Substituted Paid Sick Leave

For those of you who 1) Have sick leave separate from vacation leave and allowed only for employee's own use, and 2) require FMLA users to substitute paid leave; do you allow sick leave to be applied to the full twelve months, even though some of that time would be used for care of the child rather than the employee's own medical condition? I imagine it might be impossible to draw the line between the two, but does anyone try?

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