Do you provide care for the mildly ill child? If so, do you do it alone or with help? How do you seperate the children? Do any of the parents complain?
The Mildly Ill Child
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I'm thinking a child who feels fine but has a runny nose that is a bit green, maybe has a cough, or a child who is running a low grade fever but in a good mood and not acting "sick"- Flag
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Working on that now.
Not sure which way to go. I know parents don't want their kids exposed, and you really don't want it going around and around with no one recovering. At the same time...parents have to work and when the kid isn't feeling real sick but might be contagious...well...maybe accomodations should be made for that child.- Flag
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I am in the middle of revising my PHB and can share it with you if you want... if you pm me your email address I can sent it to you...
I think that one of the hardest things about DC is that when children are sick, getting the parents to keep them home... some will and some won't give a crap who they get sick as long as they dont miss out on their income...
I am very firm about my illness policy and I won't allow for anyone to over step it for any reason....- Flag
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i think it depends on what you establish with the parents when they sign up for care AND if you're licensed and what that entails.
i kept mildly ill children (i was unlicensed) and it was one of the "perks" to the parents. i made it clear that i could keep them (unlike a center who would call at first mention of a fever) so they wouldn't have to leave work and i would keep them separate from the other children as much as possible. of course if i was willing to do that for their child, they understood i would be doing the same for others. i kept children a few times with mild fevers/runny noses, etc. and i never had an issue with all the children getting sick or having to keep a puking child, etc.- Flag
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Mildly ill and running a temp over 101 is another. I think a parent would would ask me if I were serious if I told them they couldn't be here if they had a runny nose or a cough that was controlable. If the kid isn't running over 101 has runny stools or isn't puking they are pretty much stuck here.- Flag
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I have in my contract similar things like temps over 101, constant green runny nose, vomiting, runny stools x2 not caused by meds or medical document.
But, lesson learned. The mildly ill "ear infection" only child I did back up care for last Monday (preplanned cuz his dcp had a personal day) brought bronchitis into my house and we spent the day at the ER with DS yesterday. I haven't slept in 3 days because of his illness and I had to close today because I can't physically care for anyone in this state, let alone dcks. So I "made" $35 to keep him and I have spent $100 in copays, $35 in Rx copays, and lost $105 in income.DCM is a friend of my bestfriend and knows she done wrong. She'll be lucky if I decide to continue our back up care agreement, but I won't decide until I cool off a bit.
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I have in my contract similar things like temps over 101, constant green runny nose, vomiting, runny stools x2 not caused by meds or medical document.
But, lesson learned. The mildly ill "ear infection" only child I did back up care for last Monday (preplanned cuz his dcp had a personal day) brought bronchitis into my house and we spent the day at the ER with DS yesterday. I haven't slept in 3 days because of his illness and I had to close today because I can't physically care for anyone in this state, let alone dcks. So I "made" $35 to keep him and I have spent $100 in copays, $35 in Rx copays, and lost $105 in income.DCM is a friend of my bestfriend and knows she done wrong. She'll be lucky if I decide to continue our back up care agreement, but I won't decide until I cool off a bit.
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See? It's not cut and dry. I think I'm leaning towards what some of you said...accepting them if they have under 101 temps, no runny stool, vomiting, or persistant green runny nose.
I'm thinking about your post MG...I really don't think it will be worth it if my kids get real sick. Not only financially...but they will miss school and events and...I dunno. Becomes a big mess.- Flag
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My sick policy mirrors that of our local public school. Stay home for 24 hours fever free without meds. Our school calls a fever anything higher than 100 degrees. Also, you might want to add to your policy that you can exclude from care a child who is fever, dia, and vomit free if they aren't able to participate in the normal daily routine. Kids often feel just horrible....unable to participate before they come down with other symptoms and as they recover from these other symptoms.- Flag
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