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Daycare Center and Family Home Forum>I Am Sick Of Sick Kids Coming In
mickey2 05:56 AM 01-14-2011
Can someone please tell me what their sick policies are?

I have one child who always seems sick! DCG 22 months old. Always a constant runny nose where I have to wipe every 2 minutes! Honestly! She snots on everything its so gross. I am constantly disinfecting toys that she plays with! Thank God she is only here for 2 hours in the morning and the 2 hours that she is here in the afternoon she sleeps.She is gone now but this morning she came in with a runny nose even more than usual and a cough. The cough is constant non stop and she has watery eyes. She felt warm but did not have a fever however I am sure that mom medicated her. She smelled of vicks. I don't think she slept well last night because she constantly yawned the whole 2 hours that she was here and she did nothing but sit in one spot looking like she was going to fall asleep.

I would like to post a letter in my entrance for parents to see on when NOT to bring their children. They all know my sick policies but a few still continue to bring their kids! This mom even told me one time that she did give the child tylenol because she was just teething

Can any of you great ladies give me some ideas on how to write this letter please.

Thank you.
Reply
dEHmom 08:32 AM 01-14-2011
These are from that http://supportingproviders.com/childcareforms3.htm

Add the runny nose thing to it and delete what you don't want from it.


A. HEALTH REQUIREMENTS. All children entering my childcare home must be up to date on all shots, unless there is a medical reason (documentation is required). All children also must have had a well child check within six months before enrolling into my childcare.
If a child is ill in any way, I will not, under any circumstances, be able to keep them. This rule is enforced not only for the protection myself, but my children as well. It is my policy to notify parents immediately when a child becomes ill and to make arrangements for the child to be picked up. I will need for the child to be picked up within one hour of my phone call.
In the event of head lice, children must be treated and nit free BEFORE returning. If a case is found in my home, a notice will be given to all parents and all heads in my home will be checked.
B. SICK/EXCLUSION POLICY. I have sought the advice of fellow childcare providers, and have come up with the following sick policy. For the health of not only my family, but also other children in my care and their families, this policy will be strictly enforced.
If a child is ill, you will need to call me by 9:00 p.m. the night before or a minimum of one hour before your contracted arrival time. Should your child become ill during his/her time in my home, you will be notified and I will determine the best way to handle the situation, which may include your child being sent home. It is in everyone's best interest that a sick child stays home. If a child has any of the symptoms listed below, they will not be permitted to attend care until 24 hours AFTER the last incidence of fever, vomiting, severe diarrhea, or until 24 full hours after medical treatment has begun as prescribed by a physician. The symptoms include:

Fever of 100 or higher
Skin rash other than diaper rash or prickly heat - child will not be allowed to come for care until a medical exam (written documentation from physician required) has indicated it is not a communicable disease.
Diarrhea - increased number and water content of stools that cannot be contained within the diaper or underwear.
Vomiting two or more times in the same day
Any parasitic infestation (lice, scabies, etc.)
Pink eye
Chicken pox - until all blisters have dried and formed scabs, usually about 6 days after the onset of the rash.
Any other communicable disease (tuberculosis, etc.)
! NOTE: A good rule of thumb to follow is if you have to give your child any medication to relieve any of the above-mentioned symptoms before you bring them, PLEASE KEEP THEM HOME!
Further, there are times when a child is not that ill, but is uncomfortable and really needs the comfort of home. For example, until 24 hours after the first dose of antibiotic to treat ear infection; or when irritability strong cough, and a thick nasal discharge are present during the tail end of an upper respiratory infection. At those times, I will strongly urge you to keep your child at home, and may insist on it. I ask that when deciding if your child should come, please give consideration to the health of the other children, my family, and me. My pediatrician tells me that the first two days of illness are generally the most contagious time. Although winter runny noses are somewhat unavoidable, please use your best judgment, and call me if you are unsure. If you repeatedly attempt to bring an obviously ill child, this may be grounds for termination of childcare services.

Children suspected of having a communicable disease will not be able to come into my home. In the event a communicable disease develops during the day, the child’s parents will be contacted immediately for the child to be picked up. Children must leave my home within one hour of my phone call.
When your child is sent home from care for any one of the Following Reasons listed Below, you will receive a doctor's referral. This form must be completed, signed by the physician and stamped with the physician's license number before your child may return to care. A note on a physician's prescription letterhead is also acceptable.
Communicable Diseases:
1) Chicken Pox
2) Pink Eye
3) Any parasitic infestation (lice, scabies, etc.)
Although I am trained in infant and child CPR, basic first aid, and recognition of communicable childhood diseases, I do not pretend to be a doctor, and will not under any circumstances provide any medications, including vitamins unless a “Permission to Administer Medication” form is filled out. You must provide any and all medications for your child. I will not send a child home with a common cold, unless accompanied by a fever or other severe symptoms. However, many times when young children are ill, they may not exhibit “classic” signs of the illness (fever, vomiting, etc.) but will be excessively fussy and/or require constant cuddling and attention.
While I believe in providing as much cuddling as desired, if a child is ill and requires my undivided attention this distracts from my ability to provide quality care to all the children in the group. Therefore, if your child reaches a point when he/she requires constant attention, will not play, cries continuously, whines and wants to be held constantly, etc., then your child will need to stay home.
You should expect that any time a new child is introduced to the group, colds and other minor illnesses are likely to occur until everyone’s immune systems have adjusted to the new exposures. Also, advise me whenever a member of your family has an illness so that I can be alert to the possibility of symptoms developing in the child or group.
Children may return to care only at such time as they will not longer endanger the health of other children. They must be able to participate in daily activities, and the following conditions must have been met.
Absence of fever for 24 hours
Nausea, vomiting or diarrhea has subsided for 24 hours
Children must have been on antibiotics for a period of 24 hours
Physician has approved readmission into care
Chicken pox lesions are completely crusted over
Scabies are under treatment
Lice are under treatment, and no nits are present on hair
Pinworm treatment has occurred 24 hours before readmission
Lesions from impetigo are no longer weeping
Conjunctivitis has diminished and been treated to the point that the eyes are no longer discharging
The child has completed the contagious stage of the illness.
Please note that no child will be readmitted after a communicable disease without a statement from a medical facility or physician.
C. MEDICATIONS. If your child is taking medication, please be sure to sign a release to administer medication form. I CANNOT administer medication to ANY child without this release being signed. All medication must remain in the original container and be properly labeled with the child’s full name, date prescription was filled, medication expiration date, and legible instructions for administration. Please do not leave the medication in the diaper bag - hand deliver to me.
For non-prescription medication, the following can be given with permission from the parents, only at the dose & for the duration & method of administration specified on the manufacturer's label for the age and/or weight of the child needing the medication.
Antihistamines
Tylenol
Decongestants
Anti-itching ointments/lotions
Diaper ointments/lotions
Non-narcotic cough suppressants
Non-prescription oral medications may not be administered for more than five consecutive days. All non-prescription topical ointments, creams, or lotions may not be administered for more than seven consecutive days when used for skin irritations.
I am required to have syrup of ipecac in the first-aid kit that may be administered only when following verbal instructions of the poison control center or a physician. All administrations of medications will be documented on an Incident Report, and placed in the child’s file.

Parents Signature:_________________________________________________ Date:____________________

Parents Signature:_________________________________________________ Date:____________________

Providers Signature:_______________________________________________ Date:____________________

OR

Illness Policy
PARENTS AGREE TO KEEP THEIR CHILD/CHILDREN AT HOME OR SEEK ALTERNATE CARE ARRANGEMENTS FOR THE FOLLOWING CONDITIONS:
Pain - any complaints of unexplained or undiagnosed pain
Fever (100°F/38.3°C or higher)
Sore throat or trouble swallowing
Headache or stiff neck
Unexplained diarrhea or loose stool combined with nausea, vomiting or abdominal cramps. The child will be kept at home until all symptoms have stopped.
Nausea or vomiting
Sever itching of body and scalp
Known or suspected communicable diseases.

IT IS REQUIRED TO KEEP (OR TAKE) A CHILD HOME WHEN THE CHILD:
*
Is suffering from one or more of the above symptoms
Is not well enough to take part in the activities at the daycare

ULTIMATELY THE CARE OF THE CHILD IS THE PARENT'S RESPONSIBILITY

Parents will inform the daycare within 24 hours of a diagnosis of a serious illness or contagious disease of a communicable nature in the family.* This is to protect my family and the other families who attend the daycare.* Failure to do so is grounds for immediate termination of care.
Parents agree that a child will be symptom free, without the aid of symptom reducing medications such as Tylenol, for a full 24 hours prior to returning to daycare.* We reserve the right to ask for a note from your family doctor, depending on the illness/disease.
MEDICATIONS:
Prescription medications will only be given to a child in care with the following conditions:
*
Parent gives written permission to the caregiver, with full instructions as to dosage, and times to administer medication. (forms are available from the daycare for this purpose)
All prescribed medications must have the child's name on the prescription bottle.
Non-prescription medications will be administered as per recommended dosages on medicine bottle.

CARE OF A SICK CHILD AND NOTIFICATION OF PARENTS
When a child becomes ill, I will make the child comfortable in a quiet place where he/she can rest and will be closely supervised.
Parents will be notified immediately and agree to begin to making alternate work arrangements or arrangements for alternate care. If your child is seriously ill, you or an alternate must come for the child IMMEDIATELY.* If I cannot reach a parent, I will call an emergency contact listed on the registration form or the child's doctor may be contacted depending on the seriousness of the illness.
*
Reply
dEHmom 08:39 AM 01-14-2011
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
dEHmom 08:59 AM 01-14-2011
Me again, but I found this one and liked it much much better. Shorter and to the point.

You can choose whether to post as a notice, or have signed. OR you can post and have each parent sign it on the same form. If they choose not to sign it, then you can decide whether to term.

EXCLUSION POLICY



Control of communicable disease should be all parties primary concern.

Policies and guidelines related to outbreaks of communicable diseases and illnesses in this facility have been developed with the help of the local health department and local pediatricians in order to protect the group as a whole as well as the health of your own child. I ask that parents assist me by keeping sick children at home. If they have or have experienced any of the following symptoms in the past 24 hours they need to be kept at home and away from this facility.

A fever of 100* orally or 99 under the arm.
Signs of a newly developed cough or a severe cough.
Diarrhea, vomiting, or an upset stomach.
Unusual or unexplained loss of appetite, fatigue, irritability, or headache.
Any discharge or drainage form the eyes, nose, ears, or open sores.

Children who show signs or symptoms listed above will be returned home ASAP. I appreciate your cooperation with this policy.

If you have any questions concerning this policy and whether your child should attend, please call me at ***-***x before bringing your child to the childcare.


I have read and understand this policy.

______________________________________ _________________
Parent Signature Date


_______________________________________
Provider Signature
Reply
kendallina 09:09 AM 01-14-2011
This is what mine says. I would say you could exclude under the " Has other illness or condition that may be contagious or may prevent the child from participating in regular preschool routines" clause. But, you maybe would just want to add your own booger clause. I thought I had a booger clause in here...hmm. Might have to change that.

Children are unable to attend preschool under the following circumstances:

• Fever 100 or higher (before giving medication) in the last 24 hours

• Vomiting more than once in last 24 hours

• Diarrhea within the last 24 hours

• Pink eye (keep home until eye is no longer draining)

• Chicken pox (keep home until no longer contagious per doctor's recommendation)

• Bacterial infection (keep home until on antibiotics for 24 hours)

• Has unexplained lethargy or is unable to participate in activities

• Head lice (keep home until all nits and eggs are gone child will be checked upon returning to the program)

• Has other illness or condition that may be contagious or may prevent the child from participating in regular preschool routines

***Please remember: your child MUST be fever free, vomit free and diarrhea free for 24 hours before returning to the program***
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Unregistered 08:45 AM 01-17-2012
Can I vent please?

I am so sick of all of these sick kids coming to my house, wiping their noses on my furniture, being whiny, crying, etc etc. Can these parents not look at their kids and see that they are too sick to be here? If your infant has a runny nose, and is coughing, sneezing, and extremely whiny, perhaps you should take your child to the dr. I have sick kid guidelines, but the fever is below 101, and the snot isn't green or yellow, so technically they are allowed to come, but I am so over it. Then they get everyone else, including my own kids sick- is it horrible to sequester a 12 month old who is sick in the greater interest of the group? Ugh!

Maybe I am just mad because today, this one kid came 10 minutes early before 7am, and I had 2 kids just show up without notice (I needed the money so I didnt say anything), and the early kid is clearly sick. I have a headache, and I just plain feel claustrophobic, like im surrounded by germs and illness and whiny kids whose parents dont know them well enough or care enough to take 1 day off of work and nurture their sick child. Are you kidding me people?

What do you guys do when sick kids (who are within the guidelines) come anyway? PS: the reason I think everyone is sick is bc another mom brought her sick kid, took him to the dr, and brought him the next day, even though he was on antibiotics and it hadn't been 24 hors- I didnt know he was on meds or I wouldnt have let him come in- she slipped and told me later. I sent out another copy of my guidelines but who knows if these parents even read it. So mad ugh!
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parent 06:58 AM 01-07-2016
If I had to keep my children home every time they had a runny nose, they'd rarely ever be in daycare in the winter. As a provider, I would think you would be accustomed to dealing with runny noses, and less "grossed out" by it as you seem to be. If the parents who trust you with their children saw your post, I can't imagine they would feel good about the care you're giving them. A fever is one thing, but runny noses are a fact of life with small children.
Put yourself in the parents' shoes. Could YOU afford to stay home every day your child had a runny nose? The answer is, nobody could. This is like complaining that a baby has too many dirty diapers....
Reply
Rockgirl 07:08 AM 01-07-2016
Originally Posted by parent:
If I had to keep my children home every time they had a runny nose, they'd rarely ever be in daycare in the winter. As a provider, I would think you would be accustomed to dealing with runny noses, and less "grossed out" by it as you seem to be. If the parents who trust you with their children saw your post, I can't imagine they would feel good about the care you're giving them. A fever is one thing, but runny noses are a fact of life with small children.
Put yourself in the parents' shoes. Could YOU afford to stay home every day your child had a runny nose? The answer is, nobody could. This is like complaining that a baby has too many dirty diapers....
1) This post is 5 years old.

2) OP stated the child's nose was runnier than normal, plus had an almost constant cough and watery eyes. We providers are accustomed to normal runny noses, but this was more than that.
Reply
MunchkinWrangler 01:44 PM 01-07-2016
Originally Posted by parent:
If I had to keep my children home every time they had a runny nose, they'd rarely ever be in daycare in the winter. As a provider, I would think you would be accustomed to dealing with runny noses, and less "grossed out" by it as you seem to be. If the parents who trust you with their children saw your post, I can't imagine they would feel good about the care you're giving them. A fever is one thing, but runny noses are a fact of life with small children.
Put yourself in the parents' shoes. Could YOU afford to stay home every day your child had a runny nose? The answer is, nobody could. This is like complaining that a baby has too many dirty diapers....
Lol, but you know what's funny? Everyone has dragged their sick kids to my home for care all month. My own son spiked a fever last night, everyone avoided my house today like the plague. I'm positive he caught it from one of their kids because of masking illness and whatnot, but it's laughable at the double standard! Don't you think?
I have a job to do everyday as a provider that is just as important as yours, the only difference is that I don't leave my home for it and it's hard to take an unexpected day off as well. The only family that seemd upset were the ones that have an option of working from home. Granted, it is a fever and I would exclude other children for it, still makes me wonder where he got it from, though!
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CynthiaJesus 10:43 AM 10-27-2016
Hey, mickey2, I have read your post and first i want you to know that What is Bronchitis? Bronchitis is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. People who have bronchitis often cough up thickened mucus, which can be discolored, white, yellow-grey or green. There are two types of bronchitis. Chronic Bronchitis means your airways are irritated over and over. This type lasts for a few months or longer, and usually comes back year after year. Things that irritate your lungs, like dust, chemicals, or smoke from a fire or cigarettes, usually cause it. Chronic bronchitis isn’t contagious, but it’s a serious health problem that requires a doctor’s care. Acute Bronchitis can last for 1 to 3 weeks. It’s usually caused by cold or flu viruses. Since these viruses are contagious, acute bronchitis usually is, too. Often developing from a cold or other respiratory infection, acute bronchitis is very common. Chronic bronchitis, a more serious condition, is a constant irritation or inflammation of the lining of the bronchial tubes, often the smoker’s cough. Acute bronchitis usually is self-correcting condition which improves within a few days without lasting effects, although you may continue to cough for weeks. However, if you have repeated episodes of bronchitis for most of the days in three months per year: you may have chronic bronchitis, which requires medical attention. Chronic bronchitis is one of the conditions included in chronic obstructive pulmonary disease (COPD).
Now as your concern <a href="https://www.healthunits.com/bronchitis/is-bronchitis-contagious-2/"> Is Bronchitis Contagious? </a> Acute Bronchitis is Contagious and Chronic Bronchitis is not Contagious.
Reply
Rockgirl 10:56 AM 10-27-2016
Originally Posted by CynthiaJesus:
Hey, mickey2, I have read your post and first i want you to know that What is Bronchitis? Bronchitis is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. People who have bronchitis often cough up thickened mucus, which can be discolored, white, yellow-grey or green. There are two types of bronchitis. Chronic Bronchitis means your airways are irritated over and over. This type lasts for a few months or longer, and usually comes back year after year. Things that irritate your lungs, like dust, chemicals, or smoke from a fire or cigarettes, usually cause it. Chronic bronchitis isn’t contagious, but it’s a serious health problem that requires a doctor’s care. Acute Bronchitis can last for 1 to 3 weeks. It’s usually caused by cold or flu viruses. Since these viruses are contagious, acute bronchitis usually is, too. Often developing from a cold or other respiratory infection, acute bronchitis is very common. Chronic bronchitis, a more serious condition, is a constant irritation or inflammation of the lining of the bronchial tubes, often the smoker’s cough. Acute bronchitis usually is self-correcting condition which improves within a few days without lasting effects, although you may continue to cough for weeks. However, if you have repeated episodes of bronchitis for most of the days in three months per year: you may have chronic bronchitis, which requires medical attention. Chronic bronchitis is one of the conditions included in chronic obstructive pulmonary disease (COPD).
Now as your concern <a href="https://www.healthunits.com/bronchitis/is-bronchitis-contagious-2/"> Is Bronchitis Contagious? </a> Acute Bronchitis is Contagious and Chronic Bronchitis is not Contagious.
The original post, the one you are addressing, was posted almost 6 years ago. I don't think mickey will see this. And I'm betting that runny nose cleared up awhile back.
Reply
Ariana 11:40 AM 10-27-2016
Originally Posted by Rockgirl:
The original post, the one you are addressing, was posted almost 6 years ago. I don't think mickey will see this. And I'm betting that runny nose cleared up awhile back.
Oh goodness that statement made me feel REAL old
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