COVID-19 Back to SchoolStudent Health Guide

Fall 2021

Has symptoms of COVID-19Vaccinated or Unvaccinated

(3 Options)

Was exposed and is not

vaccinated

Was exposed and is

vaccinated

Begin quarantineDifferent options

available**

Symptoms?

Get tested

+ -

Get healthcare provider* note of

alternative diagnosisIsolate

Return to school on day 11● when fever is gone for

at least 24 hours(without use of medication)

● child feels better

Return to school when● fever is gone for at least 24 hours

(without use of medicine)● child feels better

Yes No

Get tested after 5-7 days and share

results with school

+ -

Complete full 10 day isolation

(even if already in quarantine)

Complete 10-day quarantine &

monitor symptoms for 14 days

Symptoms?

Yes No

Return to school and monitor symptoms for

14 daysCDC recommends getting

tested 3-5 days after exposure

My child...

KEY DEFINITIONS

● New loss of taste/smell● Difficulty breathing● Fever (>100.4)● Chills

●

● Cough● Severe headache● Sore throat● Congestion or Runny nose● Fatigue● Muscle or body aches

COVID -19 Symptoms

Nausea or Vomiting● Diarrhea

QuarantineRestricts the movement of persons who were exposed to COVID-19 in case they become infected.

IsolationSeparates those infected with COVID-19 from people who are not infected.

If symptoms develop

Return to school on day 11 or earlier if

using modified quarantine**

*Healthcare Provider: doctor, nurse practitioner, or certified physician assistant

**Talk to your health office about modified quarantine options. Please note: modified quarantine only applies to school and not extracurriculars or sports

ENGLISH

1 2 3

If in quarantine, complete original quarantine period before return to school

Begin quarantineGo to scenario 1

COVID-19 Flowchart for Parents Updated 8/19/21

Begin with scenario 1, 2, or 3 and follow the arrows, answering the questions for your child's situation.

Has tested POSITIVE for COVID-19

(Lab confirmed test)

Parents: Please complete this DAILY COVID HEALTH SCREENING each morning with your

child/children before sending them to school.

*CDC considers a person to have a fever when he or she has a measured temperature of 100.4℉ (38℃) or greater, or feels warm to the touch, or gives a history

of feeling feverish.

● Has anyone in your home hadCOVID-19 symptoms or a positiveCOVID-19 test?

● Have you experienced anyCOVID-19 symptoms within thelast 24 hours?

Guidance from Centers for Disease Control and Prevention

DAILY COVID-19Health Screening

Step 1:

Step 2:IF you answered YES to the questions above

PLEASE DO NOT SEND YOUR CHILD TO SCHOOL

KEEP them home and CALL Your CHILD’s School toreport the absence and follow given directions.

Close contacts are determined through contact tracing. Please allow at least 24 hours for contact tracing to be completed and notifications to occur. If your student is deemed a close contact you will be notified and provided specific quarantine information.

A close contact is if you:• Were within 6 feet of an infected

person for at least 15 minutes in a24 hour period, regardless ofwearing a mask or not.

• Had multiple brief exposuresadding up to 15 minutes, especiallyif indoors, and even if you wore facecoverings or masks.

• Had unprotected direct contact withan infected person's sneeze, saliva,or cough.

Your child had close contact with someone with COVID-19

Information is subject to change Updated 8/19/2021

If your student is a close contact to a positive individual and NOT experiencing symptoms there are 3 possible quarantine options. The health staff will help guide you through the appropriate one for your

child's situation.

Day zero (0) is the day your child last had contact with the positive individual

What are the different QUARANTINE options?Quarantine

MODIFIED QUARANTINEo Continue to attend schoolo Wear a mask appropriately at all times (Both indoors

and outside)o COVID-19 testing TWICE a week for 10 dayso No symptoms develop

10-DAY QUARANTINEo Stay home from school for 10 dayso No testing requiredo No symptoms develop

7-DAY QUARANTINEo Stay home from school for 7 dayso Test on day #5o Provide testing results to the health officeo No symptoms develop

Information subject to change Updated 8/19/2021

Your child will need to quarantine if:

• They live in a household where they cannot avoid close contact with a personwho has COVID-19

• They do not have a separate bedroom to isolate the person who hasCOVID-19

• They live in close quarters where they are unable to keep a physical distanceof 6 feet from the person who has COVID-19.

Guidance for Quarantining if Your Child is Unable to Avoid a COVID-19 Positive Person in their Household

If your child lives with someone who has COVID-19 and they cannot avoidinteracting with them, they should avoid contact with people outside the home.

Your student can return to school after completing a 10-day quarantine, which begins after the person in the home with COVID-19 ends their isolation.

Note: People with COVID-19 can end home isolation after 10 days have passed since symptoms first appeared or since testing positive, at least 24 hours fever-free without medication, AND improved symptoms.

For Example

Alex's mom Robin testedpositive on January 1st

(day zero). Robin's isolation will end on January 11th.

Alex should begin his 10-day quarantine on January 12th. Alex's quarantine ends on January 21stand he can return to school on January 22nd.

Your child should quarantine for at least 10 days after the COVID-19 positive person in

your household completes their 10 days of isolation.

Close Contact

Why it's important to wait...The individual with COVID-19 can spread it to others from 2-days before symptoms start to 10 days after. This is known as the infectious period. Each day your child has contact with an infected person there is a chance they could become infected. Once the risk of spreading the infection has passed (the isolation period is over) additional time (quarantine period) is needed to see if your child develops symptoms this is known as the incubation period.

Information subject to change Updated 8/19/2021

My child was POSITIVE for COVID-19, when is their isolation complete?Your child can return to school when:

• 10 days since their symptoms first appeared ortest date and

• 24 hours fever-free without medicationand

• Symptoms have improved

Day zero (0) is their first day of symptoms or the day your child was tested.

On day 11 your child can return to school as long as they are fever-free for 24 hours without medication and symptoms have improved.

Your child does NOT need a negative test to return to school once they have completed their isolation.

Your student WILL need a Back to Class PASS so please go to the office upon returning.

When is my Child's ISOLATION over?

If my child does not have any symptoms, do they need to complete isolation?Yes! Some people who test positive for COVID-19 never develop any symptoms, but it is still possible to spread the virus to others. Keep your child home and stay away from others until 10 days have passed since their positive test.

My child is fully vaccinated, do they need to complete isolation?Yes! Vaccines are not 100% effective at preventing COVID-19. There will be a small percentage of fully vaccinated people who either develop symptoms due to COVID-19 or test positive but never have symptoms.

POSITIVE

Information subject to change Updated 8/19/2021

I still have Questions....FAQs

When should I keep my child home from school?1. If your child is experiencing one or more COVID-19 like

symptoms2. If your child is awaiting COVID-19 test results3. If anyone in your household has tested POSITIVE for

COVID-19 test results

What happens if there is a positive case in my child's classroom?Once the school is notified that an individual has tested positive our health team completes a thorough contact tracing which includes identifying close contacts. This process may take up to 24 hours from the time of notification. You will receive an email with important information.

How will I be notified if my child is a CLOSE CONTACT?Contact tracing is completed once the health office is notified of a lab-confirmed positive case. This process may take at least 24 hours. If your child is deemed a close contact you will receive notification providing specific information on your child's quarantine period. All HIPAA guidelines are followed to protect your child's privacy.

If one of my children is on a quarantine due to a close contact exposure, do my other children need to quarantine?No, if your child is a deemed a close contact and placed on a quarantine your other children do NOT need to stay home from school. However, if your child on a quarantine develops symptoms please contact the health office for further guidance.

Once my child is cleared to return to school what happens?Your child will need to go to the office to have their temperature taken. They will then be given a Back to Class Pass.

Does the school offer COVID-19 testing for my child?Self-administered take home COVID-19 tests are available from your health office. Registration and activation codes are located inside the box along with direction on how to complete your self-administered test. Once completed drop the kit sealed as directed at a FedEx location. Your test will need to be dropped off the same day the test is completed.

Can I use an at-home COVID-19 test from thedrugstore?o Only COVID-19 tests that are processed in a lab are acceptableo Information about no-cost COVID-19 testing in San Bernardino

County is available at: https://sbcovid19.com/testing-sites/

Can I get reinfected with COVID-19?Yes, although it’s very unlikely during the first 90 days after the initial infection. If your child develops symptoms of COVID-19 or are exposed to someone with COVID-19, our health team will help guide you through what's next. It’s still important to wear a mask and follow other prevention guidance, like hand washing, after having COVID-19.

When would my child's classroom or school close due to positive COVID-19 cases?California Department of Public Health requirements are designed to keep schools open. An outbreak is considered 3 or more linked COVID-19 positive cases within a department or classroom. 20 cases contracted in a 30 day period may trigger a school closure based on the findings from the contact tracing and CDPH determination.

Where does the guidance for schools come from?o California Department of Public Health (CDPH)o Centers for Disease Control and Preventiono Cal-OSHA

If I have further questions who can I contact?Please contact your school site.

Information subject to change Updated: 8/19/2021

Compiled by:Erin Stevens, MSN, RNKaren Simon, MSN, RNShanel Ybarra, Risk Management