OUTBREAK Management

Date: August 1, 2020

COVID -19 OUTBREAK Management for COVID-19 and Response Plan

GENERAL STATEMENT

Royal Montessori School has developed an Outbreak Management for COVID-19 and will update this plan based on the best available information and guidance from the Local Health Departments/Peel Public Health. Royal Montessori School is dedicated to provide a safe and healthy environment for all families and staff, while doing our best to ensure we provide the most accurate and up-to-date information available. Royal Montessori School reserves the right to modify this plan based on additional guidance.

PURPOSE

The purpose of this Outbreak Management for COVID-19 is to assist in keeping our Royal Montessori School family safe. COVID-19 is a respiratory disease that can result in serious illness or death.

We have also developed a COVID-19 Infectious Disease Preparedness and Response Plan which contains recommendations as well as descriptions of mandatory safety and health standards.

The recommendations are advisory in nature, informational in content, and are intended to assist RMS in providing a safe and healthy workplace. The Occupational Safety and Health Act require employers to comply with safety and health standards and regulations by Peel Public Health.

WHAT IS COVID-19

Infection with SARS-CoV-2, the virus that causes COVID-19, can cause illness ranging from mild to severe and, in some cases, can be fatal. Symptoms typically include fever, cough, and shortness of breath. Some people infected with the virus have reported experiencing other non-respiratory symptoms. Other people, referred to as asymptomatic cases, have experienced no symptoms at all. According to the CDC, symptoms of COVID-19 may appear in as few as 2 days or as long as 14 days after exposure

To protect the health and well-being of children and staff within Royal Montessori School, all children should be monitored while in care for emerging signs or symptoms of any illness, including COVID-19. Children or a staff who becomes ill while at RMS must return home as soon as possible. The Supervisor must initiate the centre’s illness management policies, including the following measures related to outbreak management for COVID-19. One positive confirmed case of COVID-19 in a child care centre is considered an outbreak.

Health Checks for Children at Royal Montessori School

Staff must ensure that all children in care are monitored for illness, with a temperature taken as necessary, including for the following signs and symptoms of COVID-19:

  • Fever (temperature ≥ 8°C)
  • New or worsening cough
  • Shortness of breath or difficulty breathing
  • Lethargy (lack of energy) or difficulty feeding (if an infant and no other diagnosis)
  • Any of the following symptoms:
  • Sore throat
  • Difficulty swallowing
  • Pink eye (conjunctivitis)
  • Chills
  • Rash
  • Headaches
  • Unexplained fatigue/malaise/ muscle aches
  • Abdominal pain
  • Croup (respiratory infection resulting in barking cough and difficulty breathing)
  • Diarrhea
  • Nausea/vomiting
  • Decrease or loss of sense of taste or smell
  • Runny nose without other known cause
  • Nasal congestion without other known cause

Staff must ensure that hand hygiene is performed before and after each health check with each child. Staff is only required to conduct and document the health check or take a temperature if symptoms are noted. Staff must document any symptoms observed on the child’s I llness

T racking Form.

Children W ho Display COVID-19-Related Symptoms During Care

If ANY ONE of the symptoms related to COVID-19 is present in a child, the child must be

immediately excluded from our school environment and sent home. If the child has siblings who attend RMS must also be excluded and be sent home.

Staff at Royal Montessori School are required to:

  • Isolate the child with symptoms immediately from other children and place them into a separate room/area. If a separate room is not available, the sick child should be kept separated from others at a minimum distance of 2 meters in a supervised area until they can go
  • The child should be supervised by only one staff person until the child leaves while maintaining a physical distance of 2-meters, if
  • Ensure the child wears a surgical-type or cloth mask (if tolerated) to cover the child’s nose and mouth. Masks should not be placed on children under age 2 or on anyone who has trouble breathing, is unconscious, or otherwise unable to remove the mask without assistance. The staff caring for the ill child should also wear a surgical mask and eye protection (i.e. safety glasses or face shield). Hands must be washed before and after taking off a
  • In addition, staff should perform hand hygiene and attempt to not touch their face with unwashed hands. Disposable gloves should be used when there is close contact with the child. Staff must ensure that they wash their hands or use hand sanitizer (if hands not visibly soiled)

immediately upon removal of the gloves. The most important measures are proper hand hygiene and maintaining a 2-meter distance as much as possible.

  • Respiratory etiquette should also be practiced while the child is waiting to be picked up. Tissues should be provided to the child and disposed of properly after use in a lined, covered garbage
  • Increase ventilation if possible (e.g., open windows).
  • Keep the child comfortable by providing a separate cot and toys. Clean and disinfect the cot and all toys after the child leaves the
  • Staff will notify the parent/guardian to arrange for immediate pick-up of the child (and siblings if applicable). If a parent cannot be reached, an emergency contact person will be contacted to pick up the
  • Staff will document the symptoms observed, the date and time that symptoms occurred, and the program room the child attended on the Illness Tracking
  • Once the child has been picked up, the Supervisor will ensure that the room/area where child was separated to and any other areas/surfaces that the child had contact with are thoroughly cleaned and
  • The child should be excluded from RMS and self-isolate for 14 days (unless tested negative) from the start of symptoms and be tested for COVID-19 before returning to RMS. The Supervisor will provide the parent/guardian with contact information for Peel Public Health for information on symptoms, getting tested and self-isolation.
    • If tested negative, and free of symptoms for 24 hours, the child must pass re-entry screening (refer to COVID-19 Re-Entry Screening Form for Previously Ill Children/Staff) to return to
    • If tested positive, Peel Public Health will provide direction on when the child can return to child care.

Staff W ho Display COVID-19-Related Symptoms While at Work

Any staff person who presents with symptoms of COVID-19 including fever, new or worsening cough or shortness of breath and other symptoms as described in the COVID-19 Active Screening Form for Staff must not return to RMS. If a staff person becomes ill while at RMS:

  • Staff should isolate themselves as quickly as possible until they are able to leave the school and wear a surgical-type or cloth mask covering the nose and
  • COVID-19 testing will be required for any staff experiencing symptoms before returning to The Supervisor will provide the staff person with contact information for Peel Public Health for information on symptoms, getting tested and self-isolation.
  • Staff must remain off work and self-isolate for 14 days from the start of symptoms (unless tested negative). If the staff person tests negative, they should not return to work until free of symptoms for 24
  • If staff person tests negative for COVID-19, and is free of symptoms for 24 hours, s/he must pass re-entry screening (refer to COVID-19 Re-Entry Screening Form for Previously Ill Children/Staff) to return to
  • If staff person tests positive, Peel Public Health will provide direction on when s/he can return to

When a child or staff person becomes ill, the Supervisor will report the illness to:

Peel Public Health

  • The Supervisor will contact Peel Public Health to notify them of a potential COVID- 19 case and seek advice regarding the information that should be shared with staff and parents/guardians of children enrolled at
  • Other children and staff in the school who had close contact with a child or staff person who became ill should be grouped together. Peel Public Health will provide any further direction on testing and isolation of close
  • Children or a staff who has been identified as a close contact to a confirmed case of COVID-19 should be excluded from the child care setting for 14
  • Public Health’s advice on notifying others using the space of the suspected

Ministry of Education

  • Notify the Child Care Quality Assurance and Licensing Branch Regional
  • Follow the regular Serious Occurrence (SO) reporting requirements (including submitting a SO report in CCLS and posting the SO notification form).

Region of Peel Early Years and Child Care Services Division

  • Notify Service System Manager that Serious Occurrence filed with the Ministry of

Education by emailing: E arlyYearsSystemDivision@peelregion.ca.

Instructions for a Child or Staff with Confirmed COVID-19 Illness

If the Supervisor is notified that a staff person or child has tested positive for COVID-19, the following steps will be taken:

  • Continue to exclude the confirmed case from the centre until further
  • Supervisor will call Peel Public Health to discuss the situation and necessary measures to be taken. Public Health will provide advice and steps necessary to prevent a large
  • Provide Peel Public Health with the most current I llness Tracking
  • Notify cleaning staff to increase cleaning and disinfection practices. Refer to the General Sanitary Precautions and Physical Distancing Measures to Prevent the Spread of COVID- 19 Policy.
  • Use a disinfectant with a Drug Identification Number (DIN), check expiry date, and follow manfacturer’s
  • If using bleach, for the appropriate concentration of bleach and water, refer to the

Disinfection Chart.

  • In consultation with Peel Public Health, child care centre must consider a single, symptomatic, laboratory confirmed case of COVID-19 in a staff person or child as a confirmed COVID-19 outbreak. Outbreaks should be declared in collaboration between the centre and Peel Public Health.
  • Consult with Peel Public Health to prepare and provide fact sheets and letters to parents/guardians and staff about the situation and the response measures taken by the

Occupational Health and Safety for Staff

  • When the Supervisor is notified that a staff person has tested positive for COVID-19, they should consult with Peel Public Health to determine when the staff can return to work. Staff should also report to their Employee Health/Occupational Health and Safety department prior to returning to
  • If the staff person’s illness is determined to be work-related – in accordance with the Occupational Health and Safety Act and its regulations – the Supervisor must provide a written notice within four days of being advised that the staff person has an occupational illness, including an occupationally-acquired infection, or if a claim has been made to the Workplace Safety and Insurance Board (WSIB) by or on behalf of the staff with respect to an occupational illness, including an occupational infection, to the:
  • Ministry of Labour;
  • Joint health and safety committee (or health and safety representative); and
  • Trade union, if

Any instances of occupationally acquired infection shall be reported to WSIB within 72 hours of receiving notification of the illness.

PREPARATION and RESPONSE PLAN

Preparedness includes the actions and measures taken before an event to better handle that event when it arises. In this case, Peel Public Health plays a significant role in ensuring that local health departments are prepared for public health emergencies.

Prior to or in the early stages of an outbreak or pandemic, public health officials encourage the practice of every day good health habits and implementation of non-pharmaceutical interventions to prevent and protect the population from the spread of highly infectious illness. These habits include:

Avoiding close contact with people who are sick

  • When you are sick, stay away from others to prevent passing on your illness to
  • Cover your mouth and nose when sneezing or coughing with a tissue and then throw away the
  • Wash your hands with soap and water for at least 20 seconds or use hand sanitizer than contains at least 60% alcohol if soap and water are not
  • Avoid touching your eyes, nose, or mouth to prevent the spread of
  • Practice other good health strategies, including cleaning and disinfecting surfaces especially when someone is

Consider conducting daily in-person or virtual health checks (e.g., symptom and/or temperature screening) of employees before they enter the facility, in accordance with Peel Public Health and local public health authorities and, if available, your occupational health services:

  • If implementing in-person health checks, conduct them safely and respectfully. Employers may use social distancing, barrier or partition controls, or personal protective equipment (PPE) to protect the screener

Establish more training for s ocial distancing. Alter workspace to help staff maintain social distancing and physically from each others, when possible.

Ensure there is a surplus of supply staff to support Royal Montessori School in the event of staff illnesses.

Perform routine cleaning:

  • Follow the Guidance for Cleaning and Disinfecting to develop, implement, and maintain a plan to perform regular cleanings to reduce the risk of exposure to COVID-19.
  • Routinely clean all frequently touched surfaces in the workplace, such, handrails, doorknobs, tables top, chairs, class materials & common
  • If surfaces are dirty, clean them using a detergent or soap and water before you disinfect them.
  • Discourage staff from using each other’s phones or other work tools and equipment, when possible.
  • Provide disposable disinfecting wipes so that employees can wipe down commonly used surfaces (e.g., doorknobs,tables,chairs and other work tools and equipment) before each use.
  • Store and use disinfectants in a responsible and appropriate manner according to the label.
  • Advise employees to always wear gloves appropriate for the chemicals being used when they are cleaning and disinfecting and that they may need additional PPE based on the setting and

Administrative Controls

  • RMS will continue to monitor public health communications about COVID-19 recommendations and ensure that workers have access to that information. Employees are encouraged to check the COVID-19 website regularly https://www.peelregion.ca/coronavirus
  • Social distancing signage is posted in all areas on in hallways, classrooms, kitchen, washrooms and offices to promote social
  • Hand washing techniques and cough and sneeze etiquette signage are to be posted in classrooms, hallway and all common areas at

Closure of Royal Montessori School

The decision to close Royal Montessori School will depend on several factors and will be determined on a case-by-case basis in consultation with Peel Public Health. Case scenarios could include, but are not limited to a case with an ill staff person with exposure to multiple children, or two or more cases within the child care centre.