Health & Illness

Health and Children’s Absences

Please notify the teacher if your child is absent for more than one session through illness, infection or holidays. No child should attend the Kindergarten whilst suffering from:

  • Coughs or colds
  • Skin sores of any kind (infectious)
  • Infectious or contagious diseases.

Refer to the full Illness Exclusion table for details of specific conditions and terms of exclusion. This can also be found in the foyer of the Kindergarten or on the Department of Health website: http://ideas.health.vic.gov.au/guidelines/school-exclusion-table.asp

Sometimes your child may have no definite symptoms, but may be very tired or have a slight cold, etc. thus he/she is not in the mood to enjoy pre-school.  On occasions like this, use your judgment as to whether it is best to keep them home.

Health and Wellbeing

When a child attends a group educational setting for the first time it is common for them to catch colds and infections.  Your child may not have been in contact with so many children before. It takes time to build up their immunity to fight everyday infections.  It is our duty to notify parents if their child is unwell and often the child may need to go home.  It is important that you have a back-up carer (friend or relative) at this time if your child becomes ill.  It is imperative that the Centre’s Incident, Injury, Trauma and Illness Policy and Dealing with Infectious Diseases Policy are understood and observed by all parents in order to protect the welfare of the individual child, the group and the staff in general. The full policy documents are available at the Kindergarten.

Immunisation

Under the new ‘No Jab No Play’ legislation, before enrolling a child, early childhood services will have to first obtain evidence that the child is:

  • fully immunised for their age OR
  • on a vaccination catch-up program OR
  • unable to be fully immunised for medical reasons.

‘Conscientious objection’ is not an exemption under the ‘No Jab No Play’ legislation.

Hand Washing

Each child needs to wash their hands before commencing their kindergarten session.  Each child will wash their hands before and after eating, toileting, blowing noses or handling our pets.

Procedures for Dealing with Illness and Emergency Care

If a child becomes ill or is involved in an accident after admission to our Centre, the parents or guardian of the child will be contacted immediately and arrangements will be made for the child to be taken from the Centre as soon as possible.  If it is not possible to contact the parents or guardians, then the emergency contact person nominated on our records will be notified.

In the event of a situation arising where none of these persons can be contacted, the staff will make the child as comfortable as possible until the child can be collected.

If a child is involved in a serious accident or is deemed to be seriously ill, the staff will contact the Ambulance Service immediately.  A committee member will be contacted to accompany the child in the Ambulance, as staff are unable to leave the Centre if other children are present.

Please note that all medical costs are the responsibility of the child’s parent/guardian, not the kindergarten.

It is not possible for the kindergarten to insure the children against accident in the kindergarten.  The kindergarten has public liability insurance only.  Parents may do this personally if they wish.

Medication Administration

A staff member must be informed of any child who is on medication.

When bringing medication to the Centre for your child, the medication book must be completed so that the medication can be administered correctly.  The medication book is kept in the office.  The medicine bottles and packets must be clearly labelled with the child’s name for which it has been prescribed.  Parents must hand all medication directly to a staff member and must not leave any medication in a child’s bag.  The staff will ensure that all medications are stored in a safe place.

No medications can be administered to any child without the written permission of the parent/guardian OR persons authorised to do so on the child’s enrolment form.  Therefore, parents must sign on each day for the medication to be administered or provide permission for long-term medication such as Ventolin or an Epi-Pen via a Management Plan.   Parents must also sign the medication book at the end of each day to acknowledge that the medication has been administered.  If a parent administers any medication to their child on the premises, this also needs to be recorded in the medication book.

It is the responsibility of the parents and the staff members to ensure that the following information is recorded in the Medication Book:

  • Name of the Child
  • Parent/Guardian’s authorisation to administer medication
  • Name of medication and dosage required
  • Time and date the medication was last administered
  • Time/date it or the circumstances under which the medication should be next administered
  • Dosage administered
  • Who administered the medication and signature
  • The time and date the medication was administered
  • Who checked the dosage administered

All medications administered at the Centre will be checked and signed for by two staff members.
Medication will not be administered in the following instances:

  • Medicine is not in the original container
  • “Use By” date has expired
  • Prescription is not made out to your child
  • Stated doses are exceeded

If any doubt exists about medications, written (or in an emergency – verbal) authorisation from your family doctor is required before the staff will authorise the administration of any medication. This may also be required where requests for continual doses of medication are made.

A child cannot attend the Centre for the first 24 hours after commencing antibiotic therapy, unless a doctor’s certificate can certify that the child presents no increased risk of disease transmission.

Infectious Diseases

Chelsea Kindergarten’s Dealing with Infectious Diseases Policy has been formulated to comply with relevant Health and Community Services and Children’s Services Regulations.

The policy is designed to ensure that the maximum levels of protection, health and safety are exercised toward all children in the Kindergarten’s care.

By regulation, all kindergarten staff are to ensure that sick and infectious children and adults do not knowingly enter or remain in the Centre.

Parents/guardians of a child who is not fully immunised will be required to keep their child at home when an infectious disease is diagnosed at the service, and until there are no more occurrences of that disease and the exclusion period has ceased

The Centre must be notified by the start of each session of any child that will be absent due to illness or an infectious disease.  This allows plenty of time to notify attending parents of the disease. Parents will be notified as soon as is practical via noticeboard at the kindergarten, ClassDojo, Facebook page and/or newsletter. If your child becomes ill at home, in fairness to them and others, do not bring them to the Centre.  Also if your child is ill whilst at the Centre, we will contact you to collect your child as soon as possible.

If your child has an infectious disease (e.g. measles, chicken pox) they will have to be away for a set period of time, as set by the Victorian Department of Health (see below).  If your child has an Infectious disease or one of the common illnesses listed below, they will require a written medical certificate before they can return to Kindergarten.

Illnesses/Conditions

If your child displays symptoms of any of the following illnesses or conditions, he/she must be kept away from kindergarten for the set period of exclusion.

Minimum Period of Exclusion from Primary Schools and Children’s Services Centres for Infectious Diseases Cases and Contacts (Public Health and Wellbeing Regulations 2009)

In this Schedule, medical certificate means a certificate of a registered medical practitioner.

[1] Conditions [2] Exclusion of cases [3] Exclusion of Contacts
Amoebiasis (Entamoeba histolytica) Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Campylobacter Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Chickenpox Exclude until all blisters have dried. This is usually at least 5 days after the rash appears in unimmunised children, but may be less in previously immunised children Any child with an immune deficiency (for example, leukaemia) or receiving chemotherapy should be excluded for their own protection. Otherwise not excluded
Conjunctivitis Exclude until discharge from eyes has ceased Not excluded
Diarrhoea Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Diphtheria Exclude until medical certificate of recovery is received following at least two negative throat swabs, the first not less than 24 hours after finishing a course of antibiotics and the other 48 hours later Exclude family/household  contacts until cleared to return by the Secretary
Hand, Foot and Mouth disease Exclude until all blisters have dried Not excluded
Haemophilus influenzae type b (Hib) Exclude until at least 4 days of appropriate antibiotic treatment  has been completed Not excluded
Hepatitis A Exclude until a medical certificate of recovery is received, but not before 7 days after the onset of jaundice or illness Not excluded
Hepatitis B Exclusion is not necessary Not excluded
Hepatitis C Exclusion is not necessary Not excluded
Herpes (cold sores) Young children unable to comply with good hygiene practices should be excluded while the lesion is weeping. Lesions to be covered by dressing, where possible Not excluded
Human immuno-deficiency virus infection (HIV/AIDS virus) Exclusion is not necessary Not excluded
Impetigo Exclude until appropriate treatment has commenced.

Sores on exposed surfaces must be covered with a watertight dressing

Not excluded
Influenza and influenza like illnesses Exclude until well Not excluded unless considered  necessary  by the Secretary
Leprosy Exclude until approval to return has been given by the Secretary Not excluded
Measles* Exclude for at least 4 days after onset of rash Immunised contacts not excluded. Unimmunised contacts should be excluded until 14 days after the first day of appearance of rash in the last case. If unimmunised contacts are vaccinated within 72 hours of their first contact with the first case, or received NHIG within 144 hours of exposure, they may return to the facility
Meningitis (bacteria —other than meningococcal meningitis) Exclude until well Not excluded
Meningococcal infection* Exclude until adequate carrier eradication therapy has been completed Not excluded if receiving carrier eradication therapy
Mumps* Exclude for 9 days or until swelling goes down (whichever is sooner) Not excluded
Pertussis* (Whooping cough) Exclude the child for 21 days after the onset of cough or until they have completed

5 days of a course of antibiotic treatment

Contacts aged less than 7 years in the same room as the case who have not received three effective doses of pertussis vaccine should be excluded for 14 days after the last exposure to the infectious case, or until they have taken 5 days of a course of effective antibiotic treatment
Poliomyelitis* Exclude for at least 14 days from onset. Re-admit after receiving medical certificate of recovery Not excluded
Ringworm, scabies, pediculosis (head lice) Exclude until the day after appropriate treatment  has commenced Not excluded
Rubella (German measles) Exclude until fully recovered or for at least four days after the onset of rash Not excluded
Salmonella, Shigella Exclude until there has not been a loose bowel motion for 24 hours Not excluded
Severe Acute Respiratory Syndrome (SARS) Exclude until medical certificate of recovery is produced Not excluded unless considered  necessary  by the Secretary
Streptococcal infection (including scarlet fever) Exclude until the child has received antibiotic treatment  for at least 24 hours and the child feels well Not excluded
Tuberculosis Exclude until receipt of a medical certificate from the treating physician stating that child is not considered  to be infectious Not excluded
Typhoid fever (including paratyphoid fever Exclude until approval to return has been given by the Secretary Not excluded unless considered  necessary  by the Secretary
Verotoxin producing Escherichia coli (VTEC) Exclude if required by the Secretary and only for the period specified by the Secretary Not excluded
Worms Exclude until there has not been a loose bowel motion for 24 hours Not excluded

Asthma Policy

For children diagnosed with Asthma, parents are required to complete an Asthma Action Plan (see Appendix 7) in consultation with kindergarten staff before your child commences kindergarten. These records ensure that teachers are aware of your child’s needs in the event of an asthma attack.  Information in the plan should be updated if there are any changes to your child’s medication, asthma symptoms or treatment.  Any medication, including Asthma medication, is to be given to staff to store safely during the session – any child with Asthma require reliever medication and a spacer at all times their child is attending the Kindergarten. Parents are encouraged to communicate regularly with educators/staff in relation to the ongoing health and wellbeing of their child, and the management of their child’s asthma.