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007.15.4 Table I. Childcare/Pre-school Immunization Requirements.

AR ADC 007.15.4 Table IArkansas Administrative Code

West's Arkansas Administrative Code
Title 007. Department of Health
Division 15. Health Maintenance/Epidemiology
Rule 4. Rules and Regulations Pertaining to Immunization Requirements (Refs & Annos)
Ark. Admin. Code 007.15.4 Table I
007.15.4 Table I. Childcare/Pre-school Immunization Requirements.
Instructions for utilizing Table I: Table I is not a recommendation of vaccines to get, but of doses required to already have at that age. To determine what vaccines are required for a child to attend a licensed child care facility, refer to Column 1 on the left to see what age range is correct for the child. Then all the vaccines on the same row as the child's age are required for attendance in a licensed child care facility. Vaccines are required based on the current age of the child. Column 1 is not an age range for when a child can be vaccinated.
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
Column 7
Column 8
Column 9
Current AGE of child
DTaP DTP/DT
POLIO
Hib **
HEPATITIS B
MMR ****
VARICELLA ****
PNEUMOCOCCAL **
HEPATITIS A
1-2 Months
None
None
None
None
None
None
None
(1-2 doses possible)
3-4 Months
1 dose
1 dose
1 dose
1 dose
None
None
1 dose
(1-2 doses possible)
5-6 Months
2 doses
2 doses
2 doses
2 doses
None
None
2 doses
OR
OR
OR
OR
OR
1 dose within last 8 weeks
1 dose within last 8 weeks
1 dose within last 8 weeks
1 dose within last 8 weeks
1 dose within last 8 weeks
7-12 Months
3 doses
2 doses
2-3 doses
2 doses
None
None
2-3 doses
OR
OR
OR
OR
OR
1 dose within last 8 weeks
1 dose within last 8 weeks
1 dose within last 8 weeks
1 dose within last 8 weeks
1 dose within last 8 weeks
(3 doses possible)
(3 doses possible)
13-15 Months
3 doses
2 doses
2-3 doses
2 doses
None
None
2-3 doses
OR
OR
OR
OR
(1 dose possible)
(1 dose possible. A medical professional history of disease may be accepted in lieu of receiving vaccine.)
OR
1 dose within last 8 weeks
1 dose within last 8 weeks
1 dose within last 8 weeks
1 dose within last 8 weeks
1 dose within last 8 weeks
(3 doses possible)
(4 doses possible)
(3 doses possible)
(4 doses possible)
16-18 Months
3 doses
2 doses
3-4 doses with last dose on/after 1st birthday
2 doses
1 dose
1 dose
3-4 doses with last dose must be on/after 1st birthday
or
or
OR
OR
A medical professional history of disease may be accepted in lieu of receiving vaccine.
OR
1 dose within last 8 weeks
1 dose within last 8 weeks
2 doses if first dose is administered at age 12 - 14 months and doses are at least 8 weeks apart
1 dose within the last 8 weeks
2 doses on/after 1st birthday
(3 doses possible)
OR
(3 doses possible)
1 dose on/after 15 months of age if no prior doses
19-48 months
4 doses
3 doses
3-4 doses with last dose on/after 1st birthday
3 doses ***
1 dose
1 dose
3-4 doses with last dose must be on/after 1st birthday
For 19-24 months: 1 dose on or after first birthday
OR
OR
OR
OR
A medical professional history of disease may be accepted in lieu of receiving vaccine.
OR
(2 doses possible)
3rd dose within last 6 months
1 dose within last 8 weeks
2 doses if first dose is administered at age 12-14 months and doses are at least 8 weeks apart
1 dose within last 8 weeks
1 dose on/after 24 months of age if no prior doses
For 25-48 months: 2 doses with one dose on or after 1st birthday and 11 at least 6 months from first dose
OR
OR
OR
1 dose within last 8 weeks
1 dose on/after 15 months of age
2 doses on/after 1st birthday
≥49 months
5 doses *
4 doses with a minimum interval of 6 months between the 3rd and 4th dose
3-4 doses with last dose on/after 1st birthday
3 doses ***
1 dose
1 dose
3-4 doses with last dose on/after 1st birthday
2 doses with one dose on or after 1st birthday and at least 6 months from first dose
OR
OR
OR
OR
A medical professional history of disease may be accepted in lieu of receiving vaccine.
OR
4th dose within last 6 months
1 dose within last 8 weeks
2 doses if first dose is administered at age 12 - 14 months and doses are at least 8 weeks apart
1 dose within the last 8 weeks
1 dose on/after 24 months of age if no prior doses
OR
OR
OR
1 dose within last 8 weeks
1 dose on/after 15 months of age if no prior doses
2 doses on/after 1st birthday
OR
Not required on/after 5th birthday
Not required on/after 5th birthday
4 doses with last dose on/after 4th birthday
*  5th DTaP/DTP/DT (Pre-school dose) must be given on/after the child's 4th birthday. Interval between 4th DTaP/DTP/DT and 5th DTaP/DTP/DT should be at least 6 months. If a child is currently ≥49 months of age and does not meet the above criteria or is in process within 15 days, they are not up-to-date and should be scheduled for immunization.
**  For Hib and Pneumococcal, children receiving the first dose of vaccine at age 7 months or older require fewer doses to complete the series.
***  3rd dose of hepatitis B should be given at least 8 weeks after the 2nd dose, at least 16 weeks after the 1st dose, and it should not be administered before the child is 24 weeks of age.
****  Vaccine doses administered up to 4 days before the minimum interval or minimum age can be counted as valid for doses already administered. Exception: The minimum interval between doses of live vaccines (such as MMR and Varicella) must be 28 days.
***** A medical professional is a medical doctor (MD), advanced practice nurse (APN), doctor of osteopathy (DO), or physician assistant (PA). No self or parental history of disease will be accepted.

Credits

Amended Jan. 1, 2010; Aug. 10, 2014.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.15.4 Table I, AR ADC 007.15.4 Table I
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