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Regina's Daycare & Pre-K
Serving Our Community for over 10 years
Health Care Plan p.1
Our Program serves Well and Mildly ill children
Exclusion Criteria:
Parents will be contacted and the child excluded when the following symptoms are present. Children with these symptoms are considered to be moderately ill and may not be in a child care program that is only for well and mildly ill children.
· The illness, or child’s reaction to it, requires more care than staff can provide or compromises the health and safety of other children
· Signs and symptoms of possible illness such as unusual lethargy, uncontrolled coughing, persistent abdominal pain, irritability, persistent crying, difficult breathing, wheezing or other unusual signs until a medical evaluation allows inclusion
· Persistent diarrhea, defined as three or more stools in a 24-hour period, when that pattern represents:
o An increased number of stools compared to the child’s normal pattern
o Increased stool water
o Diarrhea accompanied with symptoms of dehydration, such as sunken eyes, dry skin, concentrated urine or small amounts of urine, fewer than six wet diapers in a 24-hour period, or no urine in four hours; or
o Diarrhea accompanied with blood in the stool.
Significant fever as defined below, until evaluated and approved for inclusion by a health professional.
Infants six months and younger will be excluded and referred to a health professional when they have:
o Rectal temperature above 101 degrees Fahrenheit; or
o Axillary (armpit) temperature above 100 degrees Fahrenheit
Children over six months of age will be excluded and referred to a health professional whenever fever is accompanied by a behavior change, stiff neck, a rash, unusual irritability, poor feeding, vomiting or excessive crying. Fever means:
o Oral temperature above 101 degrees Fahrenheit;
o Rectal temperature above 102 degrees Fahrenheit; or
o Axillary (armpit) temperature above 100 degrees Fahrenheit
Exclusion Criteria:
Parents will be contacted and the child excluded when the following symptoms are present. Children with these symptoms are considered to be moderately ill and may not be in a child care program that is only for well and mildly ill children.
· The illness, or child’s reaction to it, requires more care than staff can provide or compromises the health and safety of other children
· Signs and symptoms of possible illness such as unusual lethargy, uncontrolled coughing, persistent abdominal pain, irritability, persistent crying, difficult breathing, wheezing or other unusual signs until a medical evaluation allows inclusion
· Persistent diarrhea, defined as three or more stools in a 24-hour period, when that pattern represents:
o An increased number of stools compared to the child’s normal pattern
o Increased stool water
o Diarrhea accompanied with symptoms of dehydration, such as sunken eyes, dry skin, concentrated urine or small amounts of urine, fewer than six wet diapers in a 24-hour period, or no urine in four hours; or
o Diarrhea accompanied with blood in the stool.
Significant fever as defined below, until evaluated and approved for inclusion by a health professional.
Infants six months and younger will be excluded and referred to a health professional when they have:
o Rectal temperature above 101 degrees Fahrenheit; or
o Axillary (armpit) temperature above 100 degrees Fahrenheit
Children over six months of age will be excluded and referred to a health professional whenever fever is accompanied by a behavior change, stiff neck, a rash, unusual irritability, poor feeding, vomiting or excessive crying. Fever means:
o Oral temperature above 101 degrees Fahrenheit;
o Rectal temperature above 102 degrees Fahrenheit; or
o Axillary (armpit) temperature above 100 degrees Fahrenheit