Nebraska Administrative Code › Topic - HEALTH AND HUMAN SERVICES SYSTEM › Title 173 - CONTROL OF COMMUNICABLE DISEASE › Chapter 4 - IMMUNIZATION IN LICENSED CHILD CARE PROGRAMS › Section 173-4-005 - FREQUENCY OF REVIEW AND REPORTS; RECORDKEEPING

Current through June 17, 2024
005.01 Each program
				must review the status of immunization for all children on entry. The
				immunization status of children under 20 months of age must be reviewed again
				in March and September to insure compliance with age-specific requirements.
				Records of children who are 20 months of age or older need not be reviewed
				again until kindergarten entry except as noted in 173 NAC 4-005.02.
005.02 Parents/guardians submitting written
				statements refusing immunizations for children are required to resubmit, sign,
				and date that statement on an annual basis.
005.03 Each program must keep as part of each
				child's file the immunization history, or the certification by the medical
				provider, or the written statement from the parent or guardian. These records
				must be available to the Department for inspection and review.
005.04 The licensee of each program must
				report to the Department by November 1 of each year the records of immunization
				for all children enrolled as of September 30 of that year. Children who have
				reached kindergarten age and who are enrolled in a public or private school
				need not be included in the report. Each report must consist of the following
				items:
1. The name, address, and telephone
				number of the licensee and the number of children enrolled on September
				30;
2. For each child enrolled, a
				report of the name of the child, the child's date of birth, and the child's
				immunization record; and
3. Copy of
				refusal of immunization or medical certification if the child is not up to
				date.
The copy of the certification from the medical professional
				  must state the medical reason(s) for not immunizing the child. The copy of the
				  written statement from the parent or guardian must state the reason(s) why the
				  parent or guardian does not wish to have the child immunized.
CHILDHOOD IMMUNIZATION SCHEDULE
Child's Age At Entrance or At Time of
							 Record Review
<<<<Minimum>>>>
							 Number of Doses Required of Each Vaccine
DTaP/DT/ Td/Tdap Vaccine
Polio Vaccine
MMR/ MMRV Vaccine
Hib Vaccine
Hep B Vaccine
VZV Vaccine
PCV Vaccine
0 but not yet 3 Months
None
None
None
None
None
None
None
3 months but not yet 5 Months
1 Dose
1 Dose
None
1 Dose
1 Dose
None
1 Dose
5 months but not yet 7 Months
2 Doses
2 Doses
None
2 Doses
2 Doses
None
2 Doses
7 months but not yet 16 Months
3 Doses
2 Doses
None
2 Doses **
3 Doses
None
3 Doses ****
16 months but not yet 19 Months
3 Doses
2 Doses
1 Dose *
3 Doses **
3 Doses
1 Dose or Documented History of Disease
4 Doses ****
19 Months to School Entry
4 Doses
3 Doses
1 Dose *
3 Doses **
3 Doses
1 Dose or Documented History of Disease
4 Doses ****
At School Entry
4 Doses
3 Doses
2 Doses *
None ***
3 Doses
2 Doses or Documented History of Disease
None
* First dose must be given no earlier than 4 days before the
				  1st birthday.
** Hib vaccine is recommended to be given in a multiple dose
				  schedule beginning in infancy. However, any child who has received a single
				  dose of Hib vaccine at or after 15 months of age is appropriately
				  immunized.
*** Hib vaccine is not required after child reaches 5 years
				  of age.
**** If a child is 7 months of age or older when they start
				  the PCV series, they do not need all 4 doses of PCV. Unvaccinated children who
				  begin the PCV series between 7-11 months of age should receive 2 doses 4 weeks
				  apart with a booster at 12-15 months. Unvaccinated children who begin the PCV
				  series between 12-23 months of age should receive 2 doses 8 weeks apart.
				  Unvaccinated children 24-59 months of age need 1 dose of PCV. Children with
				  high-risk conditions age 24-59 months should follow their physician's
				  advice.