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COVID Safety Plan for Certified Day Program Reopening 

Agency Legal Name

United Helpers Care, Inc

Agency Address

100 Ford St, Ogdensburg N.Y 13669

 

 

Day Program Type

 

·-

 

  • Certified Site

Community, without Walls

  • Day Habilitation       Prevocational

Day Treatment "      Respite

1 Sheltered Workshop

i

 

Anticipated Re..o ningJ)ate

 

-

7/23/20

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Operating Certificate Number

 

75300650

Site Address

(certified sites only)

100 Ford St Ogdensburg NY 13669

Certified Capacity

(certified sites only)

50

Primary Contact Name

Michele Montroy

Primary Contact

Email and phone #

315-393-3072 ext 250

mmmontroy@unitedhelpers.org

 

The program's Safety Plan must describe procedures to operate the certified day program site or deliver day program service in accordance with the guidance document, Interim Guidance Regarding the Reopening of Day Services Certified by the Office for People With Developmental Disabilities. This document provides the outline to utilize for development of the Safety Plan (or future revision).

 

Some requirements may not be applicable to community-based services.

 

Please submit the written safety plan for each program to OPWDD prior to the reopening at quality@opwdd.ny.gov. In addition, for each safety plan, a completed Day Program Site Attestation must also be submitted. OPWDD will maintain copies of the plans for our records. 9PWDD will not be providing approvals of agency plans.

 

Certified Sites must also maintain a copy of the program's Safety Plan on-premises available to facility staff, OPWDD, and local health authorities upon request. Community day program services

{non-site-based, without walls) must also make a copy of the Safety Plan ava·ilable upon request.

 

SAFETY PLAN COMPONENTS

NOTE: Guidance bullets below are not a substitute for provider review and adherence to content of_Interim Guidance Regarding the Reopening of Day Services Certified by the Office for People With Developmental Disabilities

 

Signage - applies to certified sites and other locations controlled by the provider

  • Ensure program building entrances have signs that alert that non-essential visitors are not allowed.
  • Ensure signs are posted throughout the program building to provide instruction on the critical COVID-19-transmission prevention and containment activities -identified in the companion docu1T1_ent Interim Guidance Regarding the Reopening of pay Services Certified by the Office for People With Developmental Disabilities.

 

Identify how you will ensure the above and any related strategies:

 

Directional signs, arrows, and markings at six-foot intervals will be utilized to encourage single traffic flows where possible. Signage is posted throughout the day hab site to include:

I. Social distancing requirements

2. Use of Face masks/cloth covering requirements

3. Proper storage, usage, and disposal of PPE

4. Symptom monitoring and COVID  exposure reporting requirement

5. Proper handwashing and appropriate use of hand sanitizer

6. Maximum capacity for each room

 

The building at 100 Ford St. houses the day habilitation program along with staff development and administrative offices. Steps have been taken to prevent unnecessary traffic through the day hab space. Signs are posted on the entry doors to the day hab space to prevent entry of nonessential personnel and visitors, and a physical barrier erected in the common hall to the restrooms to prevent non-day hab related personnel from entry and to establish dedicated restrooms for the day hab participants and staff.

 

* Please note that none of these measures will impede the safe evacuation of the building in the event of an emergency.

For staff, break times will be staggered and there is a dedicated breakroom for DH staff in the designated DH area. In addition, the DH staff will have access to their own dedicated time clock to preserve the boundaries of day hab space.

All day hab staff and program members will utilize the north entrance o( the building with the ramp to enter. All program members and staff must perform hand hygiene immediately upon entering the building and throughout theday. To avoid congregation at the entryway, 6-foot interval markings will be used leading away and to the

 

 

A. Entrance to Site-Based Programs

Pre-Entry/Pre-Participation Screening:

      • Screen all individuals, staff, and essential visitors prior to entry into the day program site and/or participation in services/service delivery:
        • per infection control standards for protection of screener and screened person,
        • to include temperature check and required questions on exposure and COVID-19 Symptoms, per NYS DOH and OPWDD guidance documents.
      • Maintain daily documentation of all screening of individuals, staff, and visitors in compliance with OPWDD and NYS guidance and policy.

Response to Signs and Symptoms and Departure:

      • Safe management of any individual, staff, or visitor who fails initial/pre-program screening or is exhibiting signs or symptoms during service delivery, to include:
      • Facilitating departure as soon as possible and, 
          Safely manage separation from people not exhibiting symptoms, until they depart.
          • Ensure instruction is provided to any individual or staff sent home due to symptoms to contact their health care provider and written information on healthcare and testing resources.
          • Ensure the day program immediately notifies the local health department and OPWDD about the suspected case.

       

      Participation and Return to Program/Service:

          • Ensure staff members know to report and how to report positive COVID-19 test results, exposure/possible exposure, and signs and symptoms to their supervisor.
          • Ensure individuals do not participate in day services while they or a member of their household or certified residence is being quarantined or isolated.
          • Maintain medical documentation allowing an individual or staff member who was COVID-19 positive to return to program site/services.
          • Ensure any return of an individual or staff to programs/services occurs only in adherence to OPWDD and NYS DOH guidance regarding quarantine periods and fever-free durations.

       

      Identify how you will ensure the above and any related strategies:

       

      All program members, staff, and essential visitors will be screened prior to entry into the day program site and monitored for signs and symptoms during the day. Visitors will be informed of the requirement to wear a mask or cloth face covering, use hand hygiene, and practice social distancing upon entry to the program.

      There will be a dedicated person conducting these screenings at the point of entry to the program. These screenings will be documented per OPWDD guidelines, to include if the screening was passed or if the person was denied entry. These will be kept in a secure location on site for review.

      The program will designate a supervisory level staff/healthcare professional to conduct these screenings, and will use PPE, including a surgical mask or other appropriate face covering. Screeners must require program members and staff to self-report any symptoms throughout the day and identify a contact person to inform should they experience symptoms.

      Screeners will be trained prior to the assigned duty. Screeners will also report any concerns with screenings to the Program Leader, Director of Nursing and/or the nurse on call Documentation of the screening will be reviewed daily and kept in a secure location.

      The screening will include:

      1. COVID-19 symptoms in the past 14 days
      2. Positive COVID -19 test in the past 14 days
      3. Close contact with a confirmed or suspected COVID-19 case in the past 14 days
      4. Any travel outside the state of New York.

      Any person, program member, or staff exhibiting signs/symptoms of COVID upon arrival will not be allowed to enter the building. The person may return when they have been fever-free for 72 hours without the use of fever-reducing medications.

      If a person develops symptoms while at the day program, they will be sent home as soon as possible and instructed to contact their healthcare provider for assessment and testing. The person will be provided with written information on healthcare and testing resources. Program members sent home shall consult with their healthcare provider prior to returning to the program.

      The program will designate a site safety monitor whose responsibilities include continuous compliance with all aspects of the site safety plan. For our program, there will be three possible safety monitors, either the Program Leader or one of two Habilitation Coordinators. The person designated for a specific day will be listed on the daily rosters and also posted on the door to the medication room.

      Day Hab will maintain a log of every person including staff and essential visitors, who may have contact with other individuals at the program. This should contain contact information to assist in tracing efforts if needed.

      Staff will report any exposure to the Program Leader and will take the following actions related to

       

      COVID -19 symptoms/exposures:

      1. If a staff HAS symptoms and either tests POSITIVE or did not receive a test, the staff may only return to work after completing a 14-day self-quarantine. If a staff is critical to the operation or safety of the facility. the agency will contact the local health department for most current standards for essential workers to return to work.
         
      2. If the staff has NO symptoms but tests POSITIVE, the staff may only return to work after completing a 14-day self-quarantine, if a staff is critical to the operation or safety of the facility, the agency will contact the local health department for most current standards for essential workers to return to work.
         
      3. lf a staff has had close contact with a person with COVID 19 for a prolonged period of time and is symptomatic, staff should follow the above protocol for a positive case.
         
      4. If the staff has had close contact with a person with COVID-19 for a prolonged period of time and is NOT symptomatic, and is an essential employee, they may continue to work and will adhere to regular monitoring, wear a mask at all times, social distance, and disinfect areas frequently. The day program will document these measures.

       

      Upon being informed of any positive COVID 19 test of a program member or staff person at the site, the Agency will notify the local health department and will cooperate in tracking and tracing efforts. Staff who are alerted that they have come into close or proximate contact with a person with COVID-19 are required to self-report to the Program Leader/Supervisor as soon as possible. This staff will follow all required protocols to prevent possible transmission to others.

       

      B. Social Distancing Requirements:

      Ensure effective practices to facilitate social distancing when distancing is not possible, including the following:

          • Reduction of total number of individuals served at one time, in order to reduce congestion and facilitate easier social distancing;
          • Plans to maintain no more than 50% occupancy in small/confined spaces within a program, such as a staff break room;
          • Potential use of physical barriers within site-based spaces;
          • Planned use, capacity, and arrangement of furniture and/or work equipment in program rooms, workspaces, and meal and seating areas to allow for social distancing of at least six feet apart in all directions (i.e. 36 square feet) and limit density. (Note an individual's needs may require individual to staff distance to be less than six feet);
          • Use of signage and floor markers/distance markers denoting spaces of six feet throughout program area spaces, common spaces, waiting areas, entry, exits and other areas of travel;
          • Facilitate one-directional foot traffic where necessary in narrow spaces, using tape or signs with arrows;
          • Install physical barriers, as appropriate, especially when physical distancing is not feasible between program/workspaces;
          • Support and education of individuals to learn physical distancing/use of markers, patterns of movement, and other program strategies;
          • Maintain a staffing plan to prevent employees who should need to "float" between different rooms or different groups of individuals, unless such rotation is necessary to safely support individuals due to unforeseen circumstances (e.g. staff absence).
          • Provide adequate space and operational practices (e.g. staggered break times) for staff to adhere to social distancing while completing independent tasks (i.e. paperwork) and when taking breaks (i.e. eating or smoking).

       

      Identify how you will ensure the above and any related strategies:

       

      Communitv members: currently have 12 community members enrolled: Of these 10 will return 7/23.

      ***Community members are those people living at uncertified sites/private home in the community.

      Kendrew IRA: 6 residents enrolled in Day Hab: 4-5 will return 7/23

      Potsdam: 5 residents enrolled and will return 7/23

      Riverwood: 2 residents enrolled and will return 7/23

      Centennial: 3 Residents enrolled and will return 7/23

      *** The decision to include additional  program members (both returning and new ) to day hab will be based upon the needs of individual person and the ability of the program to safely accommodate the needs on site in accordance with guidance from OPWDD.  

      Rooms and Program Member Capacity:

      Computer room: 420 sq. feet; max capacity= 11

      Craft Room: 380 sq. feet; max capacity = 10

      Beauty Room: 380 sq. feet ; max capacity= 10

      Wood Sho p: 380 sq. feet; max capacity= 10

      Secretarial Room: 740 sq. feet: max capacity=15

      Dining room: 3130 sq.  feet: max capacity= 15

      Pantry,: 300 sq. feet: max capacity= 8

      Kitchen: 390 sq. feet: max capacity=10

      Grouping of staff and program members will be as static as possible. Staff will not be floated between rooms or groups of program members unless there is a critical or urgent need to do so.

      Group sizes will be no more than 15 program members and will not exceed the capacity of the space occupied. Common spaces will not be utilized at the same time to the greatest extent possible. The only common areas of note would be the entry to the building and the restrooms. This plan is designed to minimize the risk of transmission in these areas to the greatest extent possible with the use of staggered arrivals and departures and the dedication of 8 restrooms for the program. Disinfecting will occur after each use in these areas.

      Room assignments will be noted on the daily program schedule. Seating will be modified to encourage social distancing. All community members will be located in the same room.

      For certified residences, program members from the same house will be in the same room. No intermingling of people from different houses. Lunch will be in the individual rooms to prevent co-mingling. All meals will be served in individual portions with minimal preparation. Disposable utensils will be preferred. Non-disposable utensils will be washed in the dishwasher at the hottest setting. Sharing of food and beverages will be prohibited.

       

      The room noted as the dining room is a large room that will be used as a space for the community members only. Directional signs, arrows, and markings at six-foot intervals will be utilized to encourage single traffic flows where possible.

      All program members and  staff will be required to observe social distancing guidelines; a minimum of 6 feet is maintained unless the safety of the core activity requires a shorter distance or the person's treatment plan requires closer contact

      When able, windows will be open as much as possible to promote ventilation in the site.

      PPE, hand hygiene items, and surgical and cloth masks will be available in each room.

      All staff must wear a  face-covering mask while at work, unless medically contraindicated. When unable to wear a mask, the staff person will be reassigned to duties that will permit social distancing.

      Each room will be disinfected after use with EPA approved cleaning products and documented on a log. Current cleaning products include Sanidex wipes

      All program members must wear a face mask/covering if medically tolerated whenever social distancing cannot be achieved.

      Use of shared objects will be limited to the greatest extent possible. When items are shared, staff will clean after each use and use hand h hygiene and gloves when feasible.

      Items and objects that cannot be cleaned or disinfected (such as cloth or soft objects) will be prohibited unless clinically required.

      No personal items from home will be allowed in the program except when clinically necessary. If these are indicated, then a plan will be developed for regular cleaning and disinfecting.

      All staff will receive training on COVID signs and symptoms, actions to take in event of exposure, hand hygiene, PPE use, and disposal and this safety plan at the staff meeting-on 7/20/20. Documentation of this training, a safety plan and related protocol will be maintained in a readily accessible location.

      Staff newly hired or assigned to the program will complete this training prior to assigning duties. In addition, Day Hab participants will be provided information regarding COVID 19 to help support their understanding of the program changes, the need to observe social distancing. and to encourage hand hygiene. Such information will be presented in a manner that best supports the person's understanding. Notice will be provided to all programs and responsible parties of those attending Day Hab regarding the measures in the safety plan. Included would be the requirement that should any member of the household or staff be placed in quarantine or isolation, the Day Hab Program Leader will be notified immediately and attendance of that person will be suspended until medically cleared.

      Signage is posted throughout the day hab site to include:

      1. Social distancing requirements

      2. Use of Face masks/cloth covering requirements

      3. Proper storage, usage, and disposal of PPE

      4. Symptom monitoring and COVID exposure reporting requirements

      5. Proper handwashing and appropriate use of hand sanitizer

      6. Maximum capacity for each room

       

      For staff. break times will be staggered and there is a dedicated breakroom for DH staff in the designated DH area. In addition, the DH staff will have access to their own dedicated time clock to preserve the boundaries of day hab space.

       

      1. C. Gatherings in Enclosed Spaces
      2.  
      3.  
          • Modifications to day program/service hours as needed, to allow blocks of service provision while maintaining reduced capacity and group size.
          • Planned group size-,  which will be limited to no more than fifteen (15) individuals who receive services. The restriction on group size does not include employees/staff.
          • Ensure the group (15) of individuals receiving services and staff working with them are as static as possible.
          • Ensure that different stable groups individuals and staff, have no or minimal contact with one another and do not utilize common spaces at the same time, to the greatest extent possible
          • Stagger staff and/or individual meal and break times to maintain social distancing
          • Adhere to social/physical distancing practices identified in the safety plan.
          • Prohibit shared food and beverages and buffet-style dining.
          • Require that food brought from home must require limited preparation (i.e. heating in microwave) during day services and be packed appropriately.
          • Ensure reusable food utensils and storage containers are washed in the dishwasher on the hottest wash and dry setting.

       

      Identify how you will ensure the above and any related strategies:

       

      Community members: currently have 12 community members enrolled: Of these 10 will return 7/23.

      ***Community members are those people living at uncertified sites/private home in the community.

      Kendrew IRA: 6 residents enrolled in Day Hab: 4-5 will return 7/23

      Potsdam: 5 residents enrolled and will return 7/23

      Riverwood: 2 residents enrolled and will return 7/23

      Centennial: 3 Residents enrolled and will return 7/23

      *** The decision to include additional program members (both returning and new) to day hab will be based upon the needs of individual person and the ability of the program to safely accommodate the needs on-site in accordance with guidance from OPWDD.

      Rooms and Program Member Capacity:

      Computer room: 420 sq. feetj max capacity= 11

      Craft Room: 380 sq. feetj max capacity= 10

      Beauty Room: 380 sq. feetj max capacity = I0

      Wood Shop: 380 sq. feet; max capacity= 10

      Secretarial Room: 740 sq. feet: max capacity=15

      Dining room: 3130 sq feet: max capacity= 15 

      Pantry: 300 sq. feet: max capacity= 8

      Kitchen: 390 sq. feet: max capacity=10

      Grouping of staff and program members will be as static as possible. Staff will not be floated between rooms or groups of program members unless there is a critical or urgent need to do so.

      Group sizes will no more than I5 program members and will not exceed the capacity of the space occupied. Common spaces will not be utilized at the same time to the greatest extent possible. The only common areas of note would be the entry to the building and the restrooms. This plan is designed to minimize the risk of transmission in these areas to the greatest extent possible with the use of staggered arrivals and departures and the dedication of 8 restrooms for the program. Disinfecting will occur after each use in these areas.

      Room assignments will be noted on the daily program schedule. Seating will be modified to encourage social distancing. All community members will be located in the same room.

      For certified residences, program members from the same house will be in the same room. No intermingling of people from different houses.

      Lunch will be in the individual rooms to prevent co-mingling. All meals will be served in individual portions with minimal preparation. Disposable utensils will be preferred. Non-disposable utensils will be washed in the dishwasher at the hottest setting. Sharing of food and beverages will be prohibited.

      The room noted as the dining room is a large room that will be used as a space for the community members only.

       

      1. D. Day Program Schedules and Activities
      • Modifications to day program/service hours as needed, to allow blocks of service provision while maintaining reduced capacity and group size.
          • Focus on activities with little or no physical contact and which do not rely on shared equipment, to the extent possible.
          • Schedule individual's activities to reduce density and allow for social distancing.

       

      Identify how you will ensure the above and any related strategies:

       

      Community members: currently have 12 community members enrolled: Of these 10 will return 7/23.

      *** Community members are those people living at uncertified sites/private home in the community.

      Kendrew IRA: 6 residents enrolled in Day Hab: 4-5 will return 7/23

      Potsdam: 5 residents enrolled and will return 7/23

      Riverwood: 2 residents enrolled and.will return 7/23

      Centennial: 3 Residents enrolled and will return 7/23

      *** The decision to include additional program members (both returning and new) to day hab will be based upon the needs of the individual person and the ability of the program to safely accommodate the needs on-site in accordance with guidance from OPWDD.

      Rooms and Program Member Capacity:

      Computer room: 420 sq. feet; max capacity= 11

      Craft Room: 380 sq. feet; max capacity = 10

      Beauty Room: 380 sq. feet; max capacity = 10

      Wood Shop: 380 sq. feet; max capacity= 10

      Secretarial Room: 740 sq. feet: max capacity= 15

      Dining room: 3130 sq. feet: max capacity= 15

      Pantry: 300 sq. feet: max capacity= 8

      Kitchen: 390 sq. feet: max capacity= 10

      Grouping of staff and program members will be as static as possible. Staff will not be floated between rooms or groups of program members unless there is a critical or urgent need to do so.

      Group sizes will no more than 15 program members and will not exceed the capacity of the space occupied. Common spaces will not be utilized at the same time to the greatest extent possible. The only common areas of note would be the entry to the building and the restrooms. This plan is designed to minimize the risk of transmission in these areas to the greatest extent possible with the use of staggered arrivals and departures and the dedication of 8 restrooms for the program. Disinfecting will occur after each use in these areas.

      Room assignments will be noted on the daily program schedule. Seating will be modified to encourage social distancing. All community members will be located in the same room.

      For certified residences, program members from the same house will be in the same room. No intermingling of people from different houses.

      Use of shared objects will be limited to the greatest extent possible. When items are shared, staff will clean after each use and use hand hygiene and gloves when feasible.

      Items and objects that cannot be cleaned or disinfected such as cloth or soft objects) will be prohibited unless clinically required.

      No personal items from home will be allowed in the program except when clinically necessary if these are indicated, then a plan will be developed for regular cleaning and disinfecting.

       

      • E. Personal Protective Equipment:

      • Ensure all staff wear an appropriate cloth or disposable face mask/covering that covers both the mouth and nose, at all times while providing services, consistent with all current Executive Orders and OPWDD guidelines (unless medically contraindicated/ not tolerated.
          • Ensure all essential visitors wear a face mask or covering, providing a facemask onsite at no cost, if visitors do not have their own which meets requirements.
          • Support individuals receiving services to wear face coverings, as tolerated, whenever social distancing cannot be achieved.
          • Maintain an adequate supply of required PPE on-site (and available to staff for when needed for community-based services) to minimally include masks and gloves, and with gowns and face shields as needed.
          • Train all staff on proper use of PPE including when necessary to use, donning, doffing, disposing and/or reusing and sanitizing when appropriate.
          • Retain documentation of trainings in the employees' personnel files and per agency procedures.

       

      Identify how you will ensure the above and any-related strategies:

       

      All staff will receive training on COVID signs and symptoms, actions to take in event of exposure. hand hygiene, PPE use, and disposal and this safety plan at the staff meeting on 7/20/20. Documentation of this training, a safety plan and related protocols will be maintained in a readily accessible location.

      Staff newly hired or assigned to the program will complete this training prior to assigning duties. In addition, Day Hab participants will be provided information regarding COVID 19 to help support their understanding of the program changes, the need to observe social distancing, and to encourage hand hygiene. Such information will be presented in a manner that best supports the person 's understanding. All program members, staff, and essential visitors will be screened prior to entry into the day program site and monitored for signs and symptoms during the day.

      Visitors will be informed of the requirement to wear a mask or cloth face covering, use hand hygiene, and practice social distancing upon entry to the program.

      There will be a dedicated person conducting these screenings at the point of entry to the program. These screenings will be documented per OPWDD guidelines, to include if the screening was passed or if the person was denied entry. These will be kept in a secure location on site for review.

      The program will designate a supervisory level staff /healthcare professional to conduct these screenings, and will use PPE, including a surgical mask or other appropriate face covering. Screeners must require program members and staff to self-report any symptoms throughout the day and identify a contact person to inform should they experience symptoms.

      Screeners will be trained prior to the assigned duty. Screeners will also report any concerns with screenings to the Program Leader, Director of Nursing and/or the nurse on call Documentation of the screening will be reviewed daily and kept in a secure location.

      Notice will be provided to all programs and responsible parties of those attending DayHab regarding the measures in the safety plan. Included would be the requirement that should any member of the household or staff be placed in quarantine or isolation, the Day Hab Program Leader will be notified immediately and attendance of that person will be suspended until medically cleared.

       

                  F. Hygiene and Cleaning

                    Personal Hygiene to Reduce Transmission:

       

          • Ensure strict adherence to hygiene requirements to reduce transmission as advised by NYS DOH and the CDC.
          • Provide and maintain hand hygiene stations at each location to include:
            • Handwashing: soap, running warm water, and disposable paper towels.
            • ​​​​​​​Hand sanitizing: alcohol-based hand sanitizer containing at least 60% alcohol for areas where handwashing facilities may not be available or practical, and where the need for frequent hand sanitizing is expected
            • Train staff to wash their hands frequently with soap and water for at least 20 seconds using techniques per NYS DOH and CDC guidance, including the conditions that require handwashing
      •  
      • Encourage and facilitate use-of hand sanitizers by staff and individuals upon arrival to and departure from the program and throughout day;·provlding supervision/support of use by individuals as needed
      • Support individuals to wash their hands frequently/when needed, with soap and water, for at least 20 seconds using appropriate techniques as tolerated.
          • Address any individualized needs affecting the unsupervised availability of hand sanitizer.

      Cleaning and Disinfection of Environment, Equipment and Supplies:

          • Strictly adhere to sanitation requirements as advised by NYS DOH guidance documents.
          • Implement the following minimum standards regarding cleaning and sanitizing:
      • Frequent cleaning and rigorous disinfection of high-risk areas/high touch surfaces;
      • Use of only EPA registered products for disinfecting non-porous surfaces;
      • Adhere to proper dwell times for all cleaners, sanitizers and disinfectants per manufacturer recommendations as indicated on the product label; and
      • Ensure adequate ventilation to prevent inhaling toxic fumes.
      • Maintain site cleaning logs indicating the date, time, and scope of cleaning:
      • Keep cleaning products, sanitizers and disinfectants secure and out of reach of individuals who may misuse;
      • Safely and immediately discard used gloves, paper towels or other disposable items after sanitizing or disinfecting, tied in a trash bag and removed from the environment.
      • Clean and disinfect all areas and equipment used by a person exhibiting symptoms upon their departure from the area and prior to use of the area or equipment by other individuals or staff.
      • PPE use and hand hygiene when cleaning and disinfecting causes safety hazards.
      • Provide ventilation with outside air safely and when possible.
          • Limit use of shared objects/equipment. Ensure shared items are cleaned and/or sanitized after each use. Require hand hygiene before/after contact and glove use when feasible.
          • Prohibit use of items/objects that cannot be cleaned and sanitized (i.e. soft object, cloth placemats, etc.) unless clinically required.                                                                                                
          • Prohibit bringing personal items from home, except when clinically necessary, then have a plan for regular cleaning and disinfection including immediately prior to departure.

       

      Identify how you will ensure the above and any related strategies:

       

      PPE. hand hygiene items and surgical and cloth masks will be available in each room.

      All staff must wear a face covering mask while at work, unless medically contraindicated. When unable to wear a mask, the staff person will be reassigned to duties that will permit social distancing.

      Each room will be disinfected after use with EPA approved cleaning products and documented on a log. Current cleaning products include Sanidex wipes, and Super HDO cleaner.

      All program members must wear a face mask/covering if medically tolerated whenever social distancing cannot be achieved.

      Use of shared obiects will be limited to the greatest extent possible. When items are shared, staff will clean after each use and use hand hygiene and gloves when feasible.

      Items and objects that cannot be cleaned or disinfected (such as cloth or soft objects) will be prohibited unless clinically required.

      No personal items from home will be allowed in the program except when clinically necessary. If these are indicated, then a plan will be developed for regular cleaning and disinfecting.    

      All Staff will receive training on COVID signs and symptoms, actions to take in event of exposure, hand hygiene, PPE use and disposal and this safety plan at the staff meeting on 7/20/20. Documentation of this training, safety plan and related protocols will be maintained in a readily accessible location.

      Staff newly hired or assigned to the program will complete this training prior to assigning duties. In addition, Day Hab participants will be provided information regarding COVID 19 to help support their understanding of the program changes, the need to observe social distancing, and to encourage hand hygiene. Such information will be presented in a manner that best supports the person's understanding.

       

      1. G Transportation

      Ensure that the following measures are implemented for the transport of individuals to/from day services to reduce COVID-19 transmission risk, when providing or contracting for transportation:

          • Ensure only individuals and staff traveling to and from the same day program be transported together; individuals or staff from other day programs should not beintermingled for purposes of transportation at this time; individuals transported together are encouraged to be cohorted for purposes for day programming also, in order to reduce further intermingling;
          • Reduce capacity on buses, vans, and other vehicles transporting individuals from multiple residences to 50% of total capacity;
          • Individuals and staff who reside/work together in the same home may be transported together to day program(s) in the same vehicle without a vehicle capacity reduction;       
          • As possible, stagger arrival and departure times to reduce entry and exit density;
          • To the extent possible, restrict close contact of individuals and staff from different households by not sitting near each other or the driver.
          • If there are multiple doors in a bus or van, utilize one-way entering and exiting. Provide instruction for individuals to exit the vehicle one at a time and wait for driver or staff instruction before doing so;
          • Ensure staff and the driver always wear face coverings in the vehicle. Social distancing must be maintained for individuals who cannot tolerate wearing a mask and, when possible, such individuals should be transported alone or with members ofthe same household. Ensure staff who cannot medically tolerate the use of a face covering are not assigned to transport individuals.
          • After each trip is completed, clean and disinfect the interior of the vehicle before additional individuals are transported; and
          • Where appropriate and safe, roll windows down to permit air flow.

      Identify how you will ensure the above and any related strategies:

       

      The transportation routes have been developed and will have no more than 50% occupancy in each vehicle. Community members will be transported together and not intermingled with people residing in certified IRAS. Program members from certified IRAs will be transported with members oftheir own household. Masks will be worn during transport. Staff who cannot medically tolerate a mask will not be allowed to transport.

      Social distancing will be maintained for program members who cannot tolerate wearing a mask, and when possible, such people will be transported alone.                                             

      Arrival and departure times will be staggered; should vehicles arrive at the same time, staff will ensure vehicles will unload in a staggered fashion to avoid congregation of people on the ramp and in the entryway ofthe building.

      Vehicles will be at 50% capacity.

      Where appropriate and safe, windows should be rolled down to permit air flow in the vehicle.

      After each trip is completed, the interior of the vehicle will be cleaned/disinfected before additional people are transported in the vehicle. This will be documented on the vehicle mileage sheet by staff completing the cleaning.

       

      1. H. Tracing and Tracking
      •  
      •  
      • Notify the local health department and OPWDD immediately upon being informed of any positive COVID-19 test result by an individual or staff at their site.
      •  
      • If a staff or visitor test positive, procedures for day service cooperation with the local health department to trace all contacts in the workplace and notify the health department of all staff, individuals and visitors who entered the facility dating back to 48 hours before the positive person began experiencing COVID-19 symptoms or tested positive, maintaining confidentiality as required by federal and state law and regulations

       

       

      Identify how you will ensure the above and any related strategies:

       

      There will be a dedicated person conducting these screenings at the point of entry to the program. These screenings will be documented per OPWDD guidelines, to include if the screening was passed or if the person was denied entry. These will be kept in a secure location on site for review.

      The program will designate a supervisory-level staff/healthcare professional to conduct these screenings, and will use PPE, including a surgical mask or other appropriate face covering. Screeners must require program members and staff to self-report any symptoms throughout the day and identify a contact person to inform should they experience symptoms.

      Screeners will be trained prior to the assigned duty.  Screeners will also report any concerns with screenings to the Program Leader, Director of Nursing and/or the nurse on call Documentation of the screening will be reviewed daily and kept in a secure location.

      The screening will include:

      1. COVID-19 symptoms in the past 14 days

      2. Positive COVTD-19 test in the past 14 days

      3. Close contact with a confirmed or suspected COVTD-19 case in the past 14 days

      4. Any travel outside the state of New York.

      Any person, program member or staff exhibiting signs /symptoms of COVID upon arrival will not be allowed to enter the building. The person may return when they have been fever-free for 72 hours without the use of fever reducing medications.

      If a person develops symptoms while at the day program, they will be sent home as soon as possible and instructed to contact their healthcare provider for assessment and testing. The person will be provided with written information on healthcare and testing resources. Program members sent home shall consult with their healthcare provider prior to returning to the program.

      The program will designate a site safety monitor whose  responsibilities include  continuous compliance with all a.'aspects of the site safety plan. For our program there will be three possible safety monitors, either the Program Leader or one of two Habilitation Coordinators. The person designated for a specific day will be listed on the daily rosters and also posted on the door to the medication room.

      Day hab will maintain a log o f every person including staff and essential visitors, who may have contact with other individual at the program. This should contain contact information to assist in tracing efforts if needed.

      Staff will report any exposure to the Program Leader and will take the following actions related to COVID -19 symptoms/exposures:

      1. If a staff HAS symptoms and either tests POSITIVE or did not receive a test, the staff may only return to work after completing a 14-day self-quarantine. lf a staff is critical to the operation or safety of the facility, the agency will contact the local health department for most current standards for essential workers to return to work.
      2. If the staff has NO symptoms but tests POSITIVE. the staff may only return to work after completing a 14-day self-quarantine, if a staff is critical to the operation or safety of the facility, the agency will contact the local health department for most current standards for essential workers to return to work.

      3. If a staff has had close contact with a person with COVID 19 for a prolonged period of time and is symptomatic, staff should follow the above protocol for a positive case.

      4. If the staff has had close contact with a person with COVID-19 for a prolonged period of time and is NOT symptomatic, and is an essential employee, they may continue to work and will adhere to regular monitoring, wear a mask at all times, social distance, and disinfect areas frequently. The day program will document these measures.

         

        Upon being informed of any positive COVID 19 test of a program member or staff person at the site, the Agency will notify the local health department, and will cooperate in tracking and tracing efforts. Staff who are alerted that they have come into close or proximate contact with a person with COVID-19 are required to self-report to the Program Leader/Supervisor as soon as possible.These staff will follow all required protocols to prevent possible transmission to others. 

       

      ADDITIONAL SAFETY PLAN MEASURES:

       

      Please use this space to provide additional details about your program's Safety Plan, if appropriate.

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