Resources for Child Care Givers
Provided by All Family Resources

Editors List Spanish books.
Site Index  
Policies Index  


GraphicYou need to know the health history of, and medical emergency information for, every child in your care. When a child enrolls in your child care facility, you should find out:

  • Where parents can be reached--full names and work and home phone numbers and addresses.
  • At least 2 people to contact if parents can't be reached--phone numbers and addresses.
  • The child's regular health care providers--names, addresses, and phone numbers.
  • The hospital that the child's family uses--name, address, and phone number.
  • The date of the child's last physical examination. Any child who has not had a well baby or well child examination recently (within the past 6 months for children under 2 years old and within 1 year for those 2 to 6 years old) should be examined within 30 days of entering your child care facility.
  • Any special health problems or medical conditions that a child may have and procedures to follow to deal with these conditions. Examples of conditions needing procedures are allergies, asthma, diabetes, epilepsy, and sickle cell anemia. These conditions can cause sudden attacks that may require immediate action. You should know 1) what happens to the child during a crisis related to the condition, 2) how to prevent a crisis, 3) how to deal with a crisis, and 4) whether you need training in a particular emergency procedure.
  • The child's vaccination status.
  • Whether the child has been evaluated with a TB skin test (using the Mantoux method with tuberculin purified protein derivative (PPD)).

You should require that all children admitted to your care be up to date on their vaccinations. Laws in many states require you to have written proof of each child's up-to-date vaccinations. Children attending child care especially need all of the recommended vaccinations to protect themselves, the other children, the child care provider, and their families. Several diseases that can cause serious problems for children and adults can be prevented by vaccination. These diseases are chicken pox, diphtheria, Haemophilus influenzae meningitis, hepatitis A, hepatitis B, influenza, measles, mumps, polio, rubella (German measles or 3-day measles), tetanus, and whooping cough (pertussis). Many of these diseases are becoming less common because most people have been vaccinated against them. But cases still occur and children in child care are at increased risk for many of these diseases because of the many hours they spend in close contact with other children.

Children who are not up to date on their vaccinations should be taken out of child care (excluded) until they have begun the series of shots needed. In the absence of an outbreak, they may usually continue to attend child care as long as they continue to receive the shots as recommended. Many states require that children whose vaccinations are not up to date be excluded from group care. Each child in your care should have a certificate of up-to-date immunization in your files. In many states this is a legal requirement and blank certificates are supplied by the state. Example certificate is shown on the next page.

Front of form:

Georgia Department of Human Resources

__________________________________ Name of Child (Last, First, Middle) __________________________________ Parent or Guardian
______________ Date of Birth ______________ Date of MMR __________________________________
Month and Year Next Immunization Due
(This certificate expires at the end of the month shown)
____Medical Exemption (Long Term Condition)

Name of Licensed Physician or
Health Department

____ Religious
____ School

School Attending

Signature of Facility Director
Date of Certification
Date of Certification

Back of form:

Operators of all public and private facilities intended for the care, supervision or instruction of children are required by law to keep on file a certificate of immunization for each child who attends. (Section 20-2-771, Official Code of Georgia, Annotated) Schools (Kindergarten through twelfth grade; ages 5-19) use DHR Form 3032. All other facilities use this form.

A doctor of medicine or osteopathy or a health department official may certify immunizations by entering a date for MONTH AND YEAR NEXT IMMUNIZATION DUE if a child is being immunized against diphtheria, tetanus, pertussis, haemophilus influenza type B disease, and polio in accord with standard immunization practices; and if the child is older than 15 months and has been immunized against measles, mumps, and rubella.

A doctor of medicine or osteopathy or a health department official may check the box for Medical Exemption if there are long term medical reasons that immunizations might be harmful to the child. A medical exemption does not expire until a doctor decides it is safe to immunize.

The director of a pre-school/child-care facility may check the box for School Exemption and complete the certification if a child is at least 5 years old and is known to be attending a school. The director may check the box for Religious Exemption only if a valid affidavit of religious conflict has been received from a parent.

Form 3227 (Rev. 8-94)   (Reverse Side)

The certificate should state that the child is up to date for immunizations, list the date when the next immunization is due (the date the certificate expires), and be signed by the child’s health care provider. As the date when the next immunization is due approaches, you should remind the child’s parents of the pending immunization and request a new immunization certificate. If the child is exempt from vaccination because of a medical condition or religious objection, this should be noted on the immunization certificate and supported in the child’s file with documentation from the physician or religious authority. Many states include the date of each immunization on the immunization certificate. Rapid access to this information can be very useful during an outbreak.

The following table lists the current recommended schedule for routine immunization of infants and children. Because this schedule changes frequently, you should contact your local health department for annual updates.

Recommended Childhood Immunization Schedule
United States, July - December 1996

Vaccines are listed under the routinely recommended ages. Bars Indicate range of acceptable ages for vaccination. Shaded bars indicate catch-up vaccination: at 11-12 years of age, hepatitis B vaccine should be administered to children not previously vaccinated, and Varicella Zoster Virus vaccine should be administered to children not previously vaccinated who lack a reliable history of chickenpox.

Recommended Childhood Immunization Schedule
Approved by the Advisory Committee on Immunization Practices (ACIP), the American Academy of Pediatrics (AAP), and the American Academy of Family Physicians (AAFP).
Note: This information is not intended to take the place of your state's or locality's child care regulations and laws. In every case, the laws and regulations of the city, county, and state in which the child care facility is located must be carefully followed even if they differ from these recommendations.

All Family Resources
Children / Teens
Family Law
Aging / Seniors
Health / Fitness
Parents / Parenting
Money / Investing
En Espanol / In Spanish
Small Business
For the Spirit
Nutrition / Recipies

Copyright 1999 All Family Resources. All rights reserved.
Terms of use