Health Services

COVID-19 Protocols for TK-12 School Settings in Santa Barbara County: 
*updated 07/28/2022 in coordination with Santa Barbara County Public Health

Any of the COVID-19 symptoms, regardless of the vaccination status of the individual or previous infection.  (Including “just a cold”)

Must remain out of school or work for 10 days and 24 hours have passed since resolution of fever without the use of fever reducing medication and other symptoms have improved unless:

  • They test negative and have improving symptoms,  (A home test is acceptable, but must it must be observed by school staff)
  • OR have an alternative diagnosis from a doctor,
  • OR have a doctor provide documentation of a chronic condition.

 Per CDPH masking guidance, it is strongly  recommended to wear a well-fitting mask around others for a  total of 10 days after positive test or symptom onset, especially  when indoors.

When a student has a confirmed positive case of COVID-19 (regardless of vaccination status)
*if Asymptomatic, day 0 = date first  positive * If Symptomatic, day 0 = date first  symptom

Return to school on Day 11 if they are fever-free for 24 hours with no fever-reducing medication and symptoms have improved OR

  • Return to school as early as Day 6 with a negative test (on or after day 5; antigen test preferred) and are fever-free for 24 hours with no fever-reducing medication and symptoms have improved  (A home test is acceptable, but must it must be observed by school staff)


Per CDPH masking guidance, it is strongly recommended that persons wear a well-fitting mask around others for a total of 10  days after positive test or symptom onset, especially in indoor  settings 

When a Student, regardless of  vaccination status or previous COVID – 19 infection has close contact with a  person with a confirmed case of COVID 19 in school, the community or a  household.  
Day 0=last date of known close  contact 

Groups of students with close contact*, regardless of COVID-19 vaccination status or prior infection, test within 3-5 days after last exposure.

  • In the event of wide-scale and/or repeated exposure, (e.g., grade-wide or campus-wide) weekly testing may be considered.  
  • Any FDA-approved antigen, PCR, or pooled PCR test is acceptable. For individuals who have been recently infected (within the past 90 days), antigen testing is strongly recommended. 
  • Students who receive a positive test result should isolate.

 If the exposed student tests positive for COVID-19, follow  the guidance for isolation in Section #2 above.

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 
  • Congestion or runny nose 
  • Nausea or vomiting 
  • Diarrhea 

Close Contact per CDPH guidance means the following:

  • In indoor spaces of 400,000 or fewer cubic feet per floor (such as homes, clinic waiting rooms, airplanes, etc.), close contact is defined as sharing the same indoor airspace for a cumulative total of 15 minutes or more over a 24-hour period (for example, three individual 5-minute exposures for a total of 15 minutes) during an infected person’s (confirmed by COVID-19 test or clinical diagnosis) infectious period.
  • In large indoor spaces greater than 400,000 cubic feet per floor (such as open-floor-plan offices, warehouses, large retail stores, manufacturing, or food processing facilities), close contact is defined as being within 6 feet of the infected person for a cumulative total of 15 minutes or more over a 24-hour period during the infected person’s infectious period.
  • Spaces that are separated by floor-to-ceiling walls (e.g., offices, suites, rooms, waiting areas, bathrooms, or break or eating areas that are separated by floor-to-ceiling walls) must be considered distinct indoor airspaces.

Infectious Period per CDPH guidance is defined as:

  • For symptomatic infected persons, 2 days before the infected person had any symptoms (symptom onset date is Day 0) through Day 10 (if choosing not to re-test) after symptoms first appeared and 24 hours have passed with no fever, without the use of fever-reducing medications, and symptoms have improved, OR
  • For asymptomatic infected persons, 2 days before the positive specimen collection date (collection date is Day 0) through Day 10 (if choosing not to re-test) after positive specimen collection date for their first positive COVID-19 test.

For the purposes of identifying close contacts and exposures, symptomatic and asymptomatic infected persons who test negative on or after Day 5 can end isolation in accordance with this guidance and are no longer considered to be within their infectious period. Such persons should continue to follow CDPH isolation recommendations, including wearing a well-fitting face mask through Day 10.

No Shots? No Records? No School.

GradeNumber of Doses Required of Each Immunization
K -12 Admission4 Polio 5 DTaP 3 Hep B 2 MMR 2 Varicella
(7th – 12th)1 Tdap
7th Grade Advancement 1 Tdap

State law requires that all students under age 18 years, TK through grade 12, be immunized against certain diseases unless they are exempt for medical reasons. At the time of registration, the school is required to have proof that your child has received all currently due immunizations.

Check with your pediatrician, family physician or medical clinic to make sure your child is fully immunized. Your child may be excluded from attending school if these requirements are not met. Click this link to see a table which explains what immunizations are due at what age – Required Immunizations – English or Required Immunizations – Spanish

Ready for 7th Grade?

Ready for 7th Grade Banner image

All students entering, advancing or transferring into 7th grade will need proof of an adolescent whooping cough booster immunization (called “Tdap”) for school in the fall. Your student will not be able to receive their class schedule without documented proof of Tdap booster. In order to meet the 7th grade requirement, the Tdap booster needs to be given after they have turned 7 years old.

Immunization with Tdap can protect students, schools and communities against Pertussis. Click here for current 7th grade immunization requirements.

Requiring 2 doses of chickenpox (varicella) vaccine at: 7th grade advancement 

Medical exemptions for new admissions may be signed only by a California licensed MD/DO.

Each temporary medical exemption may be issued for no more than 12 months.

Medical Exemptions

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.

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

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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.

Mandated Hearing and Vision Screenings

Young boy with hands behind his ears

California law (EC 49452, EC 49455, 17 CCR 2951) and district policy (AR 5141.3) require all students in Kindergarten, 2nd, 5th, 8th, and 11th grades (hearing only) as well as students upon first enrollment in a California public school shall receive vision and hearing screenings performed by the School Nurse or other authorized person during the school year. If there is an abnormal finding, parents will be notified by letter. Please contact the School Nurse if you have any concerns regarding your child and the screening process. 

Kindergarten Oral Health Exam Requirement

California law (EC 49452.8) requires children entering kindergarten or first grade, whichever is the child’s first year in public school, have an oral health exam and present a certificate signed by a licensed dentist or other licensed or registered dental health professional by May 31 of that school year. Oral health assessments that occurred within 12 months prior to school entry meet this requirement. If the child does not receive this exam, the parent must file a waiver stating the reason the certificate was not obtained.

First Grade Health Examination Requirement

Young Male Student Playing With Toys And Smiling

California law (HS 124040, 124045, 124085) and district regulation (AR 5141.3) require that parents of each child enrolling in first grade provide verification signed by a physician, that the child received a physical examination between 18 months before to 90 days after first grade entry. If a child does not receive this exam, the parent must provide the district with a waiver stating reasons the child did not receive a physical, or the child may be sent home if the parent fails to provide this verification. 

Examinations may be available at no cost through the Child Health and Disability Prevention (CHDP) Program.

You can download the CHDP exam form here: Report of Health Examination FormIt is also available through the local CHDP program, schools, and provider offices.

FAQs about First Grade Health Examination Requirements and Procedures for provider and school personnel are found in the  CDPH School Handbook

Head Lice Information

Head lice is a nuisance. Prevention is key! Teach your student to avoid head to head contact, including not sharing combs, brushes, hats, scarves, head bands, helmets, and pillows. And as the saying goes, “Once a week, take a peek!” This simply means once a week, parents, take a look at your student’s scalp, especially behind the ears and at the nape of the neck, for evidence of lice or nits.

2018 CDPH Guidance on Head Lice Prevention and Control for School Districts and Child Care FacilitiesUpdated March 2018

Lice Lessons – National Association of School Nurses (Lice Lessons is an educational initiative focused on dispelling common head lice misperceptions, providing information about the value of engaging healthcare professionals and building awareness of new treatment options.)

Medication Administration at School

The California Education Code states that any student who is required to take medication prescribed by a physician during the regular school day, may be assisted by the school nurse or other designated school personnel if the district receives: (1.) a written statement from the physician detailing the method, amount and time schedules that the medication is to be taken and (2.) a written statement from the student’s parent/guardian authorizing the school district to administer the medication. (E.C. 49422, 49423)

Procedures and appropriate use of prescription and non-prescription medicine

Parent/guardian responsibilities

Schools rely on the cooperation of parents/guardians to safely and effectively administer medication to their students at school.

Parents/guardians are responsible for:

Supplying all medications (schools don’t supply medications for students)
Transporting medication to and from school
Completing all required medication authorization forms

Requirements for all medications: prescription and non-prescription:

Parents/guardians must complete the authorization to administer medication form for each medication. The form must be signed by the health care provider and parent/guardian. Medication cannot be given without the completed form.

Parents/guardians must bring all medications to the school office for the student. Students can’t bring medication to school. Medication can’t be transported on school district buses.

All medication must be in the original prescription bottle, container or package.

If half doses have been prescribed, the parent/guardian must break medication tablets in half before bringing them to the school.

Over- the- counter medications will only be accepted if the authorization to administer medication form is signed by a healthcare provider.

Self-Administering medication at school for inhalers, epinephrine auto injectors and diabetic supplies ( these are the only medication that a student can self carry with a health providers order)

If a student self carries medication at school, they also are required to have a health care provider’s order on file at the school with written permission from parent/ guardian and school nurse assessment.

Students must follow rules and responsibilities of carrying his/her medication and be able to show proper usage of inhaler, epinephrine auto injector or insulin. If a student does not follow the rules and responsibilities of carrying his/her medication, then the student will lose the privilege of carrying such medication.

No other prescription or over-the-counter medications, vitamins, herbs, or alternative medications may be carried by students on their person, in a backpack or other container Note: 

Medication left at school will be destroyed the last day of school, according to district policy.

 A Medication Form needs to be completed annually for each medication taken at school 

What is the importance of proper medication administration?

  • There are a growing number of children who are chronically ill and require medications to remain stable, healthy and fully functioning.
  • Without effective medication administration, children dependent on medications may fail to achieve academic success or live healthy lives.

What does the law require of schools regarding medication administration?

California Code of Regulations, Title 5, Education Code 49423

  • Allows designated school personnel to administer medication to students as allowed by law
  • Prior to administration the school must obtain:
  • An order from a proper healthcare provider stating medication, route, dose, and frequency for an individual
  • A written statement from parent or guardian consenting for assistance regarding medication administration as stated by healthcare provider
  • Medication provided to the school in the original, labeled container

What should NOT be done when administering medications?

  • Do NOT administer unlabeled medications or medications with incomplete instructions
  • Do NOT borrow medications from another individual
  • Do NOT give expired or discolored medications
  • Do NOT return unused medications back into their container if already removed
  • Do NOT administer medication if all five rights have not been checked first.

What Universal Precautions should be taken in order to administer medications?

  • Wash hands before and after giving medications

Food Allergies/Outside Food

Many students have food allergies.  It is imperative that parents notify the school nurse and the child’s teacher of any food allergies as soon as possible.  In order to keep all students safe, we ask that parents DO NOT bring in outside food for classroom parties, unless you have checked with the teacher beforehand. A food allergy can turn into a potentially life-threatening situation. Parents are encouraged to consider books, pencils, or other non-food items for birthdays, parties, and end of year celebrations.

District Nurse

Michelle Romine, BSN,RN, PHN, Credentialed School Nurse,  District School Nurse Administrator
(805) 938-8932,

Iran Rahbar,  MSN, RN, PHN, Credentialed School Nurse,  District School Nurse Administrator

Health Office Staff

Kathryn A, RN

Rose A, LVN

Michelle J, LVN

Laci J, LVN

Maria R,LVN

Kristina U, LVN

Our Vision

  • As the heart of the communities we serve, the Orcutt Union School District will foster high levels of student success through multiple pathways of learning. Our highly trained, dedicated staff will offer all students a world-class education, that leads the way in innovation and creativity, and will be known for its caring, collaborative and inclusive culture.​

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