Vomiting, diahrea, fever, rashes, eye discharge (unless verified by a doctor to be non-contagious) all are cause for a child being sent home or refused care until they are symptom free for 24 hours (except common cold symptoms). It's not fair to me, to the other kids, or to the child him/herself. There is no way I can give a sick child the TLC they need while caring for 4 others aside from the contagious factor. If my kids have any of the above, my husband stays home and stays with them. Same rules. Plus, I won't give non-prescription medication such as Tylenol. If they are sick enough to need it, they should be home.