coughing hard enough to throw up is usually either a sign of an illness brewing or the remains of one...so if all the other kids get sick then you will have no kids there and a few kids are better than none.
Also, as a parent, if my child was exposed to another child's illness simply because the provider didn't want to lose the money for having fewer kids, then I would be really upset. I understand that kids expose others simply by being in a group together but as a provider it is our responsibility to not allow exposure to go on any longer than absolutely necessary.
Actually, several of my kids have asthma, so coughing and then vomiting is not uncommon. Oh, and I get paid if they get sent home sick.
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