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Reopening Implementation Plan for the Pennsylvania Department of Human Services’ Interim Guidance for Personal Care Homes, Assisted Living Residences and Private Intermediate Care Facilities During COVID-19

 

 

FACILITY INFORMATION

This section contains the name and location of the facility along with contact information for an individual designated by the facility. That individual does not have to be the Administrator but should be someone available to respond to questions regarding the Implementation Plan.

1.  FACILITY NAME:  New Hope Gracious Personal Care

2. STREET ADDRESS:  300 Union Avenue

 

3.  CITY:  Pittsburgh

4.  ZIP CODE:  15202

5.  NAME OF FACILITY CONTACT PERSON: Dawn Dobbs

6.  PHONE NUMBER OF CONTACT PERSON:  412-761-4673

DATE AND STEP OF REOPENING

The facility will identify the date upon which all prerequisites will be met to begin the reopening process and the Step at which the facility will enter reopening. Those facilities that experienced a significant COVID-19 outbreak will identify the date the Department of Health survey was conducted (that is required prior to reopening).

7.  DATE THE FACILITY WILL ENTER THE REOPENING PROCESS

7/22/2020

8.  SELECT THE STEP AT WHICH THE FACILITY WILL ENTER THE REOPENING PROCESS – EITHER STEP 1 OR STEP 2 (CHECK ONLY ONE)

☐  Step 1

        The facility must meet all the Prerequisites included in the Interim Guidance for Personal Care Homes, Assisted Living Residences and private Intermediate Care Facilities During COVID-19

☒  Step 2

        The facility must meet all the Prerequisites, including the baseline universal test for COVID-19 administered to staff and residents (in accordance with the June 26, 2020, Order of the Secretary of Health)

        AND

        Have the absence of any new facility onset of COVID-19 cases for 14 consecutive days since baseline COVID-19 testing

9.  HAS THE FACILITY EXPERIENCED A SIGNIFICANT COVID-19 OUTBREAK? (IF NO, SKIP TO #11)

No

STRATEGY FOR TESTING, COHORTING, PERSONAL PROTECTIVE EQUIPMENT, AND STAFFING

To ensure the facility has taken appropriate measures to protect residents and staff, descriptions of those strategies are required in this section (prerequisites to enter the reopening process).

10.  DATE RANGE FOR THE BASELINE UNIVERSAL TEST ADMINISTERED TO STAFF AND RESIDENTS (BETWEEN JUNE 14, 2020 AND AUGUST 31, 2020) IN ACCORDANCE WITH THE JUNE 26, 2020, ORDER OF THE SECRETARY OF HEALTH

6/30/2020 to 7/9/2020

11.  DESCRIBE THE ABILITY TO HAVE  COVID-19 DIAGNOSTIC TESTS ADMINISTERED TO ALL RESIDENTS SHOWING SYMPTOMS OF COVID-19 AND TO DO SO WITHIN 24 HOURS

Staff members have been trained to complete COVID-19 testing.  Adequate testing supplies and Personal Protective Equipment required to complete testing has been procured and can be replenished by supplier.  Facility has the capacity to test all residents, staff, and medically necessary contractors within 24 hours of an outbreak or as needed based on symptoms.

12.  DESCRIBE THE ABILITY TO HAVE COVID-19 DIAGNOSTIC TESTS ADMINSTERED TO ALL RESIDENTS AND STAFF IF THE FACILITY EXPERIENCES AN OUTBREAK, INCLUDING ASYMPTOMATIC STAFF

Staff members have been trained to complete COVID-19 testing.  Adequate testing supplies and Personal Protective Equipment required to complete testing has been procured and can be replenished by supplier.  Facility has the capacity to test all residents, staff, and medically necessary contractors within 24 hours of an outbreak or as needed based on symptoms.

13.  DESCRIBE THE PROCEDURE FOR TESTING OF NON-ESSENTIAL STAFF AND VOLUNTEERS

Staff members have been trained to complete COVID-19 testing.  Adequate testing supplies and Personal Protective Equipment required to complete testing has been procured and can be replenished by supplier.  Facility has the capacity to test any non-essential staff or volunteers if necessary.

14.  DESCRIBE THE PROCEDURE FOR ADDRESSING RESIDENTS OR STAFF THAT DECLINE OR ARE UNABLE TO BE TESTED

Residents that refuse testing will follow suspected COVID protocol, which would include quarantining.  Staff that refuses to be tested will be referred to the Administrator for further instruction.

15.  DESCRIBE THE PLAN TO COHORT OR ISOLATE RESIDENTS DIAGNOSED WITH COVID-19 IN ACCORDANCE WITH PA-HAN-509 PURSUANT TO SECITON 1 OF THE INTERIM GUIDANCE FOR Personal Care Homes, Assisted Living Residences and Intermediate Care Facilities DURING COVID-19.

Residents will not be able to be placed into cohorts due to the structural design of the facility.  Attention will be given to grouping opportunities for dining and activities when possible.  Resident rooms will be utilized for quarantining of residents with suspected exposure, symptoms or diagnosed COVID-19. These rooms will be designated with yellow or red isolation signage.

 

16.  DESCRIBE THE CURRENT CACHE OF PERSONAL PROTECTIVE EQUIPMENT (PPE) AND THE PLAN TO ENSURE AN ADEQUATE SUPPLY OF PPE FOR STAFF (BASED ON THE TYPE OF CARE EXPECTED TO BE PROVIDED)

PPE will be utilized using PPE sparing guidelines.  PPE will be inventoried to assure adequate supplies.  Both Pharmacy and online sources will be used to obtain additional supplies.

17.  DESCRIBE THE CURRENT STAFFING STATUS AND THE PLAN TO ENSURE NO STAFFING SHORTAGES

New Hope will follow all staffing guidelines required by the Department of Human Services and is not functioning under a contingency staffing plan.  Administrative staff will be utilized in the event that a shortage would occur. Census will be managed to address staff shortages.

18.  DESCRIBE THE PLAN TO HALT ALL REOPENING FACILITIES AND RETURN TO STEP 1 IF THE FACILITY HAS ANY NEW ONSET OF POSITIVE COVID-19 CASES

 

The reopening is based on the on-going COVID-19 free status of our residents and staff, and Allegheny County positivity rate.  Therefore at any point our facility could retreat to previous steps.

 

 

SCREENING PROTOCOLS

In each block below, describe the screening protocol to be used including where screening occurs, method of determining symptoms and possible exposure, and action taken if screening reveals possible virus. Include how the data will be submitted to the Department.

19.  RESIDENTS

Residents are screened twice daily for a temperature of 100 degrees or greater along with signs and symptoms of the COVID-19.  If a symptom is identified the resident is COVID-19 tested and placed into yellow zone isolation.  If test results are positive for COVID-19 the resident will be placed in red zone isolation and the result will be reported to DHS and Allegheny County DOH.

20.  STAFF

Staff are screened prior to entry for temperatures over 100 degrees and for signs and symptoms of COVID-19.  In addition, staff are asked if they have traveled outside of Pennsylvania or have had any contact with someone suspected of having or COVID-19 or with a confirmed diagnosis in the past 14 days. If screened positive, access is denied.

21.  HEALTHCARE PERSONNEL WHO ARE NOT STAFF

Healthcare personnel are screened prior to entry for temperatures over 100 degrees and for signs and symptoms of COVID-19.     In addition, healthcare personnel are asked if they have traveled outside of Pennsylvania or have had any contact with someone suspected of having or COVID-19 or with a confirmed diagnosis in the past 14 days. If screened positive, access is denied.

22.  NON-ESSENTIAL PERSONNEL

Healthcare personnel are screened prior to entry for temperatures over 100 degrees and for signs and symptoms of COVID-19.     In addition, healthcare personnel are asked if they have traveled outside of Pennsylvania or have had any contact with someone suspected of having or COVID-19 or with a confirmed diagnosis in the past 14 days. If screened positive, access is denied.

23.  VISITORS

 

Visitors are screened prior to entry for temperatures over 100 degrees and for signs and symptoms of COVID-19.  In addition, visitors are asked if they have traveled outside of Pennsylvania or have had any contact with someone suspected of having or COVID-19 or with a confirmed diagnosis in the past 14 days. All visitors are located socially distant in a neutral zone when visitation is permitted.

24.  VOLUNTEERS

Volunteers are screened prior to entry for temperatures over 100 degrees and for signs and symptoms of COVID-19.  In addition, volunteers are asked if they have traveled outside of Pennsylvania or have had any contact with someone suspected of having or COVID-19 or with a confirmed diagnosis in the past 14 days.

COMMUNAL DINING FOR RESIDENTS UNEXPOSED TO COVID-19

Communal dining is the same for all steps of reopening so there is no need to differentiate among the three steps.

25.  DESCRIBE COMMUNAL DINING MEAL SCHEDULE, INCLUDING STAGGERED HOURS (IF ANY)

Residents will continue to be served in their rooms for breakfast.  Lunch and dinner service in the dining room.  Residents are seated socially distant.  Only green zone residents are permitted in the dining room, all other residents will be served all meals in their room.

26.  DESCRIBE ARRANGEMENT OF TABLES AND CHAIRS TO ALLOW FOR SOCIAL DISTANCING

 

Resident seating will be at least six feet apart for all residents that are not roommates.

27.  DESCRIBE INFECTION CONTROL MEASURES, INCLUDING USE OF PPE BY STAFF

Staff will maintain proper hand hygiene, wear mask at all times and use additional PPE if appropriate. All residents are assisted with hand hygiene prior to meal service.

 

28.  DESCRIBE ANY OTHER ASPECTS OF COMMUNAL DINING DURING REOPENING

Yellow and red zone residents will be served on all disposable items.

ACTIVITIES AND OUTINGS

In each block below, describe the types of activities that will be planned at each step and the outings that will be planned at Step 3 (an all-inclusive list is not necessary). Include where they will be held and approximately how many residents will be involved. Describe how social distancing, hand hygiene, and universal masking will be ensured. Also include precautions that will be taken to prevent multiple touching of items such as game pieces.

29.  DESCRIBE ACTIVITIES PLANNED FOR STEP 1 (FIVE OR LESS RESIDENTS UNEXPOSED TO COVID-19)

Activities will be held in the activity room and outside courtyards when weather permits for groups of five residents or less.  Space and activity equipment will be cleaned between activities. Social distancing, hand hygiene, and universal masking will occur at all activities.  Only un-exposed green zone residents will be allowed to participate in group activities. All other residents will be provided room activities.

30.  DESCRIBE ACTIVITIES PLANNED FOR STEP 2 (TEN OR LESS RESIDENTS UNEXPOSED TO COVID-19)

Activities will be held in the activity room and outside courtyards when weather permits for groups of ten residents or less.  Space and activity equipment will be cleaned between activities. Social distancing, hand hygiene, and universal masking will occur at all activities.  Only un-exposed green zone residents will be allowed to participate in group activities. All other residents will be provided room activities.

31.  DESCRIBE ACTIVITIES PLANNED FOR STEP 3

Activities will be held in the activity room and outside courtyards when weather permits for socially distant groups.  Space and activity equipment will be cleaned between activities. Social distancing, hand hygiene, and universal masking will occur at all activities.  Only un-exposed green zone residents will be allowed to participate in group activities. All other residents will be provided room activities.

32.  DESCRIBE OUTINGS PLANNED FOR STEP 3

We will not allow out of the facility outings in Step 2 or Step 3 at this time.

NON-ESSENTIAL PERSONNEL

In Step 2, non-essential personnel deemed necessary by the facility are allowed (in addition to those already permitted in Section 4 of Interim Guidance for Personal Care Homes, Assisted Living Residences and Intermediate Care Facilities During COVID-19). In Step 3, all non-essential personnel are allowed. Screening and additional precautions including social distancing, hand hygiene, and universal masking are required for non-essential personnel.

33.  DESCRIBE THE LIMITED NUMBER AND TYPES OF NON-ESSENTIAL PERSONNEL THAT HAVE BEEN DETERMINED NECESSARY AT STEP 2

Hair stylist will be allowed during this step

34.  DESCRIBE HOW SOCIAL DISTANCING, HAND HYGIENE, AND UNIVERSAL MASKING WILL BE ENSURED FOR NON-ESSENTIAL PERSONNEL AT STEPS 2 AND 3

All non-essentials staff will follow the same daily screening guidelines and mandatory mask wearing and handwashing policies as essential personnel.

35.  DESCRIBE MEASURES PLANNED TO ENSURE NON-ESSENTIAL PERSONNEL DO NOT COME INTO CONTACT WITH RESIDENTS EXPOSED TO COVID-19

Non-essential personnel will only be permitted in neutral zone areas not in resident rooms. 

VISITATION PLAN

For visitation to be permitted in Steps 2 and 3 of reopening (as described in Section 6 of Interim Guidance for Personal Care Homes, Assisted Living Facilities and Intermediate Care Facilities During COVID-19), the following requirements are established. Screening and additional precautions including social distancing, hand hygiene, and universal masking are required for visitors.

36.  DESCRIBE THE SCHEDULE OF VISITATION HOURS AND THE LENGTH OF EACH VISIT

Visitation is scheduled in advance in 30 minute increments. Two visitors may come during each visit.

37.  DESCRIBE HOW SCHEDULING VISITORS WILL OCCUR

Visitation can be scheduled by accessing signup.com at  https://signup.com/go/wkeTvQZ  For families and friends that are unable to utilize the scheduling platform, visitation may be scheduled through the community relations office by calling 724-766-4673

38.  DESCRIBE HOW VISITATION AREA(S) WILL BE SANITIZED BETWEEN EACH VISIT

Staff member will sanitize visitation area after each visit using EPA COVID-19 rated disinfectant or bleach wipes

39.  WHAT IS THE ALLOWABLE NUMBER OF VISITORS PER RESIDENT BASED ON THE CAPABILITY TO MAINTAIN SOCIAL DISTANCING AND INFECTION CONTROL?

The allowable number of visitors per resident to maintain proper social distancing is two.

40.  DESCRIBE THE ORDER IN WHICH SCHEDULED VISITS WILL BE PRIORITIZED

Visits will be prioritized by family availability.  Only unexposed green zone residents will participate.

STEP 2

41.  DESCRIBE HOW THE FACILITY WILL DETERMINE THOSE RESIDENTS WHO CAN SAFELY ACCEPT VISITORS AT STEP 2 (CONSIDERING SUCH SAFETY FACTORS AS EXPOSURE TO OUTDOOR WEATHER AND TRANSPORTING RESIDENT TO VISITOR LOCATION)

In order to participate in visitation program the resident must be free of any signs or symptoms of COVID-19 determined by daily screening.  Outdoor visitation is provided under a covered area and would be relocated indoors in weather is not appropriate.

42.  DESCRIBE THE OUTDOOR VISITATION SPACE FOR STEP 2 TO INCLUDE THE COVERAGE FOR SEVERE WEATHER, THE ENTRANCE, AND THE ROUTE TO ACCESS THE SPACE

Outdoor visitation space is provided seasonal weather permitting. Visitors are required to be screened at front entrance and then proceed via the outdoor sidewalk to outdoor courtyard area. Visitor area is designated and coverage is provided via covered porch and large umbrella.

43.  DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING OUTDOOR VISITS

Each resident is seated at the end of a six foot table and the visitors are seated at the opposite end.  Visitor area is clearly marked and directly accessible when entering the courtyard.  This area is non-accessible to residents.

44.  DESCRIBE THE INDOOR VISITATION SPACE THAT WILL BE USED IN THE EVENT OF EXCESSIVELY SEVERE WEATHER TO INCLUDE THE ENTRANCE AND THE ROUTE TO ACCESS THE SPACE

Indoor visitation space is located in a neutral zone of the facility.  Visitors are required to be screened at the entrance and proceed to the visitation area.  All visitors will remain in the dedicated neutral zone location.

45.  DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING INDOOR VISITS

The resident is seated at one end of a six foot table and the visitor(s) will be seated at the opposite end of the table.  Each must remain seated .  Both visitor(s) and resident are required to wear a mask during the entirety of the visit.

STEP 3

46.  DESCRIBE HOW THE FACILITY WILL DETERMINE THOSE RESIDENTS WHO CAN SAFELY ACCEPT VISITORS AT STEP 3 (CONSIDERING SUCH SAFETY FACTORS AS TRANSPORTING RESIDENT TO VISITOR LOCATION)

In order to participate in the visitation program the resident must be free of signs and symptoms of COVID-19.

47.  WILL OUTDOOR VISITATION BE UTILIZED AT STEP 3? IF NO, SKIP TO QUESTION #52

Yes if seasonal appropriate

48.  DESCRIBE THE OUTDOOR VISITATION SPACE FOR STEP 3 TO INCLUDE THE COVERAGE FOR SEVERE WEATHER, THE ENTRANCE, AND THE ROUTE TO ACCESS THE SPACE (IF THE SAME AS STEP 2, ENTER “SAME”)

Same

49.  DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING OUTDOOR VISITS (IF THE SAME AS STEP 2, ENTER “SAME”)

Same

50.  DESCRIBE THE INDOOR VISITATION SPACE THAT WILL BE USED TO INCLUDE THE ENTRANCE AND THE ROUTE TO ACCESS THE SPACE (IF THE SAME AS STEP 2, ENTER “SAME”)

Same

51.  DESCRIBE HOW A CLEARLY DEFINED SIX-FOOT DISTANCE WILL BE MAINTAINED BETWEEN THE RESIDENT AND THE VISITOR(S) DURING INDOOR VISITS (IF THE SAME AS STEP 2, ENTER “SAME”)

Same

52.  FOR THOSE RESIDENTS UNABLE TO BE TRANSPORTED TO THE DESIGNATED VISITATION AREA, DESCRIBE THE INFECTION CONTROL PRECAUTIONS THAT WILL BE PUT IN PLACE TO ALLOW VISITATION IN THE RESIDENT’S ROOM

Visitors will not be allowed in resident rooms during Step 2 or Step 3 unless a Compassionate Caregiver or in end of life situations.

VOLUNTEERS

In Step 2, volunteers are allowed only for the purpose of assisting with outdoor visitation protocols and may only conduct volunteer duties with residents unexposed to COVID-19. In Step 3, all volunteer duties may be conducted, but only with residents unexposed to COVID-19. Screening, social distancing, and additional precautions including hand hygiene and universal masking are required for volunteers.

53.  DESCRIBE INFECTION CONTROL PRECAUTIONS ESTABLISHED FOR VOLUNTEERS, INCLUDING MEASURES PLANNED TO ENSURE VOLUNTEERS DO NOT COME INTO CONTACT WITH RESIDENTS EXPOSED TO COVID-19

Volunteers are screened prior to entry for temperatures over 100 degrees and for signs and symptoms of COVID-19.  In addition, volunteers are asked if they have traveled outside of Pennsylvania or have had any contact with someone suspected of having COVID-19 or with a confirmed diagnosis in the past 14 days. Volunteers will remain in neutral zones only not in any yellow or red isolation resident space.

54.  DESCRIBE THE DUTIES TO BE PERFORMED BY VOLUNTEERS DURING STEP 2

Volunteers will be permitted for religious activities that are socially distant.

_____________________________        _____________________________

SIGNATURE OF ADMINISTRATOR                                                           DATE

300 Union Avenue, Pittsburgh, PA 15202

Tel: 412-761-4673

Fax: 412-459-0660

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