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State of Michigan Child Health Appraisal Licensing Forms and Requirements
Forms
Food Allergy Action Plan
Health Appraisal
IMAP (Individual Medical Action Plan)
Medication Permission and Instructions
Child Care Licensing Rules regarding Immunizations and Health Appraisals
R 400.8112 Children’s records.
Immunizations
(2) For children under school-age, at the time of a child’s initial attendance, a center shall document 1 of the following, accessed through the Michigan care improvement registry or in a paper format if the parent or guardian chooses to provide to the center in that manner:
(a) A certificate of immunization showing a minimum of 1 dose of each immunizing agent specified by the department of health and human services.
(b) A medical contraindication form signed by a medical doctor or doctor of osteopathic medicine stating why the child cannot receive immunizations.
(c) A copy of a non-medical waiver on the official form prescribed by the department of health and human services and documented in the Michigan care improvement registry and signed by the parent stating immunizations are not being administered due to religious, medical, or other reasons.
(d) A paper copy of a non-medical waiver on the official form prescribed by the department of health and human services signed by the parent stating immunizations are not being administered due to religious, medical, or other reasons.
(3) When a child under school-aged whose immunizations cannot be completed due to medical reasons, including, but not limited to, a dose waiting period, within 4 months after admittance, a child may remain enrolled for a reasonable length of time that is consistent with good medical practices. The center shall verify additional immunization requirements are current as specified by the department of health and human services unless there is a signed medical exemption filed certifying that the child is in the process of complying with all immunization requirements. The medical exemption must be on file with the center until it can be replaced with proof that the vaccines for which an exemption was granted have been received or the medical exemption has expired.
Health Appraisals
R400.8112 Children’s records
(5) A record of a physical evaluation performed within the preceding 13 months after initial attendance for infants, toddlers, and preschoolers must be retained on file and made accessible in the center within 30 days after a child’s initial attendance.
The evaluation must note any restrictions and be signed by a physician or the physician’s designee. An electronic record from a physician’s office is accepted.
(6) Physical evaluations must be updated every 13 months for infants and toddlers (under 30 months of age), and every 2 years for preschoolers (30 months of age and older).
Notes
- * infant- birth until 1 year of age
- **toddler- 1 year of age until 30 months of age
- ***preschooler- 30 months of age until eligible to attend a grade of kindergarten or higher
Resources
Department of Licensing and Regulatory Affairs
Child Care Licensing Bureau
Licensing Child Care Centers Rules
Need additional help?
Email CFC-CATeam@umich.edu