​​The child should be excluded from child care under the following conditions:

A  If the child has one or more symptomseven if it is mild or has resolved, the child should stay home, self-isolate, and get tested or contact their health care provider.
B  If anyone in the child's  household has one or more COVID-19 symptoms the child should also stay home, self-isolate and follow instructions from public health.*
C  If the child 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 child 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.


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

  • If the child 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 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.


Child has symptoms and tests positive for COVID-19 on a PCR test

  • The child must stay home and self-isolate for 10 days, starting from the day the symptoms started.
  • The child may return to child care 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 child 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 not fully vaccinated or who have not had a previous recent COVID-19 infection must stay home and, self-isolate for at least 10 days from their last contact with the child during their infectious period and follow public health advice.
  • Household members and close contacts without symptoms who are fully vaccinated or have had a previous recent COVID-19 infection are not required to self-isolate.


Child has symptoms and tests negative for COVID-19 on a PCR test

  • The child may return to child care 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 child care if symptoms are improving.
  • Household members can return to child care right away as long as they do not have symptoms.


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

  • If the child 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 child can return to child care 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 child with symptoms gets a negative COVID-19 test or 10 days have passed from their last contact with the child during their infectious period.


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

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


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

  • A child who has been in close contact with someone with COVID-19 and is not fully vaccinated or has not had a previous recent COVID-19 infection must self-isolate for 10 days. The child should go for testing. Even if the test is negative, they will have to self-isolate for the full 10 days. PCR testing is recommended immediately and on or after day 7 of the child's isolation period.
  • If the household member does not have symptoms, they can leave for essential reasons. They will need to stay home for other non-essential reasons until the child who is a close contact completes their period of self-isolation. Household members without symptoms, who are fully vaccinated or had a previous recent COVID-19 infection are not required to stay home.


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

  • If the child develops a symptom from the full list of COVID-19 symptoms, they should get tested with a PCR test right away. Household members who are not fully vaccinated or have not had a previous recent COVID-19 infection must self-isolate until the child with symptoms gets a negative COVID-19 test.
  • Household members without symptoms who are fully vaccinated with a COVID-19 vaccine or had a previous recent COVID-19 infection are not required to stay home.


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

  • The child 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 child, 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

  • Child care operators should email ChildCareIPAC@toronto.ca to report a symptomatic child who has been in close contact with someone with COVID-19.


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

  • If a child is fully vaccinated or had a previous recent COVID-19 infection and the child 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 child 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 child should still go for testing if recommended. The child who is fully vaccinated is recommended to get tested with a PCR test immediately and on or after day 7 of their isolation period. A child who has had a previous recent COVID-19 infection is recommended to get tested with a PCR test if they develop symptoms.


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.
  • 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 with a PCR test, immediately and on or after 7 days. Even if the test is negative, they must self-isolate for the full 10 days.
  • Children who live with them and other individuals in the household who are not close contacts can attend school/childcare/work, 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


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 with a PCR test, for at least 10 days.


Child has travelled outside of Canada

  • The child must follow federal guidelines for quarantine and testing after returning from international travel.
  • If the child is fully vaccinated they may be exempt from federal quarantine. If the child 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 child 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 child will need to stay home until COVID-19 is ruled out unless the child is fully vaccinated or has had a previous recent COVID-19 infection.


Back to Child Care Confirmation Form

  • Toronto Public Health does not recommend or require medical notes for return to child care.
  • It is the decision of each child care operator/licensee to decide if they choose to accept a Back to Child Care/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 children must complete a self-screening questionnaire before going to child care. Children 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, Symptoms and Essential reasons  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 COVID-19 vaccine series or as defined by the Ontario Ministry of Health. 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 children 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.
  • Essential reasons: Essential reasons include attending school/child care/day camp/work and essential errands such as obtaining groceries, attending medical appointments or picking up prescriptions.

* 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.

COVID-19 Decision Tool for Child Care Attendees

Version 3.5 Updated on October 8, 2021 and adapted from COVID-19 Decision Tool for School Students (JK-G12) Version 4.1