Based on information from Child Care Licensing, the American Academy of Pediatrics and our own experiences, we have established this guide to answer questions for when a child is ill.Illness does not always require exclusion. When a child does not require immediate medical help, a determination must be made whether the child requires exclusion from the Center.Our procedures are as follows.
Excluding a child from Hearts & Hands occurs if:
1)The child’s health care provider determines exclusion is necessary;
2)The illness poses a risk of spread of disease to others;
3)The illness has conditions that may indicate a possible severe illness, i.e., persistent crying, lethargy, difficulty breathing, or increased irritability;
4)The illness makes the child have a greater need for care than the caregivers can manage without compromise to the care of other children in the group;
5)The illness prevents the child from participating comfortably in the program’s activities, as determined by the center administration and/or staff;
Symptoms and conditions which are indicators to illness:
Fever:Axillary (under arm) temperature above 100 degrees or an oral temperature above 101 degrees AND behavior change or other signs and symptoms.Hearts & Hands uses digital thermometers under the arm.
Diarrhea: stools that contain blood or mucous, or are watery or less formed, occur more often than usual, and are not contained by diapers or toilet use.
Vomiting: episodes in the previous 24 hours, unless the vomiting is determined to be caused by a noncommunicable condition and the child is not in danger of dehydration.
Respiratory Symptoms: Difficult or rapid breathing; severe coughing; chest congestion; high-pitched or “whooping” sound coughing.
Eye Inflammation/ Drainage:redness of the inner lid of the eye with white or yellow discharge from the eye (signs of bacterial infection).(Viral conjunctivitis usually has a clear, watery discharge that may not require exclusion.)
Abdominal pain: Pain continues for more than 2 hours or intermittent pain associated with fever or other symptoms.
Sores:sore throat; sores in and around mouth with drooling and fever; fluid filled blisters in the mouth, on the palm of the hands or the sole of the feet with fever.
Skin conditions:rash with fever or behavioral changes; rash with blisters that may contain clear fluid or pus; itchy areas with lesions; itchy raised areas.
Lice:Head lice, exclusion required until after the first effective treatment and no lice are observed; body lice, exclusion required until after changing and washing infested clothing.
Our parent handbook outlines procedures for parent notification and pick up as well as when a child can return to care.