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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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