Every childcare centres surely have HFMD, it all depends on the integrity of the management whether to tell parents the truth.
As for yr case, the childcare centre is good enough to inform the parents about the situation. The option is open to you whether during the outbreak you still want to continue putting yr child in the centre? That's why they don't give a refund.
My experience in Mar/Apr'07, my son K1 in MMI, also have HFMD outbreak. The school and teachers have feedback every now and then, how many children infected in his class and so on.
I still put my son inside the school during that outbreak period. Some days only 2 of them in the class which is good. Learn more things. Enrichment is still going on. Only swimming lesson closed for 3 mths.
I'm testing whether 6 mths of total breastfeding works for this outbreak. Yes, I am taking a risk. I am already mentally prepared what's going to do if anything happens. Thank God during that outbreak everything went well.
Very important to note, as soon as you can, wash their hands and feet after school. Monitor their mouth, palms and soles for signs of outbreak.
Sadly, breastmilk does not improve immunity to HFM.
![Cry](http://www.punggol.sg/forum/Smileys/default/cry.gif)
HFM is a calculated risk, we as parents have to face.