Health & Illness

Prevent illness in your child care business

Diseases can spread easily and quickly in child care environments, and children are more susceptible to some illnesses. This is because children have less developed immune systems, may not have received all of their vaccinations, are in close contact with many other children, and are still learning healthy habits.

The Snohomish Health District Child Care Health Outreach program helps child care owners and workers with the challenge of preventing illness and maintaining sanitary child care environments. We offer on-site visits and consultations, distance learning classes, and resources.

Illnesses in child care

When to send a child or worker home: Exclusion guidelines

In group settings, illness can spread rapidly. Child care providers are encouraged to call the Child Care Health Outreach program at Snohomish Health District to discuss guidelines for observing, responding to, and reporting symptoms of illness. Our qualified staff can:

  • Advise on when a child is too sick to be in care
  • Advise on when a child or staff member can return after an illness
  • Provide sample notification letters for specific illnesses
  • Support and educate staff and families during a communicable disease outbreak

Telling public health & parents about an illness

Child care providers are required by law to report certain diseases called notifiable conditions to Snohomish Health District. If the disease is on the list of notifiable conditions, or if there is a cluster of any illness suggesting a possible outbreak, it should be formally reported to the Communicable Disease program at 425-339-5278.

Although some diseases may not require reporting, child care providers are welcome to call for advice. If the disease is not on the list of reportable conditions, or if you are unsure, call our program line at 425-252-5415.

Parents must also be notified when their child has been exposed to a communicable disease. We can provide help with letters home and fact sheets on the various illnesses.

Chronic health concerns

The following forms may be helpful when enrolling a child with a chronic health concern or special need. Call or email for the form.

  • Asthma Plan
  • Emergency Plan for Severe Allergies
  • Individual Plan of Care form

Child care health policies & guidelines

Child care licensing regulations state that every program must have a current, written health policy. Centers and school-age programs must have their policies signed by a physician, physician’s assistant, or registered nurse. 

Our Child Care Center and Family Home Policies have been updated to reflect new WACs that will be implemented in August 2019 (School Age WACs have not changed.)  You can access the health policies through the links below. After opening the document, you may have to click "View" in the top bar on Microsoft Word and select "Edit Document." This will allow you fill out and make selections on the form to customize it for your center.

For Snohomish County child care providers, the Child Care Health Outreach program staff will review and sign your health policy at no cost, provided that you use our most current template.If you are interested, please email us and we can provide you with the correct policy. Once you have finished filling in your policy, email the document back to us. After we review it, we will contact you to set up a time to visit your child care and complete the process.

For out of county child care providers or those utilizing a child care health consultant, this document can only be revised (red font removed, changes made, etc) by a registered nurse or other qualified health care professional. Have your child care health consultant contact our program to obtain editing privileges. 

In addition to a health policy, you may need some or all of the following supplemental policies and forms.

Blood and body fluids: Develop a plan

Child care providers, teachers, or managers may come in contact with blood or potentially infectious body fluids as part of their work with young children. Illnesses such as hepatitis B, hepatitis C, or HIV can be transmitted through blood or certain body fluids. Child care providers must use Universal Precautions to protect themselves from becoming infected. The Washington State Department of Labor and Industries requires child care providers to have a Bloodborne Pathogen Exposure Control Plan to help protect staff. A model policy is included here.

Child care medication management

When children need medicine during the day, child care providers are called upon to make sure children receive them in a safe and effective manner. Giving medication requires organization and planning. Mistakes can be avoided with a few simple guidelines. Child care providers should make sure they have a written medication policy in place which addresses:

  • Bulk medications
  • Communication with families
  • Documentation
  • Medication instructions
  • Special equipment
  • Staff training
  • Steps involved in giving medication
  • Storage
  • Who will give the medication

Helpful Documents