Kindergarten Oral Health Assessment (KOHA)

The State of California mandates the Kindergarten Oral Health Assessment (KOHA) for all kindergartners and first graders enrolling in public school for the first time. The law requires that districts send KOHA data to the County Office of Education each year. To report KOHA data, designated school or district staff must enter the data into the KOHA database, the System for California Oral Health Reporting (SCOHR).

Epinephrine Injectors (EpiPens)

As of January 1, 2015, all schools in California are required to stock at least one epinephrine injector, which is used in case of a severe allergic reaction known as anaphylaxis. Symptoms of anaphylaxis include difficulty breathing, difficulty swallowing, and hives, and the quick use of epinephrine can save someone's life.

Approximately one in thirteen children suffers from a food allergy, but severe allergies often aren't diagnosed until a child is exposed to the allergen. The California Department of Education estimates that about 25% of students have their first anaphylactic reaction at school, which is why it's so important for schools to be stocked with EpiPens.

Each school must designate one or more staff members to volunteer to attend annual trainings on the use and storage of epinephrine injectors. These volunteers learn how to recognize the symptoms of an anaphylactic reaction, how to use the injector, and how to perform emergency follow-up procedures.

For more information on State policy concerning EpiPens, please visit .

Jean Kortz, RN

School Nurse, On Special Assignment


Phone: (650) 802-5454
Cell: (650) 743-6140