Health Services

COVID-19 Protocols for TK-12 School Settings in Santa Barbara County: 
*updated 04/06/2022 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”).

Individual isolates at home. A medical evaluation is strongly encouraged.

  • Students with symptoms of COVID-19 infection, regardless of vaccination status are not to return in- person until:
  1. 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
  2. A negative test* for SARS-CoV-2 (*Antigen Test preferred) and symptoms have improved OR
  3. A healthcare provider has provided documentation that the symptoms are typical of their underlying chronic condition (e.g., allergies or asthma), OR
  4. A healthcare provider has confirmed an alternative named diagnosis (e.g., Streptococcal pharyngitis, Coxsackie virus), IN ALL SCENARIOS ABOVE:
  5. Per CDPH masking guidance, it is strongly recommended that persons wear a well-fitting mask around others for a total of 10 days, after last date of exposure especially in indoor settings 

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

Confirmed COVID-19 case regardless of vaccination status, previous infection or lack of symptoms.

  1. Isolate case and exclude from school until return criteria has been met: Stay Home for 10 days; OR
  2. Isolation can end after day 5 if symptoms are not present OR are resolving AND tests negative on day 5 or later. (Antigen test preferred); OR
  3. If fever is present, isolation should be continued until fever resolves without the use of fever reducing medications; OR
  4. If symptoms, other than fever, are not resolving, continue to isolate until symptoms are resolving or until after day 10.
  5. Per CDPH masking guidance, it is strongly recommended that persons wear a well-fitting mask around others for a total of 10 days, after last date of exposure especially in indoor settings

Group-Tracing Approach to  Students Exposed to COVID-19 in a K-12 Setting Regardless of  Vaccination Status

 i. Exposed students, regardless of COVID-19 vaccination status or prior infection, may remain in school and are  strongly recommended to get tested for COVID-19 with at least one diagnostic test obtained

 within 3-5 days after last exposure; refrain from testing if previously infected in the last 90 days and asymptomatic; AND

                 a. In the event of wide-scale and/or repeated  exposures, broader (e.g., grade-wide or  campus-wide) once weekly testing for  COVID-19 may be considered until such time that exposure events become less frequent.

ii. Exposed students who participate in testing or were previously infected in the last 90 days and 

asymptomatic, may continue to take part in all  aspects of K-12 schooling, including sports and  extracurricular activities, unless they develop  symptoms or test positive for COVID-19. 

                          They  should test with at least one diagnostic test  obtained within 3-5 days after last exposure; refrain from testing if previously infected in the last 90  days and asymptomatic; report positive test                               results  to the school, and follow other components of this  guidance, including a strong recommendation to  wearing face-coverings as directed.

                a. Exposed students who develop symptoms  should see Section 1 of the K-12 Guidance.

               b. Exposed students who receive a positive test result should isolate in accordance with Section 2 of this guidance

Fully Vaccinated 2

Student has close contact with a person with a confirmed case of COVID-19 inside or outside of school.

Includes persons previously infected with SARS-Cov-2, in the 90 days prior. Inside or outside of school

1. Refrain from quarantine following a known exposure if asymptomatic AND recommend test on days 3-5 from close contact (antigen test preferred);

 refrain from testing if previously infected in the last 90 days and asymptomatic; AND 

2. Per CDPH masking guidance, it is strongly  recommended that persons wear a well-fitting  mask around others for a total of 10 days, after last  date of exposure especially in indoor settings OR

3. If tests positive, follow isolation recommendations  above; OR

If symptoms develop, follow the symptoms recommendations above.

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.

1A 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 criteria 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).

Any FDA-approved antigen diagnostic test,PCR diagnostics test or pooled PCR test is acceptable for evaluation of an indiviual’s COIVD-19 status. An antigen test if preferred for testing out of isolation and quarantine. A confirmatory PCR test is not necessary following a positive antigen test. For individuals who have been recently infected) within the past 90 days), antigen testing is strongly recommended as PCR results may remain persistently positive and not be indicative of a new active infection.Repeat antigen testing and/or confirmatory molecular testing should be considered in individuals who receive a negative results with an antigen test but have symptoms specific for COVID-19 ( such as loss of taste and smell).

2Refer to CDC COVID-19 Booster Shots to determine who is booster eligible. (As of January 7, 2022 CDPH confirmed that only 18 and over must have a booster to be considered fully vaccinated)

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

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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