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The Little School Sickness, Medication and Biting Policy

Safety and good health for your infant/toddler are of great importance to The Little School in order for your child to be able to fully participate and benefit from the program. Therefore some guidelines have been provided on when to keep your child home, when your child may return to the program, and how to facilitate medication administration. These guidelines are state regulated and will be followed closely. As a reminder to parents, in order to ensure the safety and health of all the The Little School’s participants, each child attending must have up-to-date immunizations before being allowed to attend and all forms must be updated annually.

There will be times when your child is too ill to attend the The Little School’s program.  If you do get a call to pick up your child due to illness, pickups should be within thirty/forty-five minutes of being called.   Please be sure to have a local backup person designated for pick ups if you can not get to Little School within that time frame. The following symptoms will help you determine whether or not your child should stay home.



A temperature of 100.5 degrees or higher is considered a fever. If your child has had a fever within a 24 hour period, he/she should stay home. For example, at bedtime your child has a fever of 100.6 degrees, received Tylenol, and in the morning awakes with a temperature of 97.6. Keep your child home. Although the temperature is low in the morning, the child can still expose others to infection and still may develop a fever later in the day. Fever reducers, while effective in lowering temperatures, only mask underlying infection, and does not remedy the child’s illness. Please be sure your child is fever-free, without the use of fever reducers, for 24 hours before allowing him/her to return to school.

Vomiting and Diarrhea

Vomiting and/or diarrhea, with or without fever, within the past 24 hours are indications that your child should stay home. He/She can be weakened from these symptoms and unable to participate fully in the program, thus making him/her more susceptible to other infections. Furthermore, in a daycare setting, vomiting and diarrhea can be very contagious. We do recognize that Little School children are being introduced to new foods, teething and are very oral at this time and will take this into consideration before making the decision to send your child home. Please keep your child home until he/she has been without vomiting and/or diarrhea for a full 24 hours. Your child will be sent home from school if he or she has three loose bowel movements while at school, or vomits. If your child is taking antibiotics or if he/she has a change in their diet please communicate this with us in case diarrhea, loss of appetite, rash or vomiting symptoms were to appear.

Red, Swollen, Draining Eyes

If your child wakes up with his/her eye(s) stuck together with greenish discharge, red or swollen, are painful and/or itchy, he/she should remain home and be evaluated by her physician as soon as possible. Your child could have “pink eye,” which is contagious and does require treatment.

When you suspect any type of illness/infection

Should your child be experiencing symptoms not mentioned that may or may not be contagious, please feel free to call the nurse in helping with the decision to send your child to daycare or keep him/her home. You will be advised on how to proceed.

Extreme Tiredness/Loss of Appetite

This is a sign that illness is lingering or starting for your child. He/She may or may not have a fever and is not acting like his/her usual self. Give him/her a day at home to get back on his/her feet and eating normally before he/she returns to the program.

Moderate and Severe Cold Symptoms

If your child’s nose is draining a great deal, has a persistent cough, and generally is not acting like or feeling like his/her usual self, he/she needs to remain home. Not only will he/she benefit from rest, cold medicine, and fluids by staying home, but your child also won’t give his/her cold to the other children and staff.

Your child may return to The Little School’s program after illness when:

  • Fever-free for the past 24 hours without needing Tylenol or Ibuprofen.
  • No vomiting or diarrhea within a 24 hour period.
  • Appetite and activity level have returned to normal or close to normal.
  • Cold symptoms are mild enough so as not to interfere with participation in the school day or infect others.
  • Has been on antibiotics for at least 24 hours and is feeling well enough to participate in a full program, including outdoor time.
  • A doctor’s note accompanies your child if he/she is sent home with red eyes AND green or yellow discharge. All others do not need to be excluded or seen by a doctor or treated unless there is an outbreak.
  • The school nurse can request a note from the doctor for any illness before returning to school.


In order for your child to receive prescription or over-the-counter (OTC) medication, a medication form must be filled out and left with a daycare provider.

  • All medication must be stored in its original container and clearly labeled with your child’s name.
  • Prescription medications must have a signed note from the doctor stating the name of the medication, dosage, time, and route to be administered.
  • All medication must be checked in with a daycare provider. It is against The Little School's policy to let children carry or administer their own medication.
  • All medications will be administered by discretion of the school nurse. Tylenol and Ibuprofen will not be given if staff suspects its use is to mask your child’s fever. If your child has a fever before entering The Little School, keep him/her home.

The Little School Biting Policy

Biting is an age appropriate developmental stage, a concern that is not uncommon among toddlers and two year olds. At the Little School, we recognize that biting is as normal and natural as toileting and tantrums, yet we accept that it is our responsibility to provide and maintain a safe environment for all children. This policy has been developed to enhance children’s safety by summarizing the steps that will be taken in biting situations:

When Biting Does Occur:

For the Child that was bitten:

1. First aid will be given to the bite. If the skin is broken, the bite will be examined by the nurse and covered with a bandage.

2. Parents will be notified immediately if the skin is broken otherwise they will be notified at pickup time.

3. An incident form will be filled out documenting the incident.

For the child that bit:

1. The child will be removed from the situation and told that biting is not allowed. Very little attention will be given to the biter concerning this action.

2. The parents will be notified at pick up time. Parents will also be notified about biting attempts.

When Biting Continues:

1. The child will be observed and occurrences and behavior will be documented. Staff will shadow the biter to try to prevent the behavior from occurring and look for patterns in this behavior.

When Biting Becomes Excessive:

1. If a child inflicts 2 bites in a one week period (5 weekdays) in which the skin of another child is broken or bruised or the bite leaves a significant mark, a conference will be held with the parents to discuss the child’s behavior and how the behavior may be modified. Keeping consistency at both home and school will allow us to work together to reduce the amount of biting.

2. If the child again inflicts 2 bites in a one week period (5 weekdays) the child will be asked to remain at home for 2 contracted school days.

3. If the child again inflicts 2 bites in a one week period (5 weekdays) the parents will be asked to make other child care arrangements for their child.

If a child goes through all of the steps above and goes more than 3 weeks without biting we will go back to step 1 if the child bites again.

Please complete the form below to indicate that you have read and understand the above policies. Thank you









© 2014 Lincoln School | 301 Butler Avenue | Providence, RI 02906 | Ph: (401) 331 9696 | Fax: (401) 751 6670 
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