· Must ensure that all caregivers take the
· Special Considerations for Infection Control during
· COVID-19 training through the Texas A&M AgriLife Extension
Screening and Quarantine Policy
· An operation must screen all persons and children according to CDC guidance before allowing entry into the operation, including checking the temperature of each person and child upon arrival at the operation each day and denying entry to any person who meets one of the following criteria:
· Fever or signs or symptoms of a respiratory infection, such as cough, shortness of breath, or sore throat or any of the symptoms below.
· Close contact in the last 14 days with someone who has a confirmed diagnosis of COVID-19, someone who is under investigation for COVID-19, or someone who is ill with a respiratory illness;
· International travel within the last 14 days to countries with ongoing community transmission. For updated information on affected countries visit:
An operation must not deny entry to persons performing official duties, unless the individual meets a screening criteria in subsection (d). The screening required by this section does not apply to emergency services personnel entering the operation in an emergency situation.
Regarding the pick-up and drop-off of children, an operation:
(1) Must limit the direct contact between parents and caregivers to the extent possible considering the age of the child; and
(2) Must complete the pick-up and drop-off of children outside of the operation, unless the operation determines that there is a legitimate need for the parent to enter. Should the parent have a legitimate need to enter the operation, the parent must be screened by the operation as provided in subsection (d).
Send home or deny entry of any employee or child who has any of the following new or worsening signs or symptoms of possible COVID-19:
· Shortness of breath or difficulty breathing
· Repeated shaking with chills
· Muscle pain
· Sore throat
· Loss of taste or smell
· Feeling feverish or a measured temperature greater than or equal to 100.0 degrees Fahrenheit
· Known close contact with a person who is lab-confirmed to have COVID-19
Do not allow employees, children or persons dropping off or picking up with the new or worsening signs or symptoms listed above to return until or in the case of an employee, child person dropping off or picking up who was diagnosed with COVID-19, the individual may return when all three of the following criteria are met:
1. At least 3 days (72 hours) have passed since recovery (resolution of fever without the use of fever-reducing medications); and
2. The individual has improvement in respiratory symptoms (e.g., cough, shortness of breath); and
3. At least 10 days have passed since symptoms first appeared; or
In the case of an employee, child or person dropping off or picking up who has symptoms that could be COVID-19 and does not get evaluated by a medical professional or tested for COVID-19, the individual is assumed to have COVID-19, and the individual may not return until the individual has completed the same three-step criteria listed above; or
If the employee, child or person dropping off or picking up has symptoms that could be COVID-19 and wants to return before completing the above self-isolation period, the individual must obtain a medical professional’s note clearing the individual for return based on an alternative diagnosis.
Do not allow an employee, child or person dropping off or picking up with known close contact to a person who is lab-confirmed to have COVID-19 to return to until the end of the 14 day self-quarantine period from the last date of exposure (with an exception granted for health care workers and critical infrastructure workers).
If staff members believe they have had close contact to someone with COVID-19 but are not currently sick, they should monitor their health for the above symptoms during the 14 days after the last day they were in close contact with the individual with COVID-19.
If a parent believes that they or the child has had close contact to someone with COVID-19 but are not currently sick, they should monitor their health for the above symptoms during the 14 days after the last day they were in close contact with the individual with COVID-19.
Pick-up and Drop-Off Procedures
· The pick-up and drop-off of children should be completed outside of the operation, unless the operation determines that there is a legitimate need for the parent to enter. Should the parent have a legitimate need to enter the operation, the parent must be screened by the operation as outlined in this document.
· NOTE: For families participating in the subsidized child care program, efforts should be made to allow them to check in via the state’s card swipe system. Consider moving the card swipe station outdoors in the morning or swiping the parent’s card for them. Sanitize card swipe stations after use.
· Consider staggering arrival and drop off times and have child care providers go outside the facility to pick up the children as caretakers arrive. A plan for curbside drop-off and pick-up should limit direct contact between parents and staff members and adhere to social distancing recommendations.
· Hand hygiene stations should be set up at the entrance of the facility, so that children can clean their hands before they enter. If a sink with soap and water is not available, provide hand sanitizer with at least 60% alcohol next to parent sign-in sheets. Keep hand sanitizer out of children’s reach and supervise use.
· If possible, place sign-in stations outside, and provide sanitary wipes for cleaning pens between each use.
CLEANING and SANITIZING
· Cleaning products should not be used near children, and staff should ensure that there is adequate ventilation when using these products to prevent children from inhaling toxic fumes.
· Facilities should develop a schedule for regular cleaning and disinfecting.
· Routinely clean, sanitize, and disinfect surfaces and objects that are frequently touched, especially toys and games.
· Clean objects/surfaces not ordinarily cleaned daily such as doorknobs, light switches, classroom sink handles, countertops, nap pads, toilet training potties, desks, chairs, cubbies, and playground structures. Use the cleaners typically used at your facility.
· All bathrooms should be cleaned and disinfected regularly throughout the day, at a minimum bathrooms should be cleaned and disinfected three times per day.
How to Clean
· Wear disposable gloves to clean and disinfect.
· Clean surfaces using soap and water, then use disinfectant.
· Cleaning with soap and water reduces number of germs, dirt and impurities on the surface. Disinfecting kills germs on surfaces.
· Practice routine cleaning of frequently touched surfaces.
o More frequent cleaning and disinfection may be required based on level of use.
o Surfaces and objects in public places, such as shopping carts and point of sale keypads should be cleaned and disinfected before each use.
· High touch surfaces include:
o Tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, sinks, etc.
· Diluted household bleach solutions may also be used if appropriate for the surface.
o Unexpired household bleach will be effective against coronaviruses when properly diluted. Follow manufacturer’s instructions for application and proper ventilation.
o Never mix household bleach with ammonia or any other cleanser
o Leave solution on the surface for at least 1 minute.
· To make a bleach solution, mix
o 5 tablespoons (1/3rd cup) bleach per gallon of room temperature water
o 4 teaspoons bleach per quart of room temperature water
If A Staff member or Child has COVID:
· Contact your local health authority to report the presence of COVID-19 in your facility. Your local health authority will advise you on re-opening procedures.
· Contact Child Care Licensing to report the presence of COVID-19 in your facility.
· Close off areas used by the person who is sick.
· Open outside doors and windows to increase air circulation in the areas.
· Wait up to 24 hours or as long as possible before you clean or disinfect to allow respiratory droplets to settle before cleaning and disinfecting.
· Clean and disinfect all areas used by the person who is sick, such as offices, bathrooms, and common areas.
· If more than 7 days have passed since the person who is sick visited or used the facility, additional cleaning and disinfection is not necessary.
· Continue routine cleaning and disinfection.
Social Distance Strategies
· All children, staff, and volunteers should engage in hand hygiene at the following times:
· Wash hands with soap and water for at least 20 seconds. If hands are not visibly dirty, alcohol-based hand sanitizers with at least 60% alcohol can be used if soap and water are not readily available.
· Limit the use of shared writing utensils for families, staff and children
o Consider having pencil bags with writing utensils, scissors, drawing supplies for each child.
· When possible, don’t rotate children through different station or activities.
o Each station and activity materials should be cleaned and sanitized nightly.
· All food should be served by a staff member wearing mask and gloves.
· Masks are required for all person 10 years and above, while in program.
· Parent’s are required to wear masks while out of their vehicle.