10.28.2020 COVID-19 Update

As always, we hope this note finds you and your family healthy and continuing to navigate the impact of COVID-19 as well as possible. We remain committed to actively monitoring health and safety guidelines from the CDC and other health authorities as they are updated to address the evolving situation.

As you have likely seen in the news and experienced in your local community there has been a recent spike in COVID related occurrences across the country. This increase in COVID activity has also been impacting our team members, clients and families.

Now more than ever, it is important that we all stay attentive to monitoring our health and taking steps to protect it and others. Based on some recently updated guidelines and in an effort to continue to provide as safe an environment as possible, for you and our team members, we have made some additional clarifications to our Health Screening Policy. Please find it below for your reference and outlined in the included graphic.

We also wanted to remind you of our current communication policy as it relates to potential or confirmed exposure for our families and team members.

In line with CDC guidance if we learn of a confirmed positive COVID-19 case in which your family member has been directly exposed we will notify you as soon as possible. We will confirm that based on our contact tracing process we have reason to believe your family member was directly exposed to a confirmed case of COVID-19. We will also include quarantine and return to services guidance in line with CDC and TBH policy.

In the event that a confirmed case occurs at the location you receive services, but to which based on our contact tracing process we do not believe you were directly exposed; TBH will communicate a general notice of the occurrence and a reminder to continue to monitor your health and complete our health screening process before receiving services.

Please remember that while we desire to provide as much transparency as possible, we are also obligated by federal and state guidelines to protect the privacy of our clients and team members. We will provide as much information as we are able to and that which is needed for you to take appropriate steps.

While each situation has its own unique circumstances, which may alter our communication process, generally we will follow the above unless instructed to follow a different messaging requirement by state or local authorities.

Please continue to monitor your family’s health, if you identify any symptoms, reach out and cancel your scheduled sessions. Please do not allow services to continue if your family member is exhibiting symptoms or meet any of the CDC’s guidelines warranting self-isolation or quarantine.

Thank you, as always, for the opportunity to serve your family.

Ned

Health Screening Policy – Updated 10.28.2020

Health Screening

1. Do you or anyone in your household, that will be present during the scheduled session closer than 6 feet for longer than 15 minutes, now or have in the last 14 days had any of the following:
   • Fever
   • Chills
   • Cough
   • Shortness of Breath
   • Difficult Breathing
   • Fatigue
   • Muscle or Body Aches
   • Headache
   • New Loss of Taste or Smell
   • Sore Throat
   • Congestion
   • Runny Nose
   • Nausea/Vomiting
   • Diarrhea

    

   If so, you may perform or receive services if:

   • You have received a negative COVID test taken after your symptoms began.
   • You provide a doctor’s note confirming your symptoms are not COVID related.
   • You have been asymptomatic for a minimum of 1 day (24 hours) and at least 10 days have passed since any symptoms first appeared.
   • If you have had a confirmed COVID case you may return after two negative tests taken at least 24 hours apart or if you have been asymptomatic for a minimum of 1 day (24 hours) and at least 10 days have passed since any symptoms first appeared or your COVID diagnosis was confirmed.
2. If you are not a medical professional, have you or anyone in your household in the last 14 days been directly exposed to an individual with a confirmed or suspected case of the COVID-19?Exposure is defined by the CDC as anyone who was within 6 feet of an infected person for at least 15 minutes during a 24-hour period starting from 48 hours before the person began feeling sick until the time the patient was isolated. Or for asymptomatic patients 2 days prior to positive specimen collection.Suspected case is defined as anyone who is being treated as presumed positive by a doctor.
3. If you are a medical professional, have you in the last 14 days had direct exposure to any individual with a confirmed or suspected case of COVID-19 without wearing necessary personal protective equipment (PPE) for your profession?
4. Have you in the last 14 days traveled internationally?

If any of the above questions are answered in the affirmative and the respondent does not subsequently confirm they have been without symptoms for the required time or have a valid negative test result; immediately ask the individual/s to leave the location and cancel the session. An incident report should be filled out.

If the affirmative answer occurs prior to starting a home-based session, please cancel the session before entering the residence. Please report this occurrence to HR at covid@tbh.com and to your supervisor.

An exception should be made for individuals that confirm they have received a valid negative test result or who can produce a doctor’s note confirming their symptom was not Coronavirus related or a note indicating the team member is safe to return to work.

If an individual refuses to answer any of the questions or is unable to, please ask them to leave until they can do so. If needed, please cancel the session.

If all the questions are answered negatively (meaning with a NO answer) please proceed with the scheduled session.

Temperature Check

TBH is implementing temperature checks in TBH centers as an additional health & safety precaution due to the larger number of individuals in TBH centers. Temperature checks are not required for in-home sessions because the session is limited to the TBH team member and immediate family.

1. Immediately check the temperature of any individual who enters a TBH center.
2. If the temperature of the individual reads above 100.4 F request the individual leave immediately and cancel the session.

If an individual refuses to comply with a temperature check, please ask them to leave until they can do so. If needed, please cancel the session.

Washing Hands

Wash hands with warm water and soap for a minimum of 20 seconds immediately upon entering the center or the residence before starting the sessions and in between sessions. If soap and water are not available and hands are not visibly dirty, an alcohol-based hand sanitizer that contains at least 60% alcohol may be used. Regularly wash hands during the course of the scheduled day.

Face Coverings

TBH requires utilization of a facial covering to be worn by TBH team members while performing work related duties in line with local and state guidelines. Team members are eligible for a one-time reimbursement up to $20.00 for the purchase of PPE, if not provided by TBH. Please contact us immediately to submit reimbursement.