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Daycare Center and Family Home Forum>Just Had A Surprise Inspection..
CedarCreek 09:16 AM 08-13-2013
And I got a deficiency for two kids not having their 4th DTAP immunization 
Everything else was great! Except for that. I really hate that we get in trouble for what is the parents responsibility! Ugh.
Is there a cheat sheet that tells you when kiddos need their immunizations? That way I can parent the parents.
Everything else was great! Except for that. I really hate that we get in trouble for what is the parents responsibility! Ugh.
Is there a cheat sheet that tells you when kiddos need their immunizations? That way I can parent the parents.
Brooksie 09:27 AM 08-13-2013
Oh no!! That stinks 
Licensing gave me a copy of that during my last inspection even though every one was up to date. I'm surprised they didn't give you one. I'm sure you could call them and have them email something like that or find one online.
Licensing gave me a copy of that during my last inspection even though every one was up to date. I'm surprised they didn't give you one. I'm sure you could call them and have them email something like that or find one online.
daycare 09:28 AM 08-13-2013
Originally Posted by CedarCreek:
And I got a deficiency for two kids not having their 4th DTAP immunization
Everything else was great! Except for that. I really hate that we get in trouble for what is the parents responsibility! Ugh.
Is there a cheat sheet that tells you when kiddos need their immunizations? That way I can parent the parents.
I use a website called catch-up.......And I got a deficiency for two kids not having their 4th DTAP immunization
Everything else was great! Except for that. I really hate that we get in trouble for what is the parents responsibility! Ugh.
Is there a cheat sheet that tells you when kiddos need their immunizations? That way I can parent the parents.
it will tell you what shots they need to catch up on and ones that are coming up....
BTW. you can print out a copy of the schedule by age immunizations sheet. When a child falls in that age group, I just tell the parents that they have X amount of days to get that immunization taken care of or their child will not be able to return to care..
butterfly 09:30 AM 08-13-2013
Arrrgghh!! this is the very reason that I strongly considering letting my license expire. I'm so tired of having to have these types of things up to date - things that have no affect on the level of care that I provide my clients.
The only thing that made me renew my license was my liability insurance. I'd have a harder time getting insurance not being licensed.
Our licensor gives us a cheat sheet to follow for immunizations.
The only thing that made me renew my license was my liability insurance. I'd have a harder time getting insurance not being licensed.
Our licensor gives us a cheat sheet to follow for immunizations.
CedarCreek 09:31 AM 08-13-2013
I actually asked her for one and she said she didn't have one to give me.
Maybe there's one on their website I can print out.
Needless to say, I called their parents for immediate pick up and told then they couldn't come back until they had the immunization and got a copy to me. One said he had it but she didn't have a copy. I said fine, you can bring him back when you have the paper.
Maybe there's one on their website I can print out.
Needless to say, I called their parents for immediate pick up and told then they couldn't come back until they had the immunization and got a copy to me. One said he had it but she didn't have a copy. I said fine, you can bring him back when you have the paper.
CedarCreek 09:33 AM 08-13-2013
Originally Posted by daycare:
I use a website called catch-up.......
it will tell you what shots they need to catch up on and ones that are coming up....
BTW. you can print out a copy of the schedule by age immunizations sheet. When a child falls in that age group, I just tell the parents that they have X amount of days to get that immunization taken care of or their child will not be able to return to care..
Thank you! I will look at that.I use a website called catch-up.......
it will tell you what shots they need to catch up on and ones that are coming up....
BTW. you can print out a copy of the schedule by age immunizations sheet. When a child falls in that age group, I just tell the parents that they have X amount of days to get that immunization taken care of or their child will not be able to return to care..
Silly me,I thought the parents would keep up with that.
Rookie mistake.
MrsSteinel'sHouse 09:35 AM 08-13-2013
So they can't be in care if they don't immunize?? I have some kids that don't immunize, others that have varying schedules. Immunizations are a personal decision that parents should make with input from their doctor!
Familycare71 09:38 AM 08-13-2013
Originally Posted by butterfly:
Arrrgghh!! this is the very reason that I strongly considering letting my license expire. I'm so tired of having to have these types of things up to date - things that have no affect on the level of care that I provide my clients.
The only thing that made me renew my license was my liability insurance. I'd have a harder time getting insurance not being licensed.
Our licensor gives us a cheat sheet to follow for immunizations.
Amen!!! I am here too!!! Unfortunately with NYS I would only be able to care for two not related to me and unlimited three hours or less... Not enough income at this point for meArrrgghh!! this is the very reason that I strongly considering letting my license expire. I'm so tired of having to have these types of things up to date - things that have no affect on the level of care that I provide my clients.
The only thing that made me renew my license was my liability insurance. I'd have a harder time getting insurance not being licensed.
Our licensor gives us a cheat sheet to follow for immunizations.
CedarCreek 09:38 AM 08-13-2013
Originally Posted by MrsSteinel'sHouse:
So they can't be in care if they don't immunize?? I have some kids that don't immunize, others that have varying schedules. Immunizations are a personal decision that parents should make with input from their doctor!
I actually agree with this but I think the history of immunizations with just that one missing shows that they have every intention of immunizing, they are just falling behind on it. So they can't be in care if they don't immunize?? I have some kids that don't immunize, others that have varying schedules. Immunizations are a personal decision that parents should make with input from their doctor!
If they were to have submitted a form that states that they don't immunize for whatever reason, at least I would have had that to show licensing.
sharlan 10:00 AM 08-13-2013
I have one that hasn't had her 18 mo shots yet, she's 21 mos. The dr keeps postponing them for one reason or another. This time they postponed them due to a pending surgery. I made the mom get a dr's note written on a prescription stating that they were holding off on the shots.
I don't feel it's my responsibility, but the state does, so I stay on the parents.
I don't feel it's my responsibility, but the state does, so I stay on the parents.
Familycare71 10:11 AM 08-13-2013
Originally Posted by MrsSteinel'sHouse:
So they can't be in care if they don't immunize?? I have some kids that don't immunize, others that have varying schedules. Immunizations are a personal decision that parents should make with input from their doctor!
The state has no way to control parents and imm any other way but through daycare and school. So they can't be in care if they don't immunize?? I have some kids that don't immunize, others that have varying schedules. Immunizations are a personal decision that parents should make with input from their doctor!
If they have an acceptable note from their dr then they can still be in dc or school with out them.
LaLa1923 10:26 AM 08-13-2013
Have all your parents fill out a sheet that says they do not immunize. I haven't done that yet but I'm considering it.
There's a little box they can check on my medical report from the state.
There's a little box they can check on my medical report from the state.
Patches 10:42 AM 08-13-2013
EntropyControlSpecialist 10:53 AM 08-13-2013
I'm sorry.
EntropyControlSpecialist 10:54 AM 08-13-2013
Originally Posted by MrsSteinel'sHouse:
So they can't be in care if they don't immunize?? I have some kids that don't immunize, others that have varying schedules. Immunizations are a personal decision that parents should make with input from their doctor!
Most states just require an exemption form. I have to have one for my own kids who have to be "enrolled" in the daycare under a certain age. Luckily, I don't for my teen. So they can't be in care if they don't immunize?? I have some kids that don't immunize, others that have varying schedules. Immunizations are a personal decision that parents should make with input from their doctor!
craftymissbeth 11:03 AM 08-13-2013
So, for example, if we have an 18 mo dck then we should require all immunizations are up to date based on the cdc chart for 18 mo's (or whatever chart for our state, if different)?
And either exclude or require a doctor's note if they're not?
I just want to make sure I'm getting this right. I'll start going through my dck's imm paperwork to make sure.
And either exclude or require a doctor's note if they're not?
I just want to make sure I'm getting this right. I'll start going through my dck's imm paperwork to make sure.
daycarediva 11:03 AM 08-13-2013
I got the same citation at my last inspection. I made this generic form that I send home now stating that X is going to be due for a physical by X date and/or immunizations, etc.
I have one right now that has a dr note for being late by 4 months. Ridiculous, not my responsibility, it's the parents.
I made this generic form that I send home now stating that X is going to be due for a physical by X date and/or immunizations, etc. I have one right now that has a dr note for being late by 4 months. Ridiculous, not my responsibility, it's the parents.
CedarCreek 11:09 AM 08-13-2013
Texas is really starting to grind my gears! It stinks but there's nothing to do except stay on top of the parents, as much as I hate to do that :/
MyAngels 11:09 AM 08-13-2013
We're lucky around here as nearly every pediatrician's office automatically prints out a new shot record every time one of their patients gets a new immunization, so I ask my parents to always bring those to me afterwards. I haven't had any problems since I started doing it that way.
CedarCreek 11:10 AM 08-13-2013
Originally Posted by craftymissbeth:
So, for example, if we have an 18 mo dck then we should require all immunizations are up to date based on the cdc chart for 18 mo's (or whatever chart for our state, if different)?
And either exclude or require a doctor's note if they're not?
I just want to make sure I'm getting this right. I'll start going through my dck's imm paperwork to make sure.
That's what I am going to do from now on to cover my butt. I'm not getting another deficiency for this.So, for example, if we have an 18 mo dck then we should require all immunizations are up to date based on the cdc chart for 18 mo's (or whatever chart for our state, if different)?
And either exclude or require a doctor's note if they're not?
I just want to make sure I'm getting this right. I'll start going through my dck's imm paperwork to make sure.
CedarCreek 11:14 AM 08-13-2013
Thank you! I printed that and I am posting it on my bulletin board!
KBCsMommy 11:19 AM 08-13-2013
I have had all my dc clients sign the religious beliefs affidavit. That way I am not responsible for immunizations, it is up to the parents to keep track of that stuff. My licensor didn't even say anything about it at my last inspection.
CedarCreek 11:21 AM 08-13-2013
Originally Posted by KBCsMommy:
I have had all my dc clients sign the religious beliefs affidavit. That way I am not responsible for immunizations, it is up to the parents to keep track of that stuff. My licensor didn't even say anything about it at my last inspection.
Oh, I think this is what LaLa was trying to tell me to do too! That's such a good idea! I have had all my dc clients sign the religious beliefs affidavit. That way I am not responsible for immunizations, it is up to the parents to keep track of that stuff. My licensor didn't even say anything about it at my last inspection.
Angelsj 12:51 PM 08-13-2013
Originally Posted by LaLa1923:
Have all your parents fill out a sheet that says they do not immunize. I haven't done that yet but I'm considering it.
There's a little box they can check on my medical report from the state.
This is what I do. I don't think it is anyone's business except the parent's. I just have them fill out that they do not immunize. Several of them do, and some do on their own schedule, or selectively, but I just prefer to have them keep that info private.Have all your parents fill out a sheet that says they do not immunize. I haven't done that yet but I'm considering it.
There's a little box they can check on my medical report from the state.
Blackcat31 12:57 PM 08-13-2013
Originally Posted by CedarCreek:
And I got a deficiency for two kids not having their 4th DTAP immunization
Everything else was great! Except for that. I really hate that we get in trouble for what is the parents responsibility! Ugh.
Is there a cheat sheet that tells you when kiddos need their immunizations? That way I can parent the parents.
I might have missed the info in the thread but the 4th DTaP is required at age 4-6, wich IMO is a BIG age span....And I got a deficiency for two kids not having their 4th DTAP immunization
Everything else was great! Except for that. I really hate that we get in trouble for what is the parents responsibility! Ugh.
Is there a cheat sheet that tells you when kiddos need their immunizations? That way I can parent the parents.
.....so unless the child is already in school, they aren't required to have it until then.... so what ages are the kids you got cited for?
daycare 01:05 PM 08-13-2013
Originally Posted by CedarCreek:
Oh, I think this is what LaLa was trying to tell me to do too! That's such a good idea!
but if you do that, then you are required to remove all children from care who are not immunized should an illness breakout........Oh, I think this is what LaLa was trying to tell me to do too! That's such a good idea!
I would just be honest and follow up on it, it's really not that hard
Familycare71 01:07 PM 08-13-2013
Originally Posted by Blackcat31:
I might have missed the info in the thread but the 4th DTaP is required at age 4-6, wich IMO is a BIG age span....
.....so unless the child is already in school, they aren't required to have it until then.... so what ages are the kids you got cited for?
And in NY once a child is in school we no longer have to keep track- the school does...I might have missed the info in the thread but the 4th DTaP is required at age 4-6, wich IMO is a BIG age span....
.....so unless the child is already in school, they aren't required to have it until then.... so what ages are the kids you got cited for?
CedarCreek 01:24 PM 08-13-2013
From the info I have, the 4th dtap immunization is recommended from 15 months to 18 months. The two boys are 2 and 3.
If that's the case, with one of the boys that's my fault for not double checking his shot record upon enrollment.
If that's the case, with one of the boys that's my fault for not double checking his shot record upon enrollment.
Blackcat31 01:34 PM 08-13-2013
Originally Posted by CedarCreek:
From the info I have, the 4th dtap immunization is recommended from 15 months to 18 months. The two boys are 2 and 3.
If that's the case, with one of the boys that's my fault for not double checking his shot record upon enrollment.
Here is the immunization form we are required to have. It grays out the areas NOT required and tells you exactly when each shot and subsequent booster is required... (attached.) From the info I have, the 4th dtap immunization is recommended from 15 months to 18 months. The two boys are 2 and 3.
If that's the case, with one of the boys that's my fault for not double checking his shot record upon enrollment.
For DTaP it is 3 doses during the first year and the 4th at 12-18 months and the 5th at 4-6 yrs...
So I was wrong in reading the requirements, I apologize.
Still I think you need to pass the citation along to the parents and exclude those kids with the missing immunizations until they are up to date....after all the parents should have some sort of consequence for getting you in trouble.....
CedarCreek 01:57 PM 08-13-2013
Originally Posted by Blackcat31:
Here is the immunization form we are required to have. It grays out the areas NOT required and tells you exactly when each shot and subsequent booster is required... (attached.)
For DTaP it is 3 doses during the first year and the 4th at 12-18 months and the 5th at 4-6 yrs...
So I was wrong in reading the requirements, I apologize.
Still I think you need to pass the citation along to the parents and exclude those kids with the missing immunizations until they are up to date....after all the parents should have some sort of consequence for getting you in trouble.....
I agree, one is excluded until he gets the immunization done and the other boys mother is bringing the proof from his tomorrow. It seems she forgot to give it to me the last time he went to the dr.Here is the immunization form we are required to have. It grays out the areas NOT required and tells you exactly when each shot and subsequent booster is required... (attached.)
For DTaP it is 3 doses during the first year and the 4th at 12-18 months and the 5th at 4-6 yrs...
So I was wrong in reading the requirements, I apologize.
Still I think you need to pass the citation along to the parents and exclude those kids with the missing immunizations until they are up to date....after all the parents should have some sort of consequence for getting you in trouble.....
Cradle2crayons 02:24 PM 08-13-2013
Originally Posted by CedarCreek:
And I got a deficiency for two kids not having their 4th DTAP immunization
Everything else was great! Except for that. I really hate that we get in trouble for what is the parents responsibility! Ugh.
Is there a cheat sheet that tells you when kiddos need their immunizations? That way I can parent the parents.
Not sure... We don't get just shot records... We have to have the official form 121 shot forms... Which say "up to date until kindergarten" or etc. here in ms, they aren't required to have the fourth dtap until they start school.And I got a deficiency for two kids not having their 4th DTAP immunization
Everything else was great! Except for that. I really hate that we get in trouble for what is the parents responsibility! Ugh.
Is there a cheat sheet that tells you when kiddos need their immunizations? That way I can parent the parents.
As long as the form 121 says ey are up to date, and signed by their doctor, I'm good.
Meeko 02:30 PM 08-13-2013
I use this....
https://www.vacscheduler.org/
You input what they have had so far. It then figures what shots are due and when. I give one to the parents and one in the kids files.
But I personally think it's maddening that a daycare provider can get into trouble for what should be PARENT responsibility.
Some providers get around it by having the parents sign an exception form.
I'm in Utah and it's not that simple. The parent has to go to the local health dept. and talk to an official there and watch a video and then sign a special waiver form they have to bring to me to be to keep on file.
We no longer have our immunizations checked by licensing though. We have to keep the files, but they don't inspect them.
Each November, we have to fill out an online questionnaire that goes directly to to the immunization program. If they don't receive the online report, they then contact licensing who will issue a citation.
https://www.vacscheduler.org/
You input what they have had so far. It then figures what shots are due and when. I give one to the parents and one in the kids files.
But I personally think it's maddening that a daycare provider can get into trouble for what should be PARENT responsibility.
Some providers get around it by having the parents sign an exception form.
I'm in Utah and it's not that simple. The parent has to go to the local health dept. and talk to an official there and watch a video and then sign a special waiver form they have to bring to me to be to keep on file.
We no longer have our immunizations checked by licensing though. We have to keep the files, but they don't inspect them.
Each November, we have to fill out an online questionnaire that goes directly to to the immunization program. If they don't receive the online report, they then contact licensing who will issue a citation.
Cradle2crayons 02:31 PM 08-13-2013
Originally Posted by Blackcat31:
I might have missed the info in the thread but the 4th DTaP is required at age 4-6, wich IMO is a BIG age span....
.....so unless the child is already in school, they aren't required to have it until then.... so what ages are the kids you got cited for?
My son just got his fourth dtap to start kindy.. He's five. Wile I think you CAN get them all in before they are two... It's not required until ages 4-6 years from my information too... No ideas.I might have missed the info in the thread but the 4th DTaP is required at age 4-6, wich IMO is a BIG age span....
.....so unless the child is already in school, they aren't required to have it until then.... so what ages are the kids you got cited for?
Sme immunization a here are required and some aren't. And you can't do a religious exemption for the heck of it ether unless you homeschool. They don't have to be vaccinated until school though.
ABCDaycareMN 02:45 PM 08-13-2013
My daughter got the last of her shots at 18m. She is done til kindergarten.
grandmom 02:46 PM 08-13-2013
http://www2a.cdc.gov/nip/kidstuff/ne...le/default.asp
Personally, I tell my parents they can sign a waiver for all immunizations, or they must NEVER be even one day late on a shot. If they are I will meet them at the door and send them home. "Where's the form" is the answer I get.
I'm not the parent, and I'm not interested in doing the parent's job. One more form for me to spend time. Nope, waiver for everyone.
Personally, I tell my parents they can sign a waiver for all immunizations, or they must NEVER be even one day late on a shot. If they are I will meet them at the door and send them home. "Where's the form" is the answer I get.
I'm not the parent, and I'm not interested in doing the parent's job. One more form for me to spend time. Nope, waiver for everyone.
Scout 02:46 PM 08-13-2013
I'm behind on my DS shots!!
CedarCreek 02:52 PM 08-13-2013
Originally Posted by Scout:
I'm behind on my DS shots!!
Shame on you Scout! I'm behind on my DS shots!!
Don't get yourself in trouble!
jenn 05:15 PM 08-13-2013
Originally Posted by craftymissbeth:
So, for example, if we have an 18 mo dck then we should require all immunizations are up to date based on the cdc chart for 18 mo's (or whatever chart for our state, if different)?
And either exclude or require a doctor's note if they're not?
I just want to make sure I'm getting this right. I'll start going through my dck's imm paperwork to make sure.
I only have 6 kids, so I keep track of when their next shots are due. I stick a little post it note to my calendar one month prior to them being due. So, for example, if we have an 18 mo dck then we should require all immunizations are up to date based on the cdc chart for 18 mo's (or whatever chart for our state, if different)?
And either exclude or require a doctor's note if they're not?
I just want to make sure I'm getting this right. I'll start going through my dck's imm paperwork to make sure.
For example, let's say Billy Bob turns 18 months on October 1. His shots are due sometime between October 1 and November 1 when he turns 19 months. A few days before October 1, I will say "Oh, Billy Bob is almost 18 months old! I need the date that he will be getting his immunizations. Be sure to get it done before he turns 19 months, so that I don't have to exclude him!" That reminds the parents to get him in, and my inspector will accept an appointment date as long as it is between the day the child turns 18 months and when they turn 19 months.
If for some reason the child will not be receiving their shot at the KDHE suggested time, I have them get a note from the doctor stating when they will be receiving the shot. My inspector will also accept this. I have had several kids that have doctors that follow a different schedule. Not sure why. My daughter's shots were always a few months late, due to health problems at birth. KDHE had no problems with this as long as I had a form from the doctor stating when the shots would be given.
I agree that it is a pain to have to almost force some parents to keep up with this. However, I don't want to get in trouble for it, so I do it.
EntropyControlSpecialist 05:26 PM 08-13-2013
Patches 06:05 PM 08-13-2013
Originally Posted by Scout:
I'm behind on my DS shots!!
I was too! Just got them caught up last monthI'm behind on my DS shots!!
craftymissbeth 06:37 PM 08-13-2013
So I went through my dck's records and my 15 mo dcg looks like she needs 3-4 by 15 months and then one by 18 months. I don't have the info in front of me so I have no clue which ones off the top of my head.
How would you tell the parents? What time frame? Before she turns 16 months?
How would you tell the parents? What time frame? Before she turns 16 months?
CedarCreek 08:57 PM 08-13-2013
Originally Posted by craftymissbeth:
So I went through my dck's records and my 15 mo dcg looks like she needs 3-4 by 15 months and then one by 18 months. I don't have the info in front of me so I have no clue which ones off the top of my head.
How would you tell the parents? What time frame? Before she turns 16 months?
If she is already past due and your state is as strict as mine, I would let them know immediately. Then, tell them to either get a note from the doctor stating why she hasn't gotten them yet or make her an appointment ASAP to get them. Either way, exclude until one of the requirements are met. So I went through my dck's records and my 15 mo dcg looks like she needs 3-4 by 15 months and then one by 18 months. I don't have the info in front of me so I have no clue which ones off the top of my head.
How would you tell the parents? What time frame? Before she turns 16 months?
It's not worth the deficiency.
CedarCreek 08:59 PM 08-13-2013
Originally Posted by EntropyControlSpecialist:
http://www.dshs.state.tx.us/immunize/school/
There is a list for childcare facilities at the top!
Thank you!! I wonder why she wouldn't have pointed me in that direction. http://www.dshs.state.tx.us/immunize/school/
There is a list for childcare facilities at the top!
LaLa1923 02:40 PM 08-14-2013
Originally Posted by daycare:
but if you do that, then you are required to remove all children from care who are not immunized should an illness breakout........
I would just be honest and follow up on it, it's really not that hard
Depends on the regs.....not herebut if you do that, then you are required to remove all children from care who are not immunized should an illness breakout........
I would just be honest and follow up on it, it's really not that hard