Shelton Preschool




Information compiled from CDC (Centers for Disease Control); DOH (Department of Health); OSPI (Office of Superintendant of Public Instruction) and Mason County Public Health

Illness & Description

Keep a child home when:



The common cold is a contagious upper respiratory infection caused by cold viruses. It is the most frequent childhood illness. Symptoms can last 7 to 14 days. A child with no fever, mild symptoms and otherwise feeling well may be fine at school.


 A child with heavy cold symptoms such as deep or uncontrollable coughing or significant lack of energy belongs at home even without a fever



The flu is a highly contagious respiratory illness caused by influenza viruses and can cause mild to severe illness. A person with influenza can be contagious up to one week after symptoms appear. Children are one of the biggest sources for spreading the flu. To help decrease the spread of regular seasonal flu and novel H1N1 flu


 A child with flu‐like illness (fever and cough) must stay home from school for at least 24 hours after they no longer have a fever or signs of a fever, without the use of fever‐reducing medicine. A fever is defined as a temperature of 100°F or higher.




A mild hacking cough often starts after the first few days of a common cold. A child with mild symptoms, no fever and otherwise feeling well may be fine at school.


A child with deep or uncontrollable coughing belongs at home even without a fever. A child with cough and fever must stay home from school for at least 24 hours after they no longer have a fever or signs of a fever, without the use of fever‐reducing medicine




A child should stay at home until pain free


 Fevers are a common symptom of viral and bacterial infection. Children are likely to be contagious to

others when they have a fever. If there is no thermometer, feel their skin with your hand ‐ if it is much warmer

than usual they probably have a fever. Please do not give your child fever reducing medicine and then send them

to school. The medicine will wear off, the fever will probably return and you’d need to pick them up anyway




FEVER/symptom  FREE for 24 hours


If your child has a fever today, he/she can not go to school tomorrow even if they are fever free!!!


 A child whose only complaint is a mild headache usually does not need to stay home from school.

Complaints of frequent or more severe headaches should be evaluated by a medical provider, including vision

exam if needed


A child with a significant headache belongs at home until feeling better


A rash may be one of the first signs of a contagious childhood illness such as chickenpox. Rashes may cover the entire body or be in only one area and are most contagious in the early stages



Any rash that is not due to allergies or eczema, or that is accompanied by other symptoms


is a contagious bacterial skin infection that usually begins with small fluid filled blisters that cause a honey‐colored crust on skin after bursting. It is important to have these symptoms evaluated by a medical provider because untreated infection can lead to serious complications

24 hours after starting prescribed antibiotics. Blisters need to be cover still!

PINK EYE (Conjunctivitis)

 is a common infectious disease of one or both eyes caused by several types of bacteria and viruses. The eye typically appears very red and feels irritated. There may be drainage of mucous and pus or clear liquid.


24 hours after antibiotics have been started


A child with a mild sore throat, no fever and otherwise feeling well may be fine to attend school

Keep a child at home and contact a medical provider for a severe sore throat and if white spots are seen in the back of the throat, with or without a fever


A significantly sore throat could be strep throat, a contagious illness. Other symptoms may include fever, white spots in the back of the throat, headache and upset stomach. Untreated strep throat can lead to serious complications.

A child diagnosed with strep throat is no longer infectious and can return to school 24 hours after antibiotic treatment has been started


Do not send a child to school with a stomach ache.

If accompanied by vomiting or diarrhea, must be symptom free for 24 hours


Keep a child home if pain is significant


are tiny insects that live only on human scalps and hair. They do not cause illness or carry disease. An

itchy scalp is the most common symptom. Adult lice are reddish brown, about the size of a sesame seed and can

be hard to see. Lice lay nits (eggs) on strands of hair close to the scalp. Nits are easier to see than lice, look like

tiny tan or white dots and are firmly attached to hair. Nits can usually be seen near the scalp behind ears, at the

nape of the neck and under bangs. The most important step for getting rid of head lice is daily careful nit removal

for at least 14 days using a special lice comb and by “nit picking”.



Keep children home for a minimum of 48 hours to effectively treat lice.


Children must be lice and nit free before returning


Keep child home if overly tired or cranky