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Covid Safety Plan

1. Introduction
The purpose of this plan is to define the measures being taken by Bowman High School to help reduce
the risk of infection from the COVID-19 virus (a.k.a., SARS-CoV-2, coronavirus). The defined measures
are based upon guidance from established public health authorities as of the date of this document,
including the U.S. Centers for Disease Control and Prevention (CDC), U.S. Occupational Safety and
Health Administration (OSHA), and California Department of Public Health, as well as other published
environmental health research and guidance materials. While the provisions of this document are
intended to help reduce COVID-19 risk, they cannot guarantee that infection will not occur.
This plan begins by providing an overview of how it is applied and implemented, along with a summary of
assigned roles and responsibilities. This is followed by a more specific discussion of various plan
elements.Bowman High School COVID-19 Safety Plan (4/29/21)
Page 4 of 9
2. Application & Implementation Overview
This plan applies to all work areas and operations and is implemented as follows:
1. COVID-19 Safety Teams​ . The Site COVID Coordinator is responsible for managing this plan and
facilitating the COVID-19 safety teams, which are described below:
a. Core Team ​ . This team monitors current public health guidance, along with information
regarding plan implementation, and determines how COVID-19 safety will be addressed
by updating the provisions of this plan as appropriate.
b. Extended Team ​ . This team consists of representatives from primary organizational units
and serves as a bridge between the core team and all employees and stakeholders. The
team reviews information and plan updates provided by the core team and provides
feedback regarding challenges and opportunities related to the implementation of plan
provisions.
A listing of the Site COVID Coordinator and team members, along with associated contact
information and current meeting plans, is maintained by the Site COVID Coordinator using the
“Contacts & Resources” form provided in Appendix A.
2. Prevention​ . Supervisors of specific work areas and operations are responsible for assessing
COVID-19 risks, identifying safe practices, training employees in these practices, ensuring these
practices are followed, and documenting their implementation through periodic inspections. The
Site COVID Coordinator defines global practices and provides general resources for developing
area/operation specific practices, delivering training, and conducting inspections. More specific
provisions are addressed in the Prevention section of this plan.
3. Case Response​ . Supervisors of specific work areas and operations are responsible for initiating a
case response form, gathering incident information, and implementing immediate response
actions. The Site COVID Coordinator is responsible for completing the case response form, which
entails conducting additional incident assessment, response, and follow-up activities. The case
response form defines a protocol that addresses the subject case, potentially exposed persons,
and the impacted environment. More specific provisions are addressed in the Case Response
section of this plan.
4. Building Closure​ . The Site COVID Coordinator is responsible for coordinating with responsible
parties (e.g., building maintenance) to ensure proper consideration is given to minimizing
potential environmental health concerns prior to closing and re-opening buildings (including
substantially reduced occupancy and partial closures). A checklist of common environmental
health issues associated with building closures is included in Appendix B.
5. Supply Management​ . The Site COVID Coordinator is responsible coordinating with responsible
parties (e.g., purchasing) to address the specification, acquisition, distribution and inventory of
supplies critical to implementation of COVID-19 safe practices. Critical supplies and associated
management protocols are identified using the form provided in Appendix C, which is managed
by the Site COVID Coordinator.Bowman High School COVID-19 Safety Plan (4/29/21)
Page 5 of 9
3. Roles & Responsibilities
The key roles involved in the implementation of this plan and their associated responsibilities are
summarized below. More specific descriptions of requirements are provided in the other sections of this
plan.
3.1. Site COVID Coordinator
The Site COVID Coordinator maintains this plan and facilitates its implementation. Key responsibilities:
a. Ensuring this plan and associated practices are updated to reflect current public health guidance.
b. Facilitating the core and extended safety teams.
c. Developing global and common environment safe practices, as well as guidance for creating
area/operation specific safe practices.
d. Providing support to supervisors in developing area/operation specific practices
e. Managing global facility color-coded mapping activities.
f.
Reviewing, approving, and inventorying all safe practices and facility maps.
g. Providing training on global and common environment safe practices, as well as training for
supervisors on their responsibilities under this plan, including the creation of specific
area/operation safe practices.
h. Coordinating global communications to visitors/vendors.
i. Reviewing and archiving inspection records.
j. Reviewing and managing the completion of response actions related to known or suspected
cases of COVID-19.
k. Coordinating with responsible parties (e.g., building maintenance) to ensure proper consideration
is given to minimizing potential environmental health concerns related to building closures.
l.
Coordinating with responsible parties (e.g., purchasing) to address the specification, acquisition,
distribution and inventory of supplies critical to implementation of safe practices.
3.2. Supervisors
Supervisors are responsible for ensuring the provisions of this plan are implemented in the
areas/operations and among the employees under their responsibility. Key responsibilities:
a. Developing safe practices for their specific work areas and operations, inclusive of area/operation
color-coded mapping.
b. Completing supervisor training related to this plan.
c. Providing area/operation specific training on safe practices and ensuring employees under their
responsibility complete training related to this plan.
d. Inspecting work areas/operations under their responsibility on a regular basis to ensure
compliance with safety practices, and for correcting deficiencies identified.
e. Initiating immediate response actions regarding known or suspected cases of COVID-19 and
working with the Site COVID Coordinator to complete response actions.
3.3. All Employees
All employees are responsible complying with the provisions of this plan. Key responsibilities:
a. Following safe practices as communicated to them by their supervisor or through training.Bowman High School COVID-19 Safety Plan (4/29/21)
Page 6 of 9
b. Reporting hazardous conditions related to potential transmission of the COVID-19 virus.
c. Staying home and reporting to their supervisor if they exhibit symptoms of COVID-19, have a
positive COVID-19 test, or have been exposed to a known or suspected case.
3.4. Other Parties
a. Persons who are the primary contacts for visitors and vendors are responsible for ensuring that
visitors/vendors understand that they are expected to follow the COVID-19 safety guidance for
visitors, as well as additional any area/operation-specific COVID-19 safety practices. In addition,
primary contacts for vendors are responsible for communicating to employees and visitors any
additional safety practices that should be followed as a result of the vendor’s work.
b. Human Resources is responsible for communicating process and benefit information to
employees restricted from work as a result of having COVID-19 symptoms, a positive COVID-19
test, or potential exposure to a known or suspected COVID-19 case.Page 7 of 9
Bowman High School COVID-19 Safety Plan (4/29/21)
4. Prevention
Efforts to help prevent the risk of infection from the COVID-19 virus are enacted through a process of
assessing infection hazards, identifying safe practices, training/communicating these practices, and
confirming the practices are being implemented properly. These and other prevention elements are
discussed below.
4.1. Hazard Assessment & Safe Practice Development
a. Global Practices​ . The Site COVID Coordinator coordinates the development safe practices that
apply to all work areas and operations.
b. Common Environments​ . The Site COVID Coordinator coordinates the development of general
safe practices for common work areas and operations.
c. Specific Work Areas/Operations​ . Supervisors are responsible for the development of safe
practices for their specific work areas and operations. The Site COVID Coordinator provides
guidelines and support for creating these specific practices.
d. Facility Mapping​ . A color-coded system of mapping facility areas based on general COVID-19
safety practices is utilized to help facilitate implementation. Coded floorplans may be posted
along with relevant similarly coded safe practice documents in the subject areas. Area/operation
mapping activities are managed by area/operation supervisors and global facilities mapping
activities are managed by the Site COVID Coordinator. A work area diagram mapping template
is provided in Appendix D. The following color codes are used to characterize areas and safe
practice documents:
Green = staff personal spaces
Yellow = staff common areas
Orange = staff specialized areas
Blue = global practices
Light Purple = public common areas
Dark Purple = public specialized areas
e. Approval​ . All coded floorplans and safe practice documents must be reviewed, approved and
inventoried, and archived by the Site COVID Coordinator. An inventory of all developed safe
practices is managed by the Site COVID Coordinator using the form provided in Appendix E.
4.2. Training & Communications
a. General Training​ . The Site COVID Coordinator is responsible for providing resources to support
training for all employees on global and common environment safe practices and for supervisors
on their responsibilities under this plan. An inventory of available training resources is maintained
by the Site COVID Coordinator using the form provided in Appendix F. Training is documented
per the Injury & Illness Prevention Program.
b. Area/Operation Specific Training​ . Supervisor are responsible for ensuring their employees
complete global and common environment training and are responsible for providing area and
operation specific training to their employees. Training is documented per the Injury & Illness
Prevention Program.
c. Visitor/Vendor Communications​ . Persons arranging the work of visitors/vendors are responsible
for communicating expectations of visitors/vendors regarding COVID-19 safety (e.g., general
practices for visitors document). The Site COVID Coordinator is responsible for coordinating
global communications to visitors/vendors (e.g., postings, email notifications, social media, or
other means as deemed appropriate).
4.3. InspectionBowman High School COVID-19 Safety Plan (4/29/21)
Page 8 of 9
a. Supervisors are responsible for regularly evaluating their work areas and operations for
compliance with safety practices, and for correcting deficiencies identified. This occurs on a
continuous basis as part of ongoing operations and is formally documented on a regular basis
using the inspection form provided in Appendix G. Completed inspection forms are provided to
the Site COVID Coordinator.
b. The Site COVID Coordinator is responsible for reviewing and archiving inspection records to
confirm noted deficiencies have been corrected. Inspection records are maintained per the Injury
& Illness Prevention Program.Bowman High School COVID-19 Safety Plan (4/29/21)
Page 9 of 9
5. Action Plan-Confirmed/Suspected Cases
A case response protocol is enacted to help mitigate potential risk of COVID-19 transmission upon
discovery of a COVID-19 case potentially impacting facilities, employees, or other stakeholders (a.k.a.,
COVID-19 case incident). The case response protocol is detailed in the “Action Plan-Confirmed/
Suspected Cases Form” (see Appendix H) which guides specific actions to take and information to
document related to different types of COVID-19 case incidents. The protocol is summarized below:
1. Upon learning of COVID-19 case incident, area/operation supervisors are responsible for initiating
the Action Plan-Confirmed/Suspected Cases Form.
2. Supervisors gather incident information and take immediate response actions per the form. These
actions involve addressing the subject case, potentially exposed persons, and the impacted
environment.
3. The Site COVID Coordinator, after being notified by the area/operation supervisor, takes
ownership of the form and conducts a more detailed incident assessment and response per the
form. This includes additional follow-up on potentially exposed persons, cleaning/disinfection of
the impacted environment, communication with concerned stakeholders, and implementation of
the area/operation specific COVID-19 safe practices. The Site COVID Coordinator conducts these
actions working in conjunction with District COVID-19 Coordinator Matt Hinze, the area/operation
Supervisor, at this present time, cleaning and disinfection is handled internally. Outside
environmental health consultants and/or cleaning/disinfection contractors may be engaged by the
District as needed.
4. The Site COVID Coordinator manages the case response protocol until the subject environment
has been properly addressed and all identified potentially exposed persons have been cleared to
return to the area/operation.
5. The Site COVID Coordinator compiles the completed and signed case response form, along with
all associated documentation, and retains these materials for recordkeeping purposes.Appendix A
Contacts & ResourcesBowman High School COVID-19 Safety Plan:
Contacts & Resources
Site COVID Coordinator
Name
Nina Zamora
Department/Title
Principal
Phone
661-253-4400 x115 Email
nzamora@hartdistrict.org
Phone
661-253-4400 x116
661-253-4400x117
661-253-4400
661-2534400 Email
jgomez@hartdistrict.org
ccovell@hartdistrict.org
iperez@hartdistrict.org
mcortez@hartdistrict.org
Phone
661-253-4400x118
661-253-4400x120
661-259-0033x268
661-259-0033x253 Email
lwilson@hartdistrict.org
agonzalez@hartdistrict.org
cnielsen@hartdistrict.org
spishehvar@hartdistrict.org
Core COVID-19 Safety Team
Name
Department/Title
Julian Gomez
Assistant Principal
Carrie Covell
Office Manager
Ivan Perez
Custodian
Manuel Cortez
Lead Campus Supervisor
Notes
● Team Meetings--Weekly on Mon & Thurs (Zoom).
Extended COVID-19 Safety Team
Name
Lori Wilson
Ami Gonzalez
Collyn Neilsen
Sonia Pishehvar
Department/Title
Counselor
Theraputic Counselor
CAO
Risk Manager
Notes
● Team Meetings--Weekly on Tues (Zoom).
Internal Team Resources
Safety Practices Location Shared Google Drive titled: COVID-19 Site Response Plan - Bowman
www.bowmanhighschool.org
Environmental Health Consultant Forensic Analytical Consulting Services-
(​ www.forensicanalytical.com ) 866-643-0237
Cleaning/Disinfection Contractor William S. Hart District, Maintenance and Operations
Local Public Health Department Contacts
Los Angeles County
Site safety coordinator or designee to contact Health Services Department
● District to contact DPH via Health Services Department
● ​ http://publichealth.lacounty.gov/
● DPH Daily COVID-19 Data Dashboard
http://publichealth.lacounty.gov/media/Coronavirus/data/index.htm
Key Guidance & References
CDC (Centers for
Disease Control)
California
Back to Work
Safely
Rev. 1/26/21
Main: ​ https://www.cdc.gov/coronavirus/2019-ncov/index.html
Industry Guidance:
https://www.cdc.gov/coronavirus/2019-ncov/community/guidance-business-response.html?
www.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fspecif
ic-grouprs%2Fguidance-business-response.html
Main: ​ https://covid19.ca.gov/
Industry Guidance: ​ https://covid19.ca.gov/industry-guidance/
Cal/OSHA: ​ https://www.dir.ca.gov/dosh/coronavirus/Health-Care-General-Industry.html
https://www.backtoworksafely.org/
http://ph.lacounty.gov/acd/ncorona2019/EducationToolkit/TK12/
Page 1 of 1Appendix B
Building Closure ChecklistWSHUHSD COVID-19 Safety Plan:
Building Closure Checklist
Building:
Completed by:
Date:
Before Closure
Done
1. Remove garbage, food, and other perishable materials prior to closure. ◻
2. Develop a plan for maintaining water systems during closure. ◻
3. Develop a plan for managing HVAC systems during closure.
During Closure

Done
1. Routinely inspect for water intrusion events, which can result in water damage or mold
growth if left unaddressed (e.g., roof leaks, plumbing leaks, surface flooding). ◻
2. Continue pest control measures on a modified schedule. Reduced maintenance activities
can allow for infestation of pests or accumulation of pest allergens, dander, and droppings. ◻
3. Consider ways to prevent water stagnation, including flushing fixtures routinely, to avoid
issues with water quality including microbial growth of organisms, leaching of metals, and
buildup of sediment. Address potable water system components as well as specialized
water systems (e.g., fountains, cooling towers, misters, etc.). ◻
4. Ensure drain traps remain filled. ◻
5. Periodically run HVAC system to ventilate the building and reduce buildup of indoor air and
surface contaminants such as dust, particulates, ◻
Before Reopening
Done
1. Ensure that water damage or standing water is not present. Address any mold/moisture
issues before re-occupancy.
2. Ensure that garbage, food, and other perishable materials are removed as appropriate.


3. Inspect for pests and rodents. Reduced maintenance activities can allow for infestation of
pests or accumulation of pest allergens, dander, and droppings. ◻
4. Ensure no objectionable odors are present. Investigate and address as needed (e.g., dry
drain-traps, garbage, pests, water intrusion, unattended plants, spoiled food). ◻
5. Evaluate spaces for COVID-19 safety concerns and implementing related modifications
(e.g., postings, traffic routing, barriers, etc.). Consider the need for cleaning/disinfection,
either based on actual risk or as a precaution to address occupant concerns about
contamination. ◻
6. Flush water fixtures prior to re-occupancy to remove stagnant water, using respiratory
protection if stagnant for an extended period. Address potential issues associated with
specialized water systems (e.g., fountains, cooling towers, misters, etc.). Consider further
assessment if conditions of concern present. ◻
7. Ensure HVAC systems are in good condition. Inspect air handling units (filters, coils, pans,
outdoor air intakes, etc.).
8. Ensure adequate ventilation to occupied areas. Lack of ventilation and circulation of fresh
air during low occupancy can result in the buildup of indoor air and surface contaminants
such as dust, particulates, and volatile organic compounds.
Rev. 1/21/21


Page 1 of 1Appendix C
Critical Supply ListWSHUHSD COVID-19 Safety Plan:
Critical Supply List
Item Specification
Hand Sanitizer At least 70% isopropyl
alcohol.
Face coverings 2 per staff and student -
cloth
Management Notes
Updated
8/2020
8/2020
Secondary containment
labels
Pressurized spray bottles
Disposable body suit
Booties
Disposable Nitrile or latex
Gloves 1.5-2 L pump or battery
Sizes M - XXL
Disposable to cover shoes Required in accordance to CDPH
guidelines
Needed for support of healthy hygiene
Availability AirX-44, Spray N Go, AirX-75,
Champion Spray Disinfectant, ECO-23
For use with RTU disinfectant and
concentrate disinfectant
To label the extra bottles used for
disinfectant
For use with Spray N Go or ECO-23
For disinfection incident container
For disinfection incident container Sizes M- XL PPE required for disinfectant cleaner 8/2020
Goggles Eye protection, need style
to go over prescription
glasses PPE required for disinfectant cleaner 8/2020
Tissues
Disinfectant Must be on the EPA List N
Spray Bottles 32 oz
N95 disposable respirator
Acrylic desk guards
Signage
8.5”x11” laminated
signage
Painters tape
Thermal scanner
Face shields
Hand soap
Soap dispensers
Filters for HVAC
Large bags
Personnel & sub
personnel
Rev. 1/21/21
Merv – 13 recommended
For disinfection container, user must sign
form allowing use
To be used at front desk counters or
where 6’ distancing cannot be
accomplished
Restroom sinks, face mask, drinking
fountain usage, 6’ distancing, out of
service, occupancy, slow the spread,
symptoms, entry questionnaire
For use on floors as directional instruction
and to mark off desks / tables
To take temperature without contact for
daily symptom monitoring
For teacher and nurse use
For continual hand washing
Have extra on hand to replace and keep
soap readily available
Needs to be changed out quarterly
To limit sharing specifically used by
students (sped ed)
To implement disinfection and monitoring
procedures
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
Page 1 of 1Appendix D
Work Area DiagramRev. 1/26/21
Bowman High SchoolAppendix E
Inventory of Safe PracticesWSHUHSD COVID-19 Safety Plan:
Inventory of Safe Practices
Safe practices files are located at ​ Shared Google Folder titled: COVID-19 Site Response Plan - WSHUHSD
Global & Common Environment Safe Practices
Category
Safe Practice Title
Global
Global
Global (Form)
Global (Form)
Global (Form)
Global (Form)
Global (Form)
Public General
Public General
Public General
Public General
Public Special
Staff General
Staff General
Staff General
Staff Personal
Staff Special
Specific Work Area/Operation Safe Practices
Category
Area/Operation
Staff Special
Staff General
Rev. 1/21/21
Revised
General Practices for All Employees
General Practices for Visitors
Case Response Form​ -COVIDTrack
Cleaning/Disinfection Log
Hazard Analysis Form
Inspection Form
Work Area Diagram
Buildings—Safe Practices Guide
Classrooms K12—Safe Practices Guide
Restrooms Posting
Work Room Posting
Public Special Area—Safe Practices Guide
Offices—Safe Practices Guide
Restrooms Posting
Work Room Posting
Personal Work Areas
Staff Special Area—Safe Practices Guide
Custodial Supplies Storage
Mail Room
Safe Practice Title
Staff Special Area
Staff Special Area
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
8/2020
Revised
8/2020
8/2020
Page 1 of 1COVID-19 Safe Practices:
General Practices for All Employees
Note: These practices are current as of the revision date. Since the COVID-19 pandemic is
evolving rapidly, extra diligence should be used in watching for updates to these practices.
What is the hazard?
COVID-19 is the respiratory illness caused by the SARS-CoV-2 virus (a.k.a., novel coronavirus). The
virus is thought to be spread mainly from person-to-person through respiratory droplets and contact. It
may also be spread by touching a surface that has the virus on it and then touching your eyes, nose,
or mouth. There is the potential to be exposed to the virus while at work, in the community, and at
home. The latest information regarding COVID-19 is available on the U.S. Centers for Disease Control
(CDC) website https://www.cdc.gov/coronavirus/2019-ncov/index.html This website should be
regularly reviewed in order to stay current on the dynamics of the disease, including its risks,
symptoms, and current guidance on prevention and what to do if you are sick.
What safe work practices should be followed?
The following general safe work practices should be followed by all WSHUHSD employees. Each
work area is also evaluated, and additional more specific practices tailored to a specific area or
operation may also apply. All employees should be familiar with these additional practices within their
work area and should inquire regarding additional practices when visiting other work areas. Questions
regarding COVID-19 safety should be directed to your supervisor and you can review additional
resources at WSHUHSD website.
M EDICAL S CREENING
1. Symptoms. Prior to coming to work, employees must screen themselves for symptoms of COVID-
19. If symptoms are noted, or a positive COVID-19 test is obtained, employees must notify their
supervisor (via phone/email) and stay home. Symptoms include, but are not limited to, cough,
fever, chills, muscle pain, shortness of breath, difficulty breathing, sore throat, and new loss of
taste or smell. CDC guidance on symptoms is located at: https://www.cdc.gov/coronavirus/2019-
ncov/symptoms-testing/symptoms.html (see Attachment B for summary posting). The supervisor
will inform Human Resources who in turn will provide direction to both the supervisor and the
employee.
2. Exposure. Employees must notify their supervisor (via phone) and stay home if they have been in
close contact with or otherwise exposed to a known or suspected case of COVID-19. The
supervisor will inform Human Resources who in turn will provide direction to both the supervisor
and the employee.
3. At Risk Persons. If an employee is at higher risk of serious complications from COVID-19, they
should inform their supervisor. The supervisor will inform Human Resources who will in turn
provide direction to both the supervisor and the employee. At risk people include older adults and
people of any age who have serious underlying medical conditions. More information is available
at: https://www.cdc.gov/coronavirus/2019-ncov/specific-groups/people-at-higher-risk.html.
P HYSICAL D ISTANCING
1. Maintain Physical Distance. Maintain at least six feet of distance between yourself and others.
More distance and more physical barriers between people are better.
2. Reduce Need for Physical Interaction. Coordinate with your supervisor to determine a plan for
reducing the need for physical interactions (e.g., working from home, staggered work/break
schedules, online interactions).3. Evaluate Work Area Layout. Coordinate with your supervisor and evaluate the need for changing
the work area to support physical distancing (e.g., rearranging seating/desks/workstations,
installing barriers, directing traffic flow patterns, defining maximum occupancy of conference and
break rooms, closing areas).
4. Distancing Markings/Notifications. Follow any markings regarding location indicators, traffic flow,
or maximum occupancy which may appear on walls, floors, signage, seats or other locations.
These notifications are in place to help promote proper physical distancing. Common examples
include designations for in use/out of use seating, “wait here” markings on floors, designated
entry/exit doors, and “this way” arrows on floors.
5. Discontinue Non-Essential In-Person Meetings. If an in-person meeting is determined to be
essential, it must be limited to essential attendees, short as possible in duration, and conducted
maintaining at least six feet of distancing with masks.
6. Discontinue Non-Essential Travel. Due to the challenges inherent in travel (e.g., airplanes, public
transit, lodging) it should be avoided when possible. If travel is determined to be essential,
develop a trip-specific safety plan incorporating physical distancing as well as other general
COVID-19 safety precautions as described below.
P ERSONAL H YGIENE
1. Hand Hygiene. Clean your hands often and avoid touching your eyes, nose, and mouth with
unwashed hands. Avoid handshakes or physical contact with others. Wash hands with soap and
water for at least 20 seconds. If soap and water are not readily available, use a proper hand
sanitizer (e.g., 70% isopropyl alcohol). Cover all surfaces of your hands and rub them together
until they feel dry. Guidance on hand washing technique from the World Health Organization
(WHO) is provided in Attachment A. CDC guidance on hand washing is located at:
https://www.cdc.gov/handwashing/when-how-handwashing.html.
2. Sneezing & Coughing. Cover your mouth and nose when coughing or sneezing with a tissue,
then throw the tissue in the trash and wash hands. If no tissue is available, then cough and
sneeze into your elbow. Do not come to work if you have COVID-19 symptoms (see below).
3. Personal Items. Be cognizant of the handling of frequently used personal items (e.g., phone,
keys, wallet/purse, credit/debit cards, tablets, laptops). As these items are frequently touched,
they may be viewed as an extension of your hands. Avoid placing these items on public surfaces
which may be contaminated. Clean and disinfect these items frequently.
P ROTECTIVE E QUIPMENT
1. Masks. Surgical, paper or cloth masks (a.k.a., face coverings) must be worn at all times unless
both: a) you are alone in a substantially enclosed personal workspace (office, cubicle), room, or
isolated area, and b) no other persons are anticipated to come within six (6) feet. CDC guidance
on such masks are located at: https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-
sick/diy-cloth-face-coverings.html. Masks, unlike respirators, are not intended to protect the
wearer, but to help protect those around the wearer. Any employee using a respirator (e.g., N95),
voluntarily or as assigned, must have received approval per the respiratory protection program.
2. Additional Protective Equipment. Assignment of any other protective equipment (e.g., gloves,
face shields, respirators) must be coordinated through your supervisor and used in accordance
with work area/operation specific safety practices.E NVIRONMENTAL C LEANING
1. What to Clean. Frequently touched surfaces (i.e., those touched multiple times or by multiple
people) and personal work areas should be cleaned/disinfected regularly. Examples include
tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets,
faucets, sinks, and shared work equipment.
2. When to Clean. The fewer people that touch the surface between cleaning/disinfection the better.
For frequently touched surfaces, daily cleaning/disinfection should be viewed as a minimum, with
cleaning/disinfection multiple times a day or between each use being generally preferred.
3. How to Clean. Environmental cleaning involves first cleaning a surface to remove dirt and debris,
and then using an approved disinfectant to inactivate the virus. Disinfectants must be used per
the product label, which typically includes a minimum contact time to ensure proper disinfection,
as well as precautions for using the product safely (e.g., using gloves). A list of EPA-approved
disinfectants for SARS-CoV-2 can be found at: https://www.epa.gov/pesticide-registration/list-n-
disinfectants-use-against-sars-cov-2.
4. Coordination. Coordinate with your supervisor regarding an environmental cleaning plan for your
work area, including access to hand sanitizer, surface cleaning/disinfection products, and other
associated supplies. Additional guidance on cleaning/disinfection from the CDC can be found at:
https://www.cdc.gov/coronavirus/2019-ncov/community/clean-disinfect/index.html.
A DDITIONAL P RACTICES
1. Training. Coordinate with your supervisor to ensure you complete required COVID-19 safety
training and watch for ongoing updates.
2. Inspection. Coordinate with your supervisor to ensure the work area is periodically inspected to
ensure COVID-19 hazards are addressed and safety practices are being properly implemented.
3. Case Incident Response. If a known or suspected case of COVID-19 is found to have been
present in the workplace, or exposed to employees, notify your supervisor immediately. A case
incident response assessment will be performed to evaluate who was potentially exposed, and
what surfaces were potentially contaminated. Notification to affected parties will be provided as
appropriate and a cleaning/disinfection plan will be implemented.
4. Visitor/Vendor Communications. Employees who are primary contacts for visitors and vendors
must ensure that visitors/vendors understand that they are expected to follow the COVID-19
safety guidance for visitors, as well as additional any area/operation-specific COVID-19 safety
practices. In addition, employees who are primary contacts for vendors must coordinate with the
vendor to learn of any additional safety practices that should be followed by employees or visitors
as a result of the vendor’s work. This information must then be communicated to affected parties.
5. Non-Work Activities. Employees are encouraged to apply COVID-19 precautions similar to these
safe work practices to their non-work personal activities. Such diligence in and out of the
workplace will serve to protect co-workers, customers, families and communities during this
pandemic.
Attachments:


Attachment A: WHO Hand Wash/Rub Posters
Attachment B: CDC COVID-19 Symptoms PosterHow to Handwash?
WASH HANDS WHEN VISIBLY SOILED! OTHERWISE, USE HANDRUB
Duration of the entire procedure: 40-60 seconds
0
1
Wet hands with water;
3
2
Apply enough soap to cover
all hand surfaces;
4
Right palm over left dorsum with
interlaced fingers and vice versa;
6
5
Palm to palm with fingers interlaced;
7
Rotational rubbing of left thumb
clasped in right palm and vice versa;
9
Dry hands thoroughly
with a single use towel;
Rub hands palm to palm;
Backs of fingers to opposing palms
with fingers interlocked;
8
Rotational rubbing, backwards and
forwards with clasped fingers of right
hand in left palm and vice versa; Rinse hands with water;
10 11
Use towel to turn off faucet; Your hands are now safe.
All reasonable precautions have been taken by the World Health Organization to verify the information contained in this document. However, the published material is being distributed without warranty of any kind,
either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.
WHO acknowledges the Hôpitaux Universitaires de Genève (HUG), in particular the members of the Infection Control Programme, for their active participation in developing this material.
May 2009Symptoms of Coronavirus (COVID-19)
Know the symptoms of COVID-19, which can include the following:
Cough
Fever
Shortness of breath or
difficulty breathing*
Chills
Sore throat
Muscle pain
New loss of
taste or smell
Symptoms can range from mild to severe illness, and appear 2-14
days after you are exposed to the virus that causes COVID-19.
*Seek medical care immediately if someone has
emergency warning signs of COVID-19.
• Trouble breathing
• Persistent pain or pressure
in the chest
• New confusion
• Inability to wake or
stay awake
• Bluish lips or face
This list is not all possible symptoms. Please call your medical provider for any
other symptoms that are severe or concerning to you.
cdc.gov/coronavirus
317142-A May 20, 2020 10:44 AMCOVID-19 Safe Practices (Staff Area, General):
Office:
Note: These practices are current as of the revision date. Since the COVID-19 pandemic is
evolving rapidly, extra diligence should be used in watching for updates to these practices.
All WSHUHSD employees must follow the “General Practices for All Employees” COVID-19 safety
guidance. This document provides additional more specific COVID-19 safety practices tailored to the
work area/operation listed above. Questions regarding COVID-19 safety should be directed to your
supervisor.
M EDICAL S CREENING
1. As indicated in the general COVID-19 safety practices guidance for employees and visitors, stay
home if you exhibit COVID-19 symptoms, test positive, have been in close contact with a known
or suspected case, or have risk factors for more severe illness.
P HYSICAL D ISTANCING
1. Maintain Physical Distance. Maintain at least six feet of distance between yourself and others.
More distance and more physical barriers between people are better.
2. Reduced Physical Interaction. Follow your supervisor’s guidance about working from home,
staggering work schedules and break times, conducting business online, and other measures
aimed at reducing the need for physical interaction.
3. Work Area Layout. Be aware of and support changes in the work area layout that support
physical distancing (e.g., do not use seats/desks marked as out of use, do not rearrange
configurations changed for distancing, follow traffic flow guidance). Inform your supervisor
immediately if any workstations are not configured to support 6 feet of distancing when in use.
4. Maximum Occupancies. The following occupancy limits have been determined to help promote
proper physical distancing:
a. Room: = ___ people maximum
b. Room: = ___ people maximum
P ERSONAL H YGIENE
1. Use proper practices per the “General Practices for All Employees” COVID-19 safety guidance
(e.g., hand hygiene, covering sneezes and coughs, managing personal items).
2. Clean hands immediately whenever entering the office. Ensure visitors do likewise.
3. Avoid sharing phones, work supplies, office equipment, and communal amenities, when possible.
Do not bring communal food items into the office, unless it is individually packaged and approved
by your supervisor in advance.
P ROTECTIVE E QUIPMENT
1. Masks. As indicated in the “General Practices for All Employees” COVID-19 safety guidance,
surgical, paper or cloth masks (a.k.a., face coverings) must be worn at all times unless both: a)
you are alone in a substantially enclosed personal workspace (office, cubicle), room, or isolated
area, and b) no other persons are anticipated to come within six (6) feet. Cubicle occupants are to
use a mask when interacting with the public or other staff members, and they should wear a maskduring any high traffic periods in the office, such as the start of the school day when numerous
staff are walking through the office.
2. Gloves. Employees performing disinfection and sanitization after a confirmed case must wear
disposable rubber gloves. Put the gloves on prior to beginning work and remove them (using
proper hygienic technique) when done and before taking breaks or performing any other tasks.
Wash hands immediately after removing gloves. Gloves can be obtained from the site Plant
Manager.
3. Face Shields. Employees performing disinfection and sanitization after a confirmed case must
wear face shields. Face shields must be cleaned/disinfected between users. Face shields can be
obtained from the site Plant Manager.
E NVIRONMENTAL C LEANING
1. General Surfaces. Frequently touched surfaces in the common/shared areas of the office are
cleaned as specified on the Cleaning/Disinfection Log Form and in accordance with the “General
Practices for All Employees” COVID-19 safety guidance. This includes copiers, fax machines,
printers, telephones, keyboards, staplers, reception areas, and shared workstations. Coordinate
with your supervisor about your specific responsibilities in supporting the office cleaning plan.
2. Personal Work Area. Clean/disinfect frequently touched surfaces in your personal area at least
once per day (e.g., phone, keyboard/mouse, chair arms, desk surfaces, drawer handles). In
addition, clean/disinfect surfaces touched by visitors to your work area following their departure.
3. Outside Items. Individuals bringing packages, mail, or other items into the office should either: 1)
clean/disinfect the item (external surface), 2) clean hands and contacted surfaces after handling
of the item, or 3) isolate the items until infectious risk diminishes. Current CDC guidance indicates
that coronaviruses on surfaces and objects die within hours to days, and that COVID-19 has not
been shown to survive on surfaces longer than seven days.
4. Cleaning/Disinfection Supplies. Cleaning/disinfection products and materials can be obtained
from the site Plant Manager. Per the “General Practices for All Employees” COVID-19 safety
guidance, disinfectants must be used per the product label, which typically includes a minimum
contact time to ensure proper disinfection, as well as precautions for using the product safely.
A DDITIONAL P RACTICES
1. Visitors/Vendors. Visitors to the office should be avoided when practicable and generally limited
to those needed for essential meetings, tasks, or services. When hosting a visitor/vendor, confirm
with them that they are free of COVID-19 symptoms and ensure they are familiar with the general
guidance for visitors documents, as well as additional office-specific practices. For vendors, find
out if their work will require any additional safety practices people the in the area will need to
follow, and communicate to others as appropriate. Meet visitors at the door and ensure they
wash/sanitize their hands and are wearing a face covering. Escort visitors (at a distance of six
feet), directly to the appropriate meeting room or office.COVID-19 Safe Practices (Public Area, General):
Restroom Posting
RESTROOMS
Follow the general COVID-19 safety practices for all employees and all visitors
as well as the following practices specific to restrooms:
Medical Screening. Leave the area and remain at home if you are
experiencing symptoms related to COVID-19, test positive, or have
been exposed to a known or suspected case.
Physical Distancing. Maintain at least six feet of distance
between yourself and others. The greater the distance the better.
Minimize the time spent in the area to the shortest time possible.
Do not socialize or linger.
Personal Hygiene. Close toilet lids (when present) before
flushing. Minimize the surfaces you touch and avoid placing
personal items on surfaces. Cover coughs/sneezes and wash your
hands before entering and leaving the restroom.
Protective Equipment. Wear a face covering/mask which covers
the nose and mouth at all times, unless you are alone and are sure
others will not enter (i.e., locked door).
Environmental Cleaning. Restrooms are cleaned/disinfected
routinely. Please inform a building/area representative or your
supervisor if conditions warrant immediate attention.
Note: These practices are current as of the revision date. Since the COVID-19 pandemic is
evolving rapidly, extra diligence should be used in watching for updates to these practices.COVID-19 Safe Practices (Public Area, Special):
WSHUHSD Visitor Posting
VISITORS
Please arrange for you contact to meet you and remain
distanced six feet from the door in the designated visitor
waiting area until they arrive.
Follow the general COVID-19 safety practices for visitors, as well as additional
practices developed for this area as communicated by your contact. This
includes, but is not limited to:
Medical Screening. Leave the area and remain at home if you are
experiencing symptoms related to COVID-19, test positive, or have
been exposed to a known or suspected case.
Physical Distancing. Maintain a distance of at least six feet
between yourself and others at all times. The greater the distance
the better.
Personal Hygiene. Wash hands/use hand sanitizer before and
after using the area. Avoid placing personal items on surfaces
unless necessary. Cover coughs/sneezes.
Protective Equipment. Wear a face covering/mask which covers
the nose and mouth at all times, unless working alone in room or
high cubicle where others will not enter.
Environmental Cleaning. Clean and disinfect surfaces in your
personal work space that you will be frequently touching before
and after using the area.
Add additional room-specific instructions to the table above as needed
Note: These practices are current as of the revision date. Since the COVID-19 pandemic is
evolving rapidly, extra diligence should be used in watching for updates to these practices.Appendix F
Training ResourcesWSHUHSD COVID-19 Safety Plan:
Training Resources
COVID-19 Safety Training Resources
ID# Session Title & Audience
1. COVID-19 Awareness (All Employees)
2. Developing COVID-19 Safe Work Practices (All
Employees)
COVID-19 Cleaning/Disinfecting Workplace (All
Employees)
IPM for Teachers and Office Staff
COVID-19 Safety Plan: Safe Practices for All
Employees
COVID-19 Safety Plan: Safe Practices for All Students
3.
4.
5.
6.
Rev. 01/21/21
Duration
How to Access & Other Notes
Updated
20 mins. Keenan Online. Fundamentals of COVID-19 safety (i.e.,
medical screening, physical distancing, personal hygiene,
protective equipment, environmental cleaning).
Keenan Online. Focus on client specific safety plan &
procedures.
Keenan Online. Responsibilities, including developing area
specific practices with guide documents and case response.
Keenan Online. Integrated pest management. 10 mins PowerPoint 9/29/20
10 mins PowerPoint 9/29/20
10 mins
19 mins
10 mins
8/2020
8/2020
8/2020
8/2020
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ÿ-)ÿÿÿ(ÿ(ÿ012345673888COVID-19
SAFETY PLAN
SAFE PRACTICES FOR ALL STUDENTSWHAT IS THE HAZARD?
• COVID-19 is a respiratory illness caused by the SAR
-
CoV-2 (a.k.a., novel coronavirus)
• The virus is thought to spread mainly from person to
person through respiratory droplets and contact.
• It may also be spread by touching a surface that has the virus
on it and then touching your eyes, nose or mouth.WHAT SAFE PRACTICES SHOULD BE
FOLLOWED
• The following general safe work practices should be followed
by all students .
• Each campus area has been evaluated, and additional, more
specific, safe work practices (SWPs) tailored to a specific area
or operation may also apply.
• Q uestions regarding CO VID-19 safety should be directed to
the Campus Safety Coordinator.MEDICAL SCREENING
• SYMPTOMS - Prior to reporting to work, students must screen
themselves for symptoms of COVID
-19.
• If symptoms are noted or a positive COVID
-19 test is obtained, students
must not come to campus.
• Symptoms include, but are not limited to, cough, fever, chills,
muscle and body aches, shortness of breath, difficulty breathing,
sore throat, fatigue, headache, congestion or runny nose, nausea
or vomiting, diarrhea and a new loss of taste/smell .EXPOSURE
• Students must not come to campus if they have been in
close contact with or otherwise exposed to a known or
suspected case of COVID
-19 (within six feet, for 15
minutes in duration ).
• Students must not come to campus until medically cleared
to do so. Students should provide the medical release to
the health office.AT RISK PERSONS
• Some individuals are at higher risk of serious
complications from COVID
-19, and they
should inform their counselor or administrator.
• At higher risk people include older adults
and people of any age who have serious
underlying medical conditions.
• Students at higher risk should consult
with a medical professional prior to in
campus-based activities.PHYSICAL DISTANCING
• Maintain at least six feet of distance between
yourself and others.
• Reduce the need for physical interaction, coordinate
with your instructors on reducing the need for
physical interactions.
• Do not loiter after addressing your essential needs on
campus.
• Follow any markings, regarding traffic flow, location
indicators and maximum occupancy.PERSONAL HYGIENE
• Hand hygiene – clean your hands often and avoid touching your eyes, nose, and mouth
with unwashed hands.
• Avoid handshakes or physical contact with others.
• Wash your hands with soap and water for at least 20 seconds .
• If soap and water is not readily available, use proper hand sanitizers.
• Cover all surfaces of your hands and rub together until they feel dry.
• Guidance for washing your hands are posted on all restrooms.
• Sneezing & Coughing – cover your mouth and nose when coughing or sneezing with a
tissue, then throw the tissue in the trash and wash your hands. If no tissue is available,
then cough and sneeze into the inside of your elbow.
• Personal Items – Be mindful of the handling of other students’ frequently used personal
items (cellphone, tablets, laptops). As these items are frequently touched, clean and
disinfect these items frequently.PERSONAL PROTECTIVE EQUIPMENT
• It is the District’s expectation and in compliance with Public
Health guidelines - masks/face coverings must be worn at all
times unless both:
a) you are alone in a substantially enclosed personal
workspace and
b) no other person is anticipated to come within six feet.
• Masks, unlike the respirators are not intended to protect the wearer,
but to protect those around the wearer.
• Additional Protective Equipment
– Assignment of any other
protective equipment must be coordinated through your instructor or
campus safety coordinator and used in accordance with your work
area/operation specific safe work practices (SWPs).ENVIRONMENTAL CLEANING
• What is cleaned – Frequently touched surfaces in common areas are
cleaned/disinfected regularly. Examples include: doorknobs, light
switches, handles, desks, phones, keyboards, countertops, toilets,
faucets, sinks and shared work equipment.
• When to clean –For frequently touched surfaces in common areas,
daily cleaning/disinfecting takes place at a minimum three times a day.
• Use disinfecting wipes to clean and disinfect your personal work
areas on a more frequent basis.
• How to clean – the District custodial staff have received
training on proper disinfection and cleaning protocols.ADDITIONAL PRACTICES
• Training – for your information - All staff have received COVID
-19 Awareness Training and Integrated
Pest Management (IPM) for office staff and teachers.
• Case Incident Response, Action Plan – If a known or suspected case of COVID
-19 is found to
have been present in the workplace, or exposed to employees or students, notify your instructor
immediately.
• A case incident response action plan will be performed to evaluate who was potentially exposed
and what surfaces were potentially contaminated. Notification to affected parties will be provided
as appropriate, and a cleaning and disinfection plan will be implemented.
• Vendor Communications – Vendors must understand that they are expected to follow the COVID
-
19 safety guidelines prior to coming on site.INSPECTIONS
• Inspections - The District will be working with the
supervisors and safety coordinators to ensure the
work area is periodically inspected to make sure
COVID-19 hazards are addressed timely and safe
work practices are properly implemented.NON-SCHOOL ACTIVITIES
• Students are encouraged to apply COVID
-19 precautions
similar to these safe work practices to their non
-school
personal activities.
• Such diligence in and out of the campus will serve to
protect you, your family, other students, our
stakeholders and our community during this pandemic.QUESTIONS???Appendix G
Inspection FormWSHUHSD COVID-19 Safety Plan:
Inspection Form
Date:
Page ___ of ___
Inspector:
Location:
Q#
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Q#
Question
Are COVID-19 safety practices applicable to the area posted or otherwise available?
Are each of the listed safety practices being followed?
Have employees completed required COVID-19 safety training?
Have modifications been made to eliminate person-to-person contact and support
physical distancing (e.g., virtual technology, traffic flow indicators, seating removal)?
Are people maintaining at least six feet of physical distance, or using a physical barrier?
Are people practicing proper personal hygiene (e.g., frequent hand washing)?
Are people using a cloth face covering or equivalent outside of personal workspaces?
Are high-touch surfaces being routinely disinfected? Note frequency below.
Is signage in place instructing visitors on safe practices to follow, including not entering
the space if experiencing symptoms?
Is an adequate supply of disinfectant and hand sanitizer available to support cleaning of
work surfaces and proper personal hygiene?
Notes ​ (Comment on deficiencies/improvements. Reference question number
above.)
Date:
Rev. 1/21/21
Inspector:
Yes


◻ No


◻ n/a



◻ ◻ ◻



◻ ◻


◻ ◻



◻ ◻ ◻
◻ ◻ ◻
Action
Needed?
Action
Done?
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
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◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
Page ___ of ___
Page 1 of 2WSHUHSD COVID-19 Safety Program
Inspection Form
Location:
Continued...
Q#
Notes ​ (Comment on deficiencies/improvements. Reference question number above.)
Rev. 1/21/21
Action
Needed?
◻ Action
Done?

◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
◻ ◻
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Page 2 of 2Appendix H
Case Response FormCOUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
Reopening Protocols for K-12 Schools: Appendix T1
Recent Updates (Changes highlighted in yellow)
4/28/2021:
• Updated to provide guidance on performing arts classes and activities held in K-12 settings.
• Cleaning requirements have been updated to comport with updated CDC cleaning guidance.
• Allows specialized staff to interact with special education students in multiple classrooms

Describes special testing requirements for student athletes in the case of outbreaks associated with
sports teams.
4/2/2021:
• Amends cohort size and distancing requirements for on-site programming other than full-grade in
person instruction (day care for school-aged children, specialized services for defined subgroups of
children, and administration of college admission tests or AP testing).
• Allows students with IEP or 504 plans requiring specialized services to be pulled from their general
education group and placed with students not in their primary stable group while receiving special
education services, once school has reopened for full-grade in person instruction.
The County of Los Angeles Department of Public Health is adopting a staged approach, supported by science
and public health expertise, to enable schools serving students from transitional kindergarten through grade 12 to
reopen safely. In addition to the conditions imposed on schools by the State Public Health Officer and the
California Department of Education, schools must also be in compliance with these employee and student safety
and infection control protocols.
Please note: This document may be updated as new information and resources become available.
Go to http://www.ph.lacounty.gov/media/Coronavirus/ for updates to this document.
This document starts with a discussion of current provisions for on-campus education in Los Angeles County,
followed by information about safety strategies specific to the school environment.
The TK-12 reopening checklist starts on page 4, and provides safety measures in five areas:
(1) Workplace policies and practices to protect employee and student health
(2) Measures to ensure physical distancing
(3) Measures to ensure infection control
(4) Communication with employees, students and families of students and the public
(5) Measures to ensure equitable access to critical services.
These five key areas must be addressed as your facility develops any reopening protocols. Schools must
implement all applicable measures listed below and be prepared to explain why any measure that is not
implemented is not applicable to the setting.
General Reopening Guidance for All Schools
At this time while Los Angeles County is in Red, Orange, or Yellow Tier, all schools are permitted to
reopen for all students in any grades TK – 12. Note that the state defines an open or reopened school as one
that offers in person instruction at least one day each week to all students in at least one of the grades served
by the school. Schools that do not meet that criteria may be providing certain in person services to a limited
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 1 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
number of students, but do not meet the criteria of being open or having reopened for the purposes of this
protocol.
Schools open for in person learning must also continue to offer 100% distance learning as an option for those
families that prefer it.
Schools that are eligible for reopening based on state and county criteria, are not required to open and may not
open until the school is prepared to comply with all requirements in this protocol to ensure a safe environment for
all members of the school community. However, schools should be aware that a prolonged delay in reopening
may impact eligibility if community transmission rises and adjusted case rates exceed the thresholds that permit
school reopening. Any school that has reopened per the definition above may stay open even if adjusted
case rates rise and/or the County is reassigned back to a lower more restrictive tier. If a school has not reopened
per the definition above, and the adjusted case rate in the County rises above 25 cases per 100,000 population,
no schools that have not yet reopened will be permitted to do so for any grade served until the adjusted case
rate again falls below 25. The only exception to this rule is that schools have a minimum three-week window for
reopening after the County reaches the reopening threshold of less than 25 cases per 100,000 population. If the
adjusted case rate were to quickly rise again above the permissible threshold within three weeks of reaching the
threshold, schools still have a full three weeks to reopen before eligibility is withdrawn.
Schools that are preparing for reopening or electing to remain closed at this time, may still initiate or continue
the following in person on campus activities. These activities may occur regardless of whether the school has
reopened or remains closed, and regardless of the County’s Tier placement or adjusted case rate:
• Day care for school-aged children and/or childcare programs located in schools.
o LEAs and schools that offer day care services for children at schools must be in compliance with
the DPH protocol for Programs Providing Day Care for School-Aged Children or the Guidance for
ECE Providers. Programs that wish to provide day care for school aged children at schools should
communicate with their Community Care Licensing Regional Office to inquire regarding the
availability of emergency childcare waivers for licensed childcare facilities and license-exempt
providers due to COVID-19. For additional information see PIN 20-22-CCP.
o Schools that provide childcare programs for school-aged children on their campus must file the
notification for Child Care Services for School-aged Children on K-12 School sites with LAC DPH.
• Specialized services for defined subgroups of children who need in person services and
supports.
o LEAs and schools are not required to provide specialized, in-person services, but those that do
so may serve students with IEPs, students who are English Language learners, and students with
needs that cannot be met through a virtual instruction platform. These students may be served
as needed, provided that the overall number of students present on-site does not exceed 25% of
total student body at any one time. Schools that have reopened for one or more of the grades
served, but not for all grades served by the school, may also deliver these special services to a
limited number of students in the grades not yet opened for full in person instruction. In that
situation, the school may bring up to 25% of student enrollment in the grades not currently open
on to campus at any one time for specialized support and services for high need students in those
grades, as long as the school can adhere to distancing, infection control, and cohorting
requirements.
o Specialized services may include but are not limited to occupational therapy services, speech and
language services, other medical services, behavioral services, educational support services as
part of a targeted intervention strategy, or assessments, such as those related to English Learner
status, Individualized Education Plans, and other required assessments.
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 2 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
o No child may be part of more than one cohort. Students who are part of a cohort may leave the
cohort for receipt of additional services. Any additional services, however, must be provided either
one-on-one by the appropriate specialist in a secure space that is apart from all other people, or
the specialist may pull out a subset of the larger cohort and provide services to that subset
together, returning that subset back to their larger cohort before providing services to a student
or students from a different cohort. Note that this requirement is specific to the situation where
limited numbers of students are being provided specialized services for defined subgroups with
high need. When a grade has fully opened for in person instruction, this restriction is adjusted
(see below). Schools must agree to cooperate with DPH with regard to screening, monitoring
and documentation that will be required to permit careful scrutiny of health outcomes associated
with this initial period of expansion.
o To the extent consistent with specialized needs of students in a given cohort, use of outdoor
space for at least 50% of the school day is strongly encouraged
o LEAs and schools that choose to implement these on-site services for students with specialized
needs, must inform the Los Angeles County Department of Public Health of their plans prior to
start of services. If the school has already opened one or more of the grades served and will be
providing specialized services to other grades, the school is still required to notify public health
before initiating the specialized services, as there is a separate notification form that must be filed.
The reporting form can be found at Small Group Instruction Notification Form.

Supervised administration of college admission tests, including PSAT, ACT, and SAT exams, and
Advanced Placement (AP) testing for college credits.
o College admission tests, including PSAT, ACT, and SAT exams, and AP testing, may be
conducted at schools as long as students are appropriately cohorted for the entire duration of the
assessment.
o All students and staff are wearing face masks for the entire time on campus, infection control
directives are in place.
o There is no gathering at arrival and dismissal times or during test breaks.
All measures to ensure the safety of employees and students in this protocol for Reopening of TK-12 Schools
and in the associated protocol for K-12 Exposure Management must be implemented and are applicable to all
on-site personnel, including those providing specialized services. The following paragraphs highlight safety
strategies specific to the school environment. Additional resources for K-12 Schools can be found in the TK-12
School COVID-19 Toolkit.
COHORTING
For the three types of on-site programming described above (day care for school-aged children, specialized
services for defined subgroups of children, and administration of college admission tests or AP testing), students
must be organized and proceed through the day within stable cohorts, defined as groups in a supervised
environment in which supervising adults and children stay together for all activities (e.g., meals, recreation, etc.),
and avoid contact with people outside of their group in the setting.

Cohort size should be as small as feasible. Six feet of distance between students in these cohorts is
recommended however at no time may students be seated less than 3 feet apart. Distance between
students and staff desks, and between staff desks must be at least 6 feet. The maximum size of these
stable cohorts is based on the number of students that can be seated within the available program space
while adhering to minimum distancing requirements. However, cohort size may not exceed a maximum
of 30 students and two supervising adults regardless of the size of the available program space. Note:
For college admission or AP testing, the size of the test group is not limited to 30 students as
long as the available testing space allows for the required physical distancing.
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 3 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER






Note that if a cohort has not reached maximum capacity or if a child stops attending a previously full
cohort, other children who are not already assigned to a cohort can be added to the group to reach
maximum allowable capacity, provided all the children, once assigned remain with the same cohort at all
times.
If some children are assigned to a stable cohort but only attend part-time, they must be counted as full
members against the maximum allowable capacity. Part-time members cannot “share” their slot with other
part-time students. Other children cannot be added in order to maintain maximum capacity at all times.
Aides assigned to individual children do not have to be counted among the two supervising adults. They
and the child they are there to assist must, however, remain at least 6 feet from all others in the cohort
and be counted against the absolute maximum of 30 students who can be included in a cohort.
Supervising adults may be assigned to work with two different cohorts if the two cohorts are present at
school on different days of the week or different sessions during the day, for example an AM and PM
session. Assignment to more than two cohorts is not permitted.
Deployment of substitute providers who are covering for short-term absences is allowed, but they must
work with no more than 2 cohorts of children per day. Essentially, the substitute will adopt the assignment
of the absent employee for whom they are covering and work exclusively with the same cohort(s) to
which the permanent employee is assigned.
“Floaters,” who cover for supervising adults during the day for employee breaks, may constitute a third
supervising adult in the cohort, but may not provide coverage for more than two different cohorts during
a day and should be spending limited time with any one cohort as needed to provide short-term coverage
for the permanently assigned supervising adults.
SUPERVISING ADULTS
A supervising adult is an adult assigned to one cohort of children or youth, who does not physically interact with any
other cohorts. Supervising adults may be childcare staff, certificated or classified school staff, volunteers,
participating parents or caregivers, or other designated supervising adult(s). An aide who is present to provide
support to an individual child should be counted as a member of the cohort but not as a supervising adult. A
supervising adult may be assigned to 2 different stable cohorts if they offer specialized services/support that
cannot be provided by any other supervising adult.
SUPERVISED ENVIRONMENTS
A supervised care environment is an environment where multiple children or youth, from multiple families or
households, are supervised simultaneously by an adult. This includes, but is not limited to, licensed childcare
facilities, licensed exempt childcare programs, supervised programs on a school site while a school is not in
session or is providing curriculum in a distance-learning format, or where some educational services are being
offered to a subgroup of students defined by a local educational agency on a school.
STABLE LEARNING GROUPS IN SCHOOLS AND GRADES THAT HAVE REOPENED
For grades that have returned for full in person instruction, complying with all the specific cohorting requirements
above is not required. Nevertheless, applying the same principles to the creation of stable learning groups can
provide a key mitigation layer in schools. A stable group is a group with fixed membership that stays together
without mixing with any other groups for any activities. Implementing stable groups of students and staff reduces
the numbers of exposed individuals if COVID-19 is introduced into the group; decreases opportunities for
exposure to or transmission of the virus; facilitates more efficient contact tracing in the event of a positive case;
and allows for targeted testing and quarantine of a small group instead of potential schoolwide closures in the
event of a positive case or cluster of cases.
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 4 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
Creating and maintaining stable groups is required for return to in-person instruction in elementary schools. The
size of these stable groups in elementary schools is not limited to a specific maximum number but is dependent
on utilization of the available classroom space to allow physical distancing of no less than 3 feet between
students and no less than 6 feet between students and staff. For the purpose of maintaining stable groups of
students in elementary school while allowing specialized instructors to interact with more students, each teacher
in the elementary schools reopened for full-grade in-person instruction may be assigned to work with up to 3
stable groups during the course of the school day or school week.
Because middle and high school curricula differ from elementary school curricula, groups are likely to be larger
in the upper grades compared to elementary where a single classroom of students usually all remain together
with the same teacher for the majority of the day. Due to logistical challenges of creating stable groups in middle
and high school, LACDPH is not requiring stable grouping of students in that setting but does recommend it as a
best practice that middle and high schools should consider when planning for reopening.
For example, by using block scheduling that reduces the number of courses/periods students take during the
school day, along with creating teams of teachers and support staff from different content areas that share the
same group of students, the size of stable groups can be minimized. Under these parameters, groups consisting
of 60 to 80 members that do not interact with members of other groups during the instructional day may be
feasible and stable groups numbering no more than 100-120 members maximum are preferred. Again, this
approach to structuring the school day is suggested as a best practice that adds another layered mitigation
strategy to promote school safety; it is not required.
Other considerations that may assist in creating stable groups in middle and high schools:
Consider keeping students together in their respective classrooms throughout the day and have educators rotate
between the classrooms that make up a stable group to eliminate the remixing of classroom membership and
reduce exposure that might occur during period switches and hallway passing. Alternatively, classroom groups
may move together in staggered passing schedules to other rooms they need to use (e.g., science labs).
Part of the school day could include virtual instruction to reduce the number of in-person groups that a teacher
will be exposed to. This is recommended for providing electives, where only one or a few specialized elective
teachers may be available to the entire student body. Offering electives virtually or staggering the taking of the
electives throughout the term so that an elective teacher is not working with more than one or two groups at a
time are safer approaches.
Schools will be asked to provide information on their approach to stable groups in completing this protocol.
Note: The best practice recommendation to have each student assigned to one stable group during the school
day does not preclude students participating in other cohorts outside of school hours, such as before or after
school programs or a team sport.
TK to Grade 12 Reopening Checklist
Institution name: Bowman High School
Address: 21508 Centre Pointe Pkwy Santa Clarita, CA 91350
Maximum Occupancy, per Fire Code: 405
Approximate total square footage of
space open to faculty and/or
students:
20,849
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 5 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
Estimated total number of administrators, teachers, and other employees that will be returning to
support resumption of all permitted in person services for students:
45
Estimated total number of students that will return per grade (if none, enter 0):
0
5: ______
TK: 0 K: 0 1: 0 2: 0 3:
6: 0 7: 0 8: 0 9: 0 110
55
0
10: _______
11: _______
12: ______
0
_______
4: _______
0
1 __
Number of separate stable groups that will be present on campus on an average day: ____
165 _
Maximum number of members in stable groups present on campus on an average day: _____
Please briefly describe your school’s approach to creation of stable groups:
AM Students attend in-person 5 days a week and PM students will attend online. Students may opt for online only classes.
AM Students will only interact with their stable group of 4 classes per day on campus.
_________
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_
_ __
NOTE: The terms “employees” and “staff” are used in these protocols to refer to individuals who work in a school
facility in any capacity associated with teaching, coaching, student support, provision of therapies or personal
assistance to individual students, facility cleaning or maintenance, administration, or any other activity required
for the school to function. “Employees” or “staff” may include individuals who are: paid directly by the relevant
school system, paid by entities acting as contractors to the school, paid by outside entities acting in collaboration
with the school to serve students, paid by third parties to provide individual student services, or unpaid volunteers
acting under school direction to carry out essential functions. The term “parents” is used in these protocols to
refer to any persons serving as caregivers or guardians to students.
A. WORKPLACE POLICIES AND PRACTICES TO PROTECT STAFF (“EMPLOYEES”) AND STUDENTS
(CHECK ALL THAT APPLY)
The school has a COVID-19 Containment, Response and Control Plan that describes the school’s
comprehensive approach to preventing and containing the spread of COVID-19 on campus. The Plan includes,
but is not limited to the following elements:
❑ A designated COVID-19 Compliance Team that is responsible for establishing and enforcing all COVID-19
safety protocols and ensuring that staff and students receive education about COVID-19. One member of
this team is designated as a liaison to DPH in the event of an outbreak on campus.
❑ A plan or protocol, for steps that will be taken immediately upon notification of school officials that any
member of the school community (faculty, staff, student, or visitor) tests positive for COVID-19.
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 6 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
❑ The plan addresses:
• Immediate separation of the case from the school community to self-isolation at home if notification
occurs while the case is on-site. The plan must allow for temporary, on-site isolation of the case if
arrangements are needed for the person’s return to their home.
• Fact sheets or other informational materials that are to be given to the case (or appropriate family
member/s if the case is a child) covering regulations governing self-isolation and links to sites with
further information.
❑ A plan or protocol to initiate a School Exposure Management Plan consistent with DPH guidance that outlines
procedures for:
• Isolation of case(s);
• Identification of persons exposed to cases at school;
• Immediate quarantine of exposed employees and/or students; and
• Assurance of access to testing for all exposed individuals within the school as the basis for further
control measures.
• Notification of DPH of all confirmed cases of COVID-19 disease among employees and children who
had been at school at any point within 14 days prior to the illness onset date. The illness onset date is
the COVID-19 test date or Symptom Onset Date of the infected person, whichever is earlier. Reporting
of cases should be done within 1 business day of the school’s notification of the case. This can be
completed
online
using
the
secure
web
application:
http://www.redcap.link/lacdph.educationsector.covidreport or by downloading and completing the
COVID-19 Case and Contact Line List for the Education Sector and sending it to ACDC-
Education@ph.lacounty.gov.
❑ A plan to immediately report a cluster of cases (3 or more cases within 14 days) to the Department of Public
Health. This can be done using the same reporting options described above: (1) submitting the report online
at http://www.redcap.link/lacdph.educationsector.covidreport or (2) completing the COVID-19 Case and
Contact Line List for the Education Sector and emailing it to ACDC-Education @ph.lacounty.gov. The
Department of Public Health will work with the school to determine whether the cluster is an outbreak that
will require a public health outbreak response.
❑ Contingency plans for full or partial closure of in-person school operations if that should become necessary
based on an outbreak in the school or community.
❑ A plan or protocol for incorporating COVID-19 testing into regular school operations.
• At a minimum the plan should describe the strategy for ensuring access to testing for students or
employees who are symptomatic or have known or suspected exposure to an individual infected with
SARS-CoV-2.
• In addition, the school may consider a strategy for periodic testing for asymptomatic individuals with no
known exposure. The California Department of Public Health (CDPH) is not requiring any particular
frequency or procedure for asymptomatic testing at this time. However, the state has put into place
support for specific testing cadences through supplemental testing supplies, shipment, laboratory
capacity, enrollment and reporting technology, training, and assistance with insurance reimbursement.
Schools are advised to access information and resources regarding school-centered testing at the
state’s Safe Schools for All hub.

• The plan must provide that all testing results will be reported to the Department of Public Health.
Special consideration related to testing for student athletes participating on school sports
teams: In addition to all testing recommendations or requirements described in the Reopening Protocol
for Youth and Adult Recreational Sports Leagues: Appendix S , the large number of outbreaks occurring
that are associated with school sports teams requires additional response. Therefore, if members of
APPENDIX T-1: Reopening Protocol for K-12 Schools
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ORDER OF THE HEALTH OFFICER
athletic teams at your school are involved in an outbreak totaling 10 or more cases among student
athletes on one or more teams during the outbreak period (outbreak period continues until there are 0
new cases for 14 consecutive days), then all student athletes will be required to test and show a negative
test result 48 hours prior to competing in sports events against another team.
❑ Vulnerable employees (those above age 65, and those with chronic health conditions that would place them
at high risk if infected) are assigned work that can be done from home whenever possible. Employees in this
category should discuss any concerns with their healthcare provider or occupational health services to make
appropriate decisions on returning to the workplace.
❑ Work processes are reconfigured to the extent consistent with academic requirements and student needs to
increase opportunities for employees to work from home.
❑ In compliance with wage and hour regulations and school mandates, alternate, staggered or shift schedules
262
have been instituted to maximize physical
distancing where possible.
❑ All employees have been told not to come to work if sick or if they have been exposed to a person who has
COVID-19. School officials have provided information to employees regarding employer or government
sponsored leave benefits, including their right to paid sick leave as guaranteed by the 2021 COVID-19
Supplemental Paid Sick Leave Law.
❑ Use of school facilities for non-school purposes (community meeting or events, on-site clinic visits by people
who are neither students nor staff, etc.) is not permitted. One exception is the use of outdoor athletic fields
by non-school youth sports teams, leagues, or clubs, which is permitted when school is not in session and
staff and students are not present.
❑ Employee screenings are conducted before employees may enter the workspace. Checks must include a
check-in concerning cough, shortness of breath, difficulty breathing and fever or chills and if the employee is
currently under isolation or quarantine orders. Temperature checks are also a recommended part of the
screening.
❑ These screenings can be done in-person upon arrival at the site or remotely before arrival using a digital app
or other verifiable approach.
❑ Anyone entering school property (school buses as well as school buildings and grounds) who has contact
with others (students, parents, or other employees) is required to wear a face mask.
• Employees who have contact with others are offered, at no cost, an appropriate face mask that covers
the nose and mouth. The mask must be worn by the employee at all times during the workday when in
contact or likely to come into contact with others. Employees who have been instructed by their medical
provider that they should not wear a face mask must wear a face shield with a drape on the bottom
edge, to be in compliance with State directives, as long as their condition permits it. A drape that is form
fitting under the chin is preferred. Masks with one-way valves must not be used.
• All staff must wear a face mask at all times, except when working alone in private offices with closed
doors or when eating or drinking. The exception made previously for staff working in cubicles with solid
partitions exceeding the height of the employee while standing is overridden.
• A medical grade mask is provided to any employee who cares for sick children or who has close contact
with any child with a medical condition that precludes the child’s use of a cloth face mask.
• Alternative protective strategies may be adopted to accommodate students who are on Individualized
Education or 504 Plans and who cannot use or tolerate a face mask. Students who cannot wear a mask
should not be placed with a cohort or group of students in the classroom. They may be able to tolerate
a face shield with drape at the bottom which does not provide the same extent of source control or
personal protection as use of a properly fitted, multi-layered face mask, therefore a student who cannot
wear a mask can receive necessary services in a one-to-one setting with staff wearing appropriate PPE.
They may also need to be accommodated via distance learning.
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 8 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
❑ Employees are instructed to wash or replace their face masks daily. Parents are instructed to ensure that
children have clean face masks.
❑ All individual employee workstations or areas used by employees working as part of a team allow for
separation of at least 6 feet. Classroom furniture is arranged to permit a distance of at least 6 feet between
the teacher’s desk and the nearest student(s).
❑ To ensure that masks are worn consistently and correctly, staff are discouraged from eating or drinking
except during their breaks when they are able to safely remove their masks and physically distance from
others. At all times when eating or drinking, staff must maintain at least a six-foot distance from others,
including fellow employees and visitors. Eating or drinking outdoors is preferred but eating of drinking at a
cubicle or workstation is preferred to eating in a breakroom if eating in a cubicle or workstation permits greater
distance from and barriers between staff.
❑ Occupancy is reduced and space between employees is maximized in any room or area used by staff for
meals and/or breaks. This can be achieved by:
• Posting a maximum occupancy that is consistent with enabling a distance of at least six feet between
individuals in rooms or areas used for breaks;
• Staggering break or mealtimes to reduce occupancy in rooms or areas used for meals and breaks; and
• Placing tables at least eight feet apart and assuring six feet between seats, removing or taping seats to
reduce occupancy, placing markings on floors to assure distancing, and arranging seating in a way that
minimizes face-to-face contact. Use of partitions is encouraged to further prevent spread but should not
be considered a substitute for reducing occupancy and maintaining physical distancing.
❑ All employees, on-site contractors, vendors, and delivery personnel have been provided instructions
regarding maintaining physical distancing and the required use face masks when around others.
❑ Break rooms, restrooms, classrooms, and other common areas used or visited by staff are disinfected at the
frequency listed below, but no less than once per day during operating hours, on the following schedule:
• 10 am, 1:30 pm, after 3 pm
Break rooms Approximately
__________________________________________________
• Restrooms
• between classes by teachers, if possible
Classrooms After 3 pm,
__________________________________________________
• between classes by teachers, if possible
Laboratories After 3 pm,
__________________________________________________
• Nurse’s office
• 1:30 pm, after 3 pm
Counseling and other student support areas 10 am, ___________________________
• pm, after 3 pm
Front office 10 am, 1:30
___________________________________________________
• pm, after 3 pm
Other offices 10 am, 1:30
___________________________________________________
• 1:30 pm, after 3 pm
Other (auditorium, gymnasium, library if in use) 10 am,
____________________________
10 am, 1:30
pm, after 3 pm
__________________________________________________
10:30 am, __________________________________________________
11:30 am, after 3 pm
❑ High touch areas in staff breakrooms are cleaned at least once per day..
❑ Disinfectant and related supplies are available to employees at the following location(s):
Custodial closets and work rooms
_____________________________________________________________________________________
❑ Hand sanitizer effective against COVID-19 is available to all employees in or near the following locations
(check all that apply):
• Building entrance/s, exit/s _________
• Central office _________
• Stairway entrances _________
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 9 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
• Elevator entry (if applicable) _________
• Classrooms
_________
• Faculty breakroom
_________
• Faculty offices:
_________
❑ Soap and water are available to all employees at the following location(s):
Staff restrooms and work rooms
_____________________________________________________________________________________
❑ Employees are offered frequent opportunities to wash their hands.
❑ Each employee is assigned their own tools, supplies, equipment, and defined workspace to the extent
feasible. Sharing of workspaces and held items is minimized or eliminated.
❑ Copies of this Protocol have been distributed to all employees.
❑ Optional—Describe other measures:
Posted signage demonstrating correct hand washing throughout restrooms, woork rooms, sanitizing stations.
_____________________________________________________________________________________
B. MEASURES TO ENSURE PHYSICAL DISTANCING BY STAFF, STUDENTS AND VISITORS (CHECK
ALL THAT APPLY)
❑ Maximum number of employees permitted in facility to maximize physical distancing of at least 6 feet or with
appropriate physical barriers where 6 feet of distancing is not possible, is: 100% of staff
.
❑ Maximum number of students permitted in facility to ensure physical distancing of at least 3 feet between
50% of students
students and 6 feet between students and staff, is: ____________________.
❑ Measures are in place to ensure physical distancing of students on school busses. These measures must
include (check all that apply):
• A maximum of one child per bus seat.
_________
• Face masks required at all times.
_________
• Use of alternating rows (strongly recommended but not required).
• Open windows (if air quality and rider safety concerns allow, especially if alternating rows is not
implemented).
_________
❑ Additional measures in use to ensure physical distancing (Check all that apply):
• Staggered school start times to permit more than one trip per bus at school start and close. _________
• Implementation of measures that make it easier for parents to drive students to school, such as
availability of early opening with staff presence, expanded short-term parking at schools, and presence
of staff at drop-off areas to assure safe movement of students from drop-off to school entry. _________
• Implementation of measures that facilitate safe and age-appropriate student travel to school including
Safe Routes to School walking groups, use of school crossing guards, bicycle safety and bike route
programming. _________

o Parents have been engaged in working with school personnel to assure that alternative
transportation options are appropriately supervised and have incorporated strategies for physical
distancing and use of face masks.
o Building infrastructure is adapted to maximize support for bicycle commuting and capacity for bike
storage is increased if possible.
Other: _______________________________________________________________________
APPENDIX T-1: Reopening Protocol for K-12 Schools
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Page 10 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
❑ Measures are in place to ensure physical distancing as students, parents or visitors enter and move through
the school building. These must include (check all that apply):
• Schedules are adjusted to ensure that only one cohort is moving through common spaces (such as
hallways and bathrooms) at a given time. _________
• School employees are deployed in hallways to assure physical distancing as students enter, go through
symptom checks and proceed to classrooms. _________
• Elevator capacity, if applicable, is limited to the number of people that can be accommodated while
maintaining a 6-foot distance between riders; during peak building entry and exit times, this number can
be adjusted to a maximum number of 4 riders at a time for any elevator that does not allow for 6-foot
physical distance between riders. All riders are required to wear face masks. _________
• The following Measures are in place to avoid crowding on stairways:
o Designation of up and down stairways
______________
o Staggering of breaks between classes
______________
o Monitoring of stairways by school staff
______________
o Other: ______________________________________________________________________
❑ An approach to creating and maintaining stable groups has been adopted school-wide for elementary school
grades, in which supervising adults and children stay together for all activities (e.g., meals, recreation, etc.),
and avoid contact with people outside of their group in the setting, throughout the school day. The size of
stable groups in elementary schools is not limited to a specific maximum number but is dependent on
utilization of the available classroom space to allow physical distancing of no less than 3 feet between
students and no less than 6 feet between students and staff. The creation of stable groups in middle and
high school grades is recommended as a best practice with groups not to exceed 120 students in total.
However, stable groups in middle and high school is not a requirement but an additional layer of mitigation
for schools to consider.
• Students with IEP or 504 plans who require specialized services may be pulled out of their general
education classroom and grouped with other students requiring similar services, even if this places them
with students not part of their general education stable group. This additional special education learning
group should also follow stable group principles to keep membership the same day to day to the extent
possible.
• In addition to working with up to 3 different stable groups, specialized staff who serve students with IEP
or 504 plans may pull out individual students from group settings to provide 1-to-1 interactions, without
limit on the number of individual students they work with. The space used for 1-to-1 meetings should
have contact surfaces and objects cleaned between meetings.
• Specialized staff who serve students with IEP or 504 plans may also enter multiple classrooms in order
to have brief (under 15 minutes) interactions with individual students, without limit on the number of
classrooms they may enter. It is strongly recommended that such staff be fully vaccinated before
engaging in this behavior, and any staff not fully vaccinated must wear a surgical mask and face shield
if entering multiple classrooms for this purpose. All staff must wash or sanitize hands after leaving a
classroom and before entering another classroom with a different stable group of students.
❑ Measures are in place to ensure physical distancing within classrooms. These include the following
requirements (check all that apply):
• In-person class size has been limited to ________ students in elementary grades.
• 18
In-person class size has been limited to ________
students in middle and high school grades.
• The school day has been divided into shifts to permit fewer students per class. _________
APPENDIX T-1: Reopening Protocol for K-12 Schools
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Page 11 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER

Attendance is staggered to reduce the overall number of students in classrooms on a given day.
o Some classes have been moved entirely online.
o Online class attendance and participation is offered as an option for all students for all classes.
o Alternative spaces are used to reduce the number of students within classrooms. These may
include:
o
▪ School library
▪ Auditorium
▪ Cafeteria
▪ Gymnasium
▪ Multi-Purpose Rooms
Other: _______________________________________
Classroom furniture is set up to maximize distance between students and between students and
teachers. Distance between students in the classroom must not be less than 3 feet and distance
between students and teachers not less than 6 feet. Additional considerations for schools
implementing a less than 6 feet physical distancing policy between students include:
▪ Focus on high mask adherence—if there are doubts about mask adherence, consider
more robust physical distancing practices;
▪ Consider enhancing other mitigation layers, such as stable groups or ventilation;
▪ Maintain 6 feet of distancing as much as possible during times when students or staff are
not masked (e.g., due to eating or drinking, or napping);
▪ Use physical barriers between students to minimize contact.
o Furniture designed for in-class group activities that bring students closer than 3 feet has been
reconfigured or removed from the classroom.
o Nap or rest areas in classrooms have students placed 6 feet apart and alternating feet to head.
o Teaching methods have been modified to avoid close contact between students for any
classes that may usually involve group activities.
o Other: ______
_
_
_
_
_
_
_
_
_
_
_
_
_
_ _ _ _
__
❑ Any gym class activities are offered outdoors and are selected to permit physical distancing; contact sports are
not permitted.
❑ School policies enforce physical distancing (students maintain distance of 6 feet) in locker rooms. Policies
must include:
• Offering access to locker rooms only when staff supervision is possible. Staggering locker room access.
• Creating alternative options for storage of student clothing, books, and other items.
❑ Measures are in place to maintain physical distancing during school meals. These must include (check
all that apply):
• Meals are eaten in classrooms or outdoors, without any mingling of stable groups from different
classrooms. _________
• If students line up to pick up food, tape or other markings are used to assure a 6-foot distance between
any two students. _________
• Staff are deployed during meals to maintain physical distancing and prevent any mixing of students from
different stable groups. _________
APPENDIX T-1: Reopening Protocol for K-12 Schools
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Page 12 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
• If meals take place in a cafeteria, mealtimes are staggered to only allow one stable group at a time in the
cafeteria. _________
• If meals take place in a cafeteria, space between all tables/chairs has been increased to support 6 feet
of physical distancing. Barriers between tables and/or chairs may be used as an alternative when 6 feet
of distancing is not possible. _________
❑ Food preparation and service operations have been redesigned, where possible, to achieve physical
distancing between employees. For example, kitchen and other back of house floors are marked to reinforce
physical distancing requirements.
❑ Measures are in place to permit physical distancing in school areas used for student support services.
• Student support staff, including school employees (nurses, guidance counselors, therapists, etc.) and
employees of adjunct support programs (clinicians, health educators, etc.) have been instructed to
maintain a physical distance of at least 6 feet to the extent feasible while engaging in student support
activities.
• Furniture and equipment in school areas used for student support services are arranged to promote a
6-foot distance between any two students and/or between students and staff.
• Where feasible and appropriate, therapeutic and support activities are conducted virtually.
• Sharing of equipment and supplies is avoided where possible. Should equipment need to be shared, it
must be sanitized before and after each use by a different student and/or employee.
• Staff offering student support services are provided with appropriate Personal Protective Equipment
(PPE) per Cal OSHA requirements.
❑ Measures are in place to permit physical distancing in administrative areas of the school.
• Signage alerts visitors to the need to maintain a 6-foot distance from school office personnel.
• Tape or other markings are used to define a 6-foot radius around reception desks or counters.
• Workstations of administrative personnel have been arranged to permit 6 feet between individuals
sharing a space or between office personnel and students or other staff required to visit the space.
C. MEASURES THAT ENSURE INFECTION CONTROL (CHECK ALL THAT APPLY TO THE FACILITY)
❑ Screening is conducted before students, visitors and staff may enter the school. Screening must include a
check-in concerning symptoms consistent with possible COVID-19 and any other symptoms the individual
may be experiencing. These checks can be done remotely (using a digital app or other verifiable approach)
or in person upon arrival. A temperature check with a no-touch thermometer at entry is recommended as
part of the screening, especially for visitors who may not be part of a systematic at-home screening process.
• Students, staff, and visitors who screen positive at entry or who report symptoms at any point during
the school day will be reported to the COVID-19 Compliance Team (see Section A). The COVID-19
Compliance Team will determine whether the individual should be excused from the facility according
to DPH guidance on Symptom and Exposure Screening Pathways at Educational Institutions. Students
who screen positive are given a surgical mask and accompanied to a pre-selected isolation space where
they can remain while a determination is made on exclusion and arrangements are made for their return
home, where indicated.
• Per the DPH Symptom and Exposure Screening Pathways, students, staff, and visitors who have had
close contact with an individual who has screened positive for symptoms consistent with possible COVID-
19 are notified of the potential exposure. These individuals are not required to quarantine unless the
exposure has been confirmed through a positive COVID-19 diagnostic viral test or a clinical diagnosis
from a medical provider. Students who have a confirmed exposure are accompanied to preselected
APPENDIX T-1: Reopening Protocol for K-12 Schools
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Page 13 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
quarantine space where they can remain until arrangements are made for their return home. This space
is apart from the one set aside for symptomatic students. It may be a separate room or an area within
the same room that is set apart by a barrier. Once they return home, they are instructed to self-
quarantine as required by Health Officer Quarantine Order.
❑ Screening of adults and of middle and high school age students includes a question about close contact with
anyone at home, school or elsewhere that the individual has been told has tested positive for COVID-19.
• Any adult who is screened for exposure and reports close contact with an infected person is instructed
to leave the school, return home to initiate self-quarantine, and get testing for COVID-19.
• Any middle or high school student who is screened for exposure and reports close contact with an
infected person is provided with a surgical mask and accompanied to a predetermined space in the
school while arrangements are made for them to be picked up by parents in order to initiate quarantine
at home. Parents are advised to seek testing for the child.
❑ Measures are in place to limit risk of infection due to visits by individuals other than staff and students. These
must include (check all that apply):
• Visits to the school by individuals other than staff and students are avoided whenever feasible. Parents
of enrolled students are encouraged to conduct business with school personnel remotely when possible.
Campus tours for prospective students are permitted if the tour is limited to one family or household unit
only; the tour is held outside of regular school hours (evening or weekend) when enrolled students and
staff are not present; and all social distancing strategies are observed including proper physical
distancing, face masks worn by all parties at all times, and other infection control measures as
applicable. _________
• Visitors to the school other than parents of enrolled students are limited to those who are essential for
the school’s operation. Visitors are by appointment only and are pre-registered in a visitor log that
includes a visitor’s name, phone number and email address. Visitors are instructed to come to their
appointments alone. If a visitor must be accompanied by another person (e.g., for translation assistance,
or because the visitor is a minor, or has minor students) their information is captured in the visitor log.
_________
• Visitors arriving at the school with non-enrolled children (e.g., younger siblings of students) must ensure
that these children stay next to an adult, avoid touching any other person or any item that does not
belong to them, and are masked if 2 or older and not at risk due to a respiratory condition. _________
• Movement of visitors within the school is limited to designated areas such as the reception or lobby
area, offices, conference or meeting rooms, and public rest rooms to the extent feasible. Visitors are
not permitted to interact with any cohorts. _________
• Visitors arriving at the school are reminded to wear a face mask at all times while in the school. This
applies to all adults and to children 2 years of age and older. Individuals who have been instructed by
their medical provider that they should not wear a face mask must wear a face shield with a drape on
the bottom edge, to be in compliance with State directives, as long as their condition permits it. A drape
that is form fitting under the chin is preferred. Masks with one-way valves must not be used. To support
the safety of your employees and other visitors, a face mask should be made available to visitors who
arrive without them. _________
❑ Measures are in place to promote optimal ventilation in the school. These may include (check all that apply):
• At least 50% of classroom learning, meals, and activities have been moved to outdoor space whenever
feasible and weather permitting. _________
• The school HVAC system is in good, working order. Prior to school reopening, the HVAC system should
be evaluated by an appropriate engineer familiar with the Guidance for Reopening Schools as
developed by the American Society of Heating, Refrigerating, and Air- conditioning Engineers
APPENDIX T-1: Reopening Protocol for K-12 Schools
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Page 14 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
(ASHRAE). _________
• HVAC systems are set to maximize indoor/outdoor air exchange unless outdoor conditions (recent fire,
very high outside temperature, high pollen count, etc.) make this inappropriate. _________
• Portable, high-efficiency air cleaners have been installed if feasible. _________
• Doors and windows are kept open during the school day if feasible and if outdoor conditions make this
appropriate. Existing fire codes requiring closure of fire-rated doors must be respected. _________
• Air filters have been upgraded to the highest efficiency possible. _________
• Other: ______________________________________________________________________
❑ Measures are in place to ensure appropriate cleaning and disinfecting of space, surfaces, and objects
throughout the school. These may include (check all that apply).
• A cleaning and disinfecting schedule have been established in order to avoid both under-and over- use
of cleaning products. _________
• Buses are thoroughly cleaned and disinfected daily and after transporting any individual who is
exhibiting symptoms of COVID-19. Drivers are equipped with disinfectant wipes and disposable gloves
to support disinfection of surfaces as needed during a run. Frequently touched surfaces are cleaned
after every completed bus route. _________
• Common areas and frequently touched objects in those areas (tables, doorknobs, light switches,
countertops, handles, desks, phones, keyboards, elevator switches and buttons, touch screens,
printers/copiers, grab bars, and handrails) are disinfected daily and cleaned more frequently as
resources allow using appropriate products (see below). _________
• Use of shared objects is eliminated wherever possible, for example, water fountains are shut down and
individual water bottles are provided as an alternative, high touch playground equipment may be taken
out of use and replaced with no-touch playground games, etc. _________
• Where individualized alternatives are not feasible, for example, in laboratories and art rooms where
some equipment may have to be used by multiple students, objects and surfaces are cleaned and
disinfected between users. _________
• Cleaning products that are effective against COVID-19 (these are listed on the Environmental Protection
Agency (EPA)-approved list “N) are used according to product instructions. When EPA-approved
disinfectants are not available, alternative disinfectants can be used (for example, 1/3 cup of bleach
added to 1 gallon of water, or 70% alcohol solutions). Do not mix bleach or other cleaning and
disinfection products together – this causes toxic fumes that may be very dangerous to breathe.
_________
• Custodial and other staff responsible for cleaning and disinfecting school surfaces and objects are
trained on manufacturer’s directions, Cal OSHA requirements for safe use and as required by the
Healthy Schools Act, as applicable. _________
• Custodial staff and other staff responsible for cleaning and disinfecting are equipped with appropriate
personal protective equipment, including gloves, eye protection, respiratory protection and other
appropriate protective equipment as required by the product. _________
• All cleaning products are kept out of children’s reach and stored in a space with restricted access.
_________
• Ventilation is maximized during cleaning and disinfecting to the extent feasible. If using air conditioning,
use the setting that brings in fresh air. Replace and check air filters and filtration systems to ensure
optimal air quality. _________
APPENDIX T-1: Reopening Protocol for K-12 Schools
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Page 15 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
• Enhanced cleaning and disinfection of school premises is done when students are not at school with
adequate time to let spaces air out before the start of the school day. _________
• Steps are taken to ensure that all water systems and sinks are safe to use after a prolonged facility
shutdown to minimize the risk of Legionnaires’ disease and other diseases associated with water.
_________
• Restrooms, lobbies, break rooms, and lounges and other common areas are cleaned and disinfected
at the frequency listed below, but no less than once per day during operating hours, on the following
schedule:
o Approximately 10 am, 1:30 pm, after 3 pm
Restrooms: __________
o 10 am, 1:30 pm, after 3 pm
Lobbies/entry areas: __________
o 10 am, 1:30 pm, after 3 pm
Teacher/staff break rooms: __________
o After 3 pm, between classes by teachers, if possible
Classrooms: __________
o N/A, no congregate eating allowed
Cafeteria dining area: __________
o After 3 pm
Cafeteria food preparation area: __________
o 10 am, 1:30 pm, after 3 pm
Front office: __________
o After 3 pm
Other offices: __________
o After 3 pm
Other areas: __________
❑ Measures are in place to ensure use of appropriate face masks by all staff, students, and visitors at all times.
These must include (check all that apply):
• Staff, parents, and students are informed of the requirement for face masks prior to the start of school
and on a regular basis throughout the school year. _________
• All students 2 and older are required to wear face masks at all times while on school property except
while eating, drinking, or carrying out other activities that preclude use of face masks. _________
• Alternative protective strategies may be adopted to accommodate students who are on Individualized
Education or 504 Plans and who cannot use or tolerate face masks. Students who cannot wear a
mask should not be placed with a cohort or group of students in the classroom. They may be able to
tolerate a face shield with drape at the bottom which does not provide the same extent of source control
or personal protection as use of a properly fitted, multi-layered face mask, therefore a student who
cannot wear a mask can receive necessary services in a one-to-one setting with staff wearing
appropriate PPE. They may also need to be accommodated via distance learning. _________
• Information is provided to staff, parents and students concerning proper use of face masks including
the need to wash face masks after each day’s use. _________
• Signage at the entry to the school, at the entry to the school office and throughout the school building
reinforces this requirement and the depicts proper use of cloth face masks. _________
• As feasible, two face masks are provided to each student at the start of the school year. If that is not
feasible, parents and students are given information concerning methods for making their own face
masks. _________
• Parents of younger children are encouraged to provide a second face mask for school each day in case
the one a child is wearing gets soiled; this would allow for a change of the face mask during the day.
_________
• Staff who are deployed at school entry or in hallways or other common areas to reinforce physical
distancing also remind students of rules concerning use of face masks. _________
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 16 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
• Employees engaged in activities (such as provision of physical therapy or personal assistance to
individual students) which may not permit physical distancing are equipped with appropriate personal
protective equipment (gloves, masks, gowns, etc.), as appropriate. _________
• Staff taking care of a sick student are provided with a medical grade mask to wear themselves, and a
medical grade mask for the student to wear (if it can be tolerated) until the student leaves the building.
_________
NOTE: Staff and students who are alone in closed offices are not required to wear face masks. Students may
also remove face masks when eating or napping or when wearing a face mask is otherwise impracticable
(e.g., while showering, etc.). The school may consider whether it is appropriate for a teacher in the early
grades to use a plastic face shield with a tucked-in drape below the chin as a substitute for a face mask to
enable the youngest students to see their teacher’s face and avoid potential barriers to phonological
instruction.
❑ Measures are in place to ensure frequent hand washing by staff, students, and visitors. These must include
(check all that apply):
• Students and staff are given frequent opportunities to wash their hands for 20 seconds with soap,
rubbing thoroughly after application, and use paper towels (or single -use cloth towels) to dry hands
thoroughly. Each stable group is required to use a designated bathroom; should more than one stable
group be assigned to use the same bathroom; a color-coded system is used to minimize students from
different stable groups using the bathroom at the same time. _________
• Younger students are regularly scheduled for frequent mandatory handwashing breaks, including before
and after eating, after toileting, after outdoor play, and before and after any group activity. _________
• Staff are instructed to model frequent handwashing, especially in lower grades where bathroom time is
an opportunity to reinforce healthy habits and monitor proper hand washing. _________
• Portable handwashing stations have been placed near classrooms to minimize movement and
congregations in bathrooms to the extent practicable. _________
• Ethyl alcohol-based (contains at least 60% ethanol) hand sanitizer is made available to students and
staff at strategic locations throughout the school where there is no sink or portable handwashing station
(in or near classrooms, rooms in which support services are provided, music and art rooms). Ethyl
alcohol-based hand sanitizer is preferred and should be used in school environments. Hand sanitizers
with isopropyl alcohol as the main active ingredient are not used in the school, as it is more irritating
and can be absorbed through the skin. _________
• Swallowing alcohol-based hand sanitizers can cause alcohol poisoning. Hand sanitizer is not out in the
open and should be used with adult supervision for children under age 9. Faculty and staff have been
made aware of the risk of ingestion and that they should call Poison Control at 1-800-222-1222 if there
is reason to believe that a student has consumed hand sanitizer. _________
• Hand sanitizer, soap and water, tissues and trash cans are available at or near the entrance of the
facility, at reception, and anywhere else inside the workplace or immediately outside where people have
direct interactions. _________
❑ Measures are in place to ensure infection control in the school cafeteria or other site at which food is served
or picked up.
• Buffet and family style meals have been eliminated.
• Food options include prepackaged meals, hot meals served by cafeteria staff and/or food brought by
students from home.
• Physical barriers are in place where needed to limit contact between cafeteria staff and students.
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 17 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER

Optional - Describe other measures:
_________________________________________________________________________________
SPECIAL CONSIDERATIONS FOR PERFORMING ARTS
❑ Music classes
• Any activity that requires participants to remove their face masks (e.g., playing brass or wind
instruments) may only be done as a group if students are spaced at a minimum of 8 feet from one
another (10 feet is preferred) and if the activity is held outdoors. However, individuals may practice such
activities alone indoors in a studio or practice room.
• For activities that generate profuse respiratory droplets such as singing, increase the distance between
individuals to a minimum of 8 feet and engage in these activities outside only. Individual singers may
practice alone or with a single instructor present while indoors in a studio or practice room. Increased
distance between the singer and instructor is recommended (minimum 10 feet preferred).
• Limit the exchange (or sharing) of any instruments, parts, music sheets, or any other items.
• Use disposable absorbent pads or other receptacles, where possible, to catch the contents of spit valves
or water keys; discard or clean properly after use.
• Consider using “bell covers” for the openings of brass instruments and specially designed bags with
hand openings for woodwind instruments to minimize the generation of droplets and aerosols.
❑ Theater classes
• Students and instructors in theater classes must wear face masks at all times and ensure that all
participants maintain a 6-foot physical distance at all times or an 8-foot physical distance if the
participants are enunciating (for example, those in a theater workshop).
• Limit, where possible, sharing of props, costumes, and wigs. If they must be shared, choose props,
costumes and other materials that can be more easily disinfected. All props must be disinfected before
first use on the set, and between uses by different actors. All shared clothing must be cleaned after
each use. All wigs or other shared prosthetics must be disinfected after each use.
• Clean dressing rooms, green rooms, and production areas using a disinfectant from EPA’s List N:
Disinfectants for COVID-19.
• Consider holding virtual or outdoor rehearsals and performances instead of indoor.
❑ Dance classes
• Dance classes must adhere to the LA County DPH Protocol for Youth and Adult Sports Leagues.
• Students and instructors must wear face masks at all times while in class. Masks may be removed
momentarily to drink water; during water breaks, students should be reminded to maintain a 6-foot
physical distance at all times. Students should be reminded to limit their exertion to a level that is
comfortable while wearing a face mask and to take frequent breaks from exercise if they begin to
experience any difficulty breathing. Masks should be changed if they become wet, if they stick to a
person’s face or if they obstruct breathing.
• For activities that generate respiratory droplets such as heavy exertion, increase the distance between
individuals to 8 feet.
• Maximize use of outdoor space for practice and performance as much as possible.
❑ Music Recording

Singing or playing of wind instruments in sound booths/recording booths is not permitted at this time
due to the large amount of respiratory droplets released into a relatively small, confined indoor space.
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 18 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
• Other instrumental music may be recorded using a sound booth; however, a minimum of 6 feet of
physical distance must be maintained between all musicians at all times.
• Before the booth is used by another musician or group of musicians, the booth should be well ventilated
(consider use of an air purifying device) to promote full air exchange and equipment (e.g., microphones)
should be cleaned and disinfected.
❑ Performances

Any performances must follow County Public Health Protocols for Live Events and Performances
(Outdoor Seated) or Live Events and Performances (Indoor Seated) depending on the location of the
planned performance.
D. MEASURES THAT COMMUNICATE TO THE CAMPUS COMMUNITY AND THE PUBLIC
❑ Information was sent to parents and students prior to the start of school concerning school policies related
to (check all that apply):
• Isolation and quarantine policies as they apply to students who have symptoms or may have been
Posted at Hartdistrict.org
exposed to COVID-19 ________
• Options for COVID-19 testing if the student or a family member has symptoms or has been exposed to
Posted at Hartdistrict.org
COVID-19 ________
• Who to contact at the school if student has symptoms or may have been exposed
Attendance Office
_________________________________________________________________________________
• Posted at Hartdistrict.org
How to conduct a symptom check before student leaves home ________
• Posted at Hartdistrict.org
Required use of face masks ________
• Posted at Hartdistrict.org
Importance of student compliance with physical distancing and infection control policies ________
• Posted at Hartdistrict.org
Changes in academic and extracurricular programming in order to avert risk ________
• Posted at Hartdistrict.org
Changes in school meals in order to avert risk ________
• School policies concerning parent visits to school and advisability of contacting the school
Posted at Hartdistrict.org
remotely ________
• Importance of providing the school with up-to-date emergency contact information including multiple
Posted at Hartdistrict.org
parent contact options ________
• Other: _______________________________________________________________________
❑ A copy of this protocol is posted at all public entrances to the school and uploaded to a public facing page
on the school or district website.
❑ Signage has been posted throughout the school reminding staff and students of policies concerning physical
distancing, use of face masks, and importance of hand washing.
❑ Signage is posted at each public entrance of the school informing visitors that they should not enter the
facility if they have symptoms of COVID-19.
❑ The school has developed and circulated a communication plan in case full or partial closure is required due
to a possible cluster of COVID-19 cases.
❑ Online outlets of the school (website, social media, etc.) provide clear, up-to-date information about building
hours, visitation policies, changes in academic and extracurricular programming, and requirements
concerning use of face masks, physical distancing, and hand washing.
❑ Online outlets instruct students, parents, and teachers on how to contact the school in case of infection or
exposure.
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 19 of 20COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
E. MEASURES THAT ENSURE EQUITABLE ACCESS TO CRITICAL SERVICES
❑ A plan for updating Individualized Education Plans (IEPs) and 504 Plans of students with special needs
has been developed to ensure that education can continue without undue risk to the student.
• This plan includes a method for proactive school contact with parents at the beginning of the school
year to assure that issues related to the child’s education and safety are being addressed.
• Modifications to individual IEPs and 504 plans may involve remote learning, modifications to the
classroom to accommodate student needs, school attendance in a separate area with few students, or
a hybrid approach combining in-class and remote learning.
• Steps taken to modify IEPs and 504 plans to assure student safety comply with relevant provisions of
state and federal law.
❑ Administrative services or operations that can be offered remotely (e.g. class registration, form submission,
etc.) have been moved on-line.
Any additional measures not included above should be listed on separate
pages, which the business should attach to this document.
You may contact the following person with
any questions or comments about this
protocol:
Business Contact Name: Nina Zamora
Phone Number: 661-253-4400
Date Last Revised: 4/29/2021
APPENDIX T-1: Reopening Protocol for K-12 Schools
Revised 4/28/2021
Page 20 of 20Individuals should be sent home immediately if they report any symptoms, have an elevated body temp (greater than or equal to 100.4°F
or 38°C) or have had contact with a person with or suspected to have COVID-19 in the previous 14 days.
SCHOOL SITE/LOCATION DATE OF SCREENING
VISITOR NAME CELL PHONE
TIME OF SCREENING
PURPOSE OF VISIT
I. Verbal Screening
1. Did any of the following symptoms first appear within the last 10 days?
a. Fever (at or over 100.4°F or 38°C)
No
Yes
b. Muscle pains or Chills
No
Yes
c. Cough
No
Yes
d. Shortness of breath/Difficulty breathing
No
Yes
e. Recent loss of taste/smell
No
Yes
2. Has the individual had contact with a person known to be infected with or suspected to have Novel
Coronavirus (COVID-19) within the last 14 days?
No
Yes
3. I am currently under isolation or quarantine orders per the most recent guidance of the Los Angeles
County Department of Public Health.
No
Yes
II. Temperature Screening
1. Is temperature above normal, i.e., at or over 100.4°F or 38°C?
No
Yes
III. Conclusion
• Negative Screen (CLEARED). If the individual has no symptoms and no contact to a known or suspected COVID-19 case in

the last 14 days they can be cleared to enter the facility.
Positive Screen (NOT CLEARED).
o If the individual has had contact to a known or suspected COVID-19 case in the last 14 days they should be sent
home immediately and asked to quarantine at home. Provide them with the quarantine instructions found at
ph.lacounty.gov/covidquarantine.
o If the individual is showing any of the symptoms noted above they should be sent home immediately and asked to
isolate at home. Provide them with the isolation instructions found at ph.lacounty.gov/covidisolation.
Check One:
Individual Cleared to enter facility
Individual Not Cleared to enter facility directed to go home and quarantine
Individual Not Cleared to enter facility, directed to go home and isolate
Screening Conducted By:
PRINTED NAME
Based on Los Angeles County Department of
Public Health
8/4/2020 Entry Screening (English)
SIGNATURE
DATE
WSHUHSD UPDATED
1/15/2021UPDATE to COVID-19 Protocol - October 29, 2020
Hi everyone -
We had a situation whereby two siblings in the same cohort began experiencing COVID-19
symptoms. The parent was very reluctant to have them tested, and the school site was
obviously concerned about not knowing their status.
We reached out to the Department of Public Health, and here is their recommendation:
After consulting with my colleagues and seeking additional guidance provided by a doctor in
the Education section of Acute Communicable Disease, I would like to report that yes, you are
allowed to require a 10-day self-isolation from the students who have symptoms, e.g a fever,
even if the fever was determined by a hand to the forehead vs a thermometer. You are also
allowed to require a 14-day self-quarantine for the six students and two teachers who are in
the cohort. Based on the pathway(page 6), if they are symptomatic but don’t get tested for
COVID, they should be isolated (page 3). The cohort should definitely also be quarantined
(page 4). If the symptomatic get definitively ruled out for COVID, then go to page 5 of the
Decision Pathways document.
Please note: In this scenario, you should not submit a Contact Line List because the
symptomatic students do NOT have a laboratory confirmed case of COVID.
Please add this information to your file.
Thank you :)
Tracy GlenAction Plan for Confirmed/Suspected COVID Case (Appendix H)
What to do when a suspected COVID case (exhibiting COVID symptoms without a confirmed laboratory
test) is brought to your attention.
1. Follow the “Decision Pathways” document to determine symptom/exposure directive.
What to do when a confirmed case with close contacts (see definition of close contacts below) is
brought to your attention.
1. Send the close contacts (whether student or staff) home with the “Home Quarantine Directions.”
2. Call the confirmed case and ask questions that are on the top portion of the COVID-19 Case and
Contact Line List for Education Sector document in the area listed as “Case Line List”. Document the
answers here as expressed by the confirmed case. Enter any close contacts identified by the confirmed
case in the lower portion of the COVID-19 Case and Contact Line List for Education Sector in the area
of “Contact List”.
3. Send the Home Quarantine Instructions by email to any person that was in close contact with the
confirmed case. A close contact is any person that was with the confirmed case for 15 minutes or
longer within 6ft whether masked or unmasked.
4. Contact the confirmed case and close contacts by phone or email. Give the date they can return based
on Home Isolation Instructions or Home Quarantine Instructions, whichever is applicable.
5. Email within 24 hours completed COVID-19 Case and Contact Line List for Education Sector form to:
acdc-Education@ph.lacounty.gov and cc a copy to your District Site Nurse. Send a copy each Friday to
Tracy Glen tglen@hartdistrict.org
6. Follow C-19 Safety Plan Appendix H, cleaning/disinfection protocol as defined.
7. The administrator will need to notify Human Resources of any staff identified as a confirmed case and
close contacts.
What to do if a person expresses to administration or other staff that they are experiencing NEW
COVID symptoms (Fever, Cough, Shortness of breath/difficulty breathing, Fatigue, Chills, Congestion or
Runny Nose, Muscle or body aches, Headache, Sore throat, Nausea or Vomiting, Diarrhea, New loss of taste
or smell).
1. Any person (Staff or Student) that is experiencing symptoms is to be sent home with Home Isolation
Directions. Safety Coordinator will notify the symptomatic case of the date they can return to
work/school.
2. Call the suspected case (staff or student) and ask questions that are on the top portion of the COVID-
19 Case and Contact Line List for Education Sector in the area listed as “Case Line List” and document
answers.
3. Email within 24 hours the completed COVID-19 Case and Contact Line List for Education Sector form
to: acdc-Education@ph.lacounty.gov and CC a copy to your District Site Nurse. Send a copy every
Friday to Tracy Glen tglen@hartdistrict.org
4. Follow C-19 Safety Plan Appendix H, cleaning/disinfection protocol as defined.
5. The administrator will need to notify Human Resources of any staff identified as a suspected case.
1Action Plan for Confirmed/Suspected COVID Case (Appendix H2)
What to do when a ​suspected​ COVID case (exhibiting COVID symptoms without a confirmed laboratory
test) is brought to your attention.
1. Follow the “Decision Pathways” document to determine symptom/exposure directive (pg. 3-4 for
student; pg. 6-7 for employee).
What to do when a ​confirmed case with close contacts​ (see definition of close contacts below) is brought
to your attention.
1. Send the close contacts (whether student or staff) home with the “Home Quarantine Directions.” I ​ f a
confirmed (positive covid test) case is found in a small cohort, the whole cohort (close contacts) go
home to quarantine following quarantine instructions.
2. Contact the confirmed case and complete the ​COVIDTrack​ form. Document the answers here as
expressed by the confirmed case. Submit additional entries for any close contacts identified by the
confirmed case.
3. Send the H
ome Quarantine Instructions​ by email to any person that was in close contact with the
confirmed case. A close contact is any person that was within 6 ft of the confirmed case for ​a
cumulative​ 15​ ​minutes or longer over a 24 hr period, whether masked or unmasked and/or had
unprotected contact with body fluids and/or secretions with the confirmed case.
4. Contact the confirmed case and close contacts by phone or email. Give the date they can return based
on H
ome Isolation Instructions​ or H
ome Quarantine Instructions​ , whichever is applicable.
5. The District COVID Coordinator will complete and email the COVID-19 Case and Contact Line List for
Education Sector form to the Los Angeles County Department of Public Health within 24 hrs. You will
be copied on that email. Keep a copy of the Line List for your records.
6. Follow C-19 Safety Plan ​Appendix H, cleaning/disinfection​ protocol as defined.
What to do if a person expresses to administration or other staff that they are experiencing N
EW​ C
OVID
symptoms ( ​ Fever of 100.4 or above, NEW Cough, Shortness of breath/difficulty breathing, Fatigue, Chills,
Congestion or Runny Nose, Muscle or body aches, Headache, Sore throat, Nausea or Vomiting, Diarrhea, New
loss of taste or smell).
1. Any person (Staff or Student) that is experiencing symptoms is to be sent home with H
ome Isolation
Directions​ . Site COVID Coordinator can notify the symptomatic case of the date they can return to
work/school. They may consult with the District COVID Coordinator with questions.
2. Any potential close contacts may remain at the school site pending confirmation of an exposure.
3. If the symptomatic person reports that they have tested negative, no further action is required for
potential close close contacts.
4. If the symptomatic person reports that they have tested positive, all potential close contacts are sent
home officially in a 10 day quarantine from their last exposure to symptomatic person.
5. Call the confirmed case and complete the C
OVIDTrack​ form while on the phone. Document the
answers here as expressed by the confirmed case. Submit additional entries for any close contacts
identified by the confirmed case.
6. If the person reports back that they have tested positive for Covid -19, be sure to inform the DIstrict
COVID Coordinator. The completed COVID-19 Case and Contact Line List for Education Sector form
will then be emailed to the Los Angeles County Department of Public Health within 24 hrs. You will
be copied on that email. Keep a copy of the Line List for your records.
7. Follow C-19 Safety Plan ​Appendix H, cleaning/disinfection​ protocol as defined.
Updated: 1/21/2021 - ​ Appendix H
1Action Plan for Confirmed/Suspected COVID Case (Appendix H)
Attachment C
CASE RESPONSE –
CLEANING/DISINFECTION LOG
Date:_______________ Area: _______________
Done /
Initial
Area / Surface
Cleaning / Disinfection Protocol (method/ product)
desks Disinfect, dwell & wipe – AirX44
chairs Disinfect, dwell & wipe – AirX44
Doors & door handles Disinfect, dwell & wipe – AirX44
Counter tops Disinfect, dwell & wipe – AirX44
Switches & handles Disinfect, dwell & wipe – AirX44
walls Disinfect, dwell & wipe – AirX44; if fabric use SprayNGo
floors Spray with SprayNGo
restrooms Completely clean and disinfect with AirX44
3Screening and Exposure Decision Pathways for Symptomatic
Persons and Contacts of Potentially Infected Persons at Educational
Institutions
Los Angeles County Department of Public Health
Updated: 3/11/2021Screening and Exposure Decision Pathways for
Children at an Educational Institution and Their Close Contacts at the FacilityDe cision Pat hw ays for Childre n Scre e ne d for Sympt oms and Exposure s
P r i or t o E nt r y 1 i nt o a n E duca t i ona l I ns t i t ut i on
1 If child
1. Screening
indicates no
s ymptoms and
expos ures for child.
2. Screening
identifies child with
1 or more s ymptoms
cons is tent
with pos s ible
COVID-19. 1
3. Screening
identifies child with
s ymptoms not
cons is tent
with pos s ible
COVID-19 .
4. Screening
identifies child as
expos ed to a pers on
with confirmed
COVID-19.
Child is cleared to enter the
facility.
Child is sent home.
Parent/guardian instructed to
consult Medical Provider for
further evaluation and possible
COVID-19 testing.
Institution determines if the
child should be excused per
illness management policy. If
the child’s symptoms make it
difficult to comply with the
facility’s COVID-19 safety
protocols, the child should be
sent home.
Child is sent home.
Parent/guardian instructed to
have child tested for COVID-19.
Child quarantines for 10 days
from last exposure to infected
person.
becomes unwell at the facility, place child in an isolation area (physically distant from attendant, ideally
outdoors) and follow decision pathways described below.
Child stays home per Medical
provider guidance.
Parent/guardian reports child’s
status to institution.
Medical provider
confirms child does not
have symptoms
consistent with
COVID-19.
Medical provider
not consulted or
medical provider
confirms child has
symptoms consistent
with COVID-19.
Child has
negative
COVID-19
molecular test
Child tested
Child has
positive COVID-
19 diagnostic
viral test
Child not tested
1 Symptoms
Child stays home until fever free
without fever reducing
medication for 24 hours and
improved symptoms.
Parent/guardian reports child’s
status to institution
Child stays isolated at home
until fever free for 24 hours,
improved symptoms, and 10
days from symptom onset.
Parent/guardian reports child’s
status to institution.
consistent with possible COVID-19 infection in children include: fever

new cough (different from baseline); diarrhea or vomiting. If the
child’s symptoms are not consistent with possible COVID -19 but there is still
concern, evaluation of the child by a medical provider is recommended.
100.4 ○ F;D e c ision Pathways for Contac ts to a Pote ntially Infe c te d Child 1 at an Educ ational Institution
1 A
potentially infected child is a child with ≥ 1 symptoms consistent with possible COVID-19. Symptoms include fever ≥ 100.4 ○ F; new cough (different from bas eline);
diarrhea or vomiting.
A close contact of a potentially infected child is a child or employee at the facility who was within 6 feet for ≥ 15 minutes over a 24-hour period with a
potentially infected child OR had direct contact with bodily fluids/secretions from a potentially infected child.
Contacts to a
potentially infected child are
notified that that they may have
had an exposure at the facility.
Contacts may remain at the
facility while waiting for
confirmation of exposure. 2
2 Exposure
Institution confirms
that the contact was
exposed to
COVID-19.
Institution
confirms contact was
not exposed OR no
confirmation of
exposure is provided.
No action
required.
Contact is
instructed
to quarantine
and test 3
Contact has
positive
COVID-19
diagnostic viral
test
Contact
does not test or
has negative
COVID-19
diagnostic viral
test
Contact is now a case and should
isolate at home until fever free
without fever reducing
medication for 24 hours,
improved symptoms, and 10 days
from beginning of symptoms (or
10 days from test date, if no
symptoms).
Contact stays quarantined at
home until 10 days from last
exposure to infected person.
is confirmed for a clos e contact to a potentially infected employee if the Ins titution receives notification that the potentially infected employee
had a pos itive COVID-19 diagnos tic viral tes t OR received a diagnos is of COVID -19 from a medical provider.
3 Vaccinated persons who are a clos e contact to a confirmed cas e are not required to quarantine and tes t if they are: (1) fully vaccinated (i.e., ≥2 weeks
following receipt of the second dose in a 2-dose COVID-19 vaccine series or ≥2 weeks following receipt of one dose of a single-dose COVID-19 vaccine) and (2) have remained
as ymptomatic s ince las t contact with the infected pers on.Screening and Exposure Decision Pathways for
Employees at an Educational Institution and Their Close Contacts at the
Facility1. Screening
indicates no
s ymptoms and
expos ures for
employee.
2 . Screening
identifies
employee with 1 or
more s ymptoms
cons is tent with
pos s ible
COVID-19. 1
3. Screening
identifies employee
with s ymptoms not
cons is tent with
pos s ible
COVID-19.
4. Screening
identifies employee
as expos ed to a
pers on with
confirmed
COVID-19. 2
D e ci s i on P a t h w a y s f or E m p l oy e e s S c r e e n e d f o r S y m p t o m s a n d E xp o s u r e s
P r i or t o E n t r y 1 i n t o a n E d u c a t i o n a l I n s t i t u t i o n
1 If employee
Employee is cleared to enter
the facility.
becomes unwell at the facility, place employee in an isolation area (ideally outdoors, physically
distant from attendant) and follow decision pathways below.
Employee stays home per
Medical provider guidance.
Empl oyee reports health
status to institution.
Medical provider
confirms employee
does not have
symptoms consistent
with COVID-19.
Employee is sent home and
instructed to consult Medical
Provider for further evaluation
and possible COVID-19 testing.
Empl oyee
tested
Institution determines if the
employee should be excused
per illness management policy.
If the employee’s symptoms
make it difficult for the to
comply with the facility’s
COVID-19 safety protocols, the
employee should be sent home.
Employee is sent home and
instructed to test for COVID-19.
Employee quarantines for 10
days from last exposure to
infected person.
Medical provider
not consulted
or medical provider
confirms employee has
symptoms consistent
with COVID-19.
1 Per
Empl oyee
has negative
COVID-19
molecular
test
Empl oye e
has positive
COVID-19
diagnostic viral
test
Empl oyee not tested
Employee stays home until
fever free without fever
reducing medication for 24
hours and improved symptoms.
Empl oye e reports health status
to institution.
Employee stays isolated at home
until fever free for 24 hours,
improved symptoms, and 10
days from symptom onset.
Empl oyee reports health status
to institution.
CDC guidance for businesses and employers (5/2020) , symptoms that may be associ ate d
wi th COVID-19 i n adul ts i ncl ude fe ver ≥ 100.4 ○ or feel ing feveri sh (chill s, sweating); new cough
(di fferent from base li ne ); shortness of bre ath; muscl e or body ache s; di arrhe a or vomi ti ng;
ne w l oss of taste or sme l l . If the symptoms are not listed but there is still concern, additional
evaluation by a medical provider is recommended.
2 Vaccinated persons who are a cl ose contact to a confi rme d case are not re qui re d to
quaranti ne and te st i f the y are : (1) ful l y vacci nated (i .e ., ≥2 weeks following receipt of the second
dose in a 2-dose COVID-19 vaccine series or ≥2 weeks following receipt of one dose of a single-dose COVID-
19 vaccine) and (2) have remai ned asymptomatic si nce l ast contact wi th the i nfected person.D e c ision Pathways for Contac ts to a Pote ntially Infe cte d Employe e 1 at an Educational Institution
1 A potentially infected employee is an employee with ≥
1 symptoms consistent with possible COVID-19. Symptoms include fever ≥ 100.4 ○ or feeling feverish
(chills, sweating); new cough (different from baseline); shortness of breath; muscle or body aches; diarrhea or vomiting; new loss of taste or smell.
A close contact of a potentially infected employee is a child or employee at the facility who was within 6 feet for ≥ 15 minutes over a 24-hour
period with a potentially infected employee OR had direct contact with bodily fluids/secretions from a potentially infected employee.
Contacts to a potentially
infected employee are notified
that that they may have had an
exposure at the facility.
Contacts may remain at the
facility while waiting for
confirmation of exposure. 2
2 Exposure
Institution
confirms that
contact was
exposed to
COVID-19.
Institution
confirms contact was
not exposed
OR no confirmation of
exposure is provided.
No action
required.
Contact is
instructed
to quarantine
and test 3
Contact has
positive
COVID-19
diagnostic viral
test
Contact
does not test or
has negative
COVID-19
diagnostic viral
test
Contact is now a case and should
isolate at home until fever free
without fever reducing
medication for 24 hours,
improved symptoms, and 10
days from beginning of
symptoms (or 10 days from test
date, if no symptoms).
Contact stays quarantined at
home, monitoring symptoms
until 10 days from last exposure
to infected person.
is confirmed for a close contact to a potentially infected employee if the Institution receives notification that the potentially infected
employee had a positive COVID-19 diagnostic viral test OR received a diagnosis of COVID-19 from a medical provider.
3 Vaccinated persons who are a close contact to a confirmed case are not required to quarantine and test if they are: (1) fully vaccinated (i.e., ≥2
weeks following receipt of the second dose in a 2-dose COVID-19 vaccine series or ≥2 weeks following receipt of one dose of a single-dose COVID-19 vaccine) and (2)
have remained asymptomatic since last contact with the infected person.Decision Pathways for
Children or Employees with Laboratory-Confirmed COVID-19
at an Educational Institution and Their Close Contacts at the FacilityGuida nc e f or C hild or E mployee with L a bora tor y -c onf ir med C OV ID -19 a t
a n E duc a tiona l Ins titution
Educational
Institution is
notified of a
child or
employee with
laboratory-
confirmed
COVID-19.
1
Child or employee
with laboratory-
confirmed COVID-
19 is sent home.
Child or
employee with
laboratory-
confirmed
COVID-19 is
instructed to
isolate at home,
away from
others. 1
Institution
identifies exposed
contacts to child
or employee with
laboratory-
confirmed COVID-
19 while
infectious 2 and
notifies contacts
of exposure.
Persons with laboratory-confirmed COVID-19 should isolate until fever free for 24 hours without fever reducing medication, improved
symptoms, and 10 days from beginning of symptoms (or 10 days from test date, if no symptoms).
2 The infectious period for an infected person is 48 hours before symptom onset (or test date for persons with no symptoms) unt il the infected
person is no longer required to be isolated.D e c i si o n Pa t h w a ys f o r C o n t a c t s 1 t o a C h i l d o r E m p l o ye e w i t h L a b o ra t o r y -
c o n f i r m e d C O V ID - 19 a t a n E d u c a t i o n a l In st i t u t i o n .
1 A close contact to a child or employee with laboratory-confirmed COVID-19 is a child or employee at the facility that was within 6
feet for ≥ 15 minutes over a 24-
hour period with the infected person OR had unprotected direct contact with bodily fluids/secretions from the infected person.
Contacts are
notified that they
have been exposed
to COVID-19 at the
facility and
instructed to
quarantine and
test for COVID-19 2
Contact has positive
COVID-19 diagnostic
viral test Contact is now a case and
should isolate at home until
fever free without fever
reducing medication for 24
hours, improved symptoms,
and 10 days from beginning
of symptoms (or 10 days
from test date, if no
symptoms)
Contact has negative
COVID-19 diagnostic
viral test Contact stays quarantined at
home until 10 days from last
exposure to infected person.
Contact tested
Contact not tested
2 Vaccinated persons
who are a close contact to a confirmed case are not required to quarantine and test if they are: (1) fully vaccinated (i.e., ≥2
weeks following receipt of the second dose in a 2-dose COVID-19 vaccine series or ≥2 weeks following receipt of one dose of a single-dose COVID-19 vaccine) and (2)
have remained asymptomatic since last contact with the infected person.COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
Appendix T2: Protocol for COVID-19
Exposure Management Plan in TK-12 Schools
Recent Updates: (Changes highlighted in yellow)
3/11/2021:
• Removed universal quarantine requirement for all individuals in the same cohort or
classroom as an infected person during their infectious period.
• Updated criteria for quarantine exemption for vaccinated individuals to align with CDC
guidance.
A targeted public health response to contain COVID-19 exposures at a community-level can help
maximize the impact of the Los Angeles County Department of Public Health (DPH) COVID-19
response.
Primary and Secondary Schools serving students from Transitional Kindergarten through Grade 12
(TK-12 Schools) are trusted community partners that can help DPH improve the timeliness and impact
of the Public Health response through rapid initiation of a COVID-19 Exposure Management Plan
(EMP). Immediate implementation of an EMP when a single case of COVID-19 is identified at a school
can accelerate the ability to contain the spread of infection and prevent outbreaks from occurring.
The steps for managing exposures to 1, 2, and 3 or more COVID-19 cases at TK-12 Schools are
described below and summarized in Appendix A. Because TK-12 Schools will vary in the level of
resources available for COVID-19 exposure management, required steps are the minimum elements
that must be included in the EMP. Recommended steps include optional elements for exposure
management where school resources are sufficient. The requirements and recommendations
presented are specific to TK-12 instructional and non-instructional facilities serving TK-12 Schools.
For the purposes of this plan, the word “School” applies to both TK-12 instructional and non-
instructional facilities. Additional resources for TK-12 Schools can be located in the TK-12 School
COVID-19 Toolkit.
Exposure Management Planning Prior to Identifying 1 COVID-19 Case at School
❑ Required: A designated School COVID-19 Compliance Task Force that is responsible for
establishing and enforcing all COVID-19 safety protocols and ensuring that staff and students
receive education about COVID-19. A designated COVID-19 Compliance Officer who serves as
a liaison to DPH for sharing site-level information to facilitate public health action.
❑ Required: The School must follow DPH guidance on Decision Pathways for persons who have
not been tested yet for COVID-19 but screen positive for symptoms prior to school entry or while
at school and their contacts at school.
❑ Required: A plan for all students and employees who have symptoms consistent with COVID-19
infection or are quarantined because of exposure to case(s) at school to have access to testing or
be tested for COVID-19 infection.
Exposure Management for 1 COVID-19 Case at School
❑ Required: After identifying 1 confirmed COVID-19 case (student or employee), the School
Compliance Task Force instructs the case to follow Home Isolation Instructions for COVID-19
Appendix T2: Protocol for COVID-19 Exposure Management Plan in TK-12
Schools
Revised 3/11/21
Page 1 of 5COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
(ph.lacounty.gov/covidisolation). NOTE: a confirmed COVID-19 case is an individual who has a
positive COVID-19 test.
❑ Required: School Compliance Task Force informs the case that DPH will contact the case directly
through the DPH Case and Contact Investigation Program to collect additional information and
issue the Health Officer Order for Case Isolation. Required: School Compliance Officer must notify
DPH of (1) employees and children with confirmed COVID-19 who were on campus at any point
within the 14 days prior to the illness onset date and (2) persons on campus who were exposed
to the infected person during the infectious period. The illness onset date is the first date of COVID-
19 symptoms or the COVID-19 test date, whichever is earlier.

A case is considered to be infectious from 2 days before their symptoms first appeared until
the time, they are no longer required to be isolated (i.e., no fever for at least 24 hours, without
the use of medicine that reduce fevers AND other symptoms have improved AND at least
10 days have passed since symptoms first appeared). A person with a positive COVID-19
test but no symptoms is considered infectious from 2 days before their test was taken until
10 days after their test. A person is considered to have been exposed to a case during the
infectious period if at least one of the following criteria are met:
- Being within 6 feet of the infected person for 15 minutes or more over a 24-hour
period;
- Having had unprotected contact with the infected person’s body fluids and/or
secretions of a person with confirmed COVID-19 (e.g., being coughed or sneezed
on, sharing utensils or saliva, or providing care without using appropriate protective
equipment).
- NOTE: Exposures will be reviewed to assess which persons need quarantine
including the possibility of quarantining all individuals in the same cohort or classroom
as an infected person if exposures cannot be ruled out for the entire group.
• Secure online reporting is the preferred method for notifying DPH of COVID-19 exposures
and can be done on a computer or mobile device with access to the secure web
application: http://www.redcap.link/lacdph.educationsector.covidreport. If online reporting is
not possible, reporting can be done manually by downloading and completing the COVID-
19 Case and Contact Line List for the Education Sector and sending it to ACDC-
Education@ph.lacounty.gov. All case notifications should be submitted within 1 business
day of being notified of the case.
❑ Required: Students and employees that are identified to have had an exposure to the case at
school are notified by the School Compliance Task Force of the exposure through a letter or other
communication strategies. A School Exposure Notification letter template is available at: COVID-
19 Template Notification Letters for Education Settings. The notification of exposure should
include the following messages:


Students and employees with an exposure to the case should test for COVID-19, whether
or not they have symptoms, and inform the school of test results. This will determine the
extent of disease spread at the school and serve as a basis for further control measures.
Testing resources include: Employee Health Services or Occupational Health Services,
Student Health Center, Personal Healthcare Providers, Community Testing Sites:
covid19.lacounty.gov/testing. Individuals who need assistance finding a medical provider
can call the LA County Information line 2-1-1, which is available 24/7.
Exposed students and employees should self-quarantine (stay in their home or another
residence, separate from others) and monitor for symptoms for 10 days from their last
contact with the case while infectious (as defined above), even if they receive a negative
Appendix T2: Protocol for COVID-19 Exposure Management Plan in TK-12
Schools
Revised 3/11/21
Page 2 of 5COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
test result during their quarantine period. If they remain asymptomatic, they are released
from quarantine after Day 10 but must continue to monitor their health and strictly adhere to
COVID-19 prevention precautions through Day 14. Note: a person who tests negative may
subsequently develop disease, with or without symptoms, if tested during the incubation
period (i.e., time period between exposure and disease onset). Home Quarantine Guidance
for COVID-19 is available at: ph.lacounty.gov/covidquarantine.

NOTE: Vaccinated persons who are a close contact to a confirmed case are not required to
quarantine and test for COVID-19 if they meet all of the following criteria: (1) are fully
vaccinated (i.e., ≥2 weeks following receipt of the second dose in a 2-dose COVID-19
vaccine series or ≥2 weeks following receipt of one dose of a single-dose COVID-19
vaccine) and (2) have remained asymptomatic since last contact with the infected person.

DPH will contact exposed students and employees who meet the quarantine requirement
through the DPH Case and Contact Investigation Program to collect additional information
and issue the Health Officer Order for Quarantine.
❑ Recommended: School Compliance Task Force will determine whether additional notification is
needed to inform the wider school community about the school exposure and precautions being
taken to prevent spread of COVID-19. A general notification letter template is available at: COVID-
19 Template Notification Letters for Education Settings.
Exposure Management for 2 COVID-19 Cases at School within a 14-day Period
❑ Required: After identifying 2 confirmed cases (students and/or employees) within a 14-day period,
the school follows the required steps for 1 confirmed case.
❑ Recommended: School Compliance Task Force determines whether the 2 cases are
epidemiologically linked, meaning that the two affected individuals were both present at some
point in the same setting during the same time period while either or both were infectious.*
*A case is considered to be infectious from 2 days before symptoms first appeared until they are
no longer required to be isolated (i.e., no fever for at least 24 hours without the use of medicine
that reduces fever AND other symptoms have improved AND at least 10 days have passed since
symptoms first appeared). A person with a positive COVID-19 test but no symptoms is considered
to be infectious from 2 days before their test was taken until 10 days after their test.



Determination of epidemiological links between cases may require further investigation to
assess exposure history and identify all possible locations and persons that may have been
exposed to the case while infectious at the site. NOTE: Epidemiologically linked cases
include persons with identifiable connections to each other such as sharing a physical space
(e.g. in a classroom, office site on campus, or gathering), indicating a higher likelihood of
linked spread of disease in that setting rather than sporadic transmission from the broader
community.
If epidemiological links do not exist, the school continues with routine exposure
management.
If epidemiological links exist, the school reinforces messages to students and employees
on precautions to take to prevent spread at the school, including implementation of site-
specific interventions.
Appendix T2: Protocol for COVID-19 Exposure Management Plan in TK-12
Schools
Revised 3/11/21
Page 3 of 5COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
Exposure Management for ≥ 3 COVID-19 Cases at School within a 14-day Period
❑ Required: If the school identifies a cluster of 3 or more confirmed cases (students and/or
employees) within a 14-day period, the school should proceed with the following steps:
• Report the cluster immediately to DPH. Secure online reporting is the preferred method for
notifying DPH and can be done on a computer or mobile device with access to the secure
web application: http://www.redcap.link/lacdph.educationsector.covidreport. If online report-
ing is not possible, reporting can be done manually by downloading and completing
the COVID-19 Case and Contact Line List for the Education Sector and sending it to ACDC-
Education@ph.lacounty.gov.
• DPH will review the submitted information to determine whether the outbreak criteria
described below have been met and will notify the school within 1 business day on next
steps. Outbreak Criteria: At least 3 -confirmed cases with symptomatic or asymptomatic
COVID-19 within a 14-day period in a group* with members who are epidemiologically
linked, do not share a household, and are not a close contact of each other outside of the
campus. *School groups include persons that share a common membership at school (e.g.,
classroom, school event, school extracurricular activity, academic class, sport teams, clubs,
transportation). Epidemiological links require the infected persons to have been present at
some point in the same setting during the same time period while infectious.
- If outbreak criteria are not met, DPH will advise the school to continue with routine
exposure management.
- If outbreak criteria are met, DPH will notify the school that an outbreak investigation
has been activated and a public health investigator will communicate directly with the
school to coordinate the outbreak response.
Appendix T2: Protocol for COVID-19 Exposure Management Plan in TK-12
Schools
Revised 3/11/21
Page 4 of 5COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH
ORDER OF THE HEALTH OFFICER
Appendix A: Steps for Managing Exposures to COVID-19 Cases at School
1 Case
2
Cases
3+
Cases
1) Required: School instructs the case to follow COVID-19 Home Isolation Instructions.
2) Required: School informs the case that DPH will contact the case directly to collect additional
information and issue Health Officer Order for Isolation.
3) Required: School works with the case to identify school contacts.
4) Required: School notifies* school contacts of exposure and instructs them to quarantine at
home and test for COVID-19. NOTE: Vaccinated persons who have an exposure but meet
specific criteria outlined in the Exposure Management Plan are not required to quarantine and
test for COVID-19.
5) Required: School informs school contacts that DPH will contact them directly to collect additional
information and issue Health Officer Order for Quarantine.
6) Required: School submits a report to DPH within 1 business day with information on the
confirmed case and persons who were exposed to the case at the site.
7) Recommended: School sends general notification* to inform the school community of the school
exposure and precautions taken to prevent spread.
*Templates for contact notification and general notification are available at: COVID-19 Template
Notification Letters for Education Settings.
1) Required: Follow required steps for 1 confirmed case.
2) Recommended: If the 2 cases occurred within 14 days of each other, school works with DPH
to determine whether the cases have epidemiological (epi) links. If epi links exist, school
implements additional infection control measures.
1) Required: If a cluster of 3 or more cases occurred within 14 days of each other, school
immediately notifies DPH.
2) Required: DPH determines if the outbreak criteria have been met. If outbreak criteria are met,
a DPH outbreak investigation is activated, and a public health investigator will contact the
School to coordinate the outbreak investigation.
Appendix T2: Protocol for COVID-19 Exposure Management Plan in TK-12
Schools
Revised 3/11/21
Page 5 of 5Y&05,'
COVID19 ([SRVXUH ,QYHVWLJDWLRQ WRUNVKHHW IRU WKH EGXFWLRQSHFWRU
(Early Childhood Education, K-12 Schools, & Institutes of Higher Education)
,QVWUXFWLRQV8VHWKLVIRUPWRJXLGHSUHOLPLQDU\LQYHVWLJDWLRQVRIFRQILUPHG&29,'FDVHVLQWKH(GXFDWLRQDO6HWWLQJWRLQIRUPIROORZ-up action for preventIXUWKHUCOVID-19WUDQVPLVVLRQ
Investigators Name: __________________________________ Date Interviewed: ______________________ Contact Info: __________________________
A case is considered to be infectious starting from 48 hours before symptom onset (or from the test date if no symptoms) until 10 daysKDYHSDVVHGVLQFH
V\PSWRPRQVHW RUWHVWGDWH $1'3 days with no fever and improved UHVSLUDWRU\symptoms, whichever is longer.
Section 1
Case Demographics
Last Name
First Name
Date of Birth
Age
Patient’s current gender identity?
Male
Female
Gender Non-Binary, Gender Non-Conforming
Patient’s sex at birth? Male
Hispanic or Latino? Hispanic/Latino
Race
Female-to-Male (FTM)/Transgender MA
Female
Non-binary or X
Not Hispanic/Latino
Prefer not to state
Other: _____________________________________
Refused
Unknown
Prefer not to state
Unknown
White
Black/African-American
Asian
American Indian/Alaskan Native
Other: __________________________
Refused
Unknown
Sexual Orientation
a
Male-to-Female (MTF)/Transgender FE
Other: _____________________________________
Gay or Lesbian
Bisexual
Straight or Heterosexual
Don’t understand the question
Prefer not to state
Native Hawaiian/Other Pacific Islander
Not Sure
Something Else: ________________________
Role
Student
Staff Teacher/Faculty
Staff Healthcare Worker
Staff Public Safety
Staff Other: __________________
Visitor
Other:________________________
If Healthcare Worker, Specify facility name(s) and address.
Job Title: ___________________________________________________________________________________________
Yes
No
Unk
Last day worked. __________________ Did you work while symptomatic?
Yes
No
Unk
Do you have direct patient contact?
Yes
No
Unk
In the 14 days prior to illness onset, did you have contact with anyone diagnosed with Covid-19?
If yes, Was this person a healthcare worker or patient at your facility?
Yes
No
Unk
Education Group Cohort
Academic Class
Campus Residential
Off Campus Residential
Social Organization
Sport or Recreation
Workplace
Other Specify: ________________
Name of Group: __________________________________________
Address Number, Street, Apt #
City
State
Zip
Is this your permanent address?
Yes
No
If above not permanent address, specify.
City
Zip
State Zip
Unk
Home Phone Number
Cell Phone Number
Email Address
If patient’s age is under 18, Parent/Guardian Last Name Parent/Guardian First Name
Guardian Address City
Home Phone Number
Section 2
State
Cell Phone Number
Email Address
CASE INFORMATION
Was the individual tested for COVID-19?
Yes
No
Date Tested:
Positive
Presumptive Positive
Test Result:
Other Specify: ____________________
Is this individual in isolation?
Where is the isolation location?
Section 3
LOCATION INFORMATION
Educational setting identifies as:
Dates in Educational Setting while Infectious
Locations in Educational Setting while Infectious (i.e.,
Building/Wing/Floor/Room)
Yes
No
Inconclusive
Start Date of Isolation:
On Campus Isolation housing
Dorm Room
On Campus Apartment
Off Campus Apartment/House
Returned home
Other Specify: __________________________________________
Early Childhood Education (ECE)
K to 12; Grade
K
1
2
3
4
5
6
7
8
9
10
11
12
Institute of Higher Education (IHE)
Other Specify: _____________________________________________________________________
Specify Institution Name: _______________________________________________________
Date:
Please Specify here:
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'UDIW'DWH
Page 1 of 3Case Last Name:_____________________ Case First Name:__________________________ ǀDZ ID#_________________
Section 4
SYMPTOMS AND CLINICAL HISTORY
Do you currently have, or did you have symptoms?
Yes, onset date: ________________
No
Symptoms (check all that apply)
Fever (>100.4 oF/38 oC)? High temp ___________ Unit
Date Fever Onset: ________________ Duration (days): ______
Cough
Headache
Shortness of breath
Muscle Aches
Abdominal pain
Sore throat
Loss of smell
oF
Diarrhea
Loss of taste
Unknown
oC
Chills
Refused
Subjective Fever
Vomiting
Runny nose
Other:______________________________________
Do you have an underlying health condition such heart disease, lung disease, diabetes, kidney disease, or weakened immune system?
Yes
No
Unk
If yes, say: “it is important for you to contact your healthcare provider and speak with them since you are at higher risk for serious illness from COVID-19.”
If yes, specify: _________________________________________________________________________________________________________
If yes, do you have a healthcare provider who helps you manage your health condition?
Section 5
EXPOSURE HISTORY
In the 14 DAYS prior to symptom onset (or date
of test if asymptomatic):
...did you go to WKHschoolFDPSXV?
Yes
No
Yes
Date Range
No
Unk
Notes
If yes, describe environment
-Gid you travel" If yes, describe where and mode of travel
...have any household members, friends,
acquaintances, or coǦworkers who had symptoms?
...have close contact (e.g. caring for, speaking with,
or touching) with any ill persons?
...attend a mass gathering (e.g., protests, religious
event, wedding, party, dance, concert, banquet,
festival, sports event, or other event) where it was
difficult to practice social distancing?
...have close contact with a person who had labǦ
confirmed COVID-19 If yes, please collect information on contact name, phone
number, address, email
If yes, please collect information on contact name, phone
number, address, email
Record when, where, and who you were with
If yes, please collect information on contact name, phone
number, address; relationship with case, and the case’s positive
test date, if known.
Section 6
Places and Possible Contacts during Infectious Period
Daily Diary
If symptomatic: from 2 days prior to symptomRQVHWLQFDVHǦpatient: MM/DD/YYYY through today
If QRVymptomV: from 2 days prior to test date in case-patient MM/DD/YYYY through today
I would like to ask you some questions about what you’ve done daily from two days before you started feeling sick (or if QRsymptomV, from two days
before you got tested) and today.
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ƌĂĨƚĂƚĞ͗ϳͬϮͬϮϬϮϬCase Last Name:_____________________ Case First Name:__________________________ ǀDZ ID#_________________
Section 6.1
Possible Household Contacts
Now I would like to ask you more about your possible contacts during the time you may have been infectious. For these contacts, we request that you provide
information on names of these contacts, dates of their possible exposures, and information on how we can get in touch with them (e.g., address, phone number,
email address) to communicate important public health messages to prevent further transmission of disease.
If yes, please collect information on contact name, phone number, address,
email
Has anyone else spent time at your home (eating
Yes
No
meals, hanging out, sleeping over, babysitting) but
doesn't live with you?
Has anyone taken care or cleaned up after you?
Has anyone slept in the same room with you?
Do you have an intimate partner who lives with you?
Do you live with anyone else? (roommates, family
members, etc)
Section 6.2
Possible Close Contacts
Did you have close physical contact (eg hugging,
kissing, shaking hands with) with anyone other than
your household members?
Have you eaten or shared a meal with anyone? (e.g.
at a friend’s house, during a social outing or with
coworkers?)
Have you shared a cigarette, eǦcigarette, vapeǦ
pen, hookahs, and water pipes with anyone?
Section 6.3
Possible Transportation Contacts
What modes of transportation have you used
GXULQJWKHWLPH\RXPD\KDYHEHHQLQIHFWLRXV"
Yes
Yes
Yes
Yes No
No
No
No
Yes No
Yes No
Yes No
Personal vehicle
Airplane
Bus
Shuttle
Train
Rideshare/Taxi
Other:___
Describe transportation: __________________________________________________________
If Rideshare provide license plate #: ________________________________________________
If Airplane/Train provide flight and seat #: ____________________________________________
Did you spend more than 15 minutes in the same
Yes
mode of transportation with anyone?
Section 6.4
Possible Work or Volunteering Contacts
Is there anyone at work you were within 6 feet of for
Yes
more than 15 minutes? (L.H. work meetings, shared
office) No
Did you volunteer anywhere? No
Yes
No
Describe activities
Volunteer dates:
Facility name: _________________________________
Facility address: _______________________________
Facility phone #: _________________________________
Name of person to contact: _________________________
Section 7
Remarks
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Page 3 of 3
ƌĂĨƚĂƚĞ͗ϳͬϮͬϮϬϮϬCOVID-19 Case and Contact Line List for Education Sector
The Education Sector includes Licensed Early Care and Education Centers, K-12 Schools and Programs Serving School-Aged Children; and Institutes of Higher Education
*Programs serving school-aged children include K-12 School Districts Offices and Worksites, Day Care Programs for School Aged Children, Camps, Youth Sports Programs, and Parks and Recreation Programs
Version dated: January 29, 2021
Instructions: Educational sites are required to notify Public Health of all cases of confirmed COVID-19 among employees, students, and children that were on site at any point within 14 days prior to the illness onset
date. Confirmed COVID-19 means a positive COVID-19 test OR a healthcare provider's diagnosis of COVID-19. The illness onset date is the first date of COVID-19 symptoms. If the case had no symptoms, the illness onset
date is the COVID-19 test date. Persons with confirmed COVID-19 who were not on site during this time frame are not required to be reported by the site, unless reporting a death of an individual who had COVID-19
illness and was affiliated with the site.
IMPORTANT PLEASE READ:
(1) Complete the Case Line List to provide information on cases that meet the reporting criteria above and Contact Line List for information on contacts who had an exposure to the case(s) on site.
(2) If you are an Institute of Higher Education (IHE) and reporting cases among students or staff who were not on campus but live nearby n private residences, only report students or staff that interacted with other
students or staff from the IHE within 14 days prior to illness onset. For IHE cases, please enter the local address of residence.
(3) If you are a K-12 School District Office and reporting cases at schools or non-instructional buildings within your district, submit one line list for each school or building.
(4) If you are reporting 2 or more cases within 14 days of each other, please submit one line list for these cases and their contacts at your site.
(5) If you are notifying DPH of an UPDATE to a prior report, please update the original report with the new information, highlight all updates in red font, and record the Update Submission Date.
(6) Save the line list using the following naming convention: FacilityName_City_Date.xlsx (for initial submissions) and FacilityName_City_date_UPDATE.xlsx for update submissions.
(7) Password protect and submit completed line list to ACDC-Education@ph.lacounty.gov.
Update
Submission
Date:
Date of Initial
Submission:
Name of
Institution:
Location Type: K-12 School
District (if
applicable):
Contact Phone:
vCMR Outbreak
ID#:
(DPH use only) Contact
Email:
School ID#
(DPH use
only)
Choose one
Contact Person:
Institution
Street Address:
Choose one
Institution City:
Institution Zip
Code:
Case Line List. Use this list to document all persons with confirmed COVID-19 at the Educational Setting.
Parental Information for Cases aged <18 years.
Case No.
Last Name
First Name
Case Date of
Birth
Case Gender
Case Race/Ethnicity
Street Address
City
Zip Code
P erson
Experiencing
Homelessness
(PEH)1
County of
Residence
Phone Number
(10 Digits)
Case Affiliation to
Education Setting
Staff Job Classification
Education Group
See footnote for
definition
Possible Factors
Associated with
Transmission On Site
Known Exposure to
COVID-19 Outside of
Educational Setting
Case Linkages
(Enter Case No. of
other cases that Symptom Onset Date
this case
(Leave blank if none)
interacted with at
the site)
Last Date at
Education Setting
COVID-19 Test
Date
COVID-19
Positive
Test
Isolation Start
Date
Has the Case
Where Did They Which Vaccine
Received the
Receive the
Did They
COVID-19 Vaccine?
Vaccine?
Receive?
1 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one 2 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one 3 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
4 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
5 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
6 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
7 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
8 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
9 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
10 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
11 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one 12 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
13 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
14 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
15 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
16 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
17 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
18 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
19 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
20 Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Has the Contact
Received the
COVID-19
Vaccine? Where Did They
Receive the
Vaccine? Which Vaccine
Did They
Receive? Date of First
Vaccine Dose
Choose one Choose one Choose one
Choose one
Choose one
Date of First
Vaccine Dose
Notes
If
Date of
(Please use this
Hospitalized, If Deceased,
Second
column to
Record Admit Record Date of
Vaccine Dose
specify
Date
Death
(if applicable)
additional
details)
Case vCMR ID
(DPH use) Parent's
First Name
Contact
vCMR ID
(DPH use) Parent's First
Name
Parent's Last
Name
Parent's
Street
Address
Parent's
City
Parent's
Zip
Code
Parent's
Phone
Number
(10 digits)
Choose one
Choose one
Choose one
11)Not PEH (had permanent indoor housing)
2)PEH (did not have permanent indoor housing – e.g., staying at a congregate shelter, SRO, hotel paid for by government program, in vehicle, in encampment, or in other location not meant for human habitation)
3)Imminent PEH (at risk of losing permanent housing; in hospital or institution; in jail or prison)
Contact Line List. Use this list to document all close contacts of persons with confirmed COVID-19 in the Educational Setting.
A close contact is an individual with at least one of the following exposures to a person on site with confirmed COVID-19 during their infectious period. The infectious period starts from 2 days before symptom onset, or, if the infected
person did not have symptoms, it starts from 2 days before the COVID-19 test date.
(1) Being within approximately 6 feet of an individual with confirmed COVID-19 for 15 or more minutes over a 24 hour period, even if a non-medical face covering was used;
(2) Having unprotected direct contact with infectious secretions or excretions of an individual with confirmed COVID-19 (e.g., being coughed or sneezed on, sharing utensils or saliva, or providing care without using appropriate
protective equipment);
(3) Child, student, and/or staff in the same cohort or classroom as an individual with confirmed COVID-19 during their infectious period. NOTE: this exposure criterion does not apply for Institutes of Higher Education.
Enter Case No. of
the Person Listed
In the Case Line
List Who Was In
Close Contact with
the Contact
Contact Last
Name
Contact First
Name
Contact Date
of Birth
Contact Gender
Contact
Race/Ethnicity
Street Address
City
Zip Code
P erson
Experiencing
Homelessness
(PEH)1
County of
Residence
Phone Number
(10 digits)
Contact Affiliation to
Staff Job Classification
Education Setting
Education Group
See footnote for
definition
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Possible Factors
Associated With
Exposure On Site
Choose one
Known Exposure to
COVID-19 Outside of
Educational Setting
Choose one
Last Date of
Exposure at
Educational
Setting
Symptom Onset Date COVID-19 Test Date
(Leave blank if none)
COVID-19 Test
Result
Choose one
Quarantine Start
Date
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Choose one Choose one
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Choose one
Choose one
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Choose one
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one Choose one
Notes
If
(Please use this
Date of Second
If Deceased,
Hospitalized,
column to
Vaccine Dose (if
Record Date
Record Admit
specify
applicable)
of Death
Date
additional
details)
Parental Information for Contacts aged <18 years.
Case vCMR ID
(DPH use)
Parent's Last
Name
Parent's
Street
Address
Parent's
City
Parent's
Zip
Code
Parent's
Phone
Number
(10 digits)Draft August 17, 2020
Template COVID-19 General Notification Letter in Educational Setting
LETTERHEAD
[DATE]
Dear,
We would like to inform you that we have recently received information about a confirmed case
of Coronavirus Disease 2019 (COVID-19) in at least one (insert student or staff) at (Insert name
of Institution). Cleaning and disinfecting of the exposed location have been completed. As the
Coronavirus situation in our country and our community is developing quickly, we urge you to
take necessary precautions to limit coronavirus spread in our community.
How You Can Help
Be proactive about reducing the number of interactions that students and staff have with one
another by practicing physical (or social) distancing (staying at least 6 feet apart) to limit the
spread of the coronavirus. In addition to physical distancing, another important tool to prevent
the spread of coronavirus is to practice good hygiene. Important public health prevention
messages include:






Stay home when you are sick. Anyone with symptoms consistent with COVID 19
should remain at home in isolation for a minimum of 10 days plus at least 24 hours after
the resolution of fever (without fever-reducing medication) and improvement in other
symptoms.
Wash your hands often with soap and water for at least 20 seconds. Sing the Happy
Birthday song to help know when it has been 20 seconds. If soap and water are not
available, use alcohol-based hand sanitizers that contain at least 60% alcohol.
Cover your coughs and sneezes with a tissue, and then dispose of the tissue and
clean your hands immediately. If you do not have a tissue, use their sleeve, not your
hands, to cover their coughs and sneezes.
Limit close contact with people who are sick, and avoid sharing food, drinks, or
utensils.
Clean and disinfect frequently touched objects and surfaces using a regular
household cleaning spray or wipes.
All students and staff should wear a mask or face covering while in the Educational
Setting.Draft August 17, 2020
Health screening of students and staff for COVID 19 which includes asking about symptoms
consistent with COVID-19 illness and whenever possible, a temperature check prior to entering
the facility will help keep our Educational Setting safe.
Public Health Actions
All confirmed cases should be isolated and close contacts quarantined for 14 days from last
exposure in order to prevent illness in new persons. “Close contact” means being a household
member, intimate contact, or caregiver of a confirmed or suspected COVID-19 case;
within 6 feet of the confirmed or suspected COVID-19 case for more than 15 minutes, even if
wearing a non-medical face covering; or having unprotected contact with the infected person’s
body fluids and/or secretions, for example, being coughed or sneezed on.
Please note that all information, including the name(s) of ill persons, shared regarding any Public
Health investigation is confidential in order to protect patient privacy.
For additional questions about Coronavirus in Los Angeles County, please visit the LA County
Department of Public Health coronavirus webpage at
http://www.publichealth.lacounty.gov/media/Coronavirus/
If you have any questions or concerns please contact me directly at (insert name, number and/or
email of Institution contact).
Sincerely,Draft August 17, 2020
Template COVID-19 Exposure Notification Letter in Educational Setting
LETTERHEAD
[DATE]
Dear,
We would like to inform you that we have recently received information about a confirmed case
of Coronavirus Disease 2019 (COVID-19) in at least one (insert student or staff) at (Insert name
of Institution). You may have had an exposure to this case if you were in (insert Institution
Location/Room #) on [date] and (1) were within 6 feet of the infected person for more than 15
minutes, even if wearing a non-medical face covering, or (2) had unprotected contact with the
infected person’s body fluids and/or secretions, for example, being coughed or sneezed on,
sharing utensils or saliva, or providing care without using appropriate protective equipment.
If you meet these criteria, please begin to self-quarantine for 14 days from date of last exposure
to the infected person to prevent illness in new persons. See Home Quarantine Guidance
www.publichealth.lacounty.gov/acd/ncorona 2019/covidquarantine/).
All persons with an exposure should get tested, whether you have symptoms or not. Testing
resources may include: Personal Healthcare Providers, Employee Health Services or
Occupational Health Services, Student Health Center, Community Testing Sites:
covid19.lacounty.gov/testing. Individuals who need Assistance finding a medical provider, can
call the Los Angeles County Information line 2-1-1, which is available 24/7.
If you develop symptoms of respiratory illness (fever and cough or shortness of breath), you
should begin self-isolation. See Home Isolation Instructions
www.publichealth.lacounty.gov/acd/ncorona 2019/covidisolation/). If your symptoms become
severe, seek medical advice for further guidance.
Ensuring that you and our educational environment is safe is of greatest important to use. For
additional questions about Coronavirus in Los Angeles County, please visit the LA County
Department of Public Health coronavirus webpage at
http://www.publichealth.lacounty.gov/media/Coronavirus/
If you have any questions or concerns please contact me directly at (insert name, number and/or
email of Institution contact).
Sincerely,Home Quarantine Instructions
for Close Contacts to COVID-19
To view this document in different languages or in web format visit ph.lacounty.gov/covidquarantine
SUMMARY
In Los Angeles County, if you have been in close contact with a person diagnosed with COVID -19 you
are required* to:
❶ Quarantine - stay home and separate yourself from others for 10 days
❷ Monitor your health for 14 days
❸ Follow the Health Officer Quarantine Order along with the steps below
It is recommended that you get tested* for COVID-19.
*If you have been fully vaccinated for COVID-19 and have been exposed to someone with COVID-19,
you may not need to quarantine –See People who have been vaccinated recently for more details.
* Note: If you have had COVID-19 with a positive viral (swab or saliva) test in the last 90 days, talk with your doctor about the need to
quarantine. In addition, as long as you do not have symptoms, you do not need to get another test for COVID-19. If you do have symptoms of
COVID-19, talk to your doctor.
Please help slow the spread of COVID-19. Answer your phone if you get a call from “LA PublicHealth”
or 1-833-641-0305 (see Contact Tracing).
Recent travel: if you entered LA County from outside of California, you need to self -quarantine for 10
days after you arrive and must limit your interactions to people in your household/people with whom
you live. See the latest Travel Advisory and Guidance for further instructions.
QUARANTINE
Quarantine is used to keep someone who might have been exposed to COVID-19 away from others.
Quarantine helps prevent spread of disease before a person knows they are sick or if they are infected
with the virus without feeling symptoms.
You need to quarantine if you are a close contact to someone who has COVID-19.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidquarantine
Home Quarantine – revised 2/17/21
Page 1Home Quarantine Instructions for Close Contacts to COVID-19
What is a Close Contact?
You are a “close contact” if:
a. You were within 6 feet of someone with COVID-19 for a total of 15 minutes or
more over a 24-hour period.
b. You had unprotected contact with the body fluids and/or secretions from
someone with COVID-19. For example, you were coughed or sneezed on, you
shared a drinking cup or eating utensils, you kissed, or you provided care to
them without wearing the right protective equipment.
*A person with COVID-19 can infect others from 2 days before their symptoms first
started until they are allowed to end their home isolation (as described in Home
Isolation Instructions ). A person with a positive COVID-19 test but who does not have
symptoms is considered to be infectious from 2 days before their test was taken until
10 days after their test.
How long to I have to quarantine?
If you have been in contact with someone with COVID-19, you must quarantine for 10 full days from
you last contact with the infected person*. You can end your quarantine after Day 10 if you never had
any symptoms and you take the following precautions:

From Day 11 through Day 14:
o Be extra careful. Wear a mask when around other people (including those in your
household), stay at least 6 feet away from others, wash your hands often, and take other
steps to protect others (and yourself).
o Keep checking for COVID-19 symptoms every day. If you do get symptoms, isolate at
home and follow the “If you develop symptoms” instructions below.
It is best to keep away from people at high risk for getting very sick from COVID -19 for the full 14
days.
* If you don’t know when you were exposed to the infected person and you received a Public Health
Emergency Quarantine Order, you can end your quarantine 10 days after the date the order was issued
(as long as your don’t have symptoms).
If you have a test for COVID-19, and it is negative, you must still quarantine for at least 10
days.
How to calculate when your quarantine period ends
• If you have no more contact with the infectious person
Your last day of quarantine is 10 days from the date after you last had close contact.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidquarantine
Home Quarantine – revised 2/17/21
Page 2Home Quarantine Instructions for Close Contacts to COVID-19
For example:

If you continue to have contact with the infected person
For example, you live with and/or care for the person with COVID-19:
o If you can avoid close contact, your last day of quarantine is after 10 days from when the
person with COVID-19 started to follow the Home Isolation Instructions.
o But, if you have close contact with them again while they are still in isolation, your 10-
day quarantine period will have to restart from the last day that you had close contact.
o If you cannot avoid close contact, your last day of quarantine is 10 days from the date
that the person with COVID-19 was told their isolation ends.
Restrictions during quarantine
To prevent you from spreading COVID-19, you must restrict activities and limit actions that may put
you in contact with others.
• Stay home. Do not go to work, school, or public areas. You may only leave quarantine to get
needed medical care.
• Do not allow visitors.
• Separate yourself from others in your home (unless they are also in quarantine).
o If you need to be in the same room as other people in your home, set it up so that you
can stay 6 feet apart if possible. It is important to stay away from people who are at
higher risk of serious illness. This includes people who are age 65 years or older or have
a health problem such as a chronic disease or a weak immune system.
o Use a separate bathroom, if available.
o Stay at least 6 feet away from others. When this cannot be done, wear a mask.
• Do not make or serve food to others.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidquarantine
Home Quarantine – revised 2/17/21
Page 3Home Quarantine Instructions for Close Contacts to COVID-19
Getting help with food and other necessities
• If you do not have someone to help you, you can arrange for food and other supplies to be left
at your door. If you need help finding food or other supplies, call 2-1-1, or visit 211la.org, or
the Public Health resource webpage.
Work and School
• Disability Insurance, Unemployment & Paid Family Leave may be available for people who
cannot work because they, or a family member, need to isolate or quarantine. Visit
the California Employment Development Department for more information.
• When your quarantine period is over, you may return to work or school. You do not need a
letter from Public Health and should not need a negative test.
Steps to take when getting medical care or COVID-19 testing
• Wear a mask. If possible, choose a mask has multiple layers and a snug fit and consider double
masking. See Masks for more information.
o

Note: Children under the age of 2 should not wear masks. Children between the ages of
2 and 8 should use them but must be supervised by an adult to make sure they can
breathe safely and avoid choking or suffocation. A mask should not be placed on
anyone who has trouble breathing or would need help to remove it. See Masks for more
information.
Use a private car if possible. If you cannot drive yourself, be sure to keep as much distance as
possible between you and the driver. Wear a mask and leave the windows down. You should
not use public transportation.
TESTING FOR COVID-19
As a close contact to someone with COVID-19, it is recommended that you get tested.* This is to
check if you are already infected. If you test negative, you still need to quarantine for 10 days.
* Testing is not recommended for people who had a positive viral COVID-19 test in the last 90
days and do not currently have symptoms of COVID-19.
• To get a test, call your doctor, visit covid19.lacounty.gov/testing, or call 2-1-1.
o When you go to get tested, follow testing center instructions and wear a mask so you
don’t infect other people. See Steps to take when getting medical care or COVID-19
testing above.
• If your test result is positive:
o You have COVID-19
o You need to isolate. See the Home Isolation Instructions for People with COVID-
19 at ph.lacounty.gov/covidisolation.
o You need to tell all of your close contacts to quarantine and give them these quarantine
instructions at ph.lacounty.gov/covidquarantine..
Los Angeles County Department of Public Health
ph.lacounty.gov/covidquarantine
Home Quarantine – revised 2/17/21
Page 4Home Quarantine Instructions for Close Contacts to COVID-19

If your test result is negative:
o You may still be infected, but it is too early to show on the test.
o You need to quarantine for 10 days after you last had close contact with the person with
COVID-19.
o Monitor your symptoms and follow the instructions below.
MONITOR YOUR HEALTH


It is important to monitor your health for symptoms of COVID-19 for 14 days from your last
contact with the infected person. Symptoms of COVID-19 may include any of the following:
fever or chills, cough, shortness of breath or difficulty breathing, feeling tired, muscle or body
aches, headache, sore throat, nausea or vomiting, diarrhea, congestion or runny nose, or new
loss of taste or smell.
Call 911 or go to an emergency room if you are having serious symptoms. Serious symptoms
include difficulty breathing, pain or pressure in your chest, have bluish lips or face or being
confused or having difficulty waking up.
If you develop symptoms
• Isolate yourself at home (this means if you left quarantine and it is Day 11-14 you need to
return home immediately and strictly stay away from others except for medical care).
• Contact your healthcare provider, clinician advice line, or telemedicine provider for a medical
assessment and arrange a test for COVID-19. Tell them that you have been in contact with
someone who has COVID-19. Call the Los Angeles County Information line at 2-1-1 if you do
not have a doctor. This number is available 24/7.
o If you tests positive for COVID-19 or your provider thinks you have COVID-19, you
must follow the Los Angeles County “Public Health Emergency Isolation Order” for
COVID-19 and the “Home Isolation Instructions for People with COVID-19 Infection,”
which are available in English, Spanish, and other languages.
o If you test negative for COVID-19 and/or our provider thinks that you do not have
COVID-19, you must complete your quarantine period and stay home until at least 24
hours have passed since you have been fever-free without using fever reducing
medications.
o If you don’t get tested, you should isolate for at least 10 days from when your
symptoms first started and at least 24 hours have passed since you have been fever-
free without using fever reducing medications.
Dealing with Stress
COVID-19 and quarantine may be stressful for people. Visit the Los Angeles County Department of
Mental Health’s COVID-19 webpage and the 211LA webpage 211la.org/resources/subcategory/mental-
health for local resources to help with mental health & wellbeing concerns. Guidance and resources,
including information on crisis hotlines, are also available on the CDC webpage Coping with stress.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidquarantine
Home Quarantine – revised 2/17/21
Page 5Home Quarantine Instructions for Close Contacts to COVID-19
LA County residents have free access to Headspace Plus. This is a collection of mindfulness and
meditation resources in English and Spanish. It also has movement and sleep exercises to help
manage stress, fear, and anxiety related to COVID-19.
If you need to speak with someone about your mental health, contact your doctor or the Los Angeles
County Department of Mental Health Access Center 24/7 Helpline at (800) 854-7771. This number is
available 24/7. You can also text “LA” to 74174.
TALK TO PUBLIC HEALTH - Contact Tracing
Contact tracing is a simple, confidential process that is being used to help slow the spread of COVID -
19.



You may receive a call from a public health specialist if you have been in contact with someone
with COVID-19. If you get a call or message from "LA PublicHealth" or 1-833-641-0305, please
do your part by taking the call. You will be asked about your health and the places you have
been.
The specialist can answer your questions and provide information like how to get a COVID -19
test or how to find a doctor or get help while you are in quarantine.
Click here for more information about contact tracing.
PEOPLE WHO HAVE BEEN VACCINATED RECENTLY
If you are a close contact to someone with COVID-19, you are not required to quarantine if you meet
all the following criteria:
1) you are fully vaccinated (this means it’s been 2 weeks or more since getting the second dose of
the Pfizer or Moderna COVID-19 vaccines) and
2) it is less than 3 months since you got your final vaccine dose and
3) you have had no symptoms of COVID-19 since your close contact.
Even if you do not need to quarantine, it is important that you:
• Monitor your health for symptoms of COVID-19 for 14 days from your last contact with the
infected person.
• Talk to public health if you get a call or message from "LA PublicHealth" or 1-833-641-0305.
• Continue to protect yourself and others by wearing a mask around others, washing your hands,
and staying at least 6 ft away from others.
FURTHER INFORMATION

For more information, visit the Public Health website ph.lacounty.gov/Coronavirus or call 2-1-1
(which is available 24/7).
Los Angeles County Department of Public Health
ph.lacounty.gov/covidquarantine
Home Quarantine – revised 2/17/21
Page 6Home Quarantine Instructions for Close Contacts to COVID-19

Please call your doctor for any questions about your health. If you need help finding a doctor,
call 2-1-1.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidquarantine
Home Quarantine – revised 2/17/21
Page 7Orientación sobre cuarentena en el hogar
para contactos cercanos de personas con COVID-19
Para ver este documento en diferentes idiomas o en formato web, visite ph.lacounty.gov/covidcuarentena
En el condado de Los Ángeles, si ha estado en contacto cercano con una persona diagnosticada con
COVID-19, debe*:
❶ Ponerse en Cuarentena - quédese en casa y sepárese de los demás por 10 días
❷ Monitoree su salud durante 14 días
❸ Siga la Orden de cuarentena del Oficial de Salud junto con los pasos a continuación
Se recomienda que se haga la prueba* de COVID-19.
* Si ha sido completamente vacunado contra el COVID-19 y ha estado expuesto a alguien que se
sospecha que tiene el COVID-19 o se ha confirmado que tiene el COVID-19, es posible que no
necesite ponerse en cuarentena. Consulte Personas que se han vacunado recientemente para obtener
más detalles.
* Nota: Si ha tenido el COVID-19 con una prueba viral (hisopo o saliva) positiva en los últimos 90 días, hable con su médico sobre si
necesita ponerse en cuarentena. Además, si usted no tiene síntomas, no es necesario que se haga otra prueba de COVID -19. Si
tiene síntomas de COVID-19, hable con su doctor.
Por favor, ayude a reducir la propagación del COVID-19. Conteste su teléfono si recibe una llamada
de “LA PublicHealth” o del número 1-833-641-0305 (vea rastreo de contactos).
Viaje reciente: si ingresó al condado de Los Ángeles desde fuera de California, debe ponerse en
cuarentena durante 10 días después de su llegada y debe limitar sus interacciones. Solo interactúe
con las personas de su hogar/personas con las que vive. Consulte las últimas recomendaciones y
orientaciones sobre viajes para obtener más instrucciones.
CUARENTENA
La cuarentena se usa para mantener a alguien que podría haber estado expuesto al COVID -19 lejos
de otros. La cuarentena ayuda a prevenir la propagación de enfermedades que pueden ocurrir antes
de que una persona sepa que está enferma o si está infectada con el virus sin sentir síntomas.
Usted necesita ponerse en cuarentena si es un contacto cercano de alguien que tiene el COVID-19.
Departamento de Salud Pública del Condado de Los Ángeles
ph.lacounty.gov/covidcuarentena
Home Quarantine -revised 2/17/21 (Spanish)
Página 1 de 7Instrucciones sobre cuarentena en el hogar para contactos cercanos con la enfermedad de COVID-19
¿Qué es un contacto cercano?
Usted es un "contacto cercano" si:
a. Estuvo a menos de 6 pies de la persona infectada con COVID-19 por un total de
15 minutos o más durante un periodo de 24 horas.
b. Usted tuvo contacto sin protección con los fluidos y / o secreciones del cuerpo de
alguien con COVID-19. Por ejemplo, tosieron o estornudaron cerca de usted,
usted compartió una taza de beber o utensilios, usted beso, o cuido de la persona
sin usar el equipo de protección adecuado.
Una persona con COVID-19 puede infectar a otras desde 2 días antes de que
comenzaran sus síntomas hasta que se les permite terminar con el aislamiento en el
hogar (como se describe en las Instrucciones de aislamiento en el hogar para personas
con COVID-19). Una persona con una prueba COVID-19 positiva, pero sin síntomas se
considera infecciosa desde 2 días antes de la prueba hasta 10 días después de la prueba.
¿Por cuánto tiempo debo estar en cuarentena?
• Si ha estado en contacto con alguien con COVID-19, debe estar en cuarentena durante 10 días
completos desde su último contacto con la persona infectada*. Puede finalizar su cuarentena
después del día 10 si nunca tuvo ningún síntoma y toma las siguientes precauciones:
o Desde el día 11 hasta el día 14:
▪ Tenga mucho cuidado. Use una mascarilla cuando esté cerca de otras personas
(esto incluye las personas de su hogar), manténgase al menos a 6 pies de
distancia de los demás, lávese las manos con frecuencia y tome otras medidas
para proteger a los demás (y a usted mismo).
▪ Siga monitoreando su salud para detectar si tiene síntomas de COVID-19 todos
los días. Si tiene síntomas, aíslese en casa y siga las instrucciones "Si desarrolla
síntomas” a continuación.
Es mejor mantenerse alejado de personas con alto riesgo de enfermarse gravemente por COVID -19
durante los 14 días completos.
* Si no sabe cuándo estuvo expuesto a la persona infectada y recibió una Orden de cuarentena de
emergencia de Salud Pública, puede terminar su cuarentena 10 días después de la fecha en que se le dio
la orden (siempre que no tenga síntomas).
Si tiene una prueba de COVID-19 y es negativa, debe permanecer en cuarentena durante al
menos 10 días.
Cómo calcular cuándo termina su período de cuarentena
• Si no tiene más contacto con la persona infecciosa
Su último día de cuarentena es 10 días desde la última vez que tuvo contacto cercano.
Departamento de Salud Pública del Condado de Los Ángeles
ph.lacounty.gov/covidcuarentena
Home Quarantine -revised 2/17/21 (Spanish)
Página 2 de 7Instrucciones sobre cuarentena en el hogar para contactos cercanos con la enfermedad de COVID-19
Por ejemplo:

Si continúa teniendo contacto con la persona infectada
Por ejemplo, vive con la persona con COVID-19 o la cuida:
o Si puede evitar el contacto cercano, su último día de cuarentena es después de 10 días
desde que la persona con COVID-19 comenzó a seguir las Instrucciones de aislamiento
en el hogar.
o Pero, si vuelve a tener contacto cercano con ellos mientras aún están aislados, su
período de cuarentena de 10 días tendrá que reiniciarse desde el último día en que tuvo
contacto cercano.
o Si no puede evitar el contacto cercano, su último día de cuarentena es 10 días a partir
de la fecha en que se le dijo a la persona con COVID-19 que terminaba su aislamiento.
Restricciones durante la cuarentena
Para evitar que propague el COVID-19, debe reducir las actividades y limitar todos los movimientos
que puedan ponerlo en contacto con otras personas.



Quedarse en casa. No vaya al trabajo, la escuela o las áreas públicas. Solo puede salir d e su
lugar de cuarentena para recibir la atención médica necesaria.
No permita visitas.
Separarse de los demás en su hogar (a menos que también estén en cuarentena).
o Si necesita estar en la misma habitación que otras personas, configúrelo de modo que
pueda mantenerse a una distancia de 6 pies si es posible. Es muy importante
mantenerse alejado de las personas que corren un mayor riesgo de enfermedad grave.
Esto incluye a personas que tienen 65 años o más o que tienen un problema de salud
como una enfermedad crónica o un sistema inmunitario débil.
o Use un baño separado, si está disponible.
o Manténgase al menos a 6 pies de distancia de los demás. Cuando esto no sea posible,
use una mascarilla.
Departamento de Salud Pública del Condado de Los Ángeles
ph.lacounty.gov/covidcuarentena
Home Quarantine -revised 2/17/21 (Spanish)
Página 3 de 7Instrucciones sobre cuarentena en el hogar para contactos cercanos con la enfermedad de COVID-19
o
No prepare ni sirva comida a otras personas.
Obtener ayuda con la comida y otras necesidades
• Si no tiene a alguien que lo ayude, puede hacer arreglos para que se deje comida y otras
necesidades en su puerta. Si necesita ayuda para encontrar alimentos u otras necesidades,
llame al 2-1-1, o visite 211la.org, o la página web de recursos de Salud Pública
ph.lacounty.gov/Coronavirus/resources-es.htm.
El trabajo y la escuela
• El Seguro Estatal de Incapacidad, Desempleo y el Permiso Familiar Pagado puede estar
disponible para las personas que no pueden trabajar porque ellas o un miembro de su familia
necesitan aislarse o ponerse en cuarentena. Visite el sitio web del Departamento de Desarrollo
del Empleo de California para obtener información.
• Cuando termine su período de cuarentena, puede regresar al trabajo o a la escuela. No
necesita una carta de Salud Pública y no necesita una prueba negativa.
Pasos para seguir cuando reciba atención médica o se haga la prueba de COVID-19
• Use una mascarilla. Si es posible, elija una mascarilla que tenga varias capas y quede bien
ajustada y considere la posibilidad de usar dos mascarillas. Consulte la página web
de Mascarillas para obtener más información.
o Nota: Los niños menores de 2 años no deben usar mascarillas. Los niños entre 2 y 8
años deben usarlos, pero deben ser supervisados por un adulto para asegurarse de que
puedan respirar de manera segura y evitar asfixia. No se debe colocar una mascarilla a
nadie que tenga problemas para respirar o que necesite ayuda para quitárselo. Consulte
la página web de Mascarillas para obtener más información.
o Utilice un vehículo privado si es posible. Si no puede conducir usted mismo, asegúrese
de mantener la mayor distancia posible entre usted y el conductor. Use una mascarilla y
deje las ventanas abiertas. No use el transporte público.
PRUEBA PARA COVID-19
Como contacto cercano de alguien con COVID-19, se recomienda que usted se haga la prueba. * Esto
es para comprobar si ya está infectado. Si el resultado de la prueba es negativo, aún debe permanecer
en cuarentena durante 10 días.
* No se recomienda la prueba si tuvo una prueba de diagnóstico viral positiva en los últimos 90 días y
actualmente no tiene síntomas de COVID-19.

Para recibir una prueba, llame a su doctor, visite covid19.lacounty.gov/testing, o llame al 2-1-1.
o Cuando vaya a hacerse la prueba, siga las instrucciones del centro de pruebas y use una
mascarilla para no infectar a otras personas. Consulte la sección "Pasos para seguir
cuando reciba atención médica o se haga la prueba de COVID-19."
Departamento de Salud Pública del Condado de Los Ángeles
ph.lacounty.gov/covidcuarentena
Home Quarantine -revised 2/17/21 (Spanish)
Página 4 de 7Instrucciones sobre cuarentena en el hogar para contactos cercanos con la enfermedad de COVID-19


o
Si el resultado de su prueba es positivo:
o Usted tiene COVID-19.
o Necesita aislarse. Vea las Instrucciones de aislamiento en el hogar para personas con
COVID-19, en ph.lacounty.gov/covidaislamiento.
o Debe decirles a todos sus contactos cercanos que se pongan en cuarentena y darles
estas instrucciones de cuarentena en ph.lacounty.gov/covidcuarentena.
Si el resultado de su prueba es negativo:
o Es posible que aún esté infectado, pero es demasiado pronto para que aparezca en la
prueba.
o Debe estar en cuarentena durante 10 días después de la última vez que tuvo contacto
cercano con la persona con COVID-19.
o Monitoree sus síntomas y siga las instrucciones a continuación.
MONITOREE SU SALUD


Es importante monitorear su salud para detectar síntomas de COVID-19 durante 14 días desde
su último contacto con la persona infectada. Los síntomas de COVID -19 pueden incluir
cualquiera de los siguientes: fiebre o escalofríos, tos, falta de aliento o dificultad para respirar,
fatiga, dolores musculares o corporales, dolor de cabeza, dolor de garganta, náuseas o
vómitos, diarrea, congestión o secreción nasal, o nueva pérdida de sabor u olfato.
Llame al 911 o vaya a la sala de emergencias si tiene síntomas graves. Los síntomas graves
incluyen dificultad para respirar, dolor o presión en el pecho, labios o cara azulados o
confusión o dificultad para despertarse.
Si desarrolla síntomas
• Aíslese en casa (esto significa que si salió de la cuarentena y es el día 11-14, debe regresar a
casa inmediatamente y mantenerse estrictamente alejado de los demás, excepto para recibir
atención médica).
• Comuníquese con su proveedor de atención médica, línea de asesoramiento médico o
proveedor de telemedicina para una evaluación médica y haga una cita para una prueba de
COVID-19. Dígales que ha estado en contacto con alguien con COVID -19. Llame a la línea de
información del condado del condado de Los Ángeles al 2-1-1 si no tiene médico. Este número
está disponible las 24 horas al día, los 7 días a la semana.
o Si su prueba de COVID-19 da positivo o su proveedor cree que tiene COVID-19, debe
seguir la “Orden de aislamiento de emergencia de salud pública” del condado de Los
Ángeles para COVID-19 y las “Instrucciones de aislamiento en el hogar para personas
con infección de COVID-19,” que están disponibles en inglés, español y otros idiomas.
o Si su prueba de COVID-19 es negativa y / o su proveedor cree que no tiene COVID-19,
debe completar su período de cuarentena y quedarse en casa hasta que hayan pasado
Departamento de Salud Pública del Condado de Los Ángeles
ph.lacounty.gov/covidcuarentena
Home Quarantine -revised 2/17/21 (Spanish)
Página 5 de 7Instrucciones sobre cuarentena en el hogar para contactos cercanos con la enfermedad de COVID-19
al menos 24 horas desde que no tuvo fiebre sin usar medicamentos que reducen la
fiebre.
o Si no se hace la prueba, debe aislarse durante al menos 10 días desde que comenzaron
sus síntomas y han pasado al menos 24 horas desde que no tuvo fiebre sin usar
medicamentos para reducir la fiebre.
Lidiando con el estrés
El COVID-19 y la cuarentena pueden ser estresantes para las personas. Visite la página web de
COVID-19 del Departamento de Salud Mental del Condado de Los Ángeles y la página
web 211LA para obtener recursos locales para para ayudar con preocupaciones de salud mental y
bienestar. La guía y los recursos, incluye información sobre las líneas directas de crisis, también están
disponibles en la página web de los CDC Sobrellevar el estrés.
Las personas que viven en el condado de Los Ángeles tienen acceso gratuito a Headspace Plus. Esta
es una colección de recursos de atención plena y meditación en inglés y español . También tiene
ejercicios de movimiento y sueño para ayudar a controlar el estrés, el miedo y la ansiedad
relacionados con COVID-19.
Si necesita hablar con alguien sobre su salud mental, comuníquese con su médico o con la Línea de
ayuda 24/7 del Departamento de Salud Mental del Condado de Los Ángeles al (800) 854-7771. Este
número está disponible las 24 horas, los 7 días de la semana. También puede mandar un mensaje de
texto con las letras “LA” al 74174.
HABLAR CON LA SALUD PÚBLICA (rastreo de contactos)
El rastreo de contactos es un proceso simple y confidencial que se utiliza para ayudar a parar la
propagación de COVID-19.



Usted puede recibir una llamada de un especialista de salud pública si ha estado en contactor
con una persona con COVID-19. Si recibe una llamada o mensaje de "LA Public Health" o 1-
833-641-0305, por favor haga su parte contestando la llamada. Le harán algunas preguntas
sobre su salud y los lugares en los que ha estado.
El especialista puede responder sus preguntas y proporcionar información sobre servicios
como cómo hacerse una prueba de COVID-19 o buscar un médico u obtener ayuda mientras
está en cuarentena.
Haga clic aquí para obtener más información sobre el rastreo de contactos.
Departamento de Salud Pública del Condado de Los Ángeles
ph.lacounty.gov/covidcuarentena
Home Quarantine -revised 2/17/21 (Spanish)
Página 6 de 7Instrucciones sobre cuarentena en el hogar para contactos cercanos con la enfermedad de COVID-19
PERSONAS QUE SE HAN VACUNADO RECIENTEMENTE
Si usted es un contacto cercano con alguien que tiene el COVID -19, no es requerido que se ponga en
cuarentena si cumple con todos los siguientes requisitos:
1. Está completamente vacunado (esto significa que han pasado 2 semanas o más desde que
recibió la segunda dosis de las vacunas Pfizer o Moderna contra el COVID -19) y
2. Han pasado menos de 3 meses desde que recibió su última dosis de vacuna y
3. No ha tenido síntomas de COVID-19 desde su último contacto cercano con la persona
infectada.
Incluso si no necesita ponerse en cuarentena, es importante que:



Monitoree su salud para detectar síntomas de COVID-19 durante 14 días desde su último
contacto con la persona infectada.
Hable con salud pública si recibe una llamada o mensaje de "LA PublicHealth" o 1-833-641-
0305.
Continúe protegiéndose a sí mismo y a los demás usando mascarilla alrededor de los demás,
lavándose las manos y manteniéndose al menos a 6 pies de distancia de los demás.
MÁS INFORMACIÓN


Para obtener más información, visite el sitio web de Salud Pública ph.lacounty.gov/Coronavirus/
o llame al 2-1-1 (que está disponible las 24 horas al día los 7 días de la semana).
Llame a su doctor si tiene alguna pregunta sobre su salud. Si necesita ayuda para encontrar un
doctor, llame al 2-1-1.
Departamento de Salud Pública del Condado de Los Ángeles
ph.lacounty.gov/covidcuarentena
Home Quarantine -revised 2/17/21 (Spanish)
Página 7 de 7Home Isolation Instructions
for People with COVID-19 Infection
To view this document in different languages or in web format visit ph.lacounty.gov/covidisolation
SUMMARY
In Los Angeles County, if you have COVID-19 * you are required to:
❶ Isolate yourself, and
❷ Tell your close contacts that they need to quarantine if you have a positive diagnostic viral
test, and
❸ Follow the Health Officer Isolation Order along with the steps below
You are considered to have COVID-19, if you have a positive diagnostic viral (swab or saliva) test for
COVID-19 and/or a healthcare provider thinks that you have COVID-19.
*
Note: If you recently had COVID-19 (within the past 90 days) and you now have a new positive
diagnostic test for COVID-19 but you don’t have symptoms, talk with your doctor to see if you have
COVID-19 again.
Please help slow the spread of COVID-19 by answering if you get a call from “LA Public Health”
or 1-833-641-0305 (see Contact Tracing).
If you tested positive but have not gotten a call yet, please call 1-833-540-0473 from 8 AM to 8:30
PM, 7 days a week.
ISOLATE: Stay home
You must stay home and separate yourself from others until your home isolation ends.
• Stay away from household members.
• Do not go to work, school, or public areas.
• If you must leave home to get essential medical care, drive yourself, if possible. If you cannot
drive yourself, keep as much distance as possible between you and the driver and others (e.g.
sit in the back seat), leave the windows down, and wear a mask, if possible. If you do not have a
mask, wear a cloth face covering (see below).
• If someone from outside your household is shopping for you, ask them to leave the food and
other supplies at your door, if possible. Pick them up after the person has left. If you need help
finding free delivery services, social services, essential items like food and medicines call 2-1-1
or visit the Public Health resource webpage ph.lacounty.gov/media/Coronavirus/resources.htm.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidisolation
Home Isolation – revised 12/17/20
Page 1Home Isolation Instructions for People with COVID-19 Infection
Work and school
• If you work or study in a setting where you could have gotten COVID-19 or passed it on to
others, please tell your workplace or school so that they can advise others to test and/or
quarantine as needed.
• Information about Disability Insurance, Unemployment & Paid Family Leave for people who are
unable to work because they, or a family member, need to isolate or quarantine is available on
the California Employment Development Department.
• For more information on COVID-19 related work issues, including employee benefits,
protections for workers, and resources, view the Workers’ Rights Frequently Asked Question
• You do not need to have a negative test or a letter from Public Health to return to work or
school.
When Does My Home Isolation End?
If you had symptoms and tested positive for COVID-19 or if a healthcare provider thinks*
that you have COVID-19, you must stay home until:
At least 10 days** have passed since your symptoms first started and
You have had no fever for at least 24 hours (without the use of medicine that
reduces fevers) and
• Your symptoms have improved
If you tested positive for COVID-19 but never had any symptoms:


You must stay home for 10 days after the test was taken, but
If you develop symptoms, you need to follow the instructions above
*If a healthcare provider initially thought your symptoms were due to COVID-19 but they
reassessed your diagnosis and concluded that you are not infected, you can stop isolating
once 24 hours have passed since you have been fever-free without using fever-reducing
medications. However, if you are under quarantine orders (because you are a close contact
to a person with COVID-19) you must stay in quarantine.


**If you have a condition that severely weakens your immune system you might
need to stay home for longer than 10 days. Talk to your healthcare provider for
more information.
What to do when home isolation ends
• When your home isolation ends (see box above) you can go back to your usual activities,
including returning to in person work and/or school.
• Continue to practice physical distancing (stay 6 feet away from others) and to wear a face
covering when you are in public settings where other people are present.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidisolation
Home Isolation – revised 12/17/20
Page 2Home Isolation Instructions for People with COVID-19 Infection
QUARANTINE: Tell your close contacts that they need to quarantine
If you have a positive diagnostic (viral) test result for COVID-19 you must notify your close contacts
that they could be infected and need to quarantine. Give them the home quarantine instructions. They
are available in multiple languages at ph.lacounty.gov/covidquarantine. Your close contacts must
quarantine even if they feel well.
Definition of a Close Contact
A “close contact” is any of the following people who were exposed to you while you
were infectious * :
a. Any person who was within 6 feet of you for a total of 15 minutes or more
over a 24-hour period
b. Any person who had unprotected contact with your body fluids and/or
secretions. For example, you coughed or sneezed on them, you shared
utensils, a cup, or saliva with them, or they cared for you without wearing
appropriate protective equipment.
*
You are considered to be infectious (you can spread COVID-19 to others) from 2
days before your symptoms first appeared until your home isolation ends. If you
tested positive for COVID-19 but never had any symptoms, you are considered to
be infectious from 2 days before your test was taken until 10 days after your test.
TAKE CARE OF YOUR HEALTH
For information on caring for children with symptoms of COVID-19, see Guidance for the Care of
Children with Symptoms of COVID-19.
Home Care
Most people with COVID-19 have mild illness and can recover at home. Here are steps that you can
take to help you get better:
• Rest and drink plenty of fluids
• Take over-the-counter medicine such as acetaminophen (Tylenol®) to reduce fever and pain.
Note that children younger than age 2 should not be given any over-the-counter cold
medications without first speaking with a doctor.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidisolation
Home Isolation – revised 12/17/20
Page 3Home Isolation Instructions for People with COVID-19 Infection
Seeking Medical Care
Stay in touch with your doctor and seek medical care if your symptoms get worse. If you are age 65
years or older or have an underlying medical condition it is especially important to call your doctor as
you may be at a higher risk of serious illness.
Call 911 if there are emergency warning signs
Difficulty
Breathing
Pressure or
pain in chest
Bluish lips
or face
Confused or
hard to wake
Other serious
symptoms
People with emergency warning signs should call 911. If it’s not urgent, call your doctor before
visiting. You may be able to get advice by phone.
Dealing with Stress
COVID-19 and self-isolation is stressful for people. Visit the Los Angeles County Department of
Mental Health’s COVID-19 webpage and the 211LA webpage 211la.org/resources/subcategory/mental-
health for local resources to address mental health & wellbeing needs and concerns. In addition,
guidance and resources, including information on crisis hotlines, are also available on the CDC
webpage Coping with stress.
LA County residents have free access to Headspace Plus. This is a collection of mindfulness and
meditation resources in English and Spanish, as well as movement and sleep exercises to help manage
stress, fear, and anxiety related to COVID-19.
If you need to speak with someone about your mental health, contact your doctor or the Los Angeles
County Department of Mental Health Access Center 24/7 Helpline at 1-800-854-7771. If you need
help finding healthcare, call the Los Angeles County Information line at 2-1-1. This number is available
24/7.
PROTECT OTHERS
Follow the steps below to help prevent the disease from spreading to others in your home and your
community.
Separate yourself from others in your home
• If you need to be in the same room as other people, set it up so that you can stay 6 feet apart
if possible. It is important to stay away from people who are at higher risk of serious illness.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidisolation
Home Isolation – revised 12/17/20
Page 4Home Isolation Instructions for People with COVID-19 Infection




Use a separate bathroom. If this is not possible, disinfect the bathroom after use (see cleaning
information below).
Open windows or use a fan or an air conditioner in shared spaces in the home.
Do not allow non-essential visitors.
Do not handle pets or other animals.
Anyone who continues to be in close contact with you will need to stay in quarantine for
longer (see home quarantine instructions).
Wear a facemask or cloth face cover when you are around others
• Wear a disposable facemask when you are around other people. If you do not have a facemask,
wear a cloth face cover. Do not use either if you have trouble breathing, or are unable to
remove it without help, or you have been told not to wear one by a medical provider.
• If you are not able to wear a facemask or face cover, then people who live with you should
avoid being in the same room with you. If they must enter the room you are in, they should
wear a facemask (or if they don’t have one, a cloth face covering). After leaving the room, they
should immediately clean their hands, then remove and dispose of their facemask, and clean
their hands again.
• Use masks and face coverings with caution with children. Infants and children under 2 should
not wear cloth face coverings. Those between the ages of 2 and 8 should use them under adult
supervision to ensure that the child can breathe safely and avoid choking or suffocation.
• See Guidance for Cloth Facing Coverings for more information.
Cover your coughs and sneezes
• Cover your mouth and nose with a tissue when you cough or sneeze. Throw used tissues in a
lined trash can after each use. Wash your hands or use hand sanitizer after you cough or
sneeze.
Avoid sharing food or personal household items
• Do not prepare or serve food to others.
• Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other
people or pets in your home.
• Make sure to wash your dishes, drinking glasses, and eating utensils with soap and water after
each use.
Clean your hands often
• Wash your hands often, especially after blowing your nose, coughing, or sneezing; going to the
bathroom; before eating or preparing food; and after touching your face mask or cover. Use
soap and water for at least 20 seconds.
• If soap and water are not available, clean your hands with a hand sanitizer that contains at least
60% alcohol. Cover all surfaces of your hands and rub hands together for 30 seconds until they
feel dry. Use soap and water if your hands are visibly dirty.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidisolation
Home Isolation – revised 12/17/20
Page 5Home Isolation Instructions for People with COVID-19 Infection
Clean and disinfect all “high-touch” surfaces every day
• Clean and disinfect high-touch surfaces e.g. counters, tabletops, doorknobs, bathroom fixtures,
toilets, phones, keyboards, tablets, and bedside tables.
• Clean and disinfect any surfaces that may have body fluids on them.
• Use household cleaning and disinfectant sprays or wipes. Be sure to follow the product label
instructions.
• If caregivers and household contacts clean or come into contact with your body fluids or
secretions (such as sweat, saliva, sputum, nasal mucus, vomit, urine, or diarrhea) they should
wear a disposable facemask and gloves. After cleaning, they should remove and dispose of
their gloves first, clean their hands, then remove and dispose of their facemask, and clean their
hands again.
See cleaning instructions in Preventing the spread of respiratory illness in the home and FAQs for
Caregivers.
TALK TO PUBLIC HEALTH - Contact Tracing
Contact tracing is a simple, confidential process that is being used to help slow the spread of COVID-
19.
• If you test positive for COVID-19, you will receive a call from a public health specialist. Please
do your part by taking the call and answering some questions about the places you have been
and the people you have been around while you were infectious.
• The people you tell the specialist about will be contacted and asked to stay home to help
prevent others from getting sick. They will not be told your name or contact information. The
specialist will also answer any questions you may have and share information about services.
If you tested positive but have not gotten a call yet please call 1-833-540-0473 from 8 AM to
8:30 PM, 7 days a week.
• To learn more about contact tracing, click here.
MORE INFORMATION



For more information on COVID-19 and to view the resources mentioned above in multiple
languages, visit ph.lacounty.gov/media/coronavirus/.
For help finding free delivery services, social services, essential items like food and
medicines, visit ph.lacounty.gov/media/Coronavirus/resources.htm or call 2-1-1 (which is
available 24/7).
Please call your health care provider for any questions related to your health. If you need help
finding a health care provider, call 2-1-1.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidisolation
Home Isolation – revised 12/17/20
Page 6Instrucciones de aislamiento en
el hogar
para personas con (COVID-19)
Para ver este documento en diferentes idiomas o en formato web, visite ph.lacounty.gov/covidaislamiento.
En el condado de Los Ángeles, si tiene o es probable que tenga COVID-19*, debe:
❶ Aislarse y
❷ Decirle a sus contactos cercanos que deben ponerse en cuarentena si tiene una prueba viral de
diagnóstico positiva, y
❸ Siga la Orden de aislamiento del funcionario de salud junto con los pasos a continuación
*
Se considera que tiene COVID-19, si tiene una prueba de diagnóstico viral (hisopo o saliva) positiva para
COVID-19 y / o un proveedor de atención médica cree que tiene COVID-19.
Nota: Si recientemente tuvo COVID-19 (en los últimos 90 días) y ahora tiene una nueva prueba de diagnóstico
positiva para COVID-19 pero no tiene síntomas, hable con su médico para ver si tiene COVID-19 nuevamente.
Por favor, ayude a reducir la propagación de COVID-19 respondiendo si recibe una llamada de “LA
PublicHealth” o 1-833-641-0305 (consulte Rastreo de contactos).
Si dio positivo en la prueba, pero aún no ha recibido una llamada, llame al 1-833-540-0473 de 8 a. m. a 8:30 p.
m., los 7 días de la semana.
AISLARSE: Quédese en casa
Debe quedarse en casa y separarse de los demás hasta que termine el aislamiento en su hogar.
• Manténgase alejado de los miembros del hogar.
• No vaya al trabajo, la escuela o áreas públicas.
• Si debe salir de casa para recibir atención médica esencial, conduzca usted mismo, si es posible. Si no
puede conducir, mantenga la mayor distancia posible entre usted, el conductor y los demás (por ejemplo,
siéntese en el asiento trasero), deje las ventanillas abiertas y use una mascarilla, si es posible. Si no tiene
mascarilla, use una cobertura de tela para la cara (ver más abajo).
• Si alguien de fuera de su hogar está comprando por usted, pídale que deje la comida y otras compras en
su puerta, si es posible. Recójalos después de que la persona se haya ido. Si necesita ayuda para encontrar
servicios de entrega gratuitos, servicios sociales, artículos esenciales como alimentos y medicinas, llame al
2-1-1 o visite la página web de recursos de salud pública ph.lacounty.gov/media/Coronavirus/resources-
es.htm.
El trabajo y la escuela
• Si trabaja o estudia en un establecimiento en el que podría haber contraído el COVID-19 o transmitírselo
a otras personas, dígale a su lugar de trabajo o escuela para que puedan aconsejar a otras personas de
que se hagan la prueba de COVID-19 y / o se pongan en cuarentena según sea necesario.
Los Angeles County Department of Public Health
ph.lacounty.gov/covidaislamiento
Home Isolation – revised 10/28/20v3
Página 1Instrucciones de Aislamiento en el Hogar para Personas con la Enfermedad del COVID-19



La información sobre el seguro de incapacidad, el desempleo y el permiso familiar pagado para las
personas que no pueden trabajar porque ellas o un miembro de su familia necesitan aislarse o ponerse
en cuarentena está disponible en el sitio web del Departamento del Desarrollo del Empleo de California.
Para obtener más información sobre los problemas laborales relacionados con COVID-19, incluidos los
beneficios para los empleados, las protecciones para los trabajadores y los recursos, vea las Preguntas
frecuentes sobre los derechos de los trabajadores.
No necesita tener una prueba negativa o una carta de Salud Pública para regresar al trabajo o la escuela.
¿Cuándo termina el aislamiento en mi hogar?
Si tuvo síntomas y dio positivo en la prueba de COVID-19 o si un proveedor
de atención médica cree * que tiene COVID-19, debe quedarse en casa hasta
que:
• Han pasado al menos 10 días ** desde que comenzaron sus síntomas y
• No ha tenido fiebre durante al menos 24 horas (sin el uso de
medicamentos que reducen la fiebre) y
• Sus síntomas han mejorado
Si dio positivo por COVID-19 pero nunca tuvo ningún síntoma:
• Debe quedarse en casa durante 10 días después de la prueba, pero
• Si desarrolla síntomas, debe seguir las instrucciones anteriores.
* Si un proveedor de atención médica pensó inicialmente que sus síntomas se
debían al COVID-19, pero reevaluó su diagnóstico y concluyó que no tiene
COVID-19, puede dejar de aislarse una vez que hayan pasado 24 horas desde que
no tuvo fiebre sin usar medicamentos para reducir la fiebre. Sin embargo, si está
bajo órdenes de cuarentena (porque es un contacto cercano con una persona con
COVID-19) debe permanecer en cuarentena durante 14 días desde su último
contacto con la persona.
** Si tiene una enfermedad de salud que debilita gravemente su sistema
inmunológico, es posible que deba quedarse en casa por más de 10 días. Hable
con su proveedor de atención médica para obtener más información.
Qué hacer cuando termina el aislamiento en el hogar
• Cuando termine el aislamiento en el hogar (vea el recuadro de arriba), puede volver a sus actividades diarias,
esto incluye regresar al trabajo o la escuela en persona.
• Continúe practicando el distanciamiento físico (manténgase a 6 pies de distancia de los demás) y use una
mascarilla para la cara cuando esté en lugares públicos donde haya otras personas presentes.
Los Angeles County Department of Public Health
Home Isolation – revised 10/28/20v3
ph.lacounty.gov/covidaislamiento
Página 2Instrucciones de Aislamiento en el Hogar para Personas con la Enfermedad del COVID-19
CUARENTENA: Informe a sus contactos cercanos que deben ponerse en
cuarentena
Dígales a sus contactos cercanos que deben ponerse en cuarentena.
Si tiene un resultado de prueba de diagnóstico (viral) positivo para COVID-19, debe notificar a sus contactos
cercanos que podrían estar infectados y deben permanecer en cuarentena durante 14 días después de su
último contacto con usted. Deles las instrucciones de cuarentena en el hogar. Están disponibles en varios
idiomas en ph.lacounty.gov/covidcuarentena. Sus contactos cercanos deben ponerse en cuarentena, aunque se
sientan bien.
Definición de un contacto cercano
Un "contacto cercano" es cualquiera de las siguientes personas que estuvieron
expuestas a usted mientras era contagioso * :
a. Cualquier persona que estuvo a 6 pies de usted por un total de 15 minutos o
más durante un período de 24 horas.
b. Cualquier persona que haya tenido contacto sin protección con sus fluidos y / o
secreciones del cuerpo. Por ejemplo, tosió o estornudó sobre ellos, compartió
utensilios, una taza o saliva con ellos, o lo cuidaron sin usar el equipo de
protección adecuado.
*
Se le considera infeccioso (puede transmitir el COVID-19 a otras personas) desde 2
días antes de que aparecieran los primeros síntomas hasta que finalice el aislamiento
de su hogar. Si dio positivo en la prueba de COVID-19 pero nunca tuvo ningún
síntoma, se considera que es infeccioso desde 2 días antes de que se hiciera la prueba
hasta 10 días después de su prueba.
CUIDE SU SALUD
Para obtener información sobre el cuidado de niños con síntomas de COVID-19, consulte la Guía para el
cuidado de niños con síntomas de COVID-19 .
Cuidados en el hogar
La mayoría de las personas con COVID-19 tienen una enfermedad leve y pueden recuperarse en casa. A
continuación, se indican los pasos que puede seguir para mejorar:
• Descanse y beba muchos líquidos.
• Tome medicamentos sin receta como acetaminofén (Tylenol®) para reducir la fiebre y el dolor. Tenga en
cuenta que los niños menores de 2 años no deben recibir ningún medicamento para el resfriado sin receta
antes de hablar con un médico.
Buscando atención médica
Manténgase en contacto con su médico y busque atención médica si sus síntomas empeoran. Si tiene 65 años
o más o padece una condición médica, es especialmente importante que llame a su médico, ya que puede
correr un mayor riesgo de padecer una enfermedad grave.
Los Angeles County Department of Public Health
Home Isolation – revised 10/28/20v3
ph.lacounty.gov/covidaislamiento
Página 3Instrucciones de Aislamiento en el Hogar para Personas con la Enfermedad del COVID-19
Llame al 911 si hay señales de aviso de emergencia
Dificultad para
respirar
Presión o dolor
en el pecho
Labios o cara
azulados
Confusión o
dificultad para
despertar
Otros síntomas
serios
Las personas con señales de aviso de emergencia deben llamar al 911. Si no es urgente, llame a su médico
antes de visitar. Es posible que pueda obtener asesoramiento por teléfono.
Lidiando con el estrés
COVID-19 y el autoaislamiento son estresantes para las personas. Visite la página web COVID-19 del
Departamento de Salud Mental del Condado de Los Ángeles y la página web 211LA
(211la.org/resources/subcategory/mental-health) para obtener recursos cerca de usted sobre las necesidades y
preocupaciones de salud mental y bienestar. Además, la guía y los recursos, incluida información sobre las
líneas directas de crisis, también están disponibles en la página web de los CDC Cómo afrontar el estrés.
Las personas que viven en el condado de Los Ángeles tienen acceso gratuito a Headspace Plus. Esta es una
colección de recursos de atención plena y meditación en inglés y español, así como ejercicios de movimiento y
sueño para ayudar a controlar el estrés, el miedo y la ansiedad relacionados con el COVID-19.
Si necesita hablar con alguien sobre su salud mental, comuníquese con su médico o con la Línea de ayuda 24/7
del Departamento de Salud Mental del Condado de Los Ángeles al 1-800-854-7771. Si necesita ayuda para
encontrar atención médica, llame a la línea de información del condado de Los Ángeles al 2-1-1. Este número
está disponible 24 horas al día, 7 días a la semana.
PROTEGER A LOS DEMÁS
Siga los pasos a continuación para ayudar a prevenir que la enfermedad se propague a otras personas en su
hogar y su comunidad.
Sepárese de los demás en su hogar
• Si necesita estar en la misma habitación que otras personas, configúrelo de modo que pueda
mantenerse a una distancia de 6 pies si es posible. Es importante mantenerse alejado de las personas
que corren un mayor riesgo de sufrir una enfermedad grave.
• Use un baño separado. Si esto no es posible, desinfecte el baño después de su uso (consulte la
información de limpieza a continuación).
• Abra las ventanas o use un ventilador o aire acondicionado en los espacios compartidos de la casa.
• No permita visitantes no esenciales.
• No toque mascotas u otros animales.
Cualquiera que continúe contacto cercano con usted deberá permanecer en cuarentena durante
más tiempo (consulte las instrucciones de cuarentena en el hogar).
Los Angeles County Department of Public Health
Home Isolation – revised 10/28/20v3
ph.lacounty.gov/covidaislamiento
Página 4Instrucciones de Aislamiento en el Hogar para Personas con la Enfermedad del COVID-19
Use una mascarilla facial o una cobertura de tela para la cara cuando esté cerca de otras personas
• Use una mascarilla desechable cuando esté cerca de otras personas. Si no tiene mascarilla, use una
cobertura de tela para la cara. No la use si tiene problemas para respirar o no puede quitársela sin
ayuda, o un proveedor médico le ha dicho que no use una.
• Si no puede usar una mascarilla o una cobertura para la cara de tela, las personas que viven con usted
deben evitar estar en la misma habitación que usted. Si deben entrar a la habitación en la que se
encuentra, deben usar una mascarilla (o si no tienen una, una cobertura de tela para la cara). Después
de salir de la habitación, deben lavarse las manos inmediatamente, luego quitarse y desecharse la
mascarilla y volver a lavarse las manos.
• Use máscaras y coberturas para la cara con precaución con los niños. Los bebés y los niños menores de 2
años no deben usar coberturas para la cara de tela. Aquellos entre las edades de 2 y 8 años deben
usarlas bajo la supervisión de un adulto para asegurarse de que el niño pueda respirar con seguridad y
evitar asfixia o asfixia.
• Consulte la Guía para mascarillas faciales de tela para obtener más información.
Cubra su tos y estornudos
• Cúbrase la boca y la nariz con un pañuelo cuando tosa o estornude. Tire los pañuelos usados en un
bote de basura forrado después de cada uso. Lávese las manos o use un desinfectante para manos
después de toser o estornudar.
Evite compartir alimentos o artículos domésticos personales
• No prepare ni sirva comida a otras personas.
• No comparta platos, vasos, tazas, cubiertos, toallas o ropa de cama con otras personas o mascotas en
su hogar.
• Asegúrese de lavar sus platos, vasos y cubiertos con agua y jabón después de cada uso.
Lávese las manos con frecuencia
• Lávese las manos con frecuencia, especialmente después de sonarse la nariz, toser o estornudar; yendo
al baño; antes de comer o preparar alimentos; y después de tocar su mascarilla o cobertura para la
cara. Use agua y jabón durante al menos 20 segundos.
• Si no hay agua y jabón, límpiese las manos con un desinfectante para manos que contenga al menos un
60% de alcohol. Cubra todas las superficies de sus manos y frótelas durante 30 segundos hasta que se
sientan secas. Use agua y jabón si sus manos ese ven sucias.
Limpiar y desinfectar todas las superficies de que se tocan frecuentemente todos los días
• Limpie y desinfecte las superficies que se tocan frecuentemente, por ejemplo, mostradores, tableros de
mesa, pomos de puertas, accesorios de baño, inodoros, teléfonos, teclados, tabletas y mesitas de
noche.
• Limpie y desinfecte cualquier superficie que pueda tener fluidos del cuerpo.
• Utilice aerosoles o toallitas limpiadoras y desinfectantes para el hogar. Asegúrese de seguir las
instrucciones de la etiqueta del producto.
• Si los cuidadores y los contactos de su hogar limpian o entran en contacto con sus fluidos del cuerpo o
secreciones (como sudor, saliva, flema, mucosidad nasal, vómito, orina o diarrea), deben usar una
mascarilla desechable y guantes. Después de la limpieza, primero deben quitarse y desecharse los
guantes, lavarse las manos, luego quitarse y desecharse la mascarilla y volver a lavarse las manos.
Consulte las instrucciones de limpieza en Prevención de la propagación de enfermedades respiratorias en el
hogar y Preguntas frecuentes para cuidadores.
Los Angeles County Department of Public Health
Home Isolation – revised 10/28/20v3
ph.lacounty.gov/covidaislamiento
Página 5Instrucciones de Aislamiento en el Hogar para Personas con la Enfermedad del COVID-19
HABLAR CON LA SALUD PÚBLICA - Rastreo de contactos
El rastreo de contactos es un proceso simple y confidencial que se utiliza para ayudar a frenar la propagación
de COVID-19.
• Si su prueba de COVID-19 da positivo, recibirá una llamada de un especialista de salud pública. Por
favor, haga su parte contestando la llamada y respondiendo algunas preguntas sobre los lugares en los
que ha estado y las personas con las que ha estado mientras era contagioso.
• Se contactará a las personas sobre las que informe al especialista y se les pedirá que se queden en casa
para ayudar a evitar que otras personas se enfermen. No se les dirá su nombre o información de
contacto. El especialista también responderá cualquier pregunta que pueda tener y compartirá
información sobre los servicios. Si dio positivo, pero aún no ha recibido una llamada, llame al 1-833-
540-0473 de 8 AM a 8:30 PM los 7 días a la semana.

Para obtener más información sobre el rastreo de contactos, haga clic aquí.
MÁS INFORMACIÓN



Para obtener más información sobre COVID-19 y ver los recursos mencionados anteriormente en varios
idiomas, visite ph.lacounty.gov/media/coronavirus/.
Para obtener ayuda para encontrar servicios de entrega gratuitos, servicios sociales, artículos esenciales
como alimentos y medicamentos, visite ph.lacounty.gov/media/Coronavirus/resources-es.htm o llame
al 2-1-1 (que está disponible las 24 horas, los 7 días de la semana).
Llame a su proveedor de atención médica si tiene alguna pregunta relacionada con su salud. Si necesita
ayuda para encontrar un proveedor de atención médica, llame al 2-1-1.
Los Angeles County Department of Public Health
Home Isolation – revised 10/28/20v3
ph.lacounty.gov/covidaislamiento
Página 6Auxiliary Health Station Procedure Plan
1. Student is identified by a teacher or other staff member as a possible COVID symptomatic case.
2. Teacher or other staff member alerts the COVID Auxiliary Station and/or the Health Office.
3. If the student is complaining of any COVID related symptoms (Fever, Cough, Shortness of breath/difficulty
breathing, Fatigue, Chills, Congestion or Runny Nose, Muscle or body aches, Headache, Sore throat, Nausea or
Vomiting, Diarrhea, New loss of taste or smell), while maintain a 6 feet distance, student is escorted by campus
supervisor or instructional assistant to the Auxiliary Health Station. If the student presents with one or more
symptoms, the student goes home with ​ Home Isolation Instructions and a provided list of local COVID-19
testing sites​ . The supervising staff must document that the student has been sent to the Auxiliary Health
Station.
4. COVID Station adult (in full PPE - Gloves, KN95 Mask, Surgical mask to cover KN95, Gown, and Face shield)
questions the student from a 6-foot to 12-foot distance regarding symptoms being experienced (Fever, Cough,
Shortness of breath/difficulty breathing, Fatigue, Chills, Congestion or Runny Nose, Muscle or body aches,
Headache, Sore throat, Nausea or Vomiting, Diarrhea, New loss of taste or smell), and check temperature with a
temporal thermometer on the forehead. (temp of 100.4 or higher means the student goes home).
5. For any staff experiencing symptoms, they will be sent home immediately with ​ Home Isolation Instructions and
provide a list of local COVID-19 testing sites. ​ Please notify Human Resources.
6. Campus supervisor or determined staff will radio the health office, so that the Health Technician can contact the
parent for immediate student pick up.
7. After the student is picked up, Campus supervisor or determined staff will clean and disinfect ​ (per disinfection
protocols as outlined on case response form of our Covid Safety Plan Appendix H)​ area and dispose of all
student materials that were used. Campus supervisor or determined staff removes partial PPE (gloves, outer
surgical mask and uses hand sanitizer). If campus supervisor or staff have been with a student suspected to have
COVID in the Covid Auxiliary Station for longer than 15 minutes, and they have been within 6 feet assisting the
student, they ​ should not return to normal duties elsewhere​ on campus. Supervising adults should maintain
social distancing whenever possible.
8. Partial re-application of new PPE is applied if multiple symptomatic students are in the Covid Auxiliary Station.
Partial re-application would include applying a ​ new​ surgical mask over the existing KN95 mask, and a ​ new set of
gloves​ are applied. A new gown is applied only if needed.
9. Campus supervisor or determined staff can only resume previous duties as assigned when the student suspected
to have COVID is picked by parents, and the area is disinfected. Campus supervisors should not share duties in
this regard.
10. The person supervising the Covid Auxiliary Station should not attempt to continue their regular duties at the
same time as they are supervising the Covid Auxiliary Station.
11. All Covid log sheets of suspected student cases should be given to the site COVID Safety Coordinator to follow up
on in the event the suspected case later reports they are positive. After being notified of the positive case, the
COVID Safety Coordinator must submit this information to DPH using the ​ COVID-19 Case and Contact Line List
for the Educational Sector​ within 24 hours of the notification of the positive case at the following email address​ :
a. acdc-Education@ph.lacounty.gov
b. Your site district nurse should be cc'd in the line list email to public health.
c. COVID-19 Case and Contact Line List for Education Sector ​ should be sent to Tracy Glen each Friday at
tglen@hartdistrict.orgAppendix I
Injury & Illness Prevention Plan - COVID AddendumCOVID-19
IIPP Addendum
Date Last Reviewed: __11_/_20__/_2020
Reviewed by: ___Sonia Pishehvar___
Name
Risk Manager & Safety Coordinator
TitleTable of Contents
Purpose ........................................................................................................ 1
Scope ........................................................................................................... 1
What is Coronavirus Disease 2019 (COVID-19) .......................................... 1
COVID-19 Transmission .............................................................................. 2
Infection Prevention Measures ..................................................................... 2
Employee Responsibilities ........................................................................... 3
Personal Protective Equipment (PPE) ......................................................... 4
Cleaning and Disinfection ............................................................................ 5
Responding to Confirmed or Suspected COVID-19 Cases ......................... 5
Communication ............................................................................................ 7
Employee Training ....................................................................................... 8IIPP Addendum to Prevent COVID-19
SHARPS INJURY LOG
Purpose
It is the policy of William S Hart Union High School District to protect the safety of our
staff and to comply with California Labor Code 6400 which requires that every employer
must furnish employment and a place of employment that is safe and healthful for the
employees therein.
Scope
This policy applies to all Hart District employees that may be exposed to the coronavirus
as a result of the performance of their duties. Contained herein are general prevention
best practices.
This addendum to our Injury and Illness Prevention Program is a framework applicable
during the current (COVID-19) public health emergency. The protocols outlined in this
document will be modified based on the ongoing and updated guidance from the CDC,
state and local public health agencies, and Hart District operations.
What is Coronavirus Disease 2019 (COVID-19)
On February 11, 2020 the World Health Organization announced an official name for
the disease caused by the novel coronavirus SARS-CoV-2. The name of the new
disease is coronavirus disease 2019, abbreviated as COVID-19.
There are many types of human coronaviruses including some that commonly cause
mild upper-respiratory tract illnesses. COVID-19 is a new disease, caused by a novel
(or new) coronavirus that has not previously been seen in humans.
COVID-19 affects different people in different ways. Infected people have had a wide
range of symptoms reported – from mild symptoms to severe illness. Symptoms may
appear 2-14 days after exposure to the virus. People with these symptoms may have
COVID-19: Symptoms may appear 2-14 days after exposure to the virus. People with
the below symptoms could have COVID-19:






Fever or chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
Page | 1




New loss of taste or smell
Sore throat
Congestion or runny nose
Nausea or vomiting
Diarrhea
It is important to note that laboratory testing is necessary to confirm an infection.
COVID-19 Transmission
The virus that causes COVID-19 is thought to spread mainly from person to person
through respiratory droplets produced when an infected person coughs or sneezes.
These droplets can enter the respiratory tract (mouth, nose, and lungs) of people who
are nearby and cause infection. Spread is more likely when people are in close contact
with one another (i.e., within six feet) while not wearing face coverings.
Although it is not considered to the be the primary way the virus spreads, transmission
may be possible by touching a surface or object that has the virus on it and then
touching their own mouth, nose, or eyes.
Infection Prevention Measures
Hart District, to the extent possible, will implement the following guidelines to mitigate
employee exposure to the coronavirus virus in the workplace:
1. The use of video and/or telephonic meetings, and the establishment of guidelines for
maintaining a distance of at least six feet between persons, whenever possible.
2. Distribute posters, notices, and/or signage to each work site to be displayed in
common areas that provide physical distancing guidelines.
3. Encourage sick employees to stay home.
4. If an employee becomes symptomatic of COVID-19 while at work, they will be asked
to leave the workplace and seek medical treatment, depending on the symptoms.
5. Hart District will adhere to state guidance and local public health agency
recommendations regarding the prearrangement of office and workplace furniture to
maintain physical distancing, as much as possible.
6. To the extent supplies are in stock and readily available for distribution, employees
will have access to appropriate hygiene products in the workplace.
Page | 27. Require employees to use face coverings. Face coverings must be worn in all
common areas and whenever a District employee comes within six feet of another
employee while in a cubicle or office. The face covering requirement does not apply
to employees who have trouble breathing or who have a medical or mental health
condition that prevents the use of a face covering.
Note: Face-coverings are not Personal Protective Equipment (PPE), but combined
with physical distancing they help prevent infected persons without symptoms or
who are presymptomatic from unknowingly spreading the coronavirus.
8. The District will place signs and/or instructions in common areas (e.g., reception
area, break rooms, school office, public common areas, etc.) to communicate
physical distancing requirements and to provide other COVID-19 infection
prevention information to the general public entering the worksite and buildings,
known as safe work practices (SWPs).
9. The District designees will regularly evaluate the workplace for compliance with this
addendum.
Employee Responsibilities
During the COVID-19 public health emergency, The District employees have a
collective responsibility to ensure the protection of all people in the workplace to
comply with district policies and the latest local public health guidelines to mitigate
coronavirus disease (COVID-19) to themselves and anyone visiting the worksite.
1. Employees must self-screen for COVID-19 symptoms prior to leaving the home for
their shift. Employees must follow the CDC guidelines for self-screening and
respond to the CrisisGo daily email.
An employee must stay home if they are sick, follow public health agency
guidelines, and contact their administrator or supervisor for further instructions.
2. Employees who are out ill with fever, cough, shortness of breath, or other acute
respiratory symptoms that affect normal breathing who have not been tested for the
COVID-19 virus or who have tested negative for the COVID-19 virus, must consult
with their physician before physically returning to work.
3. Employees who test positive for the COVID-19 virus must not return to work until
the following occurs:

At least 24 hours have passed without a fever (without the use of fever-reducing
medications) and no acute respiratory illness symptoms; and
Page | 3

At least 10 days have passed since the symptom onset; and
Other symptoms have improved
4. Employees who return to work following an illness must promptly report any
recurrence of symptoms to their immediate supervisor.
5. Employees shall practice physical distancing by using video or telephonic meetings
as much as practicable, and maintaining a distance of at least six feet between
persons at the workplace whenever possible.
6. Employees must whenever practical avoid shared workspaces and work items
(phones, computers, other work tools, and equipment) whenever possible. If
employees must share workspaces, clean and disinfect shared workspaces and
work items before and after use.
7. Employees shall wash hands with soap and water for at least 20 seconds and/or
use hand sanitizer after interacting with people and after contacting shared surfaces
or objects.
8. Employees shall cover coughs and sneezes and avoid touching eyes, nose, and
mouth with unwashed hands.
9. Employees must avoid sharing personal items with coworkers (i.e., dishes, cups,
utensils, towels).
10. Employees shall notify their administrator or supervisor if any washing facilities do
not have an adequate supply of suitable cleansing agents, water, single-use towels,
or blowers.
11. No employee shall bring cleaning products and/or disinfectants into the workplace
that have not been approved by The District.
Personal Protective Equipment (PPE)
While engineering and administrative controls are considered more effective in
minimizing exposure to COVID-19, personal protective equipment (PPE) may also be
needed to prevent certain exposures. While correctly using PPE can help prevent some
exposures, it should not take the place of other prevention strategies. Examples of PPE
include: gloves, goggles, face shields, face masks, and respiratory protection, when
appropriate. During an outbreak of an infectious disease, such as COVID-19,
recommendations for PPE specific to occupations or job tasks may change depending
on the updated risk assessments for workers, and information on PPE effectiveness in
preventing the spread of COVID-19.
Page | 4Cleaning and Disinfection
The District recognizes that high-traffic and high-touch common areas in the workplace
need, to the extent possible, cleaning and disinfecting to limit the spread of the COVID-
19 virus.
The District has assign personnel and established routine schedules to clean and
disinfect common surfaces and objects in the workplace. This includes, but is not limited
to, copy machines, containers, counters, tables, desks, chairs, benches, door handles,
knobs, water bottle filling stations, refrigerators, handrails, restroom and bathroom
surfaces, and trash cans.
The process of disinfecting includes providing disinfecting products that are EPA
approved for use against the virus that causes COVID-19 and following the
manufacturer's instructions for all cleaning and disinfection products (e.g., safety
requirements, PPE, concentration, contact time.) Maintenance and Operations staff
have received training on disinfection and cleaning protocols.
Responding to Confirmed or Suspected COVID-19
Cases
The District will consult with state and local public health agencies for mitigation
practices and response protocols and follow the Covid-19 Safety Plan guidelines
outlined on Appendix H.
The District will follow the California Public Health Department strategies, listed below,
for returning employees to work and students to the classroom. Note that some
variation may occur depending on our local public health department and unique
circumstances.
Students or Staff
1. Exhibiting COVID-19
Symptoms (e.g., fever,
cough, loss of taste or
smell, difficulty breathing)
Action
Send home
Recommend testing (if
positive, see #3)
 Stay home until 10
days have passed
since symptom onset;
and at least 24 hours
have passed since
resolution of fever
without the use of
fever-reducing


Communication
No action Needed
Page | 5medications; and other
symptoms have
improved
 School/classroom
remain open
2. Close contact (†) with a
confirmed COVID-19 case




3. Confirmed COVID-19 case
infection





4. Tests negative after
symptoms



Send Home
Quarantine for 14 days
from last exposure
Recommend testing
(but will not shorten 14-
day quarantine)
School/classroom
remain open
Notify the local public
health department
Isolate case and
exclude from school for
10 days from symptom
onset or test date
Identify contacts (†),
quarantine & exclude
exposed contacts
(likely entire cohort
(††)) for 14 days after
the last date the case
was present at school
while infectious
Recommend testing of
contacts, prioritize
symptomatic contacts
(but will not shorten 14
day quarantine)
Disinfection and
cleaning of classroom
and primary spaces
where case spent
significant time
School remains open
May return to school 24
hours after symptoms
resolve without the use
of fever reducing
medication
School/classroom
remain open
Consider school
community
notification of a
known contact
School community
notification of a
known case
Consider school
community
notification if prior
awareness of
testing
Page | 6(†) Close contact is defined as any individual who was within 6 feet of an infected
person for at least 15 minutes. In some school situations, it may be difficult to
determine whether individuals have met this criterion and an entire cohort, classroom,
or other group may need to be considered exposed, particularly if people have spent
time together indoors.
(††) A cohort is a stable group with fixed membership that stays together for all courses
and activities (e.g., lunch, recess, etc.) and avoids contact with other persons or
cohorts.
If an employee is tests positive for COVID-19, District will inform immediate coworkers
of their possible exposure to COVID-19 in the workplace but maintain confidentiality as
required by the Americans with Disabilities Act (ADA) and the Fair Employment and
Housing Act (FEHA). The District will also investigate any confirmed COVID-19 illness
to determine and mitigate any work-related factors that may have contributed to the risk
of infection.
Cleaning and Disinfecting Following a Confirmed COVID-19 Case
1. Temporarily close the general area where the infected employee or student worked
until cleaning is completed.
2. If possible, open outside doors and windows and use ventilating fans to increase air
circulation in the area. Wait 24 hours or as long as practical before cleaning and
disinfecting the area.
3. Conduct deep cleaning of the entire general area where the infected employee
worked and may have been, including breakrooms, restrooms and travel areas, with
a cleaning agent approved for use by the EPA against the coronavirus.
4. District custodial personnel cleaning the area should be equipped with the proper
personal protective equipment for COVID-19 disinfection (disposable gown, gloves,
eye protection, or mask, if required).
Communication
Communication between employees and the District on matters relating to COVID-19
mitigation and response is an important aspect to ensure employee safety while in the
workplace. Therefore, The District has a communication system through the Site
Safety Coordinators, CAO and Assistant Superintendent of Human Resources that is
Page | 7intended to accomplish clear and concise exchange of information by providing a
single point of contact for administrators and supervisors.
1. All District employees are encouraged to report to their immediate administrator or
supervisor concerns regarding COVID-19 mitigation practices or possible COVID-19
exposure in the workplace.
2. Administrators and supervisors who, after assessing the report, determine that
additional guidance or assistance is required shall contact the Site Safety
Coordinator or the CAO who will triage the report and notify essential personnel for
an appropriate response.
Employee Training
All Site Safety Coordinators will provide training in the general description of COVID-
19, symptoms, when to seek medical attention, how to prevent its spread, and the
employer’s procedures for preventing its spread at the workplace. Additional training
through Keenan Safe School will consist of reviewing written documentation, online
video trainings and/or acknowledgement of receipt of the District’s COVID-19 Injury
and Illness Prevention Program addendum.