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Health Exclusions

When should you keep your at child home?


If your child gets sick, it is often most appropriate to keep him/her home from school.  A child who is sick will not be able to perform well in school and is likely to spread the illness to other children and staff.  Please make arrangements for childcare ahead of time so you will not be caught without a place for your child to stay if he/she is ill.

Our school policy states that you should not send your child to school if he/she has:

  • Fever of 100 degrees or more
  • Vomiting or diarrhea
  • Undiagnosed rash
  • Persistent cough
  • Open or draining lesions
  • Inflamed, itchy, red, or draining eyes
  • Presence of live lice in the hair
  • Suffering from a reportable disease as defined by the Texas Board of Health
  • Undiagnosed scaly patches on the body or scalp


If your child becomes ill at school and the school nurse feels the child is too sick to benefit from school or is contagious to other children, you will be called to come and take him/her home from school. 

Please Note!

It is essential that your child’s teacher and nurse have a phone number where you can be contacted during the day and an emergency number in the event you cannot be reached.


 Please be sure that arrangements can be made to transport your child home from school and that childcare is available in case of illness.  If your daytime or emergency phone number changes during the year, please notify your child’s school immediately.



Specific Conditions and Requirements



If your student has a temperature of 100 or greater, please keep them at home.  He/she must be fever free for 24 hours without the use of antipyretics (Tylenol, Motrin, etc.).



Please allow your student to stay home if they vomit during the night or in the morning before school.



Episodes of diarrhea, whether infectious or non-infectious, are a source of E-Coli which could be transmitted quickly and with consequences in a communal environment.  Health concerns exist for the student, classmates, and the caregivers.  When such instances occur, the parents of the student will be asked to keep their student at home until he/she is without further episodes for 24 hours.


Bacterial Infections

If your student has been prescribed an antibiotic for illnesses such as strep or pink eye, please allow them to complete 24 hours of antibiotic treatment before returning to school.



Both “pink eye” and allergic conjunctivitis present with red/pink, itchy, watery eyes.  However, when a bacterial infection is present, the eyelids are often swollen and red:  the discharge is purulent and causes a crust to form during the night.  A person will often complain of itching, burning, and pain.  When these symptoms are present, the student must be excluded from school until the condition has been under a physician’s treatment for 12-24 hours.  The eye must not be patched.  It is advised that bed linens be changed and washed in hot water.


Strep Throat

Strep throat will often present as a severe sore throat not proceeded by nasal drainage.  It is common for the individual to have a high fever, complain of neck pain or a stomach ache and generally feels very ill.  When these symptoms are present, the student must be excluded from school until the condition has been under a physician’s treatment for 12-24 hours.



The student will present with fever, headache, sore throat, cough, chills, stomach ache, and muscle aches.  Flu is spread by coughing, sneezing, and any direct contact with nose or throat discharges.  It is also air borne.  Flu may last 2-7 days.  The student should be kept at home until the symptoms and fever subside.


Viral Meningitis

The student will present with sudden onset of fever, headache, usually with some vomiting.  The student may return to school when the fever subsides.  With Bacterial Meningitis, the student will experience a sudden onset of high fever, headache, and stiff neck, usually with some vomiting.  The student must have written permission from the doctor to return to school.  Family members and close contacts may be treated prophylactically.


Chicken Pox

Students will present with fever and rash consisting of blisters that may appear first on the abdomen/chest then spread to the body.  Students are excluded from school until blisters have “scabbed” over.


Fifth Disease

Students will present with redness of the cheeks (slapped face appearance) and body.  There may be a low grade fever and students should be excluded until fever subsides.  Pregnant women should be cautious, especially in the first trimester.



Pertussis presents with a low grade fever, runny nose, and cough that may last 2 weeks, followed by a paroxysmal coughing spell “whoop” sound.  Students should be excluded until the completion of 5 days of antibiotic therapy.


Head Lice

Students found to have evidence of live lice must be excluded from school.  They may be readmitted after having been treated with a pediculicide shampoo.  These students must be cleared by the health care assistant or school nurse before entering the classroom.  Please make sure all nits are cleared as well.  A second pediculicide shampoo treatment must be done 7-10 days after the first.


Physical Screening

As required by state law, the following health appraisals will be conducted on students of CCISD:

  1. Vision and Hearing screenings will be conducted on all students in grades Pre-K (4 yr olds), K, 1st, 3rd, 5th, and 7th as well as all students who are new to Texas.  If problems are found, a parent/guardian will be notified by letter, phone, or email.
  2. Spinal screenings will be conducted on all 5th and 8th grade students.  If medical problems are found, parent/guardian will be notified by letter, phone, or email.




No medication will be given without a signed authorization from a parent/guardian and a prescription or letter from a doctor licensed in the state of Texas.  This includes all prescription and over-the-counter medicines.  Prescription medications and over-the-counter medications must be in the original containers.  The school does not furnish medications.



These guidelines are meant to serve in the best interest of all the children here at House Creek Elementary School.  Our health program information is located in the CCISD Student Handbook.  If you have questions or concerns, please do not hesitate to call.




Nurse's Notes does not contain medical advice. The contents of this website, such as text, graphics, images and other material are intended for informational and educational purposes only and not for the purpose of rendering medical advice. The contents of this website are not intended to substitute for professional medical advice, diagnosis or treatment. Please consult your physician for personalized medical advice. Always seek the advice of a physician or other qualified healthcare provider with any questions regarding a medical condition.

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Contact Information

House Creek Elementary
351 Lutheran Church Road
Copperas Cove, Texas 76522
Phone: 254-518-3000