Can adult day cares and senior community centers reopen?

Adult day cares and senior community centers must follow the general reopening guidelines found in the New Normal Handbook. This is based on Executive Order 20-244 issued by Florida Gov. Ron DeSantis regarding statewide business opening rules, and Miami-Dade County Mayor Carlos A. Gimenez’s Emergency Order 30-20 signed on Saturday, Sept. 26.

Points in bold MUST be followed; other recommendations are strongly suggested:

I. Workforce protection

a. Facial coverings must be worn inside businesses and commercial establishments
b. Do not allow employees who have flu like symptoms to report to work for 14 days after the onset symptoms
c. Encourage participation in contact tracing for employees that test positive
d. Provide or coordinate safe transportation to work allowing for social and physical distancing
e. Allow for flexible schedules for childcare and sick time
f. Staggered breaks to reduce large group gatherings
g. Install hand sanitizer at entry points and through site

II. Employee protection

a. Enforce personal protective equipment (e.g., face masks, gloves)
b. Ensure employees (and customers) stay more than 6 feet apart (use visual markers to help with implementation)
c. Enhanced sanitization of all common areas / touch points (doors, stairwell handles, light switch, elevator switch, etc.)
d. Procure increased amounts of soap, hand sanitizer, cleaning materials and protective equipment

III. Non-employee Protection

a. Visually mark separation 6 ft. apart for areas where people would group (e.g., queues and elevators)
b. Plexiglass and other partitions do not substitute for social and physical distancing in restaurants, casinos and other indoor entertainment venues
c. Food and beverages must be consumed only when seated and may not be consumed outside of designated eating areas; designated areas must be separate from casino floors, bowling lanes, and other active areas of establishments
d. Discourage entry to site of visitors and contractors, unless needed for operations
e. Set up self-checkout lines and contactless payments, as applicable

IV. Business Process Adaptations

a. Upgrade/Install ventilation including HVAC filters or UV-C equipment per OSHA guidance

i. Establishments are required to check HVAC systems to ensure proper recirculation of outside air and replacement of air filters
ii. Ensure filter replacement or upgrade consistent with CDC and OSHA Guidelines
iii. Utilize UV-C disinfection in commercial HVAC systems
iv. Comply with Section 553.908 on guidance on required air changes per hour.; comply with FBC 2017, Chapter 4, Ventilation Section of Mechanical Code and ASHRAE Standard 62.1-2019, Ventilation for Acceptable Indoor Air Quality.

b. Clean and disinfect bathrooms every two to three hours
c. Eliminate the use of common water fountains and interactive displays
d. Limit capacity of elevators to ensure social and physical distancing
e. Designate quarantine rooms for infected individuals and deep clean after use
f. Require non-core functions to work from home, as possible
g. Avoid meetings of more than 5 participants, encourage virtual meetings
h. Reduce seating in breakrooms / common areas to ensure minimum 6' physical distance. If not possible, close common areas
i. Prior to re-open, flush plumbing and run water in sinks to eliminate stagnant water from the period of mall/store's closure

V. Employer Led Health Public Health Interventions

a. Post CDC signage in publicly trafficked locations emphasizing measures to "Stop the Spread of Germs" and to exercise social responsibility
b. Train all personnel in new operating protocols and modifications to existing codes of conduct to deal with COVID 19 issues
c. Design work group shifts to minimize contacts between employees and ensure easier tracking and tracing, as possible
d. Implement testing programs for high risk employees (e.g., frequent contact with customers or suppliers)

VI. Industry-wide Safeguards

a. Acknowledge in writing the review and understanding of relevant industry association and union organizations guidelines, including capability checklists and reference to WHO, DOH and CDC guidelines
b. Establish protocol to immediately disclose infection to state DOH bodies and procedure to safeguard store (e.g., deep cleaning)
c. Setup clear reporting protocols based on leading (e.g., thermometer temp spikes, thermal scanning spikes, increased absenteeism) and lagging indicators (e.g., staff health visits above pre-defined rate, community spread in retailer locale)
d. Post a contact email address and/or telephone number for employees/customers to contact if they have questions or concerns
e. Any establishment that has an on-site employee or contractor who tests positive shall close until one of the following conditions is met:

i. the establishment is deep-sanitized and employees who were in close contact with the positive employee or contractor have been tested and cleared by a medical professional as being COVID-19 free or do not report to work for 14 days after the date the positive employee or contractor was last onsite; or
ii. 14 days from the date such employee or contractor was last onsite at such establishment if deep-sanitization is not performed.

f. Where an establishment has multiple floors or structures, or has a square footage in excess of 10,000 square feet, only those structure(s), floor(s), or area(s) where the infected person was present are required to be deep-sanitized as a condition of re-opening, and only those employees working in such structure(s), on such floor(s), or who came into contact with the positive employee or contractor must be tested or must not report to work for 14 days after the date the positive employee was last on-site.
g. Under no circumstances shall an employee or contractor who has tested positive report to work at an establishment until that employee is cleared by a medical professional as being COVID-19 free.

Communications and Customer Experience
Inson Kim, Director

Stephen P. Clark Center
111 NW 1st Street, Miami, FL 33128

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