10A NCAC 09 .0804. INFECTIOUS AND CONTAGIOUS DISEASES

(a)  Centers may provide care for a mildly ill child who has a Fahrenheit temperature of less than 100 degrees axillary, 101 degrees orally, or 102 degrees rectally and who remains capable of participating in routine group activities; provided the child does not:

(1)           have the sudden onset of diarrhea characterized by an increased number of bowel movements compared to the child's normal pattern and with increased stool water; or

(2)           have two or more episodes of vomiting within a 12 hour period; or

(3)           have a red eye with white or yellow eye discharge until 24 hours after treatment; or

(4)           have scabies or lice; or

(5)           have known chicken pox or a rash suggestive of chicken pox; or

(6)           have tuberculosis, until a health professional states that the child is not infectious; or

(7)           have strep throat, until 24 hours after treatment has started; or

(8)           have pertussis, until five days after appropriate antibiotic treatment; or

(9)           have hepatitis A virus infection, until one week after onset of illness or jaundice; or

(10)         have impetigo, until 24 hours after treatment; or

(11)         have a physician's or other health professional's written order that the child be separated from other children.

(b)  Centers which choose to provide care for mildly ill children shall:

(1)           follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800, "Sanitation of Child Day Care Facilities", as adopted by the Commission for Public Health;

(2)           separate from the other children any child who becomes ill while in care or who is suspected of having a communicable disease or condition other than as described in Paragraph (a) of this Rule until the child leaves the center;

(3)           notify all parents at enrollment that the center will be providing care for mildly ill children;

(4)           immediately notify the parent of any child who becomes ill while in care or who is suspected of being ill with a communicable condition other than as described in Paragraph (a) of this Rule that the child is ill and may not remain in care;

(5)           immediately notify the parent of any sick child in care if the child's condition worsens while the child is in care.

 

History Note:        Authority G.S. 110‑91(1),(2); 143B‑168.3;

Eff. January 1, 1986;

Amended Eff. July 1, 1998; November 1, 1991; November 1, 1989.