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7 AAC 57.550. Health. (a) At or before admission of a child, a child care facility shall obtain from the child’s parent a valid immunization certificate or evidence that the child is exempt from immunization. (b) A valid immunization certificate must be a copy of

(1) the child’s original immunization record showing that, in a manner consistent with the timetable prescribed by the department’s childhood immunization schedule, the child has received, or has begun and is continuing to receive, immunizations; or

(2) an immunization record that includes a statement or record by a physician, clinic, or health center indicating the date each required immunization was given. (c) Evidence that the child is exempt from immunization must be in one of the following forms:

(1) a form prescribed by the department and signed by a medical doctor (M.D.), doctor of osteopathy (D.O.), advanced nurse practitioner (ANP), or physician assistant (PA) licensed in this state; the form must state that in the individual’s professional opinion, immunizations would be injurious to the health of the child or members of the child’s family or household;

(2) a form prescribed by the department and signed by the child’s parent or guardian, affirming that immunization conflicts with the tenets and practices of the church or religious denomination of which the parent or guardian is a member;

(3) subject to (k) of this section, a form prescribed by the department and signed by the child’s parent or legal guardian, stating the child is homeless within the meaning of 42 U.S.C. 11434a(2) (McKinney-Vento Homeless Assistance Act) and does not have a record of the required immunizations;

(4) subject to (k) of this section, a form prescribed by the department and signed by the child placement agency or worker, foster parent, or child’s guardian, stating that the child is in foster care and does not have a record of the required immunizations. (d) Repealed 5/15/2016. (e) A child care facility in a community where medical services are not available on at least a weekly basis may provisionally admit a child who does not have the immunization certificate or evidence of exemption required under (a) of this section until the certificate or evidence can be obtained, but for no longer than 60 days. (f) A satisfactory immunization audit report from the department, regarding an audit completed during the last 30 days for children that were in care at the time of the audit, will be accepted as evidence that the child care facility satisfies the requirements of (a) of this section.