Medicine Management

1. All medications (prescription and non-prescription) shall be administered only on the written approval of a parent or guardian. A Medication Treatment Authorization form (authorization to administer medication) must be completed.
2. Prescription medications shall be administered only as directed on the label or as otherwise authorized by a physician.
3. Medications must be stored in the original container. The container must have the patient's name, instructions and date of expiration.
4. Doctor's permission is not required for non-prescriptions drugs such as:
   • Anti-histamines
   • Non-aspirin pain relievers and fever reducers
   • Cough medicine
   • Decongestants
   • Anti-itching creams
   • Diaper ointments and powders
   • Sunscreen
     Non prescription medication not included in the categories listed above; taken differently than indicated on the manufacturers label; or lacking labeled instructions shall only be given if authorized in writing by a physician.
5. Any medicine taken by mouth for children under two will need written permission from your doctor
6. A detailed record will be kept of all medicines given at child care.

Ill Children

1. Each child will be observed daily for signs of illness.
2. Children who are contagious must stay at home. All parents of children in my care, as well as the Health Department, will be notified by phone of communicable diseases or food poisoning.
3. Please call me if your child will not be coming due to illness. If you are unsure if your child should come or not, please call.
4. If a child should become ill during the day, you will be notified immediately and will be expected to pick up the child as soon as possible. In such event, your child will be isolated from the other children until you arrive.
5. The parent is responsible for finding substitute care in case of the child's illness.
6. The following illnesses are not accepted in my home per instruction of the Department of Public Health:
   • Diarrhea: Three or more watery stools in a 24-hour period, especially if child acts or looks ill.
   • Vomiting: Vomiting on two or more occasions within the past 24 hours.
   • Rash: Body rash not associated with diapering, heat or allergic reactions, especially with fever or itching.
   • Eyes: Thick mucus or pus draining from the eye, or pink eye.
   • Appearance/Behavior: unusually tired, pale, lack of appetite, difficult to wake, confused or irritable.
   • Sore Throat: Especially if associated with fever or swollen glands in the neck.
   • Fever: Temperature of 101 degrees F. or higher and sore throat, rash, vomiting, diarrhea, ear ache, irritability or confusion.
   • Lice: Children who have lice may not return to day care until they are louse and nit (egg) free.