Our Policies

Illness, Injury or Sick Child Policy

📅 Last Reviewed: November 2024 | 🔄 Next Review: November 2025 | ✍️ Reviewed By: C. Cuthbertson

It is the policy of Tiny Toez to encourage and promote good health and hygiene for all children in our care. This includes monitoring children for signs and symptoms of childhood illnesses to keep everyone in our setting safe and well.

When a Child Becomes Ill at Nursery

With the welfare of the ill child in mind and in the interests of the remaining children in the nursery, if in the opinion of staff a child is too ill to be cared for at nursery, the parent or carer will be contacted and asked to collect their child as soon as they are able to.

The child will be made as comfortable as possible until collection and as much time and attention will be given to them as necessary, without having an adverse effect on the care of the other children. This may include support from the manager or staff within other rooms.

🤢 Vomiting

Parents will be contacted immediately and asked to collect their child from the setting

🚽 Diarrhoea

The child will be monitored. After three bouts within a close time period, parents will be contacted and asked to collect

🌡️ High Temperature

Parents will be contacted immediately and asked to collect their child. A fever is 38°C or more

🚨 Serious Illness

The manager is informed immediately, who will contact the parent/carer and/or emergency contacts. Staff will remain calm and reassure the child

Temperature & Medication

A normal temperature in babies and children is about 36.4°C, but this can vary slightly from child to child. A fever is a high temperature of 38°C or more. (NHS, 2020 — nhs.uk/conditions/fever-in-children)

Parents are responsible for providing all medications. We suggest that when a child joins the setting, parents bring a bottle of paracetamol or ibuprofen labelled with the child's name that can be stored permanently at the setting.

If your child has a bottle of paracetamol or ibuprofen on the premises, staff will administer this whilst the child awaits collection, should permission be given over the phone. Children will also be offered fluids to keep them hydrated, kept comfortable, and kept out of draughts.

Children must be free of temperatures for a minimum of 24 hours and be well enough to attend before returning to the setting.

Important: Should your child be given any paracetamol or ibuprofen before nursery for any illness or as a precaution, they will not be allowed to stay at the setting as this could be masking a temperature or signs and symptoms of illness. Children can return 24 hours after the medication was administered, ensuring they are well enough to attend.

Should your child become unwell and we are unable to contact parents/carers or emergency contacts, we will have an emergency bottle of paracetamol on site that can be issued if your child's temperature is very high — this will be administered to prevent convulsions and any prolonged suffering.

If your child is allergic to paracetamol you MUST inform the setting upon enrolment or as soon as you are aware of this.

Serious Injuries

Should your child suffer a serious injury resulting in a sprain, bone break/fracture or similar injury, each incident will be assessed on a case by case basis. Children will be allowed into the nursery setting at the discretion of the nursery manager.

Our insurance provider and HR company may also need to be contacted before the child can attend the setting, to ensure that all safety procedures and risk assessments are in place to keep the child and other children safe and prevent further harm or injury.

Returning to Nursery After Illness

When children have been unwell at home we ask that they are fully recovered before returning to nursery. At Tiny Toez we understand that many parents and carers work and have other commitments, however bringing poorly children to nursery often means that staff then become unwell, which may have implications on the operation of the nursery setting.

We ask that parents and carers adhere to our exclusions table. Depending on the illness, an exclusion period from the setting may apply. Staff at the nursery must be convinced that the child is in good health before allowing the child back into the nursery.

We take our guidelines on exclusion periods from the NHS website and Health Protection Agency nurses who are trained in communicable diseases.

Tiny Toez reserve the right to reduce hours that we are open to children if there is a staff shortage due to illness. This will be a last resort if cover cannot be arranged and ratios cannot be maintained.

Exclusions Table

Please refer to the table below for exclusion periods for common childhood illnesses. This policy is used in conjunction with our Medication Policy.

Illness / Condition Exclusion Period
Antibiotics Prescribed Remain at home if unwell or being treated for a contagious illness. First dose to be given at home. If the antibiotic is new, child must stay home for 24 hours after the first dose
Temperature Minimum of 24 hours from last high temperature
Coughs / Colds / Flu Until recovered — must be well enough to attend
Vomiting and/or Diarrhoea 48 hours from the last bout of sickness or diarrhoea
Conjunctivitis Minimum of 3 days and MUST be treated with antibiotics. Eyes must be clear before returning
Chicken Pox / Shingles Minimum of 7 days from appearance of rash, and skin must be healed
Measles / German Measles Minimum of 7 days from appearance of rash
Mumps Minimum of 5 days from the onset of swelling
Dysentery Minimum of 48 hours from last bout of sickness or diarrhoea. Please consult local HPU for further advice
Infective Hepatitis 7 days from onset (confirmation required)
Meningococcal Infection Until recovered from illness (confirmation required)
Pertussis / Whooping Cough 21 days from onset or for 5 days after commencing antibiotics
Poliomyelitis Until confirmation from GP
Scarlet Fever / Streptococcal Minimum 7 day exclusion and must have been taking antibiotics for 72 hours
Tuberculosis Confirmation required from GP
Typhoid Fever Minimum of 72 hours from last bout of sickness or diarrhoea. Please consult local HPU for further advice
Impetigo Minimum 5 day exclusion and must have been taking antibiotics for 72 hours
Head Lice No exclusion, however children must be treated and all live lice removed before return to nursery
Ringworm 72 hours after treatment has started. Must be treated for up to 4 weeks even after the rash has gone
Threadworms 72 hours after first treatment
Hand, Foot and Mouth Minimum of 5 days and skin must be healed
Scabies 72 hours after first treatment
Slapped Cheek None once the rash has developed, unless recommended by GP
Glandular Fever Minimum 10 days — must be well enough to attend
Diphtheria Exclusion is essential — always consult with your local HPT
COVID-19 Anyone with a positive Covid-19 test result must remain away from the setting — adults for 5 days, children for 3 days, which is when they are most infectious
Our Approach

A nursery family built around care, trust and happy childhoods

At Tiny Toez, we believe children thrive when they feel safe, understood and excited to explore. Our nurseries are warm, welcoming spaces where little ones can build confidence, make friends and enjoy learning through play every day.

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Our Story

Over 20 years of helping children feel safe, happy and ready to thrive

Tiny Toez has grown from a passion for nurturing early years care into a trusted nursery family supporting children, parents and communities across the Midlands and London.

Every nursery has its own local feel, but they all share the same Tiny Toez values: warm relationships, safe spaces, playful learning and genuine care for every child.

20+ Years Experience
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Why Families Choose Us

Childcare that feels personal, supportive and full of opportunity

From the first visit to every milestone after, our teams work closely with families to make nursery life feel calm, happy and reassuring.

01

Experienced nursery teams

Friendly, qualified staff who understand how to help children settle, grow and shine.

02

Strong parent partnerships

Clear communication, regular updates and a joined-up approach between nursery and home.

03

Local nurseries with heart

Each setting has its own community feel while sharing the same Tiny Toez values.

04

Learning through play

Creative, age-appropriate activities that build confidence, curiosity and independence.

What Matters Most

Every child deserves a happy start

Choosing a nursery is one of the most important decisions a family can make. That's why we focus on creating environments where children feel secure, valued and excited to learn every single day.

Through caring relationships, engaging activities and strong partnerships with parents, we help children build confidence, independence and a genuine love of discovery.

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CHILDCARE FUNDING

Help with Childcare Costs

Many families are eligible for government-funded childcare and support schemes. Here’s a quick guide to what may be available.

15 Hours Funded Childcare

Families in England with children aged 3 to 4 years can access 15 hours of funded childcare per week during term time.

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Eligible working families may be able to access up to 30 hours of funded childcare for children aged 9 months to 4 years.

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You may be able to reduce childcare costs through Tax-Free Childcare or claim back up to 85% through Universal Credit.

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