Cherubs Child Development Center

How Sick is Sick?

Condition Exclusion
Chicken pox (Varicella)Exclude for five days after the onset of the rash OR until all lesions have dried and crusted over, whichever is later.
Conjunctivitis
(Pinkeye)
Exclude until 24 hours after treatment begins
DiarrheaExclude when the stool is watery or decreased in form AND cannot be contained by diapers or controlled by toilet use, or if stool contains blood or mucus, or if accompanied by a fever.
Fever24 hour fever free with medication (Tylenol, Motrin)
Head Lice (Pediculosis)Exclude for 24 hours after treatment begins
Hepatitis AExclude for one week after the onset of illness or until the immune serum globulin has been administered to appropriate children and staff in the program within two weeks of exposure, as directed by the health department
Impetigo Exclude for 24 hours after treatment begins
MeaslesMeasles
Mouth soresExclude only in children who cannot control their saliva, unless the child's physician or local health department states the child is not infectious
MumpsExclude for 9 days after the onset of gland swelling
Pertussis Exclude until 5 days of appropriate antibiotic therapy has been completed
PinwormExclude for 24 hours after treatment begins
Rash Exclude with fever or behavior change until a physician determines that the illness is not a communicable disease
RingwormExclude until after treatment begins
RubellaRubella
Scabies Exclude until treatment is completed
Strep throatExclude for 24 hours after treatment begins AND the child has had a normal temperature for 24 hours
TuberculosisExclude until the child's physician or local health department authority states the child is noninfectious
VomitingExclude if child has vomited two or more times in previous 24 hours, unless vomiting is determined to be due to a non-communicable condition the child is not in danger of dehydration

Adapted from Health & Safety in Child Care A Guide for Providers in Massachusetts, MDPH, 1995

Cherubs Child Development Center

260 Main Street
Marshfield, MA 02050
781-837-8044
781-837-8147 Fax

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