<p style="text-align: center;" align="center"><span face="'Arial Narrow'" style="font-family: 'Arial Narrow';"><b><span style="text-decoration: underline;"><br /></span></b></span></p>
<p style="text-align: center;" align="center"><b><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Certain physical symptoms in children may suggest the presence of a communicable disease. Children who have the following symptoms should be excluded from the school until:</span></p>
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<li><span style="font-family: 'Arial Narrow';">A physician has certified the symptoms are not associated with an infectious agent or they are no longer a threat to the health of other children at the program; or</span></li>
<li><span style="font-family: 'Arial Narrow';">The symptoms have subsided.</span></li>
</ol>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';"> </span></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">AIDS</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude infected child if s/he exhibits biting behavior, is not in control of his or her bodily fluids, or has open skin sores, which cannot be covered. </span></p>
<p><b><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></b></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">Appearance/Behavior</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude if child looks or acts sickly: unusually tired, pale, lacking appetite, confused, irritable, difficult to awaken.</span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">Diarrhea</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude if child has an increased number of abnormally loose stools in the previous 24 hours until stool returns to normal form. Observe the child for symptoms such as fever, abdominal pain, or vomiting.</span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">Eye/Nose Drainage</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude if child has thick mucus or pus draining from the eye or nose.</span></p>
<p><b><span style="font-family: 'Arial Narrow';"> </span></b></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">Fever</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude if child has oral temperature of 100º degrees or greater, especially if accompanied by other symptoms such as vomiting, sore throat, diarrhea, headache and stiff neck, or undiagnosed rash. Fever must be absent and unmedicated for 24 hours before returning to school.</span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">Itching</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude if child has persistent and undiagnosed itching (or scratching) of body or scalp.</span></p>
<p><b><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></b></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">Skin Problems</span></b></p>
<p><span style="font-family: 'Arial Narrow';">Exclude if child has an undiagnosed or contagious rash, infected sores or sores with crusty, yellow or green drainage which cannot be covered by clothing or bandages.</span></p>
<p><b><span style="font-family: 'Arial Narrow';"> </span></b></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">Sore Throat</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude if child has a sore throat, especially when fever or swollen glands in the neck are present.</span></p>
<p><b><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></b></p>
<p><b><span style="font-family: 'Arial Narrow';"> </span></b></p>
<p><b><span style="font-family: 'Arial Narrow';"> </span></b></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">Respiratory Symptoms</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude if child has difficult or rapid breathing or severe coughing; child makes high pitched croupy or whopping sound after s/he coughs, and child is unable to lie comfortably.</span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">Vomiting</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Child must be excluded until he/she has been without vomiting for 24 hours.</span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p> </p>
<p><b><span style="font-family: 'Arial Narrow';">Chicken Pox</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude until all the blisters have dried into scabs. </span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';">Conjunctivitis (Pinkeye)</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude until all discharge has cleared.</span></p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';"> </span></b></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';">Hand, Foot, Mouth Disease</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude until fever is gone and child is well enough to participate in daily activities. </span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';">Hepatitis B</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">No exclusions necessary unless infected child exhibits biting behavior or has open sores that cannot be covered.<b>&nbsp;</b></span></p>
<p style="text-align: justify;"><b><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></b></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';">Impetigo</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude until sores are healed, or until child has been treated with antibiotics for at least a full 24 hours.</span></p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';"> </span></b></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';">Lice (head)</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude until 24 hours after treatment has been initiated. There should be no lice or nits present.</span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';">Pertussis (whooping cough)</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude until 5 to 7 days after treatment begins.</span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';">Pinworm</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude until after treatment has been started.</span></p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';"> </span></b></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';">Ringworm</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Scalp: Exclude until 24 hours after treatment begins. Body: exclude until after treatment begins.</span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';">Scabies</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude until 24 hours after treatment begins</span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="font-family: 'Arial Narrow';">Streptococcal Sore Throat, Scarlet Fever</span></b></p>
<p style="text-align: justify;"><span style="font-family: 'Arial Narrow';">Exclude until at least 24 hours after treatment begins and child is without fever for 24 hours.</span></p>
<p style="text-align: justify;"><span style="font-size: 8pt; font-family: 'Arial Narrow';"> </span></p>
<p style="text-align: justify;"><b><span style="text-decoration: underline;"><span style="font-family: 'Arial Narrow';"><span style="text-decoration: none;"> </span></span></span></b></p>
<p style="text-align: justify;"><b><span style="text-decoration: underline;"><span style="font-family: 'Arial Narrow';"><span style="text-decoration: none;"> </span></span></span></b></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="text-decoration: underline;"><span style="font-family: 'Arial Narrow';">Policy Procedure for Dealing with a Child Already Admitted Who Needs to be Excluded</span></span></b></p>
<ol>
<li><span style="font-family: 'Arial Narrow';">Executive director will observe the child and call the parent.</span></li>
<li><span style="font-family: 'Arial Narrow';">Staff will comfort the child until parent arrives.</span></li>
<li><span style="font-family: 'Arial Narrow';">Child will be isolated to prevent further contamination of the environment. If a child has lice, all other children will also be checked.</span></li>
</ol>
<p style="text-align: justify;"><b><span style="text-decoration: underline;"><span style="font-family: 'Arial Narrow';"><span style="text-decoration: none;"> </span></span></span></b></p>
<p style="text-align: justify;"> </p>
<p style="text-align: justify;"><b><span style="text-decoration: underline;"><span style="font-family: 'Arial Narrow';">Policy for Notifying Parent(s) That Their Child May Have Been Exposed to a Contagious Disease</span></span></b></p>
<ol>
<li><span style="font-family: 'Arial Narrow';">A notice to be sent home informing parent(s) that their child has been exposed to a contagious disease. Information about the symptoms and treatment of the disease will be forwarded. </span></li>
<li><span style="font-family: 'Arial Narrow';">Parents are asked to notify the program within 24 hours if their child has or has been exposed to any communicable disease.</span></li>
</ol>