Exclusion from Child Care: 

1. 1. The illness prevents the child from participating comfortably in the program’s activities, as determined by the childcare provider. 

2. The illness makes the child have a greater need for care that the teachers can manage without compromising the care of other children in the group. 

3. The child has persistent symptoms that indicate a more serious virus, ie: Flu, Covid, RSV.

 

1. The symptoms of illness shall include but are not limited to: 

 

• More than one episode of vomiting in one day;

• More than one episode of diarrhea in one day;

• Uncontrolled coughing or wheezing;

• Unusual or extreme fatigue or lethargy;

• Skin lesions which have not been diagnosed or treated by a licensed health practitioner; or 

• An oral temperature of 101 degrees Fahrenheit or higher, an under arm temperature of 100 degrees Fahrenheit or higher combined with any of the following:

1. Diarrhea;

2. Rash;

3. Ear ache;

4. Sore throat; or

5. Vomiting

 

1. When a child exhibits symptoms of illness as specified in (A) or (B) above, child care personnel shall contact the child’s parent and inform them of the need to remove their child from the program.

 

1. Child care personnel shall provide any child who is ill an opportunity to rest or do a quiet activity in a comfortable, private, supervised area until the parents arrive to pick up the child. 

 

1. When any child care personnel or children in the program have symptoms of or are known to have a communicable disease, the family child care provider, center director, or his/her designee shall contact the bureau of disease control and prevention for instructions regarding whether the ill individual is required to be excluded from the program and to determine reporting requirements in accordance with RSA 141-C: 7 and HeP 301.03 etc. Refer to State Licensing Rules page 45. 

Procedures for an ill child: 

1. Allow the child to rest, or do a quiet activity

2. Take the child’s temperature

3. Report to the director or the supervisor, after observing, document. 

4. The director, supervisor, or teacher will call the child’s parents, guardians, or alternate pick up, and let them know:

   • The child’s symptoms;

   • The procedures you have followed at this time;

   • Whether the child should be picked up as soon as possible

5. If the child remains at the center:

   • Observe closely for any change in symptoms;

   • Pay close attention to the child’s temperature by checking it every hour

6. If the child is waiting to be picked up:

   • Make the child as comfortable as possible, allow to rest, or do a quiet activity;

   • Place in a quiet area away from the other children

 

1. If the child does not have a temperature, and you are unsure whether the child should be picked up, call the parents, legal guardian, or alternate pick up, to explain your concerns, and let them decide.

 

Other WCC Policy Conditions of Exclusion:

1. A temperature of 100.4 degrees Fahrenheit or above

2. Contagious diseases (may return after 24 hours after beginning an antibiotic, or prescribed medication by their doctor, or a doctor’s note) 

3. Vomiting

4. Undiagnosed rashes

5. Head lice

6. Scabies