Health Policy

A center shall not admit or retain in care, except with the written approval of the local health office, a child who:

1. Is diagnosed as having or being a carrier of a child care-restrictable disease, as defined in Health Division administrative rules, OAR 333-019-0200
2. Has one of the following symptoms, or combination of symptoms, of illness:
   1. Fever over 101.5 (taken orally) or 100 degrees F taken under the arm
   2. Diarrhea (more than one abnormally loose, runny, watery or bloody stool)
   3. Vomiting
   4. Nausea
   5. Severe Cough
   6. Unusual yellow color to skin or eyes
   7. Skin or eye lesions or rashes that is severe, weeping or pus-filled
   8. Stiff neck and headache with one or more of the symptoms listed above
   9. Difficult breathing or abnormal wheezing; or
   10. Complaints of severe pain

Readmittance Policies for Illness

When a child has been excluded from care due to health reasons, the following are guidelines for readmittance.

A child may be readmitted:

Fever
24 hours after fever returns to normal

Rash
When rash is gone or if doctor gives written notice that the rash is non- communicable or after appropriate treatment(s) with doctor's written consent.

Eye Infection
When infection is gone or after appropriate treatment(s) with doctor's written consent

Diarrhea
When diarrhea is gone.

Chicken Pox
When all pox are scabbed over (no new or open blisters are present) and other symptoms of illness are gone.

Head Lice
When all lice and nits have been removed. Appropriate measures should be taken to avoid reinfestation at home, i.e., laundering of personal items and bedding, use of lice spray, nit removal, vacuuming,
ironing, hot dryer, and/or placing items in an airtight plastic bag for 10 days.

*Please note: If your child is not well enough to play outdoors and take part in the regular school routine, he/she is not well enough to be at school.

Assessments & Referrals

Our teaching staff does regular observations of children and appropriate assessments as needed or recommended. Occasionally it will be recommended that a child be referred for further assessment. This is done when a health or developmental concern about a child is beyond the area of our expertise. Referrals could be made to the child's pediatrician, speech/language specialist, eye doctor, early intervention, etc... Our goal is to work closely with the family and to assist them in getting a thorough assessment for their child. Staff is completing training and a pilot project to use the ages and stages questionnaire (ASQ) with children and families.