The student should be excluded from school under the following conditions:

A  If the student has one or more symptoms even if it is mild or has resolved, the student should stay home, self-isolate, and get tested or contact their health care provider.
B  If anyone in the student's household has one or more COVID-19 symptoms the student should also stay home, self-isolate and follow instructions from public health.*
C  If the student has been in close contact with a person who has COVID-19 they will need to stay home and self-isolate for 10 days, even if they don't have symptoms, and even if they test negative.*
D  If the student has travelled outside of Canada they must self-isolate for 14 days if they do not qualify for a federal quarantine travel exemption.**
E  Anyone who is sick or has any symptoms of illness should stay home and seek assessment from their health care provider if needed.

*Those who are fully vaccinated and/or who have had a previous recent COVID-19 infection may not need to self-isolate if they do not have symptoms.

**If fully vaccinated they may be exempt from federal quarantine. If not fully vaccinated, they are not to attend school/child care for 14 days, even if they traveled with a vaccinated companion. See federal requirements: Group Exemptions, Quarantine Requirements under the Quarantine Act.


Student has symptoms and is not a close contact of someone with COVID-19

  • If the student has any new or worsening symptoms, they must stay home, self-isolate, and get tested or contact their health care provider, even if the symptom has resolved.
  • Anyone in the household must stay at home until the student/child showing symptoms tests negative, or is cleared by the public health unit, or is diagnosed with another illness. Household members who are fully vaccinated or have had a previous recent COVID-19 infection are not required to stay home.


Student has symptoms and tests positive for COVID-19

  • The student must stay home and self-isolate for 10 days, starting from the day the symptoms started.
  • The student may return to school on day 11 if they do not have a fever (without use of medication), and their symptoms have been improving for at least 24 hours (48 hours for nausea, vomiting, diarrhea).
  • Even if the student does not have symptoms they must stay home and self-isolate for 10 days from the day of the test.
  • Household members and close contacts who are fully vaccinated or have had a previous recent COVID-19 infection are not required to self-isolate.


Student has symptoms and tests negative for COVID-19


  • The student may return to school if their symptoms have been improving for 24 hours (48 hours for nausea, vomiting or diarrhea), and if they are not a close contact of someone with COVID-19
  • If they have travelled outside Canada and are exempt from federal quarantine, they can return to school if symptoms are improving.
  • Household members can return to school right away as long as they do not have symptoms.


Student has symptoms, is not a close contact of a positive case, and is not tested for COVID-19

  • If the student has symptoms of COVID-19 that are not related to an existing medical condition and they are not tested, they must stay home and self-isolate for 10 days from the date their symptom(s) started. The student can return to school after 10 days if they do not have a fever (without taking medication), and their symptoms have been improving for 24 hours (48 hours for nausea, vomiting, diarrhea).
  • Household members who are not fully vaccinated or have not had a previous recent COVID-19 infection must self-isolate until the student with symptoms gets a negative COVID-19 test or 10 days have passed.​


Student has symptoms and has an alternative medical diagnosis. Not tested for COVID-19

  • Students who have symptoms, but have been given an alternative diagnosis by a health care provider (not related to COVID-19), may return to school if their symptoms have been improving for 24 hours (48 hours for nausea, vomiting, diarrhea).
  • A student who is ill or has multiple symptoms of illness that could be COVID-19 should be tested for COVID-19 or seek assessment from their health care provider.
  • Household members can return to school right away as long as they do not have symptoms


Student has been in close contact with someone with COVID-19 and has no symptoms


  • A student who has been in close contact with someone with COVID-19 and is not fully vaccinated or has nothad a previous recent COVID-19 infection must self-isolate for 10 days. The student should go for testing. Even if the test is negative, they will have to self-isolate for the full 10 days. At least one test is recommended on day 7 or later from the last day of exposure to the positive person.
  • If the house hold member does not have symptoms, they can leave for essential reasons including: going to school/child care/work and essential errands such as, obtaining groceries, attending medical appointments or picking up prescription. They will need to stay home for other non-essential reasons until the student who is a close contact completes their period of self-isolation. Household members who are fully vaccinated or had a previous recent COVID-19 infection are not required to stay home.


Student has been in close contact with someone with COVID-19 and has one or more symptoms

  • If the student develops a symptom from the full list of COVID-19 symptoms, they should get tested right away. Household members who are not fully vaccinated or have not had a previous recent COVID-19 infection must self-isolate until the student with symptoms gets a negative COVID-19 test.
  • Household members who are fully vaccinated with a COVID-19 vaccine or had a previous recent COVID-19 infection are not required to stay home.


Household member has been in close contact with someone with COVID-19

  • Household members who are not fully vaccinated or have not had a previous recent COVID-19 infection must self-isolate for 10 days, and arrange to get tested. Even if the test is negative, they must self-isolate for the full 10 days.
  • The student and the other individuals in the household who are not close contacts can attend school/child care/work, as long as they don't have symptoms of COVID-19, but will need to stay home for other non- essential reasons until the household member who is a close contact completes their period of self- isolation.
  • If the household member who has been in close contact develops a symptom from the full list of COVID- 19 symptoms, all children and adults in the household that are not fully vaccinated or have not had a previous recent COVID-19 infection must stay home and self-isolate until COVID-19 is ruled out.


​Student who is fully vaccinated or had a previous recent COVID-19 infection with a COVID-19 vaccine and has been in close contact with someone with COVID-19

  • If a student is fully vaccinated or had a previous recent COVID-19 infection and the student does not have a symptom from the full list of COVID-19 symptoms, they do not need to self-isolate. For 10 days after their last exposure, the student should:
  • wear a mask and maintain physical distancing when outside of the home to reduce the risk of   spreading to others in the event they test positive; and
  •  monitor for the full list of COVID-19 symptoms daily and self-isolate immediately if a symptom develops
  • The student should still go for testing if recommended.


​Household member has been in close contact with someone with COVID-19

  • If a household member is fully vaccinated or had a previous recent COVID-19 infection and they do not have a symptom from the full list of COVID-19 symptoms, they do not need to self-isolate; otherwise they will need to self-isolate for 10 days.
  • Students who live with them can continue to attend school as long as the household member does not have a symptom from the full list of COVID-19 symptoms.
  • If the household member develops a symptom from the full list of COVID-19 symptoms the student will need to stay home until COVID-19 is ruled out unless the student is fully vaccinated or has had a previous recent COVID-19 infection.


​​Student has been in close contact with someone with COVID-19 and develops symptoms, but is not tested


  • The student must self-isolate for 10 days from when their symptoms started.
  • Household members who are not fully vaccinated or have not had a previous recent COVID-19 infection must self-isolate for 10 days or more as this is how long it can take for their symptoms to appear.
  • Household members who are fully vaccinated or had a previous recent COVID-19 infection do not need to self-isolate. For 10 days after their last exposure to the student, the household member should:

         - wear a mask and maintain physical distancing when outside of the home to reduce the risk of spreading to others 

         in the event they test positive; and

          - monitor for the full list of COVID-19 symptoms daily and self-isolate immediately if a symptom develops


Household member has symptoms of COVID-19


  • If a household member has symptoms of COVID-19, any children and adults in the household who are not fully vaccinated or have not had a previous recent COVID-19 infection must stay home and self-isolate until COVID-19 is ruled out or if not tested, for at least 10 days


Student has travelled outside of Canada

  • The student must follow federal guidelines for quarantine and testing after returning from international travel.
  • If the student is fully vaccinated they may be exempt from federal quarantine. If the child/student is not fully vaccinated, they are not to attend school/child care for 14 days, even if they traveled with a vaccinated companion.
  • If the student develops a symptom from the full list of COVID-19 symptoms, they should self-isolate and get tested right away.
  • Follow federal quarantine requirements.


Household member has travelled outside of Canada

  • If anyone in the household has travelled outside of Canada in the last 14 days, the person who travelled must self-isolate for 14 days if they do not meet the exemptions for federal quarantine requirements.
  • The other individuals in the household who have not travelled can attend school/child care/work, as long as they don't have symptoms of COVID-19.
  • If the household member who travelled develops a symptom from the full list of COVID-19 symptoms, the student will need to stay home until COVID-19 is ruled out unless the student is fully vaccinated or has had a previous recent COVID-19 infection.


Back to School Confirmation Form

  • Toronto Public Health does not recommend or require medical notes for return to school.
  • It is the decision of each school or school board to decide if they choose to accept a Back to School Confirmation Form.


There are many reasons why children cannot pass the COVID -19 screening.

The symptom chart and decision tool below, from Toronto Public Health, will provide families with an overview of what is required for each situation (child is sick, household member sick, close contact with positive COVID-19).

​Families are always encouraged to contact Toronto Public Health directly:  416-338-7600

What to do when your Child cannot attend daycare

Updated COVID-19 screening for symptoms: All students must complete a self-screening questionnaire before going to school. Students with a chronic health issue that is medically diagnosed and unrelated to COVID-19, should look for new, different or worsening symptoms.

Please note: that the terms Fully Vaccinated, Previous recent COVID-19 infection, Full list of symptoms of COVID-19 and Symptoms are referred to in this document. Their definitions for the purpose of this document are listed below and should only be interpreted exactly as defined.


Definitions:

  • Fully vaccinated: Fully vaccinated means 14 days or more after getting a second dose of a two dose COVID-19 vaccine series or a single dose of a one dose vaccine series. They may not need to self-isolate as long as they don't have symptoms.
  • Previous recent COVID-19 infection: Person has tested positive for COVID-19 in the last 90 days and has been cleared by public health. They may not need to self-isolate as long as they don't have symptoms.
  • Full list of symptoms of COVID-19:Watch closely for any symptom of COVID-19, especially if a close contact of someone who tested positive. The full list of symptoms include: fever or chills; cough; trouble breathing; decrease or loss of taste or smell; nausea, vomiting or diarrhea; tired, sore muscles or joints; sore throat; runny or stuffy nose, abdominal pain, headache, pink eye; or a decrease or lack of appetite.
  • Symptoms: The daily screening tool lists five symptoms to screen for each day. For students they include: fever and/or chills, cough, trouble breathing, decrease or loss of taste or nausea, vomiting or diarrhea. For staff/visitors/adult learners they include: fever and/or chills, cough, trouble breathing, decrease or loss of taste or smell, tiredness, sore muscles or joints.

COVID-19 Decision Tool for Schools (JK-G12)

For elementary and secondary students (JK-Grade 12)

Version 4.0. Updated September 2, 2021​​

* The screening chart and decision tool are 2 separate documents and not updated simultaneously by TPH.  When there are discrepancies between the 2 documents, the daycare follows the directives from the most recently updated document.   We also advise TPH of the discrepancy.