DragonFly
Montessori-based preschool and care

Montessori Pre-school

Managing Health

Children have a higher rate of illness when first enrolled in a new group setting; however, research shows that children who attend preschool acquire a strengthened immune system and experience a lower incidence of illness throughout the elementary school years compared with children who did not attend preschool.

At Dragonfly Montessori, we promote a healthy environment and discourage the spread of diseases in several ways:

  • Staff and children wash hands throughout the day, but especially before handling food or eating and after using the bathroom.
  • Staff is trained in preventative health practices and implements universal precautions as recommended by the Centers for Disease Control and Prevention (CDC).
  • Classrooms, toys and equipment are regularly cleaned and disinfected.
  • Children with communicable diseases or conditions are excluded from school as required by the Health Department.

We can greatly reduce the incidence and severity of illness at Dragonfly Montessori if we work cooperatively to prevent the rapid spread of communicable disease.


Criteria for Child Staying Home – Symptom List

Fever: Child’s temperature is 101F orally, 102F rectally, 100F auxiliary. Child may return after fever has broken for 24 hours. 
Ear Infections:
Fever, or lethargy, nausea, vomiting, loose stools, drainage, irritability, tugging on ears. Child may return when on medication and 24 hours after constitutional symptoms are gone. 
Eye Infections: 
With yellow or green drainage. Child must be on medication for 24 hours and have no drainage before returning. 

Cough: A wet, wheezy cough with mucus secretion. Dry cough with no mucus secretion or vomiting.

Vomiting: With fever, More than 2 times in 24 hours, Appears green or bloody, No urine output in 8 hours, Recent history of head injury, Looks or acts very ill.

Skin infections or rashes, with drainage accompanied by a fever or behavior change. Child may attend with dry lesions.

Lice, Scabies or other Parasites: Child may not return to the center until appropriate treatment and shampoo is complete. 

Other Communicable Infections Child may return when infectious symptoms have subsided and child is feeling better. In some instances, a physician’s release may be required.


A health assessment is made of each child upon arrival. Children showing any signs of illness according to our health policy are not accepted. We discuss health concerns directly with you. If your child shows signs of illness or infection while at the center, the parent will be contacted and the child will be removed from the play areas until he/she is picked up. Parents will be asked to pick up their child immediately, or to designate another adult to pick up the child. Children must be free of symptoms for 24 hours before returning to the center. For example, a child’s fever is gone by 4 p.m. on Day 1. The child must stay home the next day (Day 2) and be free of fever through 4 p.m. on Day 2. The child may return to school the morning of Day 3 if the fever has not returned. This is for the protection of the recovering child whose resistance is low and is just getting well.


Immunizations: We must receive a written record provided by the physician or agency performing the immunizations, or an immunization exemption.

The law allows exemptions for medical reasons or for personal beliefs. The State of Washington requires a separate form be completed by your medical provider, who is licensed to practice in the State of Washington, acknowledging the delay in immunizations. 

If your child is under-immunized for a vaccine-preventable disease, and an outbreak should occur, your child must be excluded from school for the length of time determined by the Washington Department of Public Health.

Parents are required to let us know if a child contracts a communicable disease such as chicken pox, giardiasis, shigellosis, hepatitis, meningitis, or measles. You are notified if your child is exposed to a communicable disease while here.


Medication Policy

  • Teachers have responsibility for seeing that the medication policy is carried out.
  • A safe place in each room, out of reach of children is to be designated “medications storage”.
  • Teachers will personally administer medication. The Teacher will ask the Director to administer medication in her absence.
  • Parents are required to follow this procedure:
    • Bring the exact dose we are to give in the original container, or medication must be measured out in front of lead teacher, a Director, or designee. Travel bottles are available from the pharmacist.
    • Fill out a Parent Request for Medication Administration form, which included explicit instruction for administration, emergency instructions, and signature.
    • Give container to a lead teacher only who is responsible for seeing that the medication policy is followed.
  • Before administering medication, the Teacher will:
    • Verify that the information on the medication container matches the information on the Parent Request for Medication Administration form and
    • Verify that the prescription is intended for the child we are asked to give it to. IT IS AGAINST THE LAW TO GIVE A PRESCRIPTION MEDICATION TO SOMEONE OTHER THAN THE INTENDED PATIENT.
    • Double check to make sure we are giving the medication to the right child at the right time and by the right method.
    • Wash hands before administering medication.
  • After administering the medication, the Teacher or Director will:
    • Complete the appropriate section on the Parent Request for Medication Administration form and
    • Wash hands.
  • In the Event of an adverse reaction to the medication, the Teacher notifies the Director immediately for assistance in following the parent’s emergency instructions.


Managing exposure to blood and body fluids or substances

Exposure is an injury or incident that involves direct skin contact with a body fluid or substance (listed below), where there is compromised skin integrity (such as an open wound, abrasion or dermatitis) or direct mucous membrane contact.

For exposure to skin, the larger the area of skin exposed and the longer the time of contact, the more important it is to verify that all the relevant skin area is intact.


Treatment protocols should include removal of contaminated clothing and thorough washing of the injured area with soap and water. Affected mucous membranes should be flushed with large amounts of water. Eyes should be flushed gently.

The exposed person should have a medical evaluation, including information about medications they are taking and underlying medical conditions or circumstances.

Document the incident and include:

  • date, time and type of exposure
  • how the incident occurred
  • name of the source individual

Exposure incidents will be reported to a general medical practitioner or the emergency department at the nearest hospital.

Evaluation and testing of the exposed person

Depending on the circumstances of the exposure, the following may need to be considered:

  • tetanus immunoglobulin
  • a course of adsorbed diphtheria tetanus vaccine, adult formulation (Td) vaccine
  • Td booster.