IXL Learning Center Howell

R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (4) If a center becomes aware that a staff member, volunteer, or child in care has contracted a communicable disease, then the center shall notify parents and provide all of the following information: (a) The name of the communicable disease the children were exposed to. (b) The symptoms of the disease. (c) Prevention measures as recommended by the U.S. Centers for Disease Control and Prevention (CDC) at the following website: htt s: rwww.cdc.aov!DiseasesCond.itions.

On June 27, 2023, I completed an unannounced on-site inspection. I interviewed program director and licensee designee, Ms. Sara Cartwright, licensee designee, Ms. Melissa Sell, and child care staff members (CCSM), CCSM 1, CCSM 2 and CCSM 3, separately. CCSM 4 was absent. Ms. Sell said there have been confirmed cases of hand, foot, and mouth disease (HFMD) in the infant and toddler classrooms. She believes the first case was on June 1, 2023, in the Infant Too classroom. Ms. Sell said children who show any symptoms of HFMD are sent home. They are not allowed to return until the old blisters have scabbed over and no new blisters have formed. Ms. Sell said they do not allow children to return solely based on a physician's note. Before returning to the center, the director screens the child before deciding if the child may return. Ms. Sell said they follow the CDC guidelines and IXL child illness policy. The child care staff members and children are washing hands and avoiding close contact. They have also posted the Livingston County Health Department fact sheet at the entrance of the building and classrooms, which includes the name, symptoms, and preventive measures for HFMD. During the inspection, I received a copy of the child illness policy. The policy states that children with unknown rash, lesions or blisters are excluded from the center until they are no longer contagious. A doctor's note must state the diagnosis, treatment and when the child may return to the center. In the case of hand, foot, mouth or oral thrush, the child must be screened by a director prior to returning. A doctor's note is not accepted. According to the policy: "A child who is experiencing illness related symptoms must follow the table below for exclusion and return guidelines: Other Symptoms for Exclusion: When A Child May Return: • Fever of 101 degrees Fahrenheit or • Fever reduced to below 100 degrees higher Fahrenheit for 24 hours WITHOUT fever reducing medication. • The child has been on antibiotics for at least 24 hours period. • Diarrhea (Three or more watery • It has been 24 hours since the last stools within 24 hours) episode of diarrhea. • Vomiting (Two or more occasions • It has been 24 hours since the last during the past 24 hours). episode of vomiting. • COVID positive individual. • Children must isolate for five days from onset of symptoms or date of positive test result. The child may return on day 6 if symptoms have improved or if they remain asymptomatic. Masking is recommended for day 6 -10 for children ages 2 and older. • Persistent cough: change from the • Coughing is no longer present/ individual's baseline, improved or is not contagious (must have doctor's note stating: Diagnosis, treatment and when child may return to care. • Nasal discharge accompanied with • The nasal discharge is no longer any other symptom; Discharge that is thick, yellow, or green. If the child thick with a yellowish or greenish has been on antibiotics for 24 hours, color is usually an indication of an this does not apply. infection. • An unknown rash, lesions, or blisters. • Rash, lesions, or blisters have subsided or is not contagious (must have doctor's note stating: Diagnosis, treatment and when the child may return to IXL. • In the case of hand foot mouth or oral thrush, the child must be screened by a director prior to returning (doctor's note not accepted). • Eye discharge or pink eye. • Eyes are no longer discharging or is not contagious (must have doctor's note stating: Diagnosis, treatment and when the child may return to IXL. • Lice or nits. • No signs of lice, in any of its forms (the child must be screened by a director prior to returning). • Too tired or ill to participate in normal • Is able to participate in normal activities. activities. Screening: Children will be visually screened as they arrive at the facility. If a child exhibits signs of illness, it will be determined if the symptoms indicate the need for exclusion until remedied. Exclus

View state record

R 400.8155 · R 400.8155 Child accidents and incidents; child and staff illness. (5) A center shall have a written policy detailing when children, staff, and volunteers will be excluded from the center due to illness.

The child care center has a child illness policy. The policy states that children with an unknown rash, lesions or blisters are excluded from the center until they are no longer contagious. A doctor's note must state the diagnosis, treatment and when the child may return to center. In the case of hand, foot, mouth or oral thrush, the child must be screened by a director prior to returning.

View state record

R 400.8380 · R 400.8380 Maintenance of premises. The premises must be maintained in a clean and safe condition and must not pose a threat to health or safety.

The child care staff members are cleaning and sanitizing the toys, chairs, tables, diapering table, furniture, and cribs every day using the three-step method which includes washing, rinsing, and sanitizing with a bleach mixed solution. Toys that can be washed are placed in the dishwasher. Crib sheets are also changed and washed.

View state record