Current through Register Vol. 54, No. 44, November 2, 2024
(a)
Sections 27.71-27.75 apply to child care group
settings, with the exception that readmission of excluded persons as provided
in those sections, as well as provided in this subsection, shall be contingent
upon a physician verifying that the criteria for readmission have been
satisfied. The following conditions and circumstances also govern exclusion
from and readmission to a child care group setting of a child, or a staff
person, including a volunteer, who has contact with children attending the
child care group setting:
(1)
Meningococcal meningitis or meningococcemia. Until made
noninfective by a course of rifampin or other drug which is effective against
the nasopharyngeal carriage stage of this disease, or otherwise shown to be
noninfective.
(2)
Haemophilus influenzae (H. flu) meningitis or other invasive H. flu
disease. Until made noninfectious by a course of rifampin or other
drug which is effective against the nasopharyngeal carriage stage of this
disease, or otherwise shown to be noninfective.
(3)
Persistent diarrhea.
Until resolved or judged to be noninfective when associated with any of the
following:
(i) Inability to prevent
contamination of the environment with feces.
(ii) Fever.
(iii) Identified bacterial or parasitic
pathogen.
(4)
Fever in children younger than 4 months of greater than 101° F.
rectally or 100° F. axillary; in children 4-24 months of greater than
102° F. rectally or 101° F. axillary. Until resolved or judged
to be noninfective.
(5)
Hepatitis A, viral hepatitis unspecified, or jaundice of unspecified
etiology. Until 1 week following the onset of jaundice, or 2 weeks
following symptom onset or IgM antibody positivity if jaundice is not
present.
(6)
Shigellosis. Until the etiologic organism is eradicated. See
§
27.158 (relating to special
requirements for shigellosis).
(7)
Typhoid fever or paratyphoid fever. Until the etiologic
organism is eradicated. See §
27.159 (relating to special
requirements for typhoid and paratyphoid fever).
(8)
Exposure to an individual with
meningococcal disease. Until the institution of treatment with
appropriate antibiotic to eradicate the nasopharyngeal carrier state, or until
proven noninfectious with nasopharyngeal cultures, or until 30 days following
the exposure. Exclusion shall be postponed, until the second day following
notice that exclusion will be required, to give the individual sufficient time
to arrange for institution of appropriate antibiotic
treatment.
(b) To
facilitate the proper exclusion of sick children and staff, the caregiver at a
child care group setting shall arrange for the following:
(1) Instruction of staff, including
volunteers, regarding exclusion and screening criteria that apply to themselves
and attending children.
(2)
Instruction of parents and guardians regarding exclusion criteria and that they
are to notify the caregiver within 24 hours after it is determined or suspected
that a child has an illness or condition for which exclusion is
required.
(3) Followup after
exclusion of a child by staff at the time the child is brought to the child
care group setting to ensure that the condition which required exclusion has
been resolved.
This section cited in 28 Pa. Code §
27.77 (relating to immunization
requirements for children in child care group
settings).
