Which signs indicate a child should be excluded from the classroom due to illness?

• A. Fever, vomiting, diarrhea, contagious rash, or other symptoms per policy
• B. Mild nasal congestion with no fever
• C. A slight scratch
• D. A runny nose for a day with no fever

Answer: (A)

Recognizing illness in a child care setting centers on protecting both the child and everyone else. Fever, vomiting, diarrhea, a contagious rash, or other symptoms specified by the program’s health policy signal that the child could be contagious or not feel well enough to participate safely. Excluding a child with these signs helps prevent spreading illness and allows time for recovery. In contrast, mild nasal congestion without fever, a slight scratch, or a runny nose for a day without fever typically don’t indicate a contagious illness that requires exclusion, though staff should still watch for any changes or worsening symptoms and follow the specific policy. Remember that return-to-care usually follows policy rules, such as being fever-free for a certain period or symptoms resolving before reentry.