CCPRN Resuming Care & COVID-19 Zoom Chat Summary Discussion Notes: Ideas and Questions to Consider - Child Care ...
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CCPRN Resuming Care & COVID-19 Zoom Chat Summary
Discussion Notes: Ideas and Questions to Consider
June 3rd, 2020
• Reach out and consult your families as you plan to re-open. Align the risk
tolerance to help determine what strategies you will put in place regarding
cleaning, physical distancing, etc. Do you and your families share similar
comfort levels around the potential risk of transmitting COVID-19? Can you
collaborate to create strategies and write a policy that will work for everyone?
For example, are your families all ok with the idea of a shared child care
environment where maintaining a 2 meter distance will be encouraged but not
enforced?
• Continued discussion regarding infrared thermometers: each model is unique.
Consider the measuring distance (how close do you need to be to use it?),
temperature range, and accuracy.
o Here is an example of a non-contact infrared thermometer that was
shared after the chat:
https://medicsupplies.ca/search?type=article,page,product&q=non-
contact*+thermometers* Please note: we can’t speak to how well this
model works—but delivery was quick and it is easy to use.
• Update shared: Ottawa Public Health-- COVID-19 Guidance for Emergency
Childcare Centres Revised May 27 2020 (French version below)
https://www.ottawapublichealth.ca/en/professionals-and-
partners/resources/Documents/childcare/COVID-19-Emergency-CCC-Guidance-
May-27.pdf
o Of note relating to screening: a fever is now considered to be a
temperature of 37.8 degrees C or greater (previously 38.0 or greater)
and runny nose, nasal congestion is considered to be a symptom “inabsence of underlying reason for these symptoms such as seasonal
allergies, post nasal drip, etc.”
• Shared strategies include
o Implementing a staggered entry system for all families
o Reducing hours of care, especially when parents are working from home
and have no significant commute
o Offering shorter days for the first week, an adjustment period
o Discuss and expect that all families are following public health
guidelines for physical distancing
o Increase the rotation of toys to offset daily cleaning
o Use individual bins filled with toys and art supplies for each child
• Continued discussion regarding cleaning and disinfection
o How often? What is realistic? Important to consider burnout prevention.
What are the expectations of your families? For example, will you
clean/disinfect the toilet between each use?
o What to use and where to purchase?
o Bleach Solution recommended from Ottawa Public Health:
https://www.ottawapublichealth.ca/en/professionals-and-
partners/child-care-ipac.aspx#Environmental-cleaning-and-disinfection-
in-child-care-centres-and-schools
Concentration Uses Mixture Contact Time
During the COVID-19 20 mL of bleach with 1 1 minute
pandemic, to sanitize litre of water *Note: The contact time, also
1000 parts per child care surfaces, known as the wet time, is the
million diapering stations, OR time that the disinfectant
needs to stay wet on a surface
toys, play areas, pet 4 tsp of bleach with 4 to make sure it can kill all the
cages and high touch cups of water germs. It is the length of time
hard surfaces. you leave the solution on the
surface before wiping it down.
o Prepared Disinfectants:
From Health Canada: All disinfectants that have a drug identification number (DIN)
have been approved for sale in Canada. While most disinfectants will work against
coronavirus, the following list of hard-surface disinfectants are supported by evidence
following drug review, demonstrating that they are likely to be effective and may be
used against SARS-CoV-2, the coronavirus that causes COVID-19.
https://www.canada.ca/en/health-canada/services/drugs-health-
products/disinfectants/covid-19/list.html#tbl1Examples of disinfectants from this list:
Examples only, NOT necessarily recommendations, please research products carefully.
• Spray Nine DIN 02160331 available at Home Hardware:
https://www.homehardware.ca/en/heavy-duty-cleaner-disinfectant-
650-ml/p/4521880?page=search-results%20page
• Buckeye Lemon Quat DIN 01962051 limited availability at Ren’s Pets:
https://www.renspets.com/products/buckeye-sanicare-lemon-quat-gal
• Maxill tb Minuteman NEX GEN Disinfectant DIN 02488981 (solution) &
DIN 02488973 (wipes)
https://www.maxill.com/ca/products/infection-
control/disinfectants/tb-minuteman-nex-gen-disinfectant.html
• Swish Miracle Disinfectant Spray ‘N Wipe DIN 02242836
https://swish.ca/default/sku2-4015-fm.html
• Many household brands including Lysol, Clorox, Windex, Fantastik,
reference DIN from the Health Canada link above to be certain.
• Continued discussion regarding Personal Protective Equipment
o Will you wear a mask? When? If yes, consider sending the child a photo
of you wearing a mask.
o What is your comfort level (i.e. only while changing diapers?)? What are
your families expecting?
o Consider having masks/gloves/spare clothes close by
o Question regarding the effectiveness of wearing PPE after having been in
close contact (i.e. is it useful to wear a mask while changing diapers if
you and the children are already spending time together without masks?)
o What type and where to purchase PPE?
Options for purchasing PPE—Stock and pricing subject to change, shipping cost varies
o Masks, Gloves, Shields: Medic Supplies
https://medicsupplies.ca/
o Masks, Gloves, Shields, Infrared Thermometer, Hand Sanitizer
https://www.wintergreen.ca/sanitizing-safety-solutions
o Masks, Gloves, Shields: St. John Ambulance
https://on.shopsafetyproducts.ca/products.php?page=1&sid=1&cid=37
o Masks, Gloves, Shields, Hand Sanitizer: Southwest Business Products
https://www.southwestbusiness.ca/en/corporate-supplies/ppe/
o Masks, Gloves, Shields, Hand Sanitizer: Canada Care Medicalhttps://canadacaremedical.com/medical-products/personal-protective-
equipment/
o Masks, Shields, Hand Sanitizer Dispensers: Scholar’s Choice
https://www.scholarschoice.ca/ppe.html
o Gloves: Wellwise by Shopper’s Drug Mart
https://www.wellwise.ca/search?term=latex%2520gloves
o Assorted Items: Ontario Medical Supply
http://www.oms.ca/news/retail-store-reopening.aspx
o Masks, Hand Sanitizer: CA Paradis
https://www.chefsparadise.ca/
• Consider the developmental needs of the children and the importance of the
caregiving role. How can/will you best meet their needs? Is enforcing physical
distancing practical? How will you continue to support their social and
emotional learning? What are your priorities in terms of offering care? How will
you care for a child who is crying and/or in distress (i.e. pick up and comfort
using a blanket, facing the child outwards)? How will you discuss and
communicate your plans to your families?
o This article « Lâchez le 2 mètres pour les moins de 18 ans ! » was shared—
discussing the idea of not having toddlers physical distance from each
other: https://www.ledevoir.com/politique/579320/il-faut-que-
jeunesse-se-vive
o Follow-up article “Physicians demand Legault ease restriction rules for
children”: https://montrealgazette.com/news/quebec/physicians-
demand-legault-ease-restriction-rules-for-children
• Another waiver example: YMCA Dallas
https://www.ymcadallas.org/sites/default/files/2020-05/COVID-
19%20ECC%20Waiver.pdf
French waiver example “Clause acceptation des risques” from a Day Camp:
https://municipalitestjeandematha.qc.ca/wp-
content/uploads/2020/05/Clause-acceptation-des-risques.pdf and “Mesures de
protection” example https://municipalitestjeandematha.qc.ca/wp-
content/uploads/2020/05/Mesures-de-protection-COVID-19.pdf
• Other Francophone resources:
o Santé publique d’Ottawa: Orientation pour les services de garde
d’urgence concernant la COVID-19
https://www.santepubliqueottawa.ca/fr/professionals-and-
partners/resources/Documents/childcare/COVID-19-Emergency-CCC-
guidance-May-27_FR.pdf
o Santé publique d’Ottawa: Fournisseurs de services de garde d’enfantshttps://www.santepubliqueottawa.ca/fr/professionals-and-
partners/child-care-providers.aspx
o Santé publique d’Ottawa: Mesures de prévention et contrôle des
infections dans un service de garde d'enfants
https://www.santepubliqueottawa.ca/fr/professionals-and-
partners/child-care-ipac.aspx#Environmental-cleaning-and-disinfection-
in-child-care-centres-and-schools
o Ministère de la Santé COVID-19 – Document de référence sur les
symptômes Version 5.0 – 25 mai 2020
http://www.health.gov.on.ca/fr/pro/programs/publichealth/coronaviru
s/docs/2019_reference_doc_symptoms.pdf
o Ministère de la Santé COVID-19 : Document d’orientation à l’intention
des centres de garde d’urgence Version 2 – 8 mai 2020
http://www.health.gov.on.ca/fr/pro/programs/publichealth/coronaviru
s/docs/2019_child_care_guidance.pdf
o Coronavirus (COVD-19) Conseils Garderies
https://www.cchst.ca//images/products/pandemiccovid19/pdf/day_car
es.pdf
o Institut national de santé publique du Québec: Recommandations
intérimaires concernant les travailleuses des services de garde
https://www.inspq.qc.ca/sites/default/files/covid/2984-travailleuses-
services-garde-covid19.pdf
May 27th, 2020
• Survey your families to determine childcare needs vs wants
• Discuss with parents ahead of time alternative options—i.e. open for ½ days
only to start, staggered entry dates
• Provide families with lots of information upfront—photos or video tour of your
space if it looks different, copy of any new guidelines or policies, video/photo
of you wearing any PPE, etc.
• Consider burnout prevention—there will be a lot more work involved with extra
cleaning and disinfecting, also increased costs associated with
cleaning/disinfecting supplies and purchasing PPE.
• Waiver acknowledging risk—a template has been shared and is available at
https://ccprn.com/resources/.
• Screening practices—paper vs digital forms (one idea that came up after the
meeting was to provide parents with a paper form to keep at their house, have
them complete and sign daily, take a photo and email to the provider—a
template is available at https://ccprn.com/resources/), also consider what
questions to ask (i.e. has the child received any medications within the last 4
hours?). It was mentioned that some infrared thermometers are not asaccurate (especially outdoors)—an alternative option would be to wear full
PPE, use an ear thermometer, and disinfect after each use. “Fever Bears”
were also mentioned to monitor a child when a fever is suspected.
• Think about implementing physical distancing and public health guidelines
The goal would be to do whatever you can to reduce the risk of transmission.
Eliminating the risk is impossible right now. What strategies will you implement?
o Increasing individual activities
o No group or shared sensory play—what about individual trays or bins?
Discard and clean the bin at the end of each day?
o Increased outdoor play
o Sleeping as far apart as possible, place the children toe to toe
otherwise.
o What about mealtime? Outdoor picnics allow for more room between the
children. One idea was to have parents supply the lunch/snacks. Each
child is then only touching the food/items from their own house. A
comment after the meeting noted that this might be more difficult/risky
for the provider who will then be touching the food/containers/items
from 5 different houses as they tries to assist each child.
o Belleville Public Health has suggested no car travel (too much close and
confined contact), using a spray sunscreen, using gloves when distancing
is not possible (i.e. to apply sunscreen) and/or paper towels for shared
products (apply toothpaste to a paper towel and then transfer to the
child’s toothbrush to avoid the toothpaste touching each toothbrush).
o What about stroller use?
• Consider payment options, sick days, and how to survive financially—what will
work for you and your families? Some ideas could include:
o giving each family a certain number of "free" sick days per year, once
used they will then have to pay
o increasing the daily fee by $1 or $2 to offset the future potential loss of
income due to Covid-19 "i.e. put away for a rainy day"
o working out a compromise with the families to charge a lesser amount
for sick days
o reducing your hours (i.e. one hour less at start and end of day) to
compensate for increase cleaning needs but keep daily rate the same
o have parents provide food and snacks but keep the daily rate the same
o charge a fee to cover the costs of buying extra supplies
(cleaning/disinfecting products and for paper towels, etc.)
o requesting a COVID-19 test when symptoms are present might reduce the
need to wait 14 days before returning to care (depends on test result
turn around time)o think about any outstanding vacation time—how do you want to address
this with families?
• There are currently no official guidelines/requirements for resuming home
child care from the City of Ottawa or the Province (some other local health
units do have guidelines in place for home childcare). One suggestion was to
contact your local MPP to voice concerns and request information.
• CCPRN has compiled many online resources which can be found here:
https://ccprn.com/wp-content/uploads/2020/05/COVID-19-and-Resuming-
Care-Updated-June-3rd-2020.pdfYou can also read
