EXCLUSION OF SICK CHILDREN

A child with any of the following conditions or behaviors is a sick child and must be excluded from a center not licensed to operate a sick care program. If the child becomes sick while at the center, the child must be isolated from other children in care and the parent called immediately. A sick child must be supervised at all times. The license holder must exclude a child: A. with a reportable illness or condition as specified in part 4605.7040 that the commissioner of health determines to be contagious and a physician determines has not had sufficient treatment to reduce the health risk to others; B. with chicken pox until the child is no longer infectious or until the lesions are crusted over; C. who has vomited two or more times since admission that day; D. who has had three or more abnormally loose stools since admission that day; E. who has contagious conjunctivitis or pus draining from the eye; F. who has a bacterial infection such as streptococcal pharyngitis or impetigo and has not completed 24 hours of antimicrobial therapy; G. who has unexplained lethargy; H. who has lice, ringworm, or scabies that is untreated and contagious to others; I. who has a 100 degree Fahrenheit axillary or higher temperature of undiagnosed origin before fever reducing medication is given; J. who has an undiagnosed rash or a rash attributable to a contagious illness or condition; K. who has significant respiratory distress; L. who is not able to participate in child care program activities with reasonable comfort; or M. who requires more care than the program staff can provide without compromising the health and safety of other children in care.