Our response to COVID-19

Update Mat 19, 2020

Education and Treatment Plan During COVID-19

Elevation Ability Services provides ABA Therapy as well as education and related services for children with developmental disabilities. During “shelter in place” Elevation Ability Services provided tele-health and virtual learning. As “shelter in place” moved to “safer at home,” Elevation Ability Services continues virtual learning through May 22 and conducted Risk/Benefit Analysis on the delivery mode of ABA Therapy for each child. The Risk/Benefit Analysis was completed by the BCBA and the family to determine if tele-health and/or face to face therapy was the most beneficial for the child. Since April 27, 2020 Elevation Ability Services has slowly started to resume some face to face therapy and will continue to implement the below plan. Elevation Ability Services will also monitor CDC and local health department guidelines and make changes accordingly so we can best serve children with developmental disabilities and keep our staff safe.

Our Day Treatment Center/Facility School will resume face to face learning beginning June 1, 2020.

Here are the precautions taking place to prevent the spread and exposure to COVID-19.

Health and Safety Precautions Being Implemented

Signage:

-Signage at each entrance of the facility notifying students and employees to STOP if they are sick and ask them not to enter

-Signage explaining safety measures being taken by the business

-Signage emphasizing the importance of Wearing a mask, Social distancing, Handwashing and Coughing and Sneezing Etiquette

-Signage on how to contact person in charge with questions or concerns related to COVID-19 facility practices for protecting employee and students.

  • Signage on how to appropriately make sanitation and disinfectant solutions.
  • Student specific safety protocols are placed in each student’s individual work space.

Measures to Protect Employee Health:

-All employees are told not to come to work if sick

-Symptom monitoring protocols – including workplace temperature monitoring and symptom screening questions for COVID-19 – are in place and screening is being conducted before employees enter the work space, every day. (Because we have less than 25 employees, they will do self-checks at home before coming into work and temperature checks will occur upon arrival. Field-based employees will self-check (including taking temperature and report to management daily)

-Appropriate protective gear is provided (disposable gloves and face masks) and required for all employees in close contact with other employees, clients, and students.

-Scrubs have been provided to employees who work directly with clients/students

-Everyone who can carry out their work duties from home has been directed to do so

-All desks, individual work stations or work areas are separated by at least six feet.

Staff schedules are developed to limit the number of employees in the facility at one.  

-Employees are discouraged from using shared spaces (i.e. break rooms, meeting rooms, waiting areas, etc.). Since shared space is necessary, we have considered the size of the room to maintain 6-foot distancing and no more than 10 people are permitted in a single room at one time.

-Disinfectant and related supplies are available to all employees and training on daily workspace cleaning and sanitizing has been provided.

-Running water, hand soap and paper towels and/or hand sanitizer is available to all employees throughout the workday and employees are encouraged to take breaks to wash hands

-The facility has proper ventilation

-Employee breaks are staggered to reduce employee density

-Copies of the COVID-19 Plan have been distributed to all employees

Measures to Protect Student Health:

Due to the nature of our clients’ and students’ needs, we cannot maintain 6 feet from all our clients/students, at all times; specifically, around adaptive daily living skills and behavior reduction protocols. However, we will implement the following:

– Require parents to keep children home when showing any symptoms or signs of sickness

-Curbside pick-up and drop-off (parent will wait until the child’s temperature is taken)

-Temperature is taken in parking lot or main entrance (depending on weather). Those taking client/student’s temperatures ensure that they put medical gloves on and wear a face mask; gloves and face mask should be disposed after each individual contact with a client/student. Using a temple thermometer, take the student’s temperature, if the thermometer comes into contact with the client/student’s skin, it must be sanitized before use on another student/individual. Temperature of 100.4 is automatic “No GO.” The client/student will have to get back in car, leave and not return until they have not had a fever for 24 hours without the administration of fever reducing medication.

-Provide frequent communication with all families of enrolled clients/students specific to all issues in the public health order

-No more than 10 clients/students will be in one group. This does not include staff.

-Keep groups of clients/students together with same staff when possible

-Limit the number of client/student-staff and client/student-student interaction in common spaces as much as possible (e.g. playground equipment, hallways, etc.)

-Encourage 6-foot distancing and, where possible, implement distancing systems while learning

-Stagger meal times (if normally done in a large group) and encourage individual meals (no family- style dining)

-Disinfect all high-touch areas (e.g., door handles, light switches, common tools) at start and end of the day and, when possible, throughout the day  

-Regularly disinfect and sanitize education tools (e.g. books, whiteboard, computers)

-Limit the toys in use to those that are easily cleanable, non-porous, with smooth surfaces and eliminate soft, fabric toys, dress-up clothing, sensory tables and water play.

-Avoid sharing of materials and establish client/student specific bins to store student specific materials to prevent the sharing of materials.

-Establish clear plan / protocol to isolate staff, cleints, and students who have symptoms 

-Determine plan for substitute staff members to cover for ill or quarantined staff

If an Employee or Student Has Symptoms or Tested Positive for COVID-19

Employees will isolate at their residence if:

-Have a positive COVID-19 test.

-Have symptoms of COVID-19 (coughing, shortness of breath and/or fever).

-Are getting ill and think they might have COVID-19. Symptoms, especially early on, may be mild and feel like a common cold. Early symptoms could include a combination of cough, body aches, fatigue, and chest tightness. Some people may not develop fever or fever may not appear until several days into the illness.

You have had no fever for at least 72 hours (that is three full days of no fever without using medicine that reduces fevers)
AND

other symptoms have improved (for example, when your cough or shortness of breath have improved)
AND

At least 7 days have passed since your symptoms first appeared

AND have had a negative test

Students/Clients who test positive or who have symptoms may return when:

They have had no fever for at least 72 hours (that is three full days of no fever without using medicine that reduces fevers)
AND

other symptoms have improved (for example, when your cough or shortness of breath have improved)
AND

At least 7 days have passed since your symptoms first appeared

Our facility will:

-Close off areas used by the ill persons and wait as long as practical before beginning cleaning and disinfection to minimize potential for exposure to respiratory droplets. Open outside doors and windows to increase air circulation in the area. Restrict access for two hours after the sick person has left. If possible, wait up to 24 hours before beginning cleaning and disinfection.

-Clean and disinfect all areas used by the ill persons, focusing especially on frequently touched surfaces. Continue to follow all cleaning and disinfecting recommendations provided below.

Ongoing Monitoring Procedures

  • The above plan of action will be reviewed and modified as directed by national and local guidance/regulations.
  • Internal compliance checks will be completed by executive management personal, weekly to ensure fidelity of implementation.
  • In the event that a staff or student exposures is present, Elevation Ability Services will contact Tri-county health and CDHS Office of early childhood to report the exposure.

Upon request, copies of our floor plan (including staff and students work areas) and our protocol to isolate staff and students who show symptoms at our facility, will be provided.

Helpful links:

http://www.cdc.gov

https://covid19.colorado.gov/

https://www.cde.state.co.us/safeschools

%d bloggers like this: