The following safe work procedures will define how Heritage Green Child Care Inc will manage the hazards of contacting COVID 19.
Coronaviruses are spread mainly from person to person through close contact, for example, in a household, workplace or daycare centre. There is no vaccine available to protect against the novel coronavirus
The 2019 novel coronavirus is spread through respiratory droplets:
o from person to person through coughing, sneezing, close contact; and
o touching contaminated surfaces.
Symptoms range from mild – like the common cold and other common respiratory infections – to severe, and can include: fever, cough, and difficulty breathing, muscle aches, fatigue, headache, sore throat, and runny nose. Also, difficulty swallowing, new olfactory or taste disorder.
Complications from the novel coronavirus can include serious conditions, like pneumonia or kidney failure, and in some cases, death.
Symptoms for children could include;
o Sore throat, hoarse voice
o Look to see if exhibiting a runny nose
Atypical Symptoms/ signs of COVID-19 should be considered, particularly in children, older persons, and people living with a developmental disability.
Atypical symptoms can include:
o Unexplained fatigue/ malaise
o Delirium (acutely altered mental status and inattention)
o Unexplained or increased number of falls
o Acute functional decline
o Exacerbation of chronic conditions
o Chills, Headache
o Croup, Conjunctivitis
o Atypical signs can include:
o Unexplained tachycardia, including age specific tachycardia for children
o Decreased in blood pressure
o Unexplained hypoxia (even if mild i.e. O2 sat>90%)
o Lethargy, difficulty feeding in infants (if no other diagnosis)
All individuals, including children, parents/guardians and staff must be screened including daily temperature checks upon arrival at child care setting. Children should be monitored for signs and symptoms of COVID-19.
Entry into the child care centre, past the screening area, must be limited only to staff, children, and essential visitors.
- When in-taking children, we will have someone outside screening each person as they come on site. Every effort will be taken not to allow parents or guardians into the facility if they do not need to be inside.
- Screening of every person entering our facility will include gathering the names, email and phone #’s for each person (information on file for all children and staff). As part of our screening, we will ask the parents/ guardians the screening questions as set out by Public Health (see below). Children in particular should be monitored for atypical symptoms and signs of COVID-19.
- We will take the temperature of each person entering our facility using a No touch infrared thermometer. We will be taking the temperature of those dropping off the children to see if they are showing signs of COVID-19 (this can only be done using an infrared thermometer).
- A table will be set up outside for parents/ guardians to place any items that the child needs, this will include backpacks, special food and medication onto the table. Options
- at that time could include having the materials contained in a clear plastic bag with the child’s name on it or plastic containers with the child’s name on it to keep children’s personal items separate. Jackets, boots and other clothing items can also be put into these totes.
- Screeners should take appropriate precautions when screening, including maintaining a distance of at least 2 metres (6 feet) from those being screened, or being separated by a physical barrier (such as plexiglass barrier), and wearing personal protective equipment (PPE) (i.e. surgical/ procedure mask; gown; gloves; eye protection)
- Entry will be staggered, and signage will inform parents/guardians of the drop off/pick up area and waiting area.
- Alcohol based hand rub containing at least 70% alcohol content must be provided at screening table or upon entry to the facility.
- Anyone entering the facility must perform hand hygiene upon entering.
Health Screening Procedure
All individuals entering the child care centre will be screened with the following questions:
- Do you, your child or any member of your household have any of the following symptoms: fever (37.8C or higher), new/worsening cough, shortness of breath, sore throat, difficulty swallowing, new olfactory (loss of smell) or taste disorders, nausea/vomiting, diarrhea, abdominal pain, runny nose/nasal congestion (except seasonal allergies, nasal drip, etc.), unexplained fatigue/malaise/myalgia, chills, headache, conjunctivitis, lethargy/difficulty feeding in infants?
- Have you, your child or any member of your household travelled outside of Canada or had close contact with anyone that has travelled outside of Canada in the last 14 days?
- Have you, your child or any member of your household been identified by Public Health as a close contact of a COVID-19 case in the last 14 days?
- Have you, your child or any member of your household had close contact with anyone with a respiratory illness in the last 14 days?
If the answer to any of the above questions is yes, or if a fever is identified, this individual has failed the screening process and will be refused entry into the child care centre. The screener will deny entry and the licensee will support and if necessary, enforce the decision. Any individual who fails the screening process should be advised to contact their health care provider as well as Public Health at 905-974-9848, option 2 for testing.
The child care centre must keep records of each person entering the facility in a daily log book. The record keeping will take place in the screening area. The supervisor of the centre will be responsible for overseeing the log book. Records must include name, contact information, time of arrival/departure, and the screening results. These records must be kept up to date and available to facilitate contact tracing in the event of a confirmed COVID-19 case or outbreak.