Sunstone Sick Policy Reference Guide
If your child is ill, please email campus attendance and your child’s Guide with symptoms and any test results so that we can alert other families of contagious conditions and take preventative measures in the classroom.
- Milwaukie Email: milwaukieattendance@sunstonemontessori.org
- Woodstock Email: woodstockattendance@sunstonemontessori.org
24 Hour Rule
Children with communicable diseases (including respiratory viruses, serious colds, sore throats, persistent coughs, rash, conjunctivitis/excessive eye discharge, excessive mucus, and other conditions) or had a fever over 100.4 degrees, must be kept at home until they are symptom free and fever free without medication for 24 hours.
48 Hour Rule
Children who have vomited, where there is no explanation for the vomiting, and/or had diarrhea must be kept at home until they are symptom free and fever free without medication for 48 hours.
When to Stay Home?
Updated 4-23-26 (Measles)
| Illness | Symptoms | How Long to Stay Home | When to Send Back to School |
| Fever | A temperature of 100.4° Fahrenheit or higher | 24 Hour Rule | 24 hours fever free without medication |
| Diarrhea | Loose or watery stools OR not able to control bowel movements | 48 Hour Rule | 48 hours after diarrhea resolves |
| Vomiting | Nausea, stomach cramps, and/or excessive salivation, followed by the forceful expulsion of stomach contents | 48 Hour Rule | 48 hours after last episode of vomiting |
| Severe or Persistent Coughing | A persistent cough that is not yet diagnosed and cleared by a licensed healthcare provider OR any acute (non-chronic) cough illness that is frequent or severe enough to interfere with participation in usual school activities | 24 Hour Rule | After symptoms have significantly improved and the child is able to participate in usual school activities without interference |
| New Difficulty Breathing or Abnormal Wheezing | Feeling unable to catch their breath, gasping for air, breathing rapidly or shallowly, breathing with extra effort such as using muscles of the stomach, chest, or neck | 24 Hour Rule | After symptoms have significantly improved and the child is able to breathe comfortably |
| Measles: We follow the guidance of the Multnomah County Health Department | 7-14 days after contact with the virus: High fever (may spike to more than 104°) Cough Runny nose Red, watery eyes (conjunctivitis) 2-3 days after symptoms begin: Tiny white spots (Koplik spots) may appear inside the mouth two to three days after symptoms begin. 3-5 days after symptoms begin: Measles rash appears 3 to 5 days after the first symptoms. It usually begins as flat red spots that appear on the face at the hairline. They then spread downward to the neck, trunk, arms, legs, and feet. | Until asymptomatic | Individuals up to date on vaccination: When asymptomatic Individuals NOT up to date on vaccination: If a person at school develops measles who is not up to date on their MMR vaccine and was potentially exposed to the case, must be excluded from school for 21 days after the last date of attendance for the last measles case (OAR 333-019-0010). This includes those who have a medical or nonmedical exemption. People excluded from school after a measles exposure are asked to stay home to avoid exposing others in the community. After the 21 day exclusion, they may return to school when asymptomatic. |
| Hand, Foot, Mouth Disease (HFMD) | Fever, reduced appetite, sore throat, skin rash or blisters in mouth, palms of hands or soles of feet. Rash or blisters may be on other parts of the body. | 24 Hour Rule We prefer blisters to be dry and scabbed over prior to returning to school and we do ask that any open sores be securely covered with a bandage. | 1. 24 hours fever free without medication and 2. Feel well enough to participate in class, including outdoor play and 3. Have no uncontrolled drooling with mouth sores and 4. Blisters/Sores are dry and scabbed over or can be completely covered with a bandage |
| Bacterial Conjunctivitis: Red eyes with colored drainage | Eye redness, itchy eyes, discharge (yellow), and/or crusting of eyelids or lashes | 24 Hour Rule | Students may return once asymptomatic or after being on antibiotic eye drops for 24 hours |
| Viral Conjunctivitis: Watery/muciferous (clear to whitish) drainage | Eye redness, itchy eyes, discharge (watery) | Until asymptomatic | Students may return once asymptomatic or with written clearance from a licensed health care provider |
| Strep Throat | Sore throat, fever, swollen, red tonsils, tender neck glands, headache, and/or abdominal pain or nausea | 24 Hour Rule | Students may return once asymptomatic or after being on antibiotics for 24 hours |
| Impetigo | Honey-crusted sores, often around the mouth and nose | 24 Hour Rule | Students may return once asymptomatic or after being on antibiotics for 24 hours and the sores are dry or can be completely covered with a bandage |
| Head Lice | Scalp itch, nits (eggs) on hair, visible lice | Students will be sent home immediately if any nits or live lice (nymphs or adults) are found | Students with lice and/or nits are required to be treated. Whether you treat at home or by a professional, we need a professional lice removal clinic to check and clear your child before they return to school. |