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(c) Body rash with any fever;

(d) Sore throat with any fever or swollen glands;

(e) Abnormal discoloration of the skin;

(f) Any fever accompanied by a rash, vomiting, diarrhea, earache, irritability, or confusion;

(g) Any other symptom indicative of a reportable communicable disease, as such is defined in 22-B DCMR Chapter 2, or in any superseding document.

151.3 A Licensee shall observe each child for the presence of the following symptoms of illness, that may indicate a medical problem, which may require exclusion from the Facility, isolation from other children, and consultation with the child’s parent(s), guardian(s), or licensed health care practitioner(s):

(a) Fever;

(b) Lethargy or inability to walk;

(c) Respiratory problems, including increased respiratory rate, retractions in the chest, excessive nasal flaring, audible persistent wheezing, persistent coughing, either productive or nonproductive, severe coughing causing redness or blueness in the face, or difficulty in breathing;

(d) Abdominal and urinary system problems, including intestinal parasites, dark urine, white spots in the stool, increased urgency or frequency of urination, or no urination for an entire day;

(e) Cardiac problems, including choking, change in color of the skin, chest pain, or persistent sweating;

(f) Ear problems, including discharge from the ear and/or ear pain;

(g) Throat and mouth problems, including sores on the lips or in the mouth, white patches in the mouth, throat pain, or a dental problem that needs immediate attention; and

(h) Injuries, including persistent bleeding, oozing wounds, apparent fracture, complaint of persistent bone pain or stiffness, or difficulty with the movement of any extremity.

151.4 A child who exhibits one (1) or more symptoms of an illness identified in Subsection 151.2, and who has been treated for the symptom(s) by a licensed