‘Appendix F:Guidance for Implementing the Opening Up America Again Framework ‘This implementation guidance provides tools and resources to assist decision makers to implement the lines for Opening Up America Again framework. Guidance is provided to monitor local conditions (transmission, public health, and healthcare system capacity) and adjust mitigation strategies over time to effectively contain outbreaks and minimize negative side effects of more significant restrictions on commerce ‘and education. 't begins with steps that all Americans need to take in every community. From there, it outlines core capacities ‘needed in communities to respond to and manage COVID-19 cases as well as delineates key metrics to monitor ‘community mitigation efforts. All ofthe guidance is anchored to the phases of the Opening Up America Again framework. ‘The appendices contain more detalled tools for communities such as indicators to better track and adjust ‘mitigation efforts as well as comprehensive mitigation guidance organized by phase and by setting. Finally, ‘there are user-friendly decision trees to help leaders make informed decisions about reopening. A companion ‘community leader's guide to further enable implementation activities accompanies this resource. Steps for All Americans in Every Community ‘ALL JURISDICTIONS SHOULD CONTINUE TO PROMOTE INDIVIDUAL AND WORKPLACE practices that reduce the risk of {ransmission As PEOPLE MOVE THROUGH THE COMMUNITY. Inpwiouats sHouL: ‘conminue To ‘COVER THEIR COUGHS AND SNEEZES ‘AVOID CLOSE CONTACT WITH OTHERS DISINFECT FREQUENTLY-USED TEMS AND SURFACES STAY HOME WHEN THEY FEEL SICK UE cloth face coverings WHEN OUT IN PUBLIC Emprovens sHouto: KA 0 88 ¥-_NomiFY AND WORK WITH STATE B LOCAL PUBLIC HEALTH OFFICIALS IF AN EMPLOYEE TESTS POSITIVE FOR COVID-19 DEVELOP AND IMPLEMENT APPROPRIATE POLICES, IN ACCORDANCE WITH FEDERAL, STATE, AND LOCAL REGULATIONS, AND GUIDANCE ANO INFORMED BY INDUSTRY BEST PRACTICES, REGARDING: 4€ SOCIAL DISTANCING ‘© PERSONAL PROTECTIVE EQUIPMENT (© HEALTH CHECKS UKE TEMPERATURE SCREENING {© ISOLATING AND SENDING HOME THOSE WHO ARE SICK ‘© NOT ALLOWING EMPLOYEES POSITIVE FOR COVID-19 TO PHYSICALLY RETURN TO WORK UNTIL CLEARED BY A MEDICAL PROVIDER, OR ACCORDING TO the guidance for discontinuing home lseltion for COVID® cases ‘managed at home '* NOTIFYING LOCAL HEALTH OFFICIA' AND INDIVIDUALS WHO MAY HAVE BEEN EXPOSED WHEN SOMEONE IS ‘CONFIRMED, OR PRESUMED TO BE POSITIVE FOR COVID-19 ‘© SANITZATION, CLEANING AND DISINFECTION © aUsiness TRAVEL, 1ipacePreparing- Establishing Core Capacity All jurisdictions need to build and maintain 3 core capacity to respond to and manage COVID-19 cases. Leaders should convene a broad set of stakeholders across sectors to: Y Communicate data about local transmission, public health and healthcare system capacity, risk to ‘vulnerable populations, and economic considerations; Share local status of gating criteria (as described by Opening America Up Again framework, and below); and ¥ Develop coor ‘ated re-opening plans and guidance The framework for Opening America up Again outlines core preparedness plans every jurisdiction needs before ‘beginning the process of “gating” or reducing mitigation strategies. This is especially important ina jurisdiction that has experienced significant transmission and healthcare system strain, Assistance is available, including staffing, to support states, tribes, localities, and territories to establish and maintain this capacity. Plans should be updated throughout the response to ensure lessons learned are rapidly assimilated into practice and at 2 minimum address the following components: Testing and Contact Tracing © Ability to quickly set up safe and efficient screening and testing sites for symptomatic individuals, and to trace contacts of COVID-19+ cases Ability to test syndromic/lnfluenza-Like Illness (ILi}-indicated persons for COVID-19 and trace contacts of COVID-19+ cases ‘© Ability to test at sentinel surveillance sites for asymptomatic cases, and trace contacts of COVID-19+ cases Healthcare System Capacity Ability to quickly and independently ensure adequate staff and provide critical medical equipment and supplies (e.g. personal protective equipment (PPE}) to meet unexpected surge demands © Ability to surge ICU capacity Develop Plans Specific to Community Needs '* Protect the health and safety of workers in all settings Protect the health and safety of vulnerable populations and those living and working in high-tisk settings (eg., senior care facilities, correctional facilities) Protect employees and users of mass transit ‘© Implement strategies to promote social distancing and use of cloth face coverings ‘© Monitor focal transmission and public health and healthcare system capacity ‘¢ Immediately take steps to limit any rebounds in transmission, or outbreaks, by increasing mitigation strategies to address a specific outbreak (e.g, returning to an earlier phase as outlined in the Opening ‘America Up Again framework, depending on severity) ea 2ipeeeMonitoring Community Conditions and Gating Criteria ‘Once the core capacity i in place, monitoring community transmission, public health, and healthcare system capacity will help jurisdictions assess readiness for moving between phases for lifting mitigation strategies. The Opening Up America Again framework outlines gating criteria for states and localities to use in determining ‘when and how to decrease or increase community mitigation strategies overtime asthe risk of transmission for COVID-19 changes. ‘These gating criteria are anchored to time-bound, population-level metrics of COVID-19 burden (newly Identified cases, emergency department or outpatient visits associated with the disease, and percentage of COVID-19 positive tests) as well as measures of the public health and health-system capacity to address current circumstances (robust testing and contact tracing capabilities, hospital inpatient and ICU beds, and access to PPe). ‘Communities with significant or uncontrolled community transmission are considered in pre-gating or Phase 0. Jurisdictions need to meet all the gating criteria prior to removing any shelter in place order or entering Phase 1. These metrics and how to utilize them to inform decision-making are described in Appendix 1 ‘Once the gating criteria are met, jurisdictions enter Phase 1 and proceed to move between three phases, altering the level of community mitigation recommended as they pass through each gate. Phase 1 corresponds to areas with the highest disease burden and ongoing community transmission, with the most significant mitigation strategies in place. At the other end, Phase 3 corresponds to areas with lower disease burden and less frequent community transmission with the least significant community mitigation strategies deployed. Each phase outlines necessary mitigation strategies to protect public health. Until a vaccine is widely available and/or medications are broadly accessible to manage COVID-19 symptoms, individuals need to follow good personal hygiene practices, stay at home when sick, and practice some amount of physical distancing to lower the risk of disease spread. These precautions are needed regardless of the phase a community is in. Itis also critical to identify when transmission begins to place the public health and healthcare system at risk, so appropriate actions can be taken. A gating indicators dashboard has been created as a too} to help pull relevant data streams into one platform to support decision making and regional planning and coordination. It can be accessed by jurisdiction officials through Geoltealth, Again, indicators and thresholds can be found in Appendix 1 DC alPegeCommunity Mitigation Across the Phases Protecting public health is at the center of the Opening Up America Again framework. However, jurisdictions are also addressing the economic and social consequences of COVID-19. Mitigation strategies should be implemented in a manner that s sufficient to contain transmission and allow sectors to plan for and minimize the negative impacts of the mitigation. The earliest signs ofa cluster of new cases ora reemergence of broader ‘community transmission should result in a re-evaluation of community mitigation strategies and a decision on ‘whether they should be strengthened. increasing mitigation should be tailored and measured, specificto any increase observed For example, an outbreak in a high risk setting such as a nursing home or correctional facility would result in strict mitigation, contact tracing and isolation of cases for all individuals entering that setting, but may not necessitate implementing strict community-wide measures such as a shelter-in-place order if the outbreak can be effectively contained, Assessing the appropriate mitigation approach and only implementing the strategies appropriate to the observed transmission will help minimize the societal and economic impacts of mitigation. The following framework categorizes jurisdictions based on the level of transmission and community capacity to contain the transmission, The categories align with the phases in the Opening Up America Again plan to assist with transitions between the gates and phases. ne 4|Page‘Travel patterns within and between jurisdictions will impact efforts to reduce community transmission too. Coordination across state and focal jurisdictions is critical - especially between jurisdictions with different mitigation needs. Considerations for employers and employees are outlined in Appendix 2. Refer tothe latest {LUC traver gunance for additional information. Decision-Making for Community Mitigation State, jocal, tribal, and territorial officials are best positioned to determine which phase their jurisdiction falls within. Decisions about moving to a different phase will be made at the state, local, tribal and territorial level. "APPENDICES 3-5 CONTAIN MORE DETAILED TOOLS AND RESOURCES TO HELP OFFICIALS MAKE DECISIONS ABOUT THE [APPROPRIATE LEVEL OF COMMUNITY MITIGATION BY PHASE AND SETTING. APPENDIX 6 CONTAINS THE DEVELOPMENT AND ‘PRE-PRODUCTION CONCEPTS FOR A COMMUNITY LEADER'S GUIDE TOOLKIT.Appendix 1: Indicators and Thresholds for Monitoring and Adjusting Mitigation Strategies Decreases in newly Mentified COVID-19 cases * Downward trajectory (or near-ter Incidence) of documented cates over #14 ay period Decreases in ED and/ar ‘outpat'ent visits for COVID-Hike illness (CLI) + Downward trajectory (or near tr0 ‘neigence) of CL syndrome cases reported over a 14-day period entering Phase? Decreases in ED and/or ‘outpatient visits for influenze-tike illness (Wi) incidence) of I reported fora least 14 days after entering Phase 1 + Downward trajectory (or near2er0 SARS-CoV-2 tests positive Decreases in percentage of entering Phase 2 (lator increasing volume of tests) ‘Treat ail patients without arisis care + luriiction npt & ICU bods <70% fll + Staff shortage last week = no + PRE supplies adequate for >15 days Robust testing program + Test availability such that % positive tests = + Median time fom test order to cesuit <3 10% for 14 days days 6|PageCommunity Demographics* “provided as conditions to consider as having an impact on other indicators ener Population density of < 50 people per square mile Less than 10% of poy mn over 65 years Less than 15% of population over 65 years Less than 3.7% of population estimated to have cardiovascular disease and 6% or less with COPD Less than 30% ef pot Map view (https://b n High risk population density y/2UUtWBn) Less than 10-12% of popul Map view (httpsi//b Population below the poverty level Less than 10% of population afereiatraeitita Map view (https://b t.ly/3e3tubu) ince coverage | "| Number of violations / complaints re | Compliance indicators ‘mandatory or recommended community Significant increase in non-compliance ees mitigationera Economic Activity Economic Health Indicators** **Provided as conditions to observe as indications of civic strain under strict mitigation measures frie Overall & Small Business Health Indices foe ++/- monthly / quarterly change per industry, lifeline, CIKR, Foot traffic (leading), COVID-19 Business impact Index (lagging) Federal, state and local orders are lifted with ability for 65-80% of in-person business activity to safely resume with guidance. | Daily Economte Loss (legging) Loss of jobs, businesses, real estate | + Onsite worker wages lost Permanent business closures ‘Number of evictions foreclosures and in community (commercial and residential) High output economic producers. List, ranking by state, community Loss of sales and business revenue ‘Quarterly and Ann! Eaerngs before intrettan/ deprecation by industry art gecurahy (state, community) Permanent Business Closure for% ina community or state Hor%of asector GOP Loss ‘Less than 30% loss from pre-COVID-19 baseline Monthly business activity index at 80% pre-COVIDIS levels Testing Required to Safely Operate Business Employees, customers and household members exposed with planned business and industry re- openings. + Testing avai ty for 100% symptomatis individuals exposed contacts,| | screening. + Company screening processes / guidelines exist | | «so business day stordby inventory of 1 test per 10 employees; | ‘Testing Units : established and supply chains coordinated to ensure sand households inc uding critical | i business market sesments, t | Number or percent: ge of businesses | + | with high contact rates Sufficient routine PPE / day / employee for a minimum of 5 business days in # EPE/day/ employes for normal the health & medical lifeline, safety & security lifeline, retail marketplace, | workplace requirements, ‘manufacturing and constructions sites PPE production targets established and supply chains caordinated to 14 PPE/day/employee for COVID-19 ensure production and del ae met for a period of 15 business ace reguireren days for employees of erial bacagmeaing ie ‘market segments. | | PPE Required to Safely Operate Business eee aera (contact rate (high, medium, low) -essersal and reopened businesses 9|PageBusiness & Industry Capacity Indicators** **Provided as conditions to observe as indications of civic strain under strict mitigation measures eee COVID-19 continuity plan eee ‘Workplace has standard risk management guidance, and surveillance system; ability to enforce strict mit ft warkforce lost and $ wages ost per | + day Employe2 and sales losses exceed stimulus provisions and will result it service disruptions and business deaths Financial benefits of industry | 4 Businesses per state, county, indust Business reopening ‘+ # Employees per state, county, indust Contincity ——- = + Projected new cases (growth rate) Public health cost/risk of industry | impacted employees and households reopening “+ # Impacted patrons per establishment, and patron households + DUNS-Jevel certification that business is ready to reopen. Scored by industry (e.g. Score ‘COVID-19 Compliance Score above 70 = ready to reopen) ‘Essential supplies : “Supply chain and critical a + Critical infrastructure art supply chain performance targets established to enable ‘market s2gments of the econcmy to reopen. ‘apply Chain = ‘consumer confidence indicators + Stability in supply chains and consumer confidence indicators Import / Export Supplier Relationships | * ‘af OCONUS suppliers, supplies that require overseas production Food acquisition capability 1s food av ble? 1s food accessible through government assistance? 10| PageWorkforce Business/industry reopens Ability to provide onsite social distancing, alternative staffing, cohorts, or splitting shift warkers for high, medium and low exposure workers. Telework rate # COVIDs staff and household members Percenteze of workforce teleworking Percentage of business/positicns that cannot pivot ‘o TW options Decline in number of COVID+ staff and household members for a minimum of 5 consecutive days. Workforce Loss Per Industry New Medicaid enrollments | Unemploy-nent Claims 96loss in productivity, Less than 5% increase in new spplications for Medicaid # Repetivve (% of total) | First time (96 of tot | Return to work or job loss 44/% Returning to pre-COVID job 14/% Returning to work in different job Number of layofts above threshold 11| PageAppendix 2: Travel Recommendations Pre-sjating or Phase Zero Phase Ore Phase Two Phuse Three Significant or Uncontrolled Transmission Moderate, Controllec Transmission Transt Transmission low Low low High High High Medium tow exempt from {those in low, controlled. restrictions. transmission jurisdictions ianaged according 12|Pageto Travel Health + Avoid international travel Notice to Travel Health Notice Level 3 countries ‘+ Returning international managed according to Travel Health Notice guidance 13 | PageAppendix 3: Mitigation Guidance by Phase Gating Criteria for all Phases ‘+ Transmission: Community transmission is under control (Decrease in the percent of patie lnfluenza-like illness (ILI) ora decrease in IL activity levels over 14 days, plus dow documented cases within a 14 day period or downward trajectory of positive te tests within a 14-day period: flat or increasing volume of tests). Gite for ‘rajectonyet Seq Preent ot opacity: Publi Quickly contain an outbreak. + Health System Capacity: Health system is able to treat al transmission. Pre-Gating/Phase 0: Significant, Jurisdictions in Phase O are in need of signifi (of stay at home or shelter in place orders implemented across differents < Leaders of these jurisdi < (tenes ‘ you 4 - absences and have flexible: ‘ leave poles andpracices J Trainalisatfonsafoty actions ‘ean ee TER aaREOPENING WORKPLACES DURING THE COVID-19 PANDEMIC eCOVID-19pande mic, ‘and local heath officials, Should you consider opening? isthe workplace in 3 Is ongoing monitoring in place? 4 Check for si Cra ny Pel ge actions: *Or in an area with significa eeuREOPENING FAITH COMMUNITIES DURING THE COVID-19 PANDEMIC community no longer ignificant Wileopeningbein [ALL complancewthate |YES|—> and local orders? ¥ Wil you be ready cy aaa) cer ery washing, weat covering, Intensify cleaning, disinfection, and ventilation Ensure social distancing < Offer virtual services if pozsible Train all staf and congregants on safety actions v leaders of faith communities in m te and al heal ‘and other partners ing the decision tree, consider that faith id care services st their facility. /- Encourage staff and congregants who are sick to stay home Plan for tf staff or congregants get sick at Cae Le facility < |. oes Regularly communicate | VES | 7 [ial amie with local authorities, staff, mad» a and congregants ions during the Be ready to-canc person gather are increased c ee eee LLREOPENING RESTAURANTS AND BARS DURING THE COVID-19 PANDEMIC Ae recommended 53: actions in place? place? OPE® AND rel aly protectemployees at highersiskforsevere iiness’ E i .as with signific onyAppendix 5: Setting Specific Guidance INTERIM GUIDANCE FOR CHILD CARE PROGRAMS The reopening of childcare programsis crucial helping parents and guardians return Choos forthe academic yearand, with summer quickly approaching, anincreasing number uidance for Child Care Programs that Remain Open provide recom areas by State and ocal iain opentoserve children of fansmission areas (earlier Phase areas) telework and other options as feasible toeliminatetravel Sin lower transmission later Phase) areas and vie versa ‘Gvidance for Child Care Programs that Remain ‘0 Phase 1: Restrict to children of essential workers 0 Phase 2: Expand toall children with enhanced socal distancing measures, 0 Phase 3. Remain open forall children with sociINTERIM GUIDANCE FOR CHILD CARE PROGRAMS ——_—_;_;_—a~———_—_—_—— Promote healthy hygiene practices (Phases 1-3) © Teach and reinforce washinghhands and covering coughs and sneezes among children and staf © Teach and reinforce use of cloth{ace coverings among al staf. Face coverings ae most essential at times when socal Aistancing's not possible. Staff shouldbe frequently reminded not to touch the face covering and to wash theirhands frequently information should be provided toall staff on proper use, removal, sno viasnng ot cin ace coverings © Have adequate supplies osupport healthy hygiene behaviors, including soap, hand sanitizer with atleast 60 percent alcohol (forstatf and older chien who cansafely use hand sanitizer) and issues, © Postsignson howto stop the spread of COVID-19, properly wash hands, promote everyday protective measures, and properly ara face covering. Intensify cleaning, disinfection, and ventilation (Phases 1-3) © Clean, sanitize, and disinfect frequently touched surfaces for example, playgroundequlpment, doorhandles,sinkhandles, {drinking fountains) multiple times per day. and shared objects betweenuse, © Avoid use of items (for example, soft or plush toys) that are not easly cleaned, sanitized, or dlsnfected, © Ensure safe and correct aplication of eisinfectants and keep products away from chien. entiation systems operate properly and increase circulation of outdoor ar as much as posible by opening, windows and doors using fans, and other methods. De nat open windows and door if doing so posesa safety orhealthrisk (forexample, allowing pollens in or exacerbatingasthma symptoms) to children using the fact, © Takesteps toensure that all water systems and features (for example, drinking fountains, decorative fountains) aresafetouse aftera prolonged fality shutdown tominimizethe rskof Legionnaires’ disease and ather diseases associated with water. Ensure social distancing Phase Land2 © Ensure that classes include the same group of children each day and thatthe same childcare providers remain with the same group each day. © Restrict mixing betweengroups ice! all field rps, intergroup events, and extracurricular activities [Phase 3) © Limit gatherings, events, and extracuricuar activities to those that can maintainsocal distancing, support proper hand hygiene, and restrict attendance of those from higher transmissionareas (Phase; Note: restricting attendance from those InPhase 1 areas), ‘0 Restrict nonessential visitors, volunteers, ndactvitiesinvolvng other groupsat the same time, 0 Space out seating and bedding (head-to-toe postioning) tosixfeet apart if possible © Close communal use spaces, suchas game rooms or dining halls, f possible; this isnot possible, stagger use and sin betweenuses. ———————— OO a i iINTERIM GUIDANCE FOR CHILD CARE PROGRAMS 60 Hacafeteria or group dining room typically used, serve meas in classrooms instead. Put each chil's meal ona plate, t0 limitthe use of sharedserving utensils © Stagger arrival and drop-off times or putin place other protocols to limit rect contact with parents as much as possible. © Phase © Consider keeping classes together to include the same group of children each day, and consider keeping the samme child care providers with the same group eachday. © Allow minimal mixing between groups. Limit gatherings, events, and extracurricular activities to those that can maintain social distancing, support proper hand hygiene, and restrict attendance of those from higher transmission areas (Phase 1 or2 areas) © Continue to space out seating and bedding (head-to-toe positioning) to sb feet apart, if possible, ‘© Consider keeping communal use spaces closed, such as game rooms, playgrounds, or dining hall, If possible; Ifthiss not possible, stagger use and disinfe inbetween uses. © Consider continuing to plate each chiles meal, tollmit the use of shared serving utensil © Consider limiting nonessential visitors, volunteers, andactivtiesinvolvingother groups. Restret attendance ofthose from higher transmission areas (Phase 1 or 2 areas), (0 Consider staggering arrval and drop-off times or putin place ather protocols tolimit direct contact with parents as much aspossible. Limit sharing (Phases 1-3) 10 Keep each child's belongings separated and in individually labeled storage containers, cubbies,or areas and taken home ‘each day and cleaned. © Ensure adequate supplies tominimizesharingof high touch materials tothe extent possible (art supplies, equipment et. assigned toa single camper or mit use of supp and equlpment by one group of children ata time and clean and disinfect between use. 0 Iffoodis offered atany event, have pre-packaged boxes or bags foreach attendee instead ofa butfetor family-style meal Avoidsharing of foods and utensils. © Avold sharing electronic devices, toys, books, other ames, and learning aids, 0 Preventriskof transmitting COVIO-19 by avoiding immediate contact (such as shaking or holding hands, hugging, or kissing), aswell as by mediated contact. Trainall staff (Phases 1-3) «0 Trainallstaffin the above safety actions. Consider conducting the training virtually, or, fi-person, ensure social distancing is maintained. AINTERIM GUIDANCE FOR CHILD CARE PROGRAMS Monitoring and Preparing ‘Check for signs and symptoms (Phases 1-3) © Screenchildren upon arrival, if possible. Establish routine, dally health checks on arrival, suchas temperature screening of both staff and children Options for daly health check screenings for children are provided in CDC's supplemental Guidance {for Child Care Programs that Remain Open and in COC's General Business FAQs for sereening tft. © Implement health checks eg. temperature checks and symptom screening) sereenings safely, and respectfully, and ‘with measures in place to ensure confidentiality as wellas in accordance with any applicable privacy laws or regulations Confidentiality shouldbe maintained. © Employers and childcare directors may use examples of screening methodsin CDC's supplemental Guidance for Child Care Programs that Remain Openat a guide, (0 Encourage stafftostay home ifthey aresick and encourage parents tokeep sic children home. Plan for when a staff member, child, or visitor becomes sick (Phases 2-3) © Identifyan ateato separate anyone who exhibits COVID-ke symptoms during hours of operation, and ensurethat children arenotleft without adult supervision. 0 Establish procedures forsaely transporting anyone sic tothsrhome orto healthcare facty, as appropriate. © Notify local health officials, stffand familes immediately of any possiblecase of COVID-19 while maintaining confidentiality asrequiredbythe Americans wth Disabilities Act (ADA). ‘0 Close of areas used by any sick person and do not use them until they have been cleaned. Wait 24 hours before you clean or Aisinfect to reduce risk to individuals cleaning ft snot possible to walt 24 hours, walt as long as possible. Ensure safe and cortect application of disinfectants and keep dlsinectant products away from children © Advise sick staffmembersnotto return untlthey have met COC: © Inform those wh have had close contact to person diagnosed with COVID-19 to stay home and self-monitor for symptoms, and to fellow CDC guidance f symptoms develop. fa person does not have symptoms follow appropriate CDC guidance for home islation, ‘Maintainhealthy operations (Phases 1-3) © Implement flexibesickleave polices and practices, feasible, © Monitor absenteeism to identify any trendsinemployee or child absences due toillness. This might indicate spreadot CCOVID-39 or otherness. Have a roster of trained backup staff inorder to maintain sufficient staffing levels (0 Designatea staff person tobe responsblefor respond! andhowtocontactthem. to COVID-19 concerns. Employees should know who this person's © Creates communication system for staff and families for self-reporting of symptoms and notification of exposures and _ eyPhases 1-3 © Itisveryimportantto check State and local health department notices dally about spread of COVID-19in the area andadjust operations accordingly (© Wherea community is deemeda significant mitigation community child care programs should close, exceptforthose caring, forthe children of essential workers, such asthe children of health care workers. © Inthe eventa person diagnosed with COVID-19is determinedtohave been inthe building and posesarisktothe community, programs mayconskderclosing fora few days fr cleaning and disinfection.INTERIM GUIDANCE FOR SCHOOLS AND DAY CAMPS ‘Ascommunities consider reopening centers for learning, such as K-12 schools nd summer day camps, COCoffers the following recommendations tekeep communities safe while resuming peer-to-peer earning and providingerucial support for parentsand guardians returning towork. These recommendations depend on community monitoringto prevent COVID-19fromspreading. Communities with iowlevels of COVID-19'spread and those with confidence thatthe ncidence of infections genuinely low ‘communities that main inlow transmission or thathave entered Phase two or three) may putin place the practices described below as part ofa phased reopening. Alldecisions about following these recommendations should be made_n collaboration with local health officials and other State and local authorities who can help assess the current level of mitigation needed based on levels of COVID-19.community transmission and the capacities of the local public health and healthcare systems, among other relevant factors © Inall Phases: © Establish andcontinue communication with local and State authorities to determine current mitigation levelsin your ‘community for severe lines, such as providing options forteleworkand © Protect and support staff and students who are at higher risk virtuallearning, «0 Follow CDC's Guidance for Schools and Childcare Programs. «0 Provide teachers andstaff from higher transmission areas (earlier ase areas) telework and other options as feasibleto eliminate travelto sehools and camps in lower transmission (ater Phase) areas and vie Versa. 1 Ensure external community organizations that use the facilities also follow this guidance. remain closed. Elearning or distance learning opportunities should be provided © Phase 1: Schools that are currently closed, school meal programs. Campsrestricttochildren of essential forall students. Ensure provision of student services such as workers and for children who live in the local geographic area only. inopen with enhanced social distancing measures and for children who liv in the local geographic area only. penwith dstancing measures. Restrict attendance to those fromilimited transmission areas (other Phase 3 0 Phase2: Rema o Phase 3:Remainoy areas) only.INTERIM GUIDANCE FOR SCHOOLS AND DAY CAMPS Promote healthy hygiene practices (Phases 1-3) © Teach and reinforce washing hands and covering coughs and sneezes among children and stat. HF . . when physical distancing! not possible. Staffshould be frequently reminded not totouch the face covering and to wash their hands frequently. Information should be provided all staff on proper uve, removal. and washing of cloth face coverings © Haveadequate suppliesto support healthyhygiene behaviors Including soap, hand sanitizer with atleast 6 percent alcohol for statf and older children who can safely use hand sanitizer, tissues, and no-touch trash cans © Postsigns on howto stopthe spread of COVID-19, properly washhends, promote everyday protective measures, and properly ec frequently touched surfaces within the school and on school buses at least daly (for example, playground equipment, doorhandles, sink handles, drinking fountains) andshared objects for example, toys, games, art supplies) between uses. © Toclean and disinfectschool buses see guidance forbus transit operators © Ensuressafeand corect application of dsinfectantsand keep products away from children 6 Ensure ventilation systems operate properiyand increase circulation of outdoor airs much as possible by opening windows and doors, using fans, orather methods. De not open windows and doorsifthey pose2 safety or healthrisk pollensinor xacerbatingasthma symptoms) riskto children using the fcity allowing © Takestepstoensure that all watersystems and features for example, drinking fountain after prolonged facility shutdown tominimizethe rskol Lezionnaices disease and other diseases associated with water. Ensure social distancing © Phase and2 © Ensurethat student andstaff groupings are as staticas possible by having the same group of children stay withthe same staf (all day for young children, and as much as possible for older children} o Restrictmixing betweengroups ‘© Cancelallfeld trips, intergroup events, and extracurricular activities (Phase 1) ‘© Limit gatherings, events, and extracurricu activities tothose that can maintain social distancing, support proper hand hygiene, and restrict attendance ofthose from highertransmisslonareas (Phase2; Note: restricting attendance from those inPhase areas) © Restrictnonessential visitors, volunteers, and activitiesinvolving other groupsatthe sametime © Space seating/deskstoat least she feet apart.INTERIM GUIDANCE FOR SCHOOLS AND DAY CAMPS © Close communal use spaces such as dining halls and playgrounds f possible; otherwise stagger use and disinfectin between use. 6 Ifa cafeteraor group dining room i typically used, serve meals in classrooms instead. Serve indvidualy plated meals and hold activitiesin separate classrooms. Stagger arrival and drop-off times or locations, or putin place other protocols to limit direct contact with parents as much as possible. © Create socal dstance between children on school buses where possible. © Phase3 © Consider keeping classes together to include the same group of children each day, andconsider keeping the same child care providers with the same group each day. © Allow minimal mixing between groups, Limit gatherings, events, and extracurricular activities to those that can maintain sorta distan or2areas), ing, support proper hand hygiene, and restrict attendance of those from higher transmission areas (Phase 1 © Continue to space out seating and bedding (head-totoe positioning) to six feet apart, if possible. 10 Consider keeping communal use spaces closed, such as game rooms or dining halls, if possible; ifthisis not possible, stagger use and disinfectinbetweenuses, © Consider continuing to plat each ctild’s meal, tolimit the use of shared serving utensil. © Consider limiting nonessential vistors, volunteers, and activities involving other groups, Restrict attendance ofthose from higher transmission areas (Phase 1 or2 area). 0 Consider staggering arrival and drop-off times or locations o putin place other protocolstolimit direct contact with parents as much as possible. Continue tostagger artval and drop-off times and plan tocontinue limiting direct contact with parents as muchas possible. Limit sharing (Phases 1-3) 10 Keep each child's belongings separated from others and in individually labeled containers,cubbies,or areas. 10 Ensure adequate supplies tominimize sharing of high touch materials tothe extent possible art supplies, equipment etc. {assigned toa single camper orlimit use of supplies and equipment by one group of children ata time and clean and disinfect etwaen use, « Iffoodis offered at any event, have pre-packaged boxes or bags fr each attendee instead of abuffetor family-style meal. ‘Avoid sharing offoodsand utensils. «0 Avoid sharing electronic devices, toys, books, and other games or learningalds. Trainall staff (Phases 1-3) 9 Trainallteachers andstaffinthe above safety ations. Consider conducting the training virtually or, in-person, ensurethat social distancing is maintained AINTERIM GUIDANCE FOR SCHOOLS AND DAY CAMPS CCheck for signs and symptoms (Phases 1-3) ‘0 Implement screenings safely, respectfully, a¢ well a in accordance with any applicable privacy laws or regulations. Conhdentiaty shouldbe maintained. © School and camp administrators may use examples of sereening methods in CDC's supplemental Guidance for Child Care Programs that Remain Open as aguide for screening children and CDC's General Susiness FAQs for screening staff. «© Encourage staffto stay home if they ae sickand encourage parents to keep sick children home, ‘0 Encourage staf or children who are sicktostay athome. Plan for when a staff member, child, or visitor becomes sick (Phases 1-3) | © Workwith school administrators, nurses, and ather healthcare providers toidentity an solation room or areatoseparate “anyone who exhibits COVID-ike symptoms Schoo! nurses and other healthcare providers should use Standardand “Transmission-Based Precautions when cating for sick people. See: What Healthcare Personnel Should Know About Caring for rts with Confirmedor Possible COVID-18Infection. «0 Establish procedures for safely transporting anyone sick home or toa healthcare facility. 0 Notify local health officals, staf, and families immediately of 2 possible case while maintaining confidentiality asrequiredby ‘the Americans with Disabilities Act (ADA). © Close off areas used bya sick person and do not use before cleaning and disinfection. Wait 24 hours before you clean and disinfect. ft is not possible towalt 24 hoursis, waitaslongas possible. Ensure safe and correct application of disinfectants ‘and keep disinfectant products away from children, © Advise sic staff members not to return untiithey have met COC: «6 Inform those who have had close contact toa person dlagnosed with COVIO-19 to stay home and self-monitor for symptoms, and to follow CDC guidance if symptoms develop. if2 person does not have symptoms follow appropriate CDC guidance for home isolation, Maintain healthy operations (Phases 1-3) ‘0 Implement flexible sick eave policies and practices, feasible. © Monitor aafabserteelsm and have: stat osterof trained backup ‘9 Monitor health linic traffic. School nurses and other healthcare providers play an important rolein monitoring health clinic trafficand the types of illnesses and symptoms among students. 0 Designate a staff person tobe responsible for responding to COVID-19 cancems, Employees should know who this person is and how tocontactthem, © Create communication systems fo staff and families for sel-reporting of symptomsand notification of exposures and dosures EEINTERIM GUIDANCE FOR SCHOOLS AND DAY CAMPS Phases 1-3 © Check tate and local health department notices dally about transmission inthe area and adjust operations accordingly arcktothe community, ‘Bragrams may consider cosin fora short time (1-2 days) for cleaning and disinfection.INTERIM GUIDANCE FOR COMMUNITIES OF FAITH INTERIM GUIDANCE FOR COMMUNITIES OF FAITH (COCoffersthe following recommendations tohelpcommunitiesoffathcontinue topractcethet belts while keeping their staff ‘and. congregations safe. This guidance s notintended ta infringe on First Amendment rights as provided inthe US. Constitution, Asall Americans renow aware, gatherings presenta special risk for increasing spread of COVID-19 during this Public Health Emergency. The federal government may not prescribe standards for interactions of faith communities in houses of worship and, in accordance with the Religious Freedom Restoration Act (RFRA), nofaith community should be ‘asked toadopt any mitigationstrategies thatare morestringentthan those asked of similarly situatedentities or activities, ‘COC offers these suggestions that faith communities may consider and accept or reject, consistent with thelr own faith {traditions inthe course of preparing their own plans to prevent the spread of COVID-19.In communities deemed by CDC's 0 the larger community of continuing or resuming in-person gatherings (guidance tobe significant mitigation areas, thei shouldbe taken intoaccount and virtual options strongly considered. All decisions about following COC's recommendations should bemadein collaboration with local health officials and other State and local authorities whocan help assess the current levelof mitigation needed based evels of COVID-19community transmission and the capacities of ‘thelocal publichealthand healthcare systems. COCoffersthe following suggestions for consideration totheextent consistent with each community sfaithtradtion: © Inall Phases: © Establish and continue communication with local and State authorities to determine current mitigation levelsin your community. ‘0 Protect staff and congregants who areat higher sk or severe illness encouraging use of options to partcioate virtually, if possible © Continue to provide congregants with spiritual and emotional are and counseling on a flexible or virtual basis, orrefer themto otheravallable resources, © Encourage other entities using the facities toalsofollow this guidance. © Ifthe facility offers childcare or educational programming fr children and youth follow COC guidance fr such programs. (© Phase 1:Limit gathering: tothore that can be held virtually (by remote viewing for ptinne and consider ideo streaming or drive-in options for services. Limit the sizeof in person gatherings in accordance withthe guidance and directives of state and local authorities, and maintain socal distancing, consistent with the community’sfath traditions. © Phase 2: Consider continuing tohold gatherings virtually (by remote viewing) or winerable populations and video streaming ‘or drive-in options for services. Limit the size of n person gatheringsin accordance with the guidance and directives of state and localauthorities, and maintain socal distancing. (© Phase 3: Limit gatherings to those that can maintain socal distancing and consider video streamingor drive-in options for wulnerable populations SSeen Promote healthy hygiene practices (Phases 1-3) ‘© Encourage use of a loth face cowering ane acts a al gatherings and when in the building. Not using acoth face covering ‘may alo be appropriate at times for some individuals who have trouble breathingor need assistance toremovethelr mask, © Have adequate supplies to support healthy hygiene behaviors including soap, hand sanitizer with atleast 0 percent alcohol (forstatfand older children whocansafely ue hand sanitizer) sues, andno-touchtrash cas. res, suchas washing © Consider posting signs on howto stopthe spread of COMID-19 and promote everyday protect hands and covering coughs and sneezes and properly wearing. face covering. {Intensify cleaning, disinfection, and ventilation (Phases 1-3) © Cleanand disinfect frequently touched surfaces at least dally and shared objects between use © Avoid use of tems thatarenot easllycleaned, sanitized or disinfected. © Ensure of disinfectants and keep products away trom children. © Ensure that ventilation systems operate properly and increase circulation of outdoor air 88 much as possible by opening windows and doors, using fans, etc. Donat open windows and doorsif they pose a safety isk tochildrenusing the faciity. 0 Takestepstoensurethatall watersystems and features (for example, drinking fountains, decorative fountains) are safetouse aftera prolonged facility hhutdown tominimize the rskof Legionnaires’ disease and other diseases associated with water. Promote social distancing (Phases 1-3) © Limitthe size of gatherings in accordance with the guidance and directives of state and local authorities and in accordance With RFRA, (0 Consider cantuingtodfevideo streaming or drive-in options for services. © Ifappropriate and feale, add additional services to weekly schedules to maintain social distancing at each service, ‘ensuring that clergy, staff, and volunteers atthe services ensure social distancing tolessen their isk. ‘0 Consider holding services and gatheringsina large, well-ventilated area or outdoors, as circumstances and fithtraditions allow. 0 Space out seating for attendees who de not liven the same household toatleastsixfeet apart when possible; consider limiting seating toalternaterows ‘0 Consider whether ther gatherings may need tohave attendance limited or be held virtually ifsocal dstancingis difficult, gious education classes, youth everts, support groups, and any ther programming. suchas funerals, weddings 19 Avoid or consider suspending use ofa choir or musical ensemble during religious services or other programming, if “appropriate within the fith tradition. Consider having soloist or strictly limiting the numberof choir membersandkeep at least sic feet betweenindividuals. «© Consider having clergy hold virtual visits (by phone or online) instead of in homes or atthe hospitalexcept for certain compassionate care situations, suchas endofife Limit community sharing of worship materials and other items (Phases 1-3) ‘9 Consistent with the community's faith tradition, consider temporarily limiting the sharing of frequently touched abject such as worship aids, prayer books, hymnals, religious texts and other bulletins, books or other items passed or shared “among congregants, and encourage congregantsto_bringtheirown,ifpossible, photocopying. or projecting prayers, songs,INTERIM GUIDANCE FOR COMMUNITIES OF FAITH ‘and texts using electronic means © Consider modifying the methods used toreceive financial contributions. oreargi considera stationarycollecion bor, the ‘mail or electronic methods of collecting regular financial contributions instead of shared collection trays.or baskets, © Consider temporarily limiting close physicalcontact among members ofthe faith community during religious rituals as well ‘as mediated contact through frequently touched objects, consistent withthe community’ faith traditions andin ‘consultation with local heath officials as needed, © Itfood!s offered at any event, have pre-packaged boxes or bags fr each attendee whenever possible, instead of a buffet or {amily styler ‘© Avoid food offerings when tis being shared from common dishes. ‘Train all staff (Phases 1-3) © Trainall clergy and staff in the above safety actions. Consider conducting the training virtually, or, in-person, ensure that social distancing s maintained. Monitoring and Prep: ‘Check for signs and symptoms (Phases 1-3) © Encourage staff or congregants who aresick tostay athome. Plan for when a staff member or congregant becomes sick (Phases 1-3) © Identify anareato separate anyone who exhibits COVID-ike symptoms during hours of operation, and ensure that children arenotleft without adult supervision 6 Establish procedures for safely transporting anyone who becomes sickat the facility totheir home ora healthcare facility. © Notify local health officials if a person diagnosed with COVID-19 has been in the facility and communicate with staff and congregants about potential exposure while maintaining confidentiality as required by the Americans with Disablities Act (ADA) orether applicable laws anin accordance with religious practices. © Inform those with exposure toa person diagnosed with COVID-19 to stay home and self-monitor for symptoms, and follow (COC guidance if symptoms develop. © Close off areas used by the sick person and do not use the area untiit after cleaning and disinfection; wait 24 hours toclean and disinfect to reduce risk to Individuals leaning. Ifit isnot possible to wait 24 hours, wat as long as possible beforeccleaning, and disinfecting. Ensure safe and correct application of disinfectants and keep disinfectant products away from children. 0 Advise sickstaff and congregants not toreturntothe facility untilthey have met CDC's ritera to discontinue home isolation, Maintain healthy operations (Phases 1-3) © Implement flexible sick leave and related flexible policies and practices for staff (e. allow workfromhome, iffeasible). ‘@ Monitor absenteelsm and create aroster of trained back-up staff. Designatea staff person tobe responsible for responding to COMID-19 concerns. Employees should know who this person isandhowtocontactther. © Communicate clearly wth staff and congregants about actions beingtaken to protect thelr health. LS ey{GUIDANCE FOR COMMUNITIES OF FAITH Phases 1-3 ‘© Check State and local health department notices dally about transmissionin the area and adjust operations according © Inthe event a person diagnosed with COVID-19is determinedto have been inthe bulldingand posesarrisktothe community, "Risstronaly suggested to close, then properly clean and disinfect the area and the building where the individual was present.INTERIM GUIDANCE FOREMPLOYERS WITH VULNERABLE WORKERS ‘As workplaces consider re-opening iti particularly important tokeep in mind that some workers are at higher isk for severe illness from COVID-19. These vulnerable workers Include individuals over age 65 andthose with underlying medical conditions. Such underlying conditions include, but are not limitedto, chronic king disease, moderate to severe asthma, hypertension, severe heartconaltions, weakenedimmunity, severe obesity, dlabetes, ver disease, andchronickidney disease that requires dialysis. Vulnerable workers should be encouraged to sel-identily, and employers should avoid making unnecessary medical Inquiries. Employers should take particular care to reduce vulnerable workers’ rskof exposure to COVID-19, while makingsureto bbecompliant with relevant Americans ith Dabs A|ADA and Age Discrimination in Employment Act (ADEA) regulations First ‘and foremost, this means following COC’sand the Occupational Safety and Health Administration (OSHA) guidance for reducing workplace exposure forallemployees.Alldecisionsabout folowing. these recommendations should be made incollaboration inte and other State a d onlevelsof COVID-19 community transmissionand the capactiesof the local public health and healthcare systems. Inaddition, the guidance offeredbelow applies to workplaces generally; specific Industries may require more stringent safety precautions. Finally, there may be essential workplacesinwhich the recommended mitigationstrategiesarenot feasible. Conn © Inall Phases: with focal auth © Establishand continue communication with local and State authorities to determine current mitigation levels in your community. © Protect employees at hiahersck forseverellness by supporting and encouraging options totelework. © Consider offering vulnerable workers duties that minimize ther contact withcustomersand other employees(e.g., restocking shelves rather than workings cashier), ifagreed toby the worker. 10 Ensure that any ather entities sharing the same workspace alsofollow this guidance. 1 Provide employees from higher transmission areas earlier Phase areas) teleworkand other options.s feasibleto ’liminate travel to workplaces in lower transmission later Phase) areasandvice versa. © Phase 1: Reopen oniy f business can ensurestrict socal distancing, proper cleaning and disinfecting requirements, and pro- tection of their workers and customers; vulnerable workers are recommended to shelter in paceINTERIM GUIDANCE FOR EMPLOYERS WITH VULNERABLE WORKERS © Phase2: Reopen only business can ensure moderate social distancing, proper cleaning and disinfecting requirements, and protection oftheir workers and customers; vulnerable workers are recommended to shelter in place. © Phase 3: Reopen only if business can ensurelimited social distancing, proper cleaning and disinfecting requirements, and protection of their workers andcustomers. Promote healthy hygiene practices (Phases 1-3) © Enforcehand washing, covering coughs and sneezes, and using cloth face coverings when around others where feasible; however, certain industries may require face shie © Ensure that adequate supplies to support healthy hygiene behaviors, including soap, hand sanitizer with atleast 60 percent ‘alcohol, tissues, and no-touch trash cans © Post signs on howtostop the spread of COVID-19 properly wash hands, promote everyday protective measures, and properly wears face covering Intensify cleaning, disinfection, and ventilation (Phases 1-3) © Clean, sanitize, nd disinfect frequentiytouched surfaces atleast dally and shared objects between use. ned, sanitized, or disinfected. © Avoid use or shating of tems that are not easily le © Ensuresafeand correct application of disinfectants. © Ensure that ventilation systems operate properly and increase circulation of outdoor air as muchas possible by opening win dows and doors, using fans,or other methods. Donat open windows and doorsif doing so poses safety rsktoindlviduals andemployeesusingthe workspace. 0 Takestepstoensurethatall watersystems and features (for example, drinking fountain, decorative fountains) ae safe to use after a prolonged aciity shutdown to minimize the risk f Legionnaires diseaseand other diseasesassociated with water. Ensure social distancing (Phases 1-3) «Limit service to drive-throughs, curbside take out, or delivery option, if possible (Phase 1). 6 Considerinstaling physical barirs, such as sneeze guards and partitions, and changing workspacelayouts to ensure ll individuals remain at eas six feet apart. «© Close communal spaces, suchas break rooms, if possible (Phase 1) or stagger use and clean and dsinfectin between uses (Phases28&3). 0 Encourage telework for as manyemployeesas possible. © Consider rotating or staggering shifts to limit the number of employees in the workplace atthe same time 9 Replace in-person meetings with video: or teleconference calls whenever possible. Cancelall group events, gatherings, or meetings of more than 10 people (Phase 1), of morethan $0 people (Phase 2), and any events where social distancing of atleast 6 feet cannot be maintained bet ween participants (all Phases) aINTERIM GUIDANCE FOR EMPLOYERS WITH VULNERABLE WORKERS ‘0 Restrict (Phase 1) or considerlimiting (Phase 2) any nonessential visitors, volunteers, andactivtis involving externa groups ororganizations. © Limit any sharing of foods, tools, equipment, or supplies, Limit travel and modify commuting practices (Phases 1-3) © Cancel ali non-essential travel (Phase 1) and consider resuming non-essential travelin accordance with tateand local regu lations and guidance (Phases 2&3) © Ask employees who use public transportation toconsider using teleworking to promote social distancing person, ensurethat © Trainall managers and staffin the above safety actions. Consider conducting the training virtually, oF social distancing is maintained, eoicun ate Checking for signs and symptoms (Phases 1-3) 0 Consider conducting routine, dally health checks (e.g, temperature and symptom screening) ofall employees. © Ifimplementing health checks, conduct them safelyand respectfully, andin accordance withany applicable privacylaws and regulations. Confidentiality should be respected. Employers may use siness FAQs as guide. examples of screening methods in OC's General «0 Encourage employees who aresick tostay athome. Plan for when an employee becomes sick (Phases 1-3) © Employees with symptoms (fever, cough, or shortness of breath) at work should immediately be separated and sent home. 0 Establish procedures for safely transporting anyone sick totheir home ortoa healthcare facilty. 0 Notify local health officials, staff, and customers i possible immediately of a possible case while maintaining confidentiality ‘as required by the Americans with Disabilities Act ADA); other information on civilrights protections forworkersrelatedto COMID-19isavallablehere, o Close off areas used by the sick person until after cleaning and disinfection Wait 24 hours to clean and disinfect. Hits not possible to wait 24 hours, wait as long as possible before cleaning and disinfecting. Ensure safe and correct application of disinfectants and keep disinfectant products away from children. 6 Inform those who have had close contact to person lagnosed with COVID-19 to stay home and self-monitor for symptoms, and to {follow COC guidance If symptoms develop. Ia person does not have symptoms follow appropriate CDC guidance for home isolationMaintain healthy operations (Pha 1.3) © Implement flexible sick leaveand other flexible policies and practices, such as telework, if feasible © Designate a staff personto be responsible for responding to COVID-19 concerns. Employees should know who this person Is {and how to contact them. © Create andtest communication systems for employees for self-reporting and notification exposures and closures. Phases 1-3 © Check State and loca health department notices daily about transmission in the area and adjust operations accordingly prepared toclose fra few days ifthe Is case of COVID-191n the workplace or forlongerifcases increase inthe localINTERIM GUIDANCE FOR RESTAURANTS AND BARS This guidance provides considerations for businesses inthe food service industry (e.g, restaurants and bars) on waystomaintain healthy business operations anda safeand healthy work environment for employees, while reducing the risk of COVID-19 spread fon (OSHA) forbothemployeesand customers. Employers should follow applicable Occupational Safety and Health Administ ‘and CDC guidance for usinessesto plan and respondtoCOVID-19. All decisions about implementing these recommendations should be made in collaboration with ocal health officials and other Stateandlocal authorities who can help assess the current level of mitigation needed based onlevelsof COVID-19 community transmission andthe capacitiesof the local publichealthand healthearesysters, © Inall Phases: © Establih and continue communication with local and State authorities to determine current mitigation levels in your ‘community. © Considerassigning vulnerable workers duties that minimize their contact withcustomers and other employees (e.g., man aginginventory rath in working 25a cashier, managing adminstraiveneeds through telework) © Provide employees from higher transmission areas (earlier Phase areas)teleworkand other optionsas feasibletoelimi- nate travel to workplacesin lower transmission (later Phase) areas and vice versa ‘© Phase 1: Bars remain closed and restaurant sevice should remainlimitedto drive-through, curbside takeout, or delivery with strict social distancing ‘© Phase2: Bars may open with limited capacity; restaurants may open dining rooms with limited seating capacity that allows forsocial distancing, ‘© Phase 3: Bars may open with increased standing room occupancy that allows fr social distancing; restaurants may operate while maintaining social distancing.INTERIM GUIDANCE FORRESTAURANTS AND BARS Promote healthy hygiene practices (Phases 1-3) © Enforce hand washing, covering coughs and sneezes, and use ofa cloth face coverings by employees when near ather ‘employeesandcustomers. © Ensure adequate supplies tasupport healthy hygiene practices for both employees and customers including soap, hand sanitizer with atleast 60 percent alcohol perhaps on every table, If supplies allow), and ssues. Post signs on howtostoptne spread of COVID-19properh wash hands, promote everyday protective measures, and properly weara face covering, Intensify cleaning, disinfection, and ventilation (Phases 1-3) 0 Clean and disinfect frequently touched surfaces (for example, daor handles, work tations, cash registers) atleast dailyand \dimentholders) between use shared objects (for example, payment terminals, tables,countertogs/bars,receipttrays, con Use producte that meet EPA's critena for use against SARS CoV-2and that are appropriate forthe surface. Priortowiping the surface, allow the disinfectanttosit forthe necessary contact time recommended by the manufacturer, Trainstaffon proper cleaning procedures to ensure safeand correct applicationof disinfectants. ‘9 Make avallable Individual disinfectant wipes in bathrooms, and post reminders nottoflush these wipes but todispose of theminthetrash. surfaces, food preparation suaces, and beverage equipment ater use. o Wash, rinse, and sanitize food «6 Avoid using orsharingitems suchas menus, condiments, andany other food. Instead, use disposable or digital menus, single ‘serving condiments, and no-touch trash cans and doors. when available. Askeustomersand.employees to exchange cash or 6 Use touchless payment options as much as possible, ther than by hand. Wipe any pens, counters, or hard surfaces card paymentsby placing ona receipttrayor on the counter betweenuseorcustomer. sposable food (utensils, dishes) @isposable tems are not fe Jhed with dish soap and hot water or ina dishwasher. Employees should wash © Use disposable food service is service items re handled with gloves and was ‘hard after removing their gloves or ater direct handling used food serviceitems cor handling and disposing of trash and wash hands afterwards ths 0 Usegloves when removing garbage bags «© Avoid using food and beverageimplements brought in by customers. «7 Ensure that ventilation systems operate propetlyand increase culation of outdoor ar as much as posible by opening vvrdowa and doors, using fans, other methods. Donot open windows and doersif doing soposesa safety risktoemployees, children, orcustomers. .oensurethatall water systems and features (or exarm izethe riskof Legionnaires’ disease and other diseases associated with water. pl, drinking fountains, decorative fountains) aresafetouse after prolonged facility shutdown to minimiINTERIM GUIDANCEFORRESTAURANTS AND BARS Ensure social distancing, Phase 1 © Limit service todrive-through, delivery, or curbside pick-up options only. © Provide physical guides, suchas tape on floors or sidewalks toensure that customers remain at least six feet apartin lines ‘orask customers to waitin theircars or away from the establishment while wating to pick up food. Pest signs to Inform ‘stomers ol food pickup protocols © Consider installing physical bariers, such as sneeze guards and partitions at cash registers, or ther food pickup areas where ‘maintaining physical distance of six feetis dificult. © Restrict the numberof employees in shared spaces, includingkitchens, break rooms, and offices tomaintainatleast asixfoot distance betweenpeopl. © Rotate or stagger shits to fmt the number of employees in the workplace atthe same i Phase? © Provide drive-through, delivery, or curbside pick-up options and prioritize outdoor seating as much as possible © Reduce accupancy andiimitthe size of parties diningin together to sires that ensure that allcustomer parties remain atleast sixfeet apart (e.g, alltables and bar stools sx feet apart, marking tables/stool that ae not for use)in order to protect staff and otherguests © Provide physical guides, suchas tape on floors or sidewalks and signage on wallsto ensure that customers remain atleast six feet apart in lines or walting for seating ‘0 Askcustomers to waitin thelr cars or away fromthe establishment while waiting tobe seated. If possible, use phone app technology toalert patrons when thelr tableis ready toavold touchingand use of “buzzes.” ‘© Consider options for dine-n customers to order ahead of time to limit the amount of time spent in the establishment © Awold offering any se dor deickop as buets, salad ta © Install physical barriers, such as sneeze guards and partitions at cash registers, bars, host stands, and other areas where ‘maintaining physical distance of sicfeet is dificult. © Limit the number of employeesin shared spaces, including kitchens, break rooms, and offices to maintain at eastasb-foot distancebetween people. Phase3 60 Provide drive-through, delivery, orcurbside pickup options and prioritize outdoor seating as muchas possible. © Consider reducing occupancy andlimiting the size of parties dining in together tosizes that ensure that ll customer parties remainatleast six feet apart (e.g, alltables and bar stools six feet apart, marking tables/stools that are not for use) in orderto protectstaffand otherguests. «0 Provide physical guides, suchas tape on flors or sidewalks and signage on wallstotensure that customers remain at least six feet apart in fines oF waiting for seating.INTERIM GUIDANCEFOR RESTAURANTS AND BARS rons when theirtable is ready toavoid touching and use of burzers.” © Ifpossible, use phone app technology toalert ‘0 Consider options for dine-incustomers tocorder ahead © Avoid offering any self-serve food or drink options, such as buffets, salad bars, and drink stations. bars, host stands, and other areas where of time tolimit the amount of time pent inthe establishment. 6 Install physical barriers, such as sneeze guards and partitions at cash registers, maintaining physical distance of sh feet dificult ‘Train al staff (Phases 1-3) «0 Trainall employeesinthe above safetyactions while maintaining socal distancing and use of face coverings during training, Monitoring and Preparing Checking for sions and symptoms {Phases 1-3} ‘0 Consider conducting dally health checks (e.g, temperature andsymptom screening) of employees. © Ifimplementing health checks, conduct them safely and respectfully, and in accordance with any applicable privacy laws and regulations. Confidentiality should be respected. Employers may use examples of screening methods in CDC's General Business FAQs asa guide. © Encourage staff who are sick tostay at home. Plan for when an employee becomes sick (Phases 1-3) 10 Employees with symptoms of COVID-19 (ever, cough, or shortness of breath) at work should immediately be sent to their home. 1 Inform those who have had close contact toa person diagnosed with COVID-19 to stay home and self-monitor for symptoms, and to fellow CDC guidance if symptoms develop. if person does not have symptoms follow appropriate CDC guidance for home isolation. ish procedures fo safely transporting anyanesick to their home or toa healthcare facil. fst «0 Notify iocal heathofficial, stalf,and customers {if posble)immediatelyof any possible case of COVIO-19 hile maintaining confidertaltyasrequiredbythe Arians with Disabilities Act (ADAJorotherappleablelaws.. 0 Cose of areas used bya sick personand dont sure them untae clesningand disinfection Walt 24 hoursbefore cleaning ad sifting itis not possible to wait 24 hous, wait alongs posible Ensure safe andcorectapplcationt snfectantsandkeep disinfectant products away tromchlden. «0 Advise sick staff members nottoretur unt they have metDC’scritriato discontinue homeisoiation. Phases 1-3 © Check State and local health department notices about transmission in the area dally and adjust operations accordingly 1s increase inthe 10 Bepreparedtoclose fore tew days f there isa case of COVID-19in the establishment and for longer fc focal area EE SeINTERIM GUIDANCE FOR MASS TRANSIT ADMINISTRATORS Mass transits critical for many Americans to commute toand from workandtoaccess essential goodsand services. This {Buidance provides considerations for mass transit administrators to maintain healthy business operations anda safe and healthy ‘work environment foremployees, while reducing the riskof COVID-19spread for bothemployees and passengers. Administrators should follow applicable guidance rom the CUCand UccupationaiSatety ane Hesitn Administration {OSMA) for reducing workplace exposure. Alldecisions about following these recommendations should be made in collaboration withlocal health officials and other State and ocal authorities who can help assess the current level of mitigation needed based on levels of COVI-19 community transmissionand the capacities ofthe local publichealthand healthcare systems. (© Restrict routes between areas experiencing different levels of transmission (between areas in diferent Phases), tothe extent possible. © Provide employees from higher transmission areas (earlier Phase areas) teleworkand other options as feasibleto eliminate travel to workplacesin lower transmission (laterPhase) areas and vice versa, © Establish and continue communication with tate and local health officials to determine current mitigationlevelsinthe communities served, Decisions about how and when toresume fll service should be based on these levels. © Follow CDC's guidance onwhat bus transit operators caltransit operators, transit maintenance workers, and transit station workers need toknowabout COVID-18. ‘0 Consider assigning vulnerable workers duties that minimize their contact with pascengersandatheremployees use of cloth hazard assessments toidentify COVD-19 prevention strategies, such as appropria (0 Conduct works coverings or personal protective equipment (PPE), and fllow the prevention strategies. tial ential infrastructure workers in areas needing significant mitigation and maintain © Phase 1: Restrict ridership to. strict social distancing as much as possible. © Phase 2: Maintain socal distancing between transit ridersand employees as muchas possible. © Phase 3: Encourage socal distancing as much as possible.INTERIM GUIDANCE FOR MASS TRANSIT ADMINISTRATORS Promote heathy hygiene practices (Phases 1-3) © Enforce everyday peventive actions such ashand washing covering coughs andsneeres, and use of cloth face covering boyemployees whenaround others 2s safety perms, Provide employees withappropriate equipment as necessary ands avaiable. Communicate withthe pubicabout the importance ofysiene,coveringcoughs andsneezes and using cloth face coverings while using mass transportation, including posting signin transitstations and vehicles on how tostopthe spread &f COMD-18,propesy washhands, promt everyday protective measure, and propery wearalacecoverng © Ensure adequate supplies tosupport healthy hygiene behaviors fr transit operates employees, and passengersinstations, ‘including soap, handsanitizer with teas 60 percentalcaho tissues, andno-touch rashcans {Intensify cleaning, disinfection, and ventilation (Phases 1-3) © Clean, sanitize, and disinfect frequentiy touched surfaces (forexample, kiosks, igtalinterfaces suchas touchscreens and fingerprint scanners, ticket machines, turnstiles, handrails, restroom surfaces elevator buttons) atleast daly. Clean, sar Infectthe operator area between operatorshits, © Use touchless payment and no-touch trash cans and doors as muchas possible, when available. Ask customersand cemaloyees toexchange cath or credit cards by lacing na receipt tray or on the counter rather thanby hand and wipeary pens, counters, or hard surtaces between each use or customer ‘0 Avoid using or sharing items that are not easly cleaned, sanitized, or disinfected, suchas disposable transit maps. (© Ensuresafeand correct application of disinfectants. 10 Use gloves when removing garbage bags or handling and disposing of trash and wash hands afterwards. 10 Ensure that ventilation systems operate propery and increase circulation of outdoor air as muchas possible by opening windows and doors, using fans,or other methods. Bonet open windows and doors ifthey posea safety isk opassengers or employees, or other vulnerable individuals. © Take steostoensure that all watersystems and eatures (for example, drinking fountains, decorative fountains) are safetouse after a prolonged acilty shutdown tominimizethe riskof Legionnaies' disease and other diseases associated with water Ensure social distancing Phase 1 and Phase2 6 institute measures to physically separate or create distance of atleassixfeet between al ccupants to the extent possible. This may chug: 0 Asking bus passengersto enter and ext the bus through rear doors, while allowing exceptions for persons with dsabilties, (© Closing every other row of seats. (0 Reducing marimar c-upancy of buses and individuct subway and train cars and increasing sevice on crowded routes 3¢ sooropriate ——————EEEEIDANCE FOM MASS TRANSIT ADMINISTRATORS main at last vn eel apart while on vehicles and at transit stations and n be ved to ners should not stor stand indicate where pa fide passengers © Install physleal barley, such as sreeze guards and partitions at ta hioshs and on tranait vehicles tothe extant practicable 00m, I posible, otherwise, stagger use and clean and disinfect in between uses, © Clove communal spaces, suchas br Phases Consider or continue nattuting me spate Betance between ortupact. sia © Provide physical guides tohelp customers maintain physica dhstance wivle on vehicles and at transit stations and stops. For example, floor decals, colored tape, oF signs toindicate where passengers should not stor stand canbe used to guide passengers, © Insta or maintain physical barriers, such ‘extent practicable, and partitions at staffed kiosks and on transit vehicies tothe ‘Train employees (Phases 1-3) © Train all employees inthe above safety actions while maintaining socal distancing during traning, fen he Checking for gene {Phases 1-3) © Consider conducting © Ifimplementing health checks, conduct them safely and respectfully, andin accordance with any applicable privacy laws !nd regulations, Confidentiality should be respected. Employers may use examples of screening methods in CC's General Business FAQ as aguide, who aresickto stay at home, ity health check (e, temperature screening) of allemployees. © Encour Plan for when an employee becomes sick (Phases 1-3) © Employees with symptom of COVIO-19 fever, cough, shortness of breath} at work should immediately be sent home, © Inform those who have had close contact to a person dlagnosed with COVID-19 to stay home and self-monitor for symptoms, and to follow CDC guidance W symptoms develop, person does not have symptoms follow appropriate CDC guidance for i © Fstablish procedures for safely transporting anyone sick tothelr home or toa healthcare facity, 1nd customers (i possible) immediately of any possible case of COVID-19 while maintaining ActIADA), © Nottylocal health offic confidentiaityas requiredby the Americans with DisabilINTERIM GUIDANCE FOR MASS TRANSIT ADMINISTRATORS © Close off areas used bya sick person and do not use until after cleaning and disinfection. Wait 24 hours, before correct application of disinfectants and keep disinfectant products away from children. Affected vehicles eaning and. disinfecting 24 hours snot feasible, waitaslong as possible. Ensure safe and canbe usedimmediatelyaftercleaning and disinfection © Advise sick staff members nottoreturn untilthey have met CDC's criteria to dis with suspected or confirmed COVID-19, Maintain healthy ‘operations (Phases 1-3) © Implement Mexiblesckleave and other flenibleg ‘ practices, if feasible, © Monitor absenteeism of emplovees and createa rosterof trained backup stat © Designatea statf person tobe responsible for responding to COVID-19 concerns. Employees and customers should know who this persons and howto contact them. on syStems Tor employees and customers lor sell-reportng of symone notification of exposures andelosures. ect tenes and local health department notices about transmission Inthe area dally and adjust operations accordingly © Be prepared toreduce servicesifthe community mitigation levelincreases inthe local area, © Continue communication with staf andthe public about decision making.Appendix 6 - Community Leader’s Guide - Tc This ist)» initial concept slide for a community lea |OPENING UP VT WCU ar td Contents 1s guide tookkit to bs ntly developed by CDC and FEMA. The Community Leader's Guide is a companion to CDC implementation guidance. It provides tools and resources to assist decision makers ‘operationalize the ( 0 ing Up America Aa framework and monitor local conditions (transmission, public health, and healthcare system capacity) and adjust community mitigation strategies accordingly. The step-by-step guide will help a community assess conditions and benchmark itself against gating criteria as well as plan and implement a phased reopening. These practical tools will help ‘communities track progress and respond to health and economic indices of success. State, local, tribal and territorial officials are best positioned to know the circumstances in their communities and what is, needed. The Community Leader’s Guide will support officials make informed decisions to protect public health and reenergize the local economy. 63|Page