Health Guidelines

child playing with dollThe Delhi Campus Child Care Center provides care for well children. If your child is not well enough to take part in the daily program or if he/she could jeopardize the health of others at the Center, we request that you keep your child home.

We do not diagnose diseases or conditions. The decision to exclude is based on signs and symptoms only. The following symptoms can be used as guidelines for keeping your child at home or the child being sent home:

  • Elevated temperature: (Tylenol or other fever reducing medication will reduce the temperature but does not eliminate the cause of the fever.) Temperatures will be checked with an axillary (under the arm) thermometer and excluded per the following guidelines:
    * 100 degrees – for children 6 months and younger with or without other signs or symptoms or behavioral change
    * 100 degrees – with behavioral changes or other signs or symptoms of illness: (i.e. stiff neck, a rash, unusual irritability, poor feeding, vomiting, excessive crying, etc.)
  • Diarrhea (three or more episodes)
  • Skin rash
  • Vomiting
  • Eye irritation with yellow discharge or pinkish coloration of the eye
  • Evidence of head lice
  • Contagious skin infections
  • Glandular swelling
  • Inability to participate comfortably in the daily program including outdoor activities (lethargy, irritability, persistent crying, difficulty breathing, etc.)
  • Greater care needed by a child than staff can provide without compromising the health and safety of other children.
  • One or more signs/symptoms of any of the illnesses/conditions found in the Illness Guidelines Chart, which is be given to each parent at enrollment.

The inclusion/exclusion policies for illnesses/conditions are based on the NYS Department of Health, Center for Disease Control, American Academy of Pediatrics, Red Book, and National Health & Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs and local health care professionals.

It is very important that parents inform teachers at the time of arrival if their child has been “out of sorts” (before arriving at the Center) and/or has been exposed to a communicable disease outside the Center. The Center will notify parents if their child has been exposed to a communicable disease while at the Center. Notice of confirmed diagnosis of a contagious illness or infection will be posted in the classroom.

If a child becomes ill at the Center or has an elevated temperature, the parent/guardian will be notified and is expected to pick up his/her child as soon as possible. If the parent is not located, the alternate designated on the emergency card will be contacted and expected to pick up the child. Daytime phone numbers on emergency card should be kept current be updated when changes occur.

We will not administer any fever reducing medication. This practice might mask serious illness that might otherwise be detected by a physician.

In the meantime, the sick child will be provided a place to rest quietly, away from other children, under the observation of a staff member. Until you arrive the following comfort measures will be provided for children with an elevated temperature:

  • Child will be offered additional fluids to prevent dehydration
  • Child will be kept lightly dressed with some skin exposed to help dissipate the heat unless he/she is shivering. Shivering causes the temperature to climb therefore the child should be covered.
  • Wet, room temperature washcloth to forehead and under each armpit, if child permits.

Parents are asked to make other arrangements for their child’s care while he or she is ill. A child may only return to the Center when well again.

A child returning to the Center following an illness must meet the following guidelines:

  • Diarrhea resolved with no watery stools for at least 24 hours while on normal diet
  • Normal temperature (without the use of fever reducing medication for 24 hours)
  • On an antibiotic for 24 hours
  • No vomitus for 24 hours while on a normal diet
  • Physician’s statement that the child is no longer contagious if requested by the Director. 

Your family pediatrician should be informed that the child is in a day care center, so that extra caution is used in determining when the child may return after an illness. A health provider’s release or note stating the child is not contagious and may return DOES NOT take precedence over Center’s exclusion policies.

EXCEPTIONS to above 24-hour ANTIBIOTIC policy:

  • A diagnosis of simple otitis media (ear infection) is an exception to this policy. Simple otitis media refers to an ear infection with NO OTHER SYMPTOMS such as:
    – No cough
    – No runny nose
    – No ear drainage
    – No fever
  • A diagnosis of sinusitis is an exception to the antibiotic policy.

Your physician must send written documentation of either “sinusitis” or “otitis media” with permission to return to day care prior to the 24 hour antibiotic exclusion policy.