Provider Information Session - THE WEBINAR WILL START SHORTLY March 1, 2022 - Early Learning Division
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Agenda • Check-in on COVID-19 with Oregon Health Authority • Learn about the ELD's rulemaking process • Review upcoming rules for public comment There will be opportunity for questions after each topic
OHA COVID-19 Response & Recovery Unit (CRRU) Senior Health Advisors • Meg Cary, MD, MPH: March 1st • Andrea Lara, MD, MPH: March 2nd • Dawn Mautner, MD, MS: March 2nd 5
Indoor Masking Requirement • After March 11th, masks no longer required in indoor spaces and K-12 • Shift to local discretion • The rule permits programs or individuals to have more restrictive masking requirements • CDC no longer requires masks on school/childcare program buses and vans • Office of Head Start is reviewing its mask requirement 7
Mask Recommendations • Support programs & individuals who choose to continue to wear masks • Recommend people 2yrs and older wear a mask while indoors at childcare when: • Day 6-10 of isolation, if have returned to childcare • Medium COVID-19 Community Level: those unvaccinated and at risk for severe COVID-19 • High COVID-19 Community Level: all people, regardless of vaccination status https://www.cdc.gov/coronavirus/2019-ncov/your-health/covid-by-county.html 8
Snacks and Meals Outdoors • Goal: 6ft distance while eating • Masks are not required • If 6ft not possible, create small & stable mealtime cohorts Naps • Children and staff returning from 5d isolation may eat with • Masks should not be worn their typical cohort and do not require additional separation 9
ELD Isolation and Quarantine Update • Isolation for those with COVID-19 • At home for 5 days and symptoms resolving, fever free for 24hr, then 5 days wearing a mask at childcare, in public settings • Quarantine for those exposed to COVID-19: • After March 11th, ELD & K-12 quarantine requirement will be paused • Quarantine has limited impact when there is rapid, asymptomatic transmission of the virus and the community has high levels of vaccine or infection-induced immunity • Recommend notifying cohort of exposure, but children/staff should not be excluded from childcare setting • Permits families & staff to take precautions, watch for symptoms, get a test if have symptoms • ORS 333-019-0010 will be updated 10
March 12th: ELD Isolation & Quarantine Guidance COVID-19 Exposure COVID-19 Positive Quarantine not required Begin isolation immediately (regardless of vaccination status) If develop symptoms If test negative for COVID, May return after 5 may return once fever If test days, if fever free for free for 24 hours and Stay home, positive 24 hours and symptoms improving get test symptoms improving Strongly recommend masking for 5 additional days if 2+yo 11
Test for COVID-19: • If have symptoms of COVID-19 • Optional: 3-5d after exposure to COVID • At-home test kits: • 4 free tests covidtests.gov • OHP • Private insurance • Free COVID-19 testing sites 12
Infection Prevention Considerations • Each childcare program should consider policies and practices that best support every child and staff’s health and well-being, recognizing that individual health conditions and social inequities place some people at higher risk for severe COVID-19. Some childcares may choose to implement universal masking to promote the culture and climate of the program. • Layered prevention strategies remain effective: • Vaccinations and booster doses • Staying home and getting tested when sick • Masks when indicated and cohorting • Ventilation • Handwashing, respiratory etiquette, and cleaning 13
Vaccination for 6mo – 4yrs • FDA delayed review of Pfizer vaccination for children 6mo – 4yrs until data from 3-dose series complete • Anticipate FDA review in ~April 2022 14
Contact Info • OHSU Nurse Hotline: 1-833-647-8222 • ProviderContact@ode.oregon.gov • If you tested positive or were exposed: 866-917-8881, govstatus.egov.com/or-oha-covid-19-positive-test • General COVID-19 questions, finding testing, vaccines, or other resources: call 211, ORCOVID@211info.org • Questions or feedback for the ODHS/OHA COVID Response and Recovery Unit: COVID.19@dhsoha.state.or.us 15
covidvaccine.oregon.gov www.safestrongoregon.org 16
Early Learning Division Rulemaking
Reasons for Rulemaking Allowing agencies to Signed bills modify write more specific STATUTE... RULES!
Reasons for Rulemaking • Federal government distributes millions to states for various programs • Child Care & Development Fund (CCDF) gives Oregon over $275M to fund preschool and child care programs • Examples: Employment Related Day Care (ERDC) and Baby Promise
Rulemaking Engagement Process HOW does ELD create rules? 1. Optional interested party engagement (workgroups, focus groups, engagement sessions) (if necessary) 2. Rulemaking Advisory Committee (RAC) to evaluate fiscal or equity impacts of rule language as required by the Secretary of State (if necessary) 3. Internal review by lawyers, Policy Team, and Equity Advisory Committee 4. Public comment period – find draft rules on the ELD website by first of the month of submission to Early Learning Council 5. Final vote by Early Learning Council
Proposed Rule Overview
Rule Overview Tonight we will give an overview of two sets of proposed rules: • CCDF Required Allergic Reaction Rule • CCDF Required Child Development Training Rule and one set of current temporary rules: • Certified Family (CF) and Registered Family (RF) Fire Safety Rules
Allergic Reaction Rule Overview Proposed Rule Overview ELD must update policies around children in care who are at risk of allergic reactions to comply with federal CCDF requirements. This rules enhances our existing rule regarding children with allergies, which currently require a general written plan. Public Comment Period will be March 1-23, 2022. Public Hearing will be March 15, 2022 at 5:30pm. Draft rules are on the ELD website and public comment can be submitted to Remy Watts. https://oregonearlylearning.com/news-resources/blog/ remember.watts@ode.oregon.gov The Early Learning Council will vote on March 30, 2022, and the rule will go into effect when passed. OCC will update any relevant forms to assist with compliance with these rules.
Child Development Training Rule Overview Proposed Rule Overview ELD must update policies around training to comply with federal CCDF requirements. General Rules clean up and organization (compiling all training requirements in the “Training Requirement” sections) All staff will be required to take this training, which will be available online this July. New staff will have 90 days after hire to complete the training. Existing staff members must complete the training by September 30, 2022 Public Comment Period will be March 1-23, 2022. Public Hearing will be March 15, 2022 at 6pm. Draft rules are on the ELD website and public comment can be submitted to Remy Watts. https://oregonearlylearning.com/news-resources/blog/ remember.watts@ode.oregon.gov The Early Learning Council will vote on March 30, 2022 and the rule will go into effect once passed. Licensing staff will be working with programs after the training is completed to complete the training by September 30th.
CF/RF Fire Safety Rule Overview Temporary Rule Overview The Early Learning Division’s (ELD) temporary fire safety rules provide changes that are significantly cheaper than installing residential sprinklers in new programs. These temporary rule changes serve as an alternative to the DCBS sprinkler requirement. These are temporary rules that will be finalized in May 2022. Temporary rules were passed on January 26, 2022 by the Early Learning Council. Rulemaking Advisory Committee (RAC) applications are available now on the ELD website and will be accepted until March 11, 2022. https://oregonearlylearning.com/news-resources/blog/ Public Comment Period will be May 1-20, 2022. A public hearing will be scheduled for mid-May (TBD). The Early Learning Council will vote on May 25, 2022, and the rule will go into effect once passed.
Rule Language / Public Comment Draft rules are on the ELD website: https://oregonearlylearning.com/news-resources/blog/ Public comment can be submitted to Remy Watts: remember.watts@ode.oregon.gov
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