Drop-Off and Pick-Up
· Small groups should take turns with drop-off and pick-up times. This will help with social distancing outside the facility or in front of the facility. Drop-offs and pick-up should take place at the entrance or vestibule of the facility. Avoid having parents enter the classrooms.
· Children will wash hands upon arrival before entering their classrooms.
· Suggest families have the same adult drop off and pick up the child each day.
· Parents should use their own pen when signing in.
Beginning Monday, May 11, 2020, after you have assisted your child with washing their hands upon arrival, one of our teachers will meet families at the classroom doorway to conduct the brief health screening and also accompany your child into the classroom. We are actually being asked to limit parents to the doorway of the facility, however, I think children will adjust better if Mom or Dad are able to bring them inside and assist them with washing their hands and offer a quick kiss goodbye in the foyer. Parents please do not enter the classrooms.
At pick-up time if we are in the building we ask that you ring the bell and wait outside or in the foyer and we will bring your child and their belongings to you. If we are outside playing we will have their belongings outside with us for pick-up so that you may leave from the playground.
Health Screening at Entry
Check for signs of being sick for all staff and children at entry each day.
Ask the parents or guardians if the child has any of the following since the last time they were in care:
· A fever of 100.4°F or higher or a sense of having a fever?
· A cough that you cannot connect to another health problem?
· Shortness of breath that you cannot connect to another health problem?
· A sore throat that you cannot connect to another health problem?
· Muscle aches that you cannot connect to another health problem or to another activity such as physical exercise?
· Does anyone in your household have any of the above signs right now?
· Has your child been close with anyone suspected or confirmed with COVID-19?
· Has your child had any medication to reduce a fever before coming to care?
Child care rules still do not allow providers to care for children who have other signs of being sick such as diarrhea and vomiting within the past 24 hours.
Do not admit the child for care if the answer to any of the above questions are “yes.” Refer to “Returning to a child care facility after suspected COVID-19 symptoms” below.
If the answer to all of the above questions is “no”, check the child for signs of being sick, such as flushed cheeks, tiredness, and extreme fussiness. Keep a distance of at least 6 feet of space or have a physical barrier between you and the child.
The parent or guardian should take the child’s temperature before coming to the facility or in front of the child care provider and then report the finding. The child care provider should stay at least 6 feet away from the parent or child during the temperature check. The facility may also take a non-contact temperature if they feel it is necessary.
When possible, reduce group sizes to no more than 10 children and adults total. For example, one adult and nine children or two adults and eight children. Keep groups together throughout the day. When possible, do not combine groups at opening and closing, and keep staffing the same within each group. If you can, keep the same groups from day to day. Do not have float staff that provide breaks in each classroom. If float staff are absolutely necessary, have them wear a cloth face covering. All this will help to reduce exposure.
Put in place social distancing within groups. Create space between children and reduce the amount of time children are close with each other. Your ability to do this will depend on the age of the children. It may be possible with school age children but not with toddlers.
Practical tips to maintain social distancing:
· Limit the number of children in each program space.
· Increase the distance between children during table work.
· Plan activities that do not need close physical contact.
· Limit item sharing. If children share items, remind them not to touch their faces and wash their hands after using these items. Younger children should have their own set of items to avoid sharing.
· Remove any items that cannot easily be cleaned and disinfected, including sand or water tables, stuffed animals, and play dough.
· Maintain 6 feet of distance and reduce time standing in lines.
· Go outside more and open windows often.
· Increase space between cribs and nap mats to 6 feet if possible.
· Adjust the HVAC system or open windows to allow for more fresh air to enter the program space.
· If possible, do not bring separate groups together.
· Wash hands often with soap and water for at least 20 seconds. Require hand washing per child care rules. Children and adults should wash hands when they arrive at the child care, enter the classroom, before meals or snacks, after outside time, after going to the bathroom, after nose blowing or sneezing, and before leaving to go home. Help young children to make sure they are doing it right.
· If soap and water are not readily available, use an alcohol-based hand gel with at least 60% alcohol and preferably fragrance-free. Per child care rules, alcohol-based hand gels are not allowed for children under age 2.
· Children, families, and staff should not touch their eyes, nose, and mouth with unwashed hands.
· Cover coughs or sneezes with a tissue, then throw the tissue in the trash. Clean hands with soap and water or hand gel (if soap and water are not readily available).
Cloth Face Coverings (Optional at this time)
CDC issued new recommendations that wearing homemade cloth face coverings may help prevent the spread of COVID-19 in our community. When able, staff members and older children should wear cloth face coverings within the child care. To decide if cloth face coverings are possible, consider:
· Cloth face coverings may reduce the risk of someone who may be infected but is not showing signs from spreading the disease to others.
· All social distancing guidance for child care facilities must still be followed, even if cloth face coverings are worn.
· When wearing cloth face coverings, keep hands away from the face and do not touch them. Closely watch children wearing cloth face coverings at all times.
· Cloth face coverings should be washed with soap and dried between uses.
· For safety, children under the age of 2 should not wear cloth face coverings.
· Face coverings are not for anyone who cannot take it off themselves.
To learn more about cloth face coverings, see the CDC Recommendations for the use of cloth face coverings and Washington State Department of Health Guidance on Cloth Face Coverings.
Cleaning and disinfecting procedures
Clean, sanitize, and disinfect throughout the day. Follow licensing guidance, but increase how often you clean.
· Cleaning removes germs, dirt, food, body fluids, and other material. Cleaning increases the benefit of sanitizing or disinfecting.
· Sanitizing reduces germs on surfaces to levels that are safe.
· Disinfecting kills germs on surfaces of a clean object.
· The U.S. Environmental Protection Agency (EPA) regulates sanitizer and disinfectant chemicals. If you sanitize or disinfect without cleaning first, it will reduce how well these chemicals work and may leave more germs on the object.
What to do if children, staff, or parents develop signs of COVID-19
If a child or staff member develops signs of COVID-19, such as a fever of 100.4 or higher, cough or shortness of breath while at the facility, place the person in a room away from the well people until the sick person can leave the facility. The person with symptoms should follow DOH guidance for what to do if you have symptoms for COVID-19 and have not been around anyone who has been diagnosed with COVID-19. If signs persist or get worse, call a health care provider for more guidance. Tell the employee or child’s parent or caregiver to inform the facility right away if the person is diagnosed with COVID-19.
If a child or staff member tests positive for COVID-19, all members of the infected child’s or adult’s group is a close contact and should self-quarantine for 14 days. Refer to “What to do if you were potentially exposed to someone with confirmed coronavirus disease (COVID-19)?”
Returning to a child care facility after suspected signs of COVID-19
A staff member or child who has signs of suspected or confirmed COVID-19 can return to the child care facility with a Doctor’s note stating it is safe to return and when:
· At least 3 days (72 hours) have passed since recovery – defined as no fever without the use of medications and improvement in respiratory signs like cough and shortness of breath;
· At least 7 days have passed since signs first showed up.
If a person believes they have had close contact to someone with COVID-19, but they are not sick, they should watch their health for signs of fever, cough, and shortness of breath during the 14 days after the last day they were in close contact with the sick person with COVID-19. They should not go to work, child care, school, or public places for 14 days.
See List N: Disinfectants for Use Against SARS-CoV-2. Disinfectants based on hydrogen peroxide or alcohol are safer. The University of Washington has a handout with options for safer cleaning and disinfecting products that work well against COVID-19.
Do not allow children, staff, parents and guardians on-site if they:
· Are showing signs of COVID-19.
· Have been in close contact* with someone who has confirmed or suspected COVID-19 in the last 14 days.
· Are at high risk due to certain health conditions.
*Health care providers and EMS workers who wear proper personal protective equipment (PPE) are OK.