Lancaster USD Nurse Practitioner Vaccine Clinic

From a 90-day wait to a two-day for a physical exam, Lancaster USD ensured children were ready for their first day of school, on time.

Challenges

Our community is located in the northernmost part of Los Angeles County, within the Antelope Valley, a region facing significant healthcare access challenges. The provider-to-patient ratio in our area is critically low, with only 1 provider for every 2,444 residents. This shortage has created a substantial healthcare deficit, especially impacting young children who need access to pediatricians for required immunizations and examinations for school entry (physicals) before enrolling in California State Preschool Program (CSPP).

On average, families in the Antelope Valley are experiencing wait times of 90 days or more to secure an appointment with a pediatrician. These delays directly affect our CSPP enrollment timeline, as children cannot attend school without meeting immunization requirements. As a result, enrollment is postponed, which in turn negatively impacts contract earnings, as children who are not in the classroom are not generating revenue.

In addition to the financial impact, families are experiencing significant frustration. Many parents are eager for their children to begin school but feel helpless navigating a healthcare system that is both overwhelmed and under-resourced. A number of our families also lack the tools, time, or transportation necessary to pursue alternative options, further adding to the problem. Addressing this healthcare access barrier is essential to improving school readiness, supporting working families, and sustaining program operations.

Health Impact

The lack of access to healthcare significantly limits students’ ability to see a primary care physician in a timely manner. As a result, the number of students who are excluded from school or experience delayed enrollment due to missing immunizations, physicals, or other required health documentation is disproportionately higher in our community compared to neighboring cities. These healthcare access barriers make it especially difficult for families to meet school entry requirements, further widening the gap in early childhood education opportunities.

The Solution

In response to the healthcare deficits in our community, the Early Learning Program implemented a targeted solution to support families and ensure timely access to education. By creating a nurse practitioner position and utilizing federally funded vaccines, the program was able to provide on-site physicals and immunizations for children who are uninsured, lack access to care, or face extended wait times for medical appointments.This initiative has significantly reduced the wait time for required health services—from an average of 90+ days down to just 2–3 days, enabling children to meet enrollment requirements and begin school without unnecessary delays. This innovative approach not only improves school readiness but also removes a major barrier for families navigating an already overburdened healthcare system.

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