Health Services

Back to School 
New Back To School Guidelines for 2020/2021

  • Parents or caregivers should doing a symptom/ health check every morning prior to sending their children to school.
  • Students who are sick should not attend school in-person.
    • Fever of 100.4 or higher/ chills
    • Cough
    • Shortness of breath or difficulty breathing
    • Fatigue
    • Muscle or body aches
    • Headache
    • New loss of taste or smell
    • Sore throat
    • Congestion or runny nose
    • Nausea or vomiting
    • Diarrhea
  • Masks are required for all staff and students 3rd grade and above. Younger students should be encouraged to wear masks.
Dog mask
  • Children with a temperature of 100.4 degrees or higher will be sent home immediately.
Swiss Cheese Model-COVID-19

Santa Barbara County Public Health Administration

300 North San Antonio Road w Santa Barbara, CA 93110-1316

805/681-5100 w FAX 805/681-5191

Revised November 13, 2020


Santa Barbara Protocols for Symptoms, Potential Exposure and/or Close Contact with an Individual Testing Positive for COVID-19 in a School or Classroom Setting


Student or Staff with:





!. Any of the COVID-19 symptoms, ***answers yes to a health screening question, or has a temp of 100.4 or above.


· Individual sent home, isolate at home.

· If the individual is symptomatic (and does not get evaluated by a healthcare provider) then they are to isolate at home for at least 10 days from symptom onset, AND until symptoms improve, AND there is no fever without fever-reducing medication for at least 24 hours. When all these criteria are met a note from a healthcare provider is not needed.

· Family contacts their healthcare provider immediately for medical evaluation which may include testing. Individual isolates until evaluated by health care provider. If tests positive for COVID-19, see #3; if tests negative for COVID-19, see #4; if healthcare provider diagnoses another cause of symptoms and provides, see #5.

· Cohort OPEN.

No communication to class.

2. Close Contact (see definition below) with a confirmed COVID-19 case.

· Send home and quarantine for 14 days from last exposure.

· Recommend testing (but will not shorten 14 day quarantine).

· If any symptoms develop contact medical provider for evaluation.

· Cohort OPEN.

Consider school community notification of a known contact




3. Confirmed COVID-19 case


· If 3 or more cases within 2 weeks contact SBPHD Community Health Nurse/Disease Control 805-681-5280.

· Isolate case and exclude from school until criteria for return have been met.

· Individual isolates for at least ten days from symptom onset, AND improving symptoms, AND no fever without fever-reducing medication for at least 24 hours.

· Identify contacts, quarantine & exclude exposed contacts (likely entire cohort) for 14 days after the last date the case was present in school while infectious.

· Recommend testing of contacts, prioritize symptomatic contacts (but will not shorten 14-day quarantine).

· Disinfection and cleaning of classroom and primary spaces where case spent significant time.

· School remains open.


School community notification of a known case

4. Tests negative after symptoms

· May return to school after 3 days of symptoms improvement and no fever for 24 hours without fever reducing medication.

· Cohort OPEN.


Consider school community notification if prior awareness of testing.

5. A medical provider diagnoses another cause of symptoms

· Medical provider provides note with return to school instructions following guidelines for the specific illness.



(*) A contact is defined as a person who is <6 feet from a case for >15 minutes.

In some school situations, it may be difficult to determine whether individuals

have met this criterion and an entire cohort, classroom, or other group may

need to be considered exposed, particularly if people have spent time together


(**) A cohort is a stable group with fixed membership that stays together for all

courses and activities (e.g., lunch, recess, etc.) and avoids contact with other

persons or cohorts.


(***)Symptoms of Coronavirus (from CDC)


This list does not include all possible COVID-19 symptoms. CDC will continue to update this list.

·       Fever or chills

·       Cough

·       Shortness of breath or difficulty breathing

·       Fatigue

·       Muscle or body aches

·       Headache

·       New loss of taste or smell

·       Sore throat

·       Congestion or runny nose

·       Nausea or vomiting or diarrhea


  • llness/Injury:  If your child is ill or injured during school hours, he/she will be assessed by the School Nurse, Health Assistant
     (LVN), Teacher or Office Staff.  You may not be contacted each time your child visits the school health office. 
    In the event your child appears to have a serious illness/injury, every effort will be made to notify you.  
    Please be sure all phone numbers and health care information is kept current throughout the school year.

Per California Department of Public Health: All immunizations are still required for school, even for distance learning
COVID-19 Update:
CDPH is closely following the rate of
immunization during the pandemic.
Immunization requirements for admission
to school or child care in California for
the 2020-2021 school year remain in
place for now.

Parents’ Guide to Immunizations Required for School Entry Spanish Chinese Russian

New California school immunization requirement regulations will become effective starting July 1st, 2019.


Starting July 1, 2019
Students Admitted at TK/K-12 Need:

  • Diphtheria, Tetanus, and Pertussis (DTaP, DTP, Tdap, or Td) — 5 doses 
    (4 doses OK if one was given on or after 4th birthday. 3 doses OK if one was given on or after 7th birthday.)
    For 7th-12th graders, at least 1 dose of pertussis-containing vaccine is required on or after 7th birthday. 

  • Polio (OPV or IPV) — 4 doses 
    (3 doses OK if one was given on or after 4th birthday) 

  • Hepatitis B — 3 doses 

  • Measles, Mumps, and Rubella (MMR) — 2 doses 

  • (Both given on or after 1st birthday) 

  • Varicella (Chickenpox) — 2 doses 

 These immunization requirements also apply to students entering transitional kindergarten. 

California schools are required to check immunization records for all new student admissions at TK/Kindergarten through 12th grade and all students advancing to 7th grade before entry. Parents must show their child's Immunization record as proof of immunization. 

  •  Starting July 1, 2019, a parent or guardian must submit a signed, written statement from a physician (MD or DO) licensed in California which states:
    • The specific nature of the physical condition or medical circumstance of the child for which a licensed physician does not recommend immunization.
    • Each specific required vaccine that is being exempted.
    • Whether the medical exemption is permanent or temporary.
    • If the exemption is temporary, an expiration date no more than 12 calendar months from the date of signing.
  •  7th Grade Requirement : "Tdap" Immunization Booster

All students entering, advancing or transferring into 7th grade Fall of 2020 will need proof of an adolescent whooping cough
 booster immunization (called "Tdap") for school in the fall. They will also need to have documentation of 2 doses of Varicella vaccine or a Medical Exemption from a California MD/DO stating student has had chicken pox and is permanently exempted. Your student will not be able to receive their class schedule without documented proof of these vaccines.  In order to meet the 7th grade requirement, the Tdap booster 
needs to be have given after they have turned 7 years old.

Pertussis is a very contagious respiratory disease that can be severe and last for months. 
The immunity received from early childhood immunization for Pertussis disease wears off over time, 
leaving older students and adults susceptible again to Pertussis. Immunization with Tdap can protect students, 
schools and communities against Pertussis. 



 Lice:  Head lice are a common community problem. They are not dangerous and do not transmit disease. The school staff will notify parents/guardians of any student with live lice and recommend treatment that evening. 
The student will not be sen