**In cases of fever, diarrhea and/or vomiting, the child should not return to care until 24
hours have passed since the last sign of the symptom.
• Sore throat or difficulty swallowing
• Headache or stiff neck
• Severe itching or rashes
• Mouth sores
• Significant tiredness, irritability, crying
• Difficulty breathing, chronic coughing or wheezing
Any contagious condition including ringworm, bedbugs, head lice, or pink eye,
• Unusual nasal discharge
• Constant pain in the stomach
• Behavior that seems slow, confused, disoriented.
These symptoms may or may not be associated with a communicable illness. Without
consultation from a health care professional it is impossible to determine the nature of
the illness. Therefore you will need to pick up your child for further evaluation.
• You are required to inform me within 24 hours if your child or a member of your
immediate household develops a communicable disease as defined by the Virginia
State Board of Health (in this chapter).
• You must report life-threatening diseases immediately.
• I will notify all parents within 24 hours if a communicable disease is reported at my
• Health Department regulations governing periods of infection and exclusion will be
If you would like to ask a health care professional about illness and disease, call the
Health Department’s Epidemiology (EPI) Nurse at 703-246-2433 between 8 a.m. and
4:30 p.m., Mondays - Fridays. There is no charge for this service.
I understand and agree to follow the terms of this child care sick policy.