Annually, the Director shall conduct an immunization audit. Sample audits shall be conducted on public health clinic records, private clinic records and private physicians’ records to determine if:

(a) One (1) consolidated immunization record is posted on the inside front cover of the patient’s medical record if the patient is under the age of eighteen (18); and

(b) If the record of any child found to be deficient in immunizations indicates:

(1) That progress towards immunization is being made;

(2) A record of scheduled return appointment for the child; or

(3) A reason for the lack of immunization.