Texas Childcare Licensing
Texas Childcare Immunization Requirements (2026)
Children enrolled in a licensed Texas childcare center must show proof of age-appropriate immunization. Texas requires documentation for 9 vaccine series, with limited medical and legally permitted exemptions.
Licensing Agency
Texas Health and Human Services, Child Care Licensing →Last updated: April 2026
Researched by the TotReady Research TeamTexas Immunization Requirements: The Specifics
Texas childcare licensing requires age-appropriate DTaP immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Texas childcare licensing requires age-appropriate Polio (IPV) immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Texas childcare licensing requires age-appropriate Hib immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Texas childcare licensing requires age-appropriate Hepatitis B immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Texas childcare licensing requires age-appropriate MMR immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Texas childcare licensing requires age-appropriate Varicella immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Texas childcare licensing requires age-appropriate Hepatitis A immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Texas childcare licensing requires age-appropriate Pneumococcal immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Texas childcare licensing requires age-appropriate Influenza (annual, 6-59 months) immunization for enrolled children (subject to documented medical or legally permitted exemptions).
Texas Immunization Requirements Checklist
- DTaP
- Polio (IPV)
- Hib
- Hepatitis B
- MMR
- Varicella
- Hepatitis A
- Pneumococcal
- Influenza (annual, 6-59 months)
Go Deeper
Generate a Texas-Compliant Handbook
TotReady builds a fully compliant parent handbook for your Texas childcare center in minutes — every required section, your branding, and regulatory citations included.
Texas Immunization Requirements: Frequently Asked Questions
Which vaccines does Texas require for childcare enrollment?
Texas requires age-appropriate immunization records for: DTaP, Polio (IPV), Hib, Hepatitis B, MMR, Varicella, Hepatitis A, Pneumococcal, Influenza (annual, 6-59 months).
Are immunization exemptions allowed in Texas?
Texas permits documented medical exemptions and, where state law allows, certain non-medical exemptions. Confirm the current exemption rules with the Texas Health and Human Services, Child Care Licensing.
When must immunization records be on file in Texas?
Texas requires up-to-date immunization documentation at enrollment, with records kept current in each child's file thereafter.
Texas childcare licensing rules are amended regularly. This page is compiled from published Texas administrative codes and statutes for informational purposes only — always verify current requirements with the Texas Health and Human Services, Child Care Licensing before relying on them. TotReady provides information and document templates, not legal or regulatory advice.