10A N.C. Admin. Code 09 .0804 - INFECTIOUS AND CONTAGIOUS DISEASES
(a)
Centers may provide care for a mildly ill infant or child older than two months
who has a Fahrenheit temperature less than 101 degrees and for infants younger
than two months who have a Fahrenheit temperature of less than 100.4 by any
method including axillary or orally, so long as the child does not have any of
the following:
(1) more than two stools above
the child's normal pattern and diarrhea is not contained by a diaper or when
toilet-trained children are having accidents;
(2) two or more episodes of vomiting within a
12 hour period;
(3) lice, until
completion of first treatment;
(4)
scabies;
(5) chicken pox or a rash
suggestive of chicken pox;
(6)
tuberculosis, until a health professional provides a written statement that the
child is not infectious;
(7) strep
throat, until 12 hours after antibiotic treatment has started and no fever is
present;
(8) pertussis, until five
days after treatment has started;
(9) hepatitis A virus infection, until one
week after onset of illness or jaundice;
(10) impetigo, until 24 hours after treatment
has started;
(11) a physician's or
other health professional's written order that the child be separated from
other children; or
(12) exclusion
for symptoms not included in this list shall be required if the symptoms
prevent the child from participating comfortably in activities as determined by
staff members of the program or the symptoms result in a need for care that is
greater than the staff members can provide without compromising the health and
safety of other children.
(b) Centers that 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 Care Centers",
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) notify the parent of any child who
becomes ill 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
shall leave the center;
(5) notify
the parent of any mildly ill child in care if the child's condition worsens
while the child is in care.
Notes
Eff. January 1, 1986;
Amended Eff. December 1, 2014; July 1, 1998; November 1, 1991; November 1, 1989;
Readopted Eff. October 1, 2017.
Eff. January 1, 1986;
Amended Eff. July 1, 1998; November 1, 1991; November 1, 1989.
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