Tulare City School District Office

Health & Wellness

It is the vision of the Tulare City School District (TCSD) that health is an essential part of effective schools and is basic to the process of learning. Our schools are in a unique situation in that we develop close partnerships with families to address the wide range of children’s needs including their need for physical, social, and emotional health. Healthy schools enhance not just a child’s learning, but their potential to live healthy and productive lives as adults.
Health Services

The TCSD health services staff is comprised of 7 school nurses with bachelor's degrees (including the Director of Health Services & Programs), one full-time health secretary, 17 licensed vocational nurses, and 4 health aides for the 16 school sites covering students from preschool to eighth grade. Please see our Health Services Staff Schedule 2023-2024

On a typical day, the TCSD health services staff assesses student’s records on state-mandated immunizations and tuberculosis status and provides first aid and care of students with acute health needs such as fever, vomiting, or injuries. The health services staff will contact parents to inform them of their child’s altered health status while at school. 

Additionally, there is the daily management of our students with chronic health conditions. These conditions consist of Diabetes Mellitus Type I/Type 2, asthma, severe allergies (food or other), epilepsy, and various medical conditions, such as muscular dystrophy, spina bifida, and heart conditions. We manage the care of students with chronic and ongoing health problems with parents and health care providers. These students may come to the health office with routine issues or with the occasional acute episode. 

Within TCSD, the school nurses and the health services staff are often the only link to students’ health care and are a key resource to ensure that children stay healthy, in school, and ready to learn.

Director II (Health Services & Programs)
B.S. Nursing, CSU Bakersfield
School Health Credential, CSU Fresno
MSN, University of Phoenix
Nurse since 1997
(559) 685-7200
(559) 685-7200
Licensed Vocational Nurse
(559) 685-7200
Altura Centers for Health - Mobile Unit

In June 2012, Tulare City School District and Altura partnered for the HRSA School-Based Health Center Capital Grant application to bring health care directly to the public, Mulcahy/Roosevelt, and Pleasant Schools through a mobile clinic. In December 2012, Altura received the grant to purchase a brand new mobile clinic and for the electrical upgrades at Pleasant and Mulcahy. The mobile clinic was custom built with two medical exam rooms, a waiting area, and a front provider work area. It was delivered to Tulare in April 2014. Altura has been working with the state licensure and Medi-Cal, Medicare, Vaccine for Children, and CHDP applications. During the grant process Altura, in conjunction with Tulare City School District, distributed community health surveys at several schools to assess the community’s needs. The top concerns of parents at Roosevelt Elementary School are asthma, nutrition, available appointments, obesity, and the ability to get a physical assessment. The top concerns at Pleasant Elementary School are asthma, allergies, diabetes, nutrition, and cholesterol. Families can have these health conditions treated at the new mobile unit. The mobile clinic will provide primary health care such as sick visits, physicals, immunizations, well-woman exams, sports physicals, and more. Walk-ins are available or call 686-9097 for appointments. Expanded hours will be coming soon.

Altura has numerous services to provide to the community and multiple locations in the City of Tulare and Woodville. Visit their website for more information.

Primary Care Services:

  • Family Medicine Pediatrics
  • OB/GYN Dental

Specialty Services:

  • Behavioral Health Geriatrics
  • Neurology Pediatric Cardiology Internal Medicine
  • Oncology Podiatry Ophthalmology
  • General Surgery Nephrology
  • Orthopedic

We encourage you to make an appointment for medical and dental services. Walk-in services are available.

Payment Services:
Altura accepts Medi-Cal, Medicare, and most private insurances. For additional information, please call us, or visit Altura's website. The sliding fee scale is available as well as programs for uninsured and low-income patients.

Wellness Policy

All the food and beverages we serve and that students bring onto our school campuses must meet the guidelines in our wellness policy. We do not permit our students or teachers to consume or distribute candy and/or soda while on any of the Tulare City School District properties. These regulations apply from midnight to a half-hour after school ends. We invite you to read more about our Wellness Policy (Español-próximamente). 

The Nutrition Services department has of a team of food and nutrition professionals that are dedicated to students' health, well-being, and their ability to learn. We support learning by promoting healthy habits for our students' success - physically, personally, and academically. Students who participate in school breakfast receive one fourth of the Recommended Dietary Allowances (RDA) for protein, calcium, iron, and vitamins A and C. School lunch also provides one third of the RDAs for the same nutrients on average over the course of a week, making participation in the school meals program a positive thing to do to set your child up for success. 

Good nutrition and learning go hand in hand.

Type 1 Diabetes Information

Pursuant to California Education Code Section 49452.6,  information regarding Type 1 Diabetes is provided to all parents and guardians of incoming elementary school students beginning January 1, 2023.
Type 1 diabetes in children is an autoimmune disease that can be fatal if untreated, and the guidance provided in this information sheet is intended to raise awareness about this disease.
This section is meant to provide the latest information and protocols Tulare City School District is following for the 2023-2024 school year.TCSD closely monitors COVID-19 conditions in our school district and our community.  TCSD is subject to the guidance of the CA Department of Public Health K-12 Guidance 2022-2023 School Year, which was updated as of May 23, 2023 and is the current health order, and, as an employer, the Cal/OSHA COVID-19 Prevention Non-Emergency Regulations.  We are also subject to stricter guidance from the Tulare County Health and Human Services and our local school district should one be issued.  It is also the role of the Tulare County Health and Human Services to interpret guidance for local education agencies when the situation is not clarified in any of these guidance's.
Current COVID-19 Safety Plan
District Wellness Committee

The wellness committee’s goal is to encourage teachers, students, and staff, with community input, to lead healthy lives while providing tools and a comprehensive support system. The wellness committee uses the Wheel of Well-Being (W.O.W.) approach focusing the attention on the student, emphasizing a school-wide approach, and acknowledge learning, health, and school as being a part and reflection of the local community. By working together, the various components can ensure that each student in each school in our community is healthy, safe, secure, engaged, supported, and challenged. Please view our 2023-2024 meeting dates for more information.

California Healthy Kids Survey
2022-2023 Surveys

The CHKS report provides a summary of the survey’s purpose and key findings relating to substance use, violence and safety, and poor physical health.