RCO Covid-19 Pandemic Response

Action and Prevention Plan
Revised July 7/23/2020

Purpose

This Action and Prevention Plan details procedures to prevent and minimize hazards to human health as it relates to the Covid-19 Pandemic. This document is prepared to describe implementation of precautionary and response measures to safely and effectively execute work by RCO employees and clients.

This Plan will be a living document, to be updated as often as new information regarding the Pandemic is released. This Plan attempts to capture specific actions, prevention plans, and procedures to address emergencies resulting from Covid-19. The provisions of the Plan will be implemented on-site and emergency action will be taken during any event that may threaten human health at the RCO site or any of the community sites where RCO employees or clients are employed.

This Action and Prevention Plan supplements the existing RCO Safety Policy.


Symptoms of COVID-19

People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19 (this list does not include all possible symptoms):

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

Exclusion from RCO

The following guidance from CDC will be used to determine if an individual needs to remain away from the RCO building, vehicles, and/or community job sites:

1. If an individual tests positive for COVID OR suspects they may have COVID, that individual can be with others after:

  • At least 10 days since symptoms first appeared and
  • At least 24 hours with no fever without fever-reducing medication and
  • Symptoms have improved

Depending on your healthcare provider’s advice and availability of testing, you might get tested to see if you still have COVID-19. If you are tested, you can be around others when you have no fever, respiratory symptoms have improved, and you receive two negative test results in a row, at least 24 hours apart.

2. If an individual tests positive for COVID but does not have and never had symptoms, that individual can be with others after:

  • 10 days have passed since test

Depending on your healthcare provider’s advice and availability of testing, you might get tested to see if you still have COVID-19. If you will be tested, you can be around others after you receive two negative test results in a row, at least 24 hours apart.

3. If an individual has a weakened immune system due to a medical condition or medication, that individual may need to remain away from others longer than otherwise recommended. These individuals should consult their doctor for guidance.

4. If an individual has been around someone who had a positive test or suspected they had COVID-19:
It is important to remember that anyone who has close contact with someone with COVID-19 should stay home for 14 days after exposure based on the time it takes to develop illness.

5. If an employee or customer of a community site tests positive, all clients and staff will be immediately removed from the site. Return to the site will be determined on an individual basis.


Site Entry & Work Location Screening

Prior to obtaining access to the RCO facility or vehicles, all employees and clients shall:

  • Check in at the RCO main facility with the designated safety manager, or
  • Check in with the vehicle driver BEFORE entering the RCO vehicle, and
  • Sanitize hands, and
  • Complete Access Questionnaire, which includes a body temperature check (see Exhibit A), and
  • Personnel with symptoms matching those with Covid-19 will not be granted access to the RCO facility and/or vehicles.

Additional workforce management procedures shall include:

  • Face coverings shall be required for the duration of the activity and transportation as currently mandated by State law. The following mask types will be allowed:
    • N95 respirator without exhaust valve
    • Cloth or medical masks
    • Employer supplied face covering (if applicable and available)
    • Employee supplied face covering approved by the Employer in the event other mask types listed are not available due to shortages
  • A 6-foot minimum distance shall be maintained between all individuals while onsite.
  • A maximum of 10 individuals in each individual area within the facility will be maintained. To minimize cross-contamination between areas, individuals will be assigned to a specific area for the day and should remain in that area, with the exception of using the restroom. Individuals will not be allowed to walk throughout the building, including those who work in offices.
  • All employees and clients (or residential providers) shall provide notice of any individual who develops symptoms or are confirmed for Covid-19 for up to 7 days following their visit to RCO. If individuals are determined to have been potentially contagious while at the RCO site, protocol for confirmed cases will be followed as laid out in this document.
  • All community sites at which RCO provides services shall provide notice of any employee or customer who develops symptoms or are confirmed for Covid-19 for up to 7 days following their visit to the community site. If individuals are determined to have been potentially contagious while at the community site, protocol for confirmed cases will be followed as laid out in this document.

Work Location Procedures & Precautions

The following are the procedures and precautionary measures that will be implemented in the work location to mitigate the transmission of Covid-19 to all personnel.

  • Any individual presenting COVID-19 symptoms, as defined by the CDC, will be denied access to the RCO site and vehicles. Affected individuals will be mandated to proceed with recommended precautions and subject to a 14-day quarantine.
  • Each individual entering the RCO site, RCO vehicle, or RCO community site shall complete the Location Access Questionnaire form prior to gaining access to the RCO site, vehicle, or community site each day.
  • Individuals will be required to take breaks, lunch, and meetings in their vehicle or assigned area of the RCO site.
  • All individuals will be required to participate in sanitizing tables, doorknobs, handles, and other common touch points used following each visit.

Reporting Procedures & Confirmed Cases

In the event of any of the following, reporting and response policies will be followed to minimize exposure and transmission of Covid-19. Notification of any of these events shall be conducted immediately.

  • A confirmed case of Covid-19 for a client, employee, or person living with a client or employee
  • An individual is denied access to an RCO vehicle, facility or community site or removed from the site for fever or symptoms associated with Covid-19
  • Notice of an individual being otherwise impacted by Covid-19

The reporting procedure is as follows:

  • All of the following RCO leadership shall be immediately notified:
    • Executive Director
    • Executive Assistant

In the event of a positively confirmed or suspected case of Covid-19:

  • If the affected person is offsite, the affected person will be instructed to stay home and will not be allowed onsite.
  • If the affected person had been onsite in the last 48 hours, protocols below for “onsite affected person” will also be implemented.
  • The affected person will immediately be removed from the site premises
    • The Executive Director or Executive Assistant will gain an understanding of potential locations and individuals the affected person had been in contact with over the last 5 days through a phone conversation with the individual or the individual’s residential provider/guardian.
    • All individuals who had prolonged close contact (less than 6 feet apart for more than 10 min per day) with positively tested person within the last 48 hours will be removed from site as well and will self-monitor for symptoms of Covid-19 for 14 days prior to being allowed back on site, symptom free.
    • After an orderly and safe shutdown of the RCO affected area, the site will be locked down while it is determined what areas may have been impacted and who may have been exposed. RCO Executive Director and Executive Assistant will lead this investigation and decision-making process.
    • After the investigation has been completed, individuals determined to not have been affected can continue working onsite so long as it does not impact sanitizing efforts, there are adequate staff to meet client/staff ratios, and it is approved by RCO leadership.
    • All affected or potentially affected areas will be thoroughly wiped with an approved bleach/water (1:10 ratio) solution. Additionally, the affected area/site/vehicle will be locked down and not entered for a period of 7 calendar days.

Best Practices Being Continuously Implemented at RCO’s Site
  • Encourage sick employees and clients to stay home: Anyone with COVID-19 symptoms should notify their supervisor and stay home
  • Social Distancing: Avoid congregating, large gatherings, and always maintain a minimum distance of approximately 6 feet from others.
  • Meetings: Large mass meetings will continue to be held through Zoom or another virtual meeting provider
  • Mobile Devices/Shared Computers: Mobile devices and computers will not be shared by anyone and should be sanitized before and after each visit to the site.
  • Lunch/Break:
    • All individuals must maintain a distance of 6 feet from other individuals while eating lunch or taking breaks.
    • No communal food shall be permitted on the jobsite until further notice (donuts, pizza, potluck, etc.)
  • Hygiene: The following items will be implemented at RCO:
    • Common areas will be cleaned and sanitized daily
    • Workers responsible for trash removal will maintain proper PPE/hand washing practices
    • Handwash stations will be maintained with soap, hand sanitizer, and paper towels
    • All individuals on site will be expected to participate in extra cleanings for frequently touched surfaces (light switches, tables, chairs, door handles, etc.)
  • Personal Protective Equipment (PPE):
    • Do not share PPE.
    • Sanitize reusable PPE per manufacturer’s recommendation before and after each use.
    • Ensure used PPE is disposed of properly.

Exhibit A – RCO’s Safety Form Location Access Questionnaire

EMPLOYEE/ CLIENT SCREENING

For the safety and security of our employees,
EVERYONE must answer the questions below
in order to enter an RCO vehicle, building, or community site.

1. Have you been within 6 feet for 10 minutes or more of someone diagnosed with or has symptoms of Covid-19 in the last 14 days?

2. Do you live with someone who has been diagnosed with or has symptoms of Covid-19 and is under quarantine?

3. In the last 3 days, have you experienced any cold or flu-like symptoms, including: Fever or chills, Cough, Shortness of breath or difficulty breathing, Fatigue, Muscle or body aches, Headache, New loss of taste or smell, Sore throat, Congestion or runny nose, Nausea or vomiting, Diarrhea? (Not associated with allergies and not treated by a doctor where a return-to-work release was issued.)

Questions must be answered each time you enter.