Nursing Services

  • Welcome to Liberty Union High School District's home page for students with health care needs. Our District Nurses for the LUHSD are Christina Mashore and Jana Scarbrough. Christina and Jana are in our district Monday-Friday from 8am-4pm. 

    Christina has been a Registered Nurse since 2005, has a Bachelor of Science degree in Nursing, is a Public Health Nurse, and has a preliminary School Nurse Credential. She joined our district in 2018. Her clinical experience includes acute medical and surgical care with a specialty in Trauma services. 

    Christina Mashore provides support primarily for Heritage and Liberty campuses and can be reached at or 925-634-2166 x2063.

    Jana has been a Registered Nurse since 2015 and worked as a Licensed Vocational Nurse 5 years prior. She has a Bachelor of Science degree in Nursing, is a Public Health Nurse, and has a preliminary School Nurse Credential. Jana joined our district in 2021. Her clinical experience includes hospice and palliative care along with many years of providing home health services in the Bay Area. 

    Jana Scarbrough provides support primarily for Freedom, La Paloma, and the Community Education Center (Independence/Gateway) campuses and can be reached at or 925-625-5900 x3064.

    Each comprehensive site has a Health Clerk who is on campus daily and may be reached at the following extensions:

    Freedom High School:      Rachel Murphy        925-625-5900 x3013

    Heritage High School:       Lisa Ray                 925-634-0037 x6000

    Liberty High School:         Rhonda Saia           925-634-3521 x5212

    Please remember all healthcare plans need to be renewed at the beginning of each school year AND if there are any changes to the plan. See your site representative for any questions or concerns.

    Thank you,

    Christina Mashore, BSN, RN, PHN, CMSRN  &  Jana Scarbrough, BSN, RN, PHN, CHPN

               Health Services - St. Joseph School Medford MA

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Nursing Announcements

  • General Illness Guidance for Parents & Guardians

    We strive to create a healthy learning environment for our students, so it is important not to send your child to school if they are sick. CDPH Source: Considerations when a Child has Symptoms of Illness in Child Care or School


    1. Fever 100.4 degrees Fahrenheit or higher. When a child has a fever, they are often both infectious and also really not feeling well. Students can return when the fever goes away overnight and is gone in the morning with the use of medication(s).

    2. Sore Throat. Stay home and seek medical attention for difficulty breathing or swallowing or continuous drooling. May return when symptoms improve. If an antibiotic is prescribed, take the first dose at least 12 hours before returning. 

    3. Vomiting and/or diarrhea. Your child should stay home if vomiting and/or diarrhea has occurred 2 or more times in 24 hours. They may return when symptoms have ended overnight, and your child is able to hold down liquids and food.

    4. Cold symptoms, such as cough, stuffy/runny nose, sneezing. Stay home and seek medical attention for severe symptoms, including a bad cough, difficulty breathing, or wheezing when not controlled by medication. May return when symptoms improve. 

    5. Ear or eye irritation, including pink eye. Stay home and seek medical attention for difficulty seeing or hearing, an eye injury, or pain they cannot tolerate.

    6. Rashes. Stay home and seek medical attention if rash is worsening, causing pain, has blisters or is not healing. May return when improving or as guided by health care provider. In general, for conditions such as lice, impetigo, ringworm, scabies, and pinworms, may return as soon as they start appropriate treatment.

    7. Injuries (e.g. fractures, sprains): A note from a healthcare provider is required to use crutches, a wheelchair, or any other assistive device at school. The note should also detail specific P.E. and other activity limitations for when your child returns to school. For more information, click here.

    8. Other illnesses which limit classroom participation. If your child feels ill enough that they cannot participate in class or focus on learning activities, then please keep your child home.

    **Please note that schools may be required to report certain communicable diseases and conditions to the county health department: CA Code of Regulations & Reportable Diseases and Conditions

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  • COVID-19 Pandemic & Testing Resources

    Please visit the Centers for Disease Control and Prevention (CDC) website for the latest information. Stay up-to-date on local and state guidance from Contra Costa Health Services (CCHS) and California Department of Public Health (CDPH). At-home COVID test kits are available for free to all students and their households. Please visit your school's main office to pick up your tests today. 

    Symptoms of COVID-19

    CDPH K-12 Guidance for 2023-2024 School Year

    COVID-19 Isolation Guidance

    COVID-19 Vaccines for Students

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  • Mobile Health Clinic

    The Liberty Union High School District has partnered with the Contra Costa Health Services Division to provide access to medical services to students who are income eligible, uninsured or have a Contra Costa Health Plan. Services they provide include immunizations, vision and hearing exams, sports clearance physicals, birth control education and counseling, as well as other health education and various confidential services. You may call or text their Health Education Specialist, Daisy, at (925) 510-3723. For medical questions, call the advice nurse at 877-661-6230.

    Freedom High School Mobile Health Clinic Flyer

    Liberty High School Mobile Health Clinic Flyer

    Insurance Eligibility Grid For School Partners

    FAQs Regarding Sports Physicals at CCHS School‐Based Clinic

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  • Opioid Epidemic & Fentanyl Crisis

    The opioid epidemic continues to evolve and impose a serious threat to the health of all individuals throughout the state. Synthetic opioids such as Fentanyl are now the most common drugs involved in overdose deaths in the United States. Abuse, addiction, and deaths due to Fentanyl are increasingly prevalent among young people. 

    Social media platforms are increasingly becoming the settings of illegal drug transactions, including for teenagers who are unknowingly getting fentanyl-laced pills. Fentanyl-laced drugs can include methamphetamine, counterfeit pills, cocaine, percocet, oxycodone, and other prescription opioids. A new type of brightly colored "rainbow” fentanyl has been found in the U.S., including in California. Any pill, regardless of its color, shape, or size, that does not come from a health care provider or pharmacist can potentially contain fentanyl and be deadly.     

    In response to the opioid crisis, the Liberty Union High School District now stocks the life-saving medication used to reverse an opioid overdose, Naloxone (a.k.a. Narcan) on all campuses.

    CDC Facts about Fentanyl

    CDPH Fentanyl & Overdose Prevention​

    Lifesaving Naloxone

    THANK YOU to those who attended our Fentanyl Awareness Event on 4/30/24! Click here to view the event PPT presentation. WATCH Event Video! 

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  • Immunizations Required for CA Schools

    To protect children against serious infections, the California school immunization law requires them to receive immunizations before entry to school. In addition, the law requires schools to enforce immunization requirements, maintain immunization records of all children enrolled, and submit reports to public health agencies. Please visit the CDPH Shots for School website for more information.
    Where can I get vaccinated in Contra Costa County? Click here for more info!
    Please be aware that there have been recent changes to immunization medical exemption requirements. Detailed information can be found here
    **The California Department of Public Health now provides digital access to one's immunization record from the California Immunization Registry (CAIR). This new Digital Vaccine Record (DVR) portal gives California residents easy access to their immunization history, which you can download and share with your child's school. DVR Flyer
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Information for Teachers & School Staff

May 7 is National Fentanyl Awareness Day!

Healthcare Forms for School

Educational Resources