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Immunizations for child care centre staff

If you work in a child care centre it’s required that your immunizations are up-to-date. You can contact your doctor or the Region to see if your immunizations need updating.

These immunizations are required by the Child Care and Early Years Act, 2014, Regulation 137/15 (CCEYA). This means the child care centre operator must ensure anyone working of living in the child care setting receive the recommended immunizations.

We recommend the following immunizations.

Immunization Dosage
Diphtheria, Tetanus A series of at least 3 doses and booster dose every 10 years
Pertussis One dose of pertussis containing vaccine1 in adulthood (10 years following your adolescent dose, which is typically received between 14-16 years of age)
Polio A series of at least 3 doses
Measles, Mumps Adults born in or after 1970
  • 2 doses of MMR vaccine or
  • Evidence of immunity by bloodwork
Adults born before 1970 are considered immune to measles and mumps
Rubella One dose of rubella containing vaccine, MMR2
or

Evidence of immunity by bloodwork
Hepatitis B A series of either 2 or 3 doses are needed depending on the vaccine product given
or

Evidence of immunity by bloodwork
Varicella (chickenpox)

A series of 2 doses
or
Evidence of immunity by bloodwork
or
Self-report of previously having disease if the disease occurred before Sept 2004

Hepatitis A
Meningococcal
Immunization is recommended for those notified by public health that they have been exposed to someone who has the disease.

Annual influenza immunization is strongly encouraged. However, proof of immunization is not required at this time.

Immunization exemptions

Staff may request an immunization exemption for medical, religious or conscience reasons.

Staff must return the original, completed and signed documents to the child care centre provider. For more information on exemptions, please call Peel Public Health at 905-799-7700.

In the case of an outbreak at the child care centre, staff with an exemption (or incomplete immunization records) may be at risk for infection and therefore may be excluded from working in the child care centre until the outbreak is over.

Health assessment requirements

1 Pertussis vaccine is only available in combination with diphtheria and tetanus vaccine (Tdap)

2 Rubella vaccine is only available in combination with measles and mumps vaccine (MMR or MMRV)