COVID-19 Update

Hello Kadiant Families,

Thank you all for your continued support and dedication in doing our collective best to keep your families and our team members safe and healthy!

With COVID-19 cases increasing in many parts of the country, as well as entering into cold and flu season, we would like to remind our families and team members of general information on COVID-19 and measures we continue to take within Kadiant to promote the safety of our clients, their households and settings in which we provide services.  Here at Kadiant, we want to ensure awareness that as counties and states are in various stages of reopening and COVID-19 cases begin to rise, risk of potential exposure continues so long as there is not an effective vaccine widely available.  COVID-19 is not going away anytime soon, and perhaps not at all, and practices will likely continue to change as more is learned about COVID-19.

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

Thank you for your part in keeping you, your families, and our team members safe and healthy!

The Kadiant Compliance Team

How to Be Safe Over the Holidays

Thanksgiving is a time when many families travel long distances to celebrate together. Travel increases the chance of getting and spreading the virus that causes COVID-19. If you must travel, be informed of the risks involved​.

The CDC provides the following guidance for assessing risk during the Thanksgiving holiday​.

Lower risk activities

  • Having a small dinner with only people who live in your household
  • Preparing traditional family recipes for family and neighbors, especially those at higher risk of severe illness from COVID-19, and delivering them in a way that doesn’t involve contact with others
  • Having a virtual dinner and sharing recipes with friends and family
  • Shopping online rather than in person on the day after Thanksgiving or the next Monday
  • Watching sports events, parades, and movies from home

Moderate risk activities

  • Having a small outdoor dinner with family and friends who live in your community
  • Visiting pumpkin patches or orchards where people use hand sanitizer before touching pumpkins or picking apples, wearing masks is encouraged or enforced, and people are able to maintain social distancing
  • Attending a small outdoor sports events with safety precautions in place

Higher risk activities

Avoid these higher risk activities to help prevent the spread of the virus that causes COVID-19:

  • Going shopping in crowded stores just before, on, or after Thanksgiving
  • Participating or being a spectator at a crowded race
  • Attending crowded parades
  • Attending large indoor gatherings with people from outside of your household
  • Using alcohol or drugs that may alter judgment and make it more difficult to practice COVID-19 safety measures.

Travel increases your chances of getting and spreading COVID-19. Staying home is the best way to protect yourself and others from COVID-19

  • Some travel activities, like the transportation you choose and where you stay, can increase your risk of getting COVID-19. Your chances of exposure are higher if you come into close contact with others. COVID-19 is spreading in the United States and in many international destinations. Visiting locations where there are fewer cases of COVID-19 may be less risky for getting COVID-19 than visiting locations where there are more cases of COVID-19.
  • Before you travel, learn which travel activities are lower risk to protect yourself and others. Your activities and who you interact with before, during, and after travel may increase your risk.

Lowest Risk

  • Staying home is the best way to protect yourself and others from COVID-19.
  • Short trips by car with members of your household with no stops along the way

More Risk

  • Longer trips by car or RV with one or more stops along the way

Even More Risk

  • Trips by car or RV with people who are not in your household
  • Long-distance train or bus trips
  • Direct flights

Highest Risk

  • Flights with layovers
  • Traveling on a cruise ship or river boat

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 14 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.

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.

As a reminder, if you or anyone in your household have symptoms related to COVID-19, please contact your doctor for guidance before your session.

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

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.”

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 sessions and before entering a Kadiant facility as well.
  • Team members must stay home 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 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)

Questions on Health Check​

  1. Temperature check is completed
  2. 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 virus​
  5. Have you or anyone in your household experienced any other changes in health within the last 14 days?​

Face Masks

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

Statewide order: Yes

Californians have been required since June 18 to mask up in “most settings outside the home.” The policy was updated June 29 to exempt children under age 2.

Learn more: Read the California Department of Public Health’s guidance for using face coverings.

Statewide order: Yes

Gov. Jared Polis’ order requires Coloradans over the age of 10 to wear face coverings in indoor public spaces. It took effect July 17 and has been extended until at least Dec. 9. Counties may be able to opt out if they meet state benchmarks for declining caseloads and several other public health criteria.

Learn more: Read Colorado’s mask order and the latest extension.

Statewide order: Yes

A state public health order that took effect June 26 requires mask use in indoor public settings 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.

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. 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.

Learn more: Read a statement from the governor’s office announcing the mask order.

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).

Cloth face coverings can be fashioned from household items or made at home from common materials at low cost. CDC guidance on cloth face coverings.