Enteric Outbreak Infection Control – Child Care Facility Checklist

• Start line listing and send every workday by 10 a.m.
• Reinforce handwashing.
• Review basic hygiene principles.
• Inform parents of outbreak status, including new registrants.
• Ensure appropriate signage at all entrances and in strategic locations within the daycare.
• Encourage staff and children to remain in designated areas, when feasible.
• Limit staff movement between daycare sites/sections.
• Isolate symptomatic children until parents can pick them up.
• Exclude ill children and staff until 48 hours after last symptoms.
• Immediately clean, rinse and disinfect surfaces contaminated with feces or vomit.
• Increase routine cleaning and disinfecting, with special attention to commonly touched surfaces such as door handles, handrails, sinks, and toilets.
• Respect the steps of cleaning and disinfecting:
  • Step 1: Clean with soap and water.
  • Step 2: Rinse with clear water.
  • Step 3: Disinfect respecting the contact time of your product and rinsing recommendation.
• Use gloves during diaper changes and when cleaning up soiled areas (feces or vomit).
• Handle soiled linen and clothing with care.
• Clean toys daily.
• Remove toys that cannot be cleaned and disinfected (such as paper books, stuffed toys, cardboard blocks, etc.).
• Close common sensory bins.
• Cancel culinary activities with the children.
• Cancel outings and inform guests of outbreak status.

NOTE: Additional control measures may be recommended depending on the cause of the outbreak.