We had hand foot and mouth come through here in the summer. Actually it's not on the list for communicable disease when I checked with licensing. We had 2 in care with it, out of 5. They had all been exposed for first couple days (I thought my dd was having a reaction to a wasp sting) it wasn't until we went to hospital a couple days later to find out it was HFAM. Anyways, no other child got it and most parents opted to remain in care. I did do a clean but still had friends come to my home and the kids left with HFAM. This was weeks later! It's so highly contagious. My dd also lost all her finger and toe nails because of it, which is rare. Not a fun one! Good luck