Pomelo Drive Elementary

Immunizations
	· New students will not be enrolled unless a written immunization record provided by a physician or the health department is presented at the time of enrollment and immunizations are up-to-date. There are new requirements for Hepatitis B, Measles-Mumps-Rubella vaccines (MMR), and Chicken Pox, immunizations for new enrollees entering kindergarten.

	Starting July 1, 2001, students less than 18 years age who enter a California School for the first time must be immunized against Varicella (chickenpox) or provide acceptable documentation by a medical provider that the child has had chickenpox.

	Students who require additional vaccine doses or who lack a written record are no longer allowed a grace period. All students new to the District or transfer students within the District must show that they have received all currently required immunizations in order to be enrolled.

	The immunization status of all students will be reviewed periodically. Those students who do not meet the State guidelines must be excluded from school until their requirements are met. Students who have been exposed to a communicable disease for which they have not been immunized must be excluded from school at the discretion of the health department.

Tuberculosis Clearance
	All new kindergarten students and all new first grade students who have never attended kindergarten must present a written report provided by the private physician or health department, giving the results of a Mantoux test for tuberculosis done within one year prior to school entry.

	All other new students entering grade 1-6 who have never previously attended any school in California, must present documentation of results of a Mantoux test done at some previous time.

Health and Medical Conditions
	The school administrator and school nurse must be notified if a student with a medical or health condition requires accommodations at school in order to participate in the educational program.

	For example, students with diabetes, severe asthma and severe allergies to food, insects, etc., would require recommendations from the student's physician. The school administrator and school nurse will arrange to meet with the parent and necessary school staff in order to develop an individualized care plan for the student's medical condition.

Medications at School
	Students may not use medication on campus without written consent. A student who needs to take medication during school hours MUST have a statement to this effect on file at the school, signed by a California licensed physician, California licensed nurse practitioner or physician assistant under the supervision of a California physician and the parent/guardian. The required forms are available from the school nurse or administrator. School health personnel do not prescribe or give advice regarding medication. We cannot administer over the counter drugs and medications.

Physical Examinations
	California Education Code 49451: A parent or guardian having control or charge of any child enrolled in the public school may file annually with t he principal of the school in which he is enrolled a statement in writing, signed by the parent or guardian, stating that he will not consent to a physical examination of his child. Thereupon, the child shall be exempt from any physical examination, but whenever there is good reason to believe that the child is suffering from a recognized contagious or infectious disease, he shall be sent home and shall not be permitted to return until the school authorities are satisfied that any contagious or infectious disease does not exist.

	Medical evaluations by school physicians or health assessments by school nurses may be done as required for Special Education programs.

	If parents/guardians do not wish to have their child examined at school, they must file an annual written statement to that effect with the administrators.

	A comprehensive physical examination and health assessment consistent with Child Health and Disability Prevention (CHDP) guidelines is required for all first grade students within 18 months prior to entry or up to 3 months after admission to the first grade. A CHDP or equivalent examination may be done by a private physician, by a health department clinic, or, in some instances, by the District CHDP staff. A blood test to determine lead level is part of this examination.

	If help is needed in meeting the requirement for a CHDP examination, please contact your school nurse.

	Physical examinations required for Special Education Programs may be done by licensed school physicians. If parents/guardians do not wish to have their child examined at school, they must file an annual written statement to that effect with the administrators.

	Screening of vision and hearing will be done on first admission to school, and thereafter in accordance with State mandates. Parents/guardians will be notified of any conditions requiring further attention.

Miscellaneous
	Communicable disease inspections will be conducted periodically. A student suspected of having a communicable disease will be excluded from school until guidelines for readmission are met.

	An effort will be made to notify parent/guardians about school exposure to chickenpox. The parent/guardian of a student for whom chickenpox presents a particular hazard should contact the school nurse to facilitate notification. Students at risk include those with conditions affecting the immune system and those receiving certain drugs for the treatment of leukemia or organ transplants.

	An effort will be made to notify parents/guardians about school exposure to head lice. Children with head lice or 'nits' (the small eggs attached to the hair) will be excluded from school until the condition is corrected.

	A student returning to school with sutures, casts, crutches, brace(s), or a wheelchair, must have a physician's written permission to attend school and must comply with any safety procedures required by the school administration and Health Services personnel.

	A student returning to school following a serious or prolonged illness, injury, surgery, or other hospitalization, must have written permission by the health care provider to attend school, including any recommendations regarding physical activity.

	An excuse (less than 10 weeks) from a physical education class may be granted to a student who is unable to participate in a regular or modified curriculum for a temporary period of time due to illness or injury. A parent's written request for an excuse will be accepted for up to 5 days; thereafter, a written request is needed from the student's health care provider.

	A current District Emergency Information card must be on file at the school so that parents/guardians can be notified promptly in case of accident or illness involving their child.

	School health personnel are available for consultation.

Health Services