Exclusion of Sick Children

Children should be kept home if they have any of the following symptoms or illnesses:

  • Fever – Axillary (armpit) temperature of 99 degrees or higher or oral temperature of 100 degrees or higher. Temperature should be measured before giving medications to reduce fever.

  • Respiratory symptoms – Difficult or rapid breathing or sever coughing (child makes a high pitched croupy cough or whooping sign while coughing).

  • Diarrhea – 3 or more abnormally loose stools since admission that day or loose stools that cannot be contained within a diaper.

  • Bacterial infection – strep throat or impetigo and has not completed 24 hours of antimicrobial therapy.

  • Skin Problems – Undiagnosed rash or a rash attributable to a contagious illness or condition.

  • Appearance/Behavior – Not able to participate in childcare program activities with reasonable comfort; requires more care than the program staff can provide without compromising the health and safety of other children in care.

  • Vomiting – 1 or more times since admission that day.

  • Unusual coloring – Eyes or skin yellow or pale/ stool-gray or white/ urine-dark tea colored. These symptoms can indicate hepatitis and should be evaluated by a physician

Returning to Childcare

The following chart provides guidance for determining when a child who has been ill may return to child care.

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