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Early Pre-school
Updated November 2026.
Ringworm is a common fungal skin infection, not a worm. It causes a round, red, scaly patch with a clearer center. The American Academy of Pediatrics (AAP) says children with ringworm can stay in child care once treatment has started, and if treatment begins after the program day, no time out is needed. Scalp ringworm needs a doctor and prescription medicine.
Here is how to recognize ringworm, treat it and keep it from spreading at daycare and at home.
Ringworm is caused by fungi that live on skin, hair and nails. On the body it is called tinea corporis, and on the scalp tinea capitis. It spreads through skin-to-skin contact, shared items such as towels, hats, combs and bedding, and from pets, especially cats and dogs.
Other rashes, such as eczema, can look similar, so have your pediatrician take a look.
According to the AAP's child care exclusion guidance, children with ringworm can return after treatment begins. If you start treatment in the evening, your child does not need to miss the next day. Ringworm is not on the list of illnesses in Illinois licensing rules that require a child to stay home, but centers may have their own policies, so ask.
To protect other children:
If medicine or cream must be applied at daycare, Illinois centers need your written permission. See our guide to medicine at daycare in Illinois.
For general sick-day rules, see daycare fever rules and how often daycare kids get sick.
Yes, once treatment has started. Cover the patch when you can.
Yes. It spreads by touch, shared items and pets. Treatment makes it much less likely to spread.
Body ringworm often improves within a couple of weeks of treatment. Scalp ringworm takes longer and needs oral medicine.
Maybe, but pets and other family members are also common sources. Check everyone, including pets.
If a child becomes sick during the day at Children's Land, the director calls the designated adult from the Emergency Information Form, and the child rests away from the group until pickup. Learn about our toddler program, find a location, or contact us.
Related reading: Impetigo and Daycare: Exclusion Rules and Treatment.