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Keeping Children Happy

According to State Licensing Standards, a child must be fever-free for 24 hours before returning to the Center. Please do NOT administer a fever-suppressant and bring your child to the Center. This is unfair not only to your child but also to the other children and teachers.

Listed below are criteria for EXCLUDING ill or infected children from the group care:

  • FEVER: (defined by the child’s age)
    • Infants younger than four months: 100F axilliary
    • Four months-24 months: 101F axillary
    • 24 months or older: 102F axillary or oral
  • SIGNS OF POSSIBLE SEVERE ILLNESS: unusual lethargy, irritability, persistent crying, difficult breathing.
  • UNCONTROLLED DIARRHEA: an increased number of stools compared with the child’s normal pattern, with increased stool water and/or decreased form that is not contained by the diaper or toilet use.
  • VOMITING: two or more occasions in the previous 24 hours, unless the vomiting is determined to be due to a noncommunicable condition and the child is not in danger of dehydration.
  • MOUTH SORES: with drooling (unless the child’s physician has determined the illness is not a communicable disease.)
  • RASH: with fever or behavior change (until a physician has determined the illness is not a communicable disease.)
  • PURULENT CONJUNCTIVITIS: pink or red conjunctiva with white or yellow eye discharge, often with matted eyelids after sleep, including a child with eye pain or redness of the eyelids or skin surrounding the eye.
  • INFESTATION: (e.g., scabies, head lice) (until 24 hours after treatment has begun.)
  • IMPETIGO: (until 24 hours after treatment has begun.)
  • STREPTOCOCCAL PHARYNGITIS: (until 24 hours after treatment has been initiated and until the child has been fever-free for 24 hours.)
  • PINWORM: (until 24 hours after treatment has begun.)
  • RINGWORM: (until 24 hours after treatment has begun.)
  • CHICKEN POX: (until six days after onset of rash, or until all lesions have dried and crusted.)
  • RUBELLA: (until seven days after the rash appears.)

According to NAEYC’s Healthy Young Children Manual, "children should be excluded if their illness prevents the child from participating comfortably in the program’s activities."

Additional information

Allergy Testing

Ear Infections


Healthy Children

Keywords: Early Childhood Education, Children's Health, Childhood Illnesses