Health Guidelines for Excluding Form
Per Clark County Health Department, a facility serving well children may not admit a child
who has any of the illnesses or symptoms of illness specified below. It is advised that the
parents take the child for medical assessment. Even for the mildly ill child, exclusion is
based on the fact that there are not facilities and staff available to meet the needs of
both the ill child and other children in the group.
Fever
An oral temperature: 100 degrees F. or higher or rectal temperature: 101-degree F. or higher; especially if accompanied by other symptoms such as vomiting, sore throat, diarrhea, headache and stiff neck or undiagnosed rash.
Respiratory Symptoms
Difficult or rapid breathing or severe coughing: Child makes high-pitched croup or whooping sound after coughs. Or child is unable to lie comfortably due to continuous cough.
Diarrhea
An increased number of abnormally loose stools in the previous 24 hours. Observe the child for other symptoms such as fever, abdominal pain, or vomiting.
Vomiting
Two or more episodes of vomiting within the previous 24 hours.
Eye/Nose Drainage
Red eyes with discharge. Thick colored mucus draining from nose.
Sore Throat
Sore throat, especially when fever or swollen glands in the neck are present.
Skin Problems
Rash - skin rashes, undiagnosed can be contagious
Infected Sores - Sores with crusty, yellow or green drainage which cannot be covered by clothing or bandages.
Itching
Persistent itching of body or scalp. This could be a sign of head/body lice.
Appearance/Behavior
Severe pain or discomfort. Child looks or acts differently, unusually tired, pale, lacking appetite, confused, irritable, and difficult to awaken. Swollen joints. Visibly enlarged lymph nodes. Blood in urine.
Unusual Color
Eyes or skin - yellow (jaundice), Stool - gray or white, Urine - Dark, tea colored. These symptoms can be found in hepatitis and should be evaluated by doctor