CHILD'S EXCLUSION DUE TO ILLNESS:

-Illness that prevents the child from participating comfortably in daycare activities.

​

- Illness that results in a greater need for care than our staff can provide without compromising the health and safety of other children.

​

-Illness that poses a risk of spread of harmful disease to others

​

-Fever (100° axillary (armpit), 101° orally, 102° aural/ear)* and behavior change or other signs

and symptoms, e.g., sore throat, rash, vomiting, diarrhea, lethargy, irritability, constant crying,

difficulty breathing.

​

-Diarrhea more watery stools or decreased form of stool that is not associated with change

of diet. Exclusion is required for all diapered children whose stool is not contained in the

diaper and toilet-trained children if the diarrhea is causing accidents. Diapered children with

diarrhea will be excluded if the stool frequency exceeds 2 or more stools above normal for

that child.

-Blood or mucus in the stools not explained by dietary change, medication, or hard stools,

and/or uncontrolled, unformed stools that cannot be contained in a diaper/underwear or toilet.

​

Special circumstances that require specific exclusion criteria include the following:

-Toxin-producing E coli or Shigella infection, until the diarrhea resolves and thetest results of 2 stool cultures are negative for these organisms

​

-Salmonella serotype Typhi infection, until diarrhea resolves. In children younger

than 5 years with Salmonella serotype Typhi, 3 negative stool cultures are

required.

​

-Vomiting more than 2 times in the previous 24 hours unless the vomiting is determined to be

caused by a non-communicable condition and the child is not in danger of dehydration.

​

-Mouth sores with drooling unless the child's medical provider or local health department

authority states that the child is noninfectious.

​

-Abdominal pain that continues for more than 2 hours or intermittent abdominal pain

associated with fever, dehydration, or other signs of illness.

​

-Rash with fever or behavioral changes, until a physician has determined it is not a communicable disease.

-Purulent conjunctivitis (defined as pink or red conjunctiva with white or yellow eye discharge) until on antibiotics for 24 hours.

​

-Impetigo until 24 hours after treatment has been started.

​

-Strep throat (or other streptoccol infection) until 24 hours after treatment has been started.

​

-Head lice until after treatment and all nits are removed.

​

-Rubella, until 6 days after the rash appears.

​

-Scabies until 24 hours after treatment has been started.

​

-Chickenpox, until all lesions have dried or crusted (usually 6 days after onset of rash).

​

-Pertussis (Whooping cough) until 5 days of appropriate antibiotics.

​

-Mumps, until 5 days after onset of parotid gland swelling.

​

-Measles, until 4 days after onset of rash.

​

-Hepatitis A virus until 1 week after onset of illness or jaundice or as directed by the health department (if the child's symptoms are mild).

​

-Tuberculosis, until the child's medical provider or local health department states the child is on appropriate treatment and can return.

​

-Covid-19 If your kid tests negative, they can return to school once their symptoms have improved.

• If your child tests positive, follow the CDC’s guidance: If symptoms subside and your child was isolated at home for at least 10 days, they can return to daycare, without a doctor’s note or negative test results.

• If your child wasn’t tested, they need to be evaluated by a doctor. If coronavirus can’t be ruled out, your child should be considered a presumed case of COVID-19 and isolate according to CDC’s recommendations.

• If your child doesn’t have symptoms but was exposed to someone with COVID-19, the CDC advises a 14-day quarantine, even if tested and the results are negative.

-Any child determined by the local health department to be contributing to the transmission of

illness during an outbreak.

>>>Infants less than 4 months of age will be excluded if they have a fever of 100° axillary (armpit) or 100.4° aural (ear) and should receive medical attention as soon as possible.

​

*Any child with a fever of 104° will be excluded and should receive medical attention as soon as possible.

 Any infant younger than 2 months with a fever should get urgent medical attention.

CHILDREN WHO HAVE BEEN EXCLUDED MAY RETURN WHEN:

-They are free of fever, vomiting, and diarrhea for a full 24 hours.

​

-Readmission after diarrhea can occur when diapered children have their stool contained by the diaper (even if stools remain loose) and when toilet-trained children do not have toileting accidents.

​

-They have been treated with an antibiotic for a full 24 hours.

​

-They are able to participate comfortably in all usual program activities, including outdoor time.

​

-They are free of open, oozing skin conditions and drooling (not related to teething) unless:

1) The child's health-care provider signs a note stating that the child's condition is not contagious, and;

2) The involved areas can be covered by a bandage without seepage or drainage through the bandage.

​

If a child has been out of the center due to any of the reasons above or any other reason deemed necessary by the child's medical provider, please let the daycare know. It may be beneficial to share this information with families in the daycare. If so, your family information will remain confidential; however, this will help me and families observe the other children for symptoms and could assist their medical provider in making a diagnosis.

If a child is excluded because of a reportable communicable disease, a doctor's note stating that the child is no longer contagious and may return is required.

​

 ***Covid-19- please see above Covid-19 guidelines under the excluded from daycare list. 

​

***The daycare makes the final decision whether or not to exclude a child from the program.