Suspected or Confirmed COVID-19 Cases
- Emergency Response - Employees or students with symptoms of illness must be sent to the designated isolation room where the school nurse (Registered Professional Nurse, RN) will assess individuals. As chronic conditions such as asthma and allergies or chronic gastrointestinal issues may present as symptoms as COVID-19, they are neither contagious nor pose a public health threat. Proper PPE will be required any time a nurse may be in contact with a potential COVID-19 patient.
- Isolation - Students suspected of having COVID-19 awaiting transport home by a parent/guardian will be isolated in a designated isolation room with a supervising adult present utilizing appropriate PPE. Multiple students suspected of COVID-19 may also be in this isolation room if they can be separated by at least six (6) feet. If they cannot be isolated in a separate room from others, face covering (e.g., cloth or surgical mask) will be provided to the student if the ill person can tolerate wearing it and does not have difficulty breathing, to prevent the possible transmission of the virus to others while waiting for transportation home. Students will be escorted from the isolation room to their parent/guardian. The parent or guardian will be instructed to call their health care provider, or if they do not have a health care provider to follow up with a local clinic or urgent care center. In consultation with the school nurse, custodial staff may consider:
- Closing off areas used by a sick person and not using these areas until after cleaning and disinfection has occurred.
- Opening outside doors and windows to increase air circulation in the area.
- Waiting at least 24 hours before cleaning and disinfection. If waiting 24 hours is not feasible, wait as long as possible.
- Clean and disinfect all areas used by the person suspected or confirmed to have COVID-19, such as offices, classrooms, bathrooms, lockers, and common areas.
- Once the area has been appropriately cleaned and disinfected it can be reopened for use.
- Individuals without close or proximate contact with the person suspected or confirmed to have COVID-19 can return to the area and resume school activities immediately after cleaning and disinfection.
- Notification - the NYS and local health departments will be notified immediately upon being informed of any positive COVID-19 diagnostic test result by an individual in school facilities or on school grounds, including students, faculty, staff and visitors.
Contact Tracing
Orange-Ulster BOCES will continue to assist the Orange County Department of Health with contact tracing in order to expedite notification to individuals who have been exposed to COVID-19 in accordance with Guidance on the Contacts of a Close or Proximate Contact of a Confirmed or Suspected Case of COVID-19 issued by the New York State Department of Health. In order to properly identify those who are direct or proximate contacts of the infected individual, the following has been established:
- All classrooms, offices, break rooms and separate buildings (maintenance buildings, etc.) will require “signing in” of all persons who enter these spaces. Anyone entering these spaces must sign in and out regardless of the amount of time spent in the space. The logs for each space will be forwarded to StaySafe@ouboces.org at the end of each work day.
- Custodians, maintenance personnel, technicians and other staff who must move about because of the nature of their job responsibilities must maintain a personal log and submit to StaySafe@ouboces.org at the end of each workday. In addition, custodial staff must maintain and submit their Daily Cleaning Log each day and submit to their supervisor at the conclusion of each day.
- BOCES staff, usually the school nurse or program principal will immediately complete the Orange County Department of Health Call Center Pre K-12 Reporting Form when notified of a positive student or staff member. This form will be forwarded to the COVID Compliance Office to initiate reporting of the case to the DOH as well as begin pulling contact tracing sheets from the archive. Sheets will be forwarded to the program POC who will then identify all individuals who have had direct or proximate contact of at least 10 cumulative minutes. Based on this information, the Orange County Department of Health Close Contact Identification for Contact Tracing sheet will be completed in order to generate a list of contacts for the Orange County Department of Health. Based on contact dates, mandatory or precautionary quarantine will be advised by BOCES and confirmed by the OC DOH.
To ensure the OU BOCES employees comply with contact tracing and disinfection requirements, we will do the following:
- Have a plan for cleaning, disinfection, and notifying Public Health in the event of a positive case. In the case of an employee testing positive for COVID-19, CDC guidelines will be followed regarding cleaning and disinfecting the building or facility if someone in which someone has been identified as sick. https://www.cdc.gov/coronavirus/2019 ncov/community/disinfecting-building-facility.html
- Close off areas used by the person who is sick.
- Open outside doors and windows to increase air circulation in the area.
- Wait 24 hours before cleaning and disinfecting. If 24 hours is not feasible, wait as long as possible.
- Clean and disinfect all areas used by the person who is sick, such as offices, bathrooms, common areas, shared electronic equipment like tablets, touch screens, keyboards, remote controls, and copier machines.
- Vacuum the space if needed. Use a vacuum equipped with a high-efficiency particulate air (HEPA) filter, if available.
- Consider temporarily turning off room fans and the central HVAC system that services the room or space, so that particles that escape from vacuuming will not circulate throughout the facility.
- Workers without close contact with the person who is sick can return to work immediately after disinfection.
COVID-19 Symptoms or Exposure and Returning to School and Work Following Illness
OU BOCES will take the following actions related to COVID-19 symptoms or exposure.
Schools must follow guidance from New York State Education, state and local health departments and the Center for Disease Control (CDC) for allowing a student or staff member to return to school after exhibiting symptoms of COVID-19, or testing positive for COVID-19.
A health care provider’s note will be required to return to school if any member of the school (student, staff, or faculty) is not attending due to potential symptom(s) of COVID-19 or a confirmed positive/ diagnosis of COVID-19.
- For a COVID-Related Symptom: If a student/staff/faculty member displays a COVID-19-related symptom, they must obtain a healthcare provider note to return to school. Symptoms of COVID-19 include but are NOT limited to: fever or chills (100 degrees F or greater), persistent cough, shortness of breath of difficulty breathing, extreme fatigue, muscle or body aches, headache, sore throat, new loss of taste or smell, congestion or runny nose, nausea, vomiting, diarrhea,unexplained rash, pinkeye.
- For Pertinent Exposure: Pursuant to recent Orange County Department of Health Guidance, OUBOCES staff may request clearance to return to work from the school nurse. To request clearance please contact the school nurse. You will then be sent the “Return to School/Work Following District Ordered Quarantine Questionnaire” to be completed. *This is only for student/staff/faculty quarantined due to an exposure at OUBOCES.*
A note from a medical provider is required when returning to school/work after illness or an outside COVID exposure. Please note, this documentation from your medical provider must indicate that you are clear to return to school/work and are not suffering from any symptoms of COVID-19.
The following events would allow clearance from your school nurse prior to your return to school/work:
1. You have been exposed to someone who has tested positive to COVID-19 at OUBOCES ONLY
The following events would require a note from your medical provider prior to your return to school/work:
1. You have tested positive for COVID-19:
2. You have been exposed outside of OUBOCES to a COVID-19 positive individual (this requires a mandatory 10 day precautionary quarantine under the direction of a medical provider or a Department of Health order)
*All staff returning to work from a quarantine due to any COVID-19 exposure or positive COVID-19 test must also provide a quarantine release notice from their local Department of Health.*
- Orange County, NY residents can obtain a Department of Health Clearance with the link provided below: https://www.orangecountygov.com/1936/Coronavirus
- Staff residing outside of Orange County, NY please contact your local Department of Health
3. Following COVID-19 Diagnosis and Subsequent Isolation Period: If a student/staff/faculty member tests positive for the virus (SARS-CoV-2) that causes COVID-19, they must have a health care provider note AND the following conditions must be met:
- symptom resolution, at least 10 days have passed since the onset of symptoms for symptomatic individuals or 10 days from the collection date (test date) of the positive COVID-19 test for asymptomatic individuals;
- AND at least 24 hours have passed since the resolution of fever without the use of fever-reducing medication.
A negative COVID-19 test will not be required, unless specifically requested by the Department of Health, but may be provided in addition to the health care provider’s note.
Healthcare provider notes must include AT MINIMUM the following information:
- The individual is cleared to return to school/work.
- The individual has an alternate diagnosis unrelated to COVID (for scenario number 1 above) OR the individual has no subsequent illness after completing their quarantine period (for scenario 2 above) OR the individual has successfully completed their isolation period and meet the current CDC clearance guidance (for scenario 3 above).
- The alternate diagnosis does not have to be listed in the note, but may need to be discussed confidentially with the school nurse and/ or the local health department.
The health care provider clearance note will assist with mitigating the potential risk of exposure to COVID-19 in a congregate school environment, as we work collectively to ensure the health and safety of our students, faculty, staff and residents.
School nurses CAN use their clinical judgment when deciding to send a child or staff/faculty member home from school or work due to suspected potential COVID-19-related illness, and or based on exposure potential.
Please note that individuals exposed to a confirmed case of COVID-19 will need to quarantine for 10 days from their last date of exposure, however after day 10 is reached, individuals must continue monitoring for symptoms through day 14 and if any develop, they should immediately self-isolate and contact their local health department or their healthcare provider to report this change. Individuals who test positive for COVID-19 may be released from isolation as soon as 10 days depending on symptom resolution. This is due to the incubation period of the virus, how long it may take someone
to become ill after being exposed to the virus.
Consistent with recent CDC guidance, quarantine for individuals exposed to COVID-19 can end after ten
days without a testing requirement if no symptoms have been reported during the quarantine period.
- Individuals must continue daily symptom monitoring through Day 14;
- Individuals must be counseled to continue strict adherence to all recommended non-pharmaceutical interventions, including hand hygiene and the use of face coverings, through Day 14.
- Individuals must be advised that if any symptoms develop, they should immediately self-isolate and contact the local public health authority or their healthcare provider to report this change in clinical status and determine if they should seek testing.
Vaccinated Individuals or Previous COVID-19 Diagnosis
Consistent with recent CDC guidance, asymptomatic individuals who have been fully vaccinated against COVID-19 do not need to quarantine after full vaccination, if the following criteria are met:
- Are fully vaccinated (i.e., ≥2 weeks following receipt of the second dose in a 2-dose series, or ≥2 weeks following receipt of one dose of a single-dose vaccine); AND
- Have remained asymptomatic since last COVID-19 exposure.
Individuals who do not meet both of the above criteria and who have been exposed to someone with confirmed or suspected COVID-19 are required to quarantine for ten days. Consistent with previous CDC guidance, there is no testing requirement to end the quarantine if no symptoms have been reported during the quarantine period. However, a test should be sought immediately if any symptoms develop during the fourteen days after exposure.
Consistent with CDC guidance from February 13, 2021, asymptomatic individuals who have previously been diagnosed with laboratory confirmed COVID-19 and have since recovered, are not required to retest and quarantine within3 months after the date of symptom onset from the initial SARS-CoV-2 infection or date of first positive diagnostic test if asymptomatic during illness.
While COVID-19 vaccines have demonstrated high efficacy at preventing severe and symptomatic COVID-19, there is currently limited information on how much the vaccines might reduce transmission, how long protection lasts, and the efficacy of vaccines against emerging SARS-CoV-2 variants. Additionally, some individuals who were previously infected with COVID-19 have been reinfected at a later time. Therefore, regardless of quarantine status, all individuals exposed to COVID-19 must:
- Continue daily symptom monitoring through Day 14;
- Continue strict adherence to all recommended non-pharmaceutical interventions, including hand hygiene and the use of face coverings, through Day 14 (even if fully vaccinated);
- Immediately self-isolate if any symptoms develop and contact the local public health authority or their health care provider to report this change in clinical status and determine if they should seek testing.
Updated Interim Guidance for Quarantine Restrictions on Travelers Arriving in New York State
This supersedes the previously issued April 1, 2021 guidance for Interim Guidance for Quarantine Restrictions on Travelers Arriving in New York State Following Out of State Travel and aligns with CDC requirements and recommendations for domestic and international travel released April 2, 2021.
General Updates and Definitions
- Fully vaccinated is defined as being 2 or more weeks after the final dose (e.g., first for Janssen/Johnson & Johnson, second for Pfizer and Moderna) of the vaccine approved by the FDA or authorized by the FDA for emergency use.
- Vaccines that are not authorized by the U.S. Food and Drug Administration (FDA) for emergency use or approved by the FDA do not satisfy this definition.
- Recently recovered is defined as 1) recovered from laboratory-confirmed COVID-19 by meeting the criteria for discontinuation of isolation, 2) within the 3-month period between date of arrival in New York and either the initial onset of symptoms related to the laboratory confirmed COVID-19 infection or, if asymptomatic during the illness, the date of the laboratory confirmed test, and 3) asymptomatic after travel or new exposure.
- CDC and NYS recommend delaying international travel until the traveler is fully vaccinated.
- All travelers must complete the NYS Travel Form unless the traveler had left New York for less than 24 hours or is coming to New York from a contiguous state (i.e., Pennsylvania, New Jersey, Connecticut, Massachusetts, and Vermont).
Domestic Travel
- Domestic travel is defined as travel lasting 24 hours or longer to states or US territories other than contiguous states (i.e., Pennsylvania, New Jersey, Connecticut, Massachusetts, and Vermont).
- There are generally no quarantine, work furlough, or testing requirements for asymptomatic domestic travelers. Exceptions:
- Unvaccinated health care personnel who have not recovered from COVID-19 in the past 3 months and who work in nursing homes, enhanced assisted living residences (EALRs) or assisted living programs (ALPs) must furlough for 14 days after arrival in New York, consistent with CDC recommendations to avoid contact with people at higher risk for severe disease for 14 days after travel.
- All unvaccinated domestic travelers who have not recovered from COVID-19 in the past 3 months are recommended to get tested 3-5 days after arrival in New York, consider non-mandated self-quarantine (7 days if tested on day 3-5, otherwise 10 days), and avoid contact with people at higher risk for severe disease for 14 days, regardless of test result.
International Travel
- All international travelers must comply with all CDC requirements, which currently include proof of negative test or recent COVID recovery in order to board airplanes headed to the US.
- Currently CDC does not require quarantine, work furlough, or testing requirements for asymptomatic international travelers.
- New York follows that recommendation with the following exceptions:
- Unvaccinated health care personnel who have not recovered from COVID-19 in the past 3 months and who work in nursing homes, enhanced assisted living residences (EALRs) or assisted living programs (ALPs) must furlough for 14 days after arrival in New York from international travel, consistent with CDC recommendations to avoid contact with people at higher risk for severe disease for 14 days after travel.
- Unvaccinated health care personnel who have not recovered from COVID-19 in the past 3 months working in all other health care settings must furlough for 7 days with a test on day 3-5 after arrival in New York from international travel, or furlough for 10 days if not tested.
- Fully vaccinated individuals who have not recovered from COVID-19 in the past 3 months are recommended to get tested 3-5 days after arrival in New York from international travel.
- All unvaccinated international travelers who have not recovered from COVID-19 in the past 3 months are recommended to get tested 3-5 days after arrival in New York, consider non-mandated self-quarantine (7 days if tested on day 3-5, otherwise 10 days), and avoid contact with people at higher risk for severe disease for 14 days, regardless of test result.
- Travelers from Canada, crossing at land borders subject to the agreement between the governments of the United States and Canada, are permitted to travel in accordance with said federal agreement and need not quarantine solely due to such federally authorized travel.
Recommendations for non-mandated self-quarantine
- As noted above, in some situations quarantine may be recommended but not required.
- For situations where quarantine is recommended under this guidance, employers may develop policies for travel that either do or do not require furlough of affected staff.
- In addition, pursuant to Executive Order 202.60, as extended, any New York State resident who voluntarily travels to another state or country for travel that was not taken as part of the person’s employment nor at the direction of the person’s employer, will not be eligible for 3 benefits under New York’s COVID-19 paid sick leave law, although an employer may voluntarily provide such leave.
- Regardless of any employer furlough requirements, individuals should self-quarantine when not at work, avoiding large gatherings or exposure to individuals at high risk.
Precautions for All Travelers
Irrespective of quarantine or vaccination status, all travelers should:
- Monitor symptoms daily from day of arrival in New York through day 14;
- Continue strict adherence to all recommended non-pharmaceutical interventions, including hand hygiene and the use of face coverings, through Day 14 (even if fully vaccinated); and
- Immediately self-isolate if any symptoms develop and contact the local public health authority or their health care provider to report this change in clinical status and determine if they should seek testing
How to Quarantine
International travelers to New York who are required to quarantine must comply with the following quarantine guidance. More information on safe quarantine is available here.
- The individual must not be in public or otherwise leave the quarters that they have identified as suitable for their quarantine.
- The individual must be situated in separate quarters with a separate bathroom facility for each individual or family group. Access to a sink with soap, water, and paper towels is necessary. Cleaning supplies (e.g., household cleaning wipes, bleach) must be provided in any shared bathroom.
- The individual must have a way to self-quarantine from household members as soon as fever or other symptoms develop, in a separate room(s) with a separate door. Given that an exposed person might become ill while sleeping, the exposed person must sleep in a separate bedroom from household members.
- Food must be delivered to the person’s quarters.
- Quarters must have a supply of face masks for individuals to put on if they become symptomatic.
- Garbage must be bagged and left outside for routine pick up. Special handling is not required.
- A system for temperature and symptom monitoring must be implemented to provide assessment in-place for the quarantined persons in their separate quarters.
- Nearby medical facilities must be notified, if the individual begins to experience more than mild symptoms and may require medical assistance.
- The quarters must be secure against unauthorized access.
Travel Advisory Exemptions
NYS does not grant exemptions from the travel advisory for international travel. For more information, international travelers should consult the CDC website.
Resources
Travel restrictions will help to contain the rates of COVID-19 transmission in New York State and will work to protect others from serious illness. All New Yorkers must take these travel directives seriously. Your cooperation is greatly appreciated. For further information, please visit:
Closure Considerations
When a person has been identified (confirmed) or suspected to be COVID-19 positive, the response protocol at OU BOCES could include:
- Having school administrators collaborate and coordinate with local health officials to make school closure and large event cancellation decisions.
- Establish a plan to close schools again for physical attendance of students, if necessary, based on public health guidance and in coordination with the local DOH.
- Implement established plans for continuity of education, medical and social services, and meal programs and establish alternate mechanisms for these to continue.
- Implement as needed short-term closure procedures regardless of community spread if an infected person has been in a school building. If this happens, CDC recommends the following procedures:
- Closing off areas used by ill person(s) and locking off area(s). Signage can also be used to ensure no one enters the area. If possible, wait 24 hours before beginning cleaning and disinfecting. If it is not possible to wait 24 hours, wait as long as possible. Do not use the area(s) until cleaning and disinfection has taken place.
- Opening outside doors and windows to increase air circulation in the area.
- Cleaning staff should clean and disinfect all areas (e.g., offices, bathrooms, and common areas) used by the ill person(s), focusing especially on frequently touched surfaces.
- Communicating as soon as possible with staff, parents, and students.
- Using NYSDOH guidance/procedures for when someone tests positive.
- In consultation with the local DOH, a school official may consider whether school closure is warranted and period of time (prior to re-opening) based on the risk level within the specific community as determined by the local DOH.
- In accordance with guidance for quarantine at home after close contact, the classroom or office where the COVID-19-positive individual was based will typically need to close temporarily as students or staff quarantine.
- Additional close contacts at school outside of a classroom should also quarantine at home.
- Closing of schools could be a regional decision.
- 7 metrics - NYS Dashboard
- Schools will reopen if a region is in Phase IV and the daily infection rate remains below 5% using a 14-day average
- Schools will close if the regional infection rate is greater than 9% using a 7-day average after August 1, 2020
- Thresholds will be determined on a case-by-case basis dependent on the numbers (school closures may be a response).
- Buildings may consider closing if required cleaning products (bleach and water can be used as a cleaning product) and PPE are not available
Supplies
Orange Ulster BOCES has procured and continues to monitor its supply chain for adequate PPE for staff, students and health professionals as recommended by CDC.
Training
OU BOCES will train all personnel on new protocols and frequently communicate safety guidelines. Training on the precautions listed below will be conducted either remotely or in person. Social distancing and face coverings will be required for all participants if training is conducted in person. Training materials are designed to be easy to understand and available in the appropriate language for employees.
OU BOCES will ensure all students are taught or trained in a developmentally-appropriate manner how to follow new COVID-19 protocols safely and correctly. Such training will include, but not be limited to, hand hygiene, proper face cover wearing, social distancing, and respiratory hygiene. Additional training will be provided in:
- Prevention of disease spreads by staying home when sick.
- Proper respiratory etiquette, including covering coughs and sneezes.
- Avoiding the use of communal objects. If communal objects must be used, provide information on proper disinfection procedures between use. Examples of communal objects include, but are not limited to, other workers’ phones, desks, offices, computers or other devices, other work tools and equipment.
- Provide up-to-date education and training on COVID-19.
- Risk factors and protective behaviors (i.e., cough etiquette and care of PPE).
https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/schools.html
Training for Screeners
OU BOCES will identify individuals familiar with CDC, OSHA protocols, and NYSDOH guidelines in each building who will be a trained screener. Screeners will wear appropriate employer-provided PPE, including at a minimum, a face covering, temperature screenings and social distancing. If social distancing or barrier/partition controls cannot be implemented during screening, PPE should be used when within six (6) feet of a student.
Training Topics for All Staff and Substitutes
- Proper hand washing: proper hand hygiene. Promote frequent and thorough hand washing by providing employees, the school community, and visitors with a place to wash their hands. If soap and running water are not immediately available, provide alcohol-based hand rubs containing at least 60% ethanol or 70% isopropyl alcohol. Provide training on proper handwashing and hand sanitizer use https://www.cdc.gov/handwashing/when-how-handwashing.html
- Proper cough and sneeze etiquette
- Social Distancing
- Operating procedures (various by building)
- Proper cleaning techniques
- Reopening Guidance for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools, and Homes
https://www.cdc.gov/coronavirus/2019-ncov/community/reopen-guidance.html
https://www.cdc.gov/coronavirus/2019-ncov/community/pdf/Reopening_America_Guidance.pdf
- Hazard Communication – Right-To-Know
- Exposure Control Plan – with a focus on Pandemic/COVID-19
- Personal Protective Equipment - PPE
- Use of face coverings (donning/doffing) (cloth vs. surgical)
- Respirator Protection (N95) - required for identified employees per NYS)
Signs and Messages
Signs will be posted in highly visible locations (e.g., school entrances, restrooms) that promote everyday protective measures and describe how to stop the spread of germs (such as by properly washing hands and properly wearing a cloth face cover).
When Students Eat in Classrooms