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When is a child or staff member too ill to be at child care?
(1) Your staff must check all children for signs of illness when they arrive at the center and throughout the day.
(2) You must exclude children and staff with the following symptoms from care:
(a) Diarrhea (three or more watery stools or one bloody stool within twenty-four hours);
(b) Vomiting (two or more times within twenty-four hours);
(c) Open or oozing sores, unless properly covered with cloths or with bandages;
(d) For suspected contagious skin infection such as impetigo and scabies: The child may return twenty-four hours after starting antibiotic treatment; and
(e) Fever of 100 degrees Fahrenheit or higher and who also have one or more of the following:
(iii) Sore throat;
(iv) Rash; or
(v) Fatigue that prevents participation in regular activities.
(3) Children and staff who have a reportable disease may not be in attendance at the child care center unless approved by the local health authority.
(4) You must not take ear or rectal temperatures. Oral temperatures can be taken for preschool through school age if single use disposable covers are used over the thermometer.
(5) When a child becomes ill or injured while in your care, you must:
(a) Keep a confidential, individualized, written record in the child's file that includes the:
(i) Date of an illness or injury;
(ii) Treatment provided while in care; and
(iii) Names of the staff providing the treatment.
(b) Provide a copy of the illness or injury report to the parent; and
(c) Keep a current, written incident log listing date of illness or injury, the child's name, names of staff involved, and a brief description of the incident for tracking and analysis.
(6) You must notify parents in writing when their children have been exposed to infectious diseases or parasites. The notification may consist of either a letter to parents or posting a notification for parents in a visible location.
(7) You are a mandated disease reporter to the health department per WAC 246-101-415
. You can obtain a list of reportable diseases, time frames for reporting and reporting phone numbers from your local health department.
[Statutory Authority: RCW 43.215.060
, and chapter 43.215
RCW. WSR 13-21-109, § 170-295-3030, filed 10/22/13, effective 11/22/13. WSR 06-15-075, recodified as § 170-295-3030, filed 7/13/06, effective 7/13/06. Statutory Authority: Chapters 74.12
RCW. WSR 03-14-110, § 388-295-3030, filed 6/30/03, effective 8/1/03.]