Adults are as capable of spreading infectious diseases as children are. The following policy refers to staff members, including cooks who have contact will children or anything with which the children come into contact. These staff members are required to contact their immediate supervisor if they have one or more of the following signs of illness.

The staff member must then be excluded as follows:

Chickenpox – until all lesions have dried and crusted which usually occurs by 6 days after the outbreak.
Shingles – only if the lesions cannot be covered by clothing or a dressing until the lesions have crusted.
Rash with fever or joint pain – until diagnosed not to be measles or rubella.
Measles – until 4 days of the onset of the rash. A note from the doctor is required to return to work.
Rubella – until 7 days after the onset of the rash. A note from the doctor is required to return to work.
Fifth Disease (Parvovirus B19) – Does not require exclusion as the contagious period is usually over by the time the illness is diagnosed. The exception is pregnant staff who are exposed to Fifth Disease at any time during their pregnancy will need to be excluded until we get a release to return to work from the approved workers compensation physician and human resource manager.
Fever – until fever free for 24 hours without the use of fever-reducing medications.
Diarrhea – until the diarrhea resolves. Diarrhea is defined as 3 or more episodes of watery stools in 24 hours or blood in the stools. If E. Coli, Shigella, or Salmonella is isolated in the stool, until diarrhea resolves and there are 2 negative stool cultures.
Vomiting – until vomiting resolves or is determined to be from non-communicable condition such as pregnancy or a digesting disorder. Vomiting is defined as 2 or more episodes of vomiting in the previous 24 hours.
Hepatitis A virus – until 1 week after onset or as directed by local county health department. A note from the doctor is required to return to work.
Pertussis – until 5 days after appropriate antibiotic therapy has been started or as directed by local county health department. A note from the doctor is required to return to work.
Skin Infection
- Impetigo – until 24 hours after treatment has been initiated
- Herpes Cold Sores – staff need not be excluded but shall
  - Cover or do not touch lesions
  - Practice good handwashing
  - Refrain from kissing or nuzzling infants or children
- Boils or infected wounds – must be covered by a dry durable bandage. Cooking Staff must wear a single use glove over the bandage if the wound is on the hand.
Tuberculosis – until non-infectious and cleared by local county health department or a note from their doctor.
Strep Throat or other strep infections – until 24 hours after antibiotic treatment has begun and end of fever.
Head Lice – from the end of the day that lice are found until after all the lice and nits are removed.
Scabies – until after treatment has been completed.
Conjunctivitis – until 24 hours after treatment has been started. Conjunctivitis is defined as pink or red conjunctiva with white or yellow discharge, often with matted eyelids after sleep, and including eye pain or redness of the eyelids or skin surrounding the eye.
Haemophilus Influenza Type b (Hib) – A note from the doctor is required to return to work.
Meningococcal infection – until all staff members and children, for whom preventive antibiotics have been recommended, have been treated. Consult with local county health department. A note from a doctor is needed to return to work.
Respiratory Illness – If the illness limits the staff members ability to provide an acceptable level of childcare and compromises the health and safety of the children (for example: severe coughing, severe tiredness, difficulty breathing)
COVID-19 – until fever free for 24 hours without the use of fever-reducing medications and symptoms are mild and improving.