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TITLE 26HEALTH AND HUMAN SERVICES
PART 1HEALTH AND HUMAN SERVICES COMMISSION
CHAPTER 746MINIMUM STANDARDS FOR CHILD-CARE CENTERS
SUBCHAPTER CRECORD KEEPING
DIVISION 1RECORDS OF CHILDREN
RULE §746.613What immunizations must a child in my care have?
(a) Each child enrolled or admitted to child-care centers must meet and continue to meet applicable immunization requirements specified by the Texas Department of State Health Services (DSHS). This requirement applies to all children in care from birth through 14 years of age.

 (b) You must maintain current immunization records for each child in your care, including any immunization exemptions or exceptions.

(c) All immunizations required for the child's age must be completed by the date of admission, unless:

  (1) The child is exempt or excepted from an immunization, and the exemption or exception is verified by the date of admission; or

  (2) The child is homeless or a child in foster care and is provisionally admitted for up to 30 days if evidence of immunization is not available. You should immediately refer the child to an appropriate health-care professional to obtain the required immunizations. The DSHS rule at 25 TAC §97.66 (relating to Provisional Enrollment for Students) establishes the guidelines for a provisional enrollment.
Source Note: The provisions of this §746.613 adopted to be effective September 1, 2003, 28 TexReg 1402; amended to be effective December 1, 2010, 35 TexReg 10238; amended to be effective April 15, 2017, 42 TexReg 1575; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909

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