Health Care Policy

Day Care Rules and Regulations

Upon admission to the day care program the child must have:

1. Physical Exam (Yearly)
2. Immunizations (Updated as needed)

Health Care Policy

The following is The Department of Early Education and Care’s: Minimum Requirements for Health and Safety: Additional Guidance for Family
Child Care

Parents are asked to exercise reasonable judgment about sending a child whom does not appear to be feeling well to a Family Day Care Home.  Please make sure the provider has emergency phone numbers to contact you, the parent, or an emergency person listed in the Child Care Enrollment Packet.

HEALTH AND WELLNESS

Daily health screening: FCCs are expected to comply with and adhere to all daily screening and
monitoring protocols outlined in the Minimum Requirements for Health and Safety to the best of their
ability. All children and adults that will be using the dedicated child care space need to be visually
screened and signed in before entering. This can take place either outside the entrance to the home, or
in a designated area that is generally separated from the rest of the child care space, like an entry hallway
or front room.

Print: Daily Screening Protocol Checklist

Knowing that an FCC may be operating without a certified or regular assistant, the FCC educator may
follow the following protocol:
(1) Post instructions at the designated entrance asking parents/guardians to complete the visual
symptom check. Following the check, each parent or guardian must attest to the health of the
child by initialing a sign-in sheet.
 Posted instructions should include a list of visual symptoms included in the screening
(see below).
(2) When the parent/guardian and child have completed the screening and signed in, the FCC
educator should complete an additional visual inspection of the child for signs of illness as
they enter the child care space.
(3) If symptoms are observed, the child may not attend child care and must return home
immediately.

For the posted instructions, FCCs may use the following language to describe how to conduct a visual
screen:

 COVID-19 symptoms are currently understood to include fever/chills, cough, shortness of
breath or difficulty breathing, fatigue when accompanied by other symptoms, muscle or
body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose,
nausea or vomiting, or diarrhea
 A visual screen includes checking for symptoms such as flushed cheeks, rapid breathing or
difficulty breathing (without recent physical activity), fatigue, or extreme fussiness.
 Please note that an observation of fatigue without other symptoms is not an indicator of
COVID-19.
 If symptoms are observed, the child may not attend child care and must return home.
 If none of these symptoms are observed, the parent/guardian or the FCC educator must sign in
the child and indicate that none of the symptoms were observed.

Symptomatic children: If a child or adult has symptoms that appear to be related to COVID-19 or they
are presumed to have COVID-19, the FCC should follow the Requirements related to Isolation and

Discharge of Sick Children with the following allowable modifications, based on the number of adults in
the child care setting and the physical makeup of the home:
(1) Safely isolate the person in a designated sick area that is still visible by an educator; provide
the sick person with a mask to wear (only for children age 2 and older).
(2) The person must remain in the designated area until they are picked up, unless they need to
use the bathroom or have another urgent need.
(3) Notify the parent/guardian that the child is sick and must be picked up immediately.
(4) Notify all parents and other educators that someone became ill and has symptoms that may
be due to COVID-19; encourage daily monitoring of their own child and themselves for
symptoms.
(5) Consult with the local board of health for guidance on potential closure. If, for any reason, the
FCC is unable to speak with the health board, the FCC should call their licensor for more
information.
(6) Clean and disinfect the child care space as outlined in Section 8 of the Minimum
Requirements for Health and Safety.
(7) Follow the requirements outlined in Section 4 of the Minimum Requirements for Health and
Safety for discontinuation of isolation, to determine when the person may return to the child
care program.

Confirmed illness: If someone who has been in the FCC space, whether actively employed in the child
care or not, is presumed or confirmed to have COVID-19, the FCC should take the following steps:
(1) Notify all parents and other educators that someone is presumed or confirmed to have
COVID-19 and encourage daily monitoring of their own child and themselves for symptoms;
(2) Consult with the local board of health for guidance on next steps and the recommended
duration of closure, based on level of contact and potential exposure to others in the home. If
for any reason the FCC is unable to speak with the health board, they should call their licensor
for more information.
(3) Clean and disinfect the child care space as outlined in Section 8 of the Minimum
Requirements for Health and Safety.