BUFFALO GROVE PARK DISTRICT CLUBHOUSE PROGRAM PARENT/GUARDIAN HANDBOOK 2021 2022

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BUFFALO GROVE PARK DISTRICT

   CLUBHOUSE PROGRAM

PARENT/GUARDIAN HANDBOOK

       2021 - 2022
Dear Parent/Guardian:

Welcome to the Clubhouse program. This parent/guardian handbook is designed to provide
detailed information about Clubhouse activities, procedures, and guidelines. Please read this
handbook carefully and keep it as a reference throughout the school year. Extra copies of the
parent/guardian handbook are available on our website bgparks.org under the Programs tab.

Clubhouse is a before and after school program committed to providing a safe and recreational
program for families that need extended day care. We are excited to meet the needs of you and
your family and are hopeful that Clubhouse will be a fun and exciting recreational experience.

Please feel free to contact us if you have any questions.

Sincerely,

Amanda Busch
Recreation Supervisor
amanda@bgparks.org
(p) 847.850.2134
(f) 847.459.0674
TABLE OF CONTENTS
Program Description…………………………………………………………………………………………… Page 1
Hours Of Operation…………………………………………………………………………………………… Page 1
Attendance Options……………………………………………………………………………………………. Page 1

Registration…………………………………………………………………………………………………….. Page                 2
Contact Information……………………………………………………………………………………………. Page              2
Staff…………………………………………………………………………………………………………….. Page                     2
Schedule Changes…………………………………………………………………………………………….. Page                2

Change Of Information…………………………………………………………………………………......... Page        3
Extra Day Of Service………………………………………………………………………………………….. Page             3
Early Dismissals & Half Days………………………………………………………………………………….. Page        3
Absences……………………………………………………………………………………………………….. Page                    3
Sign-In Procedures……………………………………………………………………………………………… Page 3
Sign-Out Procedures…………………………………………………………………………………………… Page 3

Field   Trips………………………………………………………………………………………………………. Page                4
Field   Trip Dress Code…………………………………………………………………………………………. Page           4
Field   Trip Lunch………………………………………………………………………………………………… Page              4
Field   Trip Cancellation………………………………………………………………………………………… Page          4
Field   Trip Only Registration……………………………………………………………………………………. Page      4

Technology Policy……………………………………………………………………………………………… Page 5
Extra Curricular Activities……………………………………………………………………………………… Page 5
Payments……………………………………………………………………………………………………….. Page 5
Receipts & Year-End Tax Statements………………………………………………………………………….. Page 5
Dependent Care & Flexible Spending………………………………………………………………………… Page 5
Refunds…………………………………………………………………………………………………………. Page 5

Behavior Guidelines…………………………………………………………………………………………… Page 6
Violence Policy………………………………………………………………………………………………… Page 6
Code Of Conduct……………………………………………………………………………………………… Page 6

Special Recreation Participants………………………………………………………………………………..Page 7
Emergency School Closings…………………………………………………………………………………… Page 7
Medication…………………………………………………………………………………………………….. Page 7
Illness…………………………………………………………………………………………………………… Page 7
Outdoor Activity……………………………………………………………………………………………….. Page 7
Sunscreen………………………………………………………………………………………………………. Page 7

Suspected Abuse Or Neglect…………………………………………………………………………………. Page 8
Custody Orders………………………………………………………………………………………………… Page 8
Confidentiality………………………………………………………………………………………………….. Page 8
Parent/Guardian Communication With Participants…………………………………………………………Page 8
Movies…………………………………………………………………………………………………………. Page 8
Lost & Found…………………………………………………………………………………………………… Page 8
Cancellation…………………………………………………………………………………………………… Page 8

COVID-19 Addendum………………………………………………………………………………………… Page 9
Health Monitoring……………………………………………………………………………………………… Pages 9 – 11
Disinfecting/Cleaning Procedures…………………………………………………………………………….. Page 12
Wellness Screening Questionnaire……………………………………………………………………………. Page 12
Program Description
Clubhouse is a before and after school program committed to providing a safe and recreational program for
families that need extended day care. The Clubhouse program offers a wide variety of recreation activities.
Participants can partake in physical fitness games, arts and crafts projects, team sports, and many other
activities. Clubhouse also provides homework help and the opportunity to work on school projects and
assignments. A snack is provided during the afternoon program. Participants with food allergies or
restrictions are permitted to bring their own snack. Clubhouse partners with ten elementary schools in three
school districts. Clubhouse provides services in the following elementary schools: Country Meadows, Ivy
Hall, Kildeer, Kilmer, Longfellow, Meridian, Prairie, Pritchett, Tripp, and Willow Grove.

                                           Hours of Operation
             School                    Morning Hours Of Operation           Afternoon Hours Of Operation
       Country Meadows                         7 – 8:15 am                            3 – 6 pm
             Ivy Hall                          7 – 8:15 am                            3 – 6 pm
             Kildeer                           7 – 8:15 am                            3 – 6 pm
              Kilmer                           7 – 8:45 am                          3:30 – 6 pm
           Longfellow                          7 – 8:45 am                          3:30 – 6 pm
            Meridian                             7 – 8 am                           2:30 – 6 pm
              Prairie                          7 – 8:15 am                            3 – 6 pm
             Pritchett                           7 – 9 am                           3:30 – 6 pm
              Tripp                              7 – 9 am                           3:30 – 6 pm
          Willow Grove                           7 – 9 am                           2:45 – 6 pm

                                           Attendance Options
Clubhouse attendance is determined based on the needs of each family. Attendance options include the
morning service, afternoon service, or a combination of morning and afternoon services. Days of service
can vary from one to five days per week. Once enrolled in Clubhouse, it is possible to make changes or
adjustments to the schedule by submitting a Change of Schedule form.
                                Days Per Week               AM or PM Service
                                      1                           AM
                                      1                           PM
                                      1                        AM & PM
                                      2                           AM
                                      2                           PM
                                      2                        AM & PM
                                      3                           AM
                                      3                           PM
                                      3                        AM & PM
                                      4                           AM
                                      4                           PM
                                      4                        AM & PM
                                      5                           AM
                                      5                           PM
                                      5                        AM & PM

                                                    -1-
Registration
It is required to submit completed registration forms at least 48 business hours prior to the anticipated start
date. Registration forms will be accepted in the order that they are received. The maximum enrollment
amount at each site is based on availability and staffing. Enrollment numbers are determined by an
adequate staff to participant ratio and will not exceed this ratio at any site. If a site has maximized its staff
to participant ratio, parents/guardians have the option of completing a registration form and being placed
on a waiting list.

                                                Contact Information
Each site has a cell phone to communicate absences, late pick-up, or other Clubhouse related information.
Cell phones are available for voicemail and text messages at all times, but will only be used to make and
accept calls during program hours.

                                    School                        Cell Phone
                              Country Meadows                  847.980.5181
                                    Ivy Hall                   847.980.5182
                                    Kildeer                    847.980.5183
                                    Kilmer                     847.980.5184
                                  Longfellow                   847.980.5185
                                   Meridian                    847.521.6865
                                    Prairie                    847.980.5186
                                    Pritchett                  847.980.5187
                                     Tripp                     847.980.5188
                                Willow Grove                   847.971.9025
                                                 Clubhouse Office
                                                  Amanda Busch
                                               Recreation Supervisor
                                               amanda@bgparks.org
                                              Phone: 847.850.2134
                                               Fax: 847.459.0674

                                                       Staff
The Clubhouse program is administered and directed by the Buffalo Grove Park District. All staff receives
job specific training and must complete orientation prior to employment. Site Directors and Assistant Site
Directors are trained in basic first aid and are CPR/AED certified. Staff receives additional training
throughout the year to continue to provide outstanding services and care.

                                                Schedule Changes
A Schedule Change Form should be completed to adjust or change the attendance schedule for a
participant. Only a parent/guardian is authorized to make these changes. This form is available at the
Clubhouse sites and online. Completed and signed forms can be submitted to the Clubhouse office. Each
schedule change is subject to a $5 service fee. Please contact the Site Director and you must notify the
participant’s school office when any changes are made to ensure accurate attendance rosters.

                                                        -2-
Change of Information
A Change of Information Form should be completed to update or change any information on the registration
form including; phone numbers, change of address, authorized pick up or newly diagnosed allergies. A
Payment Agreement Form must be completed to update or change any payment information. Only the
parent/guardian is authorized to make these changes. These forms are available at the Clubhouse sites
and online. Completed and signed forms can be submitted to the Clubhouse office or turned into the Site
Director at the participant’s school.

                                            Extra Day of Service
Morning and afternoon service attended by a participant that is not a regularly scheduled day of attendance
will be considered an extra day of service. An additional fee will be charged along with the monthly tuition
amount for each extra day of service. These additional fees do not permanently affect the monthly tuition
amount. Please contact the Site Director and you must notify the school office when extra days are needed
to ensure accurate attendance rosters. The Site Director will require a signature on the Extra Service Fee
Agreement form that grants the Buffalo Grove Park District permission to charge the extra day of service
along with the monthly tuition.

                                        Early Dismissal & Half Days
Clubhouse services are available on early dismissals and half days. No additional fees will be issued to
participants that are regularly scheduled to attend the afternoon program on that day. Participants, who are
not regularly scheduled to attend the afternoon program, may attend Clubhouse free of charge until the time
that school is normally dismissed. If a participant needs to stay beyond the normal school dismissal time, an
extra service fee will be issued. A parent/guardian must notify the Site Director and the school office if extra
service is needed. Participants should bring a lunch on all half days unless otherwise noted.

                                                  Absences
A parent/guardian should notify the Site Director via a phone call or text message to the site cell phone, of
all absences to ensure an accurate attendance roster. Parents/guardians also need to notify the school office
of the absence. Reporting the absence to the school office does not guarantee Clubhouse being notified.

                                             Sign-In Procedures
Clubhouse participants can be dropped off any time after 7 am up to the start of the school day. Clubhouse
will not allow entrance to the building prior to the start of program. A parent/guardian must accompany all
participants to the program area and sign them in daily.

                                            Sign-Out Procedures
Clubhouse participants can be picked up at any time after school dismissal up to 6 pm. Clubhouse staff will
not release a participant to anyone other than the parent/guardian unless they are an emergency contact or
authorized pick up listed on the registration form. A photo ID is required upon pick-up. Parents/guardians
should notify the Site Director if they would like to add anyone not listed as an emergency contact or
authorized pick up. Please notify Clubhouse staff if unable to pick up a participant by 6 pm. There is no
fee the first time a participant is picked up late within 15 minutes. Any occurrence after that will be subject
to a $25 charge for every fifteen minutes or portion thereof.

                                                      -3-
Field Trips
Clubhouse offers full days of service from 7 am through 6 pm on select school holidays, institute days, winter
break, spring break, and other school breaks. On full days of service, Clubhouse participants have the
opportunity to attend a field trip. All field trips require a separate registration form and are purchased at an
additional cost. Field trip registration forms will be distributed via email and will also be available at each
Clubhouse site prior to the date of the trip. Each field trip costs $40 per trip for Clubhouse participants and
$50 per trip for Field Trip Only participants. No late field trip forms will be accepted. Any field trip
registration forms submitted after the deadline will be placed on a waitlist. Parents/guardians will be notified
if we are able to accommodate your request. Clubhouse will allow participants to bring additional money
to utilize during the field trip, however we recommend that you do not send more than $10. Staff will not be
permitted to hold money for any participant.

                                               Field Trip Dress Code
Clubhouse participants will receive one free Clubhouse shirt to wear on Field Trip days upon registering for
the first field trip of the year. Shirts will be distributed on the first trip participants register for. Participants are
required to wear the Clubhouse shirt on all subsequent field trips throughout the school year. If a participant
shows up for a field trip without their Clubhouse t-shirt, parents/guardians will be asked to retrieve the t-shirt
or purchase an additional t-shirt for $8. Field Trip participants are also required to wear gym shoes or shoes
with a rubber sole and socks.

                                                   Field Trip Lunch
On some fieldtrips lunch will be provided, while other fieldtrips participants will be required to bring a lunch.
When lunch is not provided on the trip, participants should bring a non-perishable lunch in a disposable
bag clearly labeled with participant’s name and school.

                                               Field Trip Cancellation
Full refunds will be distributed to those that cancel a Field Trip prior to the registration deadline.
Cancellations made after the registration deadline will receive a 50% refund. Please call the Clubhouse
office or notify your Site Director to cancel registration. Refunds will not be issued without notification of the
cancellation to your Site Director or the Clubhouse office.

                                            Field Trip Only Registration
Field Trip Only registration is available for participants that only need Clubhouse on days that school is not
in session. Field Trip Only participants cannot exceed sixth grade and is only offered to participants who
attend a school district our program services. All field trips require a separate registration form in addition to
the Field Trip Only registration form. Field trip registration forms will be distributed via email prior to the date
of the trip. Each field trip costs $50 per trip for Field Trip Only participants.

                                                           -4-
Technology Policy
The use of electronics will be permitted for all educational/homework purposes. The use of electronics for
other purposes will be permitted on a limited basis at the discretion of each Site Director. Any games or
applications that encourage violence of any type will not be permitted. Any violation of this policy will result
in confiscation of the device for the duration of the day(s).        This is a program where we encourage
participant interaction. In most cases, the use of these devices limits that interaction. The Buffalo Grove Park
District is not responsible for lost, stolen, traded or damaged property.

                                    Extracurricular After School Activities
Clubhouse staff should be notified of any extracurricular activities that occur during program hours.
Parents/guardians need to complete and submit an Extracurricular Activity Form for each activity that the
participant will be attending. Participants will not be dismissed from Clubhouse to attend any activity unless
this form has been completed prior to the start of the extracurricular activity. Participants need to check-in with
their Site Director before attending their program. These forms are available at each school site. Any
participant that will return to Clubhouse following their activity needs to report to the Site Director for
attendance. It is the participant’s responsibility to remember to attend their activity.

                                                    Payments
Clubhouse tuition payments are processed in nine monthly installments from September through May. There
is an option for the payment to be processed on the 1st or the 15th of the month. It is possible to pay by an
electronic fund transfer (EFT) or by debit/credit card. This information must be included on the Payment
Agreement Form that is attached to the registration form, in order for your registration form to be processed.
The Buffalo Grove Park District may charge a $25 decline fee for any payment that has declined.
Participants will be temporarily removed from the Clubhouse program for any outstanding balances on their
Clubhouse account.

                                   Receipts and Year-End Tax Statements
Monthly tuition receipts will be distributed via email at the end of each month. Field trips, extra days of
service, and any other charges to your monthly tuition amount will be included on the monthly receipt. A
Year-End Tax Statement will be handed out at the Clubhouse sites or mailed to the address listed on the
registration form by January 31. The Clubhouse FEIN number is 36-2697723 and is included on the
monthly receipts and Year-End Tax Statement.

                           Dependent Care and Flexible Spending Statements
All dependent care and flexible spending statements should be submitted to Amanda Busch. Once the
amounts are compared and verified, a signed copy will be distributed by email, mail, Clubhouse site, or
available for pick up at the Alcott Center.

                                                     Refunds
Refunds may be given when a participant withdraws from the program or for extended medical reasons
documented by a physician. The refund will be pro-rated based upon the last day of attendance and date
of notification of withdrawal. Refunds will not be given for emergency school closings, family trips and
vacations, absences, extracurricular activities, or for alternate childcare arrangements. Please allow 2-3
weeks for your refund to post.
                                                        -5-
Clubhouse Behavior Policy
It is the Clubhouse program’s philosophy to teach participants to take responsibility for their own actions.
We try to accomplish this through direction, redirection, positive reinforcement and motivation. To ensure a
pleasant and safe environment for every participant, the Clubhouse program has the following procedures in
place regarding disruptive, dangerous or negative behaviors:
      1st Offense – Verbal Warning: Depending on the severity, several warnings may be given.
       2nd Offense – Situation Report: A report will be filled out and filed in the participants file,
        documenting the behavior. Clubhouse staff will work with the participant and parents/guardians to
        correct this behavior. This may be issued immediately, without warnings for serious infractions.
       3rd Offense – Suspension: The participant will be suspended from the program for one to three days,
        depending on the severity of the situation. The suspension will be in effect the first program day
        following the offense. The parent/guardian will be notified by the Recreation Supervisor via a phone
        call and follow-up email. Upon return from a suspension, if behavior continues, the Buffalo Grove
        Park District may permanently postpone participation in all Park District programming. Depending on
        the situation and degree of the offense or repetitive inappropriate behavior, the participant may be
        permanently dismissed from the program. There will be no refunds for the days missed due to
        disciplinary infractions.

Participants and parents/guardians are also expected to follow the behavior policy set by the Buffalo Grove
Park District. That policy can be viewed here: http://bgparks.org/information/behavior.aspx.

                                        Clubhouse Violence Policy
At Clubhouse, we hold a zero tolerance to violence policy. A participant that is physically or verbally
abusive or exhibits any other behavior that causes harm to themselves, another participant, Park District staff
or NWSRA staff will be immediately suspended without any prior warning. Bullying, verbal abuse,
threatening or physical violence towards Park District staff, NWSRA staff or any other participant will not be
tolerated. All threats and threatening behavior will be taken very seriously and will result in an immediate
suspension and possible dismissal from the program.

                                      Clubhouse Code Of Conduct
Participants are expected to exhibit appropriate behavior at all times. The following guidelines have been
developed to ensure the Clubhouse program remains a safe and enjoyable experience for all participants.
     Bullying, verbal abuse, threatening or physical violence will not be tolerated
       Participants and parents/guardians will refrain from using abusive or foul language
       Participants and parents/guardians will show respect to all staff, participants, property, equipment
        and facilities
       There may be no physical contact with any other participants/staff
       Participants will not place themselves or others in dangerous situations through actions or behavior
       Participants and parents/guardians are responsible for their actions and belongings (bags, jackets,
        school supplies, electronics, etc.)

                                                      -6-
Special Recreation Participants
Participant’s who need special accommodations or attend an alternative school are able to attend the
Clubhouse program located at their “home” school. The Buffalo Grove Park District partners with the
Northwest Special Recreation Association (NWSRA) to provide inclusion services. This request should be
made at the time of registration and requires a minimum of two weeks notice. Families are encouraged to
speak directly with Amanda Busch, who will then contact NWSRA, if circumstances permit. A follow-up will
be communicated by NWSRA upon final determination.

                                        Emergency School Closings
Clubhouse will be cancelled for any emergency school closing. Please contact the emergency closing
center for all school closings and updates. No refunds will be provided for emergency school closings .

                                                 Medication
Parents/guardians are required to complete a Medication Authorization Form for any allergies, chronic
illness, existing medical conditions, medications/dosages and time to administer medical information, and
any additional information necessary to understand and care for your participant. This form is necessary to
allow staff to administer the medication during program hours. Completed forms should be submitted to the
Site Director or the Clubhouse office. Clubhouse reserves the right to refuse to dispense certain types of
medication. If your participant requires medication on a Field Trip day, please bring the medication with
you. Staff will not be able to transfer medication from their school site to the Field Trip site. All medication
needs to be provided in a Pharmacy issued container, stating the name of the medication and dosage.

                                                    Illness
Parents/guardians will be notified if a participant becomes ill during program hours. Clubhouse staff will
request that the participant be picked up from program as soon as possible. If the parent/guardian is
unavailable, those listed on the emergency contact and authorized pick up form will be notified. As
mandated by the school districts, a participant must be without a fever and/or taking an antibiotic for 24
hours before returning to the program. A participant may not return to the program until the following day
after sickness.    In case of contagious disease, please notify Clubhouse staff immediately.            All
parents/guardians at that site will be notified as soon as possible.

                                              Outdoor Activity
Clubhouse will participate in outdoor activities when the weather permits. Temperatures must be above 25
degrees for participants to play outside. Participants will not be permitted to go outside without proper attire
during cold temperatures.

                                                  Sunscreen
It is the parent/guardians responsibility to apply sunscreen to your participant prior to program. Clubhouse
staff has permission to re-apply sunscreen to the participant’s face, neck, back, shoulders and arms. It is the
responsibility of the participant to re-apply sunscreen to other areas, such as chest, abdomen and legs.

                                                      -7-
Suspected Abuse or Neglect
It is policy of the Buffalo Grove Park District to fully comply with the State of Illinois Abused and Neglected
Child Reporting Act. The Park District will make every reasonable effort to prevent, detect, and report cases
of suspected child abuse and neglect for participants who come in direct contact with Park District programs,
areas and facilities.

                                              Custody Orders
To honor specific custody orders and/or orders of protection, it is the responsibility of the parent/guardian
to provide a copy of the custody order and/or order of protection. The document must be signed by the
court with the legal seal present, date effective and ending date if applicable.

                                               Confidentiality
Clubhouse will maintain confidentiality and respect family privacy, refraining from disclosure of confidential
information. Disclosure of participant’s records beyond family members, program personnel and consultants
having an obligation of confidentiality shall require parental/guardian consent. However, in cases of abuse
or neglect, it is permissible to reveal confidential information to agencies and individuals who may be able
to act in the participants interest.

                           Parent/Guardian Communication with Participants
Parents/guardians are to refrain from speaking with other participants regarding behavioral issues. Please
bring all concerns regarding conduct and behavior to the Site Director or the Clubhouse office. Only Buffalo
Grove Park District staff is permitted to manage participant conduct and behavior.

                                                   Movies
Movies will be shown periodically. Clubhouse will show G-rated or PG-rated movies. Please contact the
Site Director or Clubhouse office if you have any concerns about the types of movies that your participant is
permitted to watch. Participants are not required to watch the movie. Other activities will be available to
those that do not want to watch or are not permitted to watch the movie.

                                                Lost & Found
Clubhouse requests that all personal items are labeled. Any item found at Clubhouse sites will be held for
up to 30 days. After that time, any unclaimed items will be donated to charity. This policy also applies to
Field Trips. Clubhouse is not responsible for any lost or stolen items on Field Trips.

                                                Cancellation
Parents/guardians wishing to withdraw their participant from the Clubhouse program should submit a
Cancellation Request form to Amanda Busch. A Cancellation Request can also be mailed, emailed or
faxed. Parents/guardians are responsible for fees incurred until a cancellation notice is received by the
Clubhouse office. Re-enrollment is dependent on availability at the specific program site.

                                                      -8-
Buffalo Grove Park District COVID-19 Addendum
**Disclaimer: These are our current program guidelines however, we fully expect changes will be made
before the Clubhouse program begins in August 2021. Any changes to the COVID-19 Addendum will be
communicated via email.

   1. For safety purposes, there will be a zero tolerance policy for licking/spitting/biting. Any incident
       will result in removal from programming.
   2. Staff and participants must have a secure face covering with them at all times. Anyone whose face
       covering is not deemed to be secure will be provided a temporary replacement with the expectation
       that a secure face covering will be brought to programming the following day. This face covering
       may be provided at the expense of the individual.
   3. While indoors, all staff and participants must wear secure face coverings over their mouth and nose
       and follow 6-ft distancing.
   4. Face coverings will not be required while outdoors unless 6-ft distancing cannot be maintained.
       Face coverings will be required while using the playground as 6-ft distancing cannot be guaranteed.
   5. Face coverings will not be required during meal or snack breaks (when applicable). A minimum of
       6-ft distancing must be maintained if not greater during these breaks.
   6. Programs will be designated one room/space for the duration of the day. Programs will be limited
       to a designated number of participants and staff determined by the size and capacity of the
       room/space. There will be no intermixing of groups.
   7. Program groups must maintain 30-ft between them (when applicable).
   8. Program groups will have outdoor face covering breaks (weather permitting) if/when the duration or
       nature of the program warrants it.
   9. Frequent hand washing will be enforced and all programs will have a supply of hand sanitizer.
   10. Drop-off and pick-up for all participants will be contact-less.
   11. Water bottle refill stations will be available at each site. Push button drinking fountains will be turned
       off.

                                              Health Monitoring
   1. All staff and participants will be required to complete a self-assessment using the Wellness Screening
      Questionnaire before arriving on-site each day. A copy of this assessment can be found at the end
      of this document.
   2. Any staff or participant who is exhibiting one or more COVID-19 symptoms will be prohibited from
      attending any Park District program, event, or facility.
   3. If a staff or participant exhibits one or more symptoms, with no known exposure to someone with
      COVID-19, they should inform the Park District and follow these procedures.
           a. If they are getting tested, share the results with the Park District.
                    i. If the test comes back positive, see #11 below.
                   ii. If the test comes back negative, they may return when at least 24 hours have passed
                       since all symptoms have resolved (without the use of pain/fever-reducing
                       medication), no new symptoms have developed, they can reply “no” to all items on
                       the Wellness Screening Questionnaire, and a copy of the written “negative” test
                       result or a “Result Acknowledgment Form” has been submitted to the Park District.

                                                      -9-
b. If they are not getting tested, they can return when they have been fever-free for at least
               24 hours (without the use of pain/fever-reducing medication), all symptoms have resolved,
               they can reply “no” to all items on the Wellness Screening Questionnaire, and at least 10
               days have passed since onset of symptoms.
                    i. **Please note: A participant cannot return to programming if ill. However, if a
                       participant has a condition that causes COVID-19-like symptoms, a doctor’s note
                       clarifying the individual has a history of a symptom or that a symptom is unrelated to
                       COVID-19 may allow the individual to return to the Park District sooner. The doctor’s
                       note must specify the participant is not contagious. These situations will be handled
                       on a case-by-case basis with the Park District administration.
4.   If a staff or participant lives with a person who has developed symptoms of COVID-19, contact the
     Park District immediately. The staff or participant is not to attend in-person programming for at least
     72 hours to monitor for symptoms or until testing indicates a “negative” result, whichever is longer.
     Contact the program supervisor with results to determine next steps. All situations will be handled on
     a case-by-case basis.
5.   Close contact is defined as being within 6 feet of a person with COVID-19 for 15 minutes or more
     cumulatively over a 24 hour period, living in the same household as a person with COVID-19,
     caring for a person with COVID-19, having direct physical contact with a person with COVID-19
     (i.e. hugging or kissing), or being in direct contact with secretions from a person with COVID-19 (i.e.
     being coughed or sneezed on, sharing utensils, etc.). Any staff or participant who has had close
     contact with any person who is diagnosed with COVID-19 should quarantine for 14 days after the
     last/most recent contact with the infectious individual and seek a COVID-19 test at a state or local
     testing center, healthcare center or other testing locations. If the staff or participant is caring for this
     person or are unable to isolate, the 14-day quarantine cannot begin until after that person meets the
     criteria to end home isolation (see # 11). No quarantine is needed if the individual had the virus
     within 3 months, has recovered, and remains without COVID-19 symptoms.
6.   If a participant exhibits signs and symptoms of COVID-19 during a program, staff will remove and
     isolate them, conduct a participant wellness screening inquiry, and call a parent/guardian for pick-
     up pending the results of the inquiry. If a staff exhibits signs and symptoms of COVID-19 during a
     program, they will be asked to leave.
7.   The timing of testing for COVID-19 is important to produce accurate results, and therefore, testing
     should occur:
          a. 5-7 days after being exposed to a person with COVID-19
          b. 3-5 days after onset of symptoms if there is no “known exposure” date
8.   If a participant has elected to take a COVID-19 test for “cause” (i.e. the individual is experiencing
     symptoms or has been exposed), the participant should:
          a. Not report to the Park District while awaiting test results
          b. Inform the program supervisor immediately
          c. Provide results to the program supervisor once received and provide a copy of the results
               once available
          d. Contact the program supervisor to determine when you can report back to programming on-
               site
          e. All situations will be handled on a case-by-case basis

                                                    -10-
9. If a participant has elected to take a COVID-19 test “without cause” (i.e. the individual has no
       symptoms and has no reason to believe there has been an exposure), the participant should do the
       following:
            a. Inform the program supervisor immediately
            b. Provide results to the program supervisor once received and provide a copy of the results
                 once available
   10. If a staff or participant is identified as being COVID-19 positive, the following will occur:
            a. Local health officials, staff, and participants will be notified immediately of any confirmed
                 case of COVID-19 while maintaining confidentiality consistent with privacy laws.
            b. Cleaning and disinfecting will be performed according to CDC guidelines.
            c. All staff and participants should be alert for signs of COVID-19 by watching for symptoms
                 such as fever, cough, or shortness of breath and by taking their temperature if symptoms
                 develop.
   11. A staff or participant who has been confirmed with COVID-19 may not return until the following is
       met.
            a. If they will be follow-up tested:
                       i. They receive two negative COVID-19 test results taken at least 24 hours apart,
                      ii. They have been fever-free for at least 24 hours without the use of fever-reducing
                          medication,
                     iii. All symptoms have resolved; however, loss of taste or smell may persist for weeks or
                          months after recovery and need not delay the end of isolation
                     iv. They can reply “no” to all items on the Wellness Screening Questionnaire, AND
                      v. Copies of both written “negative” test results OR the “Result Acknowledgment Form”
                          have been submitted to the Park District
            b. If they will not be follow-up tested:
                       i. They have been fever-free for at least 24 hours without the use of fever-reducing
                          medication,
                      ii. All symptoms have resolved; however, loss of taste or smell may persist for weeks or
                          months after recovery and need not delay the end of isolation
                     iii. They can reply “no” to all items on the Wellness Screening Questionnaire,
                     iv. They have isolated at home for a minimum of 10 days after symptom onset, or if
                          asymptomatic, from the day testing took place, AND
                      v. They provide a “Safe to Return” note from a physician or public health official
                          indicating they can return to programming and the program supervisor has approved
                          their return

Disinfecting/Cleaning Procedures
    1. Cleaning and disinfecting will be performed according to CDC guidelines.
    2. Hand sanitizer and sanitizing stations will be available.
    3. Common areas and surfaces will be disinfected frequently.
    4. Shared spaces (if applicable) will be disinfected between groups.
    5. Shared objects and equipment will be disinfected before and after use.

                                                    -11-
Wellness Screening Questionnaire
Below is the questionnaire referenced throughout this document. All staff and participants are required to
review the questions below each day prior to attending a Park District program, event, or facility. If a staff
or participant answers “yes” to any of the questions, they should contact the Program Supervisor and not
attend in-person. Temperatures should be taken before coming to the Park District each day and staff or
participants should not attend on-site if their temperature is higher than normal. No-touch thermometers will
be available upon request for self-assessment for those who do not have one. By entering a Park District
facility or program, the staff, participant, or parent/guardian acknowledges that this questionnaire has been
completed properly, that the individual has said “no” to each item, and is symptom-free.

Name:                                                  Date:

Yes No
☐ ☐ Have you felt feverish?
☐ ☐ Do you have a cough?
☐ ☐ Do you have a sore throat?
☐ ☐ Have you been experiencing difficulty breathing or a shortness of breath?
☐ ☐ Do you have muscle or body aches?
☐ ☐ Do you have congestion or a runny nose (e.g., not related to allergies)?
☐ ☐ Have you been experiencing fatigue?
☐ ☐ Have you had a new or unusual headache (e.g., not related to caffeine, diet, or hunger, not related
     to a history of migraines, clusters, or tension, not typical to the individual)?
☐ ☐ Have you noticed a new loss of taste or loss of smell?
☐ ☐ Have you been experiencing chills or rigors¹?
☐ ☐ Do you have any gastrointestinal concerns (e.g., abdominal pain, vomiting, diarrhea)?
☐ ☐ Is anyone in your household displaying any symptoms of COVID-19?
☐ ☐ To the best of your knowledge, have you or anyone in your household come into close contact² with
     anyone who has tested positive for COVID-19?

¹ Rigors: a sudden feeling of cold with shivering accompanied by a rise in temperature

² Close contacts include household contacts, intimate contacts, or contacts within 6-ft. for 15 minutes or
longer unless wearing N95 mask during period of contact.

                                                    -12-
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