14 Del. Admin. Code § 938-III-37.0

Current through Register Vol. 28, No. 7, January 1, 2025

Section 938-III-37.0 - Child Health Exclusions

37.1 A licensee may not permit a child who has symptoms of illness listed below to be admitted to or remain at the camp. The child may only return when the symptoms are gone or with documentation from a health care provider, stating the child has been diagnosed and the illness or symptoms pose no serious health risk to the child or to other children. The symptoms for exclusion must include, but not be limited to, the following:

* Temperature of 101 °F or higher without medication accompanied by behavior changes or symptoms of illness;

* Symptoms of possible severe illness, such as unusual tiredness, uncontrolled coughing, unexplained irritability, persistent crying, difficulty breathing, wheezing, or other unusual signs;

* Diarrhea; two or more times of loose stool during the past 24 hours, or if diarrhea is accompanied by fever, exclude for 48 hours after the symptoms end;

* Blood in stools not due to change in diet, medication, or hard stools;

* Vomiting; two or more times in the past 24 hours, or one time if accompanied by a fever until 48 hours after the symptoms end or until a health care provider determines the vomiting is not contagious and the child is not in danger of dehydration;

* Ongoing stomach pain (more than two hours) or off-and-on pain due to a fever or other symptom;

* Mouth sores with drooling;

* Rash with fever or behavior change;

* Purulent conjunctivitis "pink eye" (defined as pink or red conjunctiva with white or yellow eye discharge), until 24 hours after starting antibiotic treatment;

* Scabies, until 24 hours after starting treatment;

* Pediculosis "head lice" or nits, until 24 hours after starting treatment;

* Tuberculosis, as directed by DPH;

* Impetigo, until 24 hours after starting antibiotic treatment and sores are dry;

* Strep throat or other streptococcal infection, until 24 hours after starting antibiotic treatment;

* Varicella-Zoster "chicken pox," until all sores have crusted and are dry (usually six days);

* Shingles, only if sores cannot be covered by clothing or a bandage; if not, exclude until sores have crusted and are dry;

* Pertussis, until completing five days of antibiotic treatment;

* Mumps, until five days after onset of glandular swelling;

* Hepatitis A virus, until one week after onset of jaundice, or as directed by DPH;

* Measles, until four days after arrival of rash;

* Rubella, until seven days after arrival of rash;

* Herpetic gingivostomatitis "cold sores," if the child is too young to have control of saliva; or

* Unspecified short-term illness, not chronic illness, if the child is unable to participate in activities or the camp cannot provide care for this child and the other children.

37.2 Temperatures for children must be taken using a non-glass thermometer orally or under the arm or by forehead scan. Rectal and ear temperatures may be taken only by a licensed health care professional.

37.3 A licensee shall ensure that if a child shows signs of ill health, as listed above, the licensee will remove the child from the group of well children to a separate area.

37.3.1 A licensee shall ensure the child's individual needs for rest, comfort, food, drink, and activity are met until a parent or guardian picks up the child or a health care provider/consultant determines that the illness or symptoms pose no serious health risk to the child or to other children.

37.3.2 A licensee shall ensure all items used by an ill child, including rest equipment, bedding, utensils, and toys are cleaned with soap and water and then disinfected before being used by another child.

37.4 A licensee may permit a child to return to the camp when the symptoms are gone, documentation from the child's health care provider states the child has been diagnosed and the illness or symptoms poses no serious health risk to the child or to other children, or the child does not have symptoms for exclusion as listed in the camp's written health exclusion policy.

37.5 A licensee shall ensure parents or guardians are notified when their child has been exposed to a contagious disease or condition.

37.6 A licensee shall report a reportable communicable disease to DPH. For information on these diseases, the licensee shall contact DPH or refer to their website (currently listed as http://www.dhss.delaware.gov/dhss/dph/dpc/rptdisease.html).

37.7 A licensee may not permit a child with a reportable communicable disease to be admitted to or remain at the camp, unless the child's health care provider documents the child has been evaluated and the disease poses no health risk to the child or to others or DPH has advised that the child is not a health risk to others. If the health care provider states the child may return and DPH says the child cannot return, the licensee shall follow DPH's instructions.

37.8 When a health care provider diagnosed a child as having a reportable vaccine-preventable communicable disease, a licensee shall exclude all children not immunized against the disease following DPH's instructions.

14 Del. Admin. Code § 938-III-37.0

25 DE Reg. 172 (8/1/2021) (final)