As of January 1, 2016, parents or guardians of children enrolled in any licensed child care facility whether public or private, are no longer allowed to submit a personal beliefs exemption to a currently required vaccine for a child newly enrolling in a program. An already enrolled child will be required to have all immunizations up to date upon enrollment and ongoing following the required immunizations for the age of the child. If a child cannot receive an immunization because of a medical condition, California State law requires that the CCFS office have on file a separate document from the child's physician documenting the medical reason for not having current immunizations as well as an alternative planned schedule. Information about required immunizations and medical exemptions is available at Shots for School.