Scenario Matrix: Retirement Home Covid-19 Visiting Policy

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Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                               ○
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        Scenario 1               NOT IN OUTBREAK AND                  OUTBREAK              ORANGE (RESTRICT) RED (CONTROL)                           GREY                         Residents who are
        Visitations              IN GREEN (PROTECT)                   Homes IN outbreak     Home is NOT in outbreak      Home is NOT in outbreak      (LOCKDOWN) OR                self-isolating
 Please review Directive #3
                                 OR YELLOW (PREVENT)                                        but is located in a region   but is located in a region   SHUTDOWN/STAY-               Droplet and
                                                                                            designated as an Orange      designated as a Red zone.
 and the Retirement Homes        All homes must meet these                                                                                            AT-HOME ORDER                Contact Precautions
                                                                                            zone.                        Homes must follow the
 Policy to Implement Directive   baseline requirements. Homes                                                            rules below.                 Home is NOT in outbreak      or are symptomatic
 #3 for full details on PPE,     NOT in outbreak must also                                  Homes must follow the
 IPAC and other requirements.    determine if the public health                             rules below.
                                                                                                                                                      but is located in a region   with COVID-19
                                                                                                                                                      designated as a Grey zone
 A Public Health Unit (PHU)      unit in which they are situated is                                                                                   or under Shutdown/Stay-at
                                                                                                                                                                                   symptoms.
 has the ability to advise       in an Orange, Red, or Grey zone
 further restrictions or                                                                                                                              Home order. Homes must
                                 of the COVID-19 Response                                                                                             follow the rules below.
 requirements. Where co-         Framework or under a
 located with a long-term care   Shutdown/Stay-at-Home order. If
 home, retirement homes          it is, the home must follow
 should align where possible     baseline requirements AND the
 or take the more restrictive    requirements applicable to their
 visiting policy unless          colour/order.
 otherwise advised by the
 local PHU.

 Allowing General Visitors       A maximum of two (2)                 Not permitted.        Not permitted.               Not permitted.               Not permitted.               Not permitted.
 (non-essential visitor) A       general visitors per resident
                                                                      Homes must follow     A PHU may also advise        A PHU may also advise        A PHU may also advise        A PHU may also advise
 general visitor is a person     at a time may visit that
                                                                      all CMOH              further restrictions on      further restrictions on      further restrictions on      further restrictions on
 who is not an essential         resident. Must meet baseline
                                                                      directives for        visitors in part or all of   visitors in part or all of   visitors in part or all of   visitors in part or all of
 visitor and visits:             requirements:
                                                                      homes in outbreak     the home, depending on       the home, depending on       the home, depending on       the home, depending on
 • To provide non-essential      • The home has developed             and directions        the specific situation       the specific situation.      the specific situation.      the specific situation.
 services (may or may not        procedures for the                   from their local
 be hired by the home or         resumption of visits and             PHU. When a local
 the resident and/or their       communicates these                   PHU declares an
 substitute decision             procedures with residents,           outbreak in a
 maker);                         families and staff, including        home, they may
                                 but not limited to infection         also advise further
 • For social reasons (e.g.,
                                 prevention and control               restrictions on
 family members or
                                 (IPAC), scheduling and any           visitors in part or
 friends); and/or
                                 setting-specific policies.           all of the home,
 • A prospective resident                                             depending on the
                                 • A process for complaints,
 taking a tour of the home                                            specific situation.
                                   including information on
                                   how individuals can
                                   escalate concerns about
                                   homes to the RHRA

Effective May 5, 2021                                                                                                                                                                                           1
Scenario Matrix: Retirement Home Covid-19 Visiting Policy    ○
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                        • A process to notify visitors
                          that non-compliance with
                          visitor policies may result in
                          discontinuation of visits
                          when risk of harm due to
                          non-compliance is high.
                        • Dedicated areas for both
                          indoor and outdoor visits to
                          support physical distancing
                          between residents and
                          visitors.
                        • Protocols to maintain the
                        highest of IPAC standards
                        prior to, during and after
                        visits.
                        • A list of visitors available for
                        relevant staff to access.
                        • Protocols for record keeping
                        of visitations for contact
                        tracing purposes to be kept
                        for at least 30 days.

Effective May 5, 2021                                            2
Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                      ○
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        Scenario 1                          NOT IN OUTBREAK           OUTBREAK               ORANGE                  RED (CONTROL)           GREY                       Residents who are
        Visitations                         AND IN GREEN                                     (RESTRICT)                                      (LOCKDOWN) OR              self-isolating under
                                            (PROTECT) OR                                                                                     SHUTDOWN/STAY-             Droplet and
                                            YELLOW (PREVENT)                                                                                 AT-HOME ORDER              Contact Precautions
                                                                                                                                                                        or are symptomatic
                                                                                                                                                                        with COVID-19
                                                                                                                                                                        symptoms.

 Allowing Essential Visitors                Meets baseline            Homes must adhere to the requirements in any applicable directives issued by the Chief Medical Officer of Health (CMOH)
                                            requirements above.       and directions from their local PHU. This may include direction to take additional measures to restrict access and duration
 An essential visitor is a person
                                                                      of visits during an outbreak or when the PHU deems necessary under the COVID-19 response framework: keeping Ontario
 performing essential support services
                                                                      safe and open (Provincial Framework). Please note that persons visiting a very ill or palliative resident are allowed in the
 (eg. Food delivery, inspector,
                                                                      home under any level and do not constitute caregivers or support workers.
 maintenance, or health care services
 (eg., phlebotomy) or a person visiting
 a very ill or palliative resident. In
 addition to a person visiting a very ill
 or palliative resident, there are two
 types of essential visitors:

 1. Support Workers (Essential Visitor)     Any number of support     Any number of          Any number of           Any number of           Any number of support      Any number of support
                                            workers may visit a       support workers        support workers         support workers         workers may visit a        workers may visit a
 An essential visitor who is brought
                                            resident in a home.       may visit a resident   may visit a resident    may visit a resident    resident in a home.        resident in a home.
 into the home when there are gaps in
                                                                      in a home.             in a home.              in a home.
 services to perform essential services
 for the home or for a resident in the
 home.

 2. Essential Caregiver                     Maximum of two (2)        Maximum of two         Maximum of two          Maximum of two          Maximum of two (2)         Maximum of two (2)
 (Essential Visitor)                        caregivers per resident   (2) caregivers per     (2) caregivers per      (2) caregivers per      caregivers per resident    caregivers per resident
                                            may visit at a time.      resident may visit     resident may visit at   resident may visit at   may visit at a time.       may visit at a time.
 An essential visitor who is designated
                                                                      at a time.             a time.                 a time.
 by the resident and/or their substitute
 decisionmaker and visits to provide
 direct care to the resident.

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Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                 ○
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 Allowing Personal Care Service            Personal Care Service        Not permitted.   Personal Care         Personal Care         Not permitted under the   Not permitted.
 Providers (non-essential visitor): A      Providers who are visiting                    Service Providers     Service Providers     Provincial Framework.
 personal care service provider is a       or work on site are                           who are visiting or   who are visiting or
 person who is not an essential visitor    permitted to provide                          work on site are      work on site are
 and visits to provide personal services   services as set out in the                    permitted to          permitted to
 to residents that are not being           Green and Yellow zone of                      provide services in   provide services in
 provided for medical or essential         the Provincial Framework.                     alignment with the    alignment with the
 reasons.                                                                                Orange zone           Red zone conditions
                                                                                         conditions of the     of the Provincial
                                                                                         Provincial            Framework.
                                                                                         Framework.

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         Scenario 2                    NOT IN OUTBREAK OUTBREAK ORANGE (RESTRICT)                            RED (CONTROL)                                 GREY              Residents
         Absences                      AND IN GREEN     Homes IN Home is NOT in outbreak but is located in   Home is NOT in outbreak but is located in a   (LOCKDOW          who are self-
                                       (PROTECT) OR     outbreak a region designated as an Orange zone.      region designated as a Red zone.              N) OR             isolating
 Please review Directive #3 and
 the Retirement Homes Policy to        YELLOW (PREVENT)                                                                                                    SHUTDOWN          under Droplet
 Implement Directive #3 for full                                                                                                                                             and Contact
 details on PPE, IPAC,                 All homes must meet these                                                                                           Home is NOT in
                                       baseline requirements.                                                                                              outbreak but is   Precautions
 requirements.
                                       Homes NOT in outbreak                                                                                               located in a      or are
 A local PHU may also advise           must also determine if the                                                                                          region            symptomatic
 further restrictions in part or all   public health unit in which                                                                                         designated as a
 of the home, depending on the         they are situated is in an                                                                                          Grey zone or      with COVID-
 specific situation.                   Orange, Red, or Grey zone                                                                                           under             19 symptoms.
                                       of the COVID-19 Response                                                                                            Shutdown/Stay-
 Where co-located with a long-         Framework or under a                                                                                                at-Home order.
 term care home, retirement            Shutdown/Stay-at-Home
 home should align where               order. If it is, the home
 possible or take the more             must follow baseline
 restrictive visiting policy unless    requirements AND the
 otherwise advised by the local        requirements applicable to
 PHU.                                  their colour.

 Medical Absence: Absence to           Residents must be             Permitted   Permitted                   Permitted                                     Permitted         Permitted
 seek medical care                     provided a medical
                                       mask and be reminded
                                       to practice public health
                                       measures.
                                       Permitted.

 Compassionate/Palliative              Residents must be             Permitted   Permitted                   Permitted                                     Permitted         Permitted
 Absence: Absence includes             provided a medical
 but are not limited to the            mask and be reminded
 purposes of visiting a dying          to practice public health
 loved one                             measures.
                                       Permitted.

 Short term (day) absence -            Residents must be             Permitted   Permitted                   Permitted                                     Permitted         Permitted
 Essential Outing: Absence for         provided a medical
 reasons of groceries,                 mask and be reminded
 pharmacies and outdoor                to practice public health
 physical activity                     measures.
                                       Permitted.

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Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                           ○
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 Short term (day) absence -      Residents must be           Not         Fully immunized Resident:                 Fully immunized Resident: permitted         Not permitted   Not permitted
 Social Outings: Absence         provided a medical          permitted   permitted
                                                                                                                   Partially immunized or unimmunized
 other than for medical,         mask and be reminded
                                                                         Partially immunized or                    resident: not permitted
 compassionate/palliative, or    to practice public health
                                                                         unimmunized resident: not
 essential outings that do not   measures.                                                                         Active screening upon return but
                                                                         permitted
 include an overnight stay                                                                                         testing or self-isolation not required
                                 Permitted.
                                                                         Active screening upon return but
                                 Active screening upon                   testing or self-isolation not required
                                 return but testing or
                                 self-isolation not
                                 required

 Temporary (overnight)           Residents must be           Not         Fully immunized Resident:                 Fully immunized Resident: permitted         Not permitted   Not permitted
 absence: Absence that           provided a medical          permitted   permitted
                                                                                                                   For fully immunized residents, a lab-
 involves two or more days       mask and be reminded
                                                                         For fully immunized residents, a lab-     based PCR test is required at the time
 and one or more nights away     to practice public health
                                                                         based PCR test is required at the         of readmission. The resident must be
 from the home for non-          measures.
                                                                         time of readmission. The resident         placed in isolation on Droplet and
 medical purposes.
                                 Permitted.                              must be placed in isolation on            Contact Precautions if the test result is
                                                                         Droplet and Contact Precautions if        pending. If the test result is negative,
                                                                         the test result is pending. If the test   then isolation and Droplet and Contact
                                                                         result is negative, then isolation and    Precautions can be discontinued. If
                                                                         Droplet and Contact Precautions can       the test is positive, isolation and
                                                                         be discontinued. If the test is           Droplet and Contact precautions must
                                                                         positive, isolation and Droplet and       be continued.
                                                                         Contact precautions must be
                                                                                                                   Partially immunized or unimmunized
                                                                         continued.
                                                                                                                   resident: permitted
                                                                         Partially immunized or
                                                                                                                   For partially immunized or
                                                                         unimmunized resident: permitted
                                                                                                                   unimmunized residents, a lab-based
                                                                         For partially immunized or                PCR test is required at the time of
                                                                         unimmunized residents, a lab-based        admission/ readmission and the
                                                                         PCR test is required at the time of       resident must be placed in isolation
                                                                         admission/ readmission and the            on Droplet and Contact Precautions
                                                                         resident must be placed in isolation      for a minimum of 10 days. A second
                                                                         on Droplet and Contact Precautions        negative lab -based PCR test
                                                                         for a minimum of 10 days. A second        performed on day 8 is required to
                                                                         negative lab -based PCR test              discontinue isolation and Droplet and
                                                                         performed on day 8 is required to         Contact Precaution on day 10;
                                                                         discontinue isolation and Droplet         otherwise isolation must be
                                                                         and Contact Precaution on day 10;         maintained until day 14.

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Scenario Matrix: Retirement Home Covid-19 Visiting Policy               ○
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                                               otherwise isolation must be
                                               maintained until day 14.

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Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                                                  ○
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        Scenario 3                    NOT IN OUTBREAK                    OUTBREAK            ORANGE (RESTRICT)                 RED (CONTROL)                GREY                         Isolation
        New                           AND IN GREEN                       Homes IN outbreak   Home is NOT in outbreak but is    Home is NOT in outbreak      (LOCKDOWN) OR                requirements
        Admissions &                  (PROTECT) OR YELLOW                                    located in a region designated    but is located in a region   SHUTDOWN/STAY-
                                                                                             as an Orange zone.                designated as a Red zone.
                                      (PREVENT)                                                                                                             AT-HOME ORDER
        Readmissions                                                                         Homes must follow the rules       Homes must follow the
                                      All homes must meet these                                                                                             Home is NOT in outbreak
 Please review Directive #3 and                                                              below.                            rules below.
                                      baseline requirements. Homes                                                                                          but is located in a region
 the Retirement Homes Policy          NOT in outbreak must also                                                                                             designated as a Grey zone
 to Implement Directive #3 for        determine if the public health                                                                                        or under Shutdown/Stay-at-
 full details on PPE, IPAC,           unit in which they are situated                                                                                       Home order.
 requirements. A local PHU            is in an Orange, Red, or Grey
 may also advise further              zone of the COVID-19 Response                                                                                         Homes must follow the
 restrictions in part or all of the   Framework or under a                                                                                                  rules below.
 home, depending on the               Shutdown/Stay-at-Home order.
 specific situation.                  If it is, the home must follow
                                      baseline requirements AND the
 Where co-located with a long-
                                      requirements applicable to their
 term care home, retirement
                                      colour.
 home should align where
 possible or take the more
 restrictive visiting policy unless
 otherwise advised by the local
 PHU.

 Admission from                       Allowed if:                        Admissions and      Allowed.                          Allowed.                     Allowed.                     Yes, individuals who
 community or hospital.                                                  readmissions                                                                                                    require isolation must
                                      • All admissions and                                   All admissions and transfers      All admissions and           All admissions and
                                                                         may take place                                                                                                  be placed in a single
 Fully immunized:                     transfers need to be tested                            need to be tested for             transfers need to be         transfers need to be
                                                                         during an                                                                                                       room if possible. For
 individual has received all          for COVID-19 in accordance                             COVID-19 in accordance            tested for COVID-19 in       tested for COVID-19 in
                                                                         outbreak only if                                                                                                fully immunized
 doses in their COVID-19              with the COVID-19                                      with the COVID-19                 accordance with the          accordance with the
                                                                         approved by the                                                                                                 residents, a lab based
 vaccine series AND more              Provincial Testing                                     Provincial Testing                COVID-19 Provincial          COVID-19 Provincial
                                                                         local public                                                                                                    PCR test is required at
 than 14 days have passed             Requirements Update.                                   Requirements Update. A            Testing Requirements         Testing Requirements
                                                                         health unit, and                                                                                                the time of admission/
 since the receipt of their                                                                  plan to ensure the resident       Update. A plan to ensure     Update. A plan to ensure
                                      • A plan to ensure the             there is                                                                                                        readmission. The
 last dose                                                                                   being admitted (except for        the resident being           the resident being
                                      resident being admitted            concurrence                                                                                                     individual must be
                                                                                             those who have cleared            admitted (except for         admitted (except for
                                      (except for those who have         between the                                                                                                     placed in isolation on
                                                                                             COVID-19) can complete 14         those who have cleared       those who have cleared
                                      cleared COVID-19) can              home local public                                                                                               Droplet and Contact
                                                                                             days of self-isolation, under     COVID-19) can complete       COVID-19) can complete
                                      complete 14 days of self-          health unit, and                                                                                                Precautions if the test
                                                                                             Droplet and Contact               14 days of self-isolation,   14 days of self-isolation,
                                      isolation, under Droplet and       hospital. An                                                                                                    result is pending. If
                                                                                             Precautions.                      under Droplet and            under Droplet and
                                      Contact Precautions                individual who                                                                                                  negative, then isolation
                                                                                                                               Contact Precautions.         Contact Precautions.
                                                                         has tested          For fully immunized                                                                         can be discontinued.
                                      • For fully immunized              positive for        residents, a lab-based PCR        For fully immunized          For fully immunized
                                      residents, a lab-based PCR                                                                                                                         Partially immunized or
                                                                         COVID-19 may be     test is required at the time      residents, a lab-based       residents, a lab-based
                                      test is required at the time                                                                                                                       unimmunized
                                                                         admitted or         of admission/ readmission.        PCR test is required at      PCR test is required at
                                      of admission/ readmission.                                                                                                                         residents require a lab-
                                                                         readmitted to the   The resident must be placed       the time of admission/       the time of admission/
                                                                                                                                                                                         based PCR test at the

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Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                               ○
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                        The resident must be placed      home provided     in isolation on Droplet and      readmission. The           readmission. The              time of
                        in isolation on Droplet and      that the          Contact Precautions if the       resident must be placed    resident must be placed       admission/readmission
                        Contact Precautions if the       admission is      test result is pending. If the   in isolation on Droplet    in isolation on Droplet       and the resident must
                        test result is pending. If the   approved by the   test result is negative, then    and Contact Precautions    and Contact Precautions       be placed in isolation
                        test result is negative, then    local public      isolation and Droplet and        if the test result is      if the test result is         on Droplet and Contact
                        isolation and Droplet and        health unit.      Contact Precautions can be       pending. If the test       pending. If the test result   Precautions for a
                        Contact Precautions can be                         discontinued. If the test is     result is negative, then   is negative, then             minimum of 10 days. A
                        discontinued. If the test is                       positive, isolation and          isolation and Droplet      isolation and Droplet         second negative lab
                        positive, isolation and                            Droplet and Contact              and Contact Precautions    and Contact Precautions       based PCR test result
                        Droplet and Contact                                precautions must be              can be discontinued. If    can be discontinued. If       collected on day 8 is
                        precautions must be                                continued.                       the test is positive,      the test is positive,         required to discontinue
                        continued.                                                                          isolation and Droplet      isolation and Droplet         isolation on day 10.
                                                                           For partially immunized or
                                                                                                            and Contact precautions    and Contact precautions       Otherwise isolation
                        • For partially immunized or                       unimmunized residents, a
                                                                                                            must be continued.         must be continued.            and Droplet and
                        unimmunized residents, a                           lab-based PCR test is
                                                                                                                                                                     Contact Precautions
                        lab-based PCR test is                              required at the time of          For partially immunized    For partially immunized
                                                                                                                                                                     must be maintained
                        required at the time of                            admission/ readmission and       or unimmunized             or unimmunized
                                                                                                                                                                     until day 14.
                        admission/readmission and                          the resident must be placed      residents, a lab-based     residents, a lab-based
                        the resident must be placed                        in isolation on Droplet and      PCR test is required at    PCR test is required at       EXCEPTIONS TO
                        in isolation on Droplet and                        Contact Precautions for a        the time of admission/     the time of admission/        ISOLATION
                        Contact Precautions for a                          minimum of 10 days. A            readmission and the        readmission and the           REQUIREMENT:
                        minimum of 10 days. A                              second negative lab -based       resident must be placed    resident must be placed
                                                                                                                                                                     Recently recovered
                        second negative lab-based                          PCR test performed on day        in isolation on Droplet    in isolation on Droplet
                                                                                                                                                                     residents who are
                        PCR test performed on day 8                        8 is required to discontinue     and Contact Precautions    and Contact Precautions
                                                                                                                                                                     within 90 days from a
                        is required to discontinue                         isolation and Droplet and        for a minimum of 10        for a minimum of 10
                                                                                                                                                                     prior lab confirmed
                        isolation and Droplet and                          Contact Precaution on day        days. A second negative    days. A second negative
                                                                                                                                                                     COVID-19 infection are
                        Contact Precaution on day                          10; otherwise isolation must     lab -based PCR test        lab -based PCR test
                                                                                                                                                                     not required to be
                        10; otherwise isolation and                        be maintained until day 14.      performed on day 8 is      performed on day 8 is
                                                                                                                                                                     tested or placed in
                        Droplet and Contact                                                                 required to discontinue    required to discontinue
                                                                           For recently recovered                                                                    isolation on Droplet
                        Precautions must be                                                                 isolation and Droplet      isolation and Droplet
                                                                           residents who are within 90                                                               and Contact on arrival.
                        maintained until day 14.                                                            and Contact Precaution     and Contact Precaution
                                                                           days (from the date the test
                                                                                                            on day 10; otherwise       on day 10; otherwise          24-hour period, the
                        • For recently recovered                           was taken) from a prior lab
                                                                                                            isolation must be          isolation must be             transfer can occur, but
                        residents who are within 90                        confirmed COVID-19
                                                                                                            maintained until day 14.   maintained until day 14.      the individual must
                        days (from the date the test                       infection are not required to
                                                                                                                                                                     remain in isolation in
                        was taken) from a prior lab-                       be tested.                       For recently recovered     For recently recovered
                                                                                                                                                                     the home until a
                        confirmed COVID-19                                                                  residents who are within   residents who are within
                                                                                                                                                                     negative test result is
                        infection are not required to                                                       90 days (from the date     90 days (from the date
                                                                                                                                                                     received. If this test
                        be tested or placed in                                                              the test was taken) from   the test was taken) from
                                                                                                                                                                     result is positive, the
                        isolation on Droplet and                                                            a prior lab confirmed      a prior lab confirmed
                                                                                                                                                                     individual must
                        Contact Precautions on                                                              COVID-19 infection are     COVID-19 infection are
                                                                                                                                                                     continue their self
                        arrival.                                                                            not required to be         not required to be
                                                                                                                                                                     isolation and the home
                                                                                                            tested.                    tested.
                                                                                                                                                                     must contact their
                                                                                                                                                                     local public health unit.

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Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                                                    ○
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       Scenario 4                           NOT IN OUTBREAK AND IN                       OUTBREAK ORANGE (RESTRICT)                                 RED (CONTROL)                 GREY
       Requirements for                     GREEN (PROTECT) OR YELLOW                    Homes IN     Home is NOT in outbreak but is located in a   Home is NOT in outbreak but   (LOCKDOWN) OR
       Social Activities,                   (PREVENT)                                    outbreak     region designated as an Orange zone.          is located in a region        SHUTDOWN/STAY-
                                                                                                                                                    designated as a Red zone.
       Organized Events                     All homes must meet these baseline                                                                                                    AT-HOME ORDER
                                            requirements. Homes NOT in outbreak                                                                     Homes must follow the rules
 Please review Directive #3 and the                                                                                                                                               Home is NOT in outbreak
                                            must also determine if the public health                                                                below.
 Retirement Homes Policy to Implement                                                                                                                                             but is located in a region
                                            unit in which they are situated is in an                                                                                              designated as a Grey zone
 Directive #3 for full details on PPE,
                                            Orange, Red, or Grey zone of the COVID-19                                                                                             or under Shutdown/Stay-at-
 IPAC, requirements. A local PHU may
                                            Response Framework or under a                                                                                                         Home order.
 also advise further restrictions in part
                                            Shutdown/Stay-at-Home order. If it is, the
 or all of the home, depending on the
                                            home must follow baseline requirements                                                                                                Homes must follow the
 specific situation. Where co-located
                                            AND the requirements applicable to their                                                                                              rules below.
 with a long-term care home,
                                            colour/order.
 retirement home should align where
 possible or take the more restrictive
 visiting policy unless otherwise advised
 by the local PHU

 Homes must follow the conditions           Social Activities, Organized Events and      Not          Social Activities, Organized Events and       Social Activities,            Social Activities,
 set out in the Provincial                  Other Recreational Services are              permitted.   Other Recreational Services are               Organized Events and          Organized Events and
 Framework, after which different           permitted to provide services as set                      permitted to provide services as set          Other Recreational            Other Recreational
 requirements apply depending on            out in the Green and Yellow zone of                       out in the Orange zone of the                 Services are permitted to     Services are permitted to
 the immunization threshold of a            the Provincial Framework.                                 Provincial Framework.                         provide services as set out   provide services as set
 home.                                                                                                                                              in the Red zone of the        out in the Grey zone of
                                                                                                                                                    Provincial Framework.         the Provincial
 For a home to meet the minimum             If a home is above the immunization                       If a home is above the immunization
                                                                                                                                                                                  Framework.
 immunization threshold they must           threshold, the following flexibility                      threshold, the following flexibility
 have:                                      applies:                                                  applies:                                      If a home is above the        In the Grey Zone, indoor
                                                                                                                                                    immunization threshold,       and outdoor organized
 1. A min. of 85% of all residents          • Resume activities in cohorted                           • Resume activities in cohorted
                                                                                                                                                    the following flexibility     social gatherings or
 fully immunized; AND                         groups                                                    groups                                      applies:                      activities are not
 2. A min. of 70% of the overall            • Masking and physical distancing                         • Masking and physical distancing                                           permitted.
                                                                                                                                                    • Resume activities in
 home (residents and staff) fully             recommended                                               recommended                                   cohorted groups             Residents can still meet
 immunized.
                                            • Avoid high risk activities                              • Avoid high risk activities                                                or use a common area of
                                                                                                                                                    • Masking and physical        the home.
 Please consult the Retirement
                                                                                                                                                      distancing
 Homes Policy to Implement
                                                                                                                                                      recommended                 The use of common
 Directive #3 on how to calculate
                                                                                                                                                                                  areas should be
 immunization threshold.                                                                                                                            • Avoid high risk             determined by the
                                                                                                                                                      activities                  room’s capacity based
                                                                                                                                                                                  on the user’s ability to
                                                                                                                                                                                  physically distance

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Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                                 ○
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                                                                                                                                                         appropriately, and
                                  If the home is below the                           If the home is below the                If the home is below the
                                                                                                                                                         should be accompanied
                                  immunization threshold, the                        immunization threshold, the following   immunization threshold,
                                                                                                                                                         by usual preventative
                                  following precautions apply:                       precautions apply:                      the following precautions
                                                                                                                                                         measures, such as
                                                                                                                             apply:
                                  • Limited capacity in room by ability              • Limited capacity in room by ability                               masking and hand
                                    to physically distance                             to physically distance                • Limited capacity in       hygiene.
                                                                                                                               room by ability to
                                  • Masking strongly recommended                     • Masking strongly recommended                                      Residents in homes that
                                                                                                                               physically distance       are unable to host social
                                  • Cleaning and disinfection of high                • Cleaning and disinfection of high     • Masking strongly          gatherings and organized
                                    touch surfaces between activities/                 touch surfaces between activities/                                events should not be
                                                                                                                               recommended
                                    room use                                           room use                                                          restricted to their suites,
                                                                                                                             • Cleaning and              unless otherwise advised
                                  • Same activity groups as much as                  • Same activity groups as much as
                                                                                                                               disinfection of high      by the local PHU as part
                                    possible                                           possible                                touch surfaces            of COVID-19 prevention
                                                                                                                               between activities/       and containment.
                                                                                                                               room use
                                                                                                                             • Same activity groups as
                                                                                                                               much as possible
                                                                                                                               activities.

*OTHER RECREATIONAL SERVICES: Services provided by the home for residents such as gyms, pools and spas must follow requirements for the activity under the Provincial
Framework.

Effective May 5, 2021                                                                                                                                                             11
Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                                                                ○
                                                                                                                                         5

         Scenario 5                         NOT IN OUTBREAK AND                     OUTBREAK                ORANGE (RESTRICT)                RED (CONTROL)                    GREY
         Requirements for                   IN GREEN (PROTECT) OR                   Homes IN outbreak       Home is NOT in outbreak but is   Home is NOT in outbreak but is   (LOCKDOWN) OR
         Communal Dining                    YELLOW (PREVENT)                                                located in a region designated   located in a region designated   SHUTDOWN/STAY-AT-
                                                                                                            as an Orange zone.               as a Red zone.
 Please review Directive #3 and the         All homes must meet these                                                                                                         HOME ORDER
 Retirement Homes Policy to Implement       baseline requirements. Homes                                                                     Homes must follow the rules
 Directive #3 for full details on PPE,      NOT in outbreak must also                                                                        below.
 IPAC, requirements. A local PHU may        determine if the public health unit
 also advise further restrictions in part   in which they are situated is in an
 or all of the home, depending on the       Orange, Red, or Grey zone of the
 specific situation. Where co-located       COVID-19 Response Framework or
 with a long-term care home,                under a Shutdown/Stay-at-Home
 retirement home should align where         order. If it is, the home must follow
 possible or take the more restrictive      baseline requirements AND the
 visiting policy unless otherwise advised   requirements applicable to their
 by the local PHU                           colour/order.

 For a home to meet the minimum             If a home is above the                  If a home is declared   If a home is above the           If a home is above the           If a home is above the
 immunization threshold they must           immunization threshold, the             in outbreak, the        immunization threshold,          immunization threshold,          immunization threshold, the
 have:                                      following flexibility applies:          home should follow      the following flexibility        the following flexibility        following flexibility applies:
                                                                                    the PHU's guidance      applies:                         applies:
 1. A min. of 85% of all residents          • Cohorted Groups                                                                                                                 • Cohorted Groups
                                                                                    surrounding
 fully immunized; AND                                                                                       • Cohorted Groups                • Cohorted Groups
                                            • Consistent seating of                 communal dining                                                                           • Consistent seating of
 2. A min. of 70% of the overall              residents at the same table,                                  • Consistent seating of          • Consistent seating of            residents at the same table,
 home (residents and staff) fully             physical distancing and                                         residents at the same            residents at the same            physical distancing and hand
 immunized.                                   hand hygiene strongly                                           table, physical distancing       table, physical distancing       hygiene strongly
                                              recommended                                                     and hand hygiene                 and hand hygiene                 recommended
 Please consult the Retirement
                                                                                                              strongly recommended             strongly recommended
 Homes Policy to Implement                  • Masking when not                                                                                                                • Masking when not
 Directive #3 on how to calculate             eating/drinking strongly                                      • Masking when not               • Masking when not                 eating/drinking strongly
 immunization threshold.                      recommended                                                     eating/drinking strongly         eating/drinking strongly         recommended
                                                                                                              recommended                      recommended
                                            • Fully immunized Essential                                                                                                       • Fully immunized Essential
                                              Caregivers may join a full                                    • Fully immunized Essential      • Fully immunized Essential        Caregivers may join a full
                                              immunized resident                                              Caregivers may join a full       Caregivers may join a full       immunized resident
                                                                                                              immunized resident               immunized resident

Effective May 5, 2021                                                                                                                                                                                          12
Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                ○
                                                                                         5

                        If the home is below the            If the home is below the       If the home is below the       If the home is below the
                        immunization threshold, the         immunization threshold,        immunization threshold,        immunization threshold, the
                        following precautions apply:        the following precautions      the following precautions      following precautions apply:
                                                            apply:                         apply:
                        • Physical distancing between                                                                     • Physical distancing between
                          diners                            • Physical distancing          • Physical distancing            diners
                                                              between diners                 between diners
                        • Decreased room capacity                                                                         • Decreased room capacity
                                                            • Decreased room capacity      • Decreased room capacity
                        • Consistent seating of                                                                           • Consistent seating of
                          residents at the same table,      • Consistent seating of        • Consistent seating of          residents at the same table,
                          physical distancing and             residents at the same          residents at the same          physical distancing and hand
                          hand hygiene strongly               table, physical distancing     table, physical distancing     hygiene strongly
                          recommended                         and hand hygiene               and hand hygiene               recommended
                                                              strongly recommended           strongly recommended
                        • Masking when not                                                                                • Masking when not
                          eating/drinking required          • Masking when not             • Masking when not               eating/drinking required
                                                              eating/drinking required       eating/drinking required
                        Residents experiencing                                                                            Residents experiencing
                        signs/symptoms of COVID-19          Residents experiencing         Residents experiencing         signs/symptoms of COVID-19 do
                        do not participate in               signs/symptoms of COVID-       signs/symptoms of COVID-       not participate in communal
                        communal dining unless the          19 do not participate in       19 do not participate in       dining unless the resident has
                        resident has tested negative        communal dining unless the     communal dining unless the     tested negative for COVID-19
                        for COVID-19 since onset.           resident has tested negative   resident has tested negative   since onset.
                                                            for COVID-19 since onset.      for COVID-19 since onset.

Effective May 5, 2021                                                                                                                                      13
Scenario Matrix: Retirement Home Covid-19 Visiting Policy                                                                                     ○
                                                                                                                                              6

          Scenario 6                      NOT IN OUTBREAK AND IN                       OUTBREAK            ORANGE (RESTRICT)                RED (CONTROL)                    GREY
          Requirements                    GREEN (PROTECT) OR                           Homes IN outbreak   Home is NOT in outbreak but is   Home is NOT in outbreak but is   (LOCKDOWN) OR
          for Tours                       YELLOW (PREVENT)                                                 located in a region designated   located in a region designated   SHUTDOWN/STAY-AT-
                                                                                                           as an Orange zone.               as a Red zone.
 Please review Directive #3 and the       All homes must meet these baseline                                                                                                 HOME ORDER
 Retirement Homes Policy to               requirements. Homes NOT in outbreak                                                                                                Home is NOT in outbreak but is
 Implement Directive #3 for full          must also determine if the public health                                                                                           located in a region designated as a
 details on PPE, IPAC, requirements       unit in which they are situated is in an                                                                                           Grey zone or under a
 A local PHU may also advise              Orange, Red, or Grey zone of the COVID-                                                                                            Shutdown/Stay-at-Home order.
 further restrictions in part or all of   19 Response Framework or under a
 the home, depending on the               Shutdown/Stay-at-Home order. If it is, the                                                                                         Homes must follow the rules below.
 specific situation. Where co-            home must follow baseline requirements
 located with a long-term care            AND the requirements applicable to their
 home, retirement home should             colour.
 align where possible or take the
 more restrictive visiting policy
 unless otherwise advised by the
 local PHU.

 Virtual tours should be                  • Tour group should be limited to            In-person tours     All tour participants are        All tour participants are        All tour participants are subject
 implemented as much as                     the prospective resident or couple         should be paused.   subject to the General           subject to the General           to the General Visitor and PPE
 possible.                                  plus one other individual.                                     Visitor and PPE                  Visitor and PPE                  requirements.
                                                                                                           requirements.                    requirements.
                                          • All tour participants are subject to                                                                                             In-person tours should be
                                            the General Visitor and PPE                                                                                                      paused.
                                            requirements.
                                          • The tour route must be restricted
                                            in a manner that avoids contact
                                            with residents.
                                          • Homes should keep the number of
                                            tours in the home to a minimum.

Effective May 5, 2021                                                                                                                                                                                              14
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