(a)  Centers may provide care for a mildly ill infant or child older than two months who has a Fahrenheit temperature less than 101 degrees and for infants younger than two months who have a Fahrenheit temperature of less than 100.4 by any method including axillary or orally, so long as the child does not have any of the following:

(1)           more than two stools above the child's normal pattern and diarrhea is not contained by a diaper or when toilet-trained children are having accidents;

(2)           two or more episodes of vomiting within a 12 hour period;

(3)           lice, until completion of first treatment;

(4)           scabies;

(5)           chicken pox or a rash suggestive of chicken pox;

(6)           tuberculosis, until a health professional provides a written statement that the child is not infectious;

(7)           strep throat, until 12 hours after antibiotic treatment has started and no fever is present;

(8)           pertussis, until five days after treatment has started;

(9)           hepatitis A virus infection, until one week after onset of illness or jaundice;

(10)         impetigo, until 24 hours after treatment has started;

(11)         a physician's or other health professional's written order that the child be separated from other children; or

(12)         exclusion for symptoms not included in this list shall be required if the symptoms prevent the child from participating comfortably in activities as determined by staff members of the program or the symptoms result in a need for care that is greater than the staff members can provide without compromising the health and safety of other children.

(b)  Centers that choose to provide care for mildly ill children shall:

(1)           follow all procedures to prevent the spread of communicable diseases described in 15A NCAC 18A .2800, "Sanitation of Child Care Centers", as adopted by the Commission for Public Health;

(2)           separate from the other children any child who becomes ill while in care or who is suspected of having a communicable disease or condition other than as described in Paragraph (a) of this Rule until the child leaves the center;

(3)           notify all parents at enrollment that the center will be providing care for mildly ill children;

(4)           notify the parent of any child who becomes ill or who is suspected of being ill with a communicable condition other than as described in Paragraph (a) of this Rule that the child is ill and shall leave the center;

(5)           notify the parent of any mildly ill child in care if the child's condition worsens while the child is in care.


History Note:        Authority G.S. 110-85; 110‑91(1); 143B‑168.3;

Eff. January 1, 1986;

Amended Eff. December 1, 2014; July 1, 1998; November 1, 1991; November 1, 1989;

Readopted Eff. October 1, 2017.