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MCAH Clinic Services
Community Programs

P.O. Box 6099
Santa Ana, CA 92706
(714) 834-8442
(714) 834-8051 Fax

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County Home  >  HCA  >  Public Health  >  MCAH

Guide to School Immunization Requirements
Maternal, Child and Adolescent Health (MCAH)

The State of California requires schools, childcare centers and family child care homes to assess and maintain immunization records. Reports on the status of kindergarten students and all children over age two enrolled in day care are completed annually. State regulations specify the vaccines required and establish the proper procedures for collecting, assessing, reporting and maintaining this information.

Requirements for School Entry Grades K - 12

Vaccine Dosage requirement
Polio 4 doses at any age or
  • 3 doses if at least one dose was given on or after the fourth birthday for children aged 4 to 6 years
  • 3 doses if at least one dose was given after the second birthday for children age 7 years and older
DTaP/DTP/DT/Td Under age 7:
  • 5 doses at any age or
    • 4 doses if at least one dose was given on or after the fourth birthday

Age 7 and older:

  • 4 doses at any age or
    • 3 doses if at least one dose was after the second birthday
MMR For kindergarten and seventh grade entry:

  • 2 doses both given on or after the first birthday (One dose must be MMR and one dose may be any other measles-containing vaccine.)

For grades 1-6 and grades 8-12:

  • 1 dose of MMR on or after the first birthday (Mumps vaccine is not required after the age of 7.)
Varicella
 For kindergarten entry (as of July 1, 2001)
  • 1 dose on or after the first birthday or health care provider-documented disease history
Hepatitis B For kindergarten and seventh grade entry:

  • 3 doses
For grades 1-6 and grades 8-12:
  • No requirement at this time

Requirements for Child Care Entry

Age Vaccine and doses required
Under 2 months No requirements
2 - 3 months 1 polio, 1 DTaP / DTP / DT, 1 Hib, 1 Hepatitis B
4 - 5 months 2 polio, 2 DTaP / DTP / DT, 2 Hib, 2 Hepatitis B
6 - 14 months 2 polio, 3 DTaP / DTP / DT, 2 Hib, 2 Hepatitis B
15 - 17 months 3 polio, 3 DTaP / DTP / DT, 2 Hepatitis B, 1 varicella* (or proof of having had chicken pox disease), 1 MMR and 1 Hib both given on or after first birthday
18 months - 5 years 3 polio, 4 DTaP / DTP / DT, 3 Hepatitis B, 1 varicella* (or proof of having had chicken pox disease), 1 MMR and 1 Hib both given on or after first birthday

*Varicella requirement effective July 1, 2001