Learning Support Services

Mel Robertson, Ed.D., Associate Superintendent

PUSD Health Services

15250 Avenue of Science
San Diego, CA 92128
(858) 521-2812

Healthy children learn better - School Nurses make it happen.


Governor Brown recently signed legislation, Assembly Bill (AB) 1667, affecting how school districts facilitate Tuberculosis (TB) testing.  Effective January 1, 2015, school districts have been directed to replace universal TB testing (traditional ‘stick’ method) with a risk assessment questionnaire.  The following protocol for TB Clearance will now be used:

  • Initial TB risk assessment questionnaire completed along with a PUSD Resource Nurse.
  • If no risk factors identified, the employee or volunteer is given a Clearance Certificate.
  • If risk factors are identified, the Resource Nurse will administer and read the TB skin test. 
    • If skin test is negative, Resource Nurse will sign the Clearance Certificate.
  • If skin test is positive, the individual will be directed to see their physician for TB clearance.

This new procedure is based on an assessment of risk strategy.  It is supported by The Centers for Disease Control and Prevention (CDC), the American Thoracic Society (ATS), the Infectious Diseases Society of America (IDSA), the American Academy of Family Physicians (AAFP), the California Department of Public Health (CDPH), the California Conference of Local Health Officers and the California Tuberculosis Controllers Association (CTCA).

PUSD Resource Nurses will be utilizing the TB risk assessment questionnaire at subsequent TB clinics.  Upon request, a traditional examination, including a TB test, may be completed instead of submitting to a TB risk assessment.

AB 1667, in its entirety, can be found on the following website:

Please review the TB Clinic Schedule and if you have further questions about the TB Clinic please call Health Services at (858) 521-2812.


Communicable disease is a disease that spreads from person to person.  It means a germ such as a bacteria or virus, is in the school environment (air, water, plants, animals, and humans).  Early identification of signs and symptoms (runny nose, cough, sore throat, fever, etc.) of communicable disease is of paramount importance to increase the health of the school population and decrease school absenteeism.

Effective control of the spread of communicable disease includes vaccination, proper hand washing, covering sneezes and coughs, appropriate cleaning of classrooms and gathering places, early recognition of symptoms, prompt diagnoses and treatment.  Poway Unified School District’s resource nurses work closely with the San Diego County public Health Department in identifying cases of communicable disease in our schools.  Nurses provide education regarding proper hygiene at school and home, and the importance of vaccinations.  For your student’s protection and reassurance, please assure up-to-date emergency numbers are on file at school!  Information regarding locations and times of vaccination centers is available to parents on our website under immunizations.


  • When notified of a communicable disease in your child’s classroom/school; review the communicable disease information sheet (H-3) sent home with your student.  Observe your student for specific symptoms and consult your health care provider as needed.
  • In some cases a doctor’s note is required when a student has been diagnosed with a communicable disease, to indicate when the student may return to school.  For more information on when a doctor’s note is required, click on communicable disease list (H-3) below.
  • Encourage effective hand washing! It is the MOST effective way to prevent the spread of infectious disease.  Scrub wet hands with soap for a minimum of 30 seconds.  Scrub vigorously wrists, tops of hands, between fingers, palms, and fingernails.  Rinse thoroughly with running water and dry.  When done correctly, hand washing will help students and staff members avoid spreading and receiving germs.
  • Keep hands away from eyes, nose, and mouth.
  • Cover mouth and nose when coughing and sneezing with elbow or tissue.
  • Discard tissues promptly in an appropriate waste container.
  • Wash hands after discarding tissue.

California Education Code, Section: 49423.5 allows for specialized health care services such as a Diabetes Management Plan to be performed by trained designated school staff under indirect supervision of a Credentialed School Nurse.

All supplies/equipment (medication, food, glucose tester, lancets, etc.) must be supplied by the parent/guardian.

The Diabetic Management Plan must be completed by the parent/guardian AND physician, and must be signed on appropriate page(s) of procedure.  Diabetic Plans from medical facilities (i.e. Children’s Hospital) are acceptable, but the front page of the PUSD Diabetic Management Plan must be signed by the parent/guardian and included with the packet.



Parents of children with life threatening allergies (eggs, milk, peanuts, tree nuts, fish, shellfish, wheat, and soy, latex, insect stings, etc.) may provide emergency medication for administration by trained school staff in an emergency.

Required Forms:

  1. You may download the only form required for epinephrine auto injector/antihistamine administration at school (PUSD form H-58) by clicking on Life Threatening Allergy Plan listed below or you may pick up a form at your school site.

  2. Please read and agree to the terms and conditions on page 2 of the H-58 Life Threatening Allergy Plan and also read and agree to the responsibilities of the Parent/Guardian of a student with life-threatening allergies. (click on Responsibilities of Parent/Guardian below).

There are staff members on each school campus who are trained to administer the epinephrine auto injector (EpiPen, Auvi-Q etc.) and antihistamine, as ordered on your child’s life threatening allergy plan.

Designated staff members on each campus are made aware of all students who have life threatening allergies.

For more information, please refer to the comprehensive Poway Unified School District Life Threatening Allergy Guidelines for All Potential Anaphylactic Reactions located below.
You may contact the District Resource Nurse assigned to your child’s school if you have additional concerns.


The Child Health and Disability Prevention (CHDP) Program is a state-mandated program which requires that all students entering first-grade receive specific health screenings within 18 months prior to or 90 days after entry into first grade. CHDP forms are included in the kindergarten Enrollment packets. TK students should complete CHDP requirements in their second year of Kindergarten to be in compliance with the 18 month mandate.

The purpose of the health screenings is early identification and remediation of health problems of California's children.  Approximately 1 out of 10 children who receive the CHDP health screening are identified as having some health problem which has previously gone undetected.  By identifying and treating or preventing at an early age these diseases or disabilities, CHDP health screenings help students achieve their fullest learning potential at school.

CHDP physicals are also available yearly for any child 0 – 18 years of age and can be requested at no cost.  The state pays the cost of the initial exam for those who meet income eligibility and may pay for medial follow up to any conditions found during the exam.

Click here for CHDP no cost physicals



Low cost Insurance Programs:

Healthy Families 

Phone: 1-800-880-5305    Website: www.healthyfamilies.ca.gov

Phone: 1-800-675-2229    Website: www.sdkhan.org


Head lice (Pediculosis capitis) are tiny insects that live on the human scalp and feed on blood.  While feeding, lice inject saliva into the skin that causes itching.  Persistent scratching on the scalp and behind the ears is a sign that head lice may be present.  Anyone, adult or child, can get head lice.  Nearly three million Americans, most, of them children, get head lice every year.  IT HAS NOTHING TO DO WITH CLEANLINESS AND DOES NOT REFLECT POORLY ON YOU AS A PARENT.  Although head lice are highly communicable, the problems can be managed.  However, it does take work.


Head lice easily crawl from one warm body to the next.  Has your child recently shared close space with siblings or friends (sleepovers); shared combs, brushes, hats/batting helmets (Little League); lovingly given hugs to others?  If the answer to any of these questions is YES, you have probably found the "bridge" used by head lice to infest your child.


  1. Check every member of the family for head lice.  Determine who is infected.  Head lice look like tiny, white specks on the hair shaft, near the scalp, and are found especially at the nape of the neck and behind the ears.  You will notice that these specks (head lice eggs) don't move or flake off easily.

  2. Use a recommended head lice treatment on all infected family members and follow the directions carefully.  Do not assume that if a little is good, a lot is better.  Overuse of any lice medication may result in adverse effects.

  3. Remove all NITS from your child's hair.  PUSD has a "No Nit" policy.  Children cannot be readmitted to school until all nits are removed from the hair.

  4. Contact your child's school.  Let them know your child has head lice and you are treating it at home.

  5. Vacuum carpets, furniture, car interior, toys.  Immediately dispose of or empty the vacuum bag.  Lice WILL CRAWL OUT of the bag and re-infest your home.

  6. Wash and dry clothes, bed linens, and towels.

  7. Soak combs and brushes in hot (l30oF) water for 5-10 minutes.

  8. Place non-washable items (stuffed animals, pillows, etc.) in a dryer for 20 minutes on HOT setting.  If this is not possible, double-bag the non-washable items in a plastic trash bag, seal tightly (remember, these critters can crawl), and set aside for 30 days.

  9. Check your child's hair on a monthly basis for head lice.  Early detection prevents a severe infestation and means fewer "nits" to remove.



Age When Enrolling Immunizations (Shots) Required
2–3 months 1 each of Polio, DTaP, Hib, Hep B
4–5 months 2 each of Polio, DTaP, Hib, Hep B
6–14 months 3 DTaP, 2 each of Polio, Hib, Hep B
15–17 months 3 each of Polio, DTaP, 2 Hep B, 1 MMR, on or after the first birthday¹ , 1 Hib, on or after the first birthday¹ ³
18 months–5 years 3 Polio, 4 DTaP, 3 Hep B, 1 MMR, on or after the first birthday¹, 1 Hib, on or after the first birthday¹ ³, 1 Varicella (chickenpox)²


1 Receipt of the dose up to (and including) 4 days before the birthday will satisfy the child care entry immunization  requirement.

2 If a child had chickenpox disease and this is indicated on the Immunization Record by the child's physician, they meet the requirement. Write "disease" in the chickenpox date box on the blue card.

3 Required only for children who have not reached the age of 4 years 6 months.


California Department of Public Health – Immunization Branch

All children are required to have their vaccinations fully completed before enrolling in grades TK – 12 unless exempted as provided by law.Two types of exemptions are allowed for immunization requirements and must be handled prior to enrollment.  Medical exemptions, either temporary or permanent, require a doctor’s written statement.  Personal Beliefs exemptions require that health care providers have informed parents about vaccines and vaccine-preventable diseases (per California AB2109 Consent Law effective January 1, 2014).  This exemption requires signatures by both the health care provider and the parent on CDPH form 8262.  Consult your health care provider for more information.



4 doses at any age, but... 3 doses meet requirement for ages 4–6 years if at least one was given on or after the 4th birthday1;
3 doses meet requirement for ages 7–17 years if at least one was given on or after the 2nd birthday.1

Diphtheria, Tetanus, and Pertussis

Age 6 years and under: DTP, DTaP or any combination of DTP or DTaP with DT (diphtheria and tetanus) 5 doses at any age, but... 4 doses meet requirements for ages 4–6 years if at least one was on or after the 4th birthday.1
Age 7 years and older: Tdap, Td, or DTP, DTaP or any combination of these 4 doses at any age, but...3 doses meet requirement for ages 7–17 years if at least one was on or after the 2nd birthday.1 
If last dose was given before the 2nd birthday, one more (Tdap) dose is required.

Measles, Mumps, Rubella (MMR)

Kindergarten: 2 doses2 both on or after 1st birthday.1
7th grade: 2 doses2 both on or after 1st birthday.1
Grades 1–6 and 8–12: 1 dose on or after 1st birthday.1

Hepatitis B3

Kindergarten: 3 doses at any age


1 dose 4, 6

Tdap Booster (Tetanus, reduced diphtheria, and pertussis)

7th grade: 1 dose on or after 7th birthday.5, 7

1 Receipt of a dose up to (and including) 4 days before the birthday will satisfy the school entry immunization requirement.

2 Two doses of measles-containing vaccine required. One dose of mumps and rubella-containing vaccine required; mumps vaccine is not required for children 7 years of age and older.

3 Not required for 7th grade.

4 Physician-documented varicella (chickenpox) disease history or immunity meets the varicella requirement.

5 Tdap, DTaP, or DTP given on or after 7th birthday will meet the requirement. Td does not meet the requirement.

6 2 dose varicella requirement for ages 13-17 years applies to transfer students who were not admitted to a California school before July 1, 2001.

7 8th-12th grade students transferring from outside of California must meet the requirement.


Poway Unified School District philosophy is that parents bear the primary responsibility in providing medication for their students.  Whenever possible, medication should be administered at home.  Parents have the option to personally administer medication to their child at any time during the school day.  Health assistance can be provided to support student learning and attendance.  Medication administration is provided under the direction and indirect supervision of the resource nurses in Health Services.  If a student needs medication during the school day, the following procedure must be followed, according to Ed Code:

  • Complete an Authorization for Medication Administration form (H-26) for all prescriptions, over the counter, and herbal medication.  The form requires signatures by both the parent and the student’s physician.  The physician must be licensed in the state of California.
  • The completed form should be given to the Health Technician at the same time as you deliver the medication.
  • The medication must be in a pharmacy-labeled container stating the student’s full name, medication name, proper dosage, and time to be given.

Please check  the expiration date on all medication you provide to the school site and update this medication as needed.

  • Long term medication:  Provide no more than a 1 month supply and replenish the medication as needed.
  • Over-the-counter medication (i.e. Benadryl, Tylenol, or herbal medication):  Medication must be in original container clearly labeled with student’s name.  Exception:  For the preschool/elementary age student, Sunscreen and Throat Lozenges/Cough Drops may be administered with parent authorization only by completing and signing the top portion of the H-26 form.  A physician signature is not required.  All products must be in original packaging and labeled with the student’s name.  No authorization for sunscreen and throat lozenges/cough drops is required for Middle School or High School students.
  • Epi-pens and Epinephrine auto-injectors:  A Potential Anaphylactic Reaction form (H-58) should be completed and signed by physician and parent.  (H-26 form is not necessary)
  • Asthma:  Please provide spacers for inhalers, if indicated, and review your child’s use of the inhaler with the school site Health Technician.
  • ESS and Medication:  Health Technician and ESS Coordinator can communicate and share forms.  However, you must provide separate containers of medication for each location.

Note:  Poway Unified School District has a “zero tolerance” drug policy for all students.

Do not put your child at risk of receiving disciplinary action!  Don’t send your child to school with any medication unless you have followed the medication procedure.  Remember, even Tylenol or Advil are considered to be drugs.

Students may carry their own medication only if they are responsible and an Authorization to Carry Medication While at School form (H-26B) has been signed by the physician, parent, and student.


California law requires that all children entering public school for the first time (kindergarten or first grade) are required to have a dental check-up by May 31st of their first school year.  The evaluation must be completed by a licensed dental professional.  Oral health evaluations that occurred within the 12 months prior to school entry also meet this requirement.

For more information:


California Education Code, Section: 49423.5 allows for specialized health care services such as a Diabetes Management Plan to be performed by trained designated school staff under indirect supervision of a Credentialed School Nurse.

All supplies/equipment (medication, food, glucose tester, lancets, etc.) must be supplied by the parent/guardian.

The Diabetic Management Plan must be completed by the parent/guardian AND physician, and must be signed on appropriate page(s) of procedure.  Diabetic Plans from medical facilities (i.e. Children’s Hospital) are acceptable, but the front page of the PUSD Diabetic Management Plan must be signed by the parent/guardian and included with the packet.



Health Services Staff

Position Name Email Phone
 Director Kathy Purcell kpurcell@powayusd.com 521-2824
 Office Specialist Lori Garcia lgarcia@powayusd.com 521-2812
Nurse Schools Email Phone
Beth Anderson AHS, OVMS, PRES, SRES, SHES, TBKES banderson@powayusd.com 521-2811
Shelby Canino ABES, CHES, DCES, MVMS, MCHS scanino@powayusd.com 521-2805
Theresa Crosby MDES, PHS, TBES, TPMS tcrosby@powayusd.com 521-2808
Judy French CVES, DSES, MBMS, MRES, PVES, POES jfrench@powayusd.com 521-2806
Chris Hinchey DNHS, D39, SDES, WHS, WGES jhinchey@powayusd.com 521-2807
Barbara Hockman BHMS, CRES, MCES, RBHS, WWES bhockman@powayusd.com 521-2809
Karen Sanchez BMMS, GRES, HRES, LPES, RHES, VAES ksanchez@powayusd.com 521-2810