DENTAL CARE COVID-19 Preparedness and Response Plan

In accordance with Executive Order 2020-59, Adiska Family Dental institutes this COVID-19 Preparedness and Response Plan (CPRP).

Adiska Family Dental aims to protect its workforce by enacting all appropriate prevention efforts. Adiska Family Dental is continually monitoring guidance from local, state, and federal health officials and implementing workplace and CPRP modifications where appropriate.

Employees with questions are encouraged to contact CPRP supervisor, via phone, email or in person.

1. Prevention Efforts and Workplace Controls

a. Cleanliness and Social Distancing

Employees who are able to perform their essential duties remotely may be permitted to work from home in accordance with approved telework arrangements.

Only critical infrastructure workers performing necessary work are directed to report on-site. For such workers, Adiska Family Dental abides by the recommended social distancing and other safety measures and establishes the following:

Large gatherings are minimized whenever possible; staff meetings are postponed, cancelled or held remotely;
Employees are encouraged to maintain physical distance even when on break, as well as before and after working hours;
Employees are required to maintain physical distance when reporting to work, clocking in, leaving work, and clocking out;
Employees’ work stations are no fewer than six feet apart;
Company may utilize flexible work hours, wherever possible, to limit the number of employees simultaneously working on-site;
Employees’ interactions with the general public are modified to allow for additional physical space between parties; and
Non-essential travel is postponed or cancelled.

Adiska Family Dental provides employees with, at a minimum, non-medical grade face coverings.

In addition, Adiska Family Dental is instituting the following cleanliness measures:

Where possible, increasing ventilation rates and circulation throughout work sites;
Performing routine environmental cleaning and disinfection, especially of common areas; and
Where available, providing hand sanitizer in high-traffic areas.

Employees are expected to minimize COVID-19 exposure by:

Cleaning work stations at the beginning and end of each shift;
Avoiding, when possible, the use of other employees’ phones, desks, offices, or other work tools and equipment;
Frequently washing hands with soap and water for at least 20 seconds;
Utilizing hand sanitizer when soap and water are unavailable;
Avoiding touching their faces with unwashed hands;
Avoiding handshakes or other physical contact;
Avoiding close contact with sick people;
Practicing respiratory etiquette, including covering coughs and sneezes;
Immediately reporting unsafe or unsanitary conditions on Adiska Family Dental premises;
Complying with Adiska Family Dental’s daily screening processes;
Seeking medical attention and/or following medical advice if experiencing COVID-19 symptoms; and
Complying with self-isolation or quarantine orders.

b. Supplemental Measures Upon Notification of Employee’s COVID-19 Diagnosis and/or Symptoms

An employee with a COVID-19 diagnosis or who displays symptoms consistent with COVID-19 must be immediately removed from the worksite.

In response to a confirmed diagnosis or display of COVID-19 symptoms, Adiska Family Dental:

Informs all employees with and near whom the diagnosed/symptomatic employee worked of a potential exposure;
Keeps confidential the identity of the diagnosed/symptomatic employee; and
Conducts deep cleaning of the diagnosed/symptomatic employee’s workstation, as well as those common areas potentially infected by the employee.

All employees who worked in sustained, close proximity to the diagnosed/symptomatic employee are also removed from the worksite for at least 14 days; however, should these exposed employees later develop COVID-19 symptoms and/or receive a confirmed diagnosis, they may not report on-site until all return-to-work requirements are met, defined below.

Adiska Family Dental completes an OSHA Form 300, as well as a Form 301, “if it is more likely than not that a factor or exposure in the workplace caused or contributed to the illness.” If an employee infects a coworker, the coworker has suffered a work-related illness if one of the recording criteria (e.g., medical treatment or days away from work) is met.

c. Worker Exposure Classification

Employees’ “worker exposure” is classified as high risk by the Occupational Safety and Health Administration’s guidance because they have a high potential for exposure to known or suspected sources of COVID-19.

Given this classification, Adiska Family Dental provides the following controls in addition to the above-summarized prevention efforts: offering appropriate personal protective equipment and complying with all infectious-disease requirements for healthcare facilities.

2. Identification and Isolation of Sick and/or Exposed Employees

Risk and exposure determinations are made without regard to employees’ protected characteristics, as defined by local, state, and federal law.

Any health-related information and documentation gathered from employees is maintained confidentially and in compliance with state and federal law. Specifically, medical documentation is stored separate from employees’ personnel documentation.

a. Employees’ Self-Monitoring

The following employees should not report to work and, upon notification to Adiska Family Dental, will be removed from the regular work schedule:

Employees who display COVID-19 symptoms, such as fever, cough, shortness of breath, sore throat, new loss of smell or taste, and/or gastrointestinal problems, including nausea, diarrhea, and vomiting, whether or not accompanied by a formal COVID-19 diagnosis;
Employees who, in the last 14 days, have had close contact with and/or live with any person having a confirmed COVID-19 diagnosis; and
Employees who, in the last 14 days, have had close contact with and/or live with any person displaying COVID-19 symptoms, such as fever, cough, shortness of breath, sore throat, new loss of smell or taste, and/or gastrointestinal problems, including nausea, diarrhea, and vomiting.

Such employees may only resume in-person work upon meeting all return-to-work requirements, defined below.

b. Daily Screenings

To prevent the spread of COVID-19 and reduce the potential risk of exposure, Adiska Family Dental screens employees on a daily basis.

Employees are asked the following questions before entering the worksite:

Are you currently suffering from any of the following symptoms – fever, cough, shortness of breath, sore throat, new loss of smell or taste, and/or gastrointestinal problems, including nausea, diarrhea, and vomiting?
1. If a touchless thermometer is available, temperature checks are performed.
2. If yes, access is denied, and employee is advised to self-isolate/self-quarantine at home, until employee is permitted to return to work as defined below.
Have you lived with, or had close contact with, someone in the last 14 days diagnosed with or displaying the symptoms of COVID-19?
1. If yes, access is denied, and employee is advised to self-isolate/self-quarantine at home, until at least 14 days after the close contact.

Employees who develop symptoms during their shift must immediately report to their CPRP supervisor.

c. Return-to-Work Requirements

Employees who were themselves diagnosed with COVID-19 may only return to work upon confirmation of the cessation of symptoms and contagiousness, proof of which may be acquired via the test-based strategy or the non-test-based strategy.

The test-based strategy is preferred but relies upon the availability of testing supplies and laboratory capacity. Under this strategy, employees may discontinue isolation and return to work upon achieving the following conditions:

Resolution of fever without the use of fever-reducing medications;
Improvement in respiratory symptoms (e.g., cough, shortness of breath); and
Negative results of an FDA Emergency Use Authorized molecular assay for COVID-19 from two consecutive nasopharyngeal swab specimens collected at least 24 hours apart.

Under the non-test-based strategy, employees may discontinue isolation and return to work upon achieving the following conditions:

At least 3 days (72 hours) have passed since recovery defined as resolution of fever without the use of fever-reducing medications;
Improvement in respiratory symptoms (e.g., cough, shortness of breath); and
At least 7 days have passed since symptoms first appeared.

Employees who came into close contact with, or live with, an individual with a confirmed diagnosis or symptoms may return to work after either 14 days have passed since the last close contact with the diagnosed/symptomatic individual, or the diagnosed/symptomatic individual receives a negative COVID-19 test.

Employees are typically required to submit a release to return to work from a healthcare provider; given the current stressors on the healthcare system, Adiska Family Dental may accept written statements from employees confirming all the factors supporting their release.

3. Workplace Flexibilities and Potential Benefits for Employees Affected by COVID-19

Employees may be eligible for paid and unpaid leaves of absence.

Employees may be permitted to utilize available paid-time off provided under Adiska Family Dental policy concurrently with or to supplement any approved leave.

a. FFCRA

Employees may qualify for two different types of paid leave under the Families First Coronavirus Response Act (“FFCRA”).

Under the Emergency Paid Sick Leave Act (“EPSLA”), employees may seek up to two weeks (i.e., 10 business days) of paid leave for the following reasons:

Subject to a Federal, State, or local quarantine or isolation order related to COVID-19;
Advised to self-quarantine due to concerns related to COVID-19;
Experiencing symptoms of COVID-19 and seeking a medical diagnosis;
Caring for an individual subject to a quarantine or isolation order or advised to self-quarantine due to concerns related to COVID-19;
Caring for a son or daughter whose school or childcare provider is closed or unavailable due to COVID-19 precautions; and
Experiencing any other substantially similar condition specified by the Secretary of Health and Human Services, in consultation with the Secretary of the Treasury and the Secretary of Labor. (Please note, the Secretary of Health and Human Services has not defined conditions which trigger this subpart under the EPSLA.)

For full-time employees, two weeks of leave equates to 80 hours; for part-time employees, two weeks of leave equates to a number of hours equivalent to the number of hours usually worked in a two-week period.

Paid leave for reasons 1, 2, and 3, above, is paid at the employee’s regular rate of pay, capped at $511/day. Paid leave for reasons 4, 5, and 6, above, is paid at a rate equivalent to two-thirds of an employee’s regular rate of pay or minimum wage, whichever is greater, capped at $200/day.

Under the Emergency Family and Medical Leave Expansion Act, employees may seek up to twelve weeks of leave to care for a son or daughter whose school or childcare provider is closed or unavailable due to COVID-19 precautions. The first two weeks of leave, which run concurrently with the EPSLA leave, may be unpaid; the remaining ten weeks of leave are paid at a rate equivalent to two-thirds of an employee’s regular rate of pay or minimum wage, whichever is greater, capped at $200/day.

b. Executive Order 2020-36

Employees who require leave beyond the EPSLA because of their own COVID-19 diagnosis/symptoms, or because they have had close contact or live with an individual with a COVID-19 diagnosis/symptoms, may be eligible for unpaid leave under Executive Order 2020-36 until permitted thereunder to return to work.

c. Unemployment Compensation Benefits

Under Executive Order 2020-57, and the federal CARES Act, unemployment compensation benefits are expanded in terms of eligibility, amount, and duration.

Employees who are unable to report to work for reasons related to COVID-19 are referred to Human Resources for information on unemployment compensation benefits. Such reasons include the following:

Being under self-isolation or self-quarantine in response to elevated risk from COVID-19 due to being immunocompromised;
Displaying at least one of the principal symptoms of COVID-19 (i.e., fever, atypical cough, atypical shortness of breath);
Having close contact in the last 14 days with a confirmed COVID-19 diagnosis;
- [FOR HEALTHCARE EMPLOYERS] Contact for the purposes of healthcare exposures is defined as: a) being within approximately 6 feet of a person with COVID-19 for a prolonged period of time without appropriate PPE; or b) having unprotected direct contact with infectious secretions or excretions of a patient;
Needing to care for someone with a confirmed COVID-19 diagnosis; and
Fulfilling a family care responsibility as a result of a government directive (e.g., caring for a child whose school or childcare provider is closed or otherwise unavailable due to COVID-19).

d. FMLA and ADA

Employees may be entitled to unpaid leave under the Family and Medical Leave Act (“FMLA”) if their absence is related to their own serious health condition or that of a family member. COVID-19 may constitute a serious health condition where “complications arise.”

Adiska Family Dental is also mindful of its obligations under the Americans with Disabilities Act (“ADA”). Specifically, if an employee requests an accommodation because of a condition that may be complicated by COVID-19 (e.g., cystic fibrosis, emphysema, COPD), then Adiska Family Dental engages in the interactive process to provide a reasonable accommodation. This may mean allowing the employee to work remotely (if reasonable) or work an alternative schedule.

4. Plan Updates and Expiration

This Plan responds to the COVID-19 outbreak. As/If this pandemic progresses, Adiska Family Dental will update this CPRP and its corresponding processes.

This Plan will expire upon conclusion of its need, as determined by Adiska Family Dental in accordance with guidance from local, state, and federal health officials.