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University at Buffalo
Child Care Center

Health Care Policies

The health care plan for the University at Buffalo Child Care Center is developed according to the established New York State Office of Child & Family Services (NYSOCFS) regulations. The purpose of these policies is to protect the health of the children and maintain the safety of the environment. All current medical examination forms for staff and children are kept in a confidential file in the Center and are not disclosed to unauthorized persons. Written permission for any disclosure is required.

Illness At Home

In order to help insure a healthy environment for all of the children, we ask you to please keep your child home when ill. When a child is absent due to illness, we ask that you notify the Center as early as possible in the morning. In the event a child contracts a communicable disease, please contact the office immediately so that we may alert other parents. University at Buffalo Child Care Center 's illness return policy is outlined on the attached Chart of Common Illnesses. This is strictly enforced!

Illness At The Center

In order to work together, the staff tries to keep you informed of any signs of possible illness. If your child becomes ill while at the Center, a written illness report will be generated and you (or in your absence your Authorized Designee) will be contacted and arrangements made for the child's immediate pickup. Parents are expected to respond promptly in such an instance. It is essential that you have a back-up care provider who is available at all times in the event you cannot be reached.

If you take your child to the doctor, please return with a written report of doctor's findings. Please refer to the Chart of Common Illnesses which identifies the conditions requiring a written MD note before the child can return to the Center.

Injury at the Center

If your child is seriously injured while at the Center, all efforts will be made to contact you (or your Authorized Designee). In cases of serious injury, the Center will follow UB policy, which is to notify Campus Public Safety who will obtain emergency medical treatment. Any accident occurring at the Center is recorded in a written report that is kept in the child's file, in addition to sending a copy of the report home for the guardian(s).

Medication

According to New York State Office of Child & Family Services (NYOCFS) regulations, children may not be given ANY medication without written instructions from the parent and physician stating that the Center Staff may administer it. Only staff who are certified by NYS Office of Children and Family Services may administer medication. Get the Written Medication Consent Form.

Prescription or Nonprescription (OTC) Medication. A written order from a physician must be provided for the Center staff to administer any medication to a child, including both prescription and non-prescription medication. All medication must be in the original container, labeled with the child's full name, medication name, recommended dosage, times and method of administration and possible side effects.

Topical Ointments: Topical ointments may be applied as needed to protect against sun and diaper rash under written parental instructions.

All medication is stored out of the reach of children. A medication log is maintained in each classroom. Our staff nurse reviews it weekly.

Medical Exams

The child's physician must complete a medical exam before any child is admitted to the UBCCC and annually thereafter. You will receive a reminder letter and a medical report form a month before the yearly well check is done. Only the form provided by the Center is acceptable. All immunizations must be up-to-date. (A complete immunization schedule from the New York State Department of Health may be obtained from the office). Please submit your physician's documentation of immunization updates as they occur.

We request that you trim your child's nails on a regular basis. This aids in prevention of disease and is also in keeping with our safety practices at the Center.

CHART OF COMMON ILLNESSES

FEVER

A child who has temperature elevation the night before the attending the Center should be presumed ill and should not return to the Center. If temperature is “normal” only with aspirin or acetaminophen, your child is probably still sick and should not attend. The center will send a child home who is acting sick and has a temperature equal to or greater than:

  • 100 degrees F. axillary (in the arm pit)
  • A temperature measured with an aural thermometer (in the ear) that corresponds to the 102 degrees F. in the rectum or 101 degrees F. in the mouth

Your child may return 24 hours after temperature returns to normal.

DIARRHEA If a child has 3 or more loose / watery stools or 1-2 loose/watery stools and poor fluid intake during the course of a day, the child will be excluded from the Center. Your child may return when bowel movements are normal for that individual child and fluid intake is good and MD note stating the child is able to return.
VOMITING If a child vomits and shows other signs of illness (not to be confused with infant’s occasional spit-ups) s/he will be sent home. A child who has vomited in the preceding 12 hours, is listless, or has a poor appetite, should not be brought to the Center.
UPPER RESPIRATORY ILLNESS (URI) Children who have congestion, large amounts of nasal discharge, sneezing, coughing, listlessness, or an inability to keep up with the day’s activities should remain at home. Physician-documented allergic reactions and/or asthmatic-related conditions are excluded.
UNDIAGNOSED RASH Unless specifically diagnosed by your child’s pediatrician as non-contagious, the Center will send home any child who has or develops a rash during the day.
SEVERE COUGH (CROUP) Child may return to Center after illness has subsided.
CONJUNCTIVITIS (PINK EYE) There is a white or yellow eye discharge, redness, itching, and soreness. Child may return to Center 24 hours after treatment has begun if all drainage, excessive tearing and redness have subsided with MD proof that treatment was prescribed.
CHICKEN POX Child may return to Center after no new lesions have formed and all have crusted (scabbed over).
IMPETIGO Child may return to Center 24 hours after treatment has started with MD proof that treatment was prescribed.
HEAD LICE Child may return to Center 24 hours after treatment has started with MD proof that treatment was prescribed, and all the nits are gone.
STREP THROAT Child may return after physician’s diagnosis and 24 hours of treatment with antibiotic and MD proof that treatment was prescribed.
SCARLET FEVER A strep infection with a rash. Child may return to Center after being seen and diagnosed by physician and after 24 hours of treatment with antibiotic and MD proof that treatment was prescribed.
RUBELLA (German Measles) Child may return to Center no earlier than five days after rash appears
EAR INFECTION (WITH NO OTHER SYMPTOMS) There will be no exclusion
THRUSH A yeast infection with white patches in the mouth and/or bright red rash in the diaper area. Child may return to Center with MD note that treatment has been prescribed
ROSEOLA (BABY MEASLES) Child may return to Center once rash completely disappears.
FIFTH DISEASE Child may return to Center when fever is gone and rash fades.
RINGWORM Child may return to Center 48 hours after treatment has begun with MD proof that treatment was prescribed.
PINWORMS Child may return to Center 24 hours after treatment has begun with MD proof that treatment was prescribed.
HAND, FOOT & MOUTH DISEASE Child may return to Center when lesions disappear (usually after five days).

MEDICAL POLICIES WILL BE STRICTLY ENFORCED!

(Adapted from US Health Department Guidelines and American Academy of Pediatrics)