Symptoms and illnesses that exclude children from child care centres

Do not allow a child with any of the following symptoms to stay at the child care centre:

 
  • Fever and other symptoms such as nausea or vomiting

  • Fever and a body rash

  • Diarrhea – two or more liquid bowel movements (poop) or a change from the child’s normal bowel movement (e.g., runny, watery or bloody poop) with no other explanation such as laxative use.

  • Vomiting  two or more times in the last 24 hours with no other explanation such as medication

  • Yellow or white eye discharge that is not treated

  • Severe cough

  • Yellowish skin or eyes or jaundice

  • Irritability, continuous crying more than usual

The list below outlines diseases or illnesses, and how long the disease requires a child to stay away from a child care centre.

 

Chickenpox

Until the fever goes away and spots have crusted over with scabs

Diarrhea with no known cause

24 hours after the last diarrhea

Diarrhea caused by E. coli or Shigella

Until two consecutive negative stool specimens, or poop samples, are taken, 24 hours apart

Diarrhea from Giardia

Until diarrhea stops

Diarrhea from Norovirus

Until 48 hours after the last diarrhea

Diarrhea from Salmonella or Campylobacter

Until 24 hours after the last diarrhea

Flu

Until fever goes away and the child is feeling better

Head lice

Until 24 hours after the first treatment was applied

Hepatitis A

Until one week after the start of jaundice

Impetigo

Until 24 hours after starting antibiotics

Measles  

Until four days after the rash started

Meningitis – bacterial or viral

Until the child is better; decision to be made by a doctor

Mumps

Until nine days after swelling started

Pertussis

(also known as whooping cough) Until five days after starting antibiotics or until three weeks if not treated with antibiotics

Pinkeye 

(with yellow or white discharge) Until one full day of antibiotic treatment

Pinworms 

Until 24 hours after starting treatment

Pneumonia

Until feeling better and no fever and if treated, 48 hours after antibiotic therapy has started

Ringworm 

Until treatment starts; keep child from swimming or wading pools and water play until treatment is complete

Scabies

24 hours after starting treatment

Scarlet fever

24 hours after starting treatment

Strep throat

Until 24 hours after antibiotics are started

Tuberculosis

Call Public Health Services at 905- 546-2063

Vomiting

Until the vomiting stops or it is determined that the vomiting is caused by a non-infectious condition

For children well enough to be at the child care centre :

If a child has an illness but is well enough to be in child care and does not have symptoms or a disease that require exclusion ensure that :

  • The child does not participate in water play

  • Staff clean and disinfect play areas and toys more often

  • The child washes their hands more frequently

  • Staff wash hands more frequently

 

Symptoms or illnesses that do not exclude children from child care centres :

 
  • Cold sores, unless they are severe

  • Cytomegalovirus infections or CMV

  • Ear infections also known as otitis media, unless they are severe

  • Fever only unless a baby six months or less has it

  • Fifth disease, also called Parvovirus B19, Erythema Infectiosum and slapped face syndrome

  • Hand, foot and mouth disease

  • Asymptomatic giardia

  • Hepatitis B 

  • HIV

  • Irritated eye without discharge

  • Roseola

  • Thrush and Candida diaper rash

  • Shingles

DVMS also has a policy in place that requests children remain absent until free of symptoms, for 24 hours, of scarlet fever, elevated temperatures (fevers), vomiting, and severe rashes.