Current through Vol. 42, No. 1, September 16, 2024
(a) Each child two months of age or older
shall present certification that he or she has received or is receiving the
immunizations as specified below before he or she is admitted to, and while
enrolled in, a child care center or child care home.
(b) Certification shall include the
following:
(1) 5 DTaP/DTP doses at 2, 4, 6,
and 12 to 18 months and 4 to 6 years or beginning at 6 weeks of age with
minimum intervals of 4 weeks between doses 1 and 2 and doses 2 and 3 and 4
months between doses 3 and 4 and 6 months between doses 4 and 5, with all fifth
doses given on or after January 1, 2003 given on or after the fourth birthday;
The fifth DTaP/DTP is not required if the fourth DTaP/DTP is administered on or
after the fourth birthday;
(2) 4
Polio doses at 2, 4 and 6 to 18 months and 4 to 6 years or beginning at 6 weeks
of age with minimum intervals of 4 weeks between all doses; The fourth Polio is
not required if the third dose is given on or after the fourth birthday;
(3) 1 to 4 Haemophilus influenzae
type B (Hib) doses at 2, 4, 6, and 12 to 15 months of age or older depending
upon age at first Hib immunization and type of vaccine used or beginning at 6
weeks of age with minimum intervals of 4 weeks between doses 1, 2, and 3, if a
third dose is part of the primary series, and the booster dose no earlier than
12 months of age and at least 8 weeks after the previous dose;
(4) 2 Measles, Mumps, Rubella doses with the
first dose on or after the first birthday and the second dose at 4 to 6 years
or at anytime after the first dose provided at least 4 weeks have elapsed since
the receipt of the first dose;
(5)
1 Varicella dose on or after the first birthday;
(6) 2 Hepatitis A doses with the first dose
on or after the first birthday and the second dose six to eighteen months later
and for all doses given on or after January 1, 2003, 6 months will be defined
as 6 calendar months;
(7) 3
Hepatitis B doses with minimum intervals as follows: 1 month (4 weeks) between
doses 1 and 2, two months (8 weeks) between doses 2 and 3, four months (16
weeks) between doses 1 and 3, and dose 3 no earlier than 24 weeks of age;
(8) 1 to 4 doses of pneumococcal
conjugate vaccine (PCV) for children 2 months through 59 months of age at 2, 4,
6, and 12 to 15 months of age or older depending upon age at first PCV
immunization with minimum intervals between doses as follows: 4 weeks between
doses 1, 2, and 3 and 8 weeks between doses 3 and 4 or any dose given as the
final dose at age >12 months.
(9) Vaccine doses administered 4 days or less
before the minimum intervals or ages listed in the preceding sections will be
counted as valid.
(c) In
the event that the parent, guardian, or responsible adult presenting a child
for admission to a child care facility certifies in writing that a family
emergency exists, the immunization requirements shall be waived for a period
not to exceed thirty days. No such waiver shall be knowingly permitted more
than once for any child.
(d)
Immunization records for children attending school-age programs are not
required if those records are maintained by the school and are readily
available.
(e) A child, through his
parent or guardian, may apply for an exemption from this requirement by
submitting a form to the Department. The child care center or child care home
shall maintain a copy of the approved application in the child's records.
(1) A request for exemption for medical
reasons shall contain a certificate signed by a physician stating that the
physical condition of the child is such that the immunization would endanger
the life or health of the child and that the child should be exempt for
immunization.
(2) Religious and
personal exemptions may be obtained after receiving an approved brief
instructional presentation provided by any local county health department
regarding the risks associated with not being vaccinated and the benefits
vaccinations provide to the individual and the community. To be approved, the
completed exemption form along with evidence of completed instruction is
required.
(f) The
Department may grant exemptions or substitutions in the immunization schedule
based on a medical history of a physical condition such that the immunization
would endanger the life or health of the child or a medical history stating the
child is likely to be immune as a result of having had a vaccine-preventable
disease if the following are met:
(1) A
history of having had diphtheria and/or tetanus is not acceptable as proof of
immunity since infection with diphtheria or tetanus may not render an
individual immune to either of these diseases;
(2) A history of having had polio, pertussis,
rubella, mumps, or hepatitis A must be supported by laboratory evidence to be
acceptable as proof of immunity to these diseases;
(3) A history of having had measles must be
accompanied by a statement from a physician, public health authority, or
laboratory evidence to be acceptable as proof of immunity to measles;
(4) A parental history of having
had varicella is acceptable evidence of immunity to varicella.
(5) A history of having had Hib before age
two years is not acceptable as proof of immunity since infection with Hib prior
to age two years may not render an individual immune.
Amended at 16 Ok Reg
1400, eff 5-27-99; Amended at 19 Ok Reg 2919, eff 7-26-02 (emergency); Amended
at 20 Ok Reg 1661, eff 6-12-03; Amended at 22 Ok Reg 1132, eff 5-26-05; Amended
at 23 Ok Reg 1344, eff 5-25-06; Amended at 24 Ok Reg 1987, eff
6-25-07
