Phased School Reopening Health and Safety Plan Template
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Phased School Reopening
Health and Safety Plan Template
Each school entity must create a Health and Safety Plan, which will serve as the local
guidelines for all instructional and non- instructional school reopening activities. As with all
emergency plans, the Health and Safety Plan developed for each school entity should be
tailored to the unique needs of each school and should be created in consultation with local
health agencies. Given the dynamic nature of the pandemic, each plan should incorporate
enough flexibility to adapt to changing conditions. The templates provided in this toolkit can be
used to document a school entity’s Health and Safety Plan, with a focus on professional
learning and communications, to ensure all stakeholders are fully informed and prepared for a
local phased reopening of school facilities. A school entity’s Health and Safety Plan must be
approved by its governing body and posted on the school entity’s publicly available website prior
to the reopening of school. School entities should also consider whether the adoption of a new
policy or the modification of an existing policy is necessary to implement the Health and Safety
Plan effectively.
Each school entity should continue to monitor its Health and Safety Plan throughout the year
and update it as needed. All revisions should be reviewed and approved by the governing body
prior to posting on the school entity’s public website.
Page 1 of 44Table of Contents
Introduction
Purpose 3
Scope 3
Purpose .......................................................................................................................... 3
Type of Reopening ................................................................................................................. 5
Pandemic Team ..................................................................................................................... 6
Key Strategies, Policies, and Procedures ............................................................................... 7
Cleaning, Sanitizing, Disinfecting, and Ventilation ............................................................... 9
Social Distancing and Other Safety Protocols ....................................................................11
Monitoring Student and Staff Health...................................................................................20
Other Considerations for Students and Staff ......................................................................26
Health and Safety Plan Professional Development ................................................................29
Health and Safety Plan Communications...............................................................................31
Health and Safety Plan Summary: St. Stephen’s Episcopal School ....................... 32
Facilities Cleaning, Sanitizing, Disinfecting and Ventilation....................................................32
Social Distancing and Other Safety Protocols........................................................................32
Monitoring Student and Staff Health ......................................................................................37
Other Considerations for Students and Staff .........................................................................42
Health and Safety Plan Governing Body Affirmation Statement............................. 44
This resource draws on a resource created by the Council of Chief State School Officers
(CCSSO) that is based on official guidance from multiple sources to include: the Centers for
Disease Control and Prevention, the White House, American Academy of Pediatrics, Learning
Policy Institute, American Enterprise Institute, Rutgers Graduate School of Education, the World
Health Organization, the Office of the Prime Minister of Norway as well as the departments of
education/health and/or offices of the governor for Idaho, Montana, New York, Texas and
Washington, DC.
Page 2 of 44Purpose
St. Stephen’s Episcopal School is committed to the health and safety of all members of our school community. To safeguard all
stakeholders from the threat of a highly infectious outbreak of COVID-19 in our school and community, a committee of stakeholders
has formed to develop a health and safety plan. The purpose of this committee is to develop a comprehensive, actionable plan for re-
opening St.Stephen's Episcopal School for students and staff and respond to the changes in the level of community spread of
COVID-19. The plan will address three areas, Health and Wellness, Academics and Equity, and Operations and Services within the
two public health scenarios. In addition to this health and safety plan, over the next two months, St. Stephen's Episcopal School will
continue to monitor the level of community transmission and update this plan as needed. As valued members of our community, you
will receive updates as changes are made to ensure the health and safety of all stakeholders. This plan has been designed with
stakeholder input from members of the school and cathedral community and will be amended as the need arises. This document
contains supplemental information and references from the Pennsylvania Department of Health (DOH), the Center for Disease
Control (CDC), the Pennsylvania Department of Education (PDE), and the American Academy of Pediatrics (APA). The scope of this
Health and Safety Plan covers St.Stephen's reopening as it pertains to COVID-19 (Coronavirus).
https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
Page 3 of 44Health and Safety Plan: St. Stephen’s Episcopal School
All decision-makers should be mindful that as long as there are cases of COVID-19 in the community, there are no strategies that
can eliminate transmission risk within a school population. The goal is to keep transmission as low as possible to continue school
activities safely. All school activities must be informed by Governor Wolf’s Process to Reopen Pennsylvania. The administration has
categorized reopening into three broad phases: red, yellow, or green. These designations signal how counties and regions may
begin easing some restrictions on school, work, congregate settings, and social interactions:
The Red Phase: Schools remain closed for in-person instruction, and all instruction must be provided via remote learning,
whether using digital or non-digital platforms. Provisions for student services such as school meal programs should continue.
Large gatherings are prohibited.
The Yellow Phase and Green Phase: Schools may provide in-person instruction after developing a written Health and Safety
Plan to be approved by the local governing body (e.g., board of directors/trustees) and posted on the school entity's publicly
available website.
Based on your county’s current designation (i.e., red, yellow, green) and the best interests of your local community, indicate which
type of reopening your LEA (Local Educational Agency)has selected by checking the appropriate box in row three of the table below.
Use the remainder of the template to document your LEA’s plan to bring back students and staff, how you will communicate the type
of reopening with stakeholders in your community, and the process for continued monitoring of local health data to assess
implications for school operations and potential adjustments throughout the school year.
Depending upon the public health conditions in any county within the Commonwealth, there could be additional actions, orders, or
guidance provided by the Pennsylvania Department of Education (PDE) and/or the Pennsylvania Department of Health (DOH)
designating the county as being in the red, yellow, or green phase. Some counties may not experience a straight path from a red
designation to a yellow, and then a green designation. Instead, cycling back and forth between less restrictive to more restrictive
designations may occur as public health indicators improve or worsen. This means that your school entity should account for
changing conditions in your local Health and Safety Plan to ensure a fluid transition from more to less restrictive conditions in each of
the phase requirements as needed.
Page 4 of 44Type of Reopening
Key Questions
How do you plan to bring students and staff back to physical school buildings, particularly if you still need social distancing in
place?
How did you engage stakeholders in the type of re-opening your school entity selected?
How will you communicate your plan to your local community?
Once you reopen, what will the decision-making process look like to prompt a school closure or other significant modification
to operations?
Based on your county’s current designation and local community needs, which type of reopening has your school entity
selected?
☒ Total reopen for all students and staff (but some students/families opt for distance learning out of safety/health
concern).
☐ Scaffolded reopening: Some students are engaged in in-person learning, while others are distance learning (i.e., some
grade levels in-person, other grade levels remote learning).
☐ Blended reopening that balances in-person learning and remote learning for all students (i.e., alternating days or
weeks).
☐ Total remote learning for all students. (Plan should reflect future action steps to be implemented and conditions that
would prompt the decision as to when schools will re-open for in-person learning).
Anticipated launch date for in-person learning (i.e., start of blended, scaffolded, or total reopening): August 26, 2020
Page 5 of 44Pandemic Team
Each school entity is required to identify a pandemic coordinator and/or pandemic team with defined roles and responsibilities for
health and safety preparedness and response planning during the phased reopening of schools. The pandemic coordinator and team
will be responsible for facilitating the local planning process, monitoring implementation of your local Health and Safety Plan, and
continued monitoring of local health data to assess implications for school operations and potential adjustments to the Health and
Safety Plan throughout the school year. To ensure a comprehensive plan that reflects the considerations and needs of every
stakeholder in the local education community, Local Educational Agency (LEAs) are encouraged to establish a pandemic team to
support the pandemic coordinator. Inclusion of a diverse group of stakeholders is critical to the success of planning and
implementation. Local Educational Agency (LEAs) are highly encouraged to make extra effort to engage representatives from every
stakeholder group (i.e., administrators, teachers, support staff, students, families, community health official or other partners); with a
special focus on ensuring that the voices of underrepresented and historically marginalized stakeholder groups are prioritized. In the
table below, identify the individual who will serve as the pandemic coordinator and the stakeholder group they represent in the row
marked “Pandemic Coordinator”. For each additional pandemic team member, enter the individual’s name, stakeholder group they
represent, and the specific role they will play in planning and implementation of your local Health and Safety Plan by entering one of
the following under “Pandemic Team Roles and Responsibilities”:
Health and Safety Plan Development: Individual will play a role in drafting the enclosed Health and Safety Plan;
Pandemic Crisis Response Team: Individual will play a role in within-year decision making regarding response efforts in the
event of a confirmed positive case or exposure among staff and students; or
Both (Plan Development and Response Team): Individual will play a role in drafting the plan and within-year decision
making regarding response efforts in the event of confirmed positive case.
Pandemic Team Roles and Responsibilities
Individual(s) Stakeholder Group Represented
(Options Above)
Pandemic Coordinator/ Interim Head
Danielle Cobb Plan Development and Response Team
of School (IHOS)
Emily Hand Dean of Students Plan Development and Response Team
Keya Shell Office Manager/Parent Plan Development and Response Team
Denise Paran Business Manager Plan Development and Response Team
Kelly Myers Social Worker Plan Development and Response Team
Page 6 of 44Karen Love School Board Chair Plan Development and Response Team
Nichole Walters School Board Co-Chair Plan Development and Response Team
Katherine Harrigan Chaplain Plan Development and Response Team
Tiffany Cahan 1st Grade Teacher Plan Development and Response Team
Ruth Graffius Pre-Kindergarten Teacher Plan Development and Response Team
Sarah Blackford 2nd Grade Teacher Plan Development and Response Team
Dean of St.Stephen’s Episcopal
Amy Welin Plan Development and Response Team
Cathedral
Junior Warden of St.Stephen’s
Anthony Alexander Plan Development
Episcopal Cathedral
St. Stephen’s Episcopal Cathedral
Gene McHugh Plan Development
Representative
Tom Long Property Committee Chairman Plan Development
Gerry Garber Property Committee Plan Development
Latasha Gantz Parent Plan Development
Matthew Lewis Parent Plan Development
Nina Jacobs Parent Plan Development
Key Strategies, Policies, and Procedures
Once your LEA has determined the type of reopening that is best for your local community and established a pandemic coordinator
and/or pandemic team use the action plan templates on the following pages to create a thorough plan for each of the requirements
outlined in the Pennsylvania Department of Education’s Preliminary Guidance for Phased Reopening of PreK-12 Schools.
For each domain of the Health and Safety Plan, draft a detailed summary describing the key strategies, policies, and procedures
your LEA will employ to satisfy the requirements of the domain. The domain summary will serve as the public-facing description of
the efforts your LEA will take to ensure health and safety of every stakeholder in your local education community. Thus, the summary
should be focused on the key information that staff, students, and families will require to clearly understand your local plan for the
phased reopening of schools. You can use the key questions to guide your domain summary.
Page 7 of 44For each requirement within each domain, document the following:
Action Steps under Yellow Phase: Identify the discrete action steps required to prepare for and implement the requirement
under the guidelines outlined for counties in yellow. List the discrete action steps for each requirement in sequential order.
Action Steps under Green Phase: Identify the specific adjustments the LEA or school will make to the requirement during
the time period the county is designated as green. If implementation of the requirement will be the same regardless of county
designation, then type “same as Yellow” in this cell.
Lead Individual and Position: List the person(s) responsible for ensuring the action steps are fully planned and the school
system is prepared for effective implementation.
Materials, Resources, and Supports Needed: List any materials, resources, or support required to implement the
requirement.
Professional Development (PD) Required: In order to implement this requirement effectively, will staff, students, families, or
other stakeholders require professional development?
In the following tables, an asterisk (*) denotes a mandatory element of the plan. All other requirements are highly encouraged to the
extent possible.
Page 8 of 44Cleaning, Sanitizing, Disinfecting, and Ventilation
Key Questions
How will you ensure the building is cleaned and ready to safely welcome staff and students?
How will you procure adequate disinfection supplies meeting OSHA and CDC requirements for COVID-19?
How often will you implement cleaning, sanitation, disinfecting, and ventilation protocols/procedures to maintain staff and
student safety?
What protocols will you put in place to clean and disinfect throughout an individual school day?
Which stakeholders will be trained on cleaning, sanitizing, disinfecting, and ventilation protocols? When and how will the
training be provided? How will preparedness to implement as a result of the training be measured?
Summary of Responses to Key Questions:
Materials, Resources, PD
Action Steps Action Steps Lead Individual
Requirements and or Supports Required
under Yellow Phase under Green Phase and Position
Needed (Y/N)
Page 9 of 44Materials, Resources, PD
Action Steps Action Steps Lead Individual
Requirements and or Supports Required
under Yellow Phase under Green Phase and Position
Needed (Y/N)
* Cleaning, St.Stephen’s Episcopal School will St.Stephen’s Episcopal School will Danielle Cobb, CDC Website Y
sanitizing, follow the CDC’s Guidance for follow the CDC’s Guidance for Interim Head of
disinfecting, and Cleaning and Disinfecting Cleaning and Disinfecting School PPE
ventilating Schools. Schools.
learning spaces, COVID-19 Classroom
surfaces, and any Clean and disinfect frequently Clean and disinfect frequently cleaning checklist
other areas used touched surfaces and objects touched surfaces and objects
by students (i.e., within the school daily, including within the school daily, including Disinfectant
restrooms, door handles, sink handles, and door handles, sink handles, and
drinking lockers. lockers. Sanitizing wipes/spray
fountains,
hallways, and Increase Social Distancing & Increase Social Distancing & Latex gloves
transportation) Hygiene Practices Hygiene Practices
Water Bottles
Increased use of PPE required Increased use of PPE required
(masks, gloves, face-shields) (masks, gloves, face-shields)
Water fountains will be turned off Water fountains will be turned off
and safe alternatives for providing and safe alternatives for providing
water will be utilized. Students will water when be utilized. Students
be encouraged to bring in a water will be encouraged to bring in a
bottle. water bottle.
Classroom teachers will follow a Classroom teachers will follow a
developed checklist of items developed checklist of items
throughout the school day of areas throughout the school day of areas
to clean. to clean.
Custodial Services will follow a Custodial Services will follow a
developed checklist of items/ developed checklist of items/
areas to clean on a daily basis, areas to clean on a daily basis,
with a special focus on high touch with a special focus on high touch
areas. areas.
Page 10 of 44Materials, Resources, PD
Action Steps Action Steps Lead Individual
Requirements and or Supports Required
under Yellow Phase under Green Phase and Position
Needed (Y/N)
Other cleaning, Students will clean their space Students will clean their space Danielle Cobb, Disinfectant Y
sanitizing, before leaving the classroom each before leaving the classroom each Interim Head of
disinfecting, and day. Students will take all their day. Students will take all their School Latex gloves
ventilation belongings home with them each belongings home with them each
practices day to be disinfected. day to be disinfected. Disinfecting wipes
Families will be required daily to Families will be required daily to BLOOMZ
certify that all student belongings certify that all student belongings
have been disinfected. have been disinfected.
Each classroom will be equipped
Each classroom will be equipped with a one-time use of sanitizing
with a one-time use of sanitizing wipes. When students leave the
wipes. When students leave the classroom, they are to disinfect
classroom, they are to disinfect their desks/areas.
their desks/areas.
Social Distancing and Other Safety Protocols
Key Questions
How will classrooms/learning spaces be organized to mitigate spread?
How will you group students with staff to limit the number of individuals who come into contact with each other throughout the
school day?
What policies and procedures will govern the use of other communal spaces within the school building?
How will you utilize outdoor space to help meet social distancing needs?
What hygiene routines will be implemented throughout the school day?
How will you adjust student transportation to meet social distancing requirements?
What visitor and volunteer policies will you implement to mitigate spread?
Will any of this social distancing and other safety protocols differ based on age and/or grade ranges?
Which stakeholders will be trained on social distancing and other safety protocols? When and how will the training be
provided? How will preparedness to implement as a result of the training be measured?
Page 11 of 44Summary of Responses to Key Questions:
Materials, Resources,
Action Steps Action Steps Lead Individual PD Required
Requirements and or Supports
under Yellow Phase under Green Phase and Position (Y/N)
Needed
* Classroom/ Individual student desks will be faced Individual student desks will be Dean of Students/ Building level schedule Y
learning space in the same direction, or students will faced in the same direction, or Classroom
occupancy that sit on one side of the table spaced students will sit on one side of the Teachers Additional student
allows for 6-feet apart. Student’s desks will be table spaced apart. Student’s desks desks/tables
of separation separated by at least 6-feet, and will be separated by at least 6-feet,
among students classroom occupancy will be adjusted and classroom occupancy will be Touchless garbage
and staff to ensure that students are socially adjusted to ensure that students cans with lids in each
throughout the distanced. are socially distanced. classroom
day, to the
maximum extent Student cohort classes will remain Student cohort classes will remain Plexiglas dividers for
feasible with the same group of students and with the same group of students tables/small group
staff throughout the school day to and staff throughout the school day activities
minimize crossover among children to minimize crossover among
and adults within the school. children and adults within the
school.
Universal face protective face
coverings must be worn when not able Universal face protective face
to maintain a 6-foot distance (students coverings must be worn when not
and adults). able to maintain a 6-foot distance
(students and adults).
* Restricting the Students will eat prepackaged or Students will eat prepackaged or Danielle Cobb, Touchless garbage N
use of cafeterias packed lunches and snacks in their packed lunches and snacks in their Interim Head of cans with lids in each
and other classrooms while maintaining a 6-foot classrooms while maintaining a 6- School classroom
congregate distance. foot distance.
settings, and Disinfecting Wipes
serving meals in No other congregate settings will be No other congregate settings will be
alternate in use. in use. Hand Sanitizer
settings such as
classrooms
Page 12 of 44Materials, Resources,
Action Steps Action Steps Lead Individual PD Required
Requirements and or Supports
under Yellow Phase under Green Phase and Position (Y/N)
Needed
* Hygiene All staff will be trained on healthy All staff will be trained on healthy All School Training Y
practices for hygiene practices so that they can hygiene practices so that they can Employees
students and teach these to students. teach these to students. Hand sanitizing
staff including stations at entryways
the manner and CDC- handwashing resources will be CDC- handwashing resources will be
frequency of utilized by staff to teach students utilized by staff to teach students Hand soap
handwashing proper handwashing techniques. proper handwashing techniques.
and other best Alcohol-Based
practices All students will use an alcohol-based All students will use an alcohol-based Sanitizer
hand sanitizer containing at least 60% hand sanitizer containing at least 60%
alcohol if soap and water are not alcohol if soap and water are not CDC- Handwashing
available and hands are not visibly available and hands are not visibly Resources
dirty. dirty.
Students will be provided with an Students will be provided with an
alcohol-based hand sanitizer upon alcohol-based hand sanitizer upon
entering and exiting the school entering and exiting the school building
building each day. each day.
Ensure handwashing strategies Ensure handwashing strategies
include washing with soap and water include washing with soap and water
for at least 20 seconds, especially for at least 20 seconds, especially after
after going to the restroom; before going to the restroom; before eating;
eating; after eating; and after blowing after eating; and after blowing your
your nose, coughing, or sneezing. nose, coughing, or sneezing.
Ensure adequate supplies (soap, Ensure adequate supplies (soap,
paper towels, hand sanitizer, tissues) paper towels, hand sanitizer, and
are available to support healthy tissues) are available to support
hygiene practices. healthy hygiene practices.
Encourage staff and students to cover Encourage staff and students to cover
coughs and sneezes with a tissue. coughs and sneezes with a tissue.
Used tissues should be thrown in the Used tissues should be thrown in the
garbage can, and hands washed garbage can, and hands washed
immediately with soap and water for at immediately with soap and water for at
least 20 seconds. least 20 seconds.
Page 13 of 44Materials, Resources,
Action Steps Action Steps Lead Individual PD Required
Requirements and or Supports
under Yellow Phase under Green Phase and Position (Y/N)
Needed
* Posting signs, in Post CDC guidance posters in all Post CDC guidance posters in all Danielle Cobb, CDC Website N
highly visible restrooms, classrooms, and high restrooms, classrooms, and high Interim Head of -Germs are
locations, that traffic areas. traffic areas. School everywhere posters
promote -CDC Germs are Everywhere -CDC Germs are Everywhere - Wash your hand's
everyday -CDC Wash Your Hands! -CDC Wash Your Hands! posters
protective -Handwashing is your superpower! -Handwashing is your superpower! -Handwashing is your
measures, and -Translated Posters -Translated Posters superpower posters
how to stop the -Translated posters
spread of germs -Stop the spread
posters
* Identifying and No non-essential visitors or volunteers Restrict non-essential visitors, Danielle Cobb, Visitor log Y
restricting non- will be permitted in the building. volunteers, and activities. Only Interim Head of
essential permitted by special permission of School Health checklist and
visitors and administration or to administer temperature check
volunteers services to students. Anyone Keya Shell, Office
entering the building must complete Manager
a brief health checklist and be
limited to assigned areas.
Page 14 of 44Materials, Resources,
Action Steps Action Steps Lead Individual PD Required
Requirements and or Supports
under Yellow Phase under Green Phase and Position (Y/N)
Needed
* Handling Recess Recess Danielle Cobb, CDC Considerations Y-Classroom
sporting Interim Head of for Youth Sports Teachers and
activities for Train teachers and staff on safety Train teachers and staff on safety School Staff
recess and protocols. protocols.
physical Emily Hand, Dean
education Limit recreation areas to open outdoor Limit recreation areas to open of Students
classes spaces with the same cohort of outdoor spaces with the same
consistent with students. Student cohorts will have cohort of students. Student cohorts Classroom
the CDC staggered times in shared outdoor will have staggered times in shared teachers
Considerations spaces. outdoor spaces.
for Youth Sports
An adequate supply of equipment will An adequate supply of equipment
be distributed to each cohort to will be distributed to each cohort to
minimize the sharing of equipment minimize the sharing of equipment
(e.g., balls, jump ropes, hula hoops). (e.g., balls, jump ropes, hula
Equipment will be cleaned and hoops). Equipment will be cleaned
disinfected between uses. and disinfected between uses.
Physical Education Physical Education
Train teachers and staff on all safety Train teachers and staff on all
protocols. safety protocols.
Clean and disinfect shared equipment Clean and disinfect shared
between uses. equipment between use.
Select and provide safe opportunities Select and provide safe
for exercise for students (e.g., Mileage opportunities for exercise for
club and other contactless activities). students (e.g., Mileage club and
Considering the following: other contactless activities).
- Size of the cohort of students Considering the following:
- The physical proximity of - Size of the cohort of
students students
- Ability to engage in social - Physical proximity of
distancing while engaged in students
active play. - Ability to engage in social
distancing while engaged in
active play.
Page 15 of 44Materials, Resources,
Action Steps Action Steps Lead Individual PD Required
Requirements and or Supports
under Yellow Phase under Green Phase and Position (Y/N)
Needed
Limiting the All classrooms will maintain a supply All classrooms will maintain a Classroom Materials to keep Y
sharing of of materials for their cohort that will be supply of materials for their cohort Teachers students items
materials among cleaned and disinfected between that will be cleaned and disinfected separated (e.g.,
students uses. between uses. labeled plastic bins
with lids, lockers,
All students maintain individual All students maintain individual backpacks)
classroom supplies. classroom supplies.
Technology will be assigned to each Technology will be assigned to
student, so sharing is not necessary. each student, so sharing is not
necessary.
Each student's belongings will be kept
separate from others in individually Each student's belongings will be
labeled containers, cubbies, bags, kept separate from others in
lockers, or other areas. individually labeled containers,
cubbies, bags, lockers, or other
All student items must be taken home areas.
at the end of each day to be cleaned
and disinfected. All student items must be taken
home at the end of each day to be
Ensure adequate supplies to minimize cleaned and disinfected.
the sharing of items in the classroom.
Clean and disinfect shared items Ensure adequate supplies to
throughout the day in the classroom. minimize the sharing of items in the
classroom. Clean and disinfect
shared items.
Page 16 of 44Materials, Resources,
Action Steps Action Steps Lead Individual PD Required
Requirements and or Supports
under Yellow Phase under Green Phase and Position (Y/N)
Needed
Staggering the Minimize the need for the use of Minimize the need for the use of All School Hallway Signage with N
use of communal communal spaces and hallways. communal spaces and hallways. Employees expectations clearly
spaces and stated
hallways Hallway transitions will be staggered Hallway transitions will be
with one- way traffic patterns by each staggered with one- way traffic Tape and stickers for
cohort. patterns by each cohort. floors
Virtual group events, gatherings, Virtual group events, gatherings,
meetings, etc., will be encouraged to meetings, etc., will be encouraged
maintain social distancing of at least to maintain social distancing of at
6- feet between people. least 6- feet between people.
Adjusting Families will be required to screen Families will be required to screen Keya Shell, Office Family Health Y- Families on
transportation their students for symptoms of illness their students for symptoms of Manager Checklist completing the
schedules and before being dropped off at the bus illness before being dropped off at daily health
practices to stop or school. the bus stop or school. checklist
create social
distance between Students must remain with family at Students must remain with family at
students morning drop-off until health checklist morning drop-off until health
and temperature check have been checklist and temperature check
completed by staff. (Any student with have been completed by staff. (Any
a temperature of 100.4 degrees or student with a temperature of 100.4
higher will need to return home with degrees or higher will need to
family. SSES will collaborate with return home with family.
each school district that transports
students to and from SSES to ensure SSES will collaborate with each
social distance and safety measures school district that transports
are enforced. students to and from SSES to
ensure social distance and safety
measures are enforced.
Page 17 of 44Materials, Resources,
Action Steps Action Steps Lead Individual PD Required
Requirements and or Supports
under Yellow Phase under Green Phase and Position (Y/N)
Needed
Limiting the Individual student desks will be faced Individual student desks will be Danielle Cobb, Extra student N
number of in the same direction, or students will faced in the same direction, or Interim Head of desks/tables
individuals in sit on one side of the table spaced students will sit on one side of the School
classrooms and apart. Student desks will be separated table spaced apart. Student desks Plexiglas dividers for
other learning by at least 6 feet, and classroom will be separated by at least 6 feet, Emily Hand, Dean tables/small group
spaces and occupancy will be adjusted to ensure and classroom occupancy will be of Students activities
interactions that students are socially distanced. adjusted to ensure that students
between groups are socially distanced. Classroom Carts for special area
of students Student cohort classes will remain Teachers classroom teachers to
with the same group of students and Student cohort classes will remain be able to move
staff throughout the school day to with the same group of students between classrooms
minimize crossover among children and staff throughout the school day
and adults within the school. to minimize crossover among
children and adults within the
Universal face protective face school.
coverings when not able to maintain a
6-foot distance (students and adults). Universal face protective face
coverings when not able to
Special area classroom teachers will maintain a 6-foot distance (students
provide instruction in the regular and adults).
education teacher’s classroom.
Special area classroom teachers
Restrict interactions between other will provide instruction in the regular
cohorts of students and staff. education teacher’s classroom.
Staff meetings and PD will be Restrict interactions between other
delivered either to small groups or cohorts of students and staff.
virtually.
Staff meetings and PD will be
No assemblies or other large delivered either to small groups or
gatherings. virtually.
No assemblies or other large
gatherings.
Page 18 of 44Materials, Resources,
Action Steps Action Steps Lead Individual PD Required
Requirements and or Supports
under Yellow Phase under Green Phase and Position (Y/N)
Needed
Coordinating with Head of School will coordinate with Head of School will coordinate with Danielle Cobb, SSES Health and N
local childcare after school care providers to share after school care providers to share Interim Head of Safety Plan
regarding on-site building health and safety plans and building health and safety plan and School
care, meet to discuss any changes in meet to discuss any changes in
transportation protocol, hours of operation, or protocol, hours of operation, or
protocol changes change in the school year calendar. change in the school year calendar.
and, when
possible, revised Update families utilizing Bloomz family Update families utilizing Bloomz
hours of communication app with any changes family communication app with any
operation or in protocol, hours of operation, or changes in protocol, hours of
modified school- change in the school year calendar. operation, or change in the school
year calendars year calendar.
Other social SSES will be installing a sneeze guard SSES will be installing a sneeze Danielle Cobb, Purchase sneeze N
distancing and shield in the front office. guard shield in the front office. Interim Head of guard for front office
safety practices School
Families will be provided with a health Families will be provided with a
checklist for daily screening protocols health checklist for daily screening All School
to be completed before sending their protocols to be completed before Employees
child to school. sending their child to school.
Staff will be required to screen Staff will be required to screen
themselves using a health checklist to themselves using a health checklist
be completed before reporting to work to be completed before reporting to
each day. work each day.
Staff will sign in each day in the main Staff will sign in each day in the
office, acknowledging that they have main office, acknowledging that
completed the self-screen before they have completed the self-
reporting to work each day. screen before reporting to work
each day.
Blended or total remote learning will
be offered to all students. This will Distance learning will be offered to
limit the number of students on site families who have indicated they do
when Dauphin County is in the Yellow not want their children to attend
Phase. school in-person for health/safety
concerns.
Page 19 of 44Monitoring Student and Staff Health
Key Questions
How will you monitor students, staff, and others who interact with each other to ensure they are healthy and not exhibiting
signs of illness?
Where, to whom, when, and how frequently will the monitoring take place (e.g., the parent or child report from home or upon
arrival to school)?
What is the policy for quarantine or isolation if a staff, student, or another member of the school community becomes ill or has
been exposed to an individual confirmed positive for COVID-19?
Which staff will be responsible for making decisions regarding quarantine or isolation requirements of staff or students?
What conditions will staff or students confirmed to have COVID-19 need to meet to return to school safely? How will you
accommodate staff who are unable to uncomfortable to return?
How will you determine which students are willing/able to return? How will you accommodate students who are unable or
uncomfortable to return?
When and how will families be notified of confirmed staff or student illness or exposure and resulting changes to the local
Health and Safety Plan?
Which stakeholders will be trained on protocols for monitoring student and staff health? When and how will the training be
provided? How will preparedness to implement as a result of the training be measured?
Summary of Responses to Key Questions: Distance learning will be offered to families who have indicated they do not want their children
to attend school in-person for health/safety concerns.
Materials,
Lead PD
Action Steps Action Steps Resources, and
Requirements Individual Required
under Yellow Phase under Green Phase or Supports
and Position (Y/N)
Needed
Page 20 of 44Materials,
Lead PD
Action Steps Action Steps Resources, and
Requirements Individual Required
under Yellow Phase under Green Phase or Supports
and Position (Y/N)
Needed
* Monitoring Symptom screening will be done by all Symptom screening will be done by all Danielle Self-Screen and Y
students parents/guardians at home each morning parents/guardians at home each morning Cobb, Interim Reporting
and staff for before the student leaves home. before the student leaves home. Head of Procedures for
symptoms School students and
and history No children with symptoms will be sent on a No children with symptoms will be sent on a staff
of exposure bus or brought to school. bus or brought to school.
Staff training
All school employees will perform a symptom All school employees will perform a symptom
screen on themselves before leaving for screen on themselves before leaving for Parent and
work and will stay home if ill. work and will stay home if ill. community
resources
Families will be required daily to certify that Families will be required daily to certify that
their children and people living at their their children and people living at their Bloomz (family
homes do not have fevers or any symptoms homes do not have fevers or any symptoms communication
related to COVID-19. This will take place related to COVID-19. This will take place platform)
upon morning drop off or a Bloomz message upon morning drop off or a Bloomz message
for bus riders. (Any parent of a bus student for bus riders. (Any parent of a bus student AAP When to
who has not communicated with their child's who has not communicated with their child's Keep Your Child
teacher by 7:45 am via check-in sheet or teacher by 7:45 am via check-in sheet or Home
Bloomz will be screened additionally for Bloomz will be screened additionally for
COVID-19symptoms and be contacted COVID-19symptoms and be contacted Touchless
directly by office staff. directly by office staff. thermometers
Staff will sign in each day in the main office,
acknowledging that they have completed the Staff will sign in each day in the main office,
self-screen before reporting to work. acknowledging that they have completed the
self-screen before reporting to work.
Parents/Guardians will send a daily check-in
sheet to school, acknowledging that they Parents/Guardians will send a daily check-in
have screened their child for symptoms. sheet to school, acknowledging that they
have screened their child for symptoms.
Temperature screening will be required upon
entrance to the school for staff, visitors, and Temperature screening will be required upon
students. entrance to the school for staff, visitors, and
students.
Students and staff will be consistently made Students and staff will be consistently made
aware of the signs and symptoms of COVID- aware of the signs and symptoms of COVID-
19 through everyday proactive measures. 19 through everyday proactive measures.
Students and staff will report to the isolation Students and staff will report to the isolation
room immediately if feeling symptomatic. room immediately if feeling symptomatic. Page 21 of 44
SSES will share resources with the school SSES will share resources with the schoolMaterials,
Lead PD
Action Steps Action Steps Resources, and
Requirements Individual Required
under Yellow Phase under Green Phase or Supports
and Position (Y/N)
Needed
* Isolating or Isolate the student or staff member in the Isolate the student or staff member in the Danielle Isolation area Y
quarantining designated health room. designated health room. Cobb, Interim
students, Head of School nurse/
staff, or The pandemic coordinator should be The pandemic coordinator will be School healthcare
visitors if immediately notified of the need to isolate a immediately notified of the isolated provider
they become school community member, and the community member, and the individual will School Nurse
sick or individual will be sent home. be sent home. SSES
demonstrate Pandemic communication
a history of Any student who becomes ill while at Any student who becomes ill while at Response letter
exposure school MUST be picked up within a school MUST be picked up within a Team
specified time frame determined by SSES specified time frame determined by SSES CDC parent
by a designated family member or by a designated family member or resources
emergency contact. Any student not emergency contact. Any student not
picked up within this time frame may be picked up within this time frame may be
subject to a parent meeting with HOS, subject to a parent meeting with HOS,
late pick-up fees and/or volunteer hours late pick-up fees and/or volunteer hours
during non-school hours to assist with during non-school hours to assist with
disinfecting SSES. All volunteer hours disinfecting SSES. All volunteer hours
will be determined by HOS. will be determined by HOS.
The classroom and health room will be The classroom and health room will be
disinfected according to CDC guidelines disinfected according to CDC guidelines
after the potentially infected person has after the potentially infected person has
vacated SSES. vacated SSES.
Standard and Transmission-Based Standard and Transmission-Based
Precautions provided by the CDC should be Precautions provided by the CDC should be
used by the school nurse or other used by the school nurse or other
designated crisis response team members. designated crisis response team members.
The area used by the person testing positive The area used by the person testing positive
for COVID-19 will be closed off for cleaning for COVID-19 will be closed off for cleaning
and disinfecting. and disinfecting.
All staff and families will be notified of any All staff and families will be notified of any
confirmed cases within the SSES community confirmed cases within the SSES community
while maintaining confidentiality. while maintaining confidentiality.
Notify families via telephone call if someone Notify families via telephone call if someone
becomes infected in their designated cohort. becomes infected in their designated cohort. Page 22 of 44Materials,
Lead PD
Action Steps Action Steps Resources, and
Requirements Individual Required
under Yellow Phase under Green Phase or Supports
and Position (Y/N)
Needed
* Returning A note from a medical practice allowing the A note from a medical practice allowing the School Safe Return Y
isolated or return to school must be provided for anyone return to school must be provided for anyone Nurse- Handbook
quarantined with suspected COVID-19 symptoms or with suspected COVID-19 symptoms or Returning
staff, possible exposure to COVID-19.; Persons possible exposure to COVID-19. Persons Students CDC Guidelines
students, or should refer to CDC guidelines and SSES with COVID-19 symptoms or exposure for returning
visitors to Safe Return Handbook for additional should refer to CDC guidelines and SSES Danielle from quarantine
the school guidance. Safe Return Handbook for additional Cobb, IHOS or isolation
guidance. –Returning
CDC guidelines for returning from isolation Staff and CDC Guidelines:
or quarantine will be communicated with CDC guidelines for returning from isolation Essential When You Can
families and staff in the SSES Safe Return or quarantine will be communicated with Visitors be Around
Handbook. families and staff in the SSES Safe Return Others After You
Handbook. Had or Likely
If the cause of a student or staff member Had COVID-19
fever is not due to COVID-19, the individual If the cause of a student or staff member
must be: fever is not due to COVID-19, individual
Fever free for 3 days must be:
Respiratory symptoms have Fever free for 3 days
improved (e.g. cough, shortness of Respiratory symptoms have
breath) improved (e.g. cough, shortness of
10 days since symptoms first breath)
appeared 10 days since symptoms first
appeared
In the event that an individual does test
positive for COVID-19, the school must In the event that an individual does test
receive confirmation in writing from a positive for COVID-19, the school must
medical practice and two negative test receive confirmation in writing from a
results in a row, at least 24 hours apart medical practice and two negative test
before the individual may return to school. results in a row, at least 24 hours apart
Please refer to: CDC Guidelines: When You before the individual may return to school.
Can be Around Others After You Had or Please refer to: CDC Guidelines: When You
Likely Had COVID-19 Can be Around Others After You Had or
Likely Had COVID-19
Students that must miss extended periods
will be provided with distance learning Students that must miss extended periods
opportunities. will be provided with distance learning
opportunities.
Page 23 of 44Materials,
Lead PD
Action Steps Action Steps Resources, and
Requirements Individual Required
under Yellow Phase under Green Phase or Supports
and Position (Y/N)
Needed
Notifying Health and Safety Plan will be posted on the Health and Safety Plan will be posted on the Danielle Health and N
staff, families, SSES website. SSES website. Cobb, IHOS Safety Plan
and the public
of school SSES will provide regularly updated SSES will provide regular updated Safe Return
closures and information on the SSES website and information on the SSES website and Handbook
within-school- Bloomz. Bloomz.
year changes
in safety Distance learning opportunities will be made Distance learning opportunities will be made
protocols. available for all families should SSES need available for all families should SSES need
to close temporarily. to close temporarily.
Page 24 of 44Materials,
Lead PD
Action Steps Action Steps Resources, and
Requirements Individual Required
under Yellow Phase under Green Phase or Supports
and Position (Y/N)
Needed
Other Staff and families of possible exposure or Staff and families of possible exposure or School Nurse CDC Public N
monitoring confirmed cases will be notified while confirmed cases will be notified while Health Guidance
and screening maintaining confidentiality. maintaining confidentiality. Danielle
practices Cobb, IHOS
All students/ staff who appear ill or exhibiting All students/ staff who appear ill or exhibiting
symptoms will be assessed by a nurse or symptoms will be assessed by a nurse or
pandemic coordinator immediately. pandemic coordinator immediately.
Under state and local laws and regulations, Per state and local laws and regulations,
HOS will notify local health officials, staff, HOS will notify local health officials, staff,
and families immediately of any case of and families immediately of any case of
COVID-19 while maintaining confidentiality COVID-19 while maintaining confidentiality
per the Americans with Disabilities Act. The per the Americans with Disabilities Act. The
Department of Health may or may not Department of Health may or may not
require quarantines and/or the classroom or require quarantines and/or the classroom or
the school to close, depending on the the school to close, depending on the
situation. situation.
Anyone who has had close contact with a
person diagnosed with COVID-19 will be Anyone who has had close contact with a
asked to stay home and self- monitor for person diagnosed with COVID-19 will be
symptoms and follow CDC guidelines if asked to stay home and self- monitor for
symptoms develop. symptoms and follow CDC guidelines if
symptoms develop.
Any missing student school for an extended
period will be provided with distance learning Any missing student school for an extended
opportunities. period will be provided with distance learning
opportunities.
If a student, staff, or community member is
aware of exposure to a positive COVID-19 If a student, staff, or community member is
case or a suspected COVID-19 case, they aware of exposure to a positive COVID-19
are to follow CDC quarantine instructions. case or a suspected COVID-19 case, they
are to follow CDC quarantine instructions.
Page 25 of 44Other Considerations for Students and Staff
Key Questions
What is the local policy/procedure regarding face coverings for staff? What is the policy/procedure for students?
What special protocols will you implement to protect students and staff at higher risk for severe illness?
How will you ensure enough substitute teachers are prepared in the event of staff illness?
How will the LEA strategically deploy instructional and non-instructional staff to ensure all students have access to quality
learning opportunities, as well as supports for social, emotional wellness at school and at home?
Summary of Responses to Key Questions:
Materials, Resources, PD
Action Steps Action Steps Lead Individual
Requirements and or Supports Required
under Yellow Phase under Green Phase and Position
Needed (Y/N)
Page 26 of 44Materials, Resources, PD
Action Steps Action Steps Lead Individual
Requirements and or Supports Required
under Yellow Phase under Green Phase and Position
Needed (Y/N)
* Protecting SSES will follow guidelines set SSES will follow guidelines set Danielle Cobb, IHOS CDC Symptoms of Y
students and staff forth under the Families First forth under the Families First Coronavirus
at higher risk for Coronavirus Response Act Coronavirus Response Act School Nurse
severe illness
https://www.dol.gov/agencies/whd/ https://www.dol.gov/agencies/whd/
pandemic/ffcra-employee-paid- pandemic/ffcra-employee-paid-
leave leave
The School Board of Directors will The School Board of Directors will
adopt a flexible attendance policy adopt a flexible attendance policy
for students and staff. for students and staff.
Students, staff, and families will be Students, staff, and families will be
advised to self-monitor symptoms advised to self-monitor symptoms
daily before coming to school. daily before coming to school.
Anyone who becomes ill at school Anyone who becomes ill at school
will be required to complete will be required to complete
COVID-19 screening questions COVID-19 screening questions
related to possible symptoms. related to possible symptoms.
* Use of face A mask and/or face shield must be A mask and/or face shield must be Danielle Cobb, IHOS Morning check-in for a N
coverings (masks worn in all public areas and worn in all public areas and face mask upon arrival
or face shields) by spaces with another person or spaces with another person or
all staff people within 6 feet. people within 6 feet. Signage regarding
expectations
Face masks will be provided for Face masks will be provided for
staff that need them. Masks or staff that need them. Masks or Disposable masks/face
cloth face coverings from home cloth face coverings from home shields
are appropriate. are appropriate.
Page 27 of 44Materials, Resources, PD
Action Steps Action Steps Lead Individual
Requirements and or Supports Required
under Yellow Phase under Green Phase and Position
Needed (Y/N)
* Use of face A mask and/or face shield must be A mask and/or face shield must be Emily Hand, Dean of CDC Resources to Y
coverings (masks worn in all public areas and in worn in all public areas and Students teach and reinforce the
or face shields) by spaces with another person or spaces with another person or importance of wearing
all students(as people within 6 feet. people within 6 feet. Classroom Teachers face masks
appropriate)
Face masks will be provided for Face masks will be provided for All School Disposable masks
students that need them. Masks or students that need them. Masks or Employees
cloth face coverings from home cloth face coverings from home Signage regarding
are appropriate. are appropriate. expectations
Unique safety Health and safety provisions for Health and safety provisions for Emily Hand, Dean of N/A N
protocols for students that have complex needs students that have complex needs Students
students with will be handled on an individual will be handled on an individual
complex needs or basis following the student's IEP basis per the student's IEP or 504
other vulnerable or 504 Service plan. Service plan.
individuals
Strategic All staff meetings and professional All staff meetings and professional Danielle Cobb, IHOS N/A Y
deployment of staff development will be held in small development will be held in small
groups or virtually. groups or virtually.
Cross-training of staff and Cross-training of staff and
additional building substitutes will additional building substitutes will
be available for alternative be available for alternative
coverage needs. coverage needs.
Page 28 of 44Health and Safety Plan Professional Development
The success of your plan for a healthy and safe reopening requires all stakeholders to be prepared with the necessary knowledge
and skills to implement the plan as intended. For each item that requires professional development, document the following
components of your professional learning plan.
Topic: List the content on which professional development will focus.
Audience: List the stakeholder group(s) who will participate in the professional learning activity.
Lead Person and Position: List the person or organization that will provide professional learning.
Session Format: List the strategy/format that will be utilized to facilitate participant learning.
Materials, Resources, and or Supports Needed: List any materials, resources, or support required to implement the
requirement.
Start Date: Enter the date on which the first professional learning activity for the topic will be offered.
Completion Date: Enter the date on which the last professional learning activity for the topic will be offered.
Materials,
Lead Person and Session
Topic Audience Resources, and or Start Date Completion Date
Position Format
Supports Needed
Prior to the start of
Best Practices in COVID- All School CDC guidance August 5, the 2020-2021
Danielle Cobb, IHOS Online
19 Prevention Employees documents 2020 School year on
August 26, 2020
Cleaning, Sanitizing,
Virtual Prior to the start of
disinfecting learning CDC Guidelines for
meetings/ August 5, the 2020-2021
spaces, surfaces and any All Staff Danielle Cobb, IHOS Cleaning and
digital 2020 School year on
other areas used by Disinfecting schools
resources August 26, 2020
students
August 5,
Healthy Hygiene Practices All Staff Danielle Cobb, IHOS Online CDC Guidelines Ongoing
2020
Prior to the start of
August 5, the 2020-2021
Use of Face Coverings All Staff Danielle Cobb, IHOS Online CDC Guidelines
2020 School year on
August 26, 2020
Ongoing as public
Implementation and
SSES Health and August 5, health conditions
Review of Health and All Staff Danielle Cobb, IHOS Online
Safety Plan 2020 change in Dauphin
Safety Plan
County
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