Child’s Symptoms of Illness Record Name of Home Child Care Provider: Address of Home Child Care Premises: Full Legal Name: Date of Birth: Child’s Child’s Name(s) and Initial(s) of Date Time Description of the Symptoms of Description of Actions Child’s Individual who Observed Observed Observed Illness Observed Taken by Provider/Agency Symptoms/Took Action [add rows as required] Regulatory Requirements: Ontario Regulation 137/15 Child illness and accident
Child’s Symptoms of Illness Record Name of Home Child Care Provider: Address of Home Child Care Premises: Child’s Full Legal Name: Child’s Date of Birth: Date Observed Time Observed Description of the Child’s Symptoms of Illness Observed Description of Actions Taken by Provider/Agency Name(s) and Initial(s) of Individual who Observed Symptoms/Took Action [add rows as required] Regulatory Requirements: Ontario Regulation 137/15 Child illness and accident