Welcome
Regina's Daycare & Pre-K
Serving Our Community for over 10 years
Health Care Plan p.1
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Our Program serves Well and Mildly ill children

Exclusion Criteria:
Parents will be contacted and the child excluded when the following symptoms are present. Children with these symptoms are considered to be moderately ill and may not be in a child care program that is only for well and mildly ill children.

· The illness, or child’s reaction to it, requires more care than staff can provide or compromises the health and safety of other children

· Signs and symptoms of possible illness such as unusual lethargy, uncontrolled coughing, persistent abdominal pain, irritability, persistent crying, difficult breathing, wheezing or other unusual signs until a medical evaluation allows inclusion

· Persistent diarrhea, defined as three or more stools in a 24-hour period, when that pattern represents:

    o An increased number of stools compared to the child’s normal pattern
    o Increased stool water
    o Diarrhea accompanied with symptoms of dehydration, such as sunken eyes, dry skin, concentrated urine or small amounts of urine, fewer than six wet diapers in a 24-hour period, or no urine in four hours; or
    o Diarrhea accompanied with blood in the stool.

Significant fever as defined below, until evaluated and approved for inclusion by a health professional.

Infants six months and younger will be excluded and referred to a health professional when they have:

    o Rectal temperature above 101 degrees Fahrenheit; or
    o Axillary (armpit) temperature above 100 degrees Fahrenheit

    Children over six months of age will be excluded and referred to a health professional whenever fever is accompanied by a behavior change, stiff neck, a rash, unusual irritability, poor feeding, vomiting or excessive crying. Fever means:

    o Oral temperature above 101 degrees Fahrenheit;
    o Rectal temperature above 102 degrees Fahrenheit; or
    o Axillary (armpit) temperature above 100 degrees Fahrenheit