This policy is based on the Model Health Care Policies developed by the American Academy of Pediatrics.
Educare Children’s Center understands that it is difficult for a parent/guardian to leave or miss work; therefore, it is suggested that alternative arrangements be made for occasions when children must remain at home or be picked up due to illness. Exclusion from the Center is sometimes necessary to reduce the transmission of illness or because the Center is not able to adequately meet the needs of the child. Mild illnesses are common among children and infections are often spread before the onset of any symptoms. In these cases, we try to keep the children comfortable throughout the day, but will find it necessary to exclude them from the child care setting for the following reasons:
- Fever of greater than 100 axilary, 101 orally or 102 aural/ear
- Diarrhea – unformed and/or uncontrolled stools that cannot be contained in a diaper/underwear or toilet.
- Vomiting – 2 or more times during the previous 24 hours.
- Mouth sores associated with drooling
- Rash with fever or behavioral changes, unless a physician has determined it is not a communicable disease, in which case we would request a doctor’s note.
- Purulent conjunctivitis (defined as pink or red conjuctiva with white or yellow discharge) until on antibiotics for 24 hours.
- Impetigo (skin infection) until 24 hours after treatment.
- Strep throat until 24 hours after treatment.
- Scabies until 24 hours after treatment has begun.
- Chickenpox, until all lesions have dried and crusted (usually 6 days).
- Pertussis (Whooping cough) until 5 days of appropriate antibiotics.
- Hepatitis A virus until one week after onset of illness, after immune globulin has been administered
- Difficulty in breathing
- Ear ache or drainage
- Illness that prevents the child from participating comfortably in program activities.
- Illness that results in a greater need or care than our center can provide without compromising the health and safety of other children.
We ask that for your child’s comfort and to reduce the risk of contagion, children be picked up within 1.5 hours of notification. Children need to remain home for 24 hours without symptoms before returning to the program. In the case of a (suspected) contagious disease or continuing symptoms, a doctor’s note may be required before returning.
Children who have been excluded may return to the center when:
- They are free of fever, vomiting, and diarrhea for a full 24 hours.
- 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.