of choosing not to vaccinate.

Pertussis Information

Meningococcal Disease and Vaccine: What You Should Know