From the sniffles, to a cough, respiratory illnesses are here and child care centers are doing their best to fight the germs head on.

Jessica Brown, the owner of ABC Grown with Me explained how they keep things clean and safe at their facility. "With cleaning, we take the state regulations and we quadrupole that, meaning we do daily bleach dips and daily wipe downs and things like that versus weekly or monthly", said Brown.

Brown said besides cleaning, they try to teach their children the importance of healthy habits to prevent the spread of germs, "Making sure that we are teaching them washing their hands, making sure they are doing it properly. Same thing with teachers, making sure they are done throughout the day. So cleaning and sanitizing, keeping yourself healthy, keeping the kids healthy, and staying home when you do have those sicknesses."

There's only so much daycare and preschool facilities can do to keep germs away from children, but there's some things parents can do before sending their children in to daycare or preschool.

Dr. Susan Moore, a pediatrician with AHN Saint Vincent recommends, "Good nutrition, good sleep, good hand washing, and maybe I should say prayer. "

But when a child is sick, when should they go back into daycare or the classroom? Dr. Moore said it varies child to child, "If it's a minor cold, and there isn't constant coughing or fever and the child is acting well, running around and very active and the day care is okay with that, which they usually are because it seems like everyone has a cold, but it would be okay. But if they have a fever, acting sick, non stop coughing, vomiting, diarrhea, anything like that, really they need to stay home.

Dr. Moore also said it's not too late to still get children vaccinated.  The current flu shots covers three strains of flu including Flu A.