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Specific Conditions Which Warrant Exclusion and Guidelines For Determining When the Child May Return

Disease
Method of Spread May Return When
Infectious Diarrhea
Intestinal Tract
After treatment has begun and diarrhea is gone.

 

Giardia Lamblia
Intestinal Tract

 

After treatment and 2 stool tests taken 48 hours apart are negative.
Shigella
Intestinal Tract

 

After treatment and 2 negative stool tests.
Salmonella
Intestinal Tract

 

Diarrhea is gone and 2 negative stool tests
Campylobater
Intestinal Tract

 

After treatment and 2 negative stools.
Hepatitis A
Intestinal Tract

 

1 week after illness started and fever is gone; contacts may return after a shot of gamma globulin.
Viral Illnesses
Respiratory Tract
When afebrile and feeling well
Streptococcal Infections
Respiratory Tract
24 hours of antibiotics feel well
Chicken Pox/Shingles
Respiratory Tract
Rash is crusted and dry.
Meningitis (Viral or Bacteria)
Respiratory Tract
Written, signed permission of physician
 
HIB
Respiratory Tract
After taking Rifampin for 4 days and feel well.
Tuberculosis
Respiratory Tract
After treatment has begun; health care provider states no longer contagious (in writing).
Impetigo
Direct Contact
After taking med. for 24 hrs.; sores must be covered.
Conjunctivitis
Direct Contact
24 hours after treatment begins or with note from health care provider if no treatment prescribed.
Scabies
Direct Contact
24 hours after treatment begins.
Pediculosis
Direct Contact
After initial shampoo treatment is done and nits are removed.
HIV
Blood, Body Fluids
case by case basis.

Vaccine Preventable Diseases

All children and staff members must show evidence of immunity or of immunization.  In the event that one of these diseases is contracted by a child or a staff member, the Director will refer to the "Health in Day Care Manual" for pertinent information to share with parents.

Blood-Borne Diseases

For the protection of staff and children, blood spills and fecal matter will be cleaned up using latex gloves, disposable paper towels, soap and water followed by an E.P.A. registered sanitizing solution.  Paper towels and gloves will be tripled bagged in plastic and disposed of as soon as possible in the outside trash can.

Procedures for Notifying Parents of the introduction of a communicable disease into the school

A written notice is sent to the parents of each child who may have been exposed.  This is to be done as soon as possible after the exposure.  Parents are requested to keep the director informed about exposures to contagious diseases outside of school.


The Good Shepherd Nursery School
A Ministry of Medway Village Church
170 Village Street
Medway, MA  02053
508-533-5854

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