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

• Fever – An axillary (armpit) temperature of 99°F or higher or an oral temperature of 100°F or higher. Temperature should be measured before giving medication to reduce fever.

• Respiratory symptoms – Difficulty breathing, rapid breathing, or severe coughing, including a high-pitched or croup-like cough or a whooping sound while coughing.

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

• Bacterial infection – Strep throat, impetigo, or another bacterial infection for which the child has not yet completed at least 24 hours of prescribed antibiotic therapy.

• Skin Problems – An undiagnosed rash or a rash associated with a contagious illness or condition.

• Appearance/Behavior – Unable to participate comfortably in childcare activities or requiring more care than staff can provide without compromising the health and safety of other children.

• Vomiting – One or more episodes of vomiting since admission that day.

• Unusual coloring – Yellowing of skin/eyes, unusual paleness, gray/white stools, or dark/tea-colored urine. These symptoms may indicate an underlying medical condition and should be evaluated by a healthcare provider.