COVID-19 Update

Caregiver Communication – 10/12/21

Hello caregivers,

We are working hard to support each other through the COVID-19 pandemic, and we sincerely appreciate the efforts you and all the Kadiant team members have taken these past eighteen months to reduce the risk of exposure in our community.

Recently, the state of California, the federal government, several school districts, and other relevant regulatory bodies have announced vaccination requirements or the intention to enact rules requiring vaccination of healthcare workers.

One of the best tools available to protect our community is vaccination.  The data supporting the efficacy and safety of the vaccine is clear, and it is one of Kadiant’s core values to be evidence based.

As health care providers, we must maintain a safe work environment for our team members and do no harm to our families and our clients – many of whom are under 12 years of age and ineligible for vaccination.

For these reasons, Kadiant has been developing and implementing a  COVID-19 vaccination policy for our team members that will meet the current and future requirements.

The roll-out of these requirements has begun, and while most of our team members are now vaccinated, or soon will be, or have a religious or medical accommodation, there are a small number of individuals who may exercise their personal choice not to receive the vaccine. We will respect their choice and their decision to separate from Kadiant if so chosen.

We are working tirelessly to avoid impact to your services, but in some cases a team change or temporary disruption in services may be unavoidable.  If your schedule or team is impacted by our implementation of the vaccination requirements, we are extremely sorry for this disruption.  Your clinical supervisor is available to answer any questions you might have.

We appreciate your patience as we pursue the safest working environment possible for the families we serve and our team members.

Be safe.

Team Kadiant

CDC Launches COVID-19 Resources for People with Intellectual and Developmental Disabilities

Safety Management Plan for COVID-19

How Do I Get a Vaccine?


Vaccinations are currently available for those 12 years and older in the United States. You can utilize the following resources to find a vaccination appointment near you:

Find COVID-19 vaccines near you.

Text your zip code to 438829 or call 1-800-232-0233 to find vaccine locations near you.

Note: Kadiant strongly recommends but does not require the COVID-19 vaccination for our team members at this time; however, the COVID-19 Management Team will need insight into vaccination status when evaluating close contacts of COVID-19 positive cases in order to pursue the potential elimination of any quarantine periods upon exposure. 

COVID-19 Vaccines for Children and Teen

Although fewer children have been infected with COVID-19 compared to adults, children can be infected with the virus that causes COVID-19, can get sick from COVID-19, and can spread COVID-19 to others. CDC recommends COVID-19 vaccination for everyone 12 years of age and older to help protect against COVID-19. Children 12 years of age and older are able to get the Pfizer-BioNTech COVID-19 Vaccine. Learn more about vaccines for children and teens at COVID-19 Vaccines for Children and Teens | CDC.

COVID-19 Variants

As more is learned about the COVID-19 variants, Kadiant is identifying regions in which the variants have been confirmed and reviewing research that indicates the additional protection of the doubling up of face masks.

Information about the characteristics of these variants is rapidly emerging. Scientists are working to learn more about how easily they spread, whether they could cause more severe illness, and whether currently authorized vaccines will protect people against them. Protect yourself and others against COVID-19 by wearing a mask, staying at least 6 feet apart, avoiding crowds, washing your hands, and getting vaccinated when it’s available to you. Learn more about COVID-19 Variants at: Variants of the Virus that Causes COVID-19 | CDC

COVID-19 Vaccine Scams

SCAM ALERT: Kadiant team would like you to be aware of new scams that have emerged related to the COVID-19 vaccination. Scammers are targeting those who would like to be on the “list” for the vaccine by asking for money and personal information. Ignore phone calls, emails or text messages that offer you special priority that is not deserved and report them to the Federal Trade Commission at FTC.gov/complaint as they are likely scamming for your personal information.

Health Checks

  • Health checks for clients, team members and their household are mandatory
  • If a health check is not passed the session should be canceled and the Case Supervisor and Scheduling should be contacted

As part of our risk mitigation, Kadiant Health Checks include questions and steps to measure the existence of these symptoms.

  • These steps check information about the care environment for ABA therapy
  • We include the temperature check as an indicator of risk and appreciate your taking your child’s and household members’ with your family’s own thermometer
  • Our team members complete health checks using their own thermometers prior to each session and before entering a Kadiant facility. Team members must stay home and notify Scheduling and CMT if they are experiencing any symptoms or, if not sick, have been designated to stay home per the CDC COVID – 19 risk framework (including if a team member/household member has any symptoms or is awaiting test results, any international travel/travel from an area that has widespread community transmission)
  • Families and caregivers should cancel and notify Scheduling and their case supervisor if the client or a household member is experiencing any symptoms (including if a household member/client has any symptoms or is awaiting test results, any international travel/travel from an area that has widespread community transmission)
  • Doctor’s guidance will be requested prior to resuming in-person sessions whenever a client, team member or their household members is experiencing a symptom (even if they believe the symptoms may be associated with another cause such as allergies)
  • The above steps still apply even if the individual is fully vaccinated

Questions on Health Check​

  1. 1. Temperature check is completed2. Have you or any member of your household traveled outside of the United States or to any area within the United States that has widespread, ongoing community transmission of COVID-19 in the last 14 days?3. Have you or anyone in your household come in close proximity to someone who has been diagnosed with or is in the process of being tested for COVID-19 in the last 14 days?4. Have you or anyone in your household had a fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, sore throat, new loss of taste or smell, congestion or runny nose, nausea or vomiting, or diarrhea within the last 14 days? A significant fever is considered to be100.4 F (38 C).These symptoms may appear 2-14 days after exposure to the virus5. Have you or anyone in your household experienced any other changes in health within the last 14 days?

Symptoms & What to Do

The most common symptoms of COVID-19 in children are fever and cough (CDC). The symptoms of COVID-19 are similar in adults and children and can look like other common illnesses, like colds, strep throat, or allergies.

Symptoms of COVID-19

As a reminder, if you or anyone in your household have symptoms related to COVID-19 listed in table below, even if those symptoms present as mild or if you think they are attributed to another condition (e.g., sinus infection, asthma, allergies), please contact your doctor for guidance before your session.

If a symptom is present in your household that has not been cleared, please cancel in person session until you speak with your doctor. We will cancel sessions for the next 48 hours and will adjust once we learn of a doctor’s clearance or guidance.

Symptoms in yellow are most common and those in orange are different from flu symptoms.

Team members who are fully vaccinated and have a household member who is experiencing symptoms should contact CMT. Once vaccination dates have been confirmed, the team member is allowed to attend session as long as the team member is not experiencing any symptoms

What does it mean when we ask for doctor’s guidance?   

  • A medical professional must be consulted regarding the symptoms and the individual’s / household’s ability to participate in in-person session  
  • This may be a phone call, video appointment, or in-person appointment as the doctor sees fit  
  • Once the individual has the doctor’s guidance, the individual can notify us of the doctor’s advice via email.  This can be a summary from the individual, it does NOT need to be a note from the doctor unless there is an exceptional circumstance 
  • Doctor’s guidance will be needed even if the individual attributes the symptom(s) to another condition (e.g., allergies, sinus infection) as we are not qualified to determine the cause of a symptom  
  • Once this is documented in the client file, if symptoms are due to an underlying condition that is constant or consistent in presentation (e.g., allergies, asthma), additional guidance is not needed unless there is a change in severity or presentation that may be a cause for concern 
  • This process applies to team members, clients, and theirhouseholds  ifa symptom of COVID-19 as listed above presents in the individual so long as the global pandemic continues  
  • If the family chooses not to reach out to their doctor, we ask that you isolate from 10 days of symptom onset and 24 hours symptom-free in the absence of symptom-reducing medication prior to restarting in person services

Quarantine vs. Isolation

**Close contact is defined by the CDC as:

Being within approximately 6 feet (2 meters) of a COVID-19 case for a combined total of 15 minutes within a 24 hour period starting from 2 days before illness onset (or, for asymptomatic clients, 2 days prior to positive specimen collection) until the time the patient is isolated.
– or –

Having direct contact with infectious secretions of a person with confirmed COVID-19 (e.g., being coughed on), sharing eating or drinking utensils, direct physical contact with the person (hugged or kissed them), provided care at home to someone who is sick with COVID-19 (starting 2 days before illness onset until time they are isolated)

If you had close contact with confirmed case during infectious period or receive a negative COVID-19 test. 10 days from symptom onset and 24 hours symptom-free without the use of medication or from positive test result results if asymptomatic

Classroom Quarantines

If classroom is quarantined:

  • Gather written notifications and share with your case supervisor.
  • Inform your scheduler of quarantine instructions, if applicable.
  • Our CoVID response team will evaluate your situation.
  • If client and any applicable team members were not in close contact with the CoVID case, Kadiant will provide guidance for resumption of services and notify appropriate individuals.

How to Return to Services Safely

I think or know I had COVID-19, and I had symptoms

You can be around others after:

  • 10 days since symptoms first appeared and
  • 24 hours with no fever without the use of fever-reducing medications and
  • Other symptoms of COVID-19 are improving*

*Loss of taste and smell may persist for weeks or months after recovery and need not delay the end of isolation​

Most people do not require testing to decide when they can be around others; however, if your healthcare provider recommends testing, they will let you know when you can resume being around others based on your test results.

Note that these recommendations do not apply to persons with severe COVID-19 or with severely weakened immune systems (immunocompromised).

I tested positive for COVID-19 but had no symptoms

If you continue to have no symptoms, you can be with others after 10 days have passed since you had a positive viral test for COVID-19. Most people do not require testing to decide when they can be around others; however, if your healthcare provider recommends testing, they will let you know when you can resume being around others based on your test results.

If you develop symptoms after testing positive, follow the guidance above for “I think or know I had COVID-19, and I had symptoms.”

Face Masks

For more specific information on your state’s face mask policy:

  • Statewide order: Yes
  • For fully vaccinated persons, face coverings are not required outdoors except when attending crowded outdoor events.
  • For unvaccinated persons, face coverings are required outdoors any time physical distancing cannot be maintained.
  • In indoor settings outside of one’s home, including public transportation, face coverings continue to be required regardless of vaccination status. · As defined in the CDPH Fully Vaccinated Persons Guidance, fully vaccinated people can*:
    • Visit, without wearing masks or physical distancing, with other fully vaccinated people in indoor or outdoor settings; and
    • Visit, without wearing masks or physical distancing, with unvaccinated people (including children) from a single household who are at low risk for severe COVID-19 disease in indoor and outdoor settings
  • Children under age 2 are exempt.
  • California is expected to updated it’s mask guidance on June 15th, 2021 to match CDC’s guidance for fully vaccinated indiviudals
  • Learn more: Read the California Department of Public Health’s guidance for using face coverings.
  • Statewide order: Yes
  • A mask-wearing requirement for Colorado first went into effect in July 2020 and recently was amended in Executive Order D 2021 103 on May 14, 2021. The amended Executive Order states that fully vaccinated people can go without masks in public indoor spaces unless the setting requires otherwise. Unvaccinated people over age 11 are encouraged to continue wearing masks in all public indoor spaces where members of different households are present.
  • Masks are still required in certain settings, including in schools for unvaccinated students, teachers, and staff, as well as other settings which are laid out in the Executive Order. Local communities and businesses may have additional mask restrictions.
  • Everyone age 2 and older must still wear masks on planes, buses, trains, and other forms of public transportation traveling into, within, or out of the United States, and in U.S. transportation hubs such as airports and stations. This is required by federal law for both vaccinated and unvaccinated people.
  • Learn more: Read Colorado’s mask order and the latest extension
  • Statewide order: Yes
  • There are three public orders that combine to emphasize the importance of wearing face coverings or masks in certain settings; covered below is the General Public Order:
  • The General Public Order requires mask use in indoor public settings, when people from another household are present and outdoors when 6-foot distancing cannot be maintained, for people age 5 and older. Gov. Jay Inslee’s mask directives also mandate that businesses require employees to wear face coverings and deny entry to unmasked customers.
  • People who are fully vaccinated against COVID-19, except when in health care settings, correctional facilities, homeless shelters, or schools are exempted from the general face covering requirement.
  • Learn more: Read Washington’s Guidance on Cloth Face Coverings.
  • Statewide order: Yes
  • Gov. Kate Brown implemented a state mask rule on July 1, covering indoor public spaces. It has since been expanded to cover all workplaces, including offices, and outdoor businesses and public spaces when physical distancing is not possible. Fully vaccinated individuals do not need to wear a face mask if outdoors unless at a large gathering or a worksite.
  • If an individual is fully vaccinated, can resume activities without wearing a mask. However, vaccinated individuals must continue to wear masks on all planes, trains, buses and other forms of public transportation. Children under 5 are exempt, but the state recommends face coverings for children as young as 2. Indoor gatherings of more than 10 people are prohibited.
  • Learn more: Read the Oregon Health Authority’s mask requirements.
  • Statewide order: Yes
  • The state mandate took effect July 23, replacing an alert system in which mask orders were imposed on individual counties deemed to be at high risk for coronavirus spread. Gov. Mike DeWine’s directive applies to people age 10 and older when in public indoor spaces and outdoors when unable to maintain 6-foot social distancing
  • Fully vaccinated individuals can resume activities without wearing a mask. However, vaccinated individuals must continue to wear masks on all planes, trains, buses and other forms of public transportation
  • Learn more: Read a statement from the governor’s office announcing the mask order and see updates to the order here.
  • Wear a cloth face mask in public
  • All Georgia residents and visitors are strongly encouraged to wear face coverings while outside their home or place of residence, except when eating, drinking, or exercising outdoors. Covering your nose and mouth greatly reduces your chances of spreading the virus and also provides some protection for you. Use face coverings if you’ll be indoors or around other people where social distancing is difficult to maintain (e.g., grocery stores and pharmacies).

 

Travel

Please be sure and check the county and city public health resources to determine if there are other relevant travel restrictions that are applicable to your travel.

Please be sure and check the county and city public health resources to determine if there are other relevant travel restrictions that are applicable to your travel. Kadiant follows the CDC travel guidelines for those that have traveled internationally to the indicated locations.

Households of the traveler must also quarantine for purposes of this standard.

If there are no legal requirements, a county’s seven-day running average of COVID-19 cases per 100,000 residents will be determined for purposes of evaluation using the following source: https://globalepidemics.org/key-metrics-for-covid-suppression/

The county will relate to:

  • the destination of the traveler or
  • the origination of a traveler when visiting a team member or client family.

Using the risk level of the riskiest activity planned or happened and the county location of the travel destination or origination of the visitor, we can assist with a quarantine determination.

Similar in concept to determining actions related to travel, if the county of residence is currently experiencing a tipping point, accelerated, or community spread, it is advised that 10 day quarantines or tests should occur after engaging in high-risk activities. Physician or public health department advice is always important to assist you in your decisions.

Kadiant follows federal, state, county and city orders for travel quarantines.

Applicable travel advisories and recommendations will be communicated to those seeking advice for their consideration. The CDC has recently updated their travel guidance for fully vaccinated and unvaccinated individuals.

When traveling domestically, fully vaccinated travelers do not need to quarantine or test upon return if they are not experiencing symptoms.

Guidelines for international travel have been updated in the chart below: