• A diabetes plan should include the following: Blood glucose monitoring guidelines, Hyperglycemia guidelines, Hypoglycemia guidelines, list of medications (or foods) to give to participant based on symptoms. • An asthma plan should include the following: list of medication(s) that may be administered, signs and symptoms (or time of day in some cases) for medication to be administered. Sick Participants Participants may not attend if they have: • Temperature of 100°F or higher • Recurring vomiting and/or diarrhea • A communicable disease Participants who have been sick should remain home for at least 24 hours and be symptom free (without the aid of medication) before returning to the program. Participants with active infestation of head lice must be sent home. Parents will be provided with information on accepted methods of treating their participant. They will not be allowed to return to care until a prescribed lice treatment is successful, making them no longer communicable. This is determined by the absence of both lice and the nits (eggs). Staff will monitor participant for a period of 7-10 days to check for possible re-infestation. Parents of enrolled participants will be notified of possible exposure. Parents/guardians must notify their program within 24 hours or the next business day after their participant or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately. A list of which communicable diseases are reportable can be found on the Virginia Department of Health Communicable Disease Chart. Parents/guardians will be notified of any direct exposure to a communicable disease. Communicable Disease Chart recommendations will be followed for when participant can return to the program. Any additional procedures that may change due to any local or national health mandates will be addressed with staff and parents as they occur with an addendum. Daily Health Check All staff are trained in Daily Health Check and are required to renew this training every three years. Staff will perform a daily health inspection upon a participant’s arrival at the program. If the staff observes signs of illness for example: fever of 100 degrees or higher, vomiting, or diarrhea, rash, the
participants will be separated from the group to decrease illness transmission. Parent/guardian/emergency contact will be notified for immediate pick up.
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