Personal Protective equipment (PPE): Face covering are to be worn by staff and Individuals while in the Center. Face coverings should fit snugly against the face, cover the mouth and nose, and allow for breathing without restriction. Gloves will be worn during all cleaning and disinfecting procedures. Staff and individuals will be allowed to enter a “mask free zone” during breaks but must be socially distanced. Breaks will be after each session or on the hour whichever comes first. Everyone is required to wash their hands after each mask break. • Staff/Individuals Training – Everyone will be trained on handwashing, the use of PPE, effective disinfection techniques, and Covid-19 symptoms. • Fever (>100.4oF) or symptoms consistent with COVID-19: If an individual has a fever upon arrival he/she will not be permitted to enter the building and must leave immediately. If he/she develops one or shows symptoms of COVID-19 while at the Center they should keep on their face covering and immediately be separated to the designated medical isolation area and picked up as soon as possible. Parent/Provider will be contacted for immediate pick up. Failure by parent or provider to respond responsibly to immediate pick up can result in individual being placed on Telehealth Services. The Individual will require documented clearance from a health care provider before return to the Center. Document should include that person tested negative for COVID 19 virus. • Risk Behaviors: If an individual exhibits behaviors that may potentially put themselves or others at risk for exposure to COVID-19, that individual will be separated from others and parents/ residential providers will be required to pick up individual immediately. Individual will be placed on Telehealth Services until they can demonstrate they are no longer a risk. • Designated Medical Isolation Area: This area is located just inside the building as you enter on the drop off side. It is adjacent to the Directors office and has a table, seating and access to either an iPad or laptop so the individual will not be isolated but can be in communication at all times with a staff member and friends via Zoom. The individual has access to the restroom and food, drinks and snacks they may have brought in with them. The door will be shut, but not locked and has a window in it. Also, there is an additional window providing visibility from the hall. This room is in no way intended for isolation, but rather for infection control. We do not want the individual to feel punished nor out of contact. Room will be cleaned according to protocols after each use. • Reporting – Staff and Individuals/family are to immediately report any of the scenarios outlined below and follow CDC recommendations: 1. Definition of close contact - a) being within approximately 6 feet of a COVID-19 case for 15 or more minutes, such as, close contact while caring for, living with, visiting, or sharing waiting area or room with a COVID-19 case, b) having direct contact with infectious secretions of a COVID-19 case, such as being coughed on while not wearing recommended personal protective equipment (PPE). 2. Employees and individuals who are sick or who have recently had close contact (less than 6 feet for fifteen minutes or more) with a person with COVID-19 is to stay home (quarantine). 3. Quarantine – To quarantine means to separate and limit movement of people who have or may have been exposed to the disease to see if they become ill. Researchers have found that the amount of live virus in the nose and throat drops significantly soon after COVID-19 symptoms develop. Additionally, the duration of infectiousness in most people with COVID-19 is no longer than 10 days after symptoms begin and no longer than 20 days in people with severe illness or those who are severely immunocompromised. a. Even if you test negative for COVID-19 or feel healthy after exposure you should stay home (quarantine) since symptoms may appear 2 to 14 days after exposure to the virus. b. If you cannot avoid close contact with the person who has COVID-19 you should avoid contact with others outside the home while the person is sick, and quarantine for 14 days after the person who has COVID-19 meets the criteria to end home isolation. (See #4) c. You will have to restart your quarantine from the last day if you had close contact with anyone else who has COVID-19. d. If you tested positive for COVID-19 but had no symptoms and if you continue to have no symptoms, you can be with others after 10 days have passed since you had a positive viral test for COVID-19. (This does not include the scenario in a-c above 4. Isolation – Isolation means to separate people who are ill from others who are not ill to keep the disease from spreading. People who are ill with COVID-19 might need to stay home longer than 10 days and up to 20 days after symptoms first appeared. Your doctor will determine whether testing will be necessary before you can be around others. Protocol - Emergency Guidelines to Mitigate Risks of Covid 19 Transmission (Based on Department of Public Health release dated March 9, 2021) This protocol will take effect when the administration has determined that significant exposure has occurred at the center. Item 1. The center will close for 14 days. The Director will determine the date of closure. Item 2. Since symptoms may develop within 2 to 14 days from exposure, all exposed staff and Individuals should monitor their health for 14 days from last possible exposure to COVID-19. Item 3. The recommended time period for quarantine is 14 days, but the person may be able to leave quarantine prior to that if certain criteria are met. May test out of quarantine any day after 7 full days have passed since the most recent exposure occurred, if all THREE of the following criteria are met: • Do not experience any symptoms during your monitoring period • Are tested for COVID-19 with a diagnostic test (PCR or antigen). It is preferred that the specimen should not be collected before day 5 of the quarantine period. • With a negative result the person may discontinue quarantine after completing a minimum of 7 full days since your most recent exposure, even if the person receive negative test result earlier. Item 4. If unable to be tested for COVID-19 during the quarantine period, the person may discontinue quarantine any day after day 10 if he/she do not experience any symptoms during their monitoring period. If quarantine is discontinued prior to 14 days, he/she should continue to monitor their health and follow mitigation strategies (mask, social distancing, cleaning and disinfection, avoiding crowds and hand hygiene) until 14 days after their most recent exposure and isolate immediately if symptoms develop. Item 5. If test result is positive, he/she must follow DPH isolation guidance https://dph.georgia.gov/isolation-contact. If unable to be tested for COVID-19 during their quarantine period, he/she may discontinue quarantine any day after day 10 if no symptoms are experienced during your monitoring period. Quarantine for Individuals fully vaccinated for COVID-19: • If exposed to someone with suspected or confirmed COVID-19, he/she are NOT required to quarantine as long as he/she is NOT an inpatient or resident in a healthcare facility or a congregate setting. • However, regardless of vaccination health status should still be monitored for symptoms of COVID-19 for 14 days following a suspect or confirmed exposure.