INTERIM COVID-19 GUIDANCE FOR PRE-SCHOOLS & CHILD CARE ...
INTERIM COVID-19 GUIDANCE FOR PRE-SCHOOLS & CHILD CARE
SACRAMENTO COUNTY PUBLIC HEALTH (SCPH) | MARCH 23, 2022
This interim guidance is intended for use by pre-school and child care programs in Sacramento
County. It replaces all previous local guidance for pre-schools and child care, including the SCPH
Decision Tree. For questions about this guidance, please e-mail SCPHschools@.
FACE COVERINGS
Sacramento County Public Health strongly recommends that individuals in pre-school and
child care settings continue to mask in indoor settings. Every provider should be familiar
with the Guidance for the Use of Face Masks and keep in mind the following:
? Never place face masks on babies or children under 2 years of age because it poses a
danger and risk for suffocation.
? Children should not wear face masks while sleeping.
? Providers must ensure the use of face masks does not cause children to overheat in hot
weather.
STAFF OR CHILD WITH SYMPTOMS
Individuals with symptoms of illness should stay home and test for COVID-19.
? If test is negative, may return if at least 24 hours have passed since fever and symptoms
have improved significantly.
? If test is positive, stay at home for 5 days. Isolation can end after Day 5 if symptoms are
not present or are resolving and a diagnostic specimen collected on Day 5 or later tests
negative. If unable to test or choosing not to test, and symptoms are not present or are
resolving, isolation can end after Day 10.
CHILD EXPOSED TO PERSON WITH COVID-19 AT PRE-SCHOOL/CHILD CARE
Parents/Caregivers should be notified of the potential exposure. Providers may consider
permitting asymptomatic exposed children to attend pre-school and child care, regardless of
their COVID-19 vaccination status, with a strong recommendation for use of a well-fitting masks
by children 2 years of age and older during the 10 day period after exposure. Recommend the
child test for COVID-19 5 days after the exposure.
CHILD ATTENDS PRE-SCHOOL/CHILD CARE ¨C EXPOSED TO COVID-19 OUTSIDE OF THIS SETTING
Providers may consider permitting asymptomatic exposed children to attend pre-school and
child care, regardless of their COVID-19 vaccination status, with a strong recommendation for
use of a well-fitting masks by children 2 years of age and older during the 10 day period after
exposure. Recommend the child test for COVID-19 5 days after the exposure.
MARCH 7, 2022
CHILDREN WHO HAVE TESTED POSITIVE FOR COVID-19 IN THE PAST 90 DAYS
Asymptomatic children that have tested positive for COVID-19 within the past 90 days are not
required to quarantine or test for COVID-19 in response to a new COVID-19 exposure. However,
if a child develops new symptoms after being exposed to COVID-19, they should quarantine and
test.
STAFF EXPOSED TO A PERSON WITH COVID-19
If fully vaccinated:
May continue to attend work. Test on Day 5 (if positive, isolate). If symptoms develop, test
and stay home.
If unvaccinated or not fully vaccinated:
Stay home for 5 days. Test on Day 5. May return on Day 6 as long as they do not develop
symptoms of illness and do not test positive for COVID-19.
CONTINUOUS HOUSEHOLD EXPOSURE (CHILD LIVES WITH SOMEONE WITH COVID-19)
When a child lives with someone with COVID-19 and the child has not developed symptoms,
providers may consider permitting the exposed child to attend pre-school and child care,
regardless of their COVID-19 vaccination status, with a strong recommendation for use of a
well-fitting masks by children 2 years of age and older during the 10 day period after exposure.
Recommend the child test for COVID-19 5 days after the exposure.
FACILITY EXPERIENCES 3 OR MORE CASES OF COVID-19 WITHIN A TWO WEEK PERIOD
All cases must be reported to Community Care Licensing Sacramento Regional Child Care by
calling (916) 263-5744. Ask for the Duty Officer of the Day.
If a pre-school/child care facility has three or more cases of COVID-19 within a two week period,
please contact SCPH at SCPHschools@ for further recommendations.
MARCH 7, 2022
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