COVID Plan for Reopening

Introduction

This plan provides guidance to Twin River’s Developmental Supports, Inc. to resume providing day services. Twin River’s will continue to evaluate the latest information regarding the COVID-19 virus and follow guidance from local and state health authorities. In response, this plan may change at any point to protect employees and the persons served.

Throughout all the phases, Twin River’s Developmental Supports, Inc. will follow recommended safety guidelines to prevent or reduce transmission of the virus.

Table of Contents

Background and Overview

Identification of Individuals at High Risk

Individuals at high risk include those older adults and people of any age who have underlying medical conditions, including chronic lung disease, asthma, heart conditions, severe obesity, chronic kidney disease, or otherwise immunocompromised. If a person’s household includes people in these groups, then all members of the household should act as if they, themselves, are at higher risk.

Communication Plan

As we moved through the phases of closure and begin the phases of update we have communicated to our staff as needed. The frequency of communication varies depending upon information needing to be shared. This level of communication will continue as the situation continues to evolve. The communication will adhere to Twin River’s Developmental Supports, Inc. confidentiality and HIPAA policies.

Overall communication and notifications in response to a positive COVID-19 test result will occur as follows:

Education and Training

Information materials have been distributed to employees.

Employees have been educating persons served on these topics. Prior to returning to day services and regularly thereafter, persons served will receive reminders/education to include:

In addition, if employees work with persons served who have tested positive, for COVID-19, they will be trained by the nurse on how to properly put on and take off an N-95 mask.

Visitors

Currently, only visitors considered essential are allowed in Twin River’s Developmental Supports, Inc. buildings, group homes, and apartment buildings. Twin River’s Developmental Supports, Inc. will follow the guidance from local and state health authorities regarding visitors through all phases of reopening. Video conferencing and face time have been utilized so persons served can connect with family.

Personal Protective Equipment (PPE)

Twin River’s Developmental Supports, Inc. has worked with its regular vendors and other suppliers to secure enough basic PPE. As PPE is used, additional supplies will be obtained. Twin River’s Developmental Supports, Inc. provided employees the following PPE:

Twin River’s Developmental Supports, Inc. has worked with its regular vendors and other suppliers to secure the additional PPE, but an adequate supply will be dependent upon practicing recommended guidance from local and state health authorities to prevent the spread of the virus limiting the demand of the additional PPE and reusing PPE when allowed after decontamination.  The additional PPE includes:

Masks are also available for persons served.

Testing

Depending upon the level of risk exposure to the individual with COVID-19 virus; employees and persons served may be required to self-quarantine for 14 calendar days since the day of exposure. Employees can take the test and remain off work until the results are confirmed. If employees do not want to take the test, they are required to quarantine for 14 days.

The Human Resource Manager is tracking employees who have been tested and the results. Testing and results are communicated to the CDDO and the health department as required.

Social Distancing

Twin River’s Developmental Supports, Inc. has utilized several strategies to practice social distancing including:

Response to Positive test for COVID-19

If someone would test positive it is our intention to utilize the Windsor day program complex. A survey will be distributed to employees asking for volunteers to work in this setting. Those employees were referred for a medical evaluation to determine their ability to wear an N-95 masks. Those who qualified were fitted with an N-95 mask and trained in its proper use. Employees who agreed to work at this setting will be compensated at a higher rate than their regular wage.

If several persons served would test positive, Twin River’s Developmental Supports, Inc. will follow the CDC recommendations to support the person in their own home while they recover by following these guidelines:

Timeline

This will occur no sooner than May 28, 2020.

This will occur no sooner than June 8, 2020.

This will occur no sooner than June 22, 2020.

This will occur no sooner than July 6, 2020.  Date will be determined later.

Twin River’s Developmental Supports, Inc.’s timeline for reopening differs from the governor’s plan by adhereing to recommendations for individuals who are at high risk to continue to stay home through Phase 2 of the Kansas plan which is projected to end no earlier than June 8, 2020.  Individuals will return to day services gradually in phases in order to promote health and safety.  The following factors were considered when determining the phase in which individuals were targeted to return to day services:

Phase 1

May 28, 2020

Employees
Persons Served
Safety
Cleanliness
Visitors
Community Activities
Business Travel
Transportation

Phase 1 - Operation Specifics

Community Living

Settings were targeted to return to Twin River’s Developmental Supports, Inc. day services that would allow for no more than 15 individuals in each area and people from different houses would maintain at least 6 feet social distance. 

At this time no non-essential visitors at the residential site. Family and guardians are allowed to drop items off and stay outside six feet away while dropping off these items. 

Phase 2

June 8, 2020

Employees
Persons Served
Safety
Cleanliness
Visitors
Community Activities
Business Travel
Transportation

Phase 2 - Operation Specifics

Community Living

Settings were targeted to return to Twin River’s Developmental Supports, Inc. day services that would allow for no more than 45 individuals in each area and people from different houses would maintain at least 6 feet social distance. 

Family and guardians are allowed to drop items off and stay outside six feet away while dropping off these items.  Beginning in this phase, family and guardians are allowed to request a visit to the residential site.  During this time the visitor and the person served will need to remain outside.  The family and/or guardian will need to wear a face mask and allow for social distancing.

No other non-essential visitors are allowed at this time at the residential site.

Phase 3

Employees
Persons Served
Safety
Cleanliness
Visitors
Community Activities
Business Travel
Transportation

Phase 3 - Operation Specifics

Community Living

Settings were targeted to return to Twin River’s Developmental Supports, Inc. day services that would allow people from different houses to maintain at least 6 feet social distance. 

Family and guardians are allowed to drop items off and stay outside six feet away while dropping off these items.  Beginning in this phase, family and guardians are allowed to request a visit to the residential site.  During this time the visitor and the person served will need to remain outside.  The family and/or guardian will need to wear a face mask and allow for social distancing.

Visitors are allowed at this time at the residential site but will have to follow the same above guidelines .

Phase Out

Employees
Persons Served
Safety
Cleanliness
Visitors
Community Activities
Business Travel
Transportation

Phase Out - Operation Specifics

Community Living

All visitors are allowed at the residential sites in accordance with local and state authorities advice.  In addition, all visitors must follow hygiene practices.   

5/22/2020