Exclusion for Illness

Illnesses requiring exclusion from care include, but are not limited to:

Fever above 100 axillary (taken under the arm) or 101 orally, when other symptoms of illness are present.

Diarrhea (where any of the following additional conditions is present):

  • stool is not contained in the diaper for diapered children or causing “accidents” for toilet-trained children
  • frequency is 2 or more above normal
  • blood/mucus in stool (need medical ok to return)
  • abnormal color (all black or very pale)
  • no urine output in 8 hrs.
  • fever with behavior changes


  • more than 2 times in a 24 hour period
  • fever present
  • green or bloody vomit
  • no urine output in 8 hrs.
  • recent head injury

Severe coughing in which the child gets red or blue in the face or makes a high-pitched whooping sound after coughing or has difficulty breathing.

Head lice and ringworm: The child should be treated by healthcare professional. After initial treatment the child can return. Keep ringworm site covered will in care.

Impetigo, no return until 24 hours after treatment has been initiated.

Tuberculosis, no return until a healthcare provider states in writing that the child can return to child care.

Hepatitis A, chickenpox, mumps, measles, rubella or shingles. No return until a healthcare provider states in writing that the child can return to child care. For scabies or chicken pox the child cannot return to care until after treatment has begun and the sores have crusted over.


Certain conditions do not require exclusion unless recommended by the child’s healthcare provider or if symptoms appear.

  • CMV or HIV infection or hepatitis B and C virus carrier state.
  • Pink eye
  • Rash without temperature or behavior changes.
  • Non-contagious conditions such as chronic medical conditions or disabilities.
  • Runny nose if the child is feeling well.


What to Do If a Child Requires Exclusion While in Care:

Illnesses that occur during the day where the child is not well enough to participate means they will be excluded and guardian notification made.

  • Immediately separate the child from the other children in such a way that the child can be seen and supervised, and does not feel punished in any way.
  • Guardian will be contacted to have the child picked up as soon as possible to prevent the spread of infection to other children and staff, and to allow the child time to rest, recover, and be treated for the illness if necessary.
  • Continue to observe the child for other symptoms until picked up.