Child Care Exclusion Criteria

Condition	Exclusion	Prevention
Chicken pox (Varicella)	Exclude for five days after the onset of the rash OR until all lesions have dried and crusted over, whichever is later	Immunize
Conjunctivitis (Pink Eye)	Exclude for 24 hours after treatment begins for purulent conjunctivitis (red or pink conjunctiva with white or yellow discharge)	Make sure hands are clean before treating child’s eye and promote good hygiene; wash hands after contact with child’s eye or with discharge
Diarrhea	Exclude when the stool is watery or decreased in form AND cannot be contained by diapers or controlled by toilet use, or if stool contains blood or mucus, or if accompanied by fever	Good hygiene; wash hands after any contact with stool
Head Lice (Pediculosis)	Exclude until morning after treatment begins	Early detection is best and avoid physical contact with infested person and their belongings and always keep belongings of children separated; wash and dry all items in contact with the infected person
Hepatitis A	Exclude case for one week after the onset of illness and exclude exposed children and staff in program until immune globulin has been administered (within 2 weeks of exposure) as directed by the health department	Immunize; good hygiene
Hib	Exclude until well and appropriate antibiotics have been taken for 4 days	Immunize; antibiotics for those in contact with infected person
Impetigo	Exclude for 24 hours after treatment begins	Good hygiene, air out room daily, clean surfaces and utensils
Measles	Exclude for 4 days after rash appears	Immunize
Mouth Sores	Exclude only in children who cannot control their saliva, unless the child’s physician or local health department states the child is not infectious
Mumps	Exclude for 9 days after the onset of gland swelling	Immunize
Pertussis	Exclude until 5 days of appropriate antibiotic therapy has been completed. If no antibiotics are taken, exclude for 3 weeks after onset of cough	Immunize; antibiotics for those in contact with infected person
Rash	Exclude if accompanied by a fever or behavior change until physician determines that the illness is not a communicable disease
Ringworm (Tinea)	Exclude until after treatment begins	Keep environment clean, dry, and cool
Rubella	Exclude for 7 days after rash disappears	Immunize
Scabies	Exclude until treatment is completed	Wash and dry all washable items that were in contact with the infected skin; always keep belongings of children separated
Strep Throat	Exclude for 24 hours after treatment begins AND the child has had a normal temperature for 24 hours	Good hygiene, air out room daily, clean surfaces and utensils
Tuberculosis	Exclude until the child’s physician or local health department authority states the child is non-infectious
Vomiting	Exclude if the child has vomited two or more times in the previous 24 hours, unless the vomiting is determined to be due to a non-communicable condition and the child is not in danger of dehydration	Good hygiene