Licensing Standards for DayCare Centers

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1100 - Sick Care Component

Health

TABLES OF COMMUNICABLE DISEASES AND SYMPTOMS THAT EXCLUDE CHILDREN FROM SICK CARE: (asterisk denotes reportable diseases)

a. Respiratory illness	b. Gastrointestinal illness	c. Contact
Chicken Pox	Giardia Lamblia*	Impetigo
German Measles	Hepatitis A*	Lice
Hemophilus influenza	Salmonella*	Scabies
Measles*	Shigella*
Meningococcus*
Mumps
Strep throat
Tuberculosis*
Whooping Cough*

d. Symptoms that Exclude Children from Sick Care:

A symptom is a condition that indicates an illness that may not be identifiable by one of the above listed names but presents a situation where the child shall not be admitted to or remain in sick care and should be seen by the family physician.

1. Diarrhea:

   a. Accompanied by evidence of dehydration for excessive fluid loss;

   b. Accompanied by history of poor fluid intake and/or marked lethargy;

   c. With blood or mucous in the stool unless at least one stool culture shows the absence of Salmonella, Shigella, Campylobacter or E-coli; or

   d. That exceeds 5 bowel movements in an 8 hour period or is continued over 3 or 4 days unless the child is under the supervision of a physician with written documentation;

2. Vomiting for over a 6 hour period;

3. Difficult or rapid breathing;

4. Severe coughing;

5. Mucous (phlegm) that is foul smelling, yellow or green and the child has a fever over 102;

6. Asthmatics with severe upper respiratory infections who have not been seen by a physician or whose distress is not controlled by medication;

7. Sore throat and fever greater than 103 or confirmed Strep throat until treated with antibiotics for over 24 hours;

8. Skin conditions that have not been diagnosed as noncontagious by a physician; including but not limited to:

   a. Yellow (jaundiced) eyes or skin;

   b. Children in contagious stages of chicken pox, measles, mumps or rubella;

   c. Untreated impetigo;

   d. Untreated scabies or head lice; or

   e. Blood-red rashes and skin conditions with spontaneous bruising;

9. Children who are in the contagious stages of Pertussis, diphtheria, or tuberculosis;

10. Red swollen eye(s) with white or yellow discharge until on antibiotics for over 24 hours;

11. Abdominal pain that is intermittent or persistent;

12. Fever over 102 for greater that 24 hours, or any fever over 103 unless the child has been evaluated and treated by a physician and does not have other exclusion criteria.

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