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Note: Any payment for such a child during the grace period shall not be considered an error or improper payment (98.41(a)(1)(i)(C)(2)). Effective Date: 10/01/2018

a) Describe procedures to provide a grace period to comply with immunization and other health and safety requirements, including how the length of the grace period was established in consultation with the state, territorial, or tribal health agency for: Children experiencing homelessness (as defined by Lead Agency's CCDF) Currently, all children have a 30 day grace period from the child's enrollment to provide a copy of the child's immunization record. Providers can direct families to the Lead Agency's Immunization Program website, with web pages specific for Child Care and for Children. Resources are available on the website and direct contact to the Immunization Program is also available.

Provide the citation for this policy and procedure. 392 NAC 3-011

Children who are in foster care. Within 30 days of a child's enrollment, the provider must obtain a copy of the child's immunization record. Providers may be exempt of this requirement if the child's parent objects to immunization on religious grounds or if the child's health would be harmed by immunization and this is certified by a physician, certified nurse practitioner, or a physician assistant.

Provide the citation for this policy and procedure. 392 NAC 3-011

b) Describe how the Lead Agency coordinates with licensing agencies and other relevant state, territorial, tribal, and local agencies to provide referrals and support to help families with children receiving services during a grace period comply with immunization and other health and safety requirements (98.41(a)(1)(i)(C)(4)). Currently, all children have a 30 day grace period from the child's enrollment to provide a copy of the child's immunization record.

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