Sickness Policy

 

Cherish Clinic strives to keep everyone here as healthy and safe as possible. Children do become ill and often at unpredictable and inconvenient times. Many illnesses are contagious and we have to be careful not to unnecessarily expose the children to them.  Together, we can protect your child, other children, families, and therapists. 

 There are a lot of gray areas that surface when a child is feeling less than their best. I ask that each caregiver is overly conservative and think about whether or not their child can benefit from our services.  Below we describe both obvious and gray area guidelines by symptoms and disease.

Major Symptoms

Fever Policy

A common guideline: A fever can be a sign that the body is fighting off an infection. In most child settings, if a child has a fever over a certain temperature (typically 101° F), they will need to be excluded.

Gray area:  If the feverish child has rosy cheeks and watery eyes along with an onset of lethargy, they should be kept home.

When can they return? The child should stay home until they are fever-free for 24 hours without the help of fever-reducing medication.

Vomiting Policy

A common guideline: If a child vomits 2 or more times in a 24-hour period they should stay home..

Gray area:  If there are developmental differences that account for the vomiting, this is exempted.  Some children also experience nausea and vomiting as somatic symptoms of anxiety, this is also exampted. However, please discuss these situations with your service providers. One episode was almost always followed up by another one…and another and another person…

When can they return? The child should stay home until they are symptom-free for 24 hours. Keep in mind, that when a child has been vomiting, they may be exhausted for at least a day with little energy.

Diarrhea Policy

A common guideline: If a child has 2 or more episodes of diarrhea in a 24 hour period they should stay home.

The Gray Area:  If there are developmental milestones or inherent GI challenges causing diarrhea, please communicate with your therapist.   The requirement is that the child can be supported through hygiene, and sanitation by the parents and feels comfortable during the session.   Our clinic currently does not have a changing station. 

When can they return? The child should stay home until they are symptom-free for 24 hours.

Strep Throat

A common guideline: If a child has been diagnosed with strep throat, most physicians will tell you the child needs to stay home until they have been on the medication for 24 hours to reduce the spread of the virus.

The Gray Area: Neurodivergent children are more vulnerable to more severe symptoms of strep, so Cherish Clinic has a strict policy around strep throat.  However, children with PANDA are exempted as it is not contagious. 

When can they return? The child should only return when they are symptom-free for 48 hours.

Major Inquiry

A common guideline: Exclusionary guidelines will be dependent on the type of injury and what is agreed upon between the provider and her client.

When can they return? This answer will be totally dependent on the child and the type of injury.

Minor Symptoms

Running Nose

What’s Up? A runny nose can be a sign of something contagious or simply a symptom of a seasonal allergy. It can be very difficult to distinguish between the two. Here is some helpful information to note about runny noses from healthychildren.org.

The Gray Area: Kids can have runny noses that last for weeks…WEEKS! If a provider requires a family to keep their child home for every cough and sniffle, the child would be stuck at home quite often. 

ND consideration: Neurodivergent children may have difficulty adhering to hygiene routines in terms of not rubbing their noses, using tissues, and washing hands frequently.  For younger children, sometimes the parent can remain and consistently wipe their running nose for them, but older children may find this support too disruptive.

Ask yourself the following questions:

  • Is there anything unusual about the runny nose? Color? Intensity?
  • Is the child lethargic or irritable?
  • Can the child keep up with the daily activities of the program?
  • Does the child’s symptoms pose a risk to the other kids in the program?
  • Can the child consistently adhere to the hygiene routine around having a running nose?
  • What strategies work?
Cough

What’s Up? There are several different types of coughs. Some signal there is something more severe going on while others are a simple symptom of the common cold or allergies.

The Issue: It’s terribly difficult to know the difference. Providers fear that an intense cough from a child who does not know how to cover their cough sufficiently will lead to the spread of the illness.

ND considerations: Some children have a cough that stems from throat-clearing stim or experience prolonged cough symptoms after a cold.

Ask yourself the following questions:

  • Have the child seen by the doctor to rule out anything serious.
  • Is the child miserable, irritable or lethargic?
  • Is he/she able to participate in the program’s daily activities?
  • Can the child cover his/her cough consistently?
  • Consider the well-being of the other kids in the program. Is this cough putting other kids at risk?

COVID

We follow BC’s Public Health Guidance for Communicable Disease Management in  Child Care Settings We encourage our staff and clients to individualize preventative measures around COVID.

Sickness and Payment Policy

 

At Cherish Clinic, our clients have diverse needs and differences.  We encourage families to discuss sick day and cancellation policy together and individualize it to meet the needs of both the family and our service providers.  It is a completely acceptable question for parents to ask whether or not they need to pay for services on a day their child is kept home due to illness.

The default clinic policy around cancellation will still apply to sicknesses unless there are prior arrangements.  In most cases, a family will still need to pay for late cancellation due to illness.

Additional Consideration

Ready More about Cherish Payment Policies.

Funding

Most funding will not pay for no-show or late cancelation and parents may have to pay privately for these absences. 

Termination

Parents can terminate Shay’s service with 48-hour notice before the next session time.

Not sure about the service?

We offer multiple accessible options to communicate with us!