Dear CDCB Community,Throughout our summer session, CDCB has operated under the Kentucky Healthy and Work, Childcare Emergency Regulations and their own policies that include class sizes of 10 or under, centralized student drop off and pick up and comprehensive risk mitigation policies for social distancing, classroom management and sanitation. CDCB staff members continue to uphold our safety protocols and recently participated in a training and Q and A with Dr. Ashley Montgomery Yates, Associate Professor, Division of Pulmonary, Critical Care Medicine and Sleep Medicine University of Kentucky. We are pleased to have such a fantastic resource and appreciate the opportunity to learn from her experience. In addition Dr. Montgomery Yates will offer a parent information session and Q and A. Details about the time will be forthcoming.
With best regards,
Update of COVID-19 Policies CDCB
Since CDCB is a Five Star and NAEYC accredited facility, many of the recommended standards were already in place at our center before the temporary statewide suspension of operations. We feel strongly that we will be able to uphold and exceed the Healthy at Work Childcare standards for our students and staff. That being said, there will be some changes to our daily routines and procedures that are designed to mitigate risk of exposure.
Centralized drop off and pick up of students and their belongings is mandated by Division of Child Care (DCC) with the goal of that limiting exposure to COVID-19. Parents will participate in a health screening for their child before admittance into the building. This will include a temperature check. Students with a temperature at or above 100.4 F will not be allowed to attend school for the day. Parents and CDCB staff members will wear masks during the screening and drop-off process.
CDCB staff assigned to work with one age level/ limited classrooms (infant, toddler, preschool) will bring students into the building after health screening and out of the building at the end of the day. This will be a teacher, teaching assistant or floater assigned to that age group. Runners will wear gloves and masks and will sanitize hands between working with each child.
Class size is limited to 10 children or less who will remain together throughout the day. Classes will not be combined. Infant classrooms will remain 8 or less students. Teaching staff will be consistent. Floating CDCB staff assigned to give breaks and assist students will only cover specific age groups/ classes to limit exposure.
Employees will participate in a health screening before they may report to work. State guidelines mandate that this may be self-monitored. For now, CDCB will oversee this process.
Employees will complete the state mandated COVID-19 restart training sessions and participate in site-based training.
Students and staff will be allowed to wear shoes in the building, but an attempt should be made to avoid wearing those shoes in other public places. Soft toys should not be brought into the building.
Per DCC it is highly discouraged for parents to enter the school building. However, they understand the need for caregivers to be able to enter the building on limited occasions. Parents who complete a health screening may enter the building during the day to meet with teachers, observe their child on a limited basis. Siblings may not enter the building at this time.
All persons entering the building must participate in a health screening. This includes all staff, maintenance personnel, kitchen delivery, DCC regulations teams and Office of Early Childcare employees.
We will continue to offer full food service. Food will be plated by the teacher for each child. Family style meal service, mandated by NAEYC, will be eliminated for now.
Hours of operation will be from 7:30 AM- 5:00 PM to allow for additional end of day sanitizing procedures and the reduction of exposure from additional shift of closing staff. A request to extend the evening hours to 5:30 PM daily has been made. Details will be forthcoming.
Soft toys and shared materials that cannot be sanitized throughout the day have been removed from classrooms.
Classrooms have will have a state approved sanitation plan. Common spaces will be sanitized throughout the day per the approved CDCB sanitation plan.
Gross motor rooms will not be used at this time. Playground areas will be divided so children will remain with their class of 10.
Playground and outside time will be increased from traditional state guidelines.
During the school day students who run a temperature of 100.4 will be isolated and must be picked up within 1 hour. Classroom areas will be sanitized. Per DCC directives, families will work with their pediatrician and the local Health Department to determine when they may return.
Staff will wear masks inside the building. Per DCC guidelines, infant and toddler staff may wear face shields in lieu of masks. Staff will wear masks on the playground when holding or standing near children. CDCB staff members moving around the playground playing or monitoring children should not wear masks. Staff members will wear masks during drop off and pick up. The staff has been provided with clear face masks so that children may see facial expression and aid in language development.
Per state guidelines, children under 5 will not wear a mask during CDCB class or play time due to risks of suffocation or strangulation. Students enrolled in UK Pediatric Therapies may have different guidelines during in-person sessions. Children over 5 may wear a mask at the parent’s direction. No child may wear a mask while playing outside.
See what your Child’s day will be like this Fall.
Should a student or staff member be diagnosed with COVID-19, a letter will be sent to all staff and families. Mandated Sanitation and return to school/ work protocols in place with the state and local Health Department at that time will be followed.
All student belongings transported to and from the school should be contained within a tote bag and folder. Students may not bring stuffed animals or soft toys to school. A student may bring a small blanket for naptime. The blanket will be stored with the student’s nap mat and may not be taken home daily. The blanket will be sent home at the end of the week for laundering.
For the full list of Healthy at Work Childcare guidelines, please click below.
Please note that the Division of Childcare and Office of the Governor reserve the right to update/ adapt childcare guidelines at any time.
CDCB Video: https://youtu.be/IwSVI8OarM8
COVID-19 and Childcare Centers – Frequently Asked Questions (FAQs)
- What should be done when a teacher or child who attends a childcare center is sick?
Anyone who is experiencing symptoms of COVID-19, which includes fever or chills, (new) 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, and diarrhea, should be sent home from the facility and instructed to contact their healthcare provider and consider getting tested for COVID-19.
- If a sick child or teacher has an alternative diagnosis, must they be tested for COVID-19 to return to the facility?
A child who is experiencing some symptoms but who has an alternative diagnosis provided by a health care provider does not require a test for COVID-19 in order to return to the childcare setting as long as he or she has been free of fever, vomiting, and diarrhea for at least 24 hours without medication.
- When can a child or teacher who still has had symptoms, but no known exposure to COVID-19 return to the facility?
Any child or adult with signs/symptoms of COVID-19 should stay home and should be advised to contact their healthcare provide and consider getting tested for COVID-19. The child or teacher may return to the childcare setting once he or she has been free of fever, vomiting or diarrhea for at least 24 hours without the use of medications and the other symptoms have resolved. A negative COVID-19 test is not required to return if the symptoms have resolved, however if the individual has been tested and the results of a COVID-19 test are pending, the individual should not return until a negative result is obtained. If a provider makes a non-COVID-19 alternative diagnosis, return to childcare should be based upon guidance for that diagnosis.
- If a child is sick, do all of that child’s siblings and others living in the home need to be quarantined as well?
If a child is ill with symptoms, but has not been diagnosed as having COVID-19, the siblings of that child may continue to attend unless they have had a known exposure to someone who has been diagnosed with COVID-19 or they are also experiencing symptoms. If the child is diagnosed with COVID-19, the siblings must immediately quarantine.
- If a child or teacher tests positive for the virus the causes COVID-19, when can he or she return to the childcare setting?
Children or adults who have been diagnosed with COVID-19 may return to a childcare setting when they receive written clearance to be released from isolation by their local health department where they reside or from their physician. For children and adults with symptoms, this determination will be based on the following:
- At least 1 days (24 hours) has passed since resolution of fever, vomiting, or diarrhea without the use of medications; AND,
- Improvement in respiratory symptoms (e.g., cough, shortness of breath); AND,
- At least 10 days have passed since symptoms first appeared.
Individuals with laboratory-confirmed COVID-19 who have not had any symptoms should be excluded from childcare until 10 days have passed since the date of their first positive COVID-19 confirmatory diagnostic test, assuming they have not subsequently developed symptoms since their positive test. Individuals who have tested positive for COVID-19 do not need to be retested before returning to the facility.
- Some childcare centers are asking health care providers to “certify” that a child does not have COVID-19. Is this strategy recommended?
Providers cannot reliably certify that a child is free from infection and will remain so, consequently this practice is NOT recommended. A negative result from a diagnostic test only means that virus was not detected at the time of specimen collection. Children who have had illnesses may return to the facility if they receive an alternative diagnosis or if their symptoms have improved and they are free of fever, vomiting, and diarrhea for at least 24 hours.
- If a child has a household member or is an identified close contact of a COVID-19 case (as determined by contact tracing), does the child need to stay out of daycare even if he or she is asymptomatic?
Anyone who has a household member with COVID-19 or has had close contact (defined at <6 ft for >15 minutes) with someone who has been diagnosed with COVID-19 should be placed in home quarantine for 14 days from the day of last exposure to the positive case and monitored for signs and symptoms of COVID-19. The quarantine period may be longer than 14 days if the individual is a household member and has ongoing exposure to the case.
- When can a quarantined (exposed) child or teacher return to work?
Anyone who have had close contact with a known COVID-19 case may return to the facility when 14 days have passed since their last exposure to that case (day 0), if the individual has not developed symptoms of COVID-19. That individual could return to the childcare setting on day 15 if he/she remains asymptomatic during the quarantine period and has not had subsequent known exposures. Testing negative2 for the virus during the quarantine period does not shorten the quarantine, because contacts could develop disease any time up to and including day 14. Individuals do not need to have a negative test to return to the facility if they have completed the entire quarantine period without symptoms, however a negative molecular test2 at the end of the quarantine period may provide reassurance that the individual does not have asymptomatic infection.
- If a child or staff member tests positive for COVID-19, how are exposures assessed?
If a child or teacher is diagnosed with COVID-19, the following information is gathered:
- The date the individual started having symptoms and tested positive for COVID-19
- The dates the individual was in the facility while infectious (the infectious period includes the 2 days prior to the onset of symptoms or 2 days prior to testing, if the case does not have symptoms)
- The length of the exposure (i.e., number of days/hours in the facility while infectious, how long it has been since the exposure(s) occurred)
- The extent to which other children or adults had close contact with that individual while infectious. Close contact is defined as being <6ft from the case for >15 minutes or more indoors and/or <6ft of the case for >30 minutes or more outdoors, regardless of if masks were worn.In general, physical distancing is not considered possible within a class/cohort of children who are preschool-aged and younger, therefore the entire classroom or cohort is considered to have close contact.
- If a child or staff member at a childcare center tests positive for COVID-19, are the children exposed to that individual placed into quarantine for 14 days from the most recent exposure?
If a child or adult in a childcare center has tested positive for COVID-19, instruct that individual to stay home. Contact LFCHD at (859) 899-2222 to report the case and discuss necessary follow-up steps. For kindergarten-aged classrooms and younger, where physical distancing is challenging, all children and teachers should be quarantined for 14 days following their last exposure to the case while he or she was infectious. For older school-aged children, the entire class may not need to quarantine if close contacts can be assessed.
- What do you say to parents of kids between 2 and 5 years of age about mask wearing?
CDC recommends no masks for children less than two years of age due to safety concerns, and Kentucky guidance recommends no masks for children five years or younger. Children six years and above should be able to safely and appropriately use a mask, though consistency will likely remain a challenge. Any child six years and above in childcare should be encouraged to do so. This guidance applies to children without other medical and/or developmental considerations that directly impact upon mask use. Although use of a mask likely reduces the risk of transmission, at this time it is not a factor that is considered in determining close contact to a case.
- What if a child or the child’s parents refuse to have the child wear a face covering?
Children in childcare who are six years and above should be able to wear a face covering safely and should be encouraged to do so. Parents should be counseled that refusal to wear a face covering puts their child (and them) at increased risk of infection and places others in the class at increased risk as well. The childcare center may refuse to provide care for children and/or parents who refused to comply with behaviors intended to reduce likelihood of infection. Although use of a mask likely reduces the risk of transmission, at this time it is not a factor that is considered in determining close contact to a case. Physical distancing (6 feet or greater) is still recommended even when masks are worn.
- What about children who have documentation from a provider regarding medical/psychological contraindication to wearing a face covering?
See question above. Although likely not as effective as face masks in maintaining source control (i.e., reducing risks to others), those unable to wear a face covering could be encouraged to wear a face shield.
- Can teachers, aides or children move between classrooms and groups in the childcare center across days or weeks or should children and teachers (and aides) consistently be kept together?
It would be preferable for children and staff to remain consistency in the same groups to limit exposures and to assist with response and interventions if a positive case is identified within the childcare center. This practice of “cohorting” teachers and children will reduce the numbers of exposed individuals if a case were to occur in the facility.
- What are the reporting requirements for childcare facilities?
All diagnosed cases of COVID-19 identified among children and staff in a childcare center are to be reported to the local health department at (859) 899-2222 as well as to the Division of Child Care and the Division of Regulated Child Care (502) 564-2524.
- Shall all children and staff in the daycare center receive the annual influence vaccine for the upcoming flu season?
All children and staff in the childcare setting should be strongly encouraged to receive vaccination for influenza A/B. Signs and symptoms of influenza overlap with those associated with COVID-19 and with many other viral illnesses. Therefore, reducing the occurrence of influenza via vaccination will decrease the number of symptomatic illnesses that will result in investigation and testing for COVID-19. Children should be up-to-date on all other required vaccinations.
Exposed: individual who has had close contact (<6 feet)* for ≥15 minutes.**
Fever: for the purpose of this guidance, fever is defined as subjective fever (feeling feverish) or a measured temperature of 100.4°F (38°C) or higher. Note that fever may be intermittent or may not be present in some people, such as those who are elderly, immunocompromised, or taking certain fever-reducing medications (e.g., nonsteroidal anti-inflammatory drugs [NSAIDS]).
Isolation: separates sick people with a contagious disease from people who are not sick.
Quarantine: separates and restricts the movement of people who were exposed to a contagious disease to see if they become sick. With COVID-19, these people may be able to spread the virus to others before showing symptoms.
*Data to inform the definition of close contact are limited. Factors to consider when defining close contact include proximity, the duration of exposure (e.g., longer exposure time likely increases exposure risk), and whether the exposure was to a person with symptoms (e.g., coughing likely increases exposure risk).
**Data are insufficient to precisely define the duration of time that constitutes a prolonged exposure. Recommendations vary on the length of time of exposure, but 15 minutes of close exposure can be used as an operational definition. Brief interactions are less likely to result in transmission; however, symptoms and the type of interaction (e.g., did the infected person cough directly into the face of the exposed individual) remain important.
Please see https://govstatus.egov.com/kycovid19 for additional information, including information on testing sites and laboratories performing testing for Kentuckians.
290 Alumni Drive
Lexington, KY 40503