ILLNESS

YOUR CHILD NEEDS TO BE KEPT AT HOME OR IN ALTERNATIVE CARE IF ANY OF THE FOLLOWING OCCUR:

¨       Fever of 100 degrees or more BEFORE MEDICATION (Tylenol, Aspirin, etc.) with behavior change or other sign of illness.

¨       Symptoms and signs of possible severe illness – until medical evaluation allows inclusion.  May include unusual lethargy, uncontrolled coughing or wheezing, persistent crying or irritability, or difficulty breathing.

¨       Uncontrolled diarrhea – (stool runs out of the diaper or the child cannot get to the toilet in time) until it is controlled or stops.

¨       Vomiting – more than once in the previous 24 hours period until vomiting stops or  a health care provider determines that the child may be in child care and is not in danger of dehydration.

¨       Mouth sores with drooling – until a health care provider determines the condition is not from a communicable illness.

¨       Rash with fever or behavior change – until a health care provider determines that the child may be in child care.

¨       Pink eye (purulent, bacterial conjuvitis) -  with white or yellow eye discharge until 24 hours after treatment is started.  (Vitral conjunctivitis usually has a clear, watery discharge and may not require medication or exclusion.)

¨       Scabies, head lice, or other infestation – until 24 hours after treatment is started, and in the case of head lice, the chid is nit-free.

¨       Tuberculosis (TB) – until after treatment has begun, fever is gone, and a health official states the child is non-infectious.

¨       Impetigo – until 24 hours after treatment has begun.

¨       Strep throat or other streptococcal infections – until 24 hours after antibiotic treatment has begun.

¨       Chicken pox – until 6 days after onset of rash or sooner if all sores have dried up and crusted over.

¨       Pertussis (whooping cough) – until 5 days after appropriate antiobiotic treatment has begun.

¨       Mumps – until 9 days after onset of swelling.

¨       Hepatitis A – until 1 week after onset of illness and fever is gone, or as directed by local health department after immunoglobulin has been given to appropriate children and staff.

¨       Measles – until 6 days after onset of rash.

¨       Rubella – until 6 days after onset of rash.

¨       Shingles – until the sores are crusted over, unless a health care provider determines that the child should otherwise be excluded.

¨       Any other communicable disease or illness

Your child should also be watched closely if they seem lethargic, or more irritable than their normal temperament.

With many other children to care for, we cannot give your child the attention they need when they are ill.  Though we love your children and they like coming to daycare, when they do not feel well they need their Mom or Dad.

Please understand the reasons for excluding your child from our daycare.

  1. The illness prevents the child from participating comfortably in the routine activities.
  2. The illness requires more care than the child care provider are able to provide without compromising the health and safety of the other children.

Parents should notify us if the child has been ill during  the evening , morning, or weekend before returning to the program.

Children need to be free from  above symtoms for 24 hours before they can return to the center.

A Physician’s note is needed before a child returns to our day care for a contagious disease.

A Physician or a parent’s ( if you did not go see a doctor) note is needed if absent for three or more days.

Also, be sensitive to your child’s feelings, the health of other children, and to your childcare providers when deciding whether your child should be at daycare.  Please inform us of any contagious diseases when they occur in your family. We try to keep the transmission of illness to a minimum, and if every family cooperates, we have a good success rate in this area.

If any of the above occur while your child is in daycare, we will separate your child from the other children.  We will contact you or the other adults you listed on your application to be contacted in case of emergency to pick up your child and if you or the others cannot be reached, the physician on the Medical Treatment Authorization Form will be called.  We recommend that you also leave a signed authorization form with your physician.

A signed Medication Authorization Form is required any time the provider is asked to give any prescription or non-perscription medication to a child while in care.  Medication will be given only if the medication is in its original carton.  This will ensure us that the medicine is administered correctly according to the prescription or instructions, and the record help us inform the parent when and how much of the medicine was given.

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