Chapter 3: Health Promotion and Protection
3.6 Management of Illness
3.6.2 Caring for Children Who Are Ill
188.8.131.52: Exclusion and Alternative Care for Children Who Are Ill
At the discretion of the person authorized by the child care provider to make such decisions, children who are ill should be excluded from the child care facility for the conditions defined in Standard 184.108.40.206. When children are not permitted to receive care in their usual child care setting and cannot receive care from a parent/guardian or relative, they should be permitted to receive care in one of the following arrangements, if the arrangement meets the applicable standards:
- Care in the child’s usual facility in a special area for care of children who are ill;
- Care in a separate small family child care home or center that serves only children with illness or temporary disabilities;
- Care by a child care provider in the child’s own home.
RATIONALEYoung children who are developing trust, autonomy, and initiative require the support of familiar caregivers and environments during times of illness to recover physically and avoid emotional distress (1). Young children enrolled in group care experience a higher incidence of mild illness (such as upper respiratory infections or otitis media) and other temporary disabilities (such as exacerbation of asthma) than those who have less interaction with other children. Sometimes, these illnesses preclude their participation in the usual child care activities. To accommodate situations where parents/guardians cannot provide care for their own children who are ill, several types of alternative care arrangements have been established. The majority of viruses are spread by children who are asymptomatic, therefore, exposure of children to others with active symptoms or who have recently recovered, does not significantly raise the risk of transmission over the baseline (2).
TYPE OF FACILITYCenter, Early Head Start, Head Start, Large Family Child Care Home, Small Family Child Care Home
RELATED STANDARDS220.127.116.11 Inclusion/Exclusion/Dismissal of Children
18.104.22.168 Space Requirements for Care of Children Who Are Ill
22.214.171.124 Qualifications of Directors of Facilities That Care for Children Who Are Ill
126.96.36.199 Program Requirements for Facilities That Care for Children Who Are Ill
188.8.131.52 Caregiver/Teacher Qualifications for Facilities That Care for Children Who Are Ill
184.108.40.206 Child-Staff Ratios for Facilities That Care for Children Who Are Ill
220.127.116.11 Child Care Health Consultants for Facilities That Care for Children Who Are Ill
18.104.22.168 Licensing of Facilities That Care for Children Who Are Ill
22.214.171.124 Information Required for Children Who Are Ill
126.96.36.199 Inclusion and Exclusion of Children from Facilities That Serve Children Who Are Ill
- Crowley, A. 1994. Sick child care: A developmental perspective. J Pediatric Health Care. 8:261-67.
- Aronson, S. S., T. R. Shope, eds. 2017. Managing infectious diseases in child care and schools: A quick reference guide, pp. 43-48. 4th Edition. Elk Grove Village, IL: American Academy of Pediatrics.