WHEN TO KEEP YOUR CHILD AT HOME
Young children frequently become mildly ill. Infants, toddlers, and preschoolers experience a yearly average of six respiratory infections (colds) and can expect one to two gastrointestinal infections (vomiting and/or diarrhea) each year.
Deciding whether to keep your child at home or when to send a child home from care/school can be difficult. It is important for parent and caregiver to discuss what observation have been made and agree on a plan of action.
Please contact the facility when your child is ill and describe the illness. If a specific diagnosis is made, e.g., strep throat, conjunctivitis, chicken pox, etc. let the facility know so other families can be alerted.
Clearly there are instances when it is necessary for a child to remain at home. The following list gives guidelines and recommendation for exclusion from childcare.
DIARRHEA with illness (vomiting, fever) diarrhea: stools that are watery and frequency is twice what is usual
CONJUNCTIVITIES (pink eye)
COXCACKIE VIRUS (hand, foot and mouth disease)
RSV (respiratory syncytial virus)
MILD COLD SYMPTOMS (stuffy nose with clear drainage, sneezing, mild cough)
UPPER RESPIRATORY COMPLICATIONS
large amount of yellow -green nasal discharge
VACCINE PREVENTABLE DISEASE
YEAST INFECTIONS (Thrush or candida diaper rash)
Determining When Children Should Be Denied Admission to the Center or Sent Home Because of Health Reasons
A center should not deny admission to a child or send a child home because of illness unless one or more of the following conditions exist. The parent, legal guardian, or other person authorized by the parent should be notified immediately when a child has a sign or symptom requiring exclusion from the facility, as describe below:
1) The illness prevents the child from participating comfortably in center activities
2) The illness results in a greater care need than the child care staff can provide without compromising the health and safety of the other children and / or
3) The child has any of the following conditions:
fever and signs of illness
Lethargy, irritability, persistent crying, difficult breathing, wheezing, or other signs of possible severe illness
Diarrhea that is not contained in the diaper, or diarrhea with signs of illness (fever or vomiting) or stools that contain blood or mucus
Vomiting illness (two or more episodes of vomiting in the previous 24 hours) until vomiting resolves o until a health care provider determines the illness to be non-communicable, and the child is not in a danger of dehydration
Mouth sores associated with drooling, unless the health care provider has determined this is not a communicable disease
Purulent conjunctivitis (pink eye with white or yellow discharge, eye pain, redness of eyelids) until examined by a health care provider and approved for readmission, with treatment
Impetigo, until 24 hours after treatment
Strep throat, until 24 hours after treatment
E coli or shigella infection, until diarrhea resolves and 2 stool cultures are negative
Scabies, until after treatment has been given
Chickenpox, until all lesions have dried and crusted, usually 6 days
Pertussis (whooping cough), until 5 days of antibiotic therapy have been completed
Other infectious diseases such as mumps, measles, and Hepatitis A, consult with your local health department
If a child becomes ill during the day, children should be remain under appropriate supervision of caregivers. Child will be separated from other children and provided a quiet comfortable area.