Operational Guidelines for COVID-19 Response

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Effective March 16, 2020

We have created a task force to monitor the COVID-19 (Coronavirus) pandemic and respond to the rapidly growing developments.  Our offices and facilities will remain open.  However, in concert with Public Health officials’ recommendations of practicing social distancing and protection from the spread of the virus, A Small Miracle is implementing the following operational guidelines until March 30, 2020:

Professional and Office Staff:

  • Managers and Directors at each office are asked to use their best judgement in balancing the need to serve our recipients and staff during the day, while preventing situations where staff are congregated together in large groups or for long periods of time.  This can include modified office hours or staggered reporting times as needed, so long as adequate coverage is maintained.
  • QP and Office Staff, with lap tops, are allowed to work from home.  Staff must communicate with their immediate supervisor on a daily basis as to their work location.
  • QPs are approved to use their judgement to conduct either face to face supervisions or video conference supervisions with the paraprofessional and service recipient.
  • Professional staff should adhere to all PTO/flex time policies. Communicate with your supervisor in the event that you are not able to work or carry out any of your expected duties while in a remote environment.
  • Habilitation Technicians are asked to refrain from attending events or large gatherings, and encouraged to work from the service recipients’ home or in open community areas and community parks. Staff are strongly encouraged to avoid places where people congregate such as malls, movie theaters fitness centers, Walmart, etc.
  • Habilitation Technicians, providing Day Supports are allowed to sign in at the A Small Miracle Day Program and then provide their Day Supports services in the community as is feasible.  If community travel is not an option, staff should be diligent in following the safety guidelines posted at the facility to ensure safety.
  • Frequent hand washing, coughing or sneezing into your sleeve, and refraining from touching your eyes, nose or mouth are the best deterrents to stop the spread of the virus.

Day Program Special Guidelines

  • Frequent hand washing, coughing or sneezing into your sleeve, and refraining from touching your eyes, nose or mouth are the best deterrents to stop the spread of the virus.
  • Managers and Directors at each facility are asked to use their best judgement in balancing the need to serve our recipients and staff during the day, while preventing situations where people are congregated together for long periods of time.  This can include modified hours or staggered reporting times as needed.
  • No Visitors, Tours, or Non-Essential Personnel shall be allowed at the facility.  Visitors will be limited to immediate family members only.
  • No group activities that involve close physical contact or sharing of items – i.e. Karaoke, Music Therapy, Yoga, Cooking classes, etc.
  • Actively monitor all persons daily for changes in their health – be acutely aware of fever or respiratory symptoms (shortness of breath, cough).  Both staff and recipients should contact their primary care physician if they do not feel well.
  • Staff and recipients that feel sick are not to report to the program.  Staff and recipients that are sick are not to be in contact with others.  Notify your supervisor immediately if you or your recipient is ill, and follow the guidelines previously provided for self-quarantine.
  • Contact your QP or the Crisis Line for help right away if you have questions.

Community Services and Supported Employment Special Guidelines

  • Frequent hand washing, coughing or sneezing into your sleeve, and refraining from touching your eyes, nose or mouth are the best deterrents to stop the spread of the virus.
  • Managers and Directors are asked to use their best judgement in balancing the need to serve our recipients and staff during the day, while preventing situations where people are congregated together for long periods of time.  This can include modified hours or staggered reporting times as needed.
  • Habilitation Technicians are asked to refrain from attending events or large gatherings, and encouraged to work from the service recipients’ home or in open community areas or community parks as weather permits. Staff are strongly encouraged to avoid places where people congregate such as malls, movie theaters fitness centers, Walmart, etc.
  • Actively monitor all persons daily for changes in their health – be acutely aware of fever or respiratory symptoms (shortness of breath, cough).  Both staff and recipients should contact their primary care physician if they do not feel well.
  • Staff and recipients that are sick are not to be in contact with others.  Notify your supervisor immediately if you or your recipient is ill, and follow the guidelines previously provided for self-quarantine.
  • Staff and recipients in supported employment must follow the guidelines of the work site that they report to.
  • Contact your QP or the Crisis Line for help right away if you have questions.

Group Home and AFL Special Guidelines

  • Frequent hand washing, coughing or sneezing into your sleeve, and refraining from touching your eyes, nose or mouth are the best deterrents to stop the spread of the virus.
  • Managers and Directors of each facility are asked to use their best judgement in balancing the need to serve our recipients while still practicing universal precautions.  This could include modified activities or changes in routine as needed to ensure safety.
  • No Visitors or Non-Essential Personnel shall be allowed at the home.  Visitors will be limited to immediate family members only, and they must confirm they are not currently ill.  Ideally, we would like family members to keep in touch via phone, FaceTime, or other electronic means if possible.
  • No group activities that involve close physical contact or sharing of items is allowed.
  • Avoid places where people congregate such as malls, movie theaters fitness centers, Walmart, etc.  Keep shopping trips short and consider limiting to just essential staff.
  • Actively monitor all persons daily for changes in their health – be acutely aware of fever or respiratory symptoms (shortness of breath, cough).  Both staff and recipients should contact their primary care physician immediately if they do not feel well.
  • Ensure that the supply of medications does not run low (less than 14 days) for any individual served.  Medicaid has approved the lifting of supply limits on medicines so please consider stocking up on 90day refills for each recipient.
  • AFL providers are strongly encouraged to think of themselves as well during this difficult time.  Stock up on required medications and personal items so that you can ensure you are well for those that need you.
  • Contact your QP or the Crisis Line for help right away if you have questions.

Remember your thoughtful decision could prevent the spread of the COVID-19 virus and potential danger to the lives of those in high risk categories.  It will also help ensure minimal disruption to the livelihood of our workforce.