Sick Policy
Medication Policy

Most physicians can choose medications that are administered once or twice a day. However, there are times when your child may need medication during the day. The Heart of Learning Child Development Center will only administer current, dated, labeled prescriptions which are in the original container. Medications needing to be administered at other times should be given at home. Over-the-counter medications will be given only with written permission by a physician. We will not dispense Aspirin, Acetaminophen, or Ibuprofen or products containing these for any reason!

You are required to complete an appropriate medication authorization form in order for your child to receive medicine at the center. Forms are available from the director. Medication forms and medicine are to be given to the director so they may be locked up in the medicine cabinet. We will keep a log of the medicines dispensed, how much, and by whom. Medication should not be left at the center. Please bring medication home daily. Please do not put medication in diaper bags or folder bags. The Department of Health and Hospitals and the State of Louisiana Department of Social Services requires all medication that is at the center to be kept in locked cabinets.

Daily Health Assessment Check

Your child’s teacher will assess your child’s health status when he/she arrives at the center and periodically throughout the day. The assessment will involve observing the child, speaking with parents, and, if applicable, talking with the child.

Teachers will observe and document:

- Changes in behavior and appearance

- Any skin rash and itchy skin or scalp

- Any bruises, cuts, or scratches

- Sign of fever such as flushed appearance or shivering

- Complaints of pain or not feeling well

- Vomiting, diarrhea, and drainage from eye(s)

- When a child or family has been exposed to communicable disease

Parents are asked to give an explanation for the above listing. This will be noted on the assessment sheet each morning mandated by the State.

Exclusion - Conditions Requiring Temporary Exclusion
The conditions that require exclusion include, but are not limited to the following:
Condition Description/Definition Re-admission Criteria
Fever 100 F and behavior change (e.g., not eating, crying excessively) or other signs and symptoms (e.g., sore throat, rash, vomiting, diarrhea). Free from fever for 24 hours or with physician’s statement.
Vomiting More than 1 time in the previous 24 hours, unless the vomiting is determined to be caused by a non-communicable condition (e.g., reflux) and the child is not in danger of dehydration. Free from vomiting for 24 hours or with physician’s statement.
Diarrhea 2 stools abnormal for child or 1 watery stool not contained by the diaper or the child’s ability to use the toilet. Free from diarrhea for 24 hours or with physician’s statement. EXCEPTIONS: Toxin producing E coli or Shigella Infection until the diarrhea stops and the test results of 2 stool cultures are negative for these organisms. Salmonella typhi infection until the diarrhea stops, the test results of 3 stool cultures are negative for these organisms, and the child has been cleared by a health professional or health department.
Blood in Stool Not explained by dietary change, medication, or hard stools. Stool free from blood and physician’s statement.
Abdominal Pain Continues for more than 2 hours or intermittent pain associated with fever or other signs or symptoms. Symptom free for 24 hours and physician’s statement.
Mouth Infection Sores, blisters, or white patches along with drooling. Physician’s statement
Rash Unexplained Clear of rash or physician’s statement
Conjunctivitis Pink or red conjunctiva (i.e., whites of eyes) with white or yellow eye mucus drainage, often with matted eyelids after sleep and eye pain or redness of the eyelids or skin around the eye. Until treatment has been administered for 24 hours and eyes are no longer draining.
Impetigo Small, red pimples or fluid-filled blisters with crusted yellow scabs. 24 hours after beginning medication and physician’s statement
Strep Throat Some of the following may be present: sore throat, fever, stomachache, headache, decreased appetite After 24 hours of antibiotic treatment and physician’s statement.
Head Lice Itching of skin on scalp or neck, nits glued to hair Until after first treatment.
Chickenpox Rash (i.e., small, red bumps blistering over 3-4 days then forming scabs), fever, runny nose, cough. When all blisters have scabs (Approximately 6 days after start of rash) and physician’s statement.
Ringworm Red, circular patches with raised edges and central clearing Once treatment has started and patch can be covered
Meningitis Fever, headache, nausea, loss of appetite, stiff neck Physician’s statement
Mumps Swollen glands, fever, headache, earache Nine days after onset of swelling and physician’s statement
Measles Appearance of rash at hairline and spreading down over body, fever, cough, runny nose and red, watery eyes Four days after beginning of rash and physician’s statement.
Pertussis (whooping cough) Coughing that may progress to severe coughing, whooping After 5 days of antibiotic treatment and physician’s statement.
Scabies Rash (i.e., red bumps or blisters found on skin folds) and severe itching After treatment is completed.
Tuberculosis Positive TB skin test. Until physician or local health department states child is on appropriate treatment and can return.
Hepatitis A Fever, jaundice (i.e., yellowing of skin or whites of eyes), abdominal discomfort, tiredness, loss of appetite, nausea Until 1 week after onset of illness or jaundice and after immune globulin has been given to all contacts.

Children may also be excluded if:

- The illness prevents the child from participating comfortably in his/her class activities

- The illness results in a need for care that is greater than the staff can provide without compromising their ability to care for other children.

- The illness poses a risk of spread of disease to others.

Exclusion - Procedure for a Child Who Requires Exclusion

The teacher will:

- Notify the parent or designated person as soon as possible if the child develops symptoms or exclusion conditions

- Ask the family to pick up the child as soon as possible or within 30 minutes.

- Document actions in the child’s file with date, time, symptoms, and actions taken and by whom; sign and date document.

- Provide care for the child in a place where the child will be isolated from other children, comfortable and supervised by someone who knows the child well and will continue to observe the child for new or worsening symptoms (e.g., the director’s office).

- Sanitize toys and other items the child may have put in his or her mouth and continue to practice good hand washing techniques.

Notes:
Center staff will make the final decision about whether a child meets or does not meet the exclusion criteria for participation and the child’s need for care relative to the staff’s ability to provide care. Center staff will ask for a health professional’s note to re-admit if professional advice is needed to determine whether the child is a health risk to others or the child needs special care.

 


Please be considerate of those parents who follow our sick policy. After all, they are being considerate of you by preventing the spread of their child’s germs by keeping him/her isolated from other children.