Health Policy for Children

Health Policy and Procedure 

In accordance with Fraser Health Authority, child must remain at home and see a doctor if she/he has the following conditions:   

  • Pain – any complaint of unexplained or undiagnosed pain.
  • Difficulty in breathing, wheezing or persistent cough.
  • Fever (38.3 C° or more) accompanied by general symptoms such as listlessness. 
  • Sore throat or trouble swallowing.
  • Infected skin or eyes or undiagnosed rash.
  • Headache or stiff neck.
  • Unexplained diarrhea or loose stool combined with nausea, vomiting or severe abdominal cramps.
  • Nausea or vomiting.
  • Severe itching of body or scalp.
  • Known or suspected communicable diseases (see list).
  • If unable to participate in regular programming. 

Children should not return for a minimum of 24 hours until all symptoms have passed, without symptoms being masked by pain relieving or fever reducers (i.e. Tylenol, Advil, Motrin, etc). 

If child had been sent home ill and/or with fever a doctor`s notice may be required if there is a conflict of opinions. 

Parents should contact the centre prior to returning if they are uncertain. 

   

Communicable Diseases 

We will look for BCCDC guidelines for prevention and treatment of communicable diseases in case of a breakout.

Parent must inform the centre of any serious illnesses or contagious diseases within 24

hours of diagnosis. 

Any child arriving to the centre, knowingly, with an infectious disease will be sent home and their space will be reviewed. 

Read the charts below of common illnesses and reportable communicable diseases.

Communicable Disease Chart

Acquired Immune Deficiency Syndrome 

Anthrax 

Botulism 

Brucellosis 

Cholera

Covid-19 

Toxoplasmosis 

Cytomegalovirus 

Herpes Simplex 

Varicella-Zoster 

Hepatitis B Virus 

Listeriosis 

Any congenital infection 

Creutzfeldt-Jacob Disease 

Cryptococcus neoformans  

Cyclospora infection 

Diffuse Lamellar Keratitis (DLK) 

Diphtheria (cases and carriers) 

Encephalitis (all stages) 

Foodborne illness (all causes) 

Paralytic Shellfish Poisoning (PSP)

Gastroenteritis epidemic (bacterial, parasitic, viral) 

Genital Chlamydia Infection 

Giardiasis 

H5 and H7 strains of the Influenza virus 

H1N1

Haemophilus influenzae Disease (all Invasive and by type) 

Hantavirus Pulmonary Syndrome 

Hemolytic Uremic Syndrome (HUS) 

Hemorrhagic Viral Fevers 

Hepatitis Viral (A, B, C, E, other Viral Hepatitis) 

Human Immunodeficiency Virus Infection 

Invasive Group A Streptococcal Disease

Invasive Streptococcal Pneumonia Infection

Leprosy 

Lyme Disease 

Measles 

Meningitis: (bacterial and viral) 

Meningococcal Disease (all invasive) 

Mumps 

Neonatal Group B Streptococcal Infection 

Pertussis (Whooping Cough) 

Plague 

Polio 

Rabies 

Reye Syndrome 

Rubella 

Severe Acute Respiratory Syndrome (SARS) 

Smallpox 

Tetanus 

Transfusion Transmitted Infection 

Tuberculosis 

Tularemia 

Typhoid Fever and Paratyphoid Fever

Venereal Disease (chancroid, gonorrhea, syphilis)

Waterborne Illness (all causes) 

West Nile Virus Infection 

Yellow Fever 

Revised August 1, 2023

Immunization Guidelines

Child immunization is not mandatory in Community Care Facilities. It is however, strongly recommended as a best practice for the protection of children and adults.

Immunisation Waver is required if parents choose not to immunize their child.

Sick Child

If a child becomes ill while at the centre, the staff will make the child comfortable, notify the parent or

emergency contact person to come as soon as possible. The teacher will change any soiled clothing

and remain with the child until he/she goes home.

The teacher will remain with the child until pick up time if unable to contact the parent or emergency

contact person. If the condition of the child gets worse the teacher has right to decide if there is a

need to call emergency.  

It is parents’ responsibility to pick child up or arrange emergency person for pick up as soon as

possible.   

Medication Administration

Children may require medication time to time. The proper medication consent form must be filled out by parents before any medications can be administered by the teacher. Prescription and non-prescription drugs must come in their original containers. Prescription drugs must be prescribed by a doctor and the proper pharmacy label on them. Free sample medications tend not to have proper labels so they will need a handwritten doctor`s notice with dosage and directions to accompany them. All medications must be age appropriate, not expired and have the dosages clearly labelled. All new medications must be given at home first to monitor for any allergic reactions. Any remaining medications will be sent home. Medication is to be handed over to the teacher and she will place it in either the medication cupboard or in the fridge. If there is longer than 5-day break in the administration time another form will need to be completed. Medication is not to be put in bottles, drink or left in lunch kits or cubbies (this includes vitamins).

Care Plan

In the event child may require emergency medication (EpiPen, Inhaler, etc.) we will develop a Care Plan. Care Plan will be reviewed and signed by the parent or a primary caregiver of the child together with the staff and the manager of the facility. 

The expiry date of the emergency medication will be marked in Care Plan. The emergency medication must be replaced prior its expiry date.  

Care Plan will be reviewed once a year, annually. The staff and the parent/caregiver will have a meeting, they will sign and date revised Care Plan. 

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