I am concerned 22VAC40-185-490 was excluded. As a RN & childcare health consultant, I am especially concerned a temp at which a child should be excluded is not defined. I realize COVID impacted this in 2020-21, but moving forward, providers need specific direction such as a number, or number plus symptoms, that directs them to exclude a child from group care. The APP recommends fever greater than 101 F with a behavioral change. Is this what they are to follow? I understand  22VAC40-185-245-K  states the components of the training, however since the training is not developed or facilitated by a healthcare professional, I am concerned lay people will select what temperature they feel is cause for exclusion without sound medical guidance. Is it possible this will be addressed in guidance?