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Disaster Response (DR) Plan – Pandemic/Epidemic

Definition

A pandemic is an outbreak-related health crisis that has a global or national impact. An epidemic is an outbreak-related health crisis impacting state or local areas. Pandemics or epidemics have the potential to directly impact the health and safety of the individuals served at Open Door, the staff, and business operations.

Response:

The purpose and goal of this plan are to outline our approach during a pandemic or epidemic. The health and safety of the individuals we serve, the staff, families/guardians, communities, and associated business partners are the number one priority of Open Door. Open Door will take a conservative approach and err on the side of caution to ensure continued health and safety and decrease the risk of collateral damage (i.e. illness, death, or· long-term consequences) to our individuals and associated stakeholders.

Fluidity Statement:

During a pandemic or epidemic ongoing changes to rules and regulations, guidance and evidence-based practices are continuously evolving. As such, Open Door, will stay abreast with the most current information and will change business practices with increased frequency to ensure health and safety.

Mandates/Orders:

Federal, state, and local officials have the authority to declare a public health crisis/emergency and as such, may issue public health orders to ensure the overall safety of the population. Public health orders may be issued by:

  • Federal: The President
  • State: The Governor, The Ohio Department of Health
  • Local: The Local Health Department; governmental officials

Note: In addition to public health orders, to maintain the health and safety of individuals, staff, families/guardians, and stakeholders, Open Door may institute conservative policies/procedures, guidance, and best practices above and beyond the mandates provided in such public health orders. Additional policy /procedures, guidance, and best practices will be evidence-based and implemented based on reliable sources and/or industry-specific entities.

Information Flow:

Accurate, reliable, and current information is critical to the management of a pandemic or epidemic. Information and/or guidance may change with great frequency including up to multiple times daily. As such, continuous monitoring of reliable information will be obtained, evaluated, and disseminated as needed. Routine sources of information flow include, but are not limited to:

  • Elected/Appointed officials (i.e. The President of the United States, the Governor, Public Health Directors
  • World Health Organization (WHO)
  • Centers for Disease Control and Prevention (CDC)’
  • Food and Drug Administration (FDA)
  • Occupational Safety and Health Administration (OSHA)
  • Federal Emergency Management Agency (FEMA)/Homeland Security
  • Ohio Department of Heallh
  • Local Emergency Management Association (EMA)
  • Centers for Medicare and Medicaid Services (CMS)
  • Department of Developmental Disabilities (DODD)
  • Other: Ohio Healthcare Association (OHCA), Equal Employment Opportunity Commission (EEOC), Disability Rights Ohio (DRO), Department of Labor, Bureau of Workers’ Compensation (BWC), law firms, and accountancy firms.

Roles:

The Disaster Response Lead (DR Lead) during a pandemic or epidemic is the
Chief Executive Officer (or their designee). The Disaster Management Team will be activated as per the Emergency Preparedness Response Plan.

Communication:

Efficient and timely communication (both internally and externally) of the current status and updates will be disseminated as needed to applicable populations utilizing all relevant communication methods including, but not limited to: verbal, written, social media, email, text, and phone.

Internal Communication includes:

  • Board of Directors
  • Directors
  • Employees
  • Individuals served

External communication includes:

  • Families/Guardians
  • Business partners
  • Local health departments
  • County Board of DD
  • DODD

Education/Training:

Education and training will be provided as needed to ensure understanding of situational changes and updates, appropriate application of best practices, understanding of expectations and to convey the overall severity of the
pandemic or epidemic.

Who:

Education and training will be provided as needed to appropriate personnel and stakeholders including:

  • Employees
  • Individuals
  • Families/Guardians
  • Administrative personnel
  • Leadership teams
  • Board of Directors

How:

Relevant education and training will be completed and documented using the following resources:

  • In-servicing (both hard copy and electronic)
  • Social media platforms
  • Letters/Emails
  • Phone calls (for emergent or time-sensitive education and training)
  • Mass Call and Text Announcements -Robly Contact platforms
  • In-person or live learning through virtual meeting or conference call platforms

What/When:

The pandemic or epidemic situation may change with great frequency, As such, the above-mentioned methods of information dissemination will be utilized to communicate to appropriate stakeholders. Training and
education may include:

  • Overall etiologic status/changes related to the pandemic or epidemic.
  • Changes to practices, which may include screening, visitations,
  • community spread/exposure, isolation, quarantine, travel, and/or illness reporting,
  • Policy/Procedural changes impacting day-to-day business operations
  • Best practice guidelines.

Supplies:

A strategic agency stockpile will be maintained by the executive team. Supplies will be accessed and obtained through available and reliable sources. Appropriate personal protective equipment (PPE) disclosure statements will be posted and available for all staff. Ongoing monitoring, inventory, and replenishment of the agency strategic stockpile will be completed by the Chief Executive Director and/or designee.

Supply resources include, but are not limited to:

  • Local EMA (access to National Stockpile)
  • Contracted Medical Supplier (i.e. Crosbys, Fred and David, etc.)
  • Ohio Health Care Association provider partners
  • Individual County Boards of Developmental Disabilities
  • Community relationships (i.e. homemade masks, other PPB donations)

Purchase:

Authorization for purchases of necessary supplies is to be obtained from the Executive Director through Jotform Purchase Request. Purchase methods or supply procurement may include:

  • Online-reliable vendors
  • In-person local retailers (Walgreens, Walmart)
  • Pharmacy contacts

Donations:

All donations of supplies will be evaluated for functional integrity by the Chief Operations Officer and Director of HR and Compliance or his designee to ensure appropriate and safe conditions of donated supplies. Evaluation may include:

  • Expiration dates
  • Structural integrity
  • Discoloration
  • Functionality

Inventory Tracking/Storage:

Ongoing and routine inventory/tracking of all agency supplies will be completed. Inventory/tracking may include relocation of all PPE to a central location for monitoring and disbursement or routine inventory.

Reporting:

Reporting of current supplies on hand may be required to governing entities (i.e. ODI-l, DODD). Reporting requirements will be completed. Reporting mechanisms may be required at Federal, State, or Local levels.

Evaluation of Essential Versus Non-Essential Services:

During a pandemic or epidemic, public health orders may be issued by the Governor, Ohio Department of Health, or the Department of Developmental Disabilities in regard to the continuation or suspension of essential versus non-essential services. In addition to mandated public health orders, respective directors will evaluate services for feasibility and safety associated with continuation. Final decisions regarding temporary suspension of services deemed non-essential related to best practices will be made by the Chief Executive Director in conjunction with Associate Director and Finance Director.

Residential Services:

The goal of residential services during a pandemic or epidemic is to ensure the continued health and safety of the individuals residing in both waiver and ICF settings as well as the staff charged with their continued care.

Client’s rights:

All efforts will be made to maintain client rights during a pandemic or epidemic. Health and safety will continue to be the utmost priority for individuals residing at Open Door. At times, decisions may need to be made that impact the rights outlined by CMS and DODD in order to ensure the health and safety of the individual while decreasing the risk of illness to the individual and their roommates, illness to our staff, death, and long term consequences for those who survive such an outbreak or other collateral damage. The rights of the individuals whether state or federally driven must be weighed against the potential for disease, disease spread, and having adequate staff to care for the individuals. The QIDP/SSA will work with the Open Door Administration as well as the individual’s team to evaluate risks and/or benefits of each situation as it pertains to the client’s rights, Situations requiring risk-benefit analysis may include, but are not limited to, community outings, returning to work, restaurant dining, shopping, and beauty salons. The team process will occur to evaluate these risks and benefits considering current orders and mandates. Programming and active treatment will be put in place to evidence understanding of risks and benefits of the desired situation. Open Door will always take the stance that ensures the health and safety of the individuals during the pandemic. The QIDP and/or SSA will submit rights restrictions to the Human Rights Committee for approval.

ICF versus Waiver:

There may be variations in the implementation of practices in different funding areas. In these instances, the team should evaluate the risks and benefits of each situation. Open Door will provide the same recommendations to all its residential settings regardless of the funding source as evidence-based best practices. Considerations should be made keeping in mind all the individuals living and working a site to determine appropriate and safe practices.

Best Practices:

Open Door will utilize reliable information along with public health orders and guidelines to implement and enforce best practice guidelines that ensure continued health and safety and decrease the risk of collateral damage. Areas of best practice will be implemented in the following areas:

  • Universal precautions/[nfection control
  • Employee screening
  • Masks/Face coverings/PPB use
  • Education/Training
  • Medical care
  • Visitations
  • Social Distancing
  • Community integration
  • Programming
  • Groceries/Supplies

Note: This list is not all-inclusive, The Executive Director may implement and enforce other best practice measures as deemed necessary.

Clinical Management:

  • Non-essential appointments/surgeries: During a pandemic or epidemic, there may be relaxation of CMS regulations or specific public health orders allowing the ability to cancel non-essential appointments and non-essential surgeries. During a pandemic or epidemic, evaluation of all appointments will occur lo evaluate the risks and/or benefits of completing in person appointments. Documentation will be maintained by the site nurse, Program Coordinator or Home Supervisor of cancelled non- essential appointments during pandemic or epidemic. Telehealth appointments will be utilized where available and appropriate.
  • Emergency Department (ED)/Primary Care Physician (PCP): In instances where typical practice involves routinely transporting an individual to the ED or to the PCP the nurse will evaluate each situation to determine if ED or PCP treatment or evaluation is appropriate. Contact should be made to the appropriate ED or PCP for guidance surrounding recommendations and potential exposure risk associated with these settings. All efforts to complete appointment by telehealth or virtual methods should be attempted. Documentation of commnunication and recommendations will be maintained in the Nursing Notes and appt consults.
  • Status post hospitalizations: Discharge recommendations made by a hospital following an admission as it pertains to a pandemic or epidemic (i.e. isolation) will be followed as recommended. Open Door may determine isolation or quarantine is a best practice based upon potential exposure in a treatment setting.

Programming:

Programming and services contraindicated by public health orders or best practices will be suspended. The QIDP or the SSA, Program team will be responsible for coordinating and implementing revisions, updates, and reviews of the Individual Service Plans (ISP).

Facilitating Relationships:

During a pandemic or epidemic where public health orders and/or best practices prevent face-to-face interactions with people important to the individual, all efforts will be made to facilitate, continue, and promote positive relationships. These efforts include, but are not limited to:

  • Telephone calls/Text messages
  • iPad/Technology (Face time, Zoom, Social Media)
  • In person visits are expected to expand and contract based on the status of the pathogen either at the particular site or in the general conununity. Visitation guidance surrounding families, significant others, friends, and advocates will be determined based on the presence or absence of public health advisories or orders or best practices (i.e. masking and social distancing where individuals can be compliant). Risk benefit analysis of safety factors, compliance, individual’s expectations will be completed to determine is the visit is safe.

Community Integration:

Individuals served in residential settings belong to their chosen community. During a pandemic or epidemic, public health orders or best practices may prevent routine community integration opportunities. When community integration is no longer prohibited by public health order but remains best practice, Open Door will evaluate the risks and benefits of each situation to determine if community integration benefits to the individual outweigh the potential risks to the individuals living and working in the residential setting. Community Integration opportunities include areas associated with:

  • Employment
  • Outings
  • Volunteering
  • Special Olympics
  • Social gatherings
  • Funerals/Weddings/Graduations
  • Family gatherings

Adult Day Services:

The threat to health and safety, public health orders, DODD recommendations, and best practice guidelines will be utilized to determine the continuation or suspension of ADS. If ADS is deemed non-essential, therefore suspending service, ADS staff will be reallocated to essential service settings. The Program Director for ADS Services and the Program Director for Community Based Services and ICF settings will collaborate for staff reallocation.

Virtual ADS:

Virtual ADS will be offered to residential settings. Virtual ADS will include activities, projects, and skill development opportunities.

In-Home ADS:

In-home ADS services will be implemented, monitored, and evaluated for ICF residential sites and activities will be offered by Home Supervisors directed by the QIDP, such as:

  • Hands-on activities
  • Skill Development
  • Socially distanced community integration (i.e. community park)
  • Virtual classes/sessions
  • Employment training

Representative Payee:

Regardless of pandemic or epidemic, Representative Payee services are an essential service of Open Door and will continue. When possible, payee services should be done in virtual methods. We have designated delivery of checks to homes to prevent staff and individuals from having to come to our office.

Home Office:

The office setting has challenges that are different from other services
settings. Office space protocols will be developed in accordance with public health orders and best practices considering the specific pandemic or epidemic to decrease exposure risk in the office setting and ensure the health and safety of staff and visitors. Protocols will be developed, implemented, and enforced according to the current reopening plan document and work at home procedures.

Technology:

Open Door is an essential business that must continue in the event of a pandemic or epidemic. Open Door will utilize innovative and efficient technologies to operate business as usual. The Information Technology (IT) through Elevity IT/GFC will investigate and implement technologies conducive to productive business that maintains protected health information management regulations while providing flexibility to maintain effective and productive workflows. These technological tools include, but are not limited to:

  • Telework/Laptops
  • Virtual meeting/conference call capabilities
  • iPad/Tablets for individuals in residential settings
  • Virtual engagement (i.e. FaceTime, Duo, Zoom)
  • Phones (cell phones)

Positive/Presumed Diagnoses:

In the event there is a presumed or positive case of the identified pandemic or’ epidemic pathogen notification to the Designated Open Door COVID Hotline and Executive Director will be made immediately.

Staff symptoms:

If staff report signs or symptoms consistent with the identified pathogen the current best practices, CDC guidance, and evidence-based guidance will be used to make a determination of whether the staff should report to work, leave work, and for what period of time consistent with recovery and incubation periods. All staff requested to not work will be instructed to contact the Employee Benefits Coordinator (Employee COVID HOTLINE) for specific instructions and benefits discussion. The Benefits Coordinator will maintain the daily status reports for all staff and send them to the Director.

Client symptoms:

If an individual is identified to have symptoms consistent with the identified pathogen staff will notify the Open Door COVID HOTLINE and Executive Director immediately. At that time telecommunication will be made as to whether isolation or quarantine is appropriate considering guidance and best practices and:

  • Potential Exposure to others
  • Individual abilities
  • Medical intervention
  • PPE requirements
  • Environmental considerations

Notifications:

Notifications may be required to governing entities (i.e. ODH, Local Health Department, County Board of DD/MUI). Open Door will always err on the side of caution and notify the Local Health Department when there is a potential or presumed case of a person with the identified pathogen. Notifications will be made as required by the Executive Director, COVID Hotline. Other notifications may include as applicable:

  • Administrators and Scheduling on Call
  • Potentially exposed staff
  • Scheduled staff
  • Individual treatment team

Contact Tracing:

Full cooperation will be afforded to agencies completing contact tracing connected with a presumed or positive case during a pandemic or epidemic. Contact tracers representing public health agencies (i.e. ODH, Local Health Department) must be directed to contact the Executive Director or COVID HOTLINE. No protected health information should be shared regarding individuals or coworkers without first speaking to the Executive Director.

Quarantine/Isolation Plan:

Open Door has developed a Quarantine/Isolation plan. If it is determined that an individual or multiple individuals require quarantine or isolation the Quarantine/Isolation plan will be activated by the Chief Operations Officer and Director of HR and Compliance or their designee. The Quarantine/Isolation plan addresses the following areas:

  • Quarantine/Isolation in place
  • Quarantine/Isolation site duties
  • Alternative sites
  • Notifications

Financial:

The Finance Director and Executive Director will monitor the impact of the pandemic or epidemic on our business as anticipated sectors close, services change, business decreases, and additional unanticipated costs are incurred.

Maximize available funds:

Maximize available resources and financial assistance to mitigate the financial impact of the pandemic or epidemic. These include Federal, State, and Local resources. Methods of financial relief include:

  • Loans
  • Asset reallocation
  • Debt reallocation
  • Grants
  • Donations

Development/Fundraising:

The Marketing and Development Director will investigate and act on potential opportunities for grants, donations (both monetary and in-kind) and alternative fundraising events in line with public health orders and best practices to decrease the financial impact of the pandemic or epidemic and to raise funds for the agency.

Training/HR:

The HR team will work creatively with partners, stakeholders, and leadership to complete required training (both initial and annual) while maintaining the integrity of the material. Human Resources will utilize available resources to streamline the onboarding process while maintaining health and safety. The HR Team will stay abreast of rules and requirements and adjust accordingly to rule relaxation and allowances made during a pandemic or epidemic. Alternative or innovative methods of training will be utilized when possible (i.e. Zoom training. Online offerings, Jotforms) to decrease exposure risk for classes requiring hands-on activities which include:

  • Medication Administration
  • CPR/FA
  • CPI

Human Resources:

General HR fonctions will continue. The HR team will stay abreast of changing legal requirements and implement changes as necessary.

Records Retention:

All documents related to a pandemic or epidemic will be maintained for the duration of the crisis and thereafter as required. All documentation will be maintained for a period of no less than seven years following the end of the pandemic or epidemic. Pandemic or epidemic-specific documents will be maintained by the Executive department heads. Personnel-related documents (i.e. employee screenings) will be maintained by HR and Compliance and will become part of the employee’s personnel file. The Marketing and Development Coordinator will maintain information circulated via social media platforms and email communication via constant contact or other mass communication methods. Associated documentation includes (but is not limited to):

  • Letters to families and guardians
  • Completed in”services
  • Completed education/ training
  • Employee screening
  • Visitor documentation
  • Official guidance from governing entities
  • Best practice guidelines
  • Policies/procedures directly related to the pandemic or epidemic
  • All documented efforts to mitigate exposure and risk
  • Protocols developed to maintain safety
  • Social media platform communications
  • Mass communications (i.e. Robly)

Intermediate-Care Facility Visitor Policy

Our agency recognizes that the lack of in-person engagement with family and friends who live outside of the facility may significantly diminish a person’s quality of life, making visits necessary to address the person’s emotional wellness despite potential physical health risks.


Per State guidance, Open Door, as the provider must make every effort to mitigate risks to the highest degree possible. Visits for people in congregate care settings present a significant challenge due to the number of vulnerable people living together and the number of staff needed to ensure visits are conducted safely. CCHS is also required to know where the residents have been or who has had contact with them as it is critical to contain the spread of infection if someone tests positive for COVID-19. Contact tracing is much more difficult for the provider to monitor or ascertain where visitors may have been and the people they have been in close contact with prior to visits.


The Ohio Department of Health’s (OOH) suspension of visitation in all long-term care facilities remains in effect. However, at the discretion of each provider, planning for OUTDOOR ONLY visits may be an option. Per the guidance document provided, the facility must consider all implications for the resident’s physical and mental well-being for when to allow facility and personal visitation decisions. Before visitations may be considered, the resident’s team must evaluate to ensure the visitation is going to be emotionally beneficial and know that social distancing prohibits hugging, handholding, and following PPE guidance.


Per the OOH guidance, Open Door must also consider the following when approving visits:

  • Is facility clear of quarantine/isolation cases for staff and individuals?
  • Is facility clear of staff positive cases (for 14 days since last staff who tested positive was in facility)?
  • Have other factors increased risk of exposure to COVID-19 in the last 14 days with/without COVID-19 consequences?

The following are guidelines for the visitations effective June 18′”, 2021 for locations at Park West and Johnstown:

Visits must:

  • Be Limited to the space and staff available to ensure proper procedures are adhered to during the visit
  • Be prescheduled with Park West/Johnstown administrative team via phone or email at least 24 hours in advance with confirmation that it is approved (to ensure space is not being used by others and that additional staff can be available to bring individuals up and follow required protocols)
  • Visits may be limited to one hour to allow for proper sanitation between visitors and to allow for all individuals to have a time slot for visits if families wish to
  • Occur within the hours of 9a-7p to allow for proper staffing needed to screen, monitor, and sanitize all surfaces before and after the visit.
  • Include screening of visitors for temperature, symptoms, hand sanitizing (with facility designated staff) prior to any visit-complete screening form with signature
  • Face masks/coverings must be worn by visitors during visits. (unless both the visitor and the individual are fully vaccinated and no other person(s) who are not fully vaccinated are in space.
  • Planned to avoid sharing items (balls, crafts, games)
  • Limited to individual and up to four visitors to allow for proper spacing
  • Conducted in location where all surfaces can be cleaned and sanitized before and after visit

Visitors must:

  • Agree to screening procedures including having temperature taken, health screening, and wash hands/hand sanitizer upon arrival (signature to acknowledge screening form required)
  • Agree to wear face masks at ALL times (unless both the visitor and the individual are fully vaccinated and no other person(s) who are not fully vaccinated are in space.)
  • Understands health risks ofCOVID-19 and the importance of taking steps to protect everyone at the facility
  • Understands that scheduled visitation may need to be canceled, delayed, or rescheduled on short notice depending on the availability of staff or the health status of any resident/staff in the facility {if current quarantine or isolation is activated in facility, the visitor will be contacted to reschedule after the designated period and virtual options will be encouraged)
  • Agree to follow visitation guidelines of CCHS !CF facilities and understand if not followed, will not be permitted to continue visits or future visits may be limited to outdoor or another option only

Visiting Opportunities:

Outdoor Visitation Option:


May be utilized if Franklin County is at Emergency Health Advisory alert for COVID 19 spread or if there is any potential quarantine situation with staff.


Open Door has designated spaces outside of front office areas for contact-free visitations ONLY. No visitor is permitted to go onto grounds past the front office building or into apartments for any reason at Park West. No visitor is allowed to enter the home at Johnstown. Everyone must go to the front desk at Park West to be screened first before an individual will be brought to the designated location. For Johnstown, the visitor should ring the doorbell and be screened on the front porch prior and then wait outside in the designated location until staff can bring the individual to the designated location for an outside visit.

Virtual VIsitation Option:

Open Door has virtual options for visitations through Zoom and Facetime on iPADS, phone, provided by Open Door (may be utilized at any time with pre-scheduled notice to ensure connectivity)

Indoor Visitation Option:

May be utilized when county is at low or no risk for COVID spread.

Park West has a designated space inside the administration building and Johnstown has a garage area for contact-free indoor visitations. No visitor is permitted to go onto grounds past the front office building or into apartments for any reason at Park West unless approved by Program Director or Director.

Everyone must go to the front desk at Park West to be screened first before the individual will be brought to the designated location. For Johnstown, the visitor should ring the doorbell and be screened on the front porch prior and then wait outside or in a designated location until staff can bring individuals to the garage or designated space for an indoor visit. ICF staff will ensure proper sanitation of all surfaces and rooms between visits. (If at any time, visitors are not adhering to safety practices, the visit may be ended and the team will discuss other options for future visits).

Open Door will continue to work with system partners to move toward less restrictive visitation as the COVID pandemic spread and/or recommended practices change.

Waiver Sites Visitor Policy

Our agency recognizes that the lack of in-person engagement with family and friends who live outside of the facility may significantly diminish a person’s quality of life, making visits necessary to address the person’s emotional wellness despite potential physical health risks.

Per State guidance, Open Door, as the provider must make every effort to mitigate risks to the highest degree possible. Visits for people in congregate care settings present a significant challenge due to the number of vulnerable people living together and the number of staff needed to ensure visits are conducted safely. Open Door is also required to know where the residents have been or who has had contact with them as it is critical to contain the spread of infection if someone tests positive for COVID-19. Contact tracing is much more difficult for the provider to monitor or ascertain where visitors may have been and the people they have been in close contact with prior to visits.


The Ohio Department of Health’s (OOH) suspension of visitation in all long-term care facilities remains in effect. However, at the discretion of each provider, planning for OUTDOOR ONLY visits may be an option. Per the guidance document provided, the agency must consider all implications for the resident’s physical and mental well-being for when to allow personal visitations. Before visitations may be considered, the individual’s team must evaluate to ensure the visitation is going to be emotionally beneficial and know that social distancing prohibits hugging, handholding, and following PPE guidance.


Per the OOH guidance, Open Door must also consider the following when approving visits:

  • Is the home clear of quarantine/isolation cases for staff and individuals?
  • Is the home clear of staff positive cases (for 14 days since last staff who tested positive was in facility)?
  • Have other factors increased risk of exposure to COVID-19 in the last 14 days with/without COVID-10 consequences?

The following are guidelines for the visitations effective June 8th, 2020 for locations where CCHS serves as provider:

Visits must:

  • Be limited to the space which allows for at least 6 feet distancing from others in home
  • Be prescheduled CCHS team via phone in advance when possible
  • Allow for proper staffing needed to screen, monitor, and sanitize all surfaces before and after visit.
  • Include screening of visitors for temperature, symptoms, hand sanitizing and verbal confirmation that they are not experiencing symptoms or have not been exposed to anyone with COVID-19 in last 14 days prior to any visit
  • Face masks/coverings must be worn at ALL times during visits unless individual and visitor (s) are fully vaccinated
  • Encouraged to be Conducted in outdoor location when possible

Visitors must:

  • Agree to screening procedures including having temperature taken, health screening, and wash hands/hand sanitizer upon arrival
  • Agree to wear face masks at ALL times unless fully vaccinated
  • Understands health risks of COVID-19 and the importance of taking steps to protect everyone at the facility
  • Understands that scheduled visitation may need to be canceled or rescheduled on short notice depending on the availability of staff or the health outbreak status of any individual in the home.
  • Agree to follow visitation guidelines of CCHS and understand if not followed, will not be permitted to continue visits or future visits may be limited
Previous COVID-19 Clinic Sign-Up Form
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