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Immunization Requirements for Day Nursery Employees

When hiring, make sure that prospective staff members meet immunization requirements and you have all relevant health information on file. Update staff health records on a regular basis.

Ensure that your staff members have up-to-date immunization as follows:

  • Combined Measles, Mumps, Rubella Vaccine (MMR)
    Adults born prior to 1970 can be assumed to have acquired natural immunity to measles. Adults born in 1970 or later should have a documented dose of MMR vaccine. If he/she does not have a written record of having this vaccine, they should receive a dose of MMR. A second dose of MMR is not necessary for adults working in a daycare.
  • Tetanus, Diphtheria (Td) booster or Tetanus, Diphtheria and Pertussis (Tdap) Booster
    After adequate immunization in childhood, a Td booster is required every 10 years for adults. If an adult 19-64 years of age was not immunized in adolescence with whooping cough (pertussis), the next Td booster should be replaced by the whooping cough booster (tetanus, diphtheria and pertussis). This whooping cough booster vaccine is good for life. It provides protection to adults, while preventing the spread of this highly contagious illness to children and infants.
  • Polio Booster
    Polio boosters are not required for most adults in Canada. Exceptions are:
    • adults who have never been vaccinated against polio;
    • incompletely immunized adults should receive the remaining doses; and
    • adults at increased risk (i.e., individual traveling to a county where polio is endemic).
  • Influenza Vaccine
    The influenza vaccine is strongly recommended for all residents of Ontario. One of the groups at high risk includes children 6 months to 2 years of age. Even if your staff is healthy, since they work or care for children at high risk for severe influenza complication, they should get immunized. It protects everyone.

Keep a record of immunization in each staff member’s personnel file. Remember everyone should keep a record of his/her immunization.

Update staff immunization records as necessary.

Require employees and volunteers to stay off work when they are ill.