Covid-19 Daily Checklist – KidZone Hourly Playcare

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COVID-19 INFORMATION

COVID-19 ALBERTA HEALTH DAILY CHECKLIST (FOR CHILDREN UNDER 18)

Overview
This checklist applies for all children, as well as all students who attend kindergarten to Grade 12, including high school students over 18. Children should be screened every day by completing this checklist before going to school, child care or other activities. Children may need a parent or guardian to assist them to complete this screening tool.

Parent / Guardian *

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Last

Contact Number *

Name of Child *

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Last

1. Has the child:
Choose any/all possible exposures

Traveled outside Canada in the last 14 days? *

When entering or returning to Alberta from outside Canada, individuals are legally required to quarantine for 14 days unless enrolled in the Alberta COVID-19 International Border Pilot Project

Had close contact with a case of COVID-19 in the last 14 days? *

Face-to-face contact within 2 metres for 15 minutes or longer, or direct physical contact such as hugging

3. Does the child have any new onset (or worsening) of the following other symptoms:

Chills *

Without fever, not related to being outside in cold weather

Sore throat/painful swallowing *

Not related to other known causes/conditions, such as seasonal allergies or reflux

Runny nose/congestion *

Not related to other known causes/conditions, such as seasonal allergies or being outside in cold weather

Feeling unwell/fatigued *

Lack of energy, poor feeding in infants, not related to other known causes or conditions, such as depression, insomnia, thyroid dysfunction or sudden injury

Nausea, vomiting and/or diarrhea *

Not related to other known causes or conditions, such as anxiety, medication or irritable bowel syndrome

Unexplained loss of appetite *

Not related to other known causes or conditions, such as anxiety or medication

Muscle/joint aches *

Not related to other known causes or conditions, such as arthritis or injury

Headache *

Not related to other known causes or conditions, such as tension-type headaches or chronic migraines

Conjunctivitis *

Commonly known as pink eye

Please note:
If your child is experiencing any symptoms from the lists above, do not bring them to visit a continuing care or acute care facility for 10 days from when symptoms started/until symptoms resolve (whichever is longer), unless they receive a negative COVID-19 test result and feel better

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