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NC Department of Health and Human Services
Women's and Children's Health Home
N.C. Public Health Home
North Carolina Immunization Branch

Child Care Facilities

All children in North Carolina must be vaccinated against certain diseases. Immunization records are checked when a child enters a child care facility. North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or child care.

Annual Immunization Report

The 2020 Annual Child Care Report memo has been mailed out. Here are the instructions, and worksheets, for completing the report.

  • Instructions
  • Worksheet
  • Q: Why is this report required?
    A: Child care facilities are required by law [G.S. 130A-155(c)] to submit the requested information annually. It is also a licensing requirement. You will be contacted if the report is not received on time.

    In the case of an outbreak of a vaccine preventable disease, this report will also help identify the children who are most at-risk for contracting the disease.

    Q. Our child care facility doesn't have Internet access. May we send our report via standard mail?

    A. If you do not have internet access, and are unable to complete your report online, please call the Immunization Branch at 919-707-5550.

    Q: What happens if a parent does not submit their child’s immunization records within 30 days of attendance? 
    A: The child should be excluded from attending child care until their records are submitted.

    Q: What happens if the child is not legally up to date for their age?
    A: If the child does not have the required number of shots for their age, the parents need to be informed and the child should be excluded per public health law [G.S. 130A-155(a)].

    Q: Do I need to get a new immunization records from all my parents?
    A: The Immunization Branch recommends confirming with the parent that you have the most updated record on file.

    Q: How can I find out if a child is up to date with their immunizations?
    A: CDC has an Instant Childhood Immunization Scheduler. Please click this link to view.



Updated: December 4, 2020