Medical Information

All controlled substances must be brought in by the parent or guardian and in the original prescription bottle. Controlled substances must be counted by the parent and a staff member before it is left with the staff.

Please keep your children home for:

• A health-care professional has diagnosed the child with a communicable disease, and the child does not have medical documentation to indicate that the child is no longer contagious.
• Signs of possible severe illness, including unusual lethargy, irritability, persistent crying, and difficult breathing.
• Uncontrolled diarrhea, defined as an increased number of stools compared with the child’s normal pattern, with increased stool water and/or decreased form. Even one diarrhea incident may require exclusion if it is not contained by the child’s underwear or if it is combined with other symptoms. Exclude until symptoms have disappeared for 24 hours.
• Vomiting two or more times in the previous 24 hours unless the vomiting is determined to be due to a non-communicable condition and the child is not in danger of dehydration. Exclude until symptoms have disappeared for 24 hours.
• Mouth sores with drooling unless the child’s physician or local health department authority states the child is non-infectious.
• Rash with fever or behavior change, until a physician has determined the illness not to be a communicable disease.
• Generalized Rash
• Oozing wounds that cannot be kept dry and covered
• Purulent conjunctivitis defined as pink or red conjunctiva with white or yellow eye discharge, often with matted eyelids after sleep, and including a child with eye pain or redness of the eyelids or skin surrounding the eye. May return 24 hours after treatment begins and symptoms have disappeared.
• Infestation (e.g. scabies, head lice), including possible infestation if it may return after treatment. It is necessary for the clinic personnel to check for continued infestation upon child’s return to school.
• Impetigo, until 24 hours after treatment begins.
• Streptococcal pharyngitis, until 24 hours after treatment has been initiated, and until the child has been fever free for 24 hours.
• Pinworm and Ringworm infections, until 24 hours after treatment begins.
• Chicken Pox, students should fever free for 24 hours, and have no new lesions for 24 hours. Lesions must be crusted over.
• Other conditions or symptoms as determined in the sole discretion of the administration at PASAR.

Please inform us immediately if your child has been diagnosed with any communicable diseases: including strep throat, pink eye, lice, pinworms, chicken pox. In general, policies developed by the American Academy of Pediatrics/American Public Health Association pertaining to the exclusion of children with other contagious diseases will be followed.

Specific Conditions that May Not Require Exclusion (At the Sole Discretion of PASAR)

• Children who have a type of germ in their bowel movement or urine that can cause disease, but that is not giving any symptoms to the child whose stool or urine contains the germ.
• Children with conjunctivitis (pink eye) who have a clear, watery eye discharge and do not have any fever, eye pain, pus coming from the eye, or eyelid redeness.
• Children with a rash, but no fever or change in behavior (must be released by a physician).
• Children with cytomegalovirus infection, carriers of hepatitis B and HIV infection.
• Children with a clear nasal discharge not accompanied by other symptoms; however, please note that cloudy, yellow, or green nasal discharge can be a sign of infection and can lead to exclusion from group care.

Medical Emergencies

In case of a medical emergency in which a person or child is suspected of needing CPR assistance, the front office staff must be immediately notified. The AED team will check the victim and act according to guidelines. If 911 is called the PASAR staff will direct the medical personnel to the victim.  The Site or Assistant Site Manager will call District Security and parents after making the 911 call. The AED equipment (housed near the Nurse’s office) is available for use until the ambulance arrives.  The EMS will decide whether or not to transport.

Please remind your children of cough and sneeze etiquette:

• Cough or sneeze into a Kleenex or sleeve and not into hands
• Always wash hands for 20 seconds or the equivalent of happy birthday twice
• Proper hand washing technique (vigorous friction rub for 20 seconds with soap and rinse with water).

Procedure for Management of Illness

Some communicable diseases must be reported to public health authorities so that control measures can be implemented. A list of these diseases can be found on the communicable disease chart in the Minimum Standard Rules for Licensed Child Care Centers. A complete copy of the Minimum Standard Rules is available for review on the Texas Department of Family and Protective Services website. Notify the Site Manager if your child’s physician determines your child has a reportable disease.

PASAR staff may not administer routine, daily injectable medications. Emergency medications will be administered as directed by the student's physician and current medical care plan. If your child requires any special considerations for daily medical needs, for the safety and welfare of your child, it will be necessary to discuss these with the Coordinator of PASAR to ensure he or she can be reasonably accommodated before admission to the program.

When contagious illnesses, such as flu, chicken pox, etc., appear in a class, notices will be posted on the bulletin board and/or an email message will be sent to all parents. The ill child’s identity will not be revealed in any posted or emailed notices. Physician release may be required upon request in order to allow the student to return to the Center upon diagnosis of one of these illnesses or any other illness, as determined by the Center administration. The child, who has not received the required immunizations for reasons of conscience, including religious beliefs, may be excluded from PASAR in times of emergency or epidemic declared by the commissioner of state health services. See Plano ISD Board of Trustees Policy FFAB (LEGAL).

Medication will be administered in compliance with Plano ISD Board of Trustees Policies FFAC (LEGAL) and FFAC (LOCAL), and related District procedures and guidelines. Students who have special medical needs must complete a “Medication Request Form (HS 001, Sp. Ed. 0028)” giving permission to administer needed medications (inhalers, pills, etc.).