Creative Beginnings Childcare Centres

 

 

 

 

 

COVID-19 Policies & Procedures

 

 

 

January 6, 2022

Version 12

 

 

 

 

 

Includes:

 

COVID-19 Pandemic Care Plan 

Covid-19 Pandemic Care Plan - Screening Procedure 

Isolation Protocol and Reporting for Symptomatic Persons 

COVID-19 Pandemic Care Plan – Personal Protective Equipment

COVID-19 Pandemic Care Plan - Infection Control Protocol 

COVID-19 Mandatory Vaccine Policy

 

 

 

Subject to change as Guidelines are changed by Ministry of Health, Region of Waterloo Public Health and Ministry of Education

 

 

COVID-19 Pandemic Care Plan

 

Policy Statement:

 

In response to the need for child care in licensed centres to re-open, Creative Beginnings Childcare Centre will re-open to provide safe and quality child care. The re-opening of the centres will happen in a phased approach and pending Provincial and Ministry direction.

 

Operating Details:

 

 

All licensing requirements will be met to satisfy the Ministry of Education and program advisor. All requirements as outlined by Region of Waterloo Public Health and the Ministry of Education will be followed by all staff. Staff are expected to follow all new policies and procedures related to the operation of child care during COVID-19, and all other required policies and procedures as used during normal business operation.

 

 

Cohorting:

 

A cohort is defined as a group of children and the staff members assigned to them.

On September 1, 2020, cohorts will return to full licensed capacity. Mixing with other cohorts is now permitted. This shall only be done under the direction of each supervisor and as a last resort.

 

Licensees are required to maintain ratios set out under the Child Care and Early Years Act (CCEYA). Reduced ratios are permitted (excluding infants) as set out under the CCEYA provided that cohorts are not mixed with other cohorts.

 

Maximum capacity rules do not apply to Special Needs Resource staff on site (this includes enhanced staffing).

 

Enrollment.

 

Families that attended Creative Beginnings Childcare Centre prior to the COVID-19 closure were surveyed to determine their current care needs.

 

Returning families were given priority around their spaces before any children on the waitlist will be started. Returning families had a maximum of 14 days to take a spot being offered September 1, 2020 as we are operating at full license capacity.  The following was taken into consideration when determining a priority list for returning families;

Returning children served through emergency child care

Care for families where parents must return to work and that work outside of the home

Families with special circumstances that would benefit from children returning to care, such as children with special needs

Other local circumstances

Attendance (Reg 88.5/4.1)

Attendance Records will be kept daily, including who attended, the child’s arrival and departure times. Children will be assigned to the same cohort to ensure risk to exposure to COVID-19 can be minimized.  This process will help should CBCC need to support contact tracing in the event of a positive COVID-19 case. 

 

Staffing

(Reg 88.5/4)

 

Supervisors should limit their movement between rooms, only entering classrooms when absolutely necessary.

 

Staff should (where possible) only work at one location.

 

Child care staff will be scheduled to a specific cohort and should avoid, as much as possible, covering off colleagues assigned to different cohorts. Staff scheduling will be done intentionally to help reduce the risk of exposure to COVID-19.  If a child care staff must cover a colleague in a different cohort/room (e.g. during breaks) they must do so in a manner that maintains physical distancing if possible, and a non-medical face mask or face covering should be worn.

 

See Personal Protective Equipment policy

 

 

Physical Distancing

(Reg 88.5/3)

 

When setting up the play space, physical distancing of at least 2 meters must be maintained between cohorts and should be encouraged, where possible, between children within the same cohort.

Suggestions include;

  • spreading children out into different areas, particularly at meal and dressing time

  • incorporating more individual activities or activities that encourage more space between children

  • using visual cues to promote physical distancing (markings on the floor)

 

  • planning activities that do not involve shared objects or toys – individual use of or labelled containers for playdough, sand or water

  • When possible, moving activities outside to allow for more space

  • In children’s bathrooms, only every second toilet or sink should be used, and where possible, a washable barrier should be used to separate every other toilet and sink. If more than one cohort uses the same washroom, thorough disinfection must be performed between cohorts.

 

 

Infection Prevention

 

  • All staff, children and caregivers are required to self-screen with the link provided prior to entering the child care centre and mid day (See Screening Standard Operating Procedure). Any person who fails the screen will not be permitted into the centre.

  • No non-essential visitors will be permitted into the centre during the pandemic. New families may tour the centre.

  • Delivery items can be brought into the centre as long as the person passes the screening and wears requires PPE. 

  • Children will spend additional time outdoors weather permitting.

  • The use of communal sensory play materials will be limited.

  • Staff will regularly engage in proper hand hygiene protocol, which includes but is not limited to entering and leaving a room. Hand washing with soap and water is the preferred method, hand sanitizer is also acceptable. (See Infection Control Standard Operating Procedure).

  • Cleaning in the form of disinfecting will take place regularly throughout the day on high traffic touch spots.  General thorough cleaning of the rooms will take place at least once daily. All cleaning products used will meet Public Health guidelines. (See Infection Control Standard Operating Procedure).

  • Children will bring their own sunscreen and it will not be shared. Staff will provide assistance to apply sunscreen to any child requiring help. Staff will exercise proper hand hygiene when applying sunscreen to children (washing hands before and after each application).

  • Every effort will be made for physical distancing between staff to staff, child to child and for all other people in the centre.

  • Cooks and support staff will avoid entering program rooms and working between the centres that are open as much as possible.

  • Every reasonable effort will be made to limit the number of staff that enter a room, as such staff schedules may be altered to minimize the number of different individuals entering a program room for break coverage, lunch coverage, and beginning and end of day.

  • Where a child becomes symptomatic mid program, an Incident Report, will be completed for the employees that were potentially exposed to the child. Potentially exposed would be defined as those individuals that could not maintain less than 2 metres or 6 feet of physical distance.

 

See Infection Control Protocol for additional measures in place.

 

REFERENCES:

Screening Policy

Infection Control Standard Operating Procedure

Isolation Protocol Standard Operating Procedure

 

 

 

Covid-19 Pandemic Care Plan - Screening Procedure

 

Policy

To prevent the spread of COVID-19 and reduce the potential risk of exposure at all Creative Beginnings Childcare Centres (CBCC), screening questions will be required for all individuals prior to entry. Screening requirements apply to every CBCC employee, caregiver and child at the beginning of the day.  Afternoon Extended Day Students will have the screening link completed by parents/caregivers daily. 

Operating Details

Greeting/Arrival and Explanation

(Reg 88.5/6)

 

  1. A greeting and explanation will be posted on the entrance for every children’s centre notifying caregivers and staff of the requirements for screening prior to entry.

  2. Screening stations will be created in consultation with Health and Safety and Management for best location.

  3. Standard notification / signage

  4. Screening criteria with questions will be provided to parents/guardians and staff in advance of coming to the childcare centre.

Screening Details

  1. Pick-up and drop-off of children should happen outside the centre if possible or at the recommended screening location as determined by Supervisor and/or Health and Safety.

  2. Ground markings or pylons may be used to indicate appropriate physical distancing where parents may be waiting.

  3. Any child, parent/guardian who answers yes to the screening criteria may result in the child(ren) not be able to enter the building.

  4. Parents / guardians and staff should be encouraged to check their temperatures (and children’s temperatures) daily before coming to the centre.

    1. If the temperature is equal or greater than 37.8 degrees Celsius or if the child/children have any cold-like symptoms or vomiting and/or diarrhea, the child should not be brought to program.

  5. Staff will also do a visual check of anyone entering the facility. Where a child or adult is obviously ill, vomiting, diarrhea, fever, runny nose, sore throat, staff must refuse entry into the facility to promote health and wellness at the centre.

 

  1. Staff who are experiencing any of the symptoms or who will answer “yes” to any of the questions on the active screening sheets are expected to stay at home and report their absence to their supervisor.

  2. Cleaners, people doing maintenance work, people providing supports for children with special needs, those delivering food may be permitted to enter the centre at the screening station. Screening and records must be maintained for each person including name, contact information, time of arrival/departure, screening completion/result and logged in the centre log book. They must be wearing a mask while in the centre. Medical Grade masks will be used for supporting children and non-medical grade masks can be used for supporting program i.e. Food delivery workers.

  3. The staff doing the health screening should remain 2 meters apart at the screening station until both the parent and the child have passed the screening. This staff member will wear PPE (a surgical/procedure mask and face shield or google).

  4. Children may have their temperature taken at the screening station.  Follow temperature taking policy.

    1. They will use the temporal artery thermometer provided. If they are unable to use the temporal artery thermometer they will be offered a digital ear thermometer with a disposable ear cover to use.

    2. Either thermometer used will be disinfected between each use.

  1.  Information obtained during the screening process may be saved monthly for up to one year or as per the direction of Public Health or the Ministry of Education.

  2. Upon passing the screening, the dedicated childcare teacher or screener walk the child to their designated classroom.

  3. The child/children will be asked to complete hand hygiene with the hand sanitizer before going into the program room.

  4. If a child or staff member has been absent from the program due a positive case of COVID-19, the child or staff may not return to the program until the screening/isolation protocol has been followed.   

 

 

Screening Questions

CBCC is currently using the screening tool provided by:

Ministry of Health | Ministry of Education COVID-19 screening tool for students and children in school and child care settings.

 

https://covid-19.ontario.ca/download-covid-19-screenings#1.-school-and-child-care-screening

Ministry of Health | Ministry of Education COVID-19 screening tool for employees and essential visitors in schools and child care settings.

https://covid-19.ontario.ca/covid19-cms-assets/2021-08/COVID_screening_Staffs_Visitors_AODA.pdf

 

 

FAILED SCREENING

 

Failed Screening- Child/Staff has a symptom of COVID-19

Ministry of Health | Ministry of Education COVID-19 screening tool for students and children in school and child care settings.

https://covid-19.ontario.ca/download-covid-19-screenings#1.-school-and-child-care-screening

Ministry of Health | Ministry of Education COVID-19 screening tool for employees and essential visitors in schools and child care settings Version 1: August 26, 2021

https://covid-19.ontario.ca/covid19-cms-assets/2021-08/COVID_screening_Staffs_Visitors_AODA.pdf

 

COVID-19 Pandemic Response Care Plan

Isolation Protocol and Reporting for Symptomatic Persons

 

To ensure the health and well being of children within the Creative Beginnings Childcare Centres, children and staff who become ill while attending the program will be required to leave the program.

 

Staff must assess the situation to determine the need for when a child needs to be picked up by the parent. This can be determined through either the noticeable onset of symptoms, or from the mid-day screening activity. Staff will self monitor their own health throughout the day.

 

Close contact is defined as:

  • Providing direct care for and including healthcare workers, family members or other caregivers, or who had other similar close physical contact (e.g., intimate partner) without consistent and appropriate use of personal protective equipment, OR

  • living with or otherwise had close face to face contact (within 2 metres) with a probable or confirmed case for more than 15 minutes (may be cumulative, i.e., multiple interactions) up to 48 hours prior to symptom onset, OR

  • has had direct contact with infectious body fluids of a probable or confirmed case (e.g., was coughed or sneezed on) while not wearing recommended PPE, OR

  • has been identified by the local Public Health as a possible contact.

 

PROCEDURES

 

  • Any child or staff who develops symptoms of ill health including symptoms of ill health related to COVID-19 must follow the direction below.

 

  • The childcare teacher will notify the supervisor or designate immediately for contact to be made to the parent /caregiver and Public Health. Pick-up shall be arranged for the child. If the parent cannot be reached, the emergency contact person will be contacted to pick up the child.

 

Information taken from Child Care Centre Reopening Guidance Document Version 3– September, 2020, Region of Waterloo, Public Health and Emergency Services and Ministry of Education document “Operational Guidance During COVID-19, Child Care Re- Opening”

 

COVID-19 symptoms are as defined in the most recent version of the Ministry of Health COVID-19 Reference Document for Symptoms.

 

https://www.regionofwaterloo.ca/en/health-and-wellness/resources/Documents/COVID-19-Guidelines-for-Child-Care-Centres-Reopening-June-2020.pdf

 

Symptomatic Children

 

 

  • Symptomatic children are immediately separated from others in a supervised area until they can go home. A childcare teacher from the program room will accompany the child and provide supervision at all times. If the child is over the age of 2 and willing, the child will don a mask. If the symptomatic child has any siblings at the centre they will also be sent home at this time.

 

  • Staff should wear a surgical/procedure mask, eye protection and gowns at all times while supervising a symptomatic child. Every effort should be made for physical distancing to be maintained between the staff and symptomatic child.

 

  • If the symptomatic child is in a room with other family members from the same household only, the child may not need to be removed from the program room. Efforts will be made to encourage the child to maintain physical distancing from other children and childcare teachers. If the child is over the age of 2 and willing, the child will don a mask.

 

 

  • Every effort will be made to keep the child comfortable until someone arrives to take him or her home.

 

  • Hygiene and respiratory etiquette should be practiced while the child is waiting to be picked up. The designated room should be supplied with either a hand sink with hot and cold running water, liquid soap and single-use paper towels or hand sanitizer with 60% alcohol content. Tissues should be provided to the child for proper respiratory etiquette, with proper disposal of the tissues and proper hand hygiene. ** Hand sanitizer that is Technical Grade will not be used in a Child Care Center**

 

 

  • Reusable PPE such as blanket, cloth or gown should be laundered immediately. Clothing and linen from an unwell/infected child can be washed with other laundry. The child’s personal items must be bagged and sent home and not washed.

 

  • Reusable PPE such as a face shield will be disinfected per the ROW Health and Safety Cleaning PPE Fact Sheet.

 

  • Disinfecting of both the program space and isolation space will be cleaned as per the Covid-19 Pandemic Care Plan- Infection Control Protocol.

 

 

 

  • The supervisor will reschedule or cancel preplanned group events and in person meetings through email and/or phone.  (reg 88.5/5)

 

 

 

Serious Occurrence Reporting

(Reporting Reg 88.5/2)

 

  1. Where a child, parent, staff is confirmed with a positive COVID-19 Result of having or has a confirmed case of COVID-19, the centre must report this to the ministry as a serious occurrence within 24 hours of being notified. Initial notification will be through CCLS site. If the CCLS is not accepting the SO, an email will be sent to the Program Advisor

 

  1. Where a room, centre or premises closes due to COVID-19, the centre must report this to the ministry as a serious occurrence.

 

  1. The centre is required to post the serious occurrence notification form as required under the CCEYA, unless the local public health advises otherwise.

 

  1. The centre is required to notify the Executive Director ASAP.

 

  1. The Executive Director will notify the parents/guardians and staff when a symptomatic person in their/ their child’s cohort or at the childcare centre is sent home along with any direction provided from Public Health.

 

  1. For illnesses not COVID-19 related, children must be 24 hours’ symptom free (without medication) before returning.

 

Staff Illness

 

  1. Any staff person who suspects that they have an infectious disease should not attend the child care program if they are not well, particularly if their symptoms include any outlined in the most recent Ministry of Health COVID-19 Reference Document for Symptoms. Staff must pass the active screen process to work at the centre. If a staff member becomes ill while at the centre they should let their supervisor know and remove themselves from program as soon as possible.

 

  1. Disinfecting of the program space that the symptomatic staff member was in will be cleaned as per the Emergency Care Pandemic Plan- Infection Control Protocol.

 

  1. Repeat steps 1-15 above for case management.

 

  1. The supervisor will notify Executive Director for any illnesses that are believed to be the result of exposure to infectious disease through the course of work. Executive Director will file notification with the appropriate bodies (MOL).

 

  1. For illnesses not COVID-19 related, staff must be 24 hours’ symptom free before returning.

 

Confirmed Positive COVID-19 Case for Staff or Child

 

  1. Child care centres must consider a simple, symptomatic, laboratory confirmed case of COVID-19 in a staff member or child as a confirmed COVID-19 outbreak in consultation with the local Public Health Unit. Outbreaks should be declared in collaboration between the centre and the local Public Health Unit to ensure an outbreak number is provided.

 

  1. Those who test positive for COVID-19 must be excluded for 5-10 days (at the discretion of Public Health) after the onset of symptoms.

 

  1. Children or staff who have been exposed to a household confirmed case of COVID-19 should be excluded from the child care setting for 5-10 days. Additional testing may be required as per direction from Public Health.

 

  1. Region of Waterloo Public Health may provide ongoing support for a confirmed COVID outbreak including providing direction on the operation of the centre and outbreak management. Region of Waterloo Public Health will provide direction regarding the length/duration of an outbreak depending on laboratory findings (if an organism is identified), evidence of continued spread and resolution of illness.

 

  1. The Supervisor will work in partnership with Public Health to notify parents via email of a positive case of COVID-19. This will include posting the SO notice, emails crafted by Public Heath to impacted families.  The communication may include, cohort closure, billing changes, isolation requirements, testing requirements and signs and symptoms, to be aware of, ECT.

 

 

Additional References:

Region of Waterloo Public Health and Emergency Services COVID-19 Guidance for Child Care Centre re-opening.

https://www.regionofwaterloo.ca/en/health-and-wellness/resources/Documents/COVID-19-Guidelines-for-Child-Care-Centres-Reopening-June-2020.pdf

 

 

 

 

COVID-19 Pandemic Care Plan – Personal Protective Equipment

 

POLICY

 

The health and safety of all employees working in the child care centre is important. Creative Beginnings Childcare Centres will provide all staff working within the organization with appropriate personal protective equipment (PPE). Wearing PPE can help to prevent the spread of illnesses.

 

PROCEDURES

 

Staff are to adhere to proper don/doffing of any mandatory or optional personal protective equipment and practice hand hygiene immediately following the disposal or laundering of any contaminated PPE.

 

Hand Hygiene

 

Disposable Gloves:

 

Gloves must be worn in the following circumstances and disposed after use:

Administering first aid

Cleaning up blood and body fluid e.g. vomitus spills and disinfecting surfaces

Rinsing wet clothing or linen

Contact with diarrhea e.g. cleaning/disinfecting contaminated surfaces, diaper changing

Handling dirty laundry

Staff must adhere to proper don/doffing of gloves, see video link.

 

How to put on gloves:

Perform hand hygiene

Put on gloves, taking care not to tear or puncture glove

 

How to remove gloves:

Remove gloves using a glove-to-glove/skin-to-skin technique

Grasp outside edge near the wrist and peel away, rolling the glove inside-out

Reach under the second glove and peel away

Discard immediately into waste receptacle

 

Perform hand hygiene Hand Washing:

If staff cannot access soap and water, alcohol based hand sanitizer containing a minimum of 60% alcohol can be used, only if the hands are not visibly soiled. ** Hand sanitizer that is Technical Grade will not be used in a Child Care Center**

 

 

The removal of all hand jewelry and nail polish is recommended to ensure thorough hand sanitizing and hand hygiene.

 

 

Masks

 

Masks - Surgical grade/N95 should be used by staff:

 

In the screening area and when accompanying children into the program from the screening area.

When cleaning and disinfecting blood or bodily fluid spills if there is a risk of splashing.

When caring for a sick child or a child showing symptoms of illness.

All staff must wear a mask when they are in program with children, unless reasonable exceptions approved by the supervisor in writing can be provided.

The use of masks is required both indoor and outdoors when in program.  Staff may remove their mask when they’re eating in the designated spaces.

The use of mask in not required for cooks or supervisors working alone in their designated space as long as the staff is fully vaccinated.  All unvaccinated staff must wear masks at all time. 

 

How to wear your mask:

 

Wash your hands with soap and water for at least 15 seconds or use alcohol- based hand sanitizer before putting on your medical mask.

Secure the elastic loops of the medical mask around your ears. If your mask has strings, tie them securely behind your head.

Cover your mouth and nose with the medical mask and make sure there are no gaps between your face and the medical mask.

Do not touch the front of the medical mask while you wear it. Wash your hands with soap and water for at least 15 seconds or use alcohol-based hand sanitizer if you accidently touch your mask.

 

 

 

How to throw away your mask:

 

Do not touch the front of your medical mask to remove it.

Remove the elastic loops of the medical mask from around your ears or untie the strings from behind your head.

Hold only the loops or strings and place the medical mask in a garbage bin with a lid.

Wash your hands with soap and water for at least 15 seconds or use alcohol- based hand sanitizer after you have discarded your mask.

 

It is recommended that staff don a mask when in close contact with any person. See Public Health Ontario When and How to Wear a Mask

 

Eye Protection

 

Eye protection (face shields or goggles) must be worn by the staff member at the entry screening station and by any person supervising a symptomatic child as they await pickup.

 

Staff must wear eye protection at all times inside the childcare centre while in program and it common spaces including the kitchen unless eating.  Staff should not be eating with the children in program to respect social distancing. Staff are required to wear eye protection when outside with the children unless you can maintain 6 feet apart.  Please know that you must be prepared at all times to be within 6 feet of the children and therefore it is recommended staff wear eye protection at all time. 

 

Face Shields or goggles will be cleaned and disinfected after each use.  Staff will be responsible to disinfect their own shield and story it in a seal proof container (large Ziploc bag or plastic container) that is clearly labelled with their full name.

 

The use of eye protection is not require for cooks or supervisors working alone in their designated space unless they are 2 meters apart.

 

Gowns

 

When physical distancing is not possible with holding toddlers or infants, staff may use blankets or cloths (can be a towel) over childcare providers clothing and change the blanket between children. Gowns, blankets or cloths will need to be laundered between each use. Disposable gowns will not be reused. Blankets, cloths or gowns should not be worn outside the program room, into the kitchen or into the staff room. If a staff has a clean gown on when entering shared spaces such as the staff room, this gown will need to be removed, laundered and a clean gown put on before the staff enters the or other space. If staff are using reusable gowns, they must be hung on a hook that is clearly labelled with their name.

 

Inventory of Supplies

 

Each centre will provide a weekly inventory to the Supervisor or designate of current count of necessary personal protective equipment (PPE) and disinfectant supplies (cleaner, hand sanitizer, paper towel/wipes).

 

The Supervisor or designate will escalate supply needs to the Executive Director or Office Manager to reorder as needed.

 

 

 

COVID-19 Pandemic Care Plan - Infection Control Protocol

 

POLICY

 

In addition to routine practices for dealing with blood/body fluids and blood/body fluid by-products, all staff must strictly adhere to sanitary precautions in all aspects of the program.

 

PROCEDURES

 

Refer to Public Health Ontario Cleaning and Disinfection for Public Settings and the ROW Safe and Healthy Children: A Public Health Resource Manual for Child Care Providers for detailed information on proper cleaning protocol. Centres will be cleaned and disinfected thoroughly prior to being re-opened. Once the centre is operational, cleaning and disinfection must be performed at least once a day before opening for the day and whenever contaminated during daily operation on an ongoing basis. High touch surfaces must be cleaned and disinfected at a minimum of twice daily.

 

Cleaning products used must have a Drug Identification Number (DIN) and statement of capacity to kill viruses (contains a virucide).

 

Prior to re-opening, all staff will read and sign off on new Covid-19 Pandemic Care Plan policies and be trained and will follow the Health and Safety Protocols.

 

Each centre will maintain a cleaning and disinfection log to track and demonstrate daily and weekly cleaning.

 

 

Hand Hygiene

 

Disposable Gloves:

 

Gloves must be worn in the following circumstances and disposed after use:

Administering first aid

Cleaning up blood and body fluid e.g. vomitus spills and disinfecting surfaces

Rinsing wet clothing or linen

Contact with diarrhea e.g. cleaning/disinfecting contaminated surfaces, diaper changing

Handling dirty laundry

Staff must adhere to proper don/doffing of gloves, see video link.

 

 

Hand Washing:

 

Staff must wash their hands with soap and warm water in the following situations:

Before handling food, drinks or medication

Before and after eating

Before and after diaper check and change

Before and after toileting

Before and after contact with bodily fluids

Before and after using gloves

Before and after touching theirs or someone else’s face

Before entering and leaving a classroom

After touching contaminated articles such toys that have been mouthed or personal care items such as toothbrushes

Immediately following the disposal or laundering of any contaminated personal protective equipment (PPE)

 

If staff cannot access soap and water, alcohol based hand sanitizer containing a minimum of 60% alcohol can be used, only if the hands are not visibly soiled.

 

The removal of all hand jewelry and nail polish is recommended to ensure thorough hand sanitizing and hand hygiene.

 

Children must be encouraged to wash their hands with warm soapy water:

Before handling food

Before and after eating

Before and after toileting, including after a diaper change

After putting their hands in their mouths

At arrival time, and when coming inside from outdoor play

 

Signed approval from parents must be on-hand for children to be able to use hand sanitizer.

 

 

Close Contact

 

Efforts should be made to maintain physical distancing between staff to staff, and staff to children (2m minimum or 6 feet).

 

Avoid getting close to the faces of children whenever possible.

 

 

It is recommended that staff don a mask when in close contact with any person. See Public Health Ontario When and How to Wear a Mask

 

Staff are to adhere to proper don/doffing of any mandatory or optional personal protective equipment and practice hand hygiene immediately following the disposal or laundering of any contaminated PPE.

 

Staff on breaks and lunch need to maintain 2m physical distancing from staff working in other areas of the centre. Shared spaces, including lunch tables, microwave, taps, etc. will be disinfected between users. Each staff room will have a maximum capacity posted on the entryway and furniture will be arranged to support physical distancing.

 

No more than one person should be in the kitchen at a time to ensure physical distancing is maintained. Where possible, dedicate staff for kitchen duties. Ideally, do not assign housekeeping staff to be involved with food preparation or food service.

 

All staff must complete a Daily Close Contact Log to keep track of who they have been in close contact with throughout their shift. These logs will be filed in a designated location at each centre by the end of each shift. This information will be needed in the event of a positive COVID-19 case to support contact tracing.

                                                           

Sleeping/Resting (cleaning)

 

Children will have a crib, cot, or mattress assigned to them. Beds will be placed to support social distancing practices (2 metre separation). If 2m separation is not possible, children will be placed head-to-toe or toe-to toe.

 

Bedding must be changed between each user. Bedding, if used by same user, must be cleaned weekly or more frequently as needed.

 

Beds must be cleaned and sanitized between each user if they are shared among children.

 

Beds must be cleaned and sanitized weekly or more frequently as needed.

 

Staff will record all cleaning and sanitizing of beds and linens on the weekly cleaning log.

 

 

 

 

Cleaning Toys and Play Equipment

 

Staff must wear gloves when cleaning / disinfecting any toys, equipment or furnishings. Staff must ensure that all toys and equipment are in good repair, clean and sanitary.

 

The Supervisor or designate must be advised of any concerns regarding toys and equipment.

 

Plush toys will be removed from classrooms and outdoor spaces as they can not be readily cleaned and disinfected. Personal comfort toys can be brought to centre and used during sleep/rest time. They must be placed back in a bag in the child’s cubby after sleep/rest time. All of children’s personal belongings should be labelled with their name.

 

It is recommended that books, puzzles, cardboard/boxboard, etc. that are absorbent and cannot be easily cleaned and disinfected are limited or removed.

 

Sensory materials commonly shared such as sand, water, playdough are not permitted. If sensory materials (e.g., playdough, water, sand, etc.) are offered, they should be provided for single-use and dedicated for same child all day and labelled with child’s name.

 

Standard Cleaning protocols will be followed when children in care are asymptomatic:

 

  • Toys and other materials that are being shared between cohorts should be thoroughly cleaned and disinfected in between use. This includes all indoor toys, materials and structures.

 

  • Preschool and toddler toys must be cleaned at least every week and more frequently as needed.

 

  • Mouthed toys must immediately be cleaned and sanitized after every use.

 

  • Large equipment and shelving must be cleaned and disinfected every week.

 

  • Toys needing to go through the dishwasher will be washed at a time which does not conflict with the work of the kitchen staff as a way to prevent staff from crossing into work areas. Sand toys may not be washed in the dishwasher.

 

  • Encourage increased physical space between children by spreading out activities and staggering lunch and playtimes.

 

  • Floors must be kept clean and dry throughout the day. They must be damp mopped as necessary by staff.

 

  • Tables, including underside, and chairs being used are to be cleaned and disinfected twice daily and more often as needed.

 

  • Tables used to eat meals should be cleaned and disinfected before and after each meal.

 

  • Re-inforce not sharing food amongst the children.

 

  • Ensure sippy cups, bottles, soothers are labelled to avoid accidental sharing.

 

  • Food should be served by one person rather than letting children help themselves.

 

  • Children’s cubbies are to be kept neat and checked weekly by staff.

 

  • If outdoor equipment is accessed it must be cleaned and disinfected before each use.

 

  • The cleaning schedule for toys and equipment will be posted in all playrooms.

 

Centre cleaners will thoroughly clean and disinfect bathrooms, damp mop floors, spot clean glass, vacuum carpets, dust furniture and shelves, empty garbage and disinfect containers daily.

 

All common areas and high touch surfaces (e.g., door knobs, hand rails, light switches, tabletops, sinks, faucets, toilet handles, on-site playground equipment) will be cleaned and disinfected at a minimum of twice daily and when soiled.

 

The Supervisor or designate will maintain contact with the cleaning staff using a communication log. Any specific tasks or concerns should be documented. For serious concerns, the Supervisor or designate should contact the Facilities Maintenance Supervisor.

 

Cleaning Post Symptomatic Child

 

A sign will be posted on the door of the isolation room indicating that the room is closed until a thorough cleaning can be done.

 

Staff not sent home, will be responsible to thoroughly clean the isolation room donning the appropriate PPE.

 

The classroom where a symptomatic child or staff member has been will undergo a thorough cleaning and disinfection before being opened to program participants again. The part of the room closed will be cleaned by staff (if available) or the evening cleaning staff. Staff cleaning this area must don the appropriate PPE. This section of the room will be closed until the cleaning is done. A sign will be posted to notify others that the area is closed.

 

Cleaning will include disinfection of all toys and surfaces including tabletops, chairs, washrooms, cots, and equipment.

 

All bedding will be laundered weekly unless required more frequently.

 

Items unable to be disinfected will either be disposed off or quarantined in a sealed storage area for 7 days.

 

Laundry

 

Gloves and gown will be worn when doing laundry.

 

All laundry should be washed with regular soap and hot water (60°C - 90°C) and dried thoroughly.

 

Clothing and linen from an unwell/infected child can be washed with other laundry.

 

Linens and children’s clothing soiled with fecal material should be sent home. Fecal matter can be disposed in the toilet before bagging the items. Rinsing of these items is not permitted as per Public Health direction.

 

Staff must use appropriate PPE when handling laundry from a symptomatic person (e.g. gloves, eye protection, lab coat).

 

Laundry hampers will be clearly labelled ‘dirty’ or ‘clean’ and be disinfected once a day or more often if needed.

 

Inventory of Supplies

 

Each centre will provide a weekly inventory (Friday PM) to the manager or designate of current count of necessary personal protective equipment (PPE) and disinfectant supplies (cleaner, hand sanitizer, paper towel/wipes).

 

The manager or designate will escalate supply needs to Health and Safety and Procurement.

 

Cleaning of Shared Staff Spaces

 

Staff will regularly clean commonly used spaces. This will include, but is not limited to, staff lunchroom, washroom, office space and shared equipment.

 

See ROW HS Infection Control Fact Sheet for more information.

 

 

Creative Beginnings Childcare Centre

Covid-19 Immunization Disclosure Policy

Purpose

The purpose of this policy is to outline Creative Beginnings Childcare Centres expectations with regards to COVID-19 immunization disclosure. Contingent upon vaccine availability, all eligible individuals, are strongly encouraged to receive a COVID-19 vaccine, unless there is a medical reason to not receive a vaccine.  As of October 1, 2021, all new employees are required to be fully vaccinated for COVID-19.

Background

Creative Beginnings Childcare Centre recognizes the importance of immunization of individuals regularly interacting and providing services to children due to the nature of their work and potential for exposure in the community. This COVID-19 immunization policy aims to protect the child care program’s population including children, staff, volunteers, students on educational placements and any person providing child care or other services to a child in care.

COVID-19 is an acute respiratory illness caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). It may be characterized by fever, cough, shortness of breath, and several other symptoms. Asymptomatic infection is also possible. The risk of severe disease increases with age but is not limited to the elderly and is elevated in those with underlying medical conditions.

Application of the Policy

The Immunization Disclosure Policy will apply to the following groups of individuals, except where the individual works remotely and the individual’s work does not involve in-person interactions:

 

• CBCC Employees of the licensee;

• CBCC Volunteers;

• Students on an educational placement;

• Any licensee who regularly interacts with children, staff or providers;

• Any person who provides child care or other services to a child who receives child care (e.g., special needs resourcing consultant).

 

 

Policy

 

The Chief Medical Officer of Health has directed all licensed child care programs to develop, implement and ensure compliance with a COVID-19 immunization disclosure policy. All individuals covered by this policy must provide one of the following:

1. Proof of all required doses of a COVID-19 vaccine approved by the World Health Organization.

2. Written proof of a medical reason, provided by either a physician or nurse practitioner that sets out:

a. that the person cannot be vaccinated against COVID-19;

b. the effective time period for the medical reason (i.e., permanent or time- limited).

3. Proof that the individual has completed an educational session approved by Creative Beginnings Childcare Centre.

CBCC will respect the handling of all private and confidential information for all its employees as per the Collection, Use, and Disclosure of Personal Information Form and Creative Beginnings Childcare Centre’s Privacy Policy

Educational session

 

An educational session has been approved by and provided by Creative Beginnings Childcare Centre and addresses all of the following learning components:

• How COVID-19 vaccines work;

• Vaccine safety related to the development of the COVID-19 vaccines;

• Benefits of vaccination against COVID-19;

• Risks of not being vaccinated against COVID-19; and

• Possible side effects of COVID-19 vaccination.

 

Proof of completion of education session and attestation will be required.  It must be completed in full within 7 days of receipt.  The education session will be completed outside of working hours on the employees own time. 

 

The Educational Video for childcare:

https://www.youtube.com/watch?v=lylv8yFnjcM

 

Support for Vaccination

Creative Beginnings Childcare Centre will provide the following supports for people subject to this policy to receive a vaccine:

  • Paid sick time for vaccine appointment as per CBCC’s time off request policy

  • Online support if requested for booking appointments

  • Access to computer equipment and wi-fi if requested.

 

Testing Requirements

Not Fully Vaccinated Staff

Individuals subject to the policy who are not fully vaccinated must regularly complete an antigen point of care test for COVID-19 and demonstrate a negative result 3 times a week at home at least 30 minutes before their shifts on Monday, Wednesday and Friday.

Individuals will be required to undertake testing of the following instructions:

 

• Testing is to take place at an individual’s residence prior to attending work.

• Testing should be implemented consistently on a weekly basis with at least 3 days between tests, and conducted Sunday to Friday.

• Testing should not take place more than 48 hours before attending work.

Please note, rapid antigen screening is only for individuals who are asymptomatic. Anyone who has symptoms should seek testing at their local assessment centre consistent with provincial testing guidance.

The following link will give further details on how to self-test:

https://www.ontariohealth.ca/sites/ontariohealth/files/2021-08/PASP-COVID19-Self-Testing%20Instrucitons.docx

 

 

 

Fully Vaccinated Staff

Individuals who are fully vaccinated and have not had COVID in the past 90 days may voluntarily ask to complete a Antigen Point Of Care Test at the centre.  Staff must reach out to their site supervisor to set this up.  It must be done on the employees own time. 

This handout explains how an individual can self-administer a COVID-19 rapid test kit:

https://www.ontariohealth.ca/sites/ontariohealth/files/2021-08/PASP-COVID19-SelfTesting%20Instrucitons.docx

 

Positive Test Results

If an individual receives a positive result, the individual will need to self-isolate and not come to work and submit to a laboratory-based PCR test to confirm the results as soon as possible (ideally within 48 hours).

Any individual that receives a preliminary positive result on a COVID-19 rapid antigen test, is required to:

1. Seek a confirmatory PCR test immediately (ideally within 48 hours) at a designated testing centre.

2. Isolate immediately until the result of their confirmatory test is known.

3. Safely return to work only after they receive a negative result on a confirmatory test at a designated testing centre.

Any positive confirmatory test is routinely reported to the local public health unit, consistent with public health legislation, to support case and contact management and surveillance. An employer has no obligation to inform a public health unit of an employee’s rapid antigen test result (regardless of whether it was positive or negative).

Reporting the Results

CBCC will be receiving free antigen screening tests must submit weekly reporting to the Ministry of Health (MOH). Using the Thrive app allows organizations to fully meet this requirement and would not require any additional, regular reporting to MOH. This will be reported by the Executive Director or Supervisor. Should a staff not be able to report on THRIVE App, CBCC will require photo proof to be sent to info@creativebeginnings.ca on both Monday and Thursday’s before the staff shift.  The Supervisor/Executive Director will report weekly as per Ministry of Health requires.

CBCC will be required to report aggregate depersonalized data on vaccine status of staff and providers on a monthly basis to the Ministry of Education. This will be reported by with the Executive Director or Supervisor.

 

Screening Isolation Periods

Non-vaccinated staff are subject to different isolation and testing requirements as per COVID-19 School and childcare screening tool

Extended isolation periods may not be covered by paid sick time as per the CBCC policies.

 

Confidentiality Statement

As per s. 77 of O. Reg 137/15 made under the Child Care and Early Years Act, 2014, Creative Beginnings Childcare Centre is required to report such statistical information to the Ministry of Education as may be required. No identifying information will be provided to the ministry in relation to this policy; all statistical information will be provided in aggregate form.

 

 

 

Additional References:

 

ROW HS Infection Control Fact Sheet

Covid-19 Pandemic Care Plan

Screening SOP

 

Ministry of Education Operational Guidance Durim.ng COVID-19 Outbreak

 

Region of Waterloo Child Care Centre Guidance Documents