Unable to participate in routine activities or needs more care than can be provided by the childcare/school staff.

A child's normal body temperature varies with age, general health, activity level, the time of day and how much clothing the child is wearing. Everyone's temperature tends to be lower early in the morning and higher between late afternoon and early evening. Body temperature also will be slightly higher with strenuous exercise. Most medical professionals define fever as a body core temperature elevation above 100.4°F (38°C) and a fever which remains below 102°F (39°C) is considered a lowgrade fever. If a child is younger than three months of age and has a fever, it’s important to always inform the caregiver immediately so they can call their healthcare provider right away.

When determining whether the exclusion of a child with fever is needed, a number of issues should be evaluated: recorded temperature; or is the fever accompanied by behavior changes, headache, stiff neck, difficulty breathing, rash, sore throat, and/or other signs or symptoms of illness; or if child is unable to participate in routine activities. Any child that has an elevated body temperature that is not excluded should be closely monitored for possible change(s) in their condition. A temperature should be measured before giving medications to reduce the fever.

Until a healthcare provider has done an evaluation to rule out severe illness when the child is unusually tired, has uncontrolled coughing, unexplained irritability, persistent crying, difficulty breathing, wheezing, or other unusual signs for the child.

Until the child has been free of diarrhea for at least 24 hours or until a medical exam indicates that it is not due to a communicable disease. Diarrhea is defined as an increased number of stools compared with a child's normal pattern, along with decreased stool form and/or stools that are watery, bloody, or contain mucus.

Vomiting two or more times in the previous 24 hours, unless determined to be caused by a noncommunicable condition and the child is not in danger of dehydration.

Until a medical exam indicates the child may return or until sores have healed.

Until a medical exam indicates these symptoms are not those of a communicable disease that requires exclusion.

When purulent (pus) drainage and/or fever or eye pain is present or a medical exam indicates that a child may return.

Until a medical exam indicates the child does not have hepatitis A. Symptoms of hepatitis A include yellow eyes or skin (jaundice), gray or white stools, or dark (tea or cola-colored) urine.