Certain physical symptoms in children may suggest the presence of a communicable disease. Children who have the following symptoms should be excluded from the school until:

  1. A physician has certified the symptoms are not associated with an infectious agent or they are no longer a threat to the health of other children at the program; or
  2. The symptoms have subsided

AIDS

Exclude infected child if s/he exhibits biting behavior, is not in control of his or her bodily fluids, or has open skin sores, which cannot be covered.

Appearance/Behavior

Exclude if child looks or acts sickly: unusually tired, pale, lacking appetite, confused, irritable, difficult to awaken.

Diarrhea

Exclude if child has an increased number of abnormally loose stools in the previous 24 hours until stool returns to normal form. Observe the child for symptoms such as fever, abdominal pain, or vomiting.

Eye/Nose Drainage

Exclude if child has thick mucus or pus draining from the eye or nose.

Fever

Exclude if child has oral temperature of 100º degrees or greater, especially if accompanied by other symptoms such as vomiting, sore throat, diarrhea, headache and stiff neck, or undiagnosed rash. Fever must be absent and unmedicated for 24 hours before returning to school.

Itching

Exclude if child has persistent and undiagnosed itching (or scratching) of body or scalp.

Skin Problems

Exclude if child has an undiagnosed or contagious rash, infected sores or sores with crusty, yellow or green drainage which cannot be covered by clothing or bandages.

Sore Throat

Exclude if child has a sore throat, especially when fever or swollen glands in the neck are present.

Respiratory Symptoms

Exclude if child has difficult or rapid breathing or severe coughing; child makes high pitched croupy or whopping sound after s/he coughs, and child is unable to lie comfortably.

Vomiting

Child must be excluded until he/she has been without vomiting for 24 hours.

Chicken Pox

Exclude until all the blisters have dried into scabs.

Conjunctivitis (Pinkeye)

Exclude until all discharge has cleared.

Hand, Foot, Mouth Disease

Exclude until fever is gone and child is well enough to participate in daily activities.

Hepatitis B

No exclusions necessary unless infected child exhibits biting behavior or has open sores that cannot be covered.

Impetigo

Exclude until sores are healed, or until child has been treated with antibiotics for at least a full 24 hours.

Lice (head)

Exclude until 24 hours after treatment has been initiated. There should be no lice or nits present.

Pertussis (whooping cough)

Exclude until 5 to 7 days after treatment begins.

Pinworm

Exclude until after treatment has been started.

Ringworm

Scalp: Exclude until 24 hours after treatment begins. Body: exclude until after treatment begins.

Scabies

Exclude until 24 hours after treatment begins

Streptococcal Sore Throat, Scarlet Fever

Exclude until at least 24 hours after treatment begins and child is without fever for 24 hours.

Policy Procedure for Dealing with a Child Already Admitted Who Needs to be Excluded

  1. Executive director will observe the child and call the parent.
  2. Staff will comfort the child until parent arrives.
  3. Child will be isolated to prevent further contamination of the environment. If a child has lice, all other children will also be checked.

Policy for Notifying Parent(s) That Their Child May Have Been Exposed to a Contagious Disease

  1. A notice to be sent home informing parent(s) that their child has been exposed to a contagious disease. Information about the symptoms and treatment of the disease will be forwarded.
  2. Parents are asked to notify the program within 24 hours if their child has or has been exposed to any communicable disease.

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