A complete copy of the EMCCC Health Care Plan is readily available in the office for parents to review upon request. All relevant information about health, exclusion from the program due to illness, and medication distribution is included.
Upon admission each child must have a report of a physical examination including lead poison screening and record of immunizations completed by a health care provider. That report will include a notation that the child is free from contagious and communicable diseases and is able to participate in day care. Thereafter, a report of a physical examination will be completed annually. For children two years of age or younger, immunization records will be updated every three months. For children between two and five years of age, immunization records will be updated every six months. Physical examination reports and immunization records are reviewed by a nurse. The nurse will request updated reports as they are coming due.
The Elizabeth Mascia Child Care Center can care for a well child or a mildly ill child but not a moderately ill child. A mildly ill child has symptoms of a minor illness, which does not represent a significant risk of serious infection to other children. A minor childhood illness is one that is not designated as a communicable disease requiring exclusion by the New York State Department of Health. A mildly ill child can participate in the regular program activities with some minor modifications, such as more rest time.
You will be contacted and your child will be excluded when symptoms of moderate illness as listed below are present. Since the well being of your child and the other children in the group are the primary concerns, a prompt pick up is encouraged for the benefit of all. In some instances your child will be kept away from the other children, but always supervised by a staff member, until he or she is picked up in an attempt to prevent the further spread of illness to other children or adults.
A moderately ill child should not be brought to the Center. If your child is moderately ill and staying home for the day please call and let the office know during the morning hours. Also let the office know about the nature of the illness so that other children can be observed for symptoms and other parents can be notified, if appropriate.
Symptoms of Moderate Illness, as indicated by the New York State Department of Health, are:
The illness, or your child’s reaction to it, requires more care than staff can provide or compromises the health and safety of other children
Signs and symptoms of possible illness such as unusual lethargy, uncontrolled coughing, persistent abdominal pain, irritability, persistent crying, difficult breathing, wheezing or other unusual signs until a medical examination allows inclusion
Persistent diarrhea, defined as three or more stools in a 24 hour period, when the pattern represents:
An increased number of stools compared to your child’s normal pattern
Increased stool water
Diarrhea accompanied with symptoms of dehydration, such as sunken eyes, dry skin, concentrated urine or small amounts of urine, fewer than 6 wet diapers in a 24 hour period, or no urine in 4 hours; or
Diarrhea accompanied with blood in the stool
Significant fever as defined below, until evaluated and approved for inclusion by a health professional:
Children over 6 months of age should be excluded and referred to a health professional whenever fever is accompanied by a behavior change, stiff neck, a rash, unusual irritability, poor feeding, vomiting or excessive crying. Fever means:
Oral temperature above 101 degrees Fahrenheit;
Rectal temperature above 102 degrees Fahrenheit; or
Axillary (armpit) temperature above 100 degrees Fahrenheit
Undiagnosed rash, with the exceptions of diaper rash and rash that is present in only a small area and is not accompanied by any other signs of illness, particularly in the diapered area of a child
Conjunctivitis (pink eye) until symptoms have resolved, or until 24 hours after medications have been administered, or approved inclusion by a health professional, or grouped in a room only with other children with conjunctivitis
Untreated infestations, such as scabies or lice
Vomiting 3 or more times in a previous 24 hour period, or any vomiting accompanied by symptoms of dehydration or other signs of illness
Contagious stages of chicken pox, until 6 days after the onset of rash or until all sores have dried and crusted, unless children are grouped in a room only with other children with chicken pox
Any of the following illnesses until approved for inclusion by a health professional:
Mouth sores with drooling, or Herpetic gingivostomatitis, an infection caused by the Herpes simplex virus
Diarrhea due to Shigellosis, Salmonella, Campylobacteriosis, Giardiasis, E. coli type 0157:H7, Versinia, Cryptosporidiosis, until there is one negative stool test obtained at least 48 hours after treatment (if prescribed) is completed; or unless a plan for grouping children has been approved by the local or State Health Department
Active tuberculosis, until treatment has been initiated and readmission has been approved by the local health unit
Impetigo, until 24 hours after medical treatment has been initiated unless there is only a small patch of Impetigo that can be cleaned and covered so no other children can come into contact with the sore
Strep throat, or other streptococcal infections elsewhere in the body until 24 hours after the initial antibiotic treatment
Mumps, until 9 days after onset of gland swelling
Rubella (German measles) and measles, until 5 days after onset of the rash
Hepatitis A viral infection (Infectious hepatitis) until one week after onset of illness, and until immunoglobulin has been administered to appropriate children and staff, or as directed by the local heath unit
Shingles, if sores cannot be covered by clothing or a dressing or until sores become crusted
Pertussis (whooping cough), until 5 days of a total course of 14 days of antibiotic treatment has been completed
Diphtheria, until readmission has been approved by the local health unit
Hepatitis B, until readmission has been approved by the local health unit
Meningitis or meningococcal disease, until readmission has been approved by the local health unit
Other illness or symptoms as determined by the Center
In the case of a medical emergency with your child requiring more than first aid, 911 will be immediately called for assistance. You will also be called. If necessary, your child will be transported by ambulance to a hospital (likely Phelps Memorial Hospital or Westchester Medical Center) accompanied by a staff member provided adequate staffing is available to supervise the remaining children in the group so that staff to child ratios can be maintained. The child’s folder containing the medical record and emergency treatment card will accompany the child to the hospital. EMCCC will not provide transportation.
Medication can be administered by trained and certified staff members while your child is at the Center only when both the Physician and the parent correctly complete the Written Medication Consent Form. Medication must be in the original container with the original label with all identifying information as dispensed by a Pharmacist. When a topical over the counter ointment is to be administered at EMCCC, the form is completed by the parent/guardian. Topical over the counter ointments must also be in the original container with the original label.
Please let us know if your child is receiving medication at home so the teacher can monitor him or her for side effects like diarrhea, irritability, lethargy, or others.
All staff members trained and certified to give out medication are also trained and certified in Infant and Child First Aid and CPR.
Fire drills are conducted regularly. The children are taught to evacuate the building, always with staff member supervision, in a safe and orderly manner when the alarm sounds. Children are given the assistance needed according to their age and developmental levels to safely evacuate.
In the event of an emergency evacuation resulting in the inability to re-enter the building due to unsafe conditions, the Executive Director will make arrangements for the children to be transported safely to another nearby location until the children can be picked up by their parents who will be promptly contacted.