‌Annual Immunization Assessment Reporting for 2024-2025

To:  Child Care Facility Managers, California County/District Superintendents, School Principals and Nurses

From:  Robert Schechter, MD Chief, Immunization Branch

California Health and Safety Code Section 120375 and California Code of Regulations Section 6075 require all child care facilities and schools (including home schools) to review student immunization records and report annually on the immunization status of their children in Pre-kindergarten/child care (ages 2-5 years), TK/Kindergarten, or 7th grade.

1. Reporting at CAIR Hub

Reporting deadline:        December 13, 2024

Reporting guidance:      Immunization School Reporting

Website:                        CAIR Hub - log in required

• New users need to register for a CAIR Hub account (SCRL users already have one) and set up a user profile; then, log in to CAIR Hub to use the Immunization Reporting application on the dashboard.

• Prior users sign in with the same email address used for registration. If you have not logged in the last 90 days, you will be prompted to reset your password.

• If your school is closed or does not have students for the applicable ages or grades, please sign-in to report the school’s closure or lack of students.

• Before reporting, please review the guidance at Immunization School Reporting.

• Check that each student has in the cumulative file a complete and accurate California School Immunization Record (CSIR or “Blue Card”) or an electronic record of required vaccinations (can be stored in a computerized system).

In 2021, CDPH launched the California Immunization Registry – Medical Exemption (CAIR-ME) website as the only method in California to issue and track new medical exemptions from required vaccines for children attending school or child care facilities. Once you receive a new medical exemption from an incoming enrollee, please request access to CAIR-ME by emailing medicalexemptions@cdph.ca.gov. You will be able to view and verify the status of medical exemptions in CAIR-ME for children attending your school or facility. Please see the resources at
Exemption FAQs, including the one-page guide and interactive training module on how to verify and process medical exemptions in CAIR-ME.

4. Immunization Compliance Continued for 2024-2025 K-12 School Audits

The annual financial and compliance audits of public schools by local educational agencies will include an immunization component for schools with kindergarten or 7th grade that:

• Did not submit immunization assessment reports or

• Had conditional admission and overdue rates above 10% reported in the fall.

Schools found to have improperly admitted students that do not meet immunization requirements may be subject to docking of ADA payments for those children. For more information, see the 2024-25 Audit Guide.

5. Summary of Child Care / Preschool Requirements