Childcare Illness Policy

The Butler YMCA Child Care Centers follow the protocols put forth by the American Academy of Pediatrics (AAP); Caring for Our Children, 3rd Edition; National Health and Safety Performance Standards: Guidelines for Early Care and Early Education Programs.

How to I determine if my child should stay home from care? 
  • The child has any of the following conditions: fever, lethargy, irritability, persistent crying, difficult breathing, or other manifestations of possible severe illness
  • Fever is defined as having a temperature of 101°F or higher taken axillary (armpit) with behavior change or other symptoms. An unexplained temperature above 100°F axillary in a child younger than 4 months should be medically evaluated. (For example, an infant with a fever but behaving normally on the day after an immunization that is known to sometimes cause fever does not require exclusion. (Exception: any infant younger than 2 months with a fever should receive medical attention within an hour.)
  • Vomiting once during the previous 24 hours, unless the vomiting is determined to be caused by a non communicable condition and the child is not in danger of dehydration.
  • Conjunctivitis (defined as pink eye or red conjunctivitis with white or yellow eye discharge, often with matted eyelids after sleep and eye pain or redness of the eyelids or skin surrounding the eye.) Exclude until examined by a physician and approved for readmission, with treatment.
  • Diarrhea 2 loose bowel movements within a close time frame. (1-2 hours or less)
  • Body rash with fever or any untreated infected rash
  • Sore throat difficulty swallowing, swollen glands.
  • Severe coughing child gets red or blue in the face or makes high-pitched whooping sound after coughing. 1
  • Evidence of lice, scabies, or other parasitic infestation
  • Illness that prevents the child from participating comfortably in program activities. Child is irritable, continuously crying, or requires

Please note: We will attempt to reach parents by phone before requiring a sick child be excluded from care, whenever possible. Some illnesses are sudden and this may not always occur. An “update” phone call may enable you to make alternate arrangements if your child does need to be excluded from care.

We will NOT administer fever reducing medication to keep a child’s fever below 101°F in order to stay in care. 

Certain conditions do not require children stay out of childcare unless recommended by the child’s health care provider or the public health department.


When can my child be admitted back into the Butler YMCA Child Care Center?
  • Child has been symptom free for 24 hours = one full day.
    • without over the counter medicines (Acetaminophen or Ibuprofen)
  • Vomiting has stopped for 24 hours (one full day) and child can eat and keep food down.


If your child was seen by a physician: 

  • Please provide a note from the Doctor saying the child is not contagious and may return to care.
  • Antibiotics prescribed and 2 doses given, with a note from the Doctor stating child may return after 2 doses.

Signup for Newsletter

Receive our latest updates by signing up our newsletter!

 Copyright © 2011 - 2021 YMCA of the USA. All rights reserved.



Website by