Plan for COVID-19 Exposure Prevention, Preparedness, and Response

This document should NOT be construed as legal advice or any other expression of the scope or nature of One Care, Inc legal obligation to provide employment and a safe place of employment to its employees, particularly under the unprecedented circumstances that the COVID-19 outbreak has created. In addition, new and better information could well supersede the information included in this document. As the situation evolves, One Care, Inc, employees and contractors should continue to monitor the environment in which they
are working and related developments and react accordingly.

 

One Care, Inc takes the health and safety of our employees very seriously. With the spread of the coronavirus or “COVID-19,” the Company must remain vigilant in mitigating the outbreak. To be safe and maintain operations, we have developed this COVID-19 Exposure Prevention, Preparedness, and Response Plan to be implemented, to the extent feasible and appropriate, throughout the Company and at all our participant’s homes. The Company has also identified a team of employees to monitor the related guidance that U.S. Center for Disease Control and Prevention (“CDC”) and Occupational Safety and Health Administration (“OSHA”) continue to make available. This Plan is based on information available from the CDC and OSHA at the time of its development and is subject to change based on further information provided by the CDC, OSHA, and other public officials. The Company may also amend this Plan based on operational needs

 

Responsibilities of Managers and Supervisors


All managers and supervisors must be familiar with this Plan and be ready to answer questions
from employees. Managers and supervisors must always set a good example by following this Plan.
This involves practicing good personal hygiene and jobsite safety practices to prevent the spread of
the virus. Managers and supervisors must encourage this same behavior from all employees.

 

Responsibilities of Employees


The Company is asking every one of our employees to help with our prevention efforts while at
work. In order to minimize the spread of COVID-19 at our jobsites, everyone must play their part. 
As set forth below, the Company has instituted various housekeeping, social distancing, and other
best practices at our jobsites. All employees must follow these. In addition, employees are
expected to report to their managers or supervisors if they are experiencing signs or symptoms of
COVID-19, as described below. If you have a specific question about this Plan or COVID-19, please
ask your manager or supervisor.


OSHA and the CDC have provided the following control and preventative guidance for all workers,
regardless of exposure risk:

       • Frequently wash your hands with soap and water for at least 20 seconds. When soap and running water are unavailable, use an                              alcohol-based hand rub with at least 60% alcohol.
       • Avoid touching your eyes, nose, or mouth with unwashed hands.
       • Follow appropriate respiratory etiquette, which includes covering for coughs and sneezes.

In addition, employees must familiarize themselves with the symptoms of COVID-19, which include
the following:


       • Coughing
       • Fever
       • Shortness of breath, difficulty breathing and
       • Early symptoms such as chills, body aches, sore throat, headache, diarrhea, nausea/vomiting, and
           runny nose.


If you develop a fever and symptoms of respiratory illness, such as cough or shortness of breath, DO NOT GO TO WORK and call your supervisor and healthcare provider right away. Likewise, if you come into close contact with someone showing these symptoms, call your supervisor and healthcare provider right away.

Job Site Protective Measures

The Company has instituted the following protective measures at all jobsites.

A.) General Safety Policies and Rules

       • Any employee/contractor/visitor showing symptoms of COVID-19 will be asked to leave the

          jobsite and return home.

       • Safety meetings will be by telephone, if possible
          During any in-person meetings, avoid gathering in groups of more than 10 people and
          participants must remain at least six (6) feet apart.

B.) Contact with others in occupied building home
       • Employees must avoid physical contact with others and shall direct others (coworkers/contractors/visitors) to increase personal                                space to at least six (6) feet, where possible.
       • All in-person meetings will be limited. To the extent possible, meetings will be conducted by telephone.
       • Employees will be encouraged to stagger breaks and lunches
       • Employees should limit the use of co-workers’ or participants equipment. To the extent equipment must be shared, the Company will                        provide alcohol-based wipes to clean equipment before and after use.
       • Employees are encouraged to use the N95 respirator and surgical mask and gloves.
       • During work, employees must sanitize the work areas upon arrival, throughout the workday, and immediately before departure.                                The Company will provide alcohol-based wipes for this purpose.
       • Employees should ask other occupants to keep a personal distance of six (6) feet at a minimum. Workers should wash or sanitize                            hands immediately before starting and after completing the work.

C.) Job Site Visitors
       • All visitors will be screened in advance of arriving on the job site. If the visitor answers “yes” to any of the following questions,                                 he/she should not be permitted to access the jobsite:
            o Have you been confirmed positive for COVID-19?
            o Are you currently experiencing, or recently experienced, any acute respiratory illness symptoms such as fever, cough, or                                         shortness of breath?
            o Have you been in close contact with any persons who has been confirmed positive for COVID-19?
            o Have you been in close contact with any persons who have traveled and are also exhibiting acute respiratory illness   symptoms?


D.) PPE and Workplace Controls
In addition to regular PPE for workers engaged in various task, One Care, Inc will provide:
       • Gloves: Gloves should always be worn while on site. Employees should avoid reusing or sharing gloves.
       • Mask: Mask should always be worn.
       • Gowns: Gowns should be worn as needed and disposed after each use.
         o NOTE: The CDC is currently not recommending that healthy people wear N95 respirators to prevent the spread of COVID-19.

Job Site Cleaning and Disinfecting


One Care, Inc has instituted regular housekeeping practices, which include cleaning and disinfecting frequently used tools and equipment, and other elements of the work environment, where possible. Employees should regularly do the same in their assigned work areas.
Employees performing cleaning will be issued proper personal protective equipment (“PPE”), such as nitrile, latex, or vinyl gloves and gowns, as recommended by the CDC.


       • Any trash collected from the jobsite must be changed frequently by someone wearing nitrile, latex, or vinyl gloves.
       • Frequently touched items (i.e. door pulls and toilet seats) will be disinfected frequently.
       • Equipment/tools should be cleaned at least once per day and before change in shift.
       • OSHA has indicated that a reliable report that an employee has tested positive for COVID-19 does not typically require an employer to                   perform special cleaning or decontamination of work environments, unless those environments are visibly contaminated with blood or other           bodily fluids.


One Care, Inc will provide an appropriate cleaning contractor for those areas of the jobsite that a confirmed-positive individual may have contacted, and it will do so before employees can access that workspace again.


Jobsite Exposure Situations


       • Employee Exhibits COVID-19 Symptoms
If an employee exhibits COVID-19 symptoms, the employee must remain at home until he or she is symptom free for 72 hours (3 full days) without the use of fever-reducing or other symptom- altering medicines (e.g., cough suppressants). The Company will similarly require an employee who
reports to work with symptoms to return home until he or she is symptom free for 72 hours (3 full days). To the extent practical, employees are required to obtain a doctor’s note clearing them to return to work.


       • Employee Tests Positive for COVID-19
An employee who tests positive for COVID-19 will be directed to self-quarantine away from work. Employees that test positive and are symptom free may return to work when at least seven (7) days have passed since the date of his or her first positive test and have not had a subsequent
illness. Employees who test positive and have been hospitalized may return to work when directed to do so by their medical care providers. The Company will require an employee to provide documentation clearing his or her return to work.


       • Employee Has Close Contact with an Individual Who Has Tested Positive for COVID-19
Employees who have come into close contact with an individual who has tested positive for COVID-19 (co-worker or otherwise) will be directed to self-quarantine for 14 days from the last date of close contact with that individual. Close contact is defined as six (6) feet for a prolonged
period of time. If One Care, Inc learns that an employee has tested positive, the Company will conduct an investigation to determine co-workers who may have had close contact with the confirmed positive employee in the prior 14 days and direct those individuals who have had close
contact with the confirmed-positive employee to self-quarantine for 14 days from the last date of close contact with that employee. If applicable, the Company will also notify any sub-contractors, vendors/suppliers or visitors who may have had close contact with the confirmed-positive
employee. If an employee learns that he or she has come into close contact with a confirmed - positive individual outside of the workplace, he/she must alert a manager or supervisor. One Care, Inc will conduct an assessment of any workplace exposures to determine if the case is work-
related. Work-relatedness is presumed for illnesses that result from events or exposures in the work environment, unless it meets certain exceptions. One of those exceptions is that the illness involves signs or symptoms that surface at work but result solely from a non-work-related event or exposure that occurs outside of the work environment. Thus, if an employee develops COVID-19 solely from an exposure outside of the work environment, it would not be work-related, and thus not recordable. The Company’s assessment will consider the work environment itself, the type of work performed, the risk of person-to-person transmission given the work environment, and other factors such as community spread. Further, if an employee has a confirmed case of COVID19 that is considered work-related, the Company will report the case to Pennsylvania Dept of Health within 24 hours of notification.


Confidentiality/Privacy


Except for circumstances in which One Care, Inc is legally required to report workplace occurrences of communicable disease, the confidentiality of all medical conditions will be maintained in accordance with applicable law and to the extent practical under the circumstances. When it is
required, the number of persons who will be informed that an unnamed employee has tested positive will be kept to the minimum needed to comply with reporting requirements and to limit the potential for transmission to others. One Care, Inc reserves the right to inform other employees that an unnamed co-worker has been diagnosed with COVID-19 if the other employees might have been exposed to the disease so the employees may take measures to protect their own health. One Care, Inc also reserves the right to inform sub-contractors, vendors/suppliers or visitors that an unnamed employee has been diagnosed with COVID-19 if they might have been exposed to the disease so those individuals may take measures to protect their own health.


General Questions


Given the fast-developing nature of the COVID-19 outbreak, One Care, Inc may modify this Plan on a case by case basis. If you have any questions concerning this Plan, please contact our [Administration Department].

COVID-19 Checklist for Employers and Employees

Know the Symptoms of COVID-19
       • Coughing, fever, shortness of breath, and difficulty breathing.
       • Early symptoms may include chills, body aches, sore throat, headache, diarrhea, nausea/vomiting, and runny nose. If you develop a fever              and symptoms of respiratory illness, DO NOT GO TO WORK, and call your supervisor and health-care provider immediately. Do the same              thing if you come into close contact with someone showing these symptoms.


Employer Responsibilities
       • Develop a COVID-19 Exposure Action Plan.
       • Conduct safety meetings by phone if possible. If not, instruct employees to maintain 6-feet between each other. The supervisor will track                attendance verbally rather than having employees sign an attendance sheet.
       • Access to the job site will be limited to only those necessary for the work.
       • All visitors will be pre-screened to ensure they are not exhibiting symptoms.
       • Employees, contractors, and visitors will be asked to leave the jobsite and return home if they are showing symptoms.
       • Provide hand sanitizer
       • Provide protective equipment (PPE) to any employees assigned cleaning/disinfecting tasks.


Employee Responsibilities

       • Become familiar with the Exposure Action Plan and follow all elements.
       • Practice good hygiene: wash hands with soap and water for at least 20 seconds. If these are not available, use alcohol-based hand rub                  with at least 60% alcohol. Avoid touching your face, eyes, food, etc. with unwashed hands.

Cleaning/Disinfecting Job Sites and Other Protective Measures

       • Clean and disinfect frequently used tools and equipment on a regular basis. This includes other elements of the jobsite where possible.                  Employees should regularly do the same in their assigned work areas.
       • Clean shared spaces such as bathrooms and break/lunchrooms at least daily
       • Disinfect shared surfaces (door handles, machinery controls, desk, etc.) on a regular basis.
       • Avoid sharing tools with co-workers. If not, disinfect before and after each use.
       • Trash collected from the jobsite must be changed frequently by someone wearing gloves.

Personal Protective Equipment and Alternate Work Practice Controls
       • Provide and wear the proper PPE.
       • Keep the dust down by cleaning regularly.