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Many of our clients provide critical home and residential support services to children, individuals with intellectual and physical disabilities, and the elderly. We understand there is widespread concern regarding how COVID-19 will impact your operations. Below are frequently asked questions we have received.
This situation is rapidly changing, as is the guidance from CDC, public health officials, and regulators. We encourage you to contact your attorney if you have any questions or would like assistance developing your policies, procedures, communication pieces, and action plans.
Susan Freed also recorded a webinar with detailed information for community service providers on Monday, March 16. In the webinar, Susan covers mitigation measures, communication strategy, and business continuity planning.
Even if COVID-19 is not spreading within your community, there is much you can and should be doing now to address the potential for community spread within your region. We recommend you access the CDC resources. Guidance includes:
A common misconception among some community providers is if an individual tests positive for COVID-19, they will be admitted to a hospital or other setting for monitoring. Based on the information currently available from public health officials, if an individual’s condition does not warrant hospitalization, they would likely stay in their home.
Therefore, community services providers should be prepared for the possibility they will be faced with a client who tests positive for, or has been exposed to, COVID-19. Additionally, community service providers should take measures to limit the potential spread of COVID-19 between staff, clients, and others. To prepare for such a possibility, we recommend community service providers access the CDC resources referenced above and be prepared to address the following issues should COVID-19 impact their communities:
Based on the CDC guidance, we recommend community service providers implement the following precautions:
Yes, we think reasonable limitations in the interest of protecting the health and safety of your clients is allowable in these unprecedented circumstances. If transmission of COVID-19 is widespread in your community, it would be prudent to limit visitors, especially if your clients are elderly or have underlying medical conditions.
Even before widespread community transmission, it would be reasonable to consider screening visitors for recent travel history and potential symptoms or limit the number of visitors. Similarly, you should think about when and how client activities might be impacted. For example, if you provide residential services to clients who work, you may want to consider when and how outside activities might be impacted.
Additionally, if you provide residential services and several clients reside in the same home, you should consider how the activities of the entire household need to be limited. We recommend discussing your policies with clients and family members and communicate frequently and often about how you intend to handle this evolving situation. Depending on the vulnerability of the clients you serve, limiting and screening visitors is a reasonable precaution to take.
Assuming the client is experiencing only mild symptoms, it is very likely they will be left in their home; however, they would likely need to be isolated for 14 days. If they live with others, this may be difficult to implement depending on the population you serve. According to CDC guidance, local public health officials would evaluate the client’s living situation and determine whether a home setting would be appropriate. Depending on the severity of the outbreak, there may not be other options than remaining in the home if the client has mild symptoms. Because this situation is likely to arise if there is widespread community transmission, we recommend community service providers have an action plan for this scenario, including:
Given the current situation we believe it is prudent to screen staff. Examples of screening measures include asking staff about recent travel history and cold or flu-like symptoms. If there is community spread in your region, you may want to consider implementing additional screening measures such as temperature and respiratory symptom checks when they report to work. These screenings should be logged. If staff have been exposed to COVID-19, test positive for COVID-19, have cold or flu-like symptoms, or restrictions based on travel, you should consider what your leave policies will be. In addition, you should monitor new developments relating to paid leave as federal or state law may change.
We suggest you post signs on entrances requesting individuals with recent travel history to countries with travel restrictions or those experiencing cold/flu symptoms to refrain from entering. Alternatively, you could ask about recent travel history or cold/flu symptoms at check in. Patients and/or families with travel history to areas significantly impacted by COVID-19 or experiencing cold/flu symptoms could be asked to reschedule. If you have community spread within your region, you may want to consider closing clinic locations for a period of time depending on the services you provide. Additionally, if you provide both clinic and residential services you may need to divert staffing resources from clinic locations to residential services if you are experiencing staff shortages.