Health Services

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

  • Parents or caregivers should be submitting ParentSquare Daily Health Screening 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
    • 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. Please be sure to have someone listed for emergency contact available as needed.

Revised January 28, 2021

Public Health Administration

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

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

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:



1. 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


· Classroom/stable group OPEN.

No communication to class.

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

· Send home if at school

· Exclude from school for 10 days from last exposure, per CDPH quarantine recommendations

· Recommend testing 5 7 days from last exposure (but will not shorten 10-day exclusion if negative).

· If any symptoms develop contact medical provider for evaluation.

· School/Classroom remain OPEN.

· Consider school community notification of a known exposure.

· No action needed if exposure did not happen in school setting.






3. Confirmed COVID-19 case

· Notify the local health department - If 3 or more cases within 2 weeks contact SBPHD Community Health Nurse/Disease Control (805-681-5280)

· Exclude from school for 10 days from symptom onset date, or, if asymptomatic for 10 days from specimen collection date.

· Identify school contacts (*), inform the local health department of identified contacts, and exclude contacts

- possibly the entire stable group (**) - from school for 10 days after the last date the case was present at school while infectious.

· Recommend testing asymptomatic contact 5 – 7 days from last exposure and immediate testing of symptomatic contacts, (negative results will not shorten 10-day exclusion).

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

· School remains open.

· Close contacts, stable group closes (**)

· School community notification of a known case

· Notification of persons with potential exposure if case was present in school while infectious

4. Tests negative after symptoms

· May return to school after 24 hours have passed without fever and symptoms have started improving

· School/classroom remain 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 indoors.

(**) See Stable Group Guidance for a definition of stable group. Generally, the entire stable group will be excluded from school for a period of 10 days if the positive COVID case was in school during the infectious period. Only if school personnel can confirm that there was not close contact with a positive case during the infectious period, would individual members of the stable group not be excluded from school.

(***) Symptoms of Coronavirus

 This list does not include all possible COVID-19 symptoms. CDC and CDPH 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

·       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



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. 

Medical Exemptions

1. For admissions on or after January 1, 2021, what is required for a medical exemption to a required immunization?

Starting January 1, 2021:

  • Medical exemptions can only be issued through the California Immunization Registry – Medical Exemption website (CAIR-ME) by physicians licensed in California. 
  • Schools and child care facilities may only accept from parents new medical exemptions that are issued using CAIR-ME.

  • 2. Are medical exemptions filed for children in attendance at a California child care facility or school before 2021 valid in later years?

A medical exemption filed at a pre-kindergarten facility or school remains valid until the earliest of:

  • When the child enrolls in the next grade span (TK/K-6th grade, 7th-12th grade)
  • The expiration date specified in a temporary medical exemption
  • Revocation of the exemption because the issuing physician has been subject to disciplinary action from the physician’s licensing entity.

3. A doctor has told a child’s parents that their child needs a medical exemption from a required immunization. How do parents get a medical exemption for their child?

Starting January 1, 2021, all new medical exemptions for school and child care entry must be issued through CAIR-ME.  Parents can create an account and log in to CAIR-ME to submit a request for a medical exemption.  Next, the child's doctor can complete the medical exemption in CAIR-ME and print a copy for the parents to give to the child’s school or child care facility.

  • For more information regarding Medical Exemptions:

  •  7th Grade Requirement : "Tdap" Immunization Booster and 2 doses of Varicella

All students entering, advancing or transferring into 7th grade Fall of 2021 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 . 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.