General Policies on Illness

Illness in children is a very difficult to manage in group child care settings. We are not equipped nor licensed to care for moderately ill children.  We realize, however, that parents rely on us to provide care on a regular basis and cannot stay home with their children for every sniffle.  The employees know your child’s typical daily behavior and are extensively trained to recognize the signs and symptoms of various illnesses.  Parents are often faced with decisions about bringing an ill child to the Center or keeping an ill child at home.
These are not easy decisions, but please keep in mind that the home and the Center environment are very different.  An ill child has an impact on everyone.  Neither the ill child nor the healthy children can receive the care and attention they deserve.
It is important to realize that in a group situation such as this, illness (both major and minor) spreads rapidly in spite of everyone’s best efforts.  Many of the common childhood conditions can become epidemic in a group setting. Our policies are designed with this in mind.

Parents are notified by email when there is a contagious illness anywhere in the Center, which includes an “exposure notice” for the specific condition.  This exposure notice will list possible symptoms, recommended treatments, and a defined state at which a child may return to the Center, if afflicted.  If a child becomes ill while at the Center, the parents will be called and requested to pick up their child as soon as possible.

Children may return to the program after the suggested return criteria are met and when they are able to resume normal activities at the Center.  We strongly recommend that children with questionable cases stay home.

Conditions under which a child will be sent home

Onset of Illness

If a child appears to be ill, he/she will be isolated as much as possible from the group, while parents are called to take the child home.  The child will be keptcomfortable and given food and liquids as is appropriate or requested by parents.  A teacher will remain with an ill child or (s)he will wait in the office with the Director, when possible, until the parent arrives.

These policies reflect an attempt to balance the needs of each child with the needs of the whole group.  In general, children who do not feel well should stay at home.  Children who feel well, are not contagious and can participate in the normal activities of the day may be at the Center.

In all cases, the final decision about whether a child may attend the Center is made by the teachers and the Director or Assistant Director.

Non-specific Conditions

In coming to a decision to send a child home, the following symptoms/behaviors will be taken into consideration:

– elevated temperature, 100.4 degrees or higher- questionable symptoms that need diagnosis – deviation from each child’s usual behavior – loss of appetite – significant change in napping pattern – lack of energy, listlessness, irritable, tired or mopey – continuous crying – the need for one on one attention – inability to cope, negotiate, cooperate with peers – verbal complaints made by the child

Colds are common for children.  Any child well enough to come to the Center with a cold will be expected to participate with other children in the usual outdoor activities.
There are many illnesses that children may contract.  We have available, for all families, the Center’s policies with specific illnesses.

Everyone here appreciates a parent’s need for child care; however, there are specific instances when your child cannot attend the Center.  These are as follows:

Exclusion Criteria


A temperature of over 100.4 degrees indicates to us an ill child.  If your child has such a fever, do not bring her/him to the Center.  If your child gets a fever during the day, we will call you to come and pick her/him up.  A child must remain at home until she/he is absent of fever without the aid of a suppressant for a 24-hour period.  This means that if your child is sent home with a fever, she/he must stay at home the following day.


Even in the absence of fever, a child may still be ill.  If your child seems particularly irritable, or tired and mopey, please keep her/him at home for the day since a full day at the Center may be too much for a child feeling ill, even though she/he may not be running a fever.


This can be caused by a variety of conditions, some of these being sensitivity to a particular food, juice, medication, or by illness.  Regardless of the cause, the symptoms are difficult to manage in a group child care setting since stool quickly contaminates changing areas, clothing, rugs, toys and hands.  Cases of diarrhea will be dealt with individually and with the common sense and judgment of the teachers.  However, in order to prevent the spread of viruses and bacteria through stool, we will follow this rule of thumb:  If a child has two or more episodes of loose stool during the day, we will call you and ask you to pick up the child.  Furthermore, if a child’s stool is difficult to maintain you also may be called even if it is the first incident as this too indicates a possible problem. You should keep the child at home until she/he has had at least one normal bowel movement.


The symptoms of pink eye are redness, runniness and crustiness of the eyes.  It is HIGHLY contagious and will require a trip to your physician and prescription eye drops.  After receiving treatment for 24 hours, your child should no longer be contagious.


This may indicate a viral infection and will require that the child remain at home until she/he is back to normal.  If a child vomits during the evening or night, please keep her/him home the next day.  If your child is sent home from child care during the day but is able to eat a typical meal at home without further incidence of vomiting, then she/he may return to the Center the next day.


These are very common in young children and may require a visit to your doctor to rule out any contagious condition or disease.


These are very common in young children and are not contagious but will most likely require a visit to your doctor.  We often see children pulling at their ears along with a general sense of discomfort and will call you if we notice this.  Once the child is fever free, feeling better and able to participate in their regular routine, they may come back to the Center.


If the Center has a question regarding the need for continued treatment or risk to other children, parents may be asked to provide a note from their child’s pediatrician before the child is allowed to return.


In the event of a major illness being present at the Center, parents will be contacted and advised of the details of the disease and possible need for treatment as indicated by the Westchester County  Department of Health.


Influenza (the flu) is a contagious viral infection whose primary symptoms  include: fever, and sore throat or cough.  Other symptoms may also be observed, including: headache, fatigue, body aches, vomiting and diarrhea.  Children under age five are particularly vulnerable to serious illness from the flu, and families are advised to consult with their pediatrician promptly, and advise the center, should flu symptoms be observed.  To safeguard the health of children, the center has formulated a plan to control infection, and to mitigate the spread of the flu.  Since  the status of flu outbreaks is in flux, the center recommends that families secure back-up child care arrangements, in advance, should closing the center become a contingency.

In the event of : a (probable/suspected) case of pandemic flu within the Little Angels Child Care Center community, including: children and family members, caregivers, staff,  and employees and consultants within the Avon/Rye facility.

1)  the center will enhance its screening/monitoring of children for flu-like symptoms, as follows:  children who exhibit flu-like symptoms (fever of at least 100.4 degrees Fahrenheit, and a sore throat or cough) at home, or at the center, will be excluded from attending.

2) Children may not be readmitted for at least 10 days from the onset of the illness, or at least until symptom-free for 24 hours, whichever is longer, as per the recommendation of the New York State Department of Health.

As with all communicable diseases, however, a physician’s note will be required for re-entry. The exclusion policy above will override a written physician’s clearance to return earlier than the specified period.

In the event of:

a) written confirmation from a health care professional, of a case of pandemic flu within the center (children or staff)


b) high absentee levels among children and/or staff from  flu-like illness within the center

1)  The center will contact the Westchester Department of Health, to obtain its recommendation. If the center decides to close, families will be notified via e-mail and hard copy, of the date of closure, and tentative date for reopening. The final determination of the center’s reopening date will be made in conjunction with the Westchester Department of Health, and will be based on their recommendation.

2) The center will activate its voice messaging system, and provide daily e-mail updates to families concerning plans for reopening.  Communication from families regarding the health status of their children and family members will be vital in determining a reopening date.

3) All center events will be cancelled

Prior to the center’s re-opening, the building will be sanitized.  Enhanced screening and monitoring of children will resume, as before.  The center’s modified exclusion policy will remain in effect until further notice.  The center will maintain regular contact with the Westchester Department of Health, to obtain its recommendations.

Doctor’s Note: When a child is seen by their Doctor for an illness, a Doctor’s note is required stating the diagnosis and a date the child may return to the child care center. Please obtain the LACCC form prior to attending a sick visit or ensure your Dr.’s note is complete with all of the needed information.

In Accordance with the New York State Child Care Licensing Requirements, you will be required to do the Following:

Submit and update YEARLY a medical form for your child that will indicate a current immunization record and general state of health. When your child has a doctor visit for routine immunizations, take our form with you for updating and make sure the health care provider signs and stamps the form.

1. New York State Office of Children and Family Services requires the following immunizations for any child who attends Child Care:  Hep B, DTaP, Hib, IPV, PCV, MMR, Varicella (see immunization schedule)

TB & lead screening when your child turns one.

If your child’s health care provider deems either the TB or lead screening not necessary then they must sign on the medical statement form indicating this. Furthermore, if a NYS licensed physician deems any immunization detrimental to a child’s health that physician must submit a written statement to Little Angels Child Care stating this.

 2.  You must submit a signed Consent for Emergency Medical Treatment form that will enable the staff to obtain necessary medical care for your child in your absence in the event that such a situation should arise.

Families who fail to comply with Little Angel’s policy on required immunizations and yearly physicals, will be asked to keep their child(ren) home until all necessary information is submitted.


Immunization Schedule

Age Birth 1month 2 month 4 month 6 month 12 month 15 month 4-6 years
Hepatitis B XBirth-2 mos   X(1 – 4mos)   X(6 – 18 mos)      
Diptheria, Tetanus, Pertussis (DtaP)     X X X   X(15 – 18 mos)  
Haemophilus influenae type b (Hib)     X X X   X(12 – 15 mos) x
Polio (IPV)     X X   X(6 – 18 mos)   x
Pneumoccal Conjugate (PCV)     X X X X(12-18 mos)    
Measles, Mumps, Rubella           X(12 – 15 mos)   x
Varicella(Chicken Pox)           X(12 – 18 mos)    

Immunization Exemptions

In accordance with Public Law Section 2164 Little Angels requires a written and signed statement from a parent, parents or guardian of the child stating that they object of the immunization of their child due to their sincere and genuine religious beliefs.

Additionally, in the instance of a case of an immunization preventable disease at LACCC, any child enrolled who has an immunization exemption may be excluded for a duration period deemed necessary in order to maintain the health and safety of all children and adults at LACCC. This decision will be made on a case by case basis with the Director, Health Care Consultant and the Board of Directors.

Prescription Medication Policy


  • It is not the practice of Little Angels to administer non- prescription medication unless a written order from your child’s physician is given.
  • For prescription medication and non-prescription medication, ordered by your child’s health care provider, the following must be provided before medication will be administered to your child:
    • The Written Consent Form (please ask your child’s Teacher for a copy) will need to be filled out by you AND your health care provider.
    • Please bring the completed form with the medication in its original container (see next section for more details) to the Director who will review the information with you before authorizing the medication to be administered.
  • Prescription Medication must be in the original container and labeled with:
    • The child’s complete name
    • The medication name
    • The dosage and time to be administered
    • Method of administration
    • Expiration Date
    • Prescriber’s name and license number

All medication brought to the Center must be given to the Director for proper storage.

Under no circumstances should medication be kept in children’s cubbies or anywhere in their reach.

Additionally, Teachers are not authorized and will not give bottles to children with medications, vitamins or food in them.