I always take additional insurance so my tickets are fully refundable. Also, I have clearly outlined it in my Handbook that stuff like this is a ground for immediate termination. I make sure to go over health policy with all families I welcome to my house prior to their start. I follow up couple of times during the year and remind everyone of our health policy 2x year when seasons change and kids are more prone to getting sick. This way no one is surprised if they get termed due to health policy violation. I have to say since 4 years ago when I first started with more stringent approach to health policy we haven't had anything major happening here, cough is just about the worst we get since everyone is extra careful making sure their kids are clean and illnesses free before they bring them in so they won't get termed.

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