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EduCare Health Policies

The child should not be brought to the Center if within the last 24 hours he/she has shown signs of illness such as rash, fever, vomiting, or diarrhea. Please note: Your child must be symptom free for 24 hours without the aid of medication (such as Tylenol, Ibuprofen, etc.) before returning to the Center.

Children with a fever are managed differently in child care settings. The presence of fever alone has little relevance to the spread of disease and does not preclude a child’s participation in the child care. A small proportion of childhood illness with fever is caused by life-threatening diseases such as meningitis. It is inappropriate for our child care staff to attempt to determine which illness with fevers may be serious. The child’s parents, along with the health care provider, are responsible for the decisions.

The parents will be notified immediately when a child becomes ill or has signs and symptoms requiring exclusion from the center, as described below.

  1. The illness prevents the child from participating comfortably in center activities.
  2. The illness results in a greater care need than the child care staff can provide without compromising the health and safety of the other children.
  3. Auxiliary (armpit) temperature of 100 degrees or greater; accompanied by behavior changes or other signs and symptoms of illness until medical evaluation indicates inclusion in the facility.
  4. Symptoms and signs of possible severe illness (such as unusual lethargy, uncontrolled coughing, irritability, persistent crying, wheezing, or other unusual signs) until medical evaluation allows inclusion.
  5. Uncontrolled diarrhea, that is, increased numbers of stools, increased stool water, and/or decreased form that is not contained by the diaper, until diarrhea stops (2 or more episodes within 4 hours).
  6. Vomiting illness (2 or more episodes of vomiting in the previous 24 hours) until vomiting resolves or until a health care provider determines the illness to be noncommunicable, and the child is not in any danger of dehydration.
  7. Mouth sores with drooling, unless a health care provider determines that these conditions are noninfectious.
  8. Rash with fever or behavior change, until a health care provider determines that these symptoms do not indicate a communicable disease.
  9. Purulent conjunctivitis (defined as pink eye with a white or yellow discharge) until 24 hours after treatment has been initiated.
  10. Untreated scabies, head lice, or other infestations.
  11. Untreated tuberculosis, until a health care provider or health official states that the child can attend child care.
  12. Known contagious disease while still in the communicable stage.

If a child is suspected to have a temperature, a staff member will take a temperature reading. Temperatures are taken twice to assure accuracy of the reading before parents are called. A final reading will be taken by the Director with a hospital grade thermometer. If it is over 100 degrees, accompanied by behavior changes or other signs of illness, the child will be isolated and the parents will be contacted to pick him/her up. PROMPT pick-up is necessary. If the parent/guardian cannot be reached, the emergency party, designated by the parent/guardian, will be called.

If a child’s condition is suspected to be contagious and requires exclusion as identified by public health authorities, then the child is made comfortable in a location where she or he is supervised by a familiar caregiver.  If the child is suspected of having a contagious disease, then until the family can pick up her or him, the child is located where new individuals will not be exposed.

It is important that we are able to reach you in case of an emergency. Hospital emergency forms are required to authorize hospital personnel to contact your physician and administer care in the event a parent cannot be reached.

 

Medications (5.A.11) (a. b. c .d)

The following policies are in place regarding medicine in the classroom:

· If a child requires over the counter or prescription medication, it must be stated, with written parent and doctor’s permission, in the child’s file along with written instructions on how and when the medication is to be given.

· Only EduCare staff that has been trained is permitted to administer medication and must document that they (1) verified the right child (2) verified the right medication (3) verified the right dose and (4) verified the right time. This document must be signed by the teacher.

· Medications must be labeled with the child’s first and last names, the child’s physician, prescription number, directions for administration and storage and the expiration date or period of use.

· All children’s medication is kept in locked storage.

· Sunscreen, insect repellent, diaper cream, lotion, lip balm, and toothpaste is non-prescription skin protectants and cosmetics  and must have written permission from the parent and be  labeled with the child’s name.

· Adults in the center are not to carry any medications, whether prescription or over the counter, on their person at any time. If a teacher or staff member is required to have medication, it is stored in the office or kitchen, away from the classroom. This includes aspirin, Tylenol, nasal spray, etc.

 

Hand Washing (5.A.09)

Proper hand washing is required for all staff in the center. Children are also taught proper hand washing and are expected to wash their hands, along with adults, at the following times of the day:

  • Upon arrival,
  • After toileting, and diapering
  • After handling bodily fluids (including blowing or wiping noses, coughing, or touching mucus,
  • blood or vomit),
  • Before and after meals, snacks and preparing or serving food, or handling any raw food that requires cooking (e.g. meat, eggs, poultry, etc.)
  • After playing in water or other sensory materials and
  • After handling pets, animals or insects.
  • When moving from one group to another (e.g. visiting) that involves contact with infants and toddler/twos.
  • Before and after administering medication
  • After handling garbage or cleaning