Health Policy (Birth- 23 Months)

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In order to maintain healthy children in our center, we have compiled a list of illnesses, symptoms and our policies for each illness. If you give your child medicine for an illness and it inhibits their ability to fully participate in the program, you will be called to remove them.


Health Policy (BIRTH- 23 MONTHS)

BronchitisFrequent coughing, labored breathing, possible fever. The child may return 24 hours after the medication is first administered.
Chicken PoxFever, discomfort, itching, pink, or red spots on chest stomach, and back. Spots will change to blisters, which will crust.The child may return after the last spot has crusted over.
Colds & AllergiesSneezing, stuffed or runny nose, sore throat, watery eyes, possible cough, chills, and low fever.If symptoms persist for 5 days, a doctor’s note stating allergies or not contagious must be brought in before the child may return.
Coxsackie Virus (Hand, Foot, and Mouth Disease)Children may develop a fever that lasts 1-2 days. After the fever disappears a blister-like rash appears in the mouth, inner cheeks, tongue, hands, feet, and sometimes on other parts of the body.Children may return once the fever is gone and all the blisters have healed. This can be 3-10 days depending on the severity of the disease.
CroupLabored breathing, hoarseness, and loud hacking cough often coming on at sleep times. May return when the child is able to fully participate in normal center activities.
DiarrheaRunny or liquid bowel movementsThe child will be sent home after 3 bowel movement occurrences in a school day and may return after bowel movements return to normal or have a doctor’s clearance.
FeverChildren with an auxiliary fever of 101 and above will be sent home or have an auxiliary fever less than 101 accompanied by other symptoms will be sent home.The child must be fever free without medication for 24 hours and be able to fully participate in the program’s daily activities.
Head LicePersistent itching of the scalp. Small silvery nits attached to hair especially behind ears and neck.Child may return after establishing that treatment was effective (No nits in the hair, even dead ones.)
ImpetigoLesions first appear as pink-red blemishes which change to blisters, they enlarge and then develop crusts and leave temporary superficial blotchy, red areas. Seek medical attention. The child may return when lesions are completely crusted over.
Influenza (Virus Flu)Chills, drowsiness, weakness, sudden high fever, headache, sore throat, no appetite, possible nausea, and dizziness.The child must be fever free without medication for 24 hours and be able to fully participate in the program’s daily activities.
Pin WormsSmall, white worms in the stool. The whole family must be treated. The child may return once treatment begins.
Pink Eye ConjunctivitisRed and swollen around the eye, mucous or clear liquid seeps out, mucus returns after several attempts to clean.The child may return 24 hours after treatment has begun and clinical improvement is evident with written consent from a doctor or symptoms subside.
PneumoniaCoughing, fever, rapid breathing, discomfort, chills, & weakness. Possible nausea and vomiting. Sudden fever for several days. The child may return with written note from the doctor stating that they are no longer contagious.
Ring WormA perfect, reddish, crusty ring with a blotch or red in the center.The child may return 24 hours after medical treatment with lesion covered until gone.
Strep ThroatHigh fever, sore throat, dryness of throat, swollen glands at neck, and/or white coating.The child will remain out of the center until the doctor states the child can return w/note (Usually 48 hours after RX has been given).
TeethingThe 8 day period before, during, and after a tooth emerges. Normal symptoms of teething include: biting, drooling, gum-rubbing, sucking, irritability, wakefulness, earrubbing, facial rash, decreased appetite, or low grade fever. Children will be excluded if they are unable to participate fully in activities.
ThrushCreamy white lesions on tongue and inner cheeks and sometimes on the roof of mouth, gums and tonsils which resemble cottage cheese.The child may return with written note from the doctor stating that they are no longer contagious.
Undiagnosed RashRed, itchy, and possibly raised area on the body. The child may return to the center with a doctor’s clearance.
VomitingVomiting is the forcible voluntary or involuntary emptying ("throwing up") of stomach contents through the mouth.Children may return after symptoms have subsided at least 24 hours. Spitting up is normal for infants and will not be cause for going home.


Please remember if you are called to pick up your child, we require the parent or emergency person to pick your child within one hour. If someone has not arrived within the hour, children will be excluded for 2 operational days. Let’s work together to make our center a healthy place!! If your child cannot fully participate in daily activities including those outdoors, you will be required to keep your child out of care.

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