Illness and Injury Policies 

Play 2 Progress is a Well Child center. Students should arrive feeling healthy, rested and physically comfortable. Illness can prevent children from being able to actively participate in classes or sessions and diminishes the efficacy of the time spent at Play 2 Progress. 

We serve a diverse population of students ranging from infants to teens. Some of our students have not yet developed their Acquired Immune System or are immunocompromised. Because of this we ask that everyone works collaboratively to ensure the health and safety of all families and only attend when they are feeling healthy. 

As a general rule we ask children with two or more common symptoms (outlined below) or a fever of 100.4 or higher to stay home and focus on getting healthy. If a child has one or more severe symptoms or signs of or a diagnosis of a communicable disease please keep them home. 

If a child develops two or more common symptoms or one severe symptom we will conclude the session and ask for them to be taken home. If your child is not well enough to attend school we ask you to keep them home. 

For specifics around common health conditions and communicable diseases please reference the sections below: 

Common Illness Symptoms

Children experiencing 2 or more common symptoms in the following list, or those who have a fever of 100.4 or higher, are excluded for participation in Play 2 Progress activities. 

Abdominal Pain and Stomach Symptoms

Pain or ache is severe enough that child has difficulty participating in routine activities


Respiratory Symptoms

Difficulty with or rapid rate of breathing, shallow breathing or shortness of breath 


Runny/Stuffy Nose

Nose Bleed



Mild Asthma that is being treated with medication 

Throat and Mouth Symptoms

Sore throat

Head, Neck, and Body Symptoms

Body aches


Eye symptoms

Pink or red irritation

Excessive watering

Mucus or pus 

Ear Symptoms

Pain (dull, sharp, or burning sensation) experienced inside the ear.

Skin Symptoms

An area of the skin that has changes in color or texture and may look inflamed or irritated. 

The skin may be darker than or lighter than normal or red or purple.

It may be, warm, scaly, bumpy, dry, itchy, swollen or painful

Mild Rash or skin reaction due to a known illness or condition that is not contagious 

Severe Illness Symptoms

Children experiencing any of these symptoms should be kept home and we recommend seeking medical attention before returning to class/ session.


Abdominal and Stomach Symptoms

Vomiting more than 2Xs in 24 hours


Bloody or black stool 

Pain starts after an injury 

Respiratory Symptoms 

Cough is severe or child cannot catch breath after coughing

Wheezing that is new for the child or cannot be controlled by medication 

Skin or lips seem purple, blue, or grey, depending on skin tone. 

Very rapid breathing or increased effort to breathe, such as chest retractions (space between ribs sinks with each breath), belly breathing (belly goes up and down with breathing) 

Nose Bleed that persists over 15 minutes and shows no sign of clotting 

Throat and Mouth Symptoms

Mouth sores include white patches on the tongue, gums and/or inner cheeks (oral thrush/yeast infection); white/red spots in the mouth

Excessive drooling or muffled voice

Inability to swallow

Head, Neck, and Body Symptoms

Concussion symptoms: Pain that occurs after a fall or other injury to the head and is severe or associated with vomiting, vision changes, behavior change or confusion.

Possible infection: Stiff neck, headache and fever can be symptoms of meningitis, a potentially serious infection. Meningitis can also cause sensitivity to light, vomiting, and/or confusion. A stiff neck is most concerning if the child can’t look at their belly button (putting chin to chest) due to pain or the BACK of the neck is painful (not soreness in the sides) along with the other symptoms above.

Eye Symptoms

Problems seeing (vision changes)

An injury to the eye involving forceful impact to or penetration of the eye

Pain or discomfort the child cannot tolerate

Discharge that is crusty, goopy, itchy or creates puss

Ear Symptoms 

Blood or puss leaking from the ear

Skin Symptoms

Hives due to allergic reaction

Oozing, open wound or infection that cannot be covered and is in an area that might come in contact with others.

Skin that looks bruised without a known injury or in an unusual location.

Rapidly spreading dark red or purple rash (may indicate a rare but severe bacterial infection; usually accompanied by fever). 

Tender, red area of skin, rapidly increasing in size or tenderness.

Associated symptoms of a serious allergic reaction (rash with throat closing, abdominal pain, vomiting, or wheezing). 

There is concern for diseases like chickenpox, measles, hand foot mouth, Impetigo, ringworm or scabies. 

Communicable Disease

Please follow the policies outlined below for specific medical conditions:

Covid- Children with a diagnosis of Covid can return to class 24 hours or more after they test negative for Covid. If your child has been exposed to a household member who currently has covid but do not test positive themselves we ask that they wear a mask to their class or session. 

Flu- Children can return to classes and session once they are fever free for 24 hours without the aid of fever reducing medications.

RSV - Children can return to classes and session once they are fever free for 48 hours without the aid of fever reducing medications.

Strep throat- Children can return to classes and sessions after 48 hours or more from when they start antibiotics. 

Hand Foot Mouth- Children can return to classes and sessions when they are fever free for 24 or more hours without the aid of fever reducing medications and all blisters have scabbed over.. Child should cover any affected skin until it is completely healed. 

Lice- Children with lice can return to classes and sessions when they are adult lice and egg free for a minimum of 48 hours. 

Ringworm- Children with ringworm can return to classes and sessions 72 hours after starting Anti-fungal treatment. Affected skin should be covered while visible signs are present, typically 4 weeks. 

Pink Eye - Children being treated with Antibiotics can return after 24 hrs, children not being treated with antibiotics are excluded for 5 days.

Chickenpox - Children can return to classes and sessions once their rash has scabbed. This can take anywhere from a couple days to a couple of weeks. 

Impetigo - Children can return to classes and sessions after 48 hours or more from when they start antibiotics. 

Scabies- Children can return to classes and sessions after 72 hours or more from when treatment is initiated. 

Pinworm- Children can return to classes and sessions after 48 hours or more from when treatment is initiated. 

Mononucleosis - Children can return to classes and session once they are fever free for 48 hours or more without the aid of fever reducing medications and a note from their doctor that they are safe to return to session and class. Please note we recommend slowly easing back into session and classes as extreme fatigue and spleen complications can persist for several weeks.

Acute Injuries


Recreational classes, Pre-preschool and Camps- Because of the physical nature of our sensory classes it is not safe to have children with casts or splints participate. The immobilization process can weaken the affected body part and the risk of re-breaking after cast or splint removal is high. Before returning to services at P2P you will need to provide a detailed return to physical activity letter from your child’s doctor. 

OT Therapy Session and Group - Children in casts or splints will need a detailed treatment plan and clearance from their doctor as to their participation in physical activities. Therapy sessions will be tailored to minimize risk of healing disruption or re-breaking. Once a child is ready to return to regular activities a second full clearance for return to physical activity from their doctor is required. 


Recreational classes, Pre-preschool, and Camps - Children should not attend class until the swelling has ceased and the affected body part can be load-bearing without pain. 

OT Therapy Session and Group - Children with sprains can participate in limited therapy activities if cleared by a doctor. Children without a doctor's clearance should not attend sessions until the swelling has ceased and the affected body part can be load-bearing without pain. Please note the risk of re-injury for sprains is high, our staff will gradually return them to normal activities over the course of a few sessions. 


Children should ensure that any lacerations are covered. We recommend that children with lacerations on parts of the body that are at high risk of re-injury wait until lacerations have partially or fully healed.


Minor burns should be covered and if comfortable, children may return to regular activities. For moderate to severe burns we will follow a detailed recommendation from your child’s doctor and need a letter providing clearance to return to activities. 

Head Injuries and Concussions

Children experiencing active concussion symptoms should not attend any P2P services. Once your child’s doctor deems it safe for them to return and provides a detailed return to play clearance they can resume services. 

Cancelling session and classes due to sickness

For OT sessions: If you notify us prior to the start time of your child’s session that your child is sick, we are happy to schedule a make-up session. If we are notified 24 hrs or more in advance you are eligible to use one of your courtesy cancellations if you have them available. Please reference our full cancellation policy for more information. 

For Classes: As long as you log into your account and cancel before the class begins we will credit that class back to your account.