Health Policies

Medical Statement and Immunizations 

A medical statement with updated immunizations signed by an approved health professional is required of all children. This medical statement must be submitted to the office after every well check that your child attends while attending the Children’s Center.

State licensing requires that we have documentation of all recommended well-child visits after your child’s enrollment unless otherwise stated by your health provider. Recommended well-child visits occur at 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 2 years, 3 years, 4 years and 5 years. All children must be up to date on required immunizations per the recommended immunization schedule, have signed exemptions or a written catch-up plan.

If a parent or guardian wishes to claim exemption from immunization due to religious, personal or medical reasons, a written statement signed by the child’s parent or guardian who states the reason for such an exemption shall be submitted to the center. The CU Children’s Center does not accept unimmunized students until this criteria is met.

Infectious Diseases

When a communicable disease has been introduced into the center, parents will be notified as deemed necessary by the school nurse, local health department and Centers for Disease Control and Prevention. The center will also report these occurrences to the state and local health departments when required. Parents are urged to notify the center when their child or they are known to have been exposed to a communicable disease outside the center.

The center staff obtains the right to determine that a child, who does not appear to be fully recovered from an illness, cannot be readmitted to the center without a statement from a physician stating that the child is able to return and participate in the activities of the center, is no longer infectious or has a non-infectious condition.

In instances of cold-like symptoms, fatigue, fever, runny nose, shortness of breath, cough, sore throat, vomiting and diarrhea, it may be required that a family obtain a written note from a person with prescriptive authority, stating the child is able to return to school. In the instance a written note from a prescriptive authority cannot be acquired, the child may be subject to quarantine or isolation.

We reserve the right to refuse care due to illness, lack of requested medical forms and failure to provide necessary medication.

In the case of other illness, such as impetigo, lice, ringworm, rashes, chicken pox, thrush, etc., your child must be non-infectious before returning to the center. The CU Children’s Center follows The Boulder County & the Colorado Department of Public Health & Environments Infectious Disease Guidelines for Child Care Settings alongside our school nurses recommendations. Please be aware these are guidelines and the Children’s Center has the right to strengthen these guidelines to improve or protect the health and safety of our community.

Illness

Our goal is to provide child care for well children. Having ill children at the center presents the very real possibility of others being infected. While we understand that parents need to be at work or in class, we need to enforce our policy to protect all children and staff from unnecessary exposure to communicable disease and illness. Parents who repeatedly fail to follow policies related to keeping children at home, providing proper documentation to return and not following isolation or quarantine guidelines when they or their child are ill may be subject to disenrollment from the center.

Daily Health Inspection

For the safety and protection of the children, the center and each classroom will follow the recommendation of the Centers for Disease Control (CDC) by providing each child with a health check prior to the child entering the center and/or group. Each child will be checked for the following:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Pinkeye (tears, redness of eyelid lining, irritation, swelling, yellow or green discharge, etc.)
  • Unusual behavior - crying more than usual, unable to participate, feeling unwell

Parents are encouraged to have an alternative child care arrangement in place when children are ill. Parents are expected to promptly (within thirty minutes) pick up their children from the center when any of the conditions above exist.

When a child becomes ill during the school day, we make every effort to reach parents. If after 30 minutes we have not been able to make contact with a parent, we will call the emergency contact listed in the child’s file.

When a Child Needs to Stay at Home

Symptoms/Illness 

Exclusion

Explanation

Unexplained rash

Return when feeling better

Child may attend if able to take part in school activities, is fever free, has no open weeping wounds, no spreading and no itch is associated with the rash.

Vaccine preventable diseases

(measles, mumps, pertussis)

CDPHE guidelines and/or school nurse recommendations

Please share your doctor’s note with us for tracking purposes if your child is diagnosed with an illness.

Diagnosed illness

(RSV, roseola, hand foot and mouth) 

CDPHE guidelines and/or school nurse recommendations

Please share your doctor’s note with us for tracking purposes if your child is diagnosed with an illness. 

Strep throat

Return 24 hours after starting antibiotics

Please share your doctor’s note with us for tracking purposes if your child is diagnosed with strep throat.

Lice 

Return after treatment and free of lice and nits

Please share your doctor’s note with us for tracking purposes if your child is diagnosed with lice.

Pink eye

Return after starting medication and/or drainage has cleared

Child may attend if able to take part in all school activities, is fever free, has started medication (if necessary) and the drainage is contained to the eye.

If a child is displaying signs or symptoms of fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting and diarrhea, they should remain at home. Children with the above symptoms will not be admitted to the center and/or will be sent home from the center if the above symptoms appear while at school. If the symptom(s) do not fully resolve within 24 hours of onset, the child may not return to school without a clear non-infectious diagnosis and/or clearance from a medical provider to return to a group care setting. OR the child may not return to school until there is no fever (without the use of medicine that reduces fevers) and symptoms have improved for at least 72 hours and at least 10 days have passed since symptoms first appeared. 

Please note: The administrative staff and classroom teachers will use their best judgment, as well as the above guidelines, to determine when to send children home and when they may return.

Medical Emergencies

When a medical emergency arises, every effort will be made to contact parents, guardians or an emergency contact. In the event that parents or emergency contacts cannot be reached, the director and/or lead teacher will decide the next step and a call to 911 will be placed. An authorized representative from the center will accompany the child and remain with them until parents arrive. Our emergency information form, filled out at the time of enrollment, serves as consent for your child to be transported by ambulance to a local medical facility to receive emergency care. The Children’s Center and CU Boulder assumes no responsibility for the costs associated with emergency care.

All center staff receive training in CPR, first aid, fire, flood and tornado procedures. The children practice flood drills in May, June, July and August. Fire drills take place monthly throughout the year. We also stay in consultation with the CUPD to determine further measures needed to provide a safe environment for the children.

Accidents and Injuries 

First aid kits are kept in each classroom and on all outside playgrounds. All non-emergency accidents will be documented on an accident report. It will be given to the parent for their review and signature, at which time the parent can take a copy home. Another copy will be kept in the child’s file. Accidents will be communicated to parents at the end of the day or after the accident, depending upon the severity of the event.

Medications

Medications will be administered to a child only when the parent and physician have completed and signed the “Permission to Administer Medication in Child Care” form. This form must accompany the medication or we will not be able to administer the medication to your child. A copy of this form is provided in the back of this handbook.

Parents will be asked to sign a medication permission slip for each prescription given, noting time, amount and number of days to be given. Non-prescriptive medications will be given on a doctor’s order only. A teacher trained to administer medication will do so and note time, date and amount given on a medication log. 

In the case we are unable to administer a medication for any reason, a parent or guardian will be contacted immediately.

Storage of Medication

All medication must be in the original container, with the proper device to deliver, legible label and not be expired. Medication prescribed for an individual child must be kept in the original container bearing the original pharmacy label, which shows the prescription number, date filled, doctor’s name, directions for use and child’s name. Parents need to check expiration dates on medications. We reserve the right to dispose of expired medications. For students with diabetes, seizures and severe allergies or asthma, a health care plan must be on file and updated annually or whenever there are changes.

Allergies

If your child has allergies, please discuss them in detail with the teacher and director. For food allergies, a written allergy plan must be signed by parent and doctor prior to the child’s first day of attendance. The allergy plan must be on file and updated every year. The staff of the center will take appropriate precautions. If at any time your child develops an allergy, please let us know immediately.

Food Allergy Conscious

For food allergies we evaluate each student on a case by case basis. We will work with your family to determine the steps we can take to prevent exposure to certain items. Sometimes in certain cases, this may require a family to provide food from home for the child to replace or complete the center provided snack or meal.

Infection Control and Personal Hygiene

Children are encouraged to develop desirable habits of personal hygiene, including washing hands after toileting, diapering and before and after meals. Eating a variety of nutritious foods is also encouraged. In addition to instructing, guiding and teaching children in these tasks, teachers also model positive, healthy personal hygiene behaviors.

Health Consultant

Our health consultant follows the guidelines under the Colorado Nurse Practices Act. The qualifications of a health consultant may include pediatrician, pediatric nurse practitioner or an R.N. or BSN. experienced in childcare health. Our health consultant reviews changes to health policies before implementation.

Pandemic

In the instance of a pandemic, the center will follow any and all requirements issued by the Colorado Department of the Public Health and Environment, Centers for Disease Control and Prevention and Boulder County Public Health. The center will also follow any state, county or city mandated orders. The Children’s Center expects families to follow all requirements and orders as a member of the Children’s Center community. The Children’s Center deserves the right to tighten or strengthen the requirements or recommendations to ensure health and safety of our community.

In the instance the center needs to close to maintain health and safety during a pandemic, families will be notified via email. If the closure is less than 14 days, parents will be asked to pay full tuition during the extent of the closure. If the closure exceeds 14 days, tuition will be ceased.

In the case campus departments begin to close or work remotely due to a pandemic, the Children’s Center closure will be evaluated on a case-by-case basis based on requirements of licensed childcare facilities at that time. The health, safety and the need of child care services will be main drivers in the decision making process to remain open or close.