10A NCAC 09 .2404. INCLUSION/EXCLUSION REQUIREMENTS

(a)  Centers may enroll mildly ill children who meet the following inclusion criteria:

(1)           Centers that enroll children with Level One symptoms may admit children as follows:

(A)          children who meet the guidelines for attendance in 10A NCAC 09 .0804, except that they are unable to participate fully in routine group activities and are in need of increased rest time or less vigorous activities; or

(B)          children with fever controlled with medication of 102° or less orally, or 101° or less axillary;

(2)           Centers that enroll children with Level Two symptoms may admit children with the following:

(A)          Inability to participate in much group activity while requiring extra sleep, clear liquids, light meals and passive activities such as stories, videos or music as determined by a health care professional; or

(B)          Fever controlled with medication of 103° maximum orally, 102° maximum axillary, or 104° maximum rectally, with a health care professional's written screening; or

(C)          Vomiting fewer than three times in any eight hour period, without signs of dehydration; or

(D)          Diarrhea without signs of dehydration and without blood or mucus in the stool, fewer than five times in any eight hour period; or

(E)           With written approval from a child's physician and preadmission screening by an on-site health care professional prior to the current day's attendance unless excluded by Subparagraphs (b) (1), (2), (3), (4), (6), or (7) of this Rule.

(b)  Any child exhibiting the following symptoms shall be excluded from any care:

(1)           Temperature unresponsive to control measures; or

(2)           Undiagnosed or unidentified rash; or

(3)           Respiratory distress as evidenced by an increased respiratory rate and unresponsiveness to treatment, flaring nostrils, labored breathing or intercostal retractions; or

(4)           Major change in condition requiring further care or evaluation; or

(5)           Contagious diseases required to be reported to the health department, except as provided in Part (a)(2)(E) of this Rule; or

(6)           Other conditions as determined by a health care professional or onsite administrator; or

(7)           Sluggish mental status.

(c)  Children less than three months of age shall not be in care.

(d)  Once admitted, children shall be assessed and evaluated at least every four hours or more frequently if warranted based on medication administration or medical treatment to determine if symptoms continue to meet inclusion criteria.

 

History Note:        Authority G.S. 110-88(11); 143B-168.3;

Eff. April 1, 2003.