Scenario Matrix: Retirement Home Covid-19 Visiting Policy
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Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 1 Scenario 1 NOT IN OUTBREAK AND OUTBREAK ORANGE (RESTRICT) RED (CONTROL) GREY Residents who are Visitations IN GREEN (PROTECT) Homes IN outbreak Home is NOT in outbreak Home is NOT in outbreak (LOCKDOWN) OR self-isolating Please review Directive #3 OR YELLOW (PREVENT) but is located in a region but is located in a region SHUTDOWN/STAY- Droplet and designated as an Orange designated as a Red zone. and the Retirement Homes All homes must meet these AT-HOME ORDER Contact Precautions zone. Homes must follow the Policy to Implement Directive baseline requirements. Homes rules below. Home is NOT in outbreak or are symptomatic #3 for full details on PPE, NOT in outbreak must also Homes must follow the IPAC and other requirements. determine if the public health rules below. but is located in a region with COVID-19 designated as a Grey zone A Public Health Unit (PHU) unit in which they are situated is or under Shutdown/Stay-at symptoms. has the ability to advise in an Orange, Red, or Grey zone further restrictions or Home order. Homes must of the COVID-19 Response follow the rules below. requirements. Where co- Framework or under a located with a long-term care Shutdown/Stay-at-Home order. If home, retirement homes it is, the home must follow should align where possible baseline requirements AND the or take the more restrictive requirements applicable to their visiting policy unless colour/order. otherwise advised by the local PHU. Allowing General Visitors A maximum of two (2) Not permitted. Not permitted. Not permitted. Not permitted. Not permitted. (non-essential visitor) A general visitors per resident Homes must follow A PHU may also advise A PHU may also advise A PHU may also advise A PHU may also advise general visitor is a person at a time may visit that all CMOH further restrictions on further restrictions on further restrictions on further restrictions on who is not an essential resident. Must meet baseline directives for visitors in part or all of visitors in part or all of visitors in part or all of visitors in part or all of visitor and visits: requirements: homes in outbreak the home, depending on the home, depending on the home, depending on the home, depending on • To provide non-essential • The home has developed and directions the specific situation the specific situation. the specific situation. the specific situation. services (may or may not procedures for the from their local be hired by the home or resumption of visits and PHU. When a local the resident and/or their communicates these PHU declares an substitute decision procedures with residents, outbreak in a maker); families and staff, including home, they may but not limited to infection also advise further • For social reasons (e.g., prevention and control restrictions on family members or (IPAC), scheduling and any visitors in part or friends); and/or setting-specific policies. all of the home, • A prospective resident depending on the • A process for complaints, taking a tour of the home specific situation. including information on how individuals can escalate concerns about homes to the RHRA Effective May 5, 2021 1
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 1 • A process to notify visitors that non-compliance with visitor policies may result in discontinuation of visits when risk of harm due to non-compliance is high. • Dedicated areas for both indoor and outdoor visits to support physical distancing between residents and visitors. • Protocols to maintain the highest of IPAC standards prior to, during and after visits. • A list of visitors available for relevant staff to access. • Protocols for record keeping of visitations for contact tracing purposes to be kept for at least 30 days. Effective May 5, 2021 2
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 1 Scenario 1 NOT IN OUTBREAK OUTBREAK ORANGE RED (CONTROL) GREY Residents who are Visitations AND IN GREEN (RESTRICT) (LOCKDOWN) OR self-isolating under (PROTECT) OR SHUTDOWN/STAY- Droplet and YELLOW (PREVENT) AT-HOME ORDER Contact Precautions or are symptomatic with COVID-19 symptoms. Allowing Essential Visitors Meets baseline Homes must adhere to the requirements in any applicable directives issued by the Chief Medical Officer of Health (CMOH) requirements above. and directions from their local PHU. This may include direction to take additional measures to restrict access and duration An essential visitor is a person of visits during an outbreak or when the PHU deems necessary under the COVID-19 response framework: keeping Ontario performing essential support services safe and open (Provincial Framework). Please note that persons visiting a very ill or palliative resident are allowed in the (eg. Food delivery, inspector, home under any level and do not constitute caregivers or support workers. maintenance, or health care services (eg., phlebotomy) or a person visiting a very ill or palliative resident. In addition to a person visiting a very ill or palliative resident, there are two types of essential visitors: 1. Support Workers (Essential Visitor) Any number of support Any number of Any number of Any number of Any number of support Any number of support workers may visit a support workers support workers support workers workers may visit a workers may visit a An essential visitor who is brought resident in a home. may visit a resident may visit a resident may visit a resident resident in a home. resident in a home. into the home when there are gaps in in a home. in a home. in a home. services to perform essential services for the home or for a resident in the home. 2. Essential Caregiver Maximum of two (2) Maximum of two Maximum of two Maximum of two Maximum of two (2) Maximum of two (2) (Essential Visitor) caregivers per resident (2) caregivers per (2) caregivers per (2) caregivers per caregivers per resident caregivers per resident may visit at a time. resident may visit resident may visit at resident may visit at may visit at a time. may visit at a time. An essential visitor who is designated at a time. a time. a time. by the resident and/or their substitute decisionmaker and visits to provide direct care to the resident. Effective May 5, 2021 3
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 1 Allowing Personal Care Service Personal Care Service Not permitted. Personal Care Personal Care Not permitted under the Not permitted. Providers (non-essential visitor): A Providers who are visiting Service Providers Service Providers Provincial Framework. personal care service provider is a or work on site are who are visiting or who are visiting or person who is not an essential visitor permitted to provide work on site are work on site are and visits to provide personal services services as set out in the permitted to permitted to to residents that are not being Green and Yellow zone of provide services in provide services in provided for medical or essential the Provincial Framework. alignment with the alignment with the reasons. Orange zone Red zone conditions conditions of the of the Provincial Provincial Framework. Framework. Effective May 5, 2021 4
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 2 Scenario 2 NOT IN OUTBREAK OUTBREAK ORANGE (RESTRICT) RED (CONTROL) GREY Residents Absences AND IN GREEN Homes IN Home is NOT in outbreak but is located in Home is NOT in outbreak but is located in a (LOCKDOW who are self- (PROTECT) OR outbreak a region designated as an Orange zone. region designated as a Red zone. N) OR isolating Please review Directive #3 and the Retirement Homes Policy to YELLOW (PREVENT) SHUTDOWN under Droplet Implement Directive #3 for full and Contact details on PPE, IPAC, All homes must meet these Home is NOT in baseline requirements. outbreak but is Precautions requirements. Homes NOT in outbreak located in a or are A local PHU may also advise must also determine if the region symptomatic further restrictions in part or all public health unit in which designated as a of the home, depending on the they are situated is in an Grey zone or with COVID- specific situation. Orange, Red, or Grey zone under 19 symptoms. of the COVID-19 Response Shutdown/Stay- Where co-located with a long- Framework or under a at-Home order. term care home, retirement Shutdown/Stay-at-Home home should align where order. If it is, the home possible or take the more must follow baseline restrictive visiting policy unless requirements AND the otherwise advised by the local requirements applicable to PHU. their colour. Medical Absence: Absence to Residents must be Permitted Permitted Permitted Permitted Permitted seek medical care provided a medical mask and be reminded to practice public health measures. Permitted. Compassionate/Palliative Residents must be Permitted Permitted Permitted Permitted Permitted Absence: Absence includes provided a medical but are not limited to the mask and be reminded purposes of visiting a dying to practice public health loved one measures. Permitted. Short term (day) absence - Residents must be Permitted Permitted Permitted Permitted Permitted Essential Outing: Absence for provided a medical reasons of groceries, mask and be reminded pharmacies and outdoor to practice public health physical activity measures. Permitted. Effective May 5, 2021 5
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 2 Short term (day) absence - Residents must be Not Fully immunized Resident: Fully immunized Resident: permitted Not permitted Not permitted Social Outings: Absence provided a medical permitted permitted Partially immunized or unimmunized other than for medical, mask and be reminded Partially immunized or resident: not permitted compassionate/palliative, or to practice public health unimmunized resident: not essential outings that do not measures. Active screening upon return but permitted include an overnight stay testing or self-isolation not required Permitted. Active screening upon return but Active screening upon testing or self-isolation not required return but testing or self-isolation not required Temporary (overnight) Residents must be Not Fully immunized Resident: Fully immunized Resident: permitted Not permitted Not permitted absence: Absence that provided a medical permitted permitted For fully immunized residents, a lab- involves two or more days mask and be reminded For fully immunized residents, a lab- based PCR test is required at the time and one or more nights away to practice public health based PCR test is required at the of readmission. The resident must be from the home for non- measures. time of readmission. The resident placed in isolation on Droplet and medical purposes. Permitted. must be placed in isolation on Contact Precautions if the test result is Droplet and Contact Precautions if pending. If the test result is negative, the test result is pending. If the test then isolation and Droplet and Contact result is negative, then isolation and Precautions can be discontinued. If Droplet and Contact Precautions can the test is positive, isolation and be discontinued. If the test is Droplet and Contact precautions must positive, isolation and Droplet and be continued. Contact precautions must be Partially immunized or unimmunized continued. resident: permitted Partially immunized or For partially immunized or unimmunized resident: permitted unimmunized residents, a lab-based For partially immunized or PCR test is required at the time of unimmunized residents, a lab-based admission/ readmission and the PCR test is required at the time of resident must be placed in isolation admission/ readmission and the on Droplet and Contact Precautions resident must be placed in isolation for a minimum of 10 days. A second on Droplet and Contact Precautions negative lab -based PCR test for a minimum of 10 days. A second performed on day 8 is required to negative lab -based PCR test discontinue isolation and Droplet and performed on day 8 is required to Contact Precaution on day 10; discontinue isolation and Droplet otherwise isolation must be and Contact Precaution on day 10; maintained until day 14. Effective May 5, 2021 6
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 2 otherwise isolation must be maintained until day 14. Effective May 5, 2021 7
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 3 Scenario 3 NOT IN OUTBREAK OUTBREAK ORANGE (RESTRICT) RED (CONTROL) GREY Isolation New AND IN GREEN Homes IN outbreak Home is NOT in outbreak but is Home is NOT in outbreak (LOCKDOWN) OR requirements Admissions & (PROTECT) OR YELLOW located in a region designated but is located in a region SHUTDOWN/STAY- as an Orange zone. designated as a Red zone. (PREVENT) AT-HOME ORDER Readmissions Homes must follow the rules Homes must follow the All homes must meet these Home is NOT in outbreak Please review Directive #3 and below. rules below. baseline requirements. Homes but is located in a region the Retirement Homes Policy NOT in outbreak must also designated as a Grey zone to Implement Directive #3 for determine if the public health or under Shutdown/Stay-at- full details on PPE, IPAC, unit in which they are situated Home order. requirements. A local PHU is in an Orange, Red, or Grey may also advise further zone of the COVID-19 Response Homes must follow the restrictions in part or all of the Framework or under a rules below. home, depending on the Shutdown/Stay-at-Home order. specific situation. If it is, the home must follow baseline requirements AND the Where co-located with a long- requirements applicable to their term care home, retirement colour. home should align where possible or take the more restrictive visiting policy unless otherwise advised by the local PHU. Admission from Allowed if: Admissions and Allowed. Allowed. Allowed. Yes, individuals who community or hospital. readmissions require isolation must • All admissions and All admissions and transfers All admissions and All admissions and may take place be placed in a single Fully immunized: transfers need to be tested need to be tested for transfers need to be transfers need to be during an room if possible. For individual has received all for COVID-19 in accordance COVID-19 in accordance tested for COVID-19 in tested for COVID-19 in outbreak only if fully immunized doses in their COVID-19 with the COVID-19 with the COVID-19 accordance with the accordance with the approved by the residents, a lab based vaccine series AND more Provincial Testing Provincial Testing COVID-19 Provincial COVID-19 Provincial local public PCR test is required at than 14 days have passed Requirements Update. Requirements Update. A Testing Requirements Testing Requirements health unit, and the time of admission/ since the receipt of their plan to ensure the resident Update. A plan to ensure Update. A plan to ensure • A plan to ensure the there is readmission. The last dose being admitted (except for the resident being the resident being resident being admitted concurrence individual must be those who have cleared admitted (except for admitted (except for (except for those who have between the placed in isolation on COVID-19) can complete 14 those who have cleared those who have cleared cleared COVID-19) can home local public Droplet and Contact days of self-isolation, under COVID-19) can complete COVID-19) can complete complete 14 days of self- health unit, and Precautions if the test Droplet and Contact 14 days of self-isolation, 14 days of self-isolation, isolation, under Droplet and hospital. An result is pending. If Precautions. under Droplet and under Droplet and Contact Precautions individual who negative, then isolation Contact Precautions. Contact Precautions. has tested For fully immunized can be discontinued. • For fully immunized positive for residents, a lab-based PCR For fully immunized For fully immunized residents, a lab-based PCR Partially immunized or COVID-19 may be test is required at the time residents, a lab-based residents, a lab-based test is required at the time unimmunized admitted or of admission/ readmission. PCR test is required at PCR test is required at of admission/ readmission. residents require a lab- readmitted to the The resident must be placed the time of admission/ the time of admission/ based PCR test at the Effective May 5, 2021 8
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 3 The resident must be placed home provided in isolation on Droplet and readmission. The readmission. The time of in isolation on Droplet and that the Contact Precautions if the resident must be placed resident must be placed admission/readmission Contact Precautions if the admission is test result is pending. If the in isolation on Droplet in isolation on Droplet and the resident must test result is pending. If the approved by the test result is negative, then and Contact Precautions and Contact Precautions be placed in isolation test result is negative, then local public isolation and Droplet and if the test result is if the test result is on Droplet and Contact isolation and Droplet and health unit. Contact Precautions can be pending. If the test pending. If the test result Precautions for a Contact Precautions can be discontinued. If the test is result is negative, then is negative, then minimum of 10 days. A discontinued. If the test is positive, isolation and isolation and Droplet isolation and Droplet second negative lab positive, isolation and Droplet and Contact and Contact Precautions and Contact Precautions based PCR test result Droplet and Contact precautions must be can be discontinued. If can be discontinued. If collected on day 8 is precautions must be continued. the test is positive, the test is positive, required to discontinue continued. isolation and Droplet isolation and Droplet isolation on day 10. For partially immunized or and Contact precautions and Contact precautions Otherwise isolation • For partially immunized or unimmunized residents, a must be continued. must be continued. and Droplet and unimmunized residents, a lab-based PCR test is Contact Precautions lab-based PCR test is required at the time of For partially immunized For partially immunized must be maintained required at the time of admission/ readmission and or unimmunized or unimmunized until day 14. admission/readmission and the resident must be placed residents, a lab-based residents, a lab-based the resident must be placed in isolation on Droplet and PCR test is required at PCR test is required at EXCEPTIONS TO in isolation on Droplet and Contact Precautions for a the time of admission/ the time of admission/ ISOLATION Contact Precautions for a minimum of 10 days. A readmission and the readmission and the REQUIREMENT: minimum of 10 days. A second negative lab -based resident must be placed resident must be placed Recently recovered second negative lab-based PCR test performed on day in isolation on Droplet in isolation on Droplet residents who are PCR test performed on day 8 8 is required to discontinue and Contact Precautions and Contact Precautions within 90 days from a is required to discontinue isolation and Droplet and for a minimum of 10 for a minimum of 10 prior lab confirmed isolation and Droplet and Contact Precaution on day days. A second negative days. A second negative COVID-19 infection are Contact Precaution on day 10; otherwise isolation must lab -based PCR test lab -based PCR test not required to be 10; otherwise isolation and be maintained until day 14. performed on day 8 is performed on day 8 is tested or placed in Droplet and Contact required to discontinue required to discontinue For recently recovered isolation on Droplet Precautions must be isolation and Droplet isolation and Droplet residents who are within 90 and Contact on arrival. maintained until day 14. and Contact Precaution and Contact Precaution days (from the date the test on day 10; otherwise on day 10; otherwise 24-hour period, the • For recently recovered was taken) from a prior lab isolation must be isolation must be transfer can occur, but residents who are within 90 confirmed COVID-19 maintained until day 14. maintained until day 14. the individual must days (from the date the test infection are not required to remain in isolation in was taken) from a prior lab- be tested. For recently recovered For recently recovered the home until a confirmed COVID-19 residents who are within residents who are within negative test result is infection are not required to 90 days (from the date 90 days (from the date received. If this test be tested or placed in the test was taken) from the test was taken) from result is positive, the isolation on Droplet and a prior lab confirmed a prior lab confirmed individual must Contact Precautions on COVID-19 infection are COVID-19 infection are continue their self arrival. not required to be not required to be isolation and the home tested. tested. must contact their local public health unit. Effective May 5, 2021 9
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 4 Scenario 4 NOT IN OUTBREAK AND IN OUTBREAK ORANGE (RESTRICT) RED (CONTROL) GREY Requirements for GREEN (PROTECT) OR YELLOW Homes IN Home is NOT in outbreak but is located in a Home is NOT in outbreak but (LOCKDOWN) OR Social Activities, (PREVENT) outbreak region designated as an Orange zone. is located in a region SHUTDOWN/STAY- designated as a Red zone. Organized Events All homes must meet these baseline AT-HOME ORDER requirements. Homes NOT in outbreak Homes must follow the rules Please review Directive #3 and the Home is NOT in outbreak must also determine if the public health below. Retirement Homes Policy to Implement but is located in a region unit in which they are situated is in an designated as a Grey zone Directive #3 for full details on PPE, Orange, Red, or Grey zone of the COVID-19 or under Shutdown/Stay-at- IPAC, requirements. A local PHU may Response Framework or under a Home order. also advise further restrictions in part Shutdown/Stay-at-Home order. If it is, the or all of the home, depending on the home must follow baseline requirements Homes must follow the specific situation. Where co-located AND the requirements applicable to their rules below. with a long-term care home, colour/order. retirement home should align where possible or take the more restrictive visiting policy unless otherwise advised by the local PHU Homes must follow the conditions Social Activities, Organized Events and Not Social Activities, Organized Events and Social Activities, Social Activities, set out in the Provincial Other Recreational Services are permitted. Other Recreational Services are Organized Events and Organized Events and Framework, after which different permitted to provide services as set permitted to provide services as set Other Recreational Other Recreational requirements apply depending on out in the Green and Yellow zone of out in the Orange zone of the Services are permitted to Services are permitted to the immunization threshold of a the Provincial Framework. Provincial Framework. provide services as set out provide services as set home. in the Red zone of the out in the Grey zone of Provincial Framework. the Provincial For a home to meet the minimum If a home is above the immunization If a home is above the immunization Framework. immunization threshold they must threshold, the following flexibility threshold, the following flexibility have: applies: applies: If a home is above the In the Grey Zone, indoor immunization threshold, and outdoor organized 1. A min. of 85% of all residents • Resume activities in cohorted • Resume activities in cohorted the following flexibility social gatherings or fully immunized; AND groups groups applies: activities are not 2. A min. of 70% of the overall • Masking and physical distancing • Masking and physical distancing permitted. • Resume activities in home (residents and staff) fully recommended recommended cohorted groups Residents can still meet immunized. • Avoid high risk activities • Avoid high risk activities or use a common area of • Masking and physical the home. Please consult the Retirement distancing Homes Policy to Implement recommended The use of common Directive #3 on how to calculate areas should be immunization threshold. • Avoid high risk determined by the activities room’s capacity based on the user’s ability to physically distance Effective May 5, 2021 10
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 4 appropriately, and If the home is below the If the home is below the If the home is below the should be accompanied immunization threshold, the immunization threshold, the following immunization threshold, by usual preventative following precautions apply: precautions apply: the following precautions measures, such as apply: • Limited capacity in room by ability • Limited capacity in room by ability masking and hand to physically distance to physically distance • Limited capacity in hygiene. room by ability to • Masking strongly recommended • Masking strongly recommended Residents in homes that physically distance are unable to host social • Cleaning and disinfection of high • Cleaning and disinfection of high • Masking strongly gatherings and organized touch surfaces between activities/ touch surfaces between activities/ events should not be recommended room use room use restricted to their suites, • Cleaning and unless otherwise advised • Same activity groups as much as • Same activity groups as much as disinfection of high by the local PHU as part possible possible touch surfaces of COVID-19 prevention between activities/ and containment. room use • Same activity groups as much as possible activities. *OTHER RECREATIONAL SERVICES: Services provided by the home for residents such as gyms, pools and spas must follow requirements for the activity under the Provincial Framework. Effective May 5, 2021 11
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 5 Scenario 5 NOT IN OUTBREAK AND OUTBREAK ORANGE (RESTRICT) RED (CONTROL) GREY Requirements for IN GREEN (PROTECT) OR Homes IN outbreak Home is NOT in outbreak but is Home is NOT in outbreak but is (LOCKDOWN) OR Communal Dining YELLOW (PREVENT) located in a region designated located in a region designated SHUTDOWN/STAY-AT- as an Orange zone. as a Red zone. Please review Directive #3 and the All homes must meet these HOME ORDER Retirement Homes Policy to Implement baseline requirements. Homes Homes must follow the rules Directive #3 for full details on PPE, NOT in outbreak must also below. IPAC, requirements. A local PHU may determine if the public health unit also advise further restrictions in part in which they are situated is in an or all of the home, depending on the Orange, Red, or Grey zone of the specific situation. Where co-located COVID-19 Response Framework or with a long-term care home, under a Shutdown/Stay-at-Home retirement home should align where order. If it is, the home must follow possible or take the more restrictive baseline requirements AND the visiting policy unless otherwise advised requirements applicable to their by the local PHU colour/order. For a home to meet the minimum If a home is above the If a home is declared If a home is above the If a home is above the If a home is above the immunization threshold they must immunization threshold, the in outbreak, the immunization threshold, immunization threshold, immunization threshold, the have: following flexibility applies: home should follow the following flexibility the following flexibility following flexibility applies: the PHU's guidance applies: applies: 1. A min. of 85% of all residents • Cohorted Groups • Cohorted Groups surrounding fully immunized; AND • Cohorted Groups • Cohorted Groups • Consistent seating of communal dining • Consistent seating of 2. A min. of 70% of the overall residents at the same table, • Consistent seating of • Consistent seating of residents at the same table, home (residents and staff) fully physical distancing and residents at the same residents at the same physical distancing and hand immunized. hand hygiene strongly table, physical distancing table, physical distancing hygiene strongly recommended and hand hygiene and hand hygiene recommended Please consult the Retirement strongly recommended strongly recommended Homes Policy to Implement • Masking when not • Masking when not Directive #3 on how to calculate eating/drinking strongly • Masking when not • Masking when not eating/drinking strongly immunization threshold. recommended eating/drinking strongly eating/drinking strongly recommended recommended recommended • Fully immunized Essential • Fully immunized Essential Caregivers may join a full • Fully immunized Essential • Fully immunized Essential Caregivers may join a full immunized resident Caregivers may join a full Caregivers may join a full immunized resident immunized resident immunized resident Effective May 5, 2021 12
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 5 If the home is below the If the home is below the If the home is below the If the home is below the immunization threshold, the immunization threshold, immunization threshold, immunization threshold, the following precautions apply: the following precautions the following precautions following precautions apply: apply: apply: • Physical distancing between • Physical distancing between diners • Physical distancing • Physical distancing diners between diners between diners • Decreased room capacity • Decreased room capacity • Decreased room capacity • Decreased room capacity • Consistent seating of • Consistent seating of residents at the same table, • Consistent seating of • Consistent seating of residents at the same table, physical distancing and residents at the same residents at the same physical distancing and hand hand hygiene strongly table, physical distancing table, physical distancing hygiene strongly recommended and hand hygiene and hand hygiene recommended strongly recommended strongly recommended • Masking when not • Masking when not eating/drinking required • Masking when not • Masking when not eating/drinking required eating/drinking required eating/drinking required Residents experiencing Residents experiencing signs/symptoms of COVID-19 Residents experiencing Residents experiencing signs/symptoms of COVID-19 do do not participate in signs/symptoms of COVID- signs/symptoms of COVID- not participate in communal communal dining unless the 19 do not participate in 19 do not participate in dining unless the resident has resident has tested negative communal dining unless the communal dining unless the tested negative for COVID-19 for COVID-19 since onset. resident has tested negative resident has tested negative since onset. for COVID-19 since onset. for COVID-19 since onset. Effective May 5, 2021 13
Scenario Matrix: Retirement Home Covid-19 Visiting Policy ○ 6 Scenario 6 NOT IN OUTBREAK AND IN OUTBREAK ORANGE (RESTRICT) RED (CONTROL) GREY Requirements GREEN (PROTECT) OR Homes IN outbreak Home is NOT in outbreak but is Home is NOT in outbreak but is (LOCKDOWN) OR for Tours YELLOW (PREVENT) located in a region designated located in a region designated SHUTDOWN/STAY-AT- as an Orange zone. as a Red zone. Please review Directive #3 and the All homes must meet these baseline HOME ORDER Retirement Homes Policy to requirements. Homes NOT in outbreak Home is NOT in outbreak but is Implement Directive #3 for full must also determine if the public health located in a region designated as a details on PPE, IPAC, requirements unit in which they are situated is in an Grey zone or under a A local PHU may also advise Orange, Red, or Grey zone of the COVID- Shutdown/Stay-at-Home order. further restrictions in part or all of 19 Response Framework or under a the home, depending on the Shutdown/Stay-at-Home order. If it is, the Homes must follow the rules below. specific situation. Where co- home must follow baseline requirements located with a long-term care AND the requirements applicable to their home, retirement home should colour. align where possible or take the more restrictive visiting policy unless otherwise advised by the local PHU. Virtual tours should be • Tour group should be limited to In-person tours All tour participants are All tour participants are All tour participants are subject implemented as much as the prospective resident or couple should be paused. subject to the General subject to the General to the General Visitor and PPE possible. plus one other individual. Visitor and PPE Visitor and PPE requirements. requirements. requirements. • All tour participants are subject to In-person tours should be the General Visitor and PPE paused. requirements. • The tour route must be restricted in a manner that avoids contact with residents. • Homes should keep the number of tours in the home to a minimum. Effective May 5, 2021 14
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