Illness

rules
 
Carousel of Learning is a "well-child care facility". At no time do we provide sick childcare. The following illness policies will be strictly enforced, for the health, well being and safety of all concerned.

Sick Child Policy: Under no circumstances may a parent bring a sick child to daycare, if the child shows any signs of illness (see SYMPTOMS REQUIRING REMOVAL OF CHILD FROM CHILD CARE), or is unable to participate in the normal routine and regular day care program. Sick children will expose all children and staff members who they come in contact with. These people can in turn expose the other children. Sick children want care from their parents in the comfort of their own homes. If other children become ill due to exposure to your sick child, either because he/she was returned to day care before full recovery or because he/she was not picked up promptly upon notice of becoming ill, other parents will be unnecessarily inconvenienced. Because this is disruptive to other children and their families, your cooperation on this issue is extremely important.

Every effort is taken to reduce the spread of illness by encouraging hand washing and other sanitary practices (see Cleanliness and Hygiene).If your child is unable to participate in the normal activities of the daycare (including being able to play outside), then your child MUST stay home.

Children will be visually screened when they arrive in the morning. In the event a child becomes ill and needs to be picked up, the parent(s) will be called and are expected to come pick the child up within one hour (60 minutes). If the parent(s) cannot be reached, or have not arrived within an hour, the emergency contact person will be called and asked to come pick the child up.

For the benefit of our staff and other children in our care, a sick child will not be permitted to return to care for 24 hours after condition has returned to normal. The child may return 24 - 48 hours (depending upon the illness) after they have received the first dose of an antibiotic. If a child receives an antibiotic for an ear infection, he/she may return to day care immediately if he/she has been free of other symptoms mentioned for at least 24 hours. If you aren't sure about whether or not to bring your child to care, please call the director to discuss it. Allergy related symptoms, and non-communicable illnesses do not require exclusion if you have a note from your doctor.

Symptoms requiring removal of child from day care:

  • Fever: Fever is defined as having a temperature of 100°F or higher taken under the arm, 101°F taken orally, or 102°F taken rectally. For children 4 months or younger, the lower rectal temperature of 101°F is considered a fever threshold; (a child needs to be fever free for a minimum of 24 hours before returning to daycare, that means the child is fever free without the aid of Tylenol®, or any other fever reducing substance.)
  • Fever AND sore throat, rash, vomiting, diarrhea, earache, irritability, or confusion.
  • Diarrhea: runny, watery, bloody stools, or 2 or more loose stools within last 4 hours.
  • Vomiting: Note: please do not bring your child if they have vomited in the night.
  • Breathing trouble, sore throat, swollen glands, loss of voice, hacking or continuous coughing.
  • Runny nose (other than clear), draining eyes or ears.
  • Frequent scratching of body or scalp, lice, rash, or any other spots that resemble childhood diseases, including ringworm.
  • Child is irritable, continuously crying, or requires more attention than we can provide without hurting the health, safety or well-being of the other children in our care.

Just a note: Many times our child care may get blamed for the illness of a child, meaning that we have "allowed" sick children to come here. Parents may not stop to think that when sick children are brought to our center, our entire staff is also at risk of exposure. How would you feel if another parent brought their sick child and exposed your child? We STRESS this again -- if you are not sure whether or not it is okay to bring your child, please call ahead to ask us. We may require a doctor's decision as to whether or not the child is contagious. We appreciate you cooperation in this matter.

Policy on the Management of Communicable Diseases

If a child exhibits any of the following symptoms, he/she should not attend school. If such symptoms occur at school, the child will be removed from the classroom, and you will be called to take him/her home.
 
Severe pain or discomfort
Episodes of acute vomiting
Sore throat or severe coughing
Infected untreated skin patches
Skin rashes lasting longer than 24 hours
Visibly enlarged lymph nodes
Red eyes with discharge (Pink eye must be on drops 24 hours)
Blood in urine
 
Acute diarrhea
Elevated oral temperature of 1010F
Yellow eyes or jaundice skin
Difficult or rapid breathing
Swollen joints
Stiff neck
 
Once the child is symptom free for 24 hours and has a physician’s note stating that he/she no longer poses a serious health risk to themselves or others, he/she may return to school. If your child has a fever or vomits in the evening he/she needs to stay home for 24 hours. Your child could use the rest and chances are whatever caused your child to be ill is still in their system and could contaminate the other children. Please do what is best for your child and the health of the teachers and other children.

If your child is removed from school for a fever, vomiting, diarrhea, or any other health reason, they may not return the next day. Your child must be symptom free for 24 hours prior to returning.

If a child contracts any of the following diseases, please report it to us immediately. The child may not return to school without a doctor’s note stating that the child presents no risk to himself/herself or others.

Table of Excludable Communicable Diseases

 
Respiratory Illnesses
Chicken Pox (out min. 5 days)
German Measles*
Hemophilus Influenza*
Measles*
Meningococcus*
Mumps*
Strep Throat (must be on antibiotics 24 hrs before returning.
Tuberculosis*
Whooping Cough
 
Gastro-Intestinal Illnesses
Giardia Illnesses*
Hepatitis A*
Salmonella*
Shingella***
 
Contact Illnesses
Impetigo
Lice
Scabies
Coxsackie
 
*Reportable diseases, as specified in N.J.A.C. 10:122-7, 10(a)
**Must be out a minimum of 48hours.
If your child is exposed to any communicable disease at school, you will be notified.

Medical Home Policy

Carousel of Learning believes that children’s health and medical needs are best cared for in an environment that promotes the sharing of information about a child’s growth and development with their parents/caregivers. The American Academy of Pediatrics recommends all children have a Medical Home which they define as being “thedelivery of advanced primary care with the goal of addressing and integrating high quality health promotion, acute care, and chronic condition management in a planned, coordinated, and family-centered manner”. In order to establish a proper Medical Home, it is recommended by the American Academy of Pediatrics that all babies and children have a primary pediatrician who knows the family and the child well and understands the individual’s medical history to play a central role in the coordination of the child’s medical care. An Emergency Room, an urgent care center, clinic, or specialist cannot be considered a Medical Home since they cannot take on the central role of primary care. Carousel of Learning encourages all parents/caregivers to establish a primary pediatrician for your child to serve as their Medical Home.