ILLNESSES REQUIRING EXCLUSION FROM DAY CARE


Fever, defined by the child’s age as follows until medical evaluation indicates inclusion:
Infants 4 months old and younger – rectal temperature greater than 101º F or auxiliary (armpit) temperature greater than 100º F even if there is no change in their behavior.
Infants and children older than 4 months (accompanied by behavior changes or other signs or symptoms of illness) – rectal temperature of 102º F or greater, oral temperature of 101º F or greater, or auxiliary (armpit) temperature of 100º F or greater.
Signs possible severe illness, including unusual lethargy, irritability, persistent crying, difficult breathing.
Uncontrolled diarrhea, defined as an increased number of stools compared with the child’s normal pattern, with increased stool water and/or decreased form that is not contained by the diaper or toilet use.
Vomiting two or more times in the previous 24 hours unless the vomiting is determined to be due to a non-communicable condition and the child is not in danger of dehydration.
Mouth sores with drooling unless the child’s physician or local health department authority states the child is non-infectious.
Rash with fever or behavior change until a physician has determined the illness not to be a communicable disease.
Purulent conjunctivitis, defined as pink or red conjunctiva with white or yellow eye discharge, often with matted eyelids after sleep, and including a child with eye pain or redness of the eyelids or skin surrounding the eye.
Infestation (e.g., scabies, head lice), until 24 hours after treatment was begun.
Tuberculosis, until the child’s physician or local health department authority states the child is non-infectious.
Impetigo, until 24 hours after treatment was begun.
Streptococcal pharyngitis, until 24 hours after treatment has been initiated, and until the child has been afebrile for 24 hours.
Ringworm infection (tinea capitis, tinea corporis, tinea crusis, and tinea pedis) until 24 hours after treatment was begun.
Shingles, only if the sores cannot be covered by clothing or a dressing, until the sores have crusted.
Pertussis, which is laboratory confirmed, or suspected based on symptoms of the illness, or suspected because of cough onset with 14 days after having face-to-face contact with a laboratory confirmed case or pertussis in a household or classroom, until 5 days of appropriate chemoprophylaxis (currently, erythromycin) has been completed.
Mumps, until 9 days after onset of parotid gland swelling.
Hepatitis A virus infection, until 1 week after onset or illness or until after immune serum globulin has been given to appropriate children and staff in the program, as directed by the responsible health department.
Measles until 6 days after the rash appears.
Rubella until 6 days after the rash appears.

If you have any questions or concerns, please contact us PRIOR to bringing your child to day care.

Reply