Child Care Immunization Audit

Child Care Immunization Audit Program


The Child Care Immunization Audit Program is an interdisciplinary program created at Tri-County Health Department with Nursing and Environmental Health (EH). Nurses assess the immunization records of children aged 0-4 years attending child care in Adams, Arapahoe, and Douglas Counties that meet the EH criteria for an on-site inspection.

Nurses work with the centers to meet set standards that include 95% of children having immunization certificates on file. In addition, each center must meet a standard of 85% children having documentation that shows that they are up-to-date (UTD) for age-appropriate immunizations.

Centers must meet both standards to receive an approval letter for their health and safety inspection. The program is partially funded by inspection fees paid by the child care centers. 

Important Information for Child Care Centers in 2016

The recently adopted amendment to Colorado Board of Health rule 6 CCR 1009-2. requires that child cares report immunization and exemption data to the Colorado Department of Public Health and Environment (CDPHE). Child Care centers are required to report this information initially on December 1, 2016, and annually after that. The reporting form is available online here.

If Tri-County Health Department has already completed an immunization record review for 2016, this information can be used to calculate immunization and exemption data. To request this information, please contact D’Ree Bobick at 303-783-7171.
Another option is to run a Colorado Information Immunization System (CIIS) Immunization Rates report. To run this report, CIIS user accounts must be associated with the Child Care center and students must be enrolled in the center through the CIIS Education module. Instructions for doing so can be found here. For additional assistance with CIIS please contact Megan Berry at CDPHE at 303-692-2736.