SEafield Day


Nursery

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                                           Policies and Procedures for Covid-19

 
This document will outline the necessary steps to be taken by Seafield Day Nursery to ensure that all children and staff are safe during the Covid-19 outbreak.  Seafield Day Nursery will follow the guidelines, recommendations and directives of Toronto, Public Health and the Ministry of Health and report all presumptive and confirmed cases to the governing bodies listed above as well as the Ministry of Education.



Active Screening of Children and Staff

 

Seafield Day Nursery must implement active screening of all staff and children entering the facilities, except for emergency first responders who in emergency situations are permitted entry without screening.

 

Parents and Guardians are not permitted to come in the premises unless it is deemed for an emergency.  The active screening guidelines will then apply to the parent and guardian seeking entry.

 

Children will be dropped off at the screening station.  The parent and guardian will wait with the child to allow the staff to do the pre entry screening.  Questions regarding the child’s health may be asked and answered with complete transparency.  If a child is experiencing any of the symptoms on the symptom list (see guidance for symptomatic individuals below) including and foremost a temperature greater than 37.8 celcius, they will not be permitted to enter the premises.  Entry will be denied to any person, including the child of a parent/guardian who has any symptoms outlined in the document on the Ministry of Health’s COVID-19 website.  Children in particular should be monitored for atypical symptoms and signs of Covid-19. 

 

Children who are ill are not permitted to attend the Child Care Center.

 

Thermometers must not be used between children/staff without single use protective covers or disinfecting between use or Infrared Thermometers will be used.

 

If children are screened at the center, screeners must take appropriate precautions when screening and escorting children to the program.  This includes maintaining a distance of at least 2 meters from those being screened or being separated by a physical barrier.  Proper PPE’s (mask, face shield, gloves) should be worn.

 

Alcohol based sanitizers will be placed at all entry points and screening stations.  The sanitizers should not be in locations that can be accessed by young children.

 

Screening must include twice daily (at drop off and at pick up, or end of shift) symptom screening, including temperature checks. 

 

Management of Children with suspected Covid-19 symptoms

 

Anyone showing symptoms (typical or atypical) of Covid-19 should not be allowed to enter and should go immediately to self -isolate.  Supervisor will follow up on all staff and children who have been advised to self -isolate based on exposure risk.

 

 If a child is showing symptoms during the day:

 

Must be isolated in a room. 
The staff supervising will be required to wear proper PPE’s, including gloves, mask, face shield and will wash their hands frequently. If the child is older than 2 a mask should be given and worn.  2 meter distance to be maintained if possible.
The staff is to avoid contact with the child’s respiratory secretions.
Tissues should be provided to the child for proper respiratory etiquette, along with proper disposal of the tissues.
Once the child’s parents have been contacted and immediate pick up has been done.  The area and all items the sick person used will be disinfected immediately using the proper cleaning and disinfecting products.  All items that can not be properly disinfected should be removed and stored in a sealed container for a minimum of 7 days.
Children with symptoms should be tested.

 

Public Health should be notified and their advice followed. If the child care center is in shared setting, then follow Public Health advice on notifying others using the space of the suspected illness.

 

Child and Staff will be monitored for symptoms and the Supervisor will follow up with the child’s parents. If a case of Covid-19 is suspected or is confirmed Seafield Day Nursery must report this to the ministry as a serious occurrence.  If a room, or the center closes due to Covid -19 , Seafield Day Nursery must report this to the ministry as a serious occurrence.  The serious occurrence notification form will be posted under the requirements of the CCEYA, unless the TPH advised otherwise.

Other children, siblings, child care staff in the program who were present while the child or staff member became ill should be identified as a close contact and further cohorted until they can be picked up by parents/guardians to self isolate at home.  The local public health until will provide further direction on testing and isolation of these close contacts.

Reported cases and outbreaks will be reported to Toronto Public Health at the surveillance unit at 416-392-7411 during hours of 8:30 am - 4:30 pm Monday to Friday or 3-1-1 after hours. Clusters of suspected cases (2 or more children or staff with Covid-19 symptoms with in a 48 hour period) and cases of Covid-19 among staff or child attendees that are laboratory confirmed or probable (symptoms occurring among a staff or child who has been exposed to a person with confirmed Covid-19).

Attendance and Daily Records

 

Seafield Day Nursery must maintain daily records of screening results and will be kept on the premises for up to a year.  The daily records will include:

 

-attendance (drop off and pick up times)

-temperature at drop off and pick up times or anytime throughout the day if necessary.

-any symptoms noticed throughout the day.

-name of contact who dropped or picked up the child

 

This information will facilitate contact tracing if and when necessary.  Records of essential visitors including name, contact information, temperature reading, entry times and departure times must also be kept up to date and on the premises.

 

Guidance for Symptomatic Individuals

Any Ontarian presenting with at least one symptom or sign from the list below should be considered for testing for COVID-19. Clinicians should continue to use their clinical judgement during patient assessment and test facilitation, considering local epidemiology and exposure risks.

Symptoms List

Fever (temperature of 37.8°C or greater)
New or worsening cough
Shortness of breath (dyspnea)
Sore throat
Difficulty swallowing
New olfactory or taste disorder(s)
Nausea/vomiting, diarrhea, abdominal pain
Runny nose, or nasal congestion – in absence of underlying reason for these

symptoms such as seasonal allergies, post nasal drip, etc.

Atypical symptoms/clinical pictures of COVID-19 should be considered, particularly in children, older persons, and people living with a developmental disability. Atypical symptoms can include:

Unexplained fatigue/malaise/myalgias
Delirium (acutely altered mental status and inattention)
Unexplained or increased number of falls
Acute functional decline
Exacerbation of chronic conditions
Chills
Headaches
Croup
Conjunctivitis
Multisystem inflammatory vasculitis in children

Presentation may include persistent fever, abdominal pain, conjunctivitis, gastrointestinal symptoms (nausea, vomiting and diarrhea) and rash  

Other signs of COVID-19 can include:

• Clinical or radiological evidence of pneumonia Atypical signs can include:

Unexplained tachycardia, including age specific tachycardia for children
Decrease in blood pressure
Unexplained hypoxia (even if mild ie O2 sat is less than 90%)
Lethargy, difficulty feeding in infants (if no other diagnosis)

 

Staff and children, parents and guardians must not attend the program if they are sick even if the symptoms resemble a mild cold.  See Guidance for Symptomatic Individuals.  Children in particular should be monitored for atypical symptoms and signs of Covid-19.  The list of Symptoms can be found on the Ministry of Health website.

 

Masks and other PPE’s


 

The purpose of masks are to prevent asymptomatic or pre symptomatic transmission from staff or children or essential visitors.  During staff breaks, staff may remove masks or face shields but must remain two meters away from others to prevent staff to staff transmission of Covid-19.  Face shields should be used at all times by staff, cloths are to be placed between the staff and the child in the event of holding a child and switched between children.  Masks, gloves and face shields are to be used when performing bathroom and diapering routines.  Please ensure that the proper hand hygiene is used when putting on and removing PPE’s.  Face shields are to be disinfected after each use or in the event of splatter.  PPE’s should not be shared by individuals.

 

Clothes are to be laundered after each day and not mixed with fresh clothing as to prevent contamination of fresh clothes.

 

Rooms and common used areas must be reviewed for ways to increase Physical Distancing in the Child Care Center.

 

Modify internal activities to promote adherence to physical distancing measures for children and staff.  This could include rearranging the rooms, furniture, cots, and allow for markings on the floor. 
Staggering lunch times for both children and staff. Spread children out into different areas at meal time and dressing time.
Encourage individual activities.
Encouraging outdoor play without mixing cohorts.
All indoor and outdoor equipment and toys used by a child must be cleaned and disinfected prior to allowing another child to use the same toy or equipment. This includes, bikes, balls and loose equipment.
Toys and equipment should be cleaned and disinfected at a minimum between cohorts.
If play structures are to be used by more than one cohort, they should be cleaned and disinfected before and after use by each cohort.
Community walks are possible when securing outdoor space is not.
No sensory activities are to be given to the children, including water play and sand.
No play dough, unless it’s for the use of one child for the day and is labeled with their name.
No plush toys, carpets, blankets, or other toys that cannot be easily washed and disinfected.
Cots must be placed away from each other, if possible and placed head to toe or toe to toe if space is limited.
If shared spaces and structures cannot be cleaned and disinfected between cohorts them they should not be used.
Small children and infants plan activities that do not involve shared toys, move activities outside where possible, and avoid singing activities.
Mouthed toys should be cleaned and disinfected immediately after the child is finished using it.
Sunscreen can be brought in and should not be shared.  Staff may provide assistance to apply sunscreen to any child requiring it, and should exercise proper hand hygiene before and after doing so. 

 

Infants and Toddlers

 

Infants who are at able to hold their own bottles, child care staff will hold bottles for those infants to reduce the risk of choking.
When holding Toddlers and Infants, use blankets and cloths over clothing and change the blankets or cloths between children.
Place infants in every other crib, mark the cribs that should not be used in order to support physical distancing.
Cots and Cribs are to be disinfected after each use.
Linens must be laundered between children.
Plan activities that do not involve shared objects or toys, move activities outside to allow for more space.
Children must not share food, feeding utensils, soothers, bottles, sippy cups.
Mouthed toys must be removed immediately for cleaning and disinfecting and must not be shared with other children.
Label items with child’s name to discourage accidental sharing.

 

Meal times and Food

 

Change meal practices and times to avoid sharing or food at meal time.
There is no self serving of food
Utensils should be used to serve food
Meals should be served in individual portions to the children.
There should be no items shared (serving spoon)
There should be no food provide by family /outside of the regular meal provision of the program (except where required and special precautions for handing and serving food must be in place).
Children should not prepare or consume food that will be shared with others.
Ensure proper hand hygiene is practiced when staff are preparing food and for individuals before and after eating.
Where possible children should practice physical distancing while eating
There should be no sharing of utensils.

 

Requirements for Health and Safety

 

Ensuring all toys used at the center are made of material that can be cleaned and disinfected (no plush toys)
Increase frequency of cleaning and disinfecting objects, toys and frequently touched surfaces.
Frequently touched surfaces are most likely to become contaminated, including door knobs, light switches, toilet handles, tabletops and must be disinfected at least twice a day.
Only using disinfectants that have a drug identification number. Low-level hospital grade disinfectants may be used.
Checking expiry dates of products used and always following the manufacturers instructions.
Performing proper hand hygiene (including assisting children with hand hygiene.
Incorporating additional hand hygiene opportunities into the daily schedule.
Encourage more physical space between children by:  Spreading children out into different areas, staggering lunchtime and outdoor playtime and incorporating more individual activities or activities that encourage more space between children.
Do not use water or sensory tables.
Do not use community playgrounds, however outdoor play at licensed child care sites is encouraged in small groups in order to encourage physical distancing.
If meals or snacks are provided, ensure each child has their own individual meal or snack. 
Multi use utensils must be sanitized.
Pick up and drop off of children should happen outside the child care setting unless it is determined that there is a need for the parent or guardian to enter the setting.
Avoid getting close to faces of all children, where possible.
Following all guidelines provided by the Ministry and Toronto Public Health.


If you have any questions or are in need of further information, please do not hesitate to contact us.


Please visit the Toronto Children's Services website for more information