The little girl im a nanny to has a red patch on her cheek it started out just being red yesterday and today it is still red and it s rough and dry?

Might be ringworm: Especially if there is a ring of more redness around the lesion, it might be a mild fungal infection often known as ringworm. A mild over-the-counter treatment would be Clotrimazole (active ingredient of some foot fungus creams) twice daily for 2 weeks. If it gets worse or causes pain, swelling, or other symptoms, it should be seen in person.