Exposure Management Plan

Compliance Task Force
  • The school will designate a Compliance Task Force that is responsible for establishing and enforcing health and safety protocols and educate and train staff and students.
  • The School Nurse will be designated as the COVID-19 Compliance Officer, who will serve as liaison to DPH in the event of an outbreak at the school.
 
COVID-19 Symptoms at School
  • Employees who report symptoms at any point during the school day are instructed to return home and self-isolate as soon as possible as required by the Health Officer Order.
  • Students who screen positive for symptoms at entry or who report symptoms at any point during the school day are immediately accompanied to our isolation area.
  • The isolation area will have appropriate partitioning.
  • Employees and students will be assessed by the school nurse.
  • The administration is informed of any positive screening results in the school and initiates the School Exposure Management Plan consistent with LADPH directives.
  • Students will be supervised and taken care of in our designated isolation area until picked up.
  • We require that a parent/guardian or emergency contact is available to pick up your sick student as soon as possible after our Nurse calls.
  • If symptoms are severe, EMS services will be contacted.

Employees/Students with COVID-19 SymptomS
  • Consult a healthcare provider for possible COVID-19 testing.
  • Isolate for 10 days.
  • Report back to school after one of the following conditions have been met:
      • At least 24 hours have passed since resolution of fever without the use of fever-reducing medications; improvement of symptoms; AND at least 10 days have passed since symptoms first appeared.
      • A medical note indicating clearance to go to school, due to another diagnosis.
 
 
Employees/Students with a Positive COVID-19 Test
Exposure Management for 1 COVID-19 Case
  • School receives notification of 1 confirmed case at school.
  • School requests that case follow Home Isolation Instructions for COVID-19.
  • School informs the case that the Department of Public Health (DPH) will contact the case to collect additional information and issue the Health Officer Order for self-isolation.
  • School Compliance Task Force works with the case to determine contacts that were exposed to the case at school while infectious.
  • School notifies contacts of school exposure, requests contacts to follow instructions for self-quarantine and test for COVID-19.
  • School informs contacts that DPH will follow up to collect additional information and issue the Health Officer Order for self-quarantine.
  • School provides DPH with names and contact information for the case and identified school contacts.
  • School may send general notification to inform the wider school community (recipients determined by school) of the exposure and precautions taken to prevent spread of COVID-19.
  • Confirmed COVID-19 student/staff may report back to school if 1 of the 2 criteria is met:
      • At least 24 hours have passed since resolution of fever without the use of fever-reducing medications; improvement of symptoms; AND at least 10 days have passed since symptoms first appeared.
      • If asymptomatic but tested positive for COVID-19, at least 10 days have passed since the date of sample collection of the initial positive COVID diagnostic test assuming that the individual has not subsequently developed symptoms since their positive test.
 
Exposure Management for 2 COVID-19 Cases
  • After identifying 2 laboratory confirmed cases within a 14-day period, follow steps for 1 confirmed case.
  • If cases occurred within 14 days of each other, school may determine whether epidemiological (epi) links exist.
  • If epi links do not exist: continue with routine exposure monitoring.
  • If epi links exist: School reinforces messages to students and employees on precautions taken to prevent spread; implement site-specific interventions, as needed, to reduce transmission.
 
Exposure Management for 3+ COVID-19 Cases
  • If a cluster of 3 or more cases occurred within 14 days of each other, the school notifies the DPH Acute Communicable Disease Control (ACDC) Education Sector Team.
  • Prior to notifying the ACDC Education Sector Team of cluster, the school may assess whether epi links exist for ≥ 3 cases. If epi links do not exist, continue with routine monitoring.
  • ACDC Education Sector Team requests that the COVID-19 Case and Contact Line List for the Educational Sector be completed by school to determine if outbreak criteria have been met. ACDC will contact school within 1 business day to advise on next steps.
  • During the outbreak investigation, the school provides updates to the OMB investigator until the outbreak is resolved (at least 14 days since the last confirmed case).
 
Contact Tracing
Prompt identification, voluntary isolation or quarantine, and monitoring of a person diagnosed with COVID-19 and their close contacts can effectively break the chain of disease transmission and prevent further spread of the virus. Case investigation and contact tracing are core disease control measures that have been used by state and local health departments for decades to slow or stop the spread of infectious disease.
 
  • A symptomatic case is considered to be infections from 48 hours before their symptoms first appeared until the time they are no longer required to be isolated.
  • An asymptomatic case with a positive COVID-19 test is considered to be infectious from 48 hours before the test was taken until 10 days after the test.
  • The definition of a close contact is an individual who was within 6 feet of an infected person for at least 15 minutes with or without face covering starting from 2 days before illness onset (or, for asymptomatic patients, 2 days prior to specimen collection) until the time the patient is isolated.
  • A close contact is also an individual who had unprotected contact with the infected person’s bodily fluids and/or secretions of a person with confirmed or suspected COVID-19 (e.g. being coughed or sneezed on, sharing utensils or saliva, or providing care without wearing appropriate protective equipment)
  • The school will collaborate with LADPH in conducting these control measures for students and staff with suspected or confirmed COVID-19 infection.
  • Individual’s privacy and confidentiality will be observed as required by state and federal laws.
  • The school will provide all necessary information to the public health staff about close contacts at school.
  • Public health staff works with the infected individual to help them identify close contacts during the infectious timeframe.
  • Public health staff warn the identified close contacts of their potential exposure as rapidly and sensitively as possible.
  • Close contacts are only informed that they may have been exposed to a person with the infection, they are not told the identity of the patient who may have exposed them.
  • Close contacts are provided with education, information, and support to understand their risk, what they should do to separate themselves from others who are not exposed, monitor themselves for illness, and the possibility that they could spread the infection to others even if they themselves do not feel ill.
  • Close contacts are directed to stay home and maintain physical social distance from others (at least 6 feet) until 14 days after their last exposure, in case they also become ill.
  • Close contacts should self-monitor by checking their temperature and watching for cough or shortness of breath.
    • Public health staff check in with close contacts to make sure they are self-monitoring and have not developed symptoms.
  • Close contacts who develop symptoms should promptly isolate themselves and notify public health staff and be evaluated for infection and the need for medical care.
  • The School Nurse will monitor and report positive cases and track whether the school approaches the 5% positive threshold during a 14-day period.
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REOPENING PROTOCOLS
 
Protocols Mitigation Pivot
Addtnl Info Appendix A Appendix A Contd
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ADDITIONAL REOPENING INFORMATION
 
H&S Protocols Cleaning ReopenPlan
 
 
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