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Reopening Implementation Plan for the Pennsylvania Department of Human Services’ Interim Guidance for Personal Care Homes, Assisted Living Residences and Private Intermediate Care Facilities During COVID-19 

 
 
FACILITY INFORMATION 
This section contains the name and location of the facility along with contact information for an individual designated by the facility. That individual does not have to be the Administrator but should be someone available to respond to questions regarding the Implementation Plan. 
  1. FACILITY NAME 
 
Southeastern Veterans Center 
  1. STREET ADDRESS 
 
One Veterans Drive 
  1. CITY 
 
Spring City 
  1. ZIP CODE 
 
19475 
  1. NAME OF FACILITY CONTACT PERSON 
 
Nancy Iatarola 
610-948-2569 
 
DATE AND STEP OF REOPENING 
The facility will identify the date upon which all prerequisites will be met to begin the reopening process and the Step at which the facility will enter reopening. Those facilities that experienced a significant COVID-19 outbreak will identify the date the Department of Health survey was conducted (that is required prior to reopening). 
  1. DATE THE FACILITY WILL ENTER THE REOPENING PROCESS 
 
Nursing Home Facility Survey Completed 06/01/2020 
 
Personal Care Home to enter Step 1 on 11/04/2020 
 
 
  1. SELECT THE STEP AT WHICH THE FACILITY WILL ENTER THE REOPENING PROCESS – EITHER STEP 1 OR STEP 2 (CHECK ONLY ONE) 
 
  Step 1  
The facility must meet all the Prerequisites included in the Interim Guidance for Personal Care Homes, Assisted Living Residences and private Intermediate Care Facilities During COVID-19 
 
  Step 2 
The facility must meet all the Prerequisites, including the baseline universal test for COVID-19 administered to staff and residents (in accordance with the June 26, 2020, Order of the Secretary of Health) 
AND 
Have the absence of any new facility onset of COVID-19 cases for 14 consecutive days since baseline COVID-19 testing 
  1. HAS THE FACILITY EXPERIENCED A SIGNIFICANT COVID-19 OUTBREAK? (IF NO, SKIP TO #11) 
 
YES 
 
STRATEGY FOR TESTING, COHORTING, PERSONAL PROTECTIVE EQUIPMENT, AND STAFFING 
To ensure the facility has taken appropriate measures to protect residents and staff, descriptions of those strategies are required in this section (prerequisites to enter the reopening process). 
  1. DATE RANGE FOR THE BASELINE UNIVERSAL TEST ADMINISTERED TO STAFF AND RESIDENTS (BETWEEN JUNE 14, 2020 AND AUGUST 31, 2020) IN ACCORDANCE WITH THE JUNE 26, 2020, ORDER OF THE SECRETARY OF HEALTH  
 
6/13/2020to 7/31/2020 
  1. DESCRIBE THE ABILITY TO HAVE COVID-19 DIAGNOSTIC TESTS ADMINISTERED TO ALL RESIDENTS SHOWING SYMPTOMS OF COVID-19 AND TO DO SO WITHIN 24 HOURS 
 
SEVC has the clinical staff to conduct COVID-19 testing.  SEVC obtains the supplies for COVID-19 testing through their contracted labAdditionally, SEVC will work with the Philadelphia VA Medical Center for additional support and testing capacity.  Finally, if needed SEVC would utilize the Pennsylvania Department of Health (DOH) emergency assistance via the DOH testing program by contacting the resource account at (ra-dhcovidtesting@pa.gov). 
 
  1. DESCRIBE THE ABILITY TO HAVE COVID-19 DIAGNOSTIC TESTS ADMINSTERED TO ALL RESIDENTS AND STAFF IF THE FACILITY EXPERIENCES AN OUTBREAK, INCLUDING ASYMPTOMATIC STAFF 
 
SEVC complement of clinical staff would be adequate to conduct the testing.  SEVC obtains testing supplies through their contracted labAdditionally, SEVC will work with the Philadelphia VA Medical Center for additional support and testing capacity.  Finally, if needed, SEVC would utilize the Pennsylvania Department of Health (DOH) emergency assistance via the DOH testing program by contacting the resource account at (ra-dhcovidtesting@pa.gov). 
  1. DESCRIBE THE PROCEDURE FOR TESTING OF NON-ESSENTIAL STAFF AND VOLUNTEERS  
 
All SEVC staff are designated essential and were tested during the baseline testing.  The capacity to test volunteers and contractors can be met through the contract with our contracted lab, when volunteers are permitted to resume volunteer work on campus as per the Bureau of Veterans Homes (BVH) Step Plan for Lifting Restrictions in Personal Care Home.  Contractors are screened and assessed on an “as needed” basis for required testing.  The utilization of retail pharmacy testing sites (i.e. CVS, WalMartRiteAid) or personal physicians can be used if needed. 
  1. DESCRIBE THE PROCEDURE FOR ADDRESSING RESIDENTS OR STAFF THAT DECLINE OR ARE UNABLE TO BE TESTED 
 
Residents who decline testing or are unable to be tested will be moved/transferred to an appropriate cohorting unit (YELLOW or RED ZONE) per the physician’s guidance for maintaining safety.  If a patient suspected of having COVID-19 is never tested, the decision to discontinue Transmission -based Precautions can be made based upon using the symptom-based strategy outlined in the most recent PAHAN.  Staff who refuse or are unable to be tested will not be permitted to work until the facility has received a negative COVID-19 test result from the employee based upon the criteria from the BVH Return To Work program established in accordance to the Center for Disease Control and Prevention (CDC) and DOH infection control guidelines pertaining to returning to work. 
 
  1. DESCRIBE THE PLAN TO COHORT OR ISOLATE RESIDENTS DIAGNOSED WITH COVID-19 IN ACCORDANCE WITH THE LASTEST PA-HAN and PURSUANT TO THE INTERIM GUIDANCE FOR Personal Care Homes, Assisted Living Residences and Intermediate Care Facilities DURING COVID-19. 
 
The facility will use the RED-YELLOW-GREEN Zone model defined as follows:  RED Zone: Units or areas for Positive COVID-19 residents.  The decision to discontinue Transmission-Based Precautions can be made based upon using the symptom-based strategy outlined in the most recent PAHAN.  YELLOW Zone:  Units or areas for residents with a negative test or suspected COVID-19 who are symptomatic or asymptomatic but are within 14 – 20 days dependent on severity of symptoms.  The decision to discontinue Transmission-Based Precautions can be made based upon using the symptom-based strategy outlined in the most recent PAHAN.  GREEN Zone:  Units or areas with residents in the facility who tested negative and are thought to be unexposed to COVID-19. 
  1. DESCRIBE THE CURRENT CACHE OF PERSONAL PROTECTIVE EQUIPMENT (PPE) AND THE PLAN TO ENSURE AN ADEQUATE SUPPLY OF PPE FOR STAFF (BASED ON THE TYPE OF CARE EXPECTED TO BE PROVIDED) 
 
PPE equipment is procured for staff in accordance to the Infection Control Precautions program and the type of protective barriers(s) should be appropriate for the procedure being performed and the type of exposure anticipated.  PPE available includes gloves, gowns or aprons, masks and eye protection, face shields, foot covers, and resuscitation devices.  Other items will be made available as needed.  Procurement maintains inventory of all supplies and orders according to par levels established, which fluctuates according to clinical needs of residents.  Procurement secures PPE shopping orders according to the Bureau of Veterans Homes protocols and requests are made from PEMA if further assistance is necessary. 
  1. DESCRIBE THE CURRENT STAFFING STATUS AND THE PLAN TO ENSURE NO STAFFING SHORTAGES  
 
We have been adequately staffed in personal care.  Ongoing monitoring of the staffing situation occurs, and the Emergency Staffing plan is available if needed.  Elements of the plan include; approval of additional temporary staff positions for nurse aide trainee positions, offering overtime, offer staff to work out of class as long as they meet licensing parameters, (i.e. RNs working as LPNs, LPNS working as CNAs), offering employee to work in position they are eligible for but may not be currently tasked with (i.e. Ward Clerk who is certified nursing assistant can work as CNA), contracts established with outside nursing staffing agencies in case they would be needed, requesting support from our sister facilities and utilization of the National Guard as an available resource from our BVH department in emergency as needed. 
  1. DESCRIBE THE PLAN TO HALT ALL REOPENING FACILITIES AND RETURN TO STEP 1 IF THE FACILITY HAS ANY NEW ONSET OF POSITIVE COVID-19 CASES 
 
The BVH Step Plan for Lifting Restrictions in Personal Care Homes stated “the PCH will maintain all COVID-19 restrictions through the red and yellow phases of the state’s reopening plan.   If at any time the Personal Care Home identifies a new outbreak of COVID-19 as defined by the BVH Step Plan for Lifting restrictions in Personal Care Homes, the facility will return to the highest level of restrictions and restart the 14 day period count based on Department of Human Services guidance. 
 
SCREENING PROTOCOLS 
In each block below, describe the screening protocol to be used including where screening occurs, method of determining symptoms and possible exposure, and action taken if screening reveals possible virus. Include how the data will be submitted to the Department.  
  1. RESIDENTS 
  
Resident Screening: Each resident will have their temperature obtained and documented at least daily for the duration of the COVID-19 pandemic, or until directed otherwise per BVH and DHS guidelines. Should a resident present with signs or symptoms of COVID-19, the following protocol will be followed: The RNS will be notified by the charge nurse & report to the unit to ensure all equipment is on hand and proper utilization of PPE protocol is reviewed with the staff. The Medical Provider will be notified and informed of the resident’s signs and symptoms, to include current temperature, oxygen saturation levels, lung sounds, any known disease processes that may be attributing to their current status, etc. (The Respiratory SBAR is available as a guide.) The Medical Provider will also be made aware of any resident roommates. Provider will order a COVID-19 swab if warranted. Residents and their primary contacts will be informed of results and necessary steps that will need to be taken.  If warranted by provider, the resident and any roommates will be moved to a Yellow Zone or if private room/bath will be isolated in their room, their room becoming a Yellow Zone.  Resident/s, Responsible Party/s as well as any new roommate/s will be notified of the room move/s.  Each resident moving to the Yellow Zone will be provided their own room when available. Residents will be cohorted with other residents in the YELLOW ZONES or RED ZONES only if necessary, due to room availability.  Licensed Nurse or other properly trained personnel will obtain a specimen utilizing a contracted lab PCR culturette via nasopharyngeal swab in the resident’s room, donning full PPE, including N-95 mask. A nursing staff member will retrieve a PPE cart and biohazard waste & linen bins for outside the resident’s room or anteroom. Proper signage for Contact Isolation and Droplet Precautions, as well as donning and doffing signage will be hung. All residents on YELLOW or RED ZONES will be monitored for s/sx of COVID-19 and have a respiratory observation, temperature, and pulse ox documented each shift. Documentation regarding s/sx, procedures initiated, orders obtained, responsible party notification, will be completed in the Medical Record.  Appropriate notifications will be completed of positive or negative results, including Provider/s, Responsible Party/s and Resident/s.  Unless otherwise necessary for the health, welfare, safety and security of other residents, consistent staffing will be maintained within YELLOW and RED ZONES. Residents will be maintained in RED or YELLOW ZONES in accordance with the guidelines provided in the most recent PAHAN.  All facility staff, responsible parties and residents will be routinely updated regarding facility test results.  All staff, vendors, essential personnel, visitors will be screened prior to entry into the facility.  If any present with signs and symptoms of COVID19 during their shift/visit, the following will occur: Visitors and non-Commonwealth employees will be escorted from the facility and not be permitted to return until meeting the guidelines set forth in the most recent PAHAN documentation..  For Commonwealth employees – if testing supplies are available, they will be tested in a designated testing area and sent home to await results.  The residents residing on unit(s) that the staff worked on or visited  will have their respiratory status, including lung sounds, oxygen saturation levels and temperature monitored and documented each shift until resident is transitioned to a green unit as outlined in the most recent PAHAN related to the discontinuation of transmission based precautions. 
  1. STAFF 
 
All staff, vendors, essential personnel, visitors must be screened prior to entry into the facility.  If any present with signs and symptoms of COVID19 at the initial daily screening they will not be permitted to enter the facility.  Commonwealth employees and contracted staff will be required to go home and recommended to notify their healthcare provider.  The employee will not be permitted to return to work until meeting the requirements of the SEVC return to work criteria.  If symptoms develop during their shift/visit, the following will occur:  Visitors and non-commonwealth employees and contracted staff will be escorted from the facility and not permitted to return until at least 14 days have past since symptoms occurred.  For Commonwealth employees – if testing supplies are available, they will be tested in a designated testing area and sent home to await results.  Staff who test positive for COVD19 will be excluded from work until they meet return to work criteria.  Baseline testing of all residents and staff is complete, ongoing testing will continue through the pandemic designation or as otherwise recommended by BVH, PA DOH or PA DHS.   
  1. HEALTHCARE PERSONNEL WHO ARE NOT STAFF 
 
Healthcare personnel who are not staff follow the same screening process as the essential staff (see #19) 
  1. NON-ESSENTIAL PERSONNEL 
 
Non-essential personnel who are not staff follow the same screening process as the essential staff (see #19) 
  1. VISITORS 
 
Visitation will occur as per the BVH Step Plan for Lifting Restrictions in Personal Care Homes as follows: Compassionate care visits are permitted in all phases.  Compassionate care visits are limited to residents recovered from or unexposed to COVID-19.  Visitation in all phases must be coordinated with facility Social Workers.  All Universal Source Control Guidelines must be followed in all phases and visitation situations. Visitors must follow Universal Source Control Guidelines; screening must occur, social distancing of at least 6 feet must be maintained, hand hygiene must be performed, and masks must be worn. Visitation in all phases is limited to residents recovered from or unexposed to COVID-19.   Visiting areas will be cleaned between visits in all phases/situations Step 2: Outdoor visitation (weather permitting) is allowed in neutral zones to be designated by the facility.  If weather does not permit outdoor visitation, indoor visitation is allowed in neutral zones to be designated by the facility.  Visitation will be limited to 2 family members at a time, in 30-minute increments.  Cross-over visitation is only permitted if there is no new outbreak in the facility in which the cross-over visitor resides, unless the cross-over visitor resides in a green zone.  Step 3:  Indoor visitation is allowed in neutral zones to be designated by the facility and Visitation will be limited to 3 family members/2 family members if the visit is to take place in the resident room.  If a resident has a roommate, then only one family member can visit at a time.  Roommate will be offered to enjoy the living room area or other common area while maintaining social distance from others.  Visiting in a resident room (within facility’s established protocols) is permitted only if the resident is unable to be transported to designated area.  Cross-over visitation is only permitted if there is no new outbreak in the facility in which the cross-over visitor resides unless the cross-over visitor resides in a green zone.   
  1. VOLUNTEERS 
 
Volunteers will not be permitted on campus in Step 1.  Volunteers will be permitted in Step 2 and Step 3.  Testing for COVID-19 prior to volunteering is required, then further testing or restrictions for symptoms consistent with COVID-19.  Established volunteers (volunteers that regularly/daily perform volunteering at SEVC) will be screened following staff guidelines.  Screening, social distancing and additional precautions, including hand hygiene and universal masking are required for all Volunteers.  Volunteers are allowed but may only conduct volunteer activities with residents recovered from or unexposed to COVID 19.  In Step 2 volunteers are allowed only for the purpose of assisting with visitation protocols such as scheduling of visits, transporting (but not lifting) residents and monitoring visitation.  In Step 3 Volunteers are allowed.    
 
COMMUNAL DINING FOR RESIDENTS UNEXPOSED TO COVID-19 
Communal dining is the same for all steps of reopening so there is no need to differentiate among the three steps. 
  1. DESCRIBE COMMUNAL DINING MEAL SCHEDULE, INCLUDING STAGGERED HOURS (IF ANY)  
 
The BVH Step Plan for Lifting Restrictions in Personal Care Homes on communal dining will be followed.  Modified communal dining is permitted on or off the unit for residents recovered from or unexposed to COVID19.  Continue with disposable dishware as appropriate for yellow and red zones.  Residents may eat in the same room with social distancing (limited number of people at tables and spaced by at least six feet).  If residents cannot be spaced six feet or more apart, roommate residents may be seated together.  Stagger arrival times and maintain additional service time as possible per meal to allow for fewer residents in common areas at a time.  Staff to utilize precautions of eye protection, universal masking and hand hygiene when assisting residents.  
  1. DESCRIBE ARRANGEMENT OF TABLES AND CHAIRS TO ALLOW FOR SOCIAL DISTANCING 
 
Residents who eat in a common area must be spaced apart as much as possible, ideally six feet or more, with no more than one or two (depending on table size to support social distancing) residents at a table. 
  1. DESCRIBE INFECTION CONTROL MEASURES, INCLUDING USE OF PPE BY STAFF 
 
Staff providing assistance serving residents in the dining areas will utilize PPE as appropriate and perform proper hand washing or use of hand sanitizer. 
  1. DESCRIBE ANY OTHER ASPECTS OF COMMUNAL DINING DURING REOPENING 
 
Review of dining services will be ongoing by the Registered Dietician, the Infection Preventionist and with the support of the Quality Assurance Committee necessary improvements will be initiated through the QA process. 
 
ACTIVITIES AND OUTINGS 
In each block below, describe the types of activities that will be planned at each step and the outings that will be planned at Step 3 (an all-inclusive list is not necessary). Include where they will be held and approximately how many residents will be involvedDescribe how social distancing, hand hygiene, and universal masking will be ensured. Also include precautions that will be taken to prevent multiple touching of items such as game pieces. 
  1. DESCRIBE ACTIVITIES PLANNED FOR STEP (FIVE OR LESS RESIDENTS UNEXPOSED TO COVID-19) 
 
Activities during Step 1 Limited activities may be conducted with five or fewer residents for residents recovered from or unexposed to COVID-19.  Residents will be encouraged to social distance, wear masks, if able to tolerate and to use hand sanitizer upon entry to and exit from the activity location.  Staff will adhere to proper hand hygiene before, during and after the activity, maintain social distancing as able to do their job duties and universal masking guidelines are maintained during activity.  Whenever possible disposable products will be used for activities.  When reusable items must be utilized, Activities staff will clean with disinfectant after each resident use.   
  1. DESCRIBE ACTIVITIES PLANNED FOR STEP 2 (TEN OR LESS RESIDENTS UNEXPOSED TO COVID-19) 
 
Activities during Step 2: Limited activities may be conducted with ten or fewer residents for residents recovered from or unexposed to COVID-19.  Residents will be encouraged to social distance, wear masks, if able to tolerate and to use hand sanitizer upon entry to and exit from the activity location. Staff will adhere to proper hand hygiene before, during and after the activity, maintain social distancing as able to do their job duties and universal masking guidelines are maintained during activity. Whenever possible disposable products will be used for activities.  When reusable items must be utilized, Activities staff will clean with disinfectant after each resident use.   
  1. DESCRIBE ACTIVITIES PLANNED FOR STEP 3  
 
Activies during Step 3:  Activities may be conducted with residents recovered from or unexposed to COVID-19.  Residents will be encouraged to social distance, wear masks, if able to tolerate and to use hand sanitizer upon entry to and exit from the activity location. Staff will adhere to proper hand hygiene before, during and after the activity, maintain social distancing as able to do their job duties and universal masking guidelines are maintained during activity. Whenever possible disposable products will be used for activities.  When reusable items must be utilized, staff will clean with disinfectant after each resident use. Activity’s vendors are permitted in the facility after screening and with adherence to universal source control guidelines.   
  1. DESCRIBE OUTINGS PLANNED FOR STEP 3  
 
Allowed only for residents recovered from or unexposed to COVID-19 Outings limited to no more than the number of people where social distancing between residents can be maintained.  Residents will be encouraged to social distance, wear masks, if able to tolerate and to use hand sanitizer upon entry to and exit from the activity location. Staff will adhere to proper hand hygiene before, during and after the activity, maintain social distancing as able to do their job duties and universal masking guidelines are maintained during activity.  Whenever possible disposable products will be used for activities.  When reusable items must be utilized, Activities staff will clean with disinfectant after each resident use.  SEVH leadership is required to utilize discretion in determining off-site activities. 
 
NON-ESSENTIAL PERSONNEL 
In Step 2, non-essential personnel deemed necessary by the facility are allowed (in addition to those already permitted in Section 5 of Interim Guidance for Personal Care Homes, Assisted Living Residences and Intermediate Care Facilities During COVID-19). In Step 3, all non-essential personnel are allowed. Screening and additional precautions including social distancing, hand hygiene, and universal masking are required for non-essential personnel. 
  1. DESCRIBE THE LIMITED NUMBER AND TYPES OF NON-ESSENTIAL PERSONNEL THAT HAVE BEEN DETERMINED NECESSARY AT STEP 2  
 
Step 2:  Non-essential personnel (e.g., barbers) are allowed as determined to be necessary by SEVC Leadership.  Step 3: Non-essential personnel are allowed. 
  1. DESCRIBE HOW SOCIAL DISTANCING, HAND HYGIENE, AND UNIVERSAL MASKING WILL BE ENSURED FOR NON-ESSENTIAL PERSONNEL AT STEPS 2 AND 3.  
 
The non-essential personnel will be educated and sign off on the facility’s expectations on screening, hand hygiene, social distancing, mask adherence and making attempts to minimize or eliminate their presence in resident areas unless necessary. 
  1. DESCRIBE MEASURES PLANNED TO ENSURE NON-ESSENTIAL PERSONNEL DO NOT COME INTO CONTACT WITH RESIDENTS EXPOSED TO COVID-19 
 
Non-essential personnel (re: Contractors) must sign in with Security and are monitored by SEVC staff to assist in minimizing or eliminating contact in resident spaces. 
 
VISITATION PLAN 
For visitation to be permitted in Steps 2 and 3 of reopening (as described in Section 5 of Guidance for Personal Care Homes, Assisted Living Facilities and Intermediate Care Facilities During COVID-19), the following requirements are established. Screening and additional precautions including social distancing, hand hygiene, and universal masking are required for visitors. 
  1. DESCRIBE THE SCHEDULE OF VISITATION HOURS AND THE LENGTH OF EACH VISIT 
 
Visitation will be coordinated through the Social Worker and will be limited to 30 minutes.   
  1. DESCRIBE HOW SCHEDULING VISITORS WILL OCCUR 
 
Family and Responsible Parties will be able to schedule visits via phone with the Social Services Department (610-948-2570). 
  1. DESCRIBE HOW VISITATION AREA(S) WILL BE SANITIZED BETWEEN EACH VISIT 
 
SEVC has established a deep cleaning/terminal clean disinfecting schedule for cleaning of designated visitation/high-touch areas between visits coordinated between housekeeping and nursing personnel. 
  1. WHAT IS THE ALLOWABLE NUMBER OF VISITORS PER RESIDENT BASED ON THE CAPABILITY TO MAINTAIN SOCIAL DISTANCING AND INFECTION CONTROL? 
 
Step 2: Outdoor visitation (weather permitting) is allowed in neutral zones to be designated by the facility.  If weather does not permit outdoor visitation, indoor visitation is allowed in neutral zones to be designated by the facility.  Visitation will be limited to 2 family members at a time, in 30-minute increments.  Step 3:   Indoor visitation is allowed in neutral zones to be designated by the facility and Visitation will be limited to 3 family members/2 family members if the visit is to take place in the resident room.  If a resident has a roommate, then only one family member can visit at a time. See number 22 above.   
  1. DESCRIBE THE ORDER IN WHICH SCHEDULED VISITS WILL BE PRIORITIZED  
 
Visitation opportunities are limited due to space and time constraints.  Scheduling of visits will be prioritized by compassionate care needs first then residents who have had difficulty utilizing electronic or telephonic visits.  The first responsible party listed in the medical record or their designee will be given priority for visitation.   
STEP 2  
  1. DESCRIBE HOW THE FACILITY WILL DETERMINE THOSE RESIDENTS WHO CAN SAFELY ACCEPT VISITORS AT STEP 2 (CONSIDERING SUCH SAFETY FACTORS AS EXPOSURE TO OUTDOOR WEATHER AND TRANSPORTING RESIDENT TO VISITOR LOCATION) 
 
Any residents who are not experiencing health conditions that require them to be on isolation or otherwise maintained in their rooms will be eligible for off-unit visitation. 
  1. DESCRIBE THE OUTDOOR VISITATION SPACE FOR STEP 2 TO INCLUDE THE COVERAGE FOR SEVERE WEATHER, THE ENTRANCE, AND THE ROUTE TO ACCESS THE SPACE 
 
 
SEVC has covered outdoor space attached or adjacent to each building on campus.  The covered spaces are all accessible from designated parking spaces that do not require the visitor to enter a building.  In the event of severe weather, indoor visitation is allowed in neutral zones designated by the facility, such as the lounge off Coates Hall Lobby and Library in the CLC Building. 
  1. DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING OUTDOOR VISITS 
 
Plexiglass visitation dividers will be utilized. Decals will also be applied to the floor of the visitation areas to indicate six-foot spacing for social distancing. 
  1. DESCRIBE THE INDOOR VISITATION SPACE THAT WILL BE USED IN THE EVENT OF EXCESSIVELY SEVERE WEATHER TO INCLUDE THE ENTRANCE AND THE ROUTE TO ACCESS THE SPACE 
 
 
In the event of severe weather, indoor visitation is allowed in neutral zones designated by the facility, such as the lounge off Coates Hall Lobby and Library in the CLC Building. 
  1. DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING INDOOR VISITS 
 
Floor Signage will be utilized 
STEP 3  
 
 
  1. DESCRIBE HOW THE FACILITY WILL DETERMINE THOSE RESIDENTS WHO CAN SAFELY ACCEPT VISITORS AT STEP 3 (CONSIDERING SUCH SAFETY FACTORS AS TRANSPORTING RESIDENT TO VISITOR LOCATION) 
 
Any residents who are not experiencing health conditions that require them to be on isolation or otherwise maintained in their rooms will be eligible for off-unit visitation. 
  1. WILL OUTDOOR VISITATION BE UTILIZED AT STEP 3? IF NO, SKIP TO QUESTION #52 
 
In Step 3, outdoor visitation will be utilized weather permitting. 
  1. DESCRIBE THE OUTDOOR VISITATION SPACE FOR STEP 3 TO INCLUDE THE COVERAGE FOR SEVERE WEATHER, THE ENTRANCE, AND THE ROUTE TO ACCESS THE SPACE (IF THE SAME AS STEP 2, ENTER “SAME”) 
 
Same as #41 
  1. DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING OUTDOOR VISITS (IF THE SAME AS STEP 2, ENTER “SAME”) 
 
Same as #42 
  1. DESCRIBE THE INDOOR VISITATION SPACE THAT WILL BE USED TO INCLUDE THE ENTRANCE AND THE ROUTE TO ACCESS THE SPACE (IF THE SAME AS STEP 2, ENTER “SAME”) 
 
 
Designated areas in neutral zones away from other residents will be utilized, such as the lounge off Coates Hall Lobby and Library in the CLC  Compassionate care situations will be addressed with SEVC leadership, and visitation will take place in a designated area, likely resident’s room. 
  1. DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING INDOOR VISITS (IF THE SAME AS STEP 2, ENTER “SAME”) 
 
Same as #42 
  1. FOR THOSE RESIDENTS UNABLE TO BE TRANSPORTED TO THE DESIGNATED VISITATION AREA, DESCRIBE THE INFECTION CONTROL PRECAUTIONS THAT WILL BE PUT IN PLACE TO ALLOW VISITATION IN THE RESIDENT’S ROOM 
 
 
Visits will have time limits (30 minutes) established by SEVC.  Visitors will follow CDC and DOH universal source control guidelines; screening must occur, social distancing of at least 6 feet must be maintained, hand hygiene must be performed, and masks must be worn. Visitation for residents without a roommate will be limited to 3 family members or 2 family members if the visit is to take place in the residents’ room.  It can be different individuals on subsequent visits.  If a resident has a roommate, then only one family member may visit at a time.  If roommate present, inquire of resident if he/she would like to enjoy the lounge or other common area away from visitors and socially distant from other residents. 
 
VOLUNTEERS 
In Step 2, volunteers are allowed only for the purpose of assisting with visitation protocols and may only conduct volunteer duties with residents unexposed to COVID-19. In Step 3, all volunteer duties may be conducted, but only with residents unexposed to COVID-19. Screening, social distancing, and additional precautions including hand hygiene and universal masking are required for volunteers. 
  1. DESCRIBE INFECTION CONTROL PRECAUTIONS ESTABLISHED FOR VOLUNTEERS, INCLUDING MEASURES PLANNED TO ENSURE VOLUNTEERS DO NOT COME INTO CONTACT WITH RESIDENTS EXPOSED TO COVID-19 
 
Screening, social distancing, and additional precautions, including hand hygiene and universal masking, will be required for volunteers. 
  1. DESCRIBE THE DUTIES TO BE PERFORMED BY VOLUNTEERS DURING STEP 2 
 
During Step 2 volunteers are allowed only for the purpose of assisting with visitation protocols such as scheduling of visits, transporting (but not lifting) residents and monitoring visitation.