COVID-19 Health and Safety

Your health and safety are important to us. This document outlines requirements to be eligible for services rendered in person from Inspire Behavioral Learning, LLC (the Company) during the COVID-19 pandemic, as well potential risks to in-person services and how we are mitigating these risks. This consent form may be updated when applicable orders, such as orders of the Health Officer of your county, Governor, and California Department of Public Health (CDPH), are rescinded, superseded, or amended in writing and in light of guidance from the Centers for Disease Control and Prevention (CDC).

 

Terms of agreement:

 

  • Exposure to COVID-19: Before the start of each session on the day of each session, provide accurate information to the Company about the status of the child and anyone in your household being exposed to someone with COVID-19. Our staff agree to provide accurate information to the Company about the status of the staff and anyone in the staff’s household being exposed to someone with COVID-19.

  • Symptom Checks: Before the start of each session on the day of each session, provide accurate information to the Company about the status of all members of your household in regards to showing any symptoms of COVID-19 as outlined by the CDC. Our staff agree to follow these same terms about the status of all members of the staff’s household.

  • Temperature Checks: Before the start of each session on the day of each session, take the temperature of the child and everyone in the household of the home where services takes place, and immediately notify the Company if someone has a temperature of 100.4 or higher. Our staff agree to follow these same terms for the staff and everyone in the staff’s household.

  • Public Gatherings and Visitors: All members of your household will refrain from public gatherings as defined by Alameda or Contra Costa County as well as California state orders and refrain from having visitors inside the home unless permitted by your county and state orders, such as essential services workers providing essential services. Our staff agree to follow these same terms.

  • Cleaning and Disinfecting: The designated space(s) the child and staff will be using at the child’s home must be thoroughly disinfected with CDC-approved cleaning products before and after each session on the day of the session, to include the restroom that the staff will be using. The designated space(s) and any changes in designated space(s) the child and staff will be using must be communicated to the staff before the onset of services, and any newly designated space(s) must be disinfected as indicated above. Our staff agree to disinfect all high-contact surfaces and items at the start and end of sessions and frequently throughout sessions.

  • Handwashing and Hand Sanitizing: All members of your household agree to wash your hands, use hand sanitizer or sanitizing wipes with at least 60% ethanol or 70% isopropanol at the beginning and end of each session and in the following circumstances, based on the CDC page https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html:

    • Before eating or preparing food 

    • Before touching your face

    • After using the restroom

    • After blowing your nose, coughing, or sneezing

    • After handling your cloth face covering

    • After changing a diaper

    • After caring for someone sick

    • After touching animals or pets

    • You may wash or sanitize your hands as frequently as needed. Our staff agree to follow these same terms, except our staff will not engage in the following during sessions: consume or prepare food or drinks, change diapers, care for someone sick, or touch animals or pets. When washing hands, do so for a minimum of 20 seconds and clean under the fingernails as well. If our staff will be washing hands in your bathroom, our staff agree to use a tissue or paper towel to turn off the faucet, turn off the light, and open/close the bathroom door after hand washing instead of using bare hands. 

  • Face Touching: All members of your household agree to refrain from touching your eyes, nose, and mouth as far as practicable during sessions, and if you touch your eyes, nose, or mouth, you agree to wash or sanitize your hands as described above. Our staff agree to follow these same terms.

  • Physical Distancing: All members of your household agree to use physical distancing of 6 ft. where practicable and to not shake hands or engage in any unnecessary physical contact while interacting with staff at the home. Our staff agree to follow these same terms, and our staff will refrain from using physical prompts and will not touch the child. You agree to allow our staff to place tape or other markings at least six feet apart on surfaces in designated areas to direct anyone in the session to maintain physical distancing. 

  • Preventing Crowds From Gathering: You agree to bring other children into the session only with prior express agreement with the Company for in-person groups and when permitted by local and state orders. Our staff agree to work with a maximum of five children during in-person sessions. The number of children may change depending on COVID-19 conditions and mutual agreement of the client and Company. 

  • Face Coverings: All individuals at the home over age two who are present during sessions in person agree to wear Face Coverings according to requirements and as defined in Alameda County’s Order of Health Officer No. 20-13 and the CDPH’s Guidance for the Use of Face Coverings released June 18, 2020 and revised on June 29, 2020. Where there are differences between state and local health orders, the stricter order must be followed. If you believe that a medical exception applies to any individual in the home over age two who will be present during your in-person sessions, you agree to communicate this via email or phone call to the staff before the start of services.

  • Covering Coughs and Sneezes: Cover your mouth and nose with a tissue when you cough or sneeze or use the inside of your elbow and do not spit. Throw used tissues in the trash. Our staff agree to follow these same terms.

  • Outdoor Space and Ventilation: Utilize outdoor space for sessions at the child’s home, and if sessions take place indoors when permitted by local and state orders, open a window or door for ventilation. Our staff agree to follow these same terms.

  • Social Bubble: All members of your household agree to follow your county (Alameda County or Contra Costa County) requirements for Social Bubbles, including that no person may be a member of more than one Social Bubble during any three-week period. Our staff agree to these same terms.​

  • Cancellations: Cancel sessions by contacting the Company and staff in the event of anyone in your household being exposed to someone with COVID-19 or anyone in your household showing symptoms of COVID-19, including a fever of 100.4 or higher, or symptoms of any other illness. Our staff agree to follow these same terms.

  • COVID-19 Testing, Quarantine and Isolation: In the event that any member of your household tests positive for COVID-19, you agree to follow testing, quarantine and isolation guidelines of the CDC and applicable orders of Health Officers before continuing to receive services from the Company in person. Our staff agree to these same terms for providing services in person. All of our staff begin or return to in-person work only after testing negative on a COVID-19 viral test or isolating for fourteen days.

 

Additional terms our staff follow:

  • Gloves: Gloves are provided to our staff as optional to wear, and staff must clean their hands before putting on gloves and after removal of gloves. 

  • Limited Number of Clients: Our Essential Services healthcare workers will work at no more than two separate client homes and will increase the number of client homes upon mutual agreement by the client and Company with consideration for the health and safety of all individuals involved in the delivery of services. Our staff will work in no more than one Youth Extracurricular Activity Unit over a three-week period.

 

These events render us unable to continue services:

  • Not following one or more of the guidelines listed above

  • Any member of the household comes into contact with a confirmed case of COVID-19

  • Any member of the household shows symptoms of COVID-19 as outlined by the CDC

  • Any member of the household has a fever of 100.4 or higher

  • Local, state, or federal requirements prohibit the rendering of services 

 

You will be immediately notified if our staff’s ability to provide services in person changes, and potential exposure information will be shared with you, while maintaining required confidentiality. Our staff will be immediately notified if your ability to receive services changes, and potential exposure information will be shared with our staff, while maintaining required confidentiality.

 

We are agreeing to provide services to your child in person unless events render us unable to. This agreement does not guarantee services and does not override any orders that may come from the Health Officer, Governor, CDC, or other governing body. This agreement and the terms of this agreement may change at any time as this situation continues to evolve. In the event that we are no longer able to provide services in person, we will work with you to provide a suggested schedule, list of activities, strategies for working with your child, and guidance on managing behavior. We will also work with you to set up video conferencing services if you wish to continue services online.

Contact: Contact Inspire Behavioral Learning to see if our services are right for you!

FREE initial 30-minute consultation!

Email: info@inspirebehavior.com
Phone: 510-296-5519

Fax: 510-296-5780

Hours:

M-F   8:00 AM-7:30 PM

Sat    9:00 AM-6:30 PM

Sun   Closed

Serving the San Francisco Bay Area:

  • Contra Costa County

  • Alameda County

  • Santa Clara County

  • Solano County

CONTACT

I N S P I R E Behavioral Learning

© 2020 by Inspire Behavioral Learning, LLC