
To prevent spreading germs to other
children and adults in the preschool, it is recommended that a child does not come to school sick. Below are some illnesses or conditions that would make it necessary for a child to stay home, as well as information regarding when it is appropriate to let the child return to school.
It is important to request the parents to notify the school when the child has a communicable disease so that other families can be informed.
Conditions, Signs, and Symptoms
Diarrhea: Look for increased numbers of stools, increased amount of stool water, or decreased form that is not contained in the diaper or by toilet use.
Vomiting: Keep the child home if he or she vomits two or more times in the previous twenty-four (24) hour time span (unless the vomiting is determined to be due to a noncommunicable condition, and the child is not in danger of dehydration).
Mouth Sores: These are associated with the inability to control saliva. Keep the child home unless it is determined by a doctor that the child is noninfectious.
Rash: The child must remain at home when the rash appears with a fever or behavior change. When it is determined by a doctor as noninfectious the child may return to the center.
Conjunctivitis: This appears as pink or red conjunctiva with white or yellow eye discharge, often with matted eyelids after sleep and eye pain or redness of the eyelids surrounding the skin. A doctor's consent is required for readmission.
Tuberculosis: The child must be removed from the center until it is determined by a doctor that he or she is noninfectious.
Streptococcal Pharyngitis: The child must be excluded for twenty-four (24) hours after treatment is initiated or when he/she is fever free for twenty-four (24) hours.
Head Lice: The child is excluded until the morning after the first treatment.
Scabies: The child is excluded until after treatment has been completed.
Varicella: The child is excluded until the sixth day after the onset of the rash or sooner if all the lesions have dried and crusted.
Pertussis: The child is excluded after the disease is confirmed by a laboratory, or if the disease is suspected based on symptoms or because coughing begins within fourteen (14) days of face-to-face contact with a person in the home or classroom who has a confirmed case of pertussis. The child may return to the classroom five (5) days after appropriate antibiotic therapy has been initiated.
Mumps: A child is excluded until nine (9) days after the onset of parotid swelling.
Hepatitis: This is a virus infection. A child is excluded until one (1) week after the onset of the illness and when jaundice, if present has disappeared. The child may also return if passive immunoprophtkaxis has been administered to the appropriate children and staff.