Health Services

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Overhead View Of Students Working On Math Sheets In A Circle

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?

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 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. Click here for current 7th grade immunization requirements.

 The upcoming changes include, but are not limited to:

  • Requiring (rather than 1) doses of chickenpox (varicella) vaccine at:
    • Kindergarten entry
    • 7th grade advancement
    • K-12 admission or transfer
  •  ​​Requiring 2 MMR doses and 3 Hepatitis B vaccine doses at admission or transfer more uniformly throughout K-12 (age restrictions are removed) 
  • 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

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 1th 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

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

Return to School Guidelines after Covid Exposure

Return to school date:    _______________     10 days from symptom onset unless other criteria as listed in #1 is met.     

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

  • Individual is sent home to isolate at home. A medical evaluation and/or COVID-19 test strongly encouraged.
  • students with symptoms of COVID-19 infection are not to return in-person until they have met criteria to return:
    • At least 10 days have passed since symptom onset. AND At least 24 hours have passed since resolution of fever without the use of fever-reducing medications; AND Other symptoms have improved; OR
    • A healthcare provider has provided documentation that the symptoms are typical of their underlying chronic condition (e.g., allergies or asthma), OR
    • A healthcare provider has confirmed an alternative named diagnosis (e.g., Streptococcal pharyngitis, Coxsackie virus), OR
    • They have a negative test for SARS-CoV-2 and symptoms have improved.

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

Quarantine recommendations for close contacts2 who are FULLY VACCINATED1 or persons who have recently recovered from laboratory-confirmed COVID-19 within the past 90 days;

  • Refrain from quarantine following a known exposure if asymptomatic. Note: CDC recommends that vaccinated individuals get tested 3-5 days after exposure to someone with suspected or confirmed COVID-19 and wear a mask in public indoor settings for 14 days after exposure or until they receive a negative test result.

If symptoms develop refer to section 1

*Per AB 86 (2021) and California Code Title 17, section 2500, schools are required to report COVID-19 cases
to the local public health department. Schools or LEAs should have a COVID-19 liaison to assist the local
health department with contact tracing and investigation.

1People are considered fully vaccinated for COVID-19: two weeks or more after they have received the
second dose in a 2- dose series(Pfizer-BioNTech or Moderna), or two weeks or more after they have
received a single-dose vaccine (Johnson and Johnson [J&J]/Janssen).

2A close contact is: Someone who was within 6 feet of an infected person (laboratory-confirmed or a clinically
compatible illness) 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). An infected person can spread SARS-CoV-2 starting 2
days before they have any symptoms (or, for asymptomatic patients, 2 days before the positive specimen
collection date). In some schoolsituations, 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[without masking and social distancing].

Quarantine recommendations for UNVACCINATED close Contacts2

  • For close contacts who are asymptomatic, may discontinue self-quarantine under the following applicable conditions:
    • Standard Quarantine: Quarantine can end after Day 10 from the date of last exposure without testing; OR
    • Modified Quarantine: FOR STUDENTS ONLY, both parties wore face coverings and were in school setting. Attend school with face covering but exclude from sports, extracurricular, & non-instructional school activities; AND test twice during the ten days following exposure date; AND quarantine can end on Day 8 if a diagnostic specimen is collected on Day 5 or later from date of last exposure and test result is negative; OR
    • Shortened Quarantine: FOR STUDENTS (not eligible for modified quarantine) Quarantine for ten days; AND quarantine can end on Day 8 if a diagnostic specimen is collected on Day 5 or later from date of last exposure and test result is negative.
  • To discontinue quarantine before 14 days following last known exposure, asymptomatic close contacts must:
    • Continue daily self-monitoring for symptoms through Day 14 from last known exposure; AND
    • Follow all recommended non-pharmaceutical interventions (e.g., wearing a mask when around others, hand washing, avoiding crowds) through Day 14 from last known exposure; AND
    • If any symptoms develop during this 14-day period, the exposed person must immediately isolate, get tested and contact their healthcare provider with any questions regarding their care.

2A close contact is: Someone who was within 6 feet of an infected person (laboratory-confirmed or a clinically
compatible illness) 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). An infected person can spread SARS-CoV-2 starting 2
days before they have any symptoms (or, for asymptomatic patients, 2 days before the positive specimen
collection date). 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[without masking and social distancing].

Confirmed COVID-19 case regardless of vaccination status of the individual.

  • Isolate case and exclude from school/work until return criteria has been met:
    • At least 10 days have passed since symptom onset; AND At least 24 hours have passed since resolution of fever without the use of fever- reducing medications; AND other symptoms have improved.

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.

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, RN, BSN, PHN, Credentialed School Nurse,  District School Nurse Administrator
mromine@orcutt-schools.net

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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