Licensed Child Care Daily COVID-19 Health Screening

An enhanced screening process must be completed daily in licensed child care settings, as per Ministry of Health direction.

The responses you provide will be used to determine your child’s eligibility to enter the program on the current day. The health of children, families, and employees is our top priority; we thank you for your accuracy in completing this screening tool.

Daily self-assessment requirements

As parent/guardian, you agree that you will:

  • take your child’s temperature to check for fever (higher than 37.8ºC/100ºF)
  • monitor your child for signs and symptoms (including atypical symptoms) of COVID-19
  • complete the COVID-19 Daily Self-Assessment for your child
  • keep your child home and contact your child’s school and your YMCA Child Care supervisor if your child has signs or symptoms
Daily Self-Assessment form:

COVID-19 questionnaire

Does your child have any of the following new or worsening symptoms?

  • Fever and/or chills (a fever is a temperature of 37.8ºC/100ºF or higher)
  • Cough (continuous, more than usual), including croup. Croup is often a barking cough and whistling noise when breathing). Not related to other causes such as asthma or reactive airway
  • Shortness of breath (out of breath, unable to breathe deeply). Not related to other causes such as asthma
  • Decrease or loss of smell or taste. New and not related to other causes such as nasal polyps, allergies, neurological disorders

If your child has any of the above symptoms, they should stay home to isolate immediately until:

  • • Contact your child’s health care provider for further advice or assessment OR
  • • Child has a COVID-19 test and a negative test result before returning OR
  • • Child self-isolates for 14 days
  • Does your child have any of the following new or worsening symptoms?

    • Sore throat or difficulty swallowing.  Not related to known causes such as post nasal drip, gastroesophageal reflux
    • Runny or stuffy/congested nose. Not related to known causes such as seasonal allergies or being outside in the cold weather
    • Headache that is unusual or long-lasting. Not related to known causes such as tension-type headaches or chronic migraines
    • Nausea, vomiting or diarrhea. Not related to known causes such as irritable bowel syndrome, anxiety, menstrual cramps
    • Extreme or unusual tiredness, or muscle aches (fatigue, lack of energy, extreme tiredness, poor feeding in infants). Not related to known causes such as depression, insomnia, thyroid dysfunction or sudden injury.

    If your child has only one (1) new symptom in the past 24 hours:

    • • Your child should stay home for 24 hours from when the symptom started
    • • If the symptom is improving, your child may return to school/child care when they feel well enough to do so

    If the symptom has been present for 24+ hours and is same/worse: 

    • • Your child should isolate
    • • Contact your child’s health care provider for further advice or assessment OR obtain COVID-19 test

    If your child has two (2) symptoms or more, they should stay home to isolate immediately until:

    • • Contact your child’s health care provider for further advice or assessment OR
    • • Child has a COVID-19 test and a negative test result before returning OR
    • • Child self-isolates for 14 days

    Parent (or Caregiver) information

    YMCA of Niagara Privacy Statement: As a charitable, community based association, the YMCA of Niagara is committed to protecting your right to privacy. The personal information you share with us will be used to support the work of the YMCA. For further information, please visit ymcaofniagara.org