These sections are written to be actionable for program leaders, supervisors, and classroom staff so that reopening plans are both developmentally appropriate and health-focused.
Programs should establish a brief, standardized daily screening and a clear policy for exclusion and return. Key signs to monitor include fever (measured or reported), new or worsening cough, shortness of breath, vomiting, diarrhea, and any sudden change in behavior or responsiveness. Because young children often cannot describe symptoms, observe changes in activity, appetite, or sleep as potential indicators of illness.
When a child or staff member shows signs of acute illness at arrival or during the day, isolate the person from others in a supervised, comfortable space, notify the parent or emergency contact, and arrange for safe transport home. Staff who are ill should not return to the facility until they meet your program's illness-based return criteria (for example, symptom improvement and/or clearance from a healthcare provider) and local public-health guidance.
For suspected or confirmed respiratory infections, follow your state and local public-health guidance on testing, contact tracing, and quarantine. Keep consistent records: date/time of symptom onset, actions taken, communications to families, and any instructions from a health provider. These records protect children and staff and support transparent communication with families and regulators.
For head injuries or where a concussion is suspected, follow the Centers for Disease Control and Prevention guidance on returning to school and on-school accommodations to support recovery: CDC HEADS UP: Returning to School. That guidance explains symptom-based accommodations, the value of a concussion management plan, and collaboration with health providers and school staff when a child returns to educational activities.
Document your illness policy and share it in writing with families and staff. Clear, consistent rules reduce confusion and help staff act quickly when a child or staff member becomes unwell.
and support learning during reopening?Reduce risk with layered strategies that are feasible for your setting. Key program-level actions include cohorting children so the same small group stays together, improving ventilation where possible, following routine handwashing and surface-cleaning protocols, and minimizing activities that force prolonged close face-to-face contact. Consider staggered drop-off/pick-up, outdoor time for learning and play, and fixed staff assignments to groups to limit mixing.
Support transitions back to in-person learning by intentionally rebuilding routines. Practical classroom practices — adapted morning meetings, a safe way for children to express concerns anonymously, and clear, developmentally framed expectations about new health routines — help children feel secure while staff maintains safety standards. (Practical classroom strategies for re-entry are discussed in educator resources such as the returning-to-school tips: Quick Tips for Returning to School with Social Distancing.)
Operational links and related ChildCareEd articles to consult as you plan reopening include:
Trainings that make a measurable difference include basic health & safety, medication administration, first aid and CPR, and administering basic health and safety procedures. Relevant ChildCareEd courses (already linked earlier) include:
Create simple, laminated checklists for staff at drop-off, during the day, and for cleaning: (1) screening items, (2) isolation and parent-notification steps, (3) cleaning frequency for high-touch surfaces, and (4) documentation templates for incidents and exposures. Train staff on using the checklists and run brief drills so actions become routine. If your program needs more advanced resuscitation training or has staff who are clinical providers, consider staff completing AidCPR's BLS certification, which offers flexible, healthcare-focused training to reinforce effective emergency response.
1. Adopt clear symptom-screening and exclusion/return policies and document every incident. 2. Use layered mitigation: cohorts, ventilation, hand hygiene, and targeted cleaning. 3. Provide targeted professional development (health & safety, medication administration, first aid) and embed these skills into daily routines. 4. Support children's social-emotional transition back with adapted morning meetings and predictable, child-friendly health rules. 5. Keep families informed with clear communications about policies and expectations.
Register staff for the trainings above at childcareed.com and adapt the linked ChildCareEd articles and checklists to your program's size and licensing requirements.
In closing, programs should produce a concise, written reopening plan that names a health lead, identifies who is trained in Basic Health & Safety and First Aid & CPR, and sets clear daily screening and exclusion criteria. Create laminated checklists for arrival screening, isolation steps, cleaning schedules, and documentation templates; run short drills so procedures become routine. Assign a staff point person for family communications and maintain a one-page parent summary that explains symptoms to watch for, notification steps, and when children may return. Plan for staffing contingencies, review ventilation and cohorting monthly, and keep an incident log recording dates, actions taken, and follow-up. Link the plan to local public-health guidance and review it with licensing or regulatory contacts so your program can adapt quickly while maintaining both developmental supports and infection control.
Produce a concise reopening plan that names a health lead, lists staff trained in Basic Health & Safety and First Aid & CPR, and includes laminated checklists for screening, isolation, cleaning, and documentation. Run brief drills, assign a family-communications lead, and review the plan monthly with your licensing or local public-health contact so the program can adapt quickly while supporting children's developmental needs.