(a)

1. (1) Except as otherwise provided in this rule, no infant or child shall be admitted to attend a childcare facility in this state who has not been age-appropriately immunized against poliomyelitis, diphtheria, tetanus, pertussis, red (rubeola) measles, rubella, mumps, Haemophilus influenzae type b, hepatitis B, hepatitis A, pneumococcal disease, and varicella (chickenpox) as evidenced by an immunization record from a licensed physician or a public health department acknowledging the immunization (see Table I).

2. (2)

   1. (A) A history of disease from a medical professional such as a medical doctor, advanced practice nurse, doctor of osteopathy, or physician assistant may be accepted in lieu of receiving varicella vaccine.
   2. (B) No self or parental history of varicella disease will be accepted.
3. (3) Children attending a childcare facility before or after attending school and during school closings shall be required to meet age-appropriate childcare attendance requirements according to Table I.

(b)

1. (1) Every child must have received all of the vaccines, be in process of receiving needed doses listed in Table I for their age, show proof that they have a letter from the Department of Health approving serology as proof of immunity, or have applied for an exemption for those vaccines he or she has not received in order to continue attendance in a childcare facility.
2. (2) If the child does not meet the immunization requirements for entering the childcare facility, refer the child to a medical authority (private doctor or health department) for immunization or consultation.

(c)

1. (1) A facility may temporarily admit a child provided that the child becomes age-appropriately immunized, is in process of receiving the needed doses of vaccine, or obtains an exemption for those vaccines he or she has not received within fifteen (15) program days after the child's original admission.

2. (2) "In process" means the child:

   1. (A) Has received at least one (1) dose of the required immunizations; and
   2. (B) Is waiting the minimum time interval to receive the additional doses.
3. (3) When a child is admitted who is in the process of completing the required minimum immunizations, the childcare facility shall require each child to complete the required doses on schedule.
4. (4) A written statement from a public health nurse or private physician stating that the child is in process and containing a date when he or she must return for the next immunization shall be in the child's file.
5. (5) If a child does not produce documentation of additional immunizations per the schedule or show proof that he or she has applied for an exemption from the immunization requirements, he or she must be excluded from the childcare facility until documentation is provided.
6. (6) The immunization series does not need to be restarted as each dose of vaccine counts toward the minimum requirements.

(d)

1. (1) Childcare facilities are required to evaluate the immunization status of all children in their facilities.
2. (2) Table I is used to determine if the child meets the immunization requirements to be admitted to and continue attendance in a childcare facility.