According to the Missouri Licensing Rules for Family Childcare Homes, children must be sent home if they exhibit any of the following symptoms:

  • »Diarrhea – more than one (1) abnormally loose stool. If a child has one (1) loose stool, s/he shall be observed for additional loose stools or other symptoms;
  • »Severe coughing – if the child gets red or blue in the face or makes high-pitched croupy or whooping sounds after coughing.
  • »Difficult or rapid breathing (especially important in infants under six (6) months);
  • »Yellowish skin or eyes;
  • »Pinkeye – tears, redness of eyelid lining, irritation, followed by swelling or discharge;
  • »Unusual spots or rashes;
  • »Sore throat or trouble swallowing;
  • »An infected skin patch(es) – crusty, bright yellow, dry or gummy areas of the skin;
  • »Unusually dark, tea-colored urine;
  • »Grey or white stool;
  • »Fever – over one hundred degrees Fahrenheit (100*F) by mouth or ninety-nine degrees Fahrenheit (99*F) under the arm;
  • »Headache and stiff neck;
  • »Vomiting more than once; and
  • »Severe itching of the body or scalp, or scratching of the scalp.
  • Parents will be contacted, and the ill child will be kept isolated from the other children until the parent arrives. I remain in close proximity to the child until the parent arrives.