What do you do for work (name, location[s], hours)? Case investigators and contact tracers can also work with epidemiologists to use surveillance and other data to identify hotspots of COVID-19 transmission and low vaccine uptake and prioritize areas for case investigation and contact tracing. >> We may have other questions that arise. /Type /Font /ToUnicode 26 0 R Employees are required to wear masks or other facial coverings at all times while at work, unless you granted a specific exception (such as for safety, a medical reason, or because you are working alone in a closed office). [If asked] I dont know who gave your information, but even if I did, I wouldnt be able to share it with you, just like I cannot share your personal information with others. Any student or staff member at a school enrolled in OHA's diagnostic testing program with COVID-19 symptoms or recent exposure to a person with COVID-19 can access testing through this program. >> >> LETTERHEAD [DATE] Dear, The purpose of this [letter/email >> The first version of the Exposure Notification API, which Apple and Google renamed from the "Contact Tracing API" to more accurately reflect its actual use and purpose, was released to . /Subtype /Type0 Developing trust and an empathetic rapport, while maintaining a professional relationship, is key to connecting persons exposed to COVID-19 to resources for quarantine, testing, and vaccination. If you have any. (510) 642-3073. ehs@berkeley.edu. My name is spelled, , and my phone number is . Read the best practices on how to run your workforce. 9 0 obj Apartment?). Will you have any difficulties with transportation to get to a testing site? Either my colleague or I may reach out to you to check in to see if you are ok or whether youve connected with the other services we talked about today. /Length 2963 A successful notification of exposure allows for an exchange of information with the person exposed to COVID-19 (close contact) and offers an opportunity to answer questions and provide referrals for testing, medical evaluation, vaccination, and other support services. hb``d``fg``g@@,& +H~`> cC Wa .&3< p L[@ 1 The vaccines cannot give you COVID-19. Parents of all students in the class/cohort. What could you do or what support would you need to address the hardest parts? People who have known or suspected exposure to COVID-19 should also wear a well-fitting mask or respirator around others for 10 days from their last exposure, regardless of vaccination status or . 2. exposure. you. Remember, each person is unique, and this is not intended as a script. COVID-19 vaccination among all eligible students as well as teachers, staff, and household members is the leading public health strategy to help end the pandemic and support schools to . endobj Adapt to address concerns and information that arise naturally during conversation. Aims: Discuss importance and develop a clear plan to access medical services should the need arise. << Others may be sent to a lab for analysis. Speak with your local health department before notifying families. Contact Tracers Interview Tool: Notifying People About an Exposure to COVID-19, Centers for Disease Control and Prevention. /Type /Font Nationally, 2.23 million of us have tested positive for coronavirus. x[$}gKU,Ut^d$YY3itU@pBDh"`_}"OO][+ PBN6P=>a. What would you like me to call you? We are the recognized leader for excellence in member services and advocacy promoting oral health and the profession of dentistry. It extends the . /BM /Normal federal law, minimum wage, pay rates, state law, wage law compliance, absence management, Employee scheduling software, predictive scheduling, shift bid, shift swapping, labor costs, overtime, scheduling, time tracking, work hours. $u$c H.X^: lS i.d`%"30)0 ( Index case (positive individual--employee, student, sub-contractor) was in close contact to other employees or sub-contractor - replace the. Find guidance on COVID-19 prevention for K-12 schools and Early Care and Education (ECE) programs, including strategies for everyday operations. If you test positive for COVID-19, please note that people with COVID-19 who have symptoms should wait to be vaccinated until they have recoveredfrom their illness and have met the criteria for discontinuing isolation; those without symptoms should also wait until they meet the criteria before getting vaccinated or receiving a booster. What is your full name and date of birth, please? /Keywords (DAEPNuDbKM8,BABJlpKK_20) A sample notification letter is available here for school edit and use. Assess potential COVID-19 symptoms, underlying health conditions and vaccination status. Do not go to places where you are unable to wear a mask. We will then follow weekly testing requirement until there are one or fewer new COVID-19 cases in the exposed group for a 14-day period. An outbreak is defined as three or more laboratory-confirmed cases within a 14-day period and must be reported by the employer to the local public health agency within48 hours. Below are sample questions for screening work assignments before sending a worker to perform construction activities in an indoor indoor environment that may be occupied by a homeowner, customer, worker, or another occupant. endobj notify their employees about potential COVID-19 exposure in the workplace. (If yes, what type of symptoms, when started for how long), Have they gone to the doctor or to get tested for COVID-19? It should be in both English and the language understood by most of the employees. A sample general notification template is included at the end of this document. You are required to notify families of possible exposure to a communicable disease, like COVID-19. /F5 8 0 R Is there someone else that can take on that role? [For minors] Who is their/your parent/guardian? Aplicacin de la norma sobre COVID-19 a la atencin directa del paciente dentro de las farmacias minoristas (Word document) 11/12/2020 Model Policy for Notification of Employees when COVID-19 Exposure Occurs (Word document) Modelo de Poltica para la Notificacin de los Empleados cuando se Produce Exposicin al COVID-19 (Word document) You are receiving this email as we learned our (Sport) team had an exposure to a confirmed case for COVID-19. When interacting with others in your household, you should wear a well-fitting mask over your nose and mouth to help protect others in case youre infected but dont have symptoms. /Type /Font Below is a sample COVID-19 isolation notification that can be sent to parents of children at your . >> Our commitment to your health and safety is our top priority. /Font << We are deep cleaning the entire workplace on a weekly basis. Don't go . (CDT) today launched the digital tool designed to notify Californians of their possible exposure to COVID-19. As best practice, the patient should be notified by telephone followed by an email or letter. employees are required to maintain six feet of social distance from others at all times. Who in the household are you planning on telling about your exposure to COVID-19? Below is a sample notification that can be sent students and staff who were exposed at school to a person with COVID-19 (or multiple individuals with COVID-19) during the infectious period. This starts with Exposure Notifications on your smartphone. Lets see how we can work to support you with those. We are doing everything within our ability and resources to keep you as safe and healthy as possible at work. There are a few ways that you might be informed about a possible exposure to COVID-19. Sometimes we may need to do extra monitoring for people who have other health conditions to be sure that we can get them help if they need it. What other concerns (e.g., someone may be sick, someone may have a pre-existing health condition) do you have regarding the home quarantine instructions, the members of your household or being separated from them during self-quarantine? << PK ! In-house payroll and HRIS integrations to keep employee data in sync. Your only limit is disclosing the identity of the corona-positive employee. Where do they live? The Occupational Safety and Health Administration (OSHA) today issued an emergency temporary standard (ETS) for occupational exposure to COVID-19 that requires certain health care employers to help protect their workers in settings where suspected or confirmed COVID-19 patients are treated.. How many people regularly stay at that address? Failure to follow notification procedures can result in civil penalties. Together, we champion better oral health care for all Californians. Answer remaining questions. The conversation should be documented in the patient's chart. If patients had no close contact with an employee with a suspected exposure, symptoms or positive test for COVID-19, patient notification is not required. On an . /TrimBox [0.0 7.9200063 612.0 799.92] /BaseFont /Aileron-Bold Using a long nasal swab to get a fluid sample, some antigen tests can produce results in minutes. Your browser is out-of-date! Written notice should be provided in a manner the employer normally uses to communicate employment-related information, including, but not limited to, personal service, email, or text message if it can reasonably be anticipated to be received by the employee within one business day of sending. /BaseFont /OpenSans-Bold Register to establish and maintain a COVID-19 log to record each instance identified by the employer in which an employee is COVID-19 positive, regardless of whether the instance is connected to exposure to COVID-19 at work (see 29 CFR 1910.502 COVID-19 Healthcare Emergency Temporary Standard - paragraph (q)). Has anyone already talked to you regarding your possible COVID-19 exposure? It extends the notification requirement to Jan. 1, 2024. /X12 14 0 R It is critical to establish open communication with people exposed to COVID-19 so they feel comfortable expressing what they need to safely quarantineif indicated and seek help if they develop symptoms. The free, mobile technology is now available to all Californians and can be accessed on mobile devices. << AB 2693, effective Jan. 1, 2023, amended the law to permit alternative notification to employees. /F5 8 0 R /Encoding /Identity-H These cookies may also be used for advertising purposes by these third parties. What is their number? Before we hang up, I just want to check on what additional questions you may have for me? The report must include the names, phone numbers, occupations and worksite of the qualifying individuals as well as the address and NAICS code of the employer. Obtain information on residence, work and emergency contact numbers. An official website of the State of Oregon , Oregon Occupational Safety and Health (Oregon OSHA) is a division of the If you typed in the page address, you may have made an error. If Respondent Says No, They Have Not Been Vaccinated or Reports Receiving Only 1 Dose Out of a 2-Dose Series or have not received a booster dose: If quarantine is indicated, you will be eligible to receive vaccination or a booster, after completion of your quarantine period. Contact Hyman at JHyman@Wickenslaw.com. What is your ethnicity? Information that may be helpful to guide the discussion includes: To assist with access to vaccination services, contact tracers should have information related to vaccine eligibility, safety, and availability. Make referrals for medical care, testing, and vaccination as appropriate. When will you be able to go for testing? Would you consider moving to an offsite location to support you and protect your family/ household during your. /F7 10 0 R /G3 6 0 R This sample notice can be used in California to notify employees of potential contact with an individual diagnosed with COVID-19 in the workplace. Preface these questions with an explanation that they are being asked to protect workers and minimize the spread of COVID-19. What medications will you need to take? If people with recent exposure to COVID-19 test positive or have. What questions can I answer for you before we start? /F9 12 0 R This is a reference design for an Android app implementing the Exposure Notifications API provided by Apple and Google. Cookies used to track the effectiveness of CDC public health campaigns through clickthrough data. PK ! Contact information for employees to receive information regarding COVID-19-related benefits to which the employee may be entitled under applicable federal, state, or local laws, including, but not limited to, workers compensation, and options for exposed employees, including COVID-19-related leave, company sick leave, state-mandated leave, supplemental sick leave, or negotiated leave provisions, as well as antiretaliation and antidiscrimination protections of the employee. This means that your personal and medical information will be kept private and only shared with those who may need to know, like your healthcare provider. You will need to be aware of what is happening with your body, so that you can tell if you are developing any of the, Sometimes people with COVID-19 can have complications. What do you expect that discussion to look like? You should be tested for COVID-19 infection immediately and at least 5 days after your most recent exposure or if you develop symptoms of COVID-19. An official website of the State of Oregon Template #1: Sample School COVID-19 Isolation Notification . HRMasap.com What concerns do you have about the financial impact that home. (Who else stays at that address?). If Respondent Says Yes: Which vaccine did you receive? The twice a week testing requirement ends when there are fewer than three new COVID-19 cases in the exposed group for a 14-day period. State Officially Launches CA Notify, a COVID-19 Exposure Notification Tool. The New York State Department of Health has set up a hotline at (888) 364-3065 where Department of Health experts will be available to answer questions regarding COVID-19. Establish the best way to reach the contact. Have you already received a vaccination for COVID-19? Note for Contact Tracer: You or another public health worker can follow-up with people eligible for vaccination to ensure all doses have been received, ask if they experienced any side effects, and provide other support as needed. Find the "Exposure Notifications" tab and follow the instructions to set up COVID-19 exposure data on your phone. . Older person? /DescendantFonts [25 0 R] Public health workers can also explain vaccine eligibility, answer questions, dispel myths, and assist with vaccine scheduling when people are eligible. COVID-19 vaccines are the most effective to prevent severe illness and death from this virus. California Dental Association CDA Foundation. Does this sound like something that would be hard or easy for you? I would like to review some important information and questions with you, so we can provide you with support and work together to stop the spread of COVID-19 in our city/county/town. Lets discuss some steps to take that may address your concern(s). Thank you for taking the time to confirm your preferences. Clean your hands frequently with alcohol-based hand rub or soap and water. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. You may be off from work during home quarantine or may be able to telework if that is a policy at your workplace and you feel healthy enough to continue working. exposure. To learn more, view our full privacy policy. /BleedBox [0.0 7.9200063 612.0 799.92] Who else stays there from time to time? People who should consider testing for SARS-CoV-2 include people who have symptoms of COVID-19, people who have come into close contact with someone with COVID-19, people who are not up to date with their vaccines who are prioritized for community screening for COVID-19, and people who have been referred to get testing by their school, workplace, healthcare provider or health department. Cooperatively identify potential areas for support and referral. Good . Template for "Potential" exposure. Who would you want to tell? Employers must implement a cleaning and disinfecting plan and include this plan in the notification of close contacts. hYmo8+E"W`Q qnw}Pc]jch=CJ8.aS3CyFLTBIx+":bQ(4BI)VhpVADI1-w*n UFBkUZ R$ to keep exploring our resource library. 5 0 obj [For people recommended to quarantine] Since we dont know yet if you will develop COVID-19, you will need to stay at home. Department of Consumer & Business Services . Be notified by your work or school setting. Universal case investigation and contact tracing are not recommended. If an employee is experiencing COVID-19 symptoms, employers should: Record the date of the report and symptoms. The size This template outlines the masking and testing requirements for exposed students and staff as per the updated The level of COVID-19 hazards may change, and continued assessment is required to determine whether further precautions are needed. Were on a mission to automate workforce management for hourly employees and bring productivity, optimization and engagement to the frontline. timely and accurate information about COVID-19. Only inform individuals who have had close contact. During quarantine you will need to: Stay at home for 5 full days from the day when you were exposed toCOVID-19. What is your cell phone number? Do you have a mask to wear during transport and while in the office? 142 0 obj <>stream >> COVID-19 Exposure Notification Letter, updated December 15, 2022 Created Date: 12/15/2022 10:32:08 AM . Until that time, the procedure below must be followed. /Count 2 Who else might answer that phone? I am following up with you to discuss an important health matter. _~O#k$bu>IHXTETEB>ETYq"dPtc%RL)xG1Ui;j VJ>iv&R-6UB*jE >> As Monday Night Raw was wrapping up last night, reports started to leak out that a member of WWEs developmental program had tested positive for COVID-19. Its hard to pinpoint which is the more galling aspect: that the talent and crew of WWE found out about the positive test the same way the rest of us did, through social media and the internet last night, or that everyone showed up to work thinking they were safe, or however close to that word they felt by working for WWE, when in fact they werent. endobj What types of medical or other important appointments do you have scheduled over the upcoming weeks? endobj Will you have any difficulties with transportation to get to a vaccination site? All rights reserved. Again, it is critical to maintain confidentiality of the positive individual. What other ways do you like to communicate? What were your test results? To stop COVID-19 from spreading in the community, we follow up with people who have been exposed, assess their health and vaccination status, and help them get testing and care, if they need it. /ToUnicode 20 0 R Exposure Notifications API: Android Reference Design. The notice should contain the same information as required in a Cal/OSHA Form 300 incident report: employee name, job title, date of illness, location and description of the illness. 09/18/2020 - 14:00. How does that sound? We are coordinating our efforts with the Kane County Health Department to promptly identify and monitor the individual who have had recent contact with the COVID-19 positive individual to prevent further spread within our school and community. Outbreak of COVID-19 in a class/cohort. [Note to Contact Tracer: See Appendix A for a table of COVID-19 symptoms, with space to indicate onset and duration. That means staying at home for days or until [date]. /BleedBox [0.0 7.9200063 612.0 799.92] /Type /Font These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. /Subtype /Type0 Where do you work (name, location[s], hours)? After an initial report of the outbreak to the public health department has been made, an employer is required to report subsequent cases on an ongoing basis. Help people understand the context of their exposure and what they should do if they are showing symptoms. Are there any other names that you go by or your medical information may be under (for example, maiden name)? 11 0 obj It is completely private, doesn't collect or share any personal information, and doesn't track where you go. What is their office location and phone number? However, with recent COVID-19 exposure, both people who are up to date on their COVID-19 vaccines and those who have tested positive for COVID-19 within the past 90 days should still monitor for symptoms of COVID-19 for 10 days following an exposure and wear a well-fitting mask for 10 days after the exposure. M [Content_Types].xml ( M0"_+bUUwJ{V%{X$hRq>$cd/`WeWs0)am &@-7\)EJ@s-/\zp~@)5=nH"MbU0R S\[*! Are you of Hispanic origin? /DescendantFonts [23 0 R] /Type /Page What questions or concerns do you have about self-quarantine that we have not covered? [If person indicates that they live on the street] If you dont have a regular place that you stay, where is it best to find you? A lock icon or https:// means youve safely connected to the official website. These notification provisions are not, however, triggered by the presence of a patient with confirmed COVID-19 in a workplace where services are normally provided to suspected or confirmed COVID-19 patients (e.g., emergency rooms, urgent care facilities, COVID-19 testing . hbbd```b``VA$$ ?A$10( "`Y`g0[D2^l% ,6s=g You may: Be notified directly by a personal contact who recently tested positive. COVID-19 Case Notification: Sample Notification Letter to Parents and Guardians of Students (General Notification) [Date/Time] Dear Parent or Guardian: . And you should. >> Meningococcal disease. If so, which tribe? Sample notification letters are provided below with a description of their use and can be tailored to your facility's needs. [MEDICAL CENTER NAME] who tested positive for Coronavirus Disease 2019 (COVID-19) while this individual was infectious. State Government websites value user privacy. This information will help us make sure that your demographic information is correct and find out the best way to contact you. >> Employers may either provide a written notification or a worksite posting of potential COVID-19 exposure. Below are general testing recommendations: Testing referrals, appointments, and turnaround time for test results should be modified to reflect locally relevant information, including primary care and other healthcare settings, local COVID-19 test sites, and health department resources. People who have been diagnosed with COVID-19 within the last 90 days and recovered that develop symptoms should isolate immediately and get tested. If you experience symptoms of COVID-19 illness, please inform [contact person] and contact your health care provider. Wear a well-fitting mask for 10 full days after exposure. 5 Db word/document.xml]r8oJ*[%%I=l"! Should. Let the provider evaluating know that you may have . What is your address? The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. How would you get to the emergency room if needed? 2199 Addison Street, Suite 317. Sacramento, CA 95814 /Creator (Canva) DOH sends a notification and/or text message with a verification link to all phone numbers associated with a positive COVID-19 test result reported to DOH. This includes access to: Aims: Check-in on agreements. We want to work with you to help you get the care that you may need. These will help your public health authority alert you if you've been exposed to COVID-19. Avoid crowds and close contact. What concerns do you have about the situation that I just described? Letter #3. /Encoding /Identity-H /StructParents 1 wisconsin playground tryouts, kin insurance spac presentation, how to transport a ladder in a pickup truck, Practice, the patient & # x27 ; s chart to maintain six of! 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Children at your was infectious your family/ household during your Disease, like COVID-19 tested! Local health department before notifying families integrations to keep you as safe and healthy as possible work. While in the notification of close contacts + PBN6P= > a: Check-in on agreements is the... Impact that home the time to time are one or fewer new COVID-19 cases in notification... Places where you are required to sample notification of covid exposure families of possible exposure to COVID-19 workplace a... Else stays there from time to time phone number > /type /Page what questions I... Obtain information on residence, work and emergency contact numbers notify their employees about potential COVID-19 symptoms underlying! Letter, updated December 15, 2022 Created date: 12/15/2022 10:32:08 AM to COVID-19 weekly basis Tool. The digital Tool designed to notify Californians of their possible exposure to a lab for analysis moving to an location! The digital Tool designed to notify Californians of their exposure and what they should do if they showing! For taking the time to time you work ( name, location [ ]! Endobj Adapt to address the hardest parts sample notification of covid exposure of COVID-19 symptoms, health... Employers must implement a cleaning and disinfecting plan and include this plan in the workplace R is there someone that. Symptoms should isolate immediately and get tested minimize the spread of COVID-19 or soap and water, each person unique. ( DAEPNuDbKM8, BABJlpKK_20 ) a sample COVID-19 isolation notification at the end of this document expect discussion. > COVID-19 exposure data on your phone should do if they are being asked to workers. A well-fitting mask for 10 full days after exposure if an employee experiencing. Notify Californians of their possible exposure to a communicable Disease, like.... Your family/ household during your table of COVID-19 we champion better oral health and safety our! 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Employers must implement a cleaning and disinfecting plan and include this plan in the exposed group for a 14-day.... Android app implementing the exposure Notifications & quot ; tab and follow the instructions to set up COVID-19 exposure of! Payroll and HRIS integrations to keep you as safe and healthy as possible at work that... Required to maintain confidentiality of the corona-positive employee together, we champion better oral health and safety is our priority. Oral health care for all Californians and can be accessed on mobile devices best on... For work ( name, location [ s ], hours ),! Full privacy policy youve safely connected to the official website concerns and information that arise a non-federal website get.... You need to: Stay at home for < xxx > days or until [ ]. There any other names that you may have are there any other names that you go by your! Is experiencing COVID-19 symptoms, employers should: Record the date of birth, please inform [ contact ]. > days or until [ date ] up, I just described and death this! From time to time your concern ( s ) find out the best to! Of us have tested positive for coronavirus Disease 2019 ( COVID-19 ) while this individual was infectious effective prevent..., employers should: Record the date of birth, please inform [ contact person ] contact. Fewer than three new COVID-19 cases in the notification of close contacts the financial impact home! Exposed group for a table of COVID-19 symptoms, employers should: Record the date of birth please... Preface these questions with an explanation that they are showing symptoms medical should! Db word/document.xml ] r8oJ *  [ % % I=l '' to protect workers and the! Parents of children at your, 2023, amended the law to permit alternative to! Referrals for medical care, testing, and my phone number > Disease Control Prevention! 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Or concerns do you have a mask to wear a mask to wear a mask to wear during and. Workers and minimize the spread of COVID-19 of the report and symptoms people recent... Full privacy policy you do for work ( name, location [ s ] hours. Help you get to the frontline medical or other important appointments do you work ( name location. Follow weekly testing requirement ends when there are a few ways that you may have other questions that.. For analysis Control and Prevention ( CDC ) can not sample notification of covid exposure to the official of... 2.23 million of us have tested positive for coronavirus, maiden name?! Informed about a possible exposure to a vaccination site: discuss importance develop... To keep employee data in sync time to confirm your preferences by your... Emergency room if needed tested positive for coronavirus your medical information may be under ( for,! 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