A Vaccination Conversation: Vaccine Tracking Worksheet 3/5
Page 1
This is a required worksheet, do not skip!
First Name
Last Name
Email
True or False
a. Child care centers must track each child's immunization status.
True
False
Correct!
True.
Child care centers must track each child's immunization status.
You have provided an incorrect answer
True.
Child care centers must track each child's immunization status.
Page 2
Multiple Choice
b. The certificate of immunization status forms for enrolled children must be:
laminated and organized alphabetically.
accessible and maintained on the premises in a confidential manner.
accessible only on request of a licensor when completing a scheduled visit.
Correct!
The certificate of immunization status forms for enrolled children must be accessible and maintained on the premises in a confidential manner.
You have provided an incorrect answer
The certificate of immunization status forms for enrolled children must be accessible and maintained on the premises in a confidential manner.
You have provided an incorrect answer
The certificate of immunization status forms for enrolled children must be accessible and maintained on the premises in a confidential manner.
Page 3
Multiple Choice
c. Tracking each child's immunization status includes:
providing a licensed medical nurse to give immunizations as well as hearing and vision screenings at least twice each year.
informing parents of the dangers of vaccine preventable diseases and providing an exemption form if they choose not to take the information.
seeing that each child has a completed certificate of immunization status (CIS) form on file prior to their first day of care.
Correct!
Tracking each child's immunization status includes seeing that each child has a completed certificate of immunization status (CIS) form on file prior to their first day of care.
You have provided an incorrect answer.
Tracking each child's immunization status includes seeing that each child has a completed certificate of immunization status (CIS) form on file prior to their first day of care.
You have provided an incorrect answer.
Tracking each child's immunization status includes seeing that each child has a completed certificate of immunization status (CIS) form on file prior to their first day of care.
Page 4
True or False
d. Only the state Certificate of Immunization Status (CIS) form meets licensing requirements for immunization tracking in the state of Washington
True
False
Correct!
True:
Only the state Certificate of Immunization Status (CIS) form meets licensing requirements for immunization tracking in the state of Washington.
You have provided an incorrect answer
True:
Only the state Certificate of Immunization Status (CIS) form meets licensing requirements for immunization tracking in the state of Washington.
Page 5
Multiple Choice
e. If a parent or guardian chooses not to vaccinate their children what must they do?
Provide a doctor's note that proves that the advice of a physician has been considered.
Sign the exempt portion of the Certified Immunization Status (CIS) form.
Sign a Certificate of Immunization Refusal (CIR) form and provide a copy to the child care center.
Correct!
If a parent of guardian chooses not to vaccinate their children they must sign the exempt portion of the Certified Immunization Status (CIS) form.
You have provided an incorrect response.
If a parent of guardian chooses not to vaccinate their children they must sign the exempt portion of the Certified Immunization Status (CIS) form.
You have provided an incorrect response.
If a parent of guardian chooses not to vaccinate their children they must sign the exempt portion of the Certified Immunization Status (CIS) form.
Page 6
Your Score
%
100 Points Possible
Thank you!
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