1.22.2021 COVID-19 Update

We hope you and your family are continuing to navigate the COVID situation as well as possible.

We are writing to alert you to an additional update to TBH’s Health Screening Policy.

As more of our team members and some client family members have been able to obtain access to one of the COVID vaccines, additional questions regarding the treatment of typical vaccine side effects have emerged.

As has been our practice throughout the pandemic, we have updated our Health Screening Policy specifically to align with the CDC’s current guidance in this area. Please find it below for your reference. The change has been highlighted for you.

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, if anybody in your family has been exposed, or if you 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 1.22.2021

Health Screening

If you have received a vaccine dose in the last 72 hours, you may experience typical post vaccine symptoms; such as injection site soreness, fever, chills, fatigue, or headache. TBH does not require you to identify these symptoms for the health screening. If you are experiencing more serious symptoms, have been exposed to a confirmed COVID case in the last 10 days, or are experiencing symptoms more than 72 hours after receiving the vaccine, please report them through the screening questions that follow, cancel your sessions and consult your doctor for guidance.

1. 1. Do you or anyone in your household, that will be present during the scheduled session closer than 6 feet from your TBH team member for longer than 15 minutes, now or have in the last 10 days had any of the following:
      • Fever or feeling feverish (chills, sweating)
      • New cough
      • Difficulty breathing
      • Sore throat
      • Muscle aches or body aches
      • Vomiting or diarrhea
      • New loss of taste or smell

If so, you may only perform or receive services if you:

1. • Have received a negative COVID test taken after your symptoms began.
   • Provide a doctor’s note confirming your symptoms are not COVID related.
   • Have been asymptomatic for a minimum of 1 day (24 hours) and at least 10 days have passed since any symptoms first appeared.
   • Confirm or have previously confirmed through the Recurring Pre-existing Symptom Attestation process that this is not a new symptom, but a recurring one aligned with a pre-existing condition (allergies, chronic, etc.) – the attestation form can be accessed here.
2. If you are not a medical professional, have you in the last 10 days been directly exposed to an individual with a confirmed or suspected case of COVID-19?If so, you may only perform or receive services:
   • After 7 days have passed since the date of your exposure, with a negative test result taken no sooner than day 5 after the start of your quarantine.
   • Or if at least 10 days have passed since the start of your quarantine.

   Exposure (close contact) is defined by the CDC as anyone who was within 6 feet of an infected person for at least 15 minutes or more during the 48 hours before the person began feeling sick until the time the patient was isolated. Or for asymptomatic patients, 48 hours prior to a 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 10 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?If so, you may only perform or receive services:
   • After 7 days have passed since the date of your exposure, with a negative test result taken no sooner than day 5 after the start of your quarantine.
   • Or if at least 10 days have passed since the start of your quarantine.

   If you have had a confirmed COVID case you may return to services:

   • If you are asymptomatic, you may return after 10 days have passed since your positive specimen collection if no new symptoms have developed.
   • If you are symptomatic, you may return after 10 days have passed since any symptoms first appeared and at least 24 hours since symptom resolution (no fever, etc.)
4. Have you in the last 10 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, have a valid negative test result or meet one of the other criteria for return; immediately ask the individual/s to leave the location and cancel the session.

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 incident report should be filled out for the reporting of confirmed COVID cases.

As noted above, an exception will be made for team members and clients who have a known pre-existing condition which overlaps with a COVID-19 symptom. For example, if a Client has a known symptom of diarrhea due to medication, a family member can fill out a Recurring Pre-existing Symptom Attestation found here and not complete the question in the Health screening further.

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

If all the questions are answered negatively (meaning with a “NO” response ) 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 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. Use the following link to submit reimbursement: PPE Reimbursement Form