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Introduction: Nationwide, 61% of children under age five are enrolled in a form of non-parental care. Problems arise when a child becomes sick and is not able toattend daycare or has to be sent home. Parents must either miss work to care for their child or find someone else to care for them. Since there is stress surrounding taking time off, and because the criteria used to exclude children from child care can be ambiguous, parents may feel that their child doesn’t need to be sent home. Each child care provider has to set up exclusion criteria that meet state licensing requirements. The American Academy of Pediatrics (AAP) developed exclusion guidelines specifically for childcare settings in 2006, but most daycare providers and pediatricians are unaware of its existence. Conflicts occur when there are differences in opinion on the child’s health status between the child care provider and the parents or the child’s pediatrician.


Jillian Sullivan, MD, Vermont Children's Hospital at Fletcher Allen Health Care

Meghan Flanders, Child Care Resource


Child Care Resource


Educational and Community-Based Programs, Maternal, Infant, and Child Health

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 3.0 License

Chittenden County Child Care Providers & Conflict Implementing Sick Child Guidelines