Reopening Plan

7. HEALTH SCREENING & VERIFICATION TO ENTER/VISIT SHORE

A.) Before Entering Shore Programs:

● Before entering any Shore buildings, all persons must, out of respect for fellow Shore community members, thoughtfully monitor their own health. In reporting to program/work you are verifying that you are not experiencing any commonly known symptoms of COVID-19.

● Families, residential staff and other caretakers are responsible for checking the individual(s) in their care for possible symptoms each morning before the individual leaves home. Anyone who has one or more possible symptoms, must remain home, cannot attend the program, and should call their health care provider for advice.

● Bus/van drivers are responsible for checking adults in the morning for possible symptoms before they board vehicles. If a person has any possible symptoms, drivers cannot allow him/her to get into vehicles and cannot provide transportation.

● All Shore staff are responsible for self-screening prior to leaving for work and again, upon arrival before entering the programs.

● All guests must sign in, including attesting that they do not have common symptoms of COVID-19 prior to entering any Shore programs.

● Anyone (individuals, staff, or guests) experiencing symptoms should wait outside to inform or consult with appropriate personnel on the action that should be taken. (This will likely be returning home at the very least.)

B.) Screening Questions Before Entering Shore:

• Are you experiencing any symptoms of COVID-19 (Today or in the last 24 hours?) ** 

    –  Fever (100° Fahrenheit or higher), chills, or shaking chills  
    –  Cough (not due to other known cause, such as chronic cough)  
    –  Difficulty breathing or shortness of breath  
    –  New loss of taste or smell  
    –  Sore throat  
    –  Headache when in combination with other symptoms  
    –  Muscle aches or body aches  
    –  Nausea, vomiting, or diarrhea  
    –  Fatigue, when in combination with other symptoms  
    –  Nasal congestion or runny nose (not due to other known causes, such as allergies) when in                 combination with other symptoms  
    –  New rash, especially on the toes or fingers

• In the past (14) days, have you had close contact with anyone who has tested positive, or is presumed positive, for COVID-19?

• Have you received a (+) test result for COVID-19?

When were you tested?

Are you waiting for test results?

• Have you traveled out of state since you’ve last been to Shore? (If yes, where?) 

C.) Vending Machine Deliveries

Vendors will be required to wear a face mask to enter the program and maintain six feet of social distancing. An Administrative Assistant, or other designated staff member, will accompany the vendor to the vending machines. Vendors will not be permitted into the program beyond the delivery area and will not be permitted to interact with program participants/staff, nor use Shore restrooms. Once the vendor completes stocking/maintenance, the outside of the vending machine will be cleaned and disinfected by a designated Shore staff member.

D.) While at Shore Programs: Criteria for Dismissal from In-Person Services for Shore Staff

All Shore employees are required to complete a daily pre-screening questionnaire prior to reporting for on-site and/or in-person services. If staff answer “yes” to any of the questions regarding experiencing COVID-19 symptoms, they should stay home and contact their immediate supervisor for further instructions. (See screening tool on previous pages).

If a Staff Becomes Symptomatic During their Shift: Staff must self-monitor for new symptoms throughout their shift. If a staff becomes symptomatic during their on-site or in-person shift, they must cease duties immediately, be provided additional layers of PPE (as appropriate) and be isolated from others until they are able to leave the building.

If Staff Become Positive for COVID-19: Employees who are COVID-19 positive (or symptomatic and presumed to have COVID-19) must not return to on-site or in-person service until they have met the criteria for discontinuing home isolation and have consulted with a health care provider in accordance with DPH Occupational Exposure & Return to Work Guidance.

E.) While at Shore Programs: Criteria for Dismissal from In-Person Services for Program Participants

1) If any of the following symptoms are present and inconsistent with the individual’s baseline:
     ● Temperature of 100.0 and higher
     ● Cough
     ● Sore throat
     ● Difficulty breathing
     ● Abdominal pain
     ● Unexplained Rash
     ● Fatigue
     ● Headache
     ● New loss of smell/taste
     ● New muscle aches
     ● Nausea or vomiting
     ● Diarrhea

2) If a program participant has received a positive test result for COVID-19 s/he should not come to Shore for in-person services. The date of the test must be reported to Shore nursing.

3) If a program participant is exposed to COVID-19, whether symptomatic or asymptomatic, s/he must remain in quarantine and continue to monitor for the full 14 days, regardless of receipt of a negative COVID test.

4) If a program participant had close contact in the past 14 days with a person known to be infected with COVID-19, s/he will not be allowed to attend Shore for in-person services. Please refer to Criteria for Return. For COVID-19, the CDC defines a close contact as any individual who was within 6 feet of an infected person for at least 15 minutes starting from 2 days before illness onset (or, for asymptomatic patients, 2 days prior to positive specimen collection) until the time the patient is isolated.

F.) Self-Quarantining and Self-Isolating Following Exposure or Potential Exposure:

In the event that a program participant is exposed to a sick or symptomatic person, the following protocols must be followed:

● If a participant has a confirmed exposure to COVID-19 (e.g., household member tests positive), regardless of whether or not the participant is symptomatic, the participant will not be allowed to attend Shore for in-person services for at least 14 days. (If tested and results are negative, participants still have to stay out 14 days after the last day of contact with COVID+ person.) Shore will consult its local board of health for further guidance.

● If a program participant tests positive for COVID-19 after an exposure, or their health care provider reports they have a probable case of COVID-19 without testing, the participant must be stay home from Shore’s in-person services for a minimum of 10 days from the first day of symptom onset AND be fever-free for 72 hours without fever reducing medications AND experience significant improvements in symptoms. Release from isolation is under the jurisdiction of the local board of health where the program participant resides.

Testing sites can be found at:  

https://www.mass.gov/info-details/about-covid-19-testing

 

G.) Criteria for Return to In-Person Services

Program participants may return to Shore for in-person services after the following criteria is met:

● Stay home from Shore for a minimum of 14 consecutive calendar days
● Be fever free for at least 3 consecutive days (72 hours) without the use of any fever-reducing             medication (e.g., Tylenol, Advil, etc.)
● Must be symptom free for at least 3 consecutive days (72 hours)
● Live in a household with no other people who are currently positive or presumed positive for               COVID-19

Please note that Shore’s procedures are aligned with current CDC and EOHHS guidance and subject to change pursuant to further specific instruction from state and local public health authorities.