Nebraska Administrative Code
Topic - HEALTH AND HUMAN SERVICES SYSTEM
Title 173 - CONTROL OF COMMUNICABLE DISEASE
Chapter 4 - IMMUNIZATION IN LICENSED CHILD CARE PROGRAMS
Section 173-4-003 - REQUIRED IMMUNIZATION INFORMATION; EXCLUSION FROM ATTENDANCE; NOTICE
Universal Citation: 173 NE Admin Rules and Regs ch 4 ยง 003
Current through March 20, 2024
003.01 Each program must require the parent or guardian of each child enrolled in such program to present within 30 days of enrollment and periodically thereafter:
1. Proof that the child is protected by
age-appropriate immunization against measles, mumps, rubella, poliomyelitis,
diphtheria, pertussis, tetanus, haemophilus influenzae type B, hepatitis B,
varicella, and invasive pneumococcal disease;
2. Certification by a physician, advanced
practice registered nurse, or physician assistant that immunization is not
appropriate for a stated medical reason;
3. A written statement that the parent or
guardian does not wish to have the child so immunized and the reasons therefor;
or
4. Parental or clinical
documentation of disease with year of infection for varicella. The
documentation must include one of the following:
a. Signature of the parent or legal guardian
and the date (year) of the child's varicella illness, or
b. Signature of a health care provider and
the date (year) of the child's varicella illness, or
c. Laboratory evidence of a child's varicella
immunity.
003.02 If one of the documents described in 173 NAC 4-003.01 is not presented within 30 days of enrollment, the program must exclude a child from attendance until such proof, certification, or written statement is provided.
003.03 At the time the parent or guardian is notified that such information is required, he or she must be notified in writing of his or her rights to submit a certification or a written statement as described in 173 NAC 4-003.01.
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