Exposure Prevention, Preparedness, and Response

Effictive July 1, 2020

The Arc of Central Virginia (The Arc) takes the health and safety of our employees and individuals very seriously. With the spread of the coronavirus or “COVID-19,” a respiratory disease caused by the SARS-CoV-2 virus, The Arc must remain vigilant in mitigating the outbreak. In order to be safe, maintain operations, and as we consider reopening, we have developed this COVID-19 Exposure Prevention, Preparedness, and Response Plan to be implemented, to the extent feasible and appropriate.

This Plan is based on information available from the CDC and OSHA at the time of its development, and is subject to change based on further information provided by the CDC, OSHA, and other public officials. The Arc may also amend this Plan based on operational needs.

Responsibilities of Managers and Supervisors

All directors and managers must be familiar with this Plan and be ready to answer questions from employees, individual, families and caregivers. Directors and managers must set a good example by following this Plan at all times. This involves practicing good personal hygiene and workplace safety practices to prevent the spread of the virus. Directors and managers must encourage this same behavior from all employees.

II. Responsibilities of Employees

The Arc is asking every one of our employees to help with our prevention efforts while at work. In order to minimize any spread of COVID-19 at our workplace, everyone must play their part. As set forth below, The Arc has instituted various housekeeping, social distancing, and other best practices. All employees must follow these directions. In addition, employees are expected to report to their manager if they are experiencing signs or symptoms of COVID-19, as described below. If you have a specific question about this Plan or COVID-19, please ask your manager. If they cannot answer the question, please contact Director of Operations.

OSHA and the CDC have provided the following control and preventative guidance for all workers, regardless of exposure risk:

1. Frequently wash your hands with soap and water for at least 20 seconds. When soap and running water are unavailable, use an alcohol-based hand rub with at least 60% alcohol.

2. Avoid touching your eyes, nose, or mouth with unwashed hands.

3. Follow appropriate respiratory etiquette, which includes covering for coughs and sneezes.

4. Use face coverings, unless other conditions exist that prevent the wearing of face covering.

5. Practice social distancing – Maintain 6 feet of separation between individuals and limiting rooms to no more than 10 people.

6. Avoid close contact with people who are sick.

In addition, employees must familiarize themselves with the symptoms of COVID-19, which include the following:

• Coughing;
• Fever;
• Shortness of breath or difficulty breathing; and
• Early symptoms such as chills, body aches, sore throat, headache, diarrhea, nausea/vomiting, and runny nose.
• Lose of the ability to taste and/or smell

Not attributable to another condition.

If you develop a fever and symptoms of respiratory illness, such as cough or shortness of breath, DO NOT GO TO WORK and call your supervisor and healthcare provider right away. Likewise, if you come into close contact with someone showing these symptoms, call your supervisor and healthcare provider right away.

III. Workplace Protective Measures

The Arc has instituted the following protective measures.

A. General Safety Policies and Rules

• Any employee/individual/visitor showing symptoms of COVID-19 will be asked to leave the facility and return home.
• All visitors will sign in and out at the front desk.
• Meetings will be by telephone, if possible. If meetings are conducted in-person, attendance will be collected verbally and the Program Manager will sign-in each attendee. During any in-person safety meetings, avoid gathering in groups of more than 10 people and participants must wear face masks and remain at least six (6) feet apart.
• Employees must limit physical contact with others and shall direct others (co-workers/contractors/visitors) to increase personal space to at least six (6) feet, where possible. No more that 10 people in a room at a time. Where program rooms are used, only necessary employees should enter the rooms and all employees should maintain social distancing while inside rooms and office.
• All in-person meetings will be limited. To the extent possible, meetings will be conducted by telephone.
• Employees will be encouraged to stagger lunches and bathroom use, if practicable, to reduce the size of any group at any one time to less than ten (10) people.
• When use of hand washing is not practical, The Arc will provide alcohol-based hand sanitizers and/or wipes.
• Employees should limit the use of supplies, equipment and materials. To the extent items must be shared, The Arc will provide alcohol-based wipes to clean tools before and after use. When cleaning tools and equipment, consult manufacturing recommendations for proper cleaning techniques and restrictions.
• Employees are encouraged to minimize ride-sharing. While in vehicles, employees must ensure adequate ventilation.

B. Workplace Visitors

• The number of visitors to The Arc, will be limited to only those necessary for the work.
• All visitors will be screened in advance of arriving on the job site. If the visitor answers “yes” to any of the following questions, he/she will not be permitted to access The Arc:

1. Have you been confirmed positive for COVID-19?

2. Are you currently experiencing, or recently experienced, any acute respiratory illness symptoms such as fever, cough, or shortness of breath?

3. Have you been in close contact with any persons who has been confirmed positive for COVID-19?

4. You or anyone you have been in close contact with traveled and are also exhibiting acute respiratory illness symptoms?

5. All persons entering The Arc will have they're temperature taken using a non-contact infrared thermometer. Anyone with a temperature above 100.4 will be asked to leave and to contact their primary care doctor or health care provider.

6. All persons entering The Arc will wear masks, unless other conditions exist that prevent the wearing of face covering.

7. Installation of direction and distancing signage.

• Deliveries will be permitted but should be properly coordinated in line with the employer’s minimal contact and cleaning protocols. Delivery personnel should remain in their vehicles if at all possible.

C. Personal Protective Equipment (PPE) and Work Practice Controls

The Arc will supply the following PPE

• Gloves: Gloves should be worn when physical contact is necessary. Gloves must be changed between individuals. Do not share gloves.
• Face Shields will be worn when toileting individuals. Face shields must be washed between individuals and at the end of the day
• Non-medical face coverings will be worn by everyone occupying the building. Face coverings must be washed when contaminated and at the end of each day
• Lab coats, were appropriate
• Limit exposure time to the extent practicable.

IV. Cleaning and Disinfecting

The Arc has instituted regular housekeeping practices, which include cleaning and disinfecting frequently used tools and equipment, and other elements of the work environment. Employees should regularly do the same in their assigned work areas.

• Workplace, room and kitchens areas will be cleaned at least once per day with disinfecting spray. Employees performing cleaning will be issued proper personal protective equipment (“PPE”), such as nitrile gloves and gowns or lab coats, as recommended by the CDC.
• Any trash will be collected and removed frequently by someone wearing nitrile gloves.
• Toilets, sinks and vanities must be cleaned once daily.
• Changing tables will be cleaned between each individual.
• Frequently touched items (i.e. door knobs, door pulls, light switches and toilet seats) will be disinfected frequently.
• Vehicles and equipment/tools should be cleaned at least once per day, if in use, and before changes in operators or riders.
• OSHA has indicated that a reliable report that an employee has tested positive for COVID-19 does not typically require an employer to perform special cleaning or decontamination of work environments, unless those environments are visibly contaminated with blood or other bodily fluids. Notwithstanding this, The Arc will clean those areas of the workplace that a confirmed-positive individual may have contacted and it will do so before employees, visitors or individuals can access that work space again.
• The Arc will ensure that any disinfection shall be conducted using one of the following:

1. Open window and/or doors, if possible, for 24hr.

2. Common EPA-registered household disinfectant;

3. Alcohol solution with at least 60% alcohol; or

4. Diluted household bleach solutions for food preparation surfaces

5. The Arc will maintain Safety Data Sheets of all disinfectants used on site.

V. COVID-19 Exposure Situations

• Employee/Individual Exhibits COVID-19 Symptoms

If an employee or individual exhibits COVID-19 symptoms, the employee or individual must remain at home until he or she is symptom free for 72 hours (3 full days) without the use of fever-reducing or other symptom-altering medicines (e.g., cough suppressants). The Arc will similarly require an employee or individual who reports to work with symptoms to return home until he or she is symptom free for 72 hours (3 full days). Employee or individuals or their caregiver will be instructed to call their primary care provider. To the extent practical, employees or individual are required to obtain a heath care provider note clearing them to return to The Arc.

• Employee or Individual Tests Positive for COVID-19

An employee or individuals who tests positive for COVID-19 will be directed to self-quarantine away from The Arc. Employees or individuals that test positive and are symptom free may return to work when at least seven (7) days have passed since the date of his or her first positive test, and have not had a subsequent illness. Employees or individuals who test positive and are directed to care for themselves at home may return to work when: (1) at least 72 hours (3 full days) have passed since recovery*; and (2) at least seven (7) days have passed since symptoms first appeared. Employees who test positive and have been hospitalized may return to work when directed to do so by their medical care providers. The Arc will require an employee or individual to provide documentation clearing his or her return to work.

Recovery is defined as: (1) resolution of fever without the use of fever-reducing medications and (2) improvement in respiratory symptoms (e.g., cough, shortness of breath

• Employee or Individual Has Close Contact with an Individual Who Has Tested Positive for COVID-19

Employees or individuals who have come into close contact with a person who has tested positive for COVID-19 will be directed to self-quarantine for 14 days from the last date of close contact with that person. Close contact is defined as equal to or less than six (6) feet for a prolonged period of time.

If The Arc learns that an employee or individuals has tested positive, The Arc will conduct an investigation to determine which employees or individuals may have had close contact with the confirmed-positive employee or individuals in the prior 14 days and direct those employees or individuals who have had close contact with the confirmed-positive employee or individual to self-quarantine for 14 days from the last date of close contact with that employee. If applicable, The Arc will also notify individuals, parents and/or care providers, sub-contractors, vendors/suppliers or visitors who may have had close contact with the confirmed-positive employee or individuals. If an employee or individual learns that he or she has come into close contact with a confirmed-positive person outside of the workplace, he/she or responsible care provider must alert a manager or supervisor of the close contact and self-quarantine for 14 days from the last date of close contact with that employee or individual.

VI. OSHA Recordkeeping

If a confirmed case of COVID-19 is reported, The Arc will determine if it meets the criteria for recordability and reportability under OSHA’s recordkeeping rule. OSHA requires all employers to record work-related injuries and illnesses that meet certain severity criteria on the OSHA 300 Log, as well as complete the OSHA Form 301 (or equivalent) upon the occurrence of these injuries. For purposes of COVID-19, OSHA also requires employers to report to OSHA any work-related illness that (1) results in a fatality, or (2) results in the in-patient hospitalization of one or more employee.

“In-patient” hospitalization is defined as a formal admission to the in-patient service of a hospital or clinic for care or treatment. OSHA has made a determination that COVID-19 should not be excluded from coverage of the rule – like the common cold or the seasonal flu – and, thus, OSHA is considering it an “illness.” However, OSHA has stated that only confirmed cases of COVID-19 should be considered an illness under the rule. Thus, if an employee simply comes to work with symptoms consistent with COVID-19 but is not a confirmed diagnosis, the recordability analysis is not necessarily triggered at that time.

If an employee has a confirmed case of COVID-19, The Arc will conduct an assessment of any workplace exposures to determine if the case is work-related. Work-relatedness is presumed for illnesses that result from events or exposures in the work environment, unless it meets certain exceptions. One of those exceptions is that the illness involves signs or symptoms that surface at work but result solely from a non-work-related event or exposure that occurs outside of the work environment. Thus, if an employee develops COVID-19 solely from an exposure outside of the work environment, it would not be work-related, and thus not recordable.

The Arc’s assessment will consider the work environment itself, the type of work performed, the risk of person-to-person transmission given the work environment, and other factors such as community spread. Further, if an employee has a confirmed case of COVID-19 that is considered work-related, the Arc will report the case to OSHA if it results in a fatality within 30 days or an in-patient hospitalization within 24-hours of the exposure incident.

VIII: CHRIS Record keeping

Presumptive positive and laboratory confirmed cases of COVID-19 may be reported in CHRIS in one of several ways depending on the circumstances of the case. Depending on the circumstances of the case, the confirmed case may be reported as:

1. An unplanned hospital admission, if the individual is admitted to the hospital;

2. An unplanned emergency room or urgent care facility visit, when the individual is taken to the emergency room or an urgent care facility for diagnosis and/or treatment; or

3. Any other event or circumstance that occurs or originates during the provision of a service or on the premises of the provider that results in significant harm or threat to the health and safety of an individual, if neither of the above occurred.

Providers should include in their CHRIS report the name of the health department jurisdiction they notified about the confirmed case.

If there are any other questions related to how to report a confirmed case of COVID-19, please reach out directly to the Office of Licensing’s Serious Incident Management Unit incident_management@dbhds.virginia.gov.

VII.Confidentiality/Privacy

Except for circumstances in which The Arc is legally required to report occurrences of communicable disease, the confidentiality of all medical conditions will be maintained in accordance with applicable law and to the extent practical under the circumstances. When it is required, the number of persons who will be informed that an unnamed employee or individual has tested positive will be kept to the minimum needed to comply with reporting requirements and to limit the potential for transmission to others. The Arc reserves the right to inform other employees and individuals that an unnamed person has been diagnosed with COVID-19 if other employees or individuals might have been exposed to the disease so the employee or individual may take measures to protect their own health. The Arc also reserves the right to inform sub-contractors, individuals, vendors/suppliers or visitors that an unnamed employee or individual has been diagnosed with COVID-19 if they might have been exposed to the disease so those persons may take measures to protect their own health.

VIII. General Questions

Given the fast-developing nature of the COVID-19 outbreak, the Arc may modify this Plan on a case by case basis. If you have any questions concerning this Plan, please contact Director of Operations

COVID-19 Checklist for Employer, Employees, Individuals and Care

Know the Symptoms of COVID-19

• Coughing, fever, shortness of breath, and difficulty breathing.
• Early symptoms may include chills, body aches, sore throat, headache, diarrhea, nausea/vomiting, lose of the ability to taste and smell and runny nose. If you develop a fever and symptoms of respiratory illness, DO NOT GO TO WORK and call your supervisor and health-care provider immediately. Do the same thing if you come into close contact with someone showing these symptoms.

Employer Responsibilities

• Develop a COVID-19 Exposure Action Plan.
• Conduct staff meetings by phone if possible. If not, instruct employees to maintain 6-feet between each other. The supervisor will track attendance verbally rather than having employees sign an attendance sheet.
• Access to the workplace will be limited to only those necessary for the work.
• All visitors will be pre-screened to ensure they are not exhibiting symptoms.
• Employees, individuals, contractors, and visitors will be asked to leave the workplace and return home if they are showing symptoms.
• Provide hand sanitizer and maintain Safety Data Sheets of all disinfectants used on site.
• Provide protective equipment (PPE) to any employees assigned cleaning/disinfecting tasks.

Employee Responsibilities

• Become familiar with the Exposure Action Plan and follow all elements of the Plan.
• Practice good hygiene: wash hands with soap and water for at least 20 seconds. If these are not available, use alcohol-based hand rub with at least 60% alcohol. Avoid touching your face, eyes, food, etc. with unwashed hands.
• Cover coughs and sneezes

Cleaning/Disinfecting Job Sites and Other Protective Measures

• Clean and disinfect frequently used supplies, materials and equipment on a regular basis. This includes other elements of the workplace where possible. Employees should regularly do the same in their assigned work areas.
• Clean shared spaces such bathrooms, kitchens and food prep areas at least once per day.
• Disinfect shared surfaces (door handles, machinery controls, etc.) on a regular basis.
• Avoid sharing materials, equipment and supplies. If not, disinfect before and after each use.
• Trash collected from the workplace must be changed frequently by someone wearing gloves.

Personal Protective Equipment and Alternate Work Practice Controls

• Provide and wear the proper PPE.

COVID-19 Toolbox Talk

What is COVID-19?

The novel coronavirus, COVID-19 is one of seven types of known human coronaviruses. COVID-19, like the MERS and SARS coronaviruses, likely evolved from a virus previously found in animals. The remaining known coronaviruses cause a significant percentage of colds in adults and children, and these are not a serious threat for otherwise healthy adults. Patients with confirmed COVID-19 infection have reportedly had mild to severe respiratory illness with symptoms such as fever, cough, and shortness of breath. According to the U.S. Department of Health and Human Services/Centers for Disease Control and Prevention (“CDC”), Chinese authorities identified an outbreak caused by a novel—or new—coronavirus. The virus can cause mild to severe respiratory illness. The outbreak began in Wuhan, Hubei Province, China, and has spread to a growing number of other countries—including the United States.

How is COVID-19 Spread?

COVID-19, like other viruses, can spread between people. Infected people can spread COVID-19 through their respiratory secretions, especially when they cough or sneeze. According to the CDC, spread from person-to-person is most likely among close contacts of about 6 feet or less. Person-to-person spread is thought to occur mainly via respiratory droplets produced when an infected person coughs or sneezes, like influenza and other respiratory pathogens. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.

In assessing potential hazards, employers should consider whether their workers may encounter someone infected with COVID-19 in the course of their duties. Employers should also determine if workers could be exposed to environments (e.g., worksites) or materials (e.g., laboratory samples, waste) contaminated with the virus.

Depending on the work setting, employers may also rely on identification of sick individuals who have signs, symptoms, and/or a history of travel to COVID-19-affected areas that indicate potential infection with the virus, in order to help identify exposure risks for workers and implement appropriate control measures.

There is much more to learn about the transmissibility, severity, and other features associated with COVID-19, and investigations are ongoing

COVID-19 Prevention and Work Practice Controls:

Worker Responsibilities

• Frequently wash your hands with soap and water for at least 20 seconds. When soap and running water are unavailable, use an alcohol-based hand rub with at least 60% alcohol. Always wash hands that are visibly soiled.
• Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.
• Wear face coverings
• Avoid touching your eyes, nose, or mouth with unwashed hands.
• Avoid close contact with people who are sick.
• Employees who have symptoms (i.e., fever, cough, or shortness of breath) should notify their supervisor and stay home—DO NOT GO TO WORK.
• Sick employees should follow CDC-recommended steps. Employees should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.

General Workplace/ Office Practices

• Clean AND disinfect frequently touched objects and surfaces such as workstations, keyboards, telephones, handrails, and doorknobs. Dirty surfaces can be cleaned with soap and water prior to disinfection. To disinfect, use products that meet EPA’s criteria for use against SARS-CoV-2, the cause of COVID-19, and are appropriate for the surface.
• Avoid using other employees’ phones, desks, offices, or other work tools and equipment, when possible. If necessary, clean and disinfect them before and after use.
• Clean and disinfect frequently used tools, materials and equipment on a regular basis. This includes other elements of the workplace where possible.
• Employees should regularly do the same in their assigned work areas.
• Clean shared spaces such as Kitchens and bathrooms at least once per day.
• Disinfect shared surfaces (door handles, machinery controls, etc.) on a regular basis.
• Avoid sharing equipment, supplies and materials with co-workers if it can be avoided. If not, disinfect before and after each use.
• Any trash collected frequently by someone wearing gloves.

Employers will also provide:

• Gloves: Gloves should be worn at all times while on-site. The type of glove worn should be appropriate to the task. If gloves are not typically required for the task, then any type of glove is acceptable, including latex gloves. Gloves should not be shared if at all possible.
• Face shields protection should be worn when in close contact with others.
• Face Covering (Disposable and reusable)
• Disinfecting cleaner
• Alcohol wipes
• 60% Alcohol hand-sanitizers
• Clorox wipes
• Lab coats
• Lysol Spray – no washable surfaces only
• Disinfection Surface cleaner
• Spray Bottles

Addendum 1 - Staff Training

The Arc of Central Virginia (The Arc) recognizes the necessity and value of providing ongoing staff training and development, including orientation, in-service education, workshops, conferences, continuing education, seminars and formal certified education.

The Arc maintains a comprehensive training and education program to ensure that the changing and increasing needs of the individuals receiving supports or services can be met. A comprehensive training and education program is maintained in order to:

1. provide necessary training and education for employees to enable them to fulfill the responsibilities of their positions;

2. train employees to meet the needs and choices of the individual as specified in the Person-Centered Plan;

3. increase employees competency in a specific area of practice;

4. provide employees with current information; and

5. promote an environment conducive to the acknowledgment, acceptance and development of innovative ideas and supports provided by employees.

All staff will be trained and/or certified in the following:

1) CPR/First Aid (reviewed every two years)

2) Behavior management: TOVA (yearly)

3) Fire Safety (yearly)

4) Confidentiality (yearly)

5) Human Rights (yearly)

6) Policy Changes (as they arise)

7) Emergency Preparedness (yearly)

8) Universal Precautions /Infection Control (yearly) including COVID-19 enhancements included in this plan

9) Medication Aide (as appropriate)

Any staff whose training has expired during the COVID-19 shutdown, will receive training and or re-certification in compliance with the current standards prior to Day Support program reopening.

Addendum 2 - Staffing Plan

The Director of Day Support or Executive Director is responsible for developing staffing schedules that meet the individual’s needs as outlined in the Individualized Services Plan (ISP). The Director of Day Support or Executive Director must ensure that staff with appropriate training is available to meet the needs of and ensure the safety of individuals with medical or nursing needs; speech, language or hearing problems; or other needs. In general, The Day Support Programs maintains a staff to individual ratio based upon the needs of the individuals. Ratios range from 1:1 to 1:3 (Community Engagement) & a maximum of 1:5 for (Group Day) during operating hours (9:00 am to 3:00 pm Monday through Friday). Volunteers may provide supplementary service, but the Day Support Programs will not rely on volunteers to fill required staff positions or to perform direct care services.

In the event a DSP 2 or a DSP 1 is unable to complete or work a scheduled shift, he or she must immediately contact the Program Manager speak with her directly. It is the responsibility of the Program Manager to find replacement coverage for the remaining or scheduled shift.

In the absence of the Program Manager, Director of Day Support, or the Executive Director, will fulfill their duties as needed.

Addendum 3 - Infection Control w/ COVID-19 enhancements

The Arc of Central Virginia (The Arc) takes the health and safety of our employees and individuals very seriously. With the spread of the coronavirus or “COVID-19,” a respiratory disease caused by the SARS-CoV-2 virus, The Arc must remain vigilant in mitigating the outbreak. In order to be safe, maintain operations, and as we consider reopening, we have developed this COVID-19 Infection Control Plan to be implemented, to the extent feasible and appropriate.

1) Workplace Visitors

The number of visitors to The Arc, will be limited to only those necessary for the work.

All visitors will be screened in advance of arriving on the job site. If the visitor answers “yes” to any of the following questions, he/she should not be permitted to access The Arc:

1. Have you been confirmed positive for COVID-19?

2. Are you currently experiencing, or recently experienced, any acute respiratory illness symptoms such as fever, cough, or shortness of breath?

3. Have you been in close contact with any persons who has been confirmed positive for COVID-19?

4. Have you been in close contact with any persons who have traveled and are also exhibiting acute respiratory illness symptoms?

5. All persons entering The Arc will have they're temperature taken using a non-contact infrared thermometer.

6. All persons entering The Arc will wear coverings, if possible

7. Deliveries will be permitted but should be properly coordinated in line with the employer’s minimal contact and cleaning protocols. Delivery personnel should remain in their vehicles if at all possible.

2) Enhanced Cleaning

Worker Responsibilities

1. Frequently wash your hands with soap and water for at least 20 seconds. When soap and running water are unavailable, use an alcohol-based hand rub with at least 60% alcohol. Always wash hands that are visibly soiled.

2. Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow.

3. Wear Face coverings

4. Avoid touching your eyes, nose, or mouth with unwashed hands.

5. Avoid close contact with people who are sick.

6. Employees who have symptoms (i.e., fever, cough, or shortness of breath) should notify their supervisor and stay home—DO NOT GO TO WORK.

7. Sick employees should follow CDC-recommended steps. Employees should not return to work until the criteria to discontinue home isolation are met, in consultation with healthcare providers and state and local health departments.

General Workplace/ Office Practices

1. Clean AND disinfect frequently touched objects and surfaces such as workstations, keyboards, telephones, handrails, and doorknobs. Dirty surfaces can be cleaned with soap and water prior to disinfection. To disinfect, use products that meet EPA’s criteria for use against SARS-CoV-2, the cause of COVID-19, and are appropriate for the surface.

2. Avoid using other employees’ phones, desks, offices, or other work tools and equipment, when possible. If necessary, clean and disinfect them before and after use.

3. Clean and disinfect frequently used tools and equipment on a regular basis. This includes other elements of the workplace where possible.

4. Employees should regularly do the same in their assigned work areas.

5. Clean shared spaces such as kitchens and bathrooms at least once per day.

6. Disinfect shared surfaces (door handles, machinery controls, etc.) on a regular basis.

7. Avoid sharing equipment, supplies and materials with co-workers if it can be avoided. If not, disinfect before and after each use.

8. Any trash collected frequently by someone wearing gloves.

Employers will also provide:

1. Gloves: Gloves should be worn at all times while on-site. The type of glove worn should be appropriate to the task. If gloves are not typically required for the task, then any type of glove is acceptable, including latex gloves. Gloves should not be shared.

2. Face shields protection should be worn when in close contact with others.

3. Face Coverings (Disposable and reusable)

4. Clorox

5. Alcohol wipes

6. 60% Alcohol hand-sanitizers

7. Clorox wipes

8. Lab coats

9. Lysol Spray – no washable surfaces only

10. Disinfection Surface cleaner

11. Spray Bottles

3) Manufacture's Safety Data Sheets Training

Employees will receive copies of all Manufacture's Safety Data Sheets and training on the individual individuals products and how to read the sheets.

4) COVID-19 Exposure Situations

Employee/Individual Exhibits COVID-19 Symptoms

If an employee or individual exhibits COVID-19 symptoms, the employee or individual must remain at home until he or she is symptom free for 72 hours (3 full days) without the use of fever-reducing or other symptom-altering medicines (e.g., cough suppressants). The Arc will similarly require an employee or individual who reports to work or the center with symptoms to return home until he or she is symptom free for 72 hours (3 full days). Employee or individuals or their care giver will be instructed to call their primary care provider. To the extent practical, employees or individual are required to obtain a doctor’s note clearing them to return to The Arc.

Employee or Individual Tests Positive for COVID-19

An employee or individuals who tests positive for COVID-19 will be directed to self-quarantine away from The Arc. Employees or individuals that test positive and are symptom free may return to work when at least seven (7) days have passed since the date of his or her first positive test, and have not had a subsequent illness. Employees or individuals who test positive and are directed to care for themselves at home may return to work when: [1] at least 72 hours (3 full days) have passed since recovery*; and [2] at least seven (7) days have passed since symptoms first appeared. Employees who test positive and have been hospitalized may return to work when directed to do so by their medical care providers. The Arc will require an employee or individual to provide documentation clearing his or her return to work.

Recovery is defined as: (1) resolution of fever without the use of fever-reducing medications and (2) improvement in respiratory symptoms (e.g., cough, shortness of breath).

Employee or Individual Has Close Contact with a Person Who Has Tested Positive for COVID-19

Employees or individuals who have come into close contact with a person who has tested positive for COVID-19 (co-worker or otherwise) will be directed to self-quarantine for 14 days from the last date of close contact with that individual. Close contact is defined as six (6) feet for a prolonged period of time.

If The Arc learns that an employee or individuals has tested positive, The Arc will conduct an investigation to determine co-workers or other individuals who may have had close contact with the confirmed-positive person in the prior 14 days and direct those employees or individuals who have had close contact with the confirmed-positive person to self-quarantine for 14 days from the last date of close contact with that employee. If applicable, The Arc will also notify any sub-contractors, vendors/suppliers or visitors who may have had close contact with the confirmed-positive employee or individuals. If an employee or individual learns that he or she has come into close contact with a confirmed-positive person outside of the workplace, he/she or responsible care provider must alert a manager or supervisor of the close contact and self-quarantine for 14 days from the last date of close contact with that employee or individual.