COVID-19

ADULT SERVICES

Per Public Health Order 20-20 last updated on November 20, 2020, Horizons is completing covid-19 testing at a minimum of weekly for individuals receiving services, staff, and essential contractors working in our homes. In addition to testing, we are screening all personnel, essential medical care, and maintenance providers using the following restrictions (updated 7/31/2020).  

  • Fever above 100F within the past 24 hours
  • Daily temperature
  • New or changing cough
  • Sore throat
  • Shortness of breath
  • Muscle or body aches
  • Chills
  • Fatigue
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea
  • New loss of taste or smell
  • Headache
  • Recent travel within the last 14 days
  • Exposure to someone with documented or suspected COVID-19 within the last 14 days
  • Visitation
    • Visitors are permitted at all facilities for compassionate care or end-of-life situations.
    • Indoor visits are now available in Routt CountyVisits need to be scheduled in advance. Visits are restricted to one visitor, 18 years or older, per individual for one visit per day not to exceed 45 minutes. Please call the facility where your family member resides to schedule an indoor visit. You can also reach out to our main office at 970-879-4466 if you need house specific contact information.

During this visit, you will be required to follow all requirements laid out by the Colorado Department of Public Health and Environment (CDPHE). These include:

  1. Self-screening the day of the visit. Do not come to the facility for your visit if you have, or have had in the past 24 hours: a fever of 100 degrees or greater, chills, cough, shortness of breath, fatigue, muscle or body aches, headache, new taste or smell disorders, sore throat, congestion/runny nose, nausea/vomiting, and diarrhea. Do not come to the facility if you have in the past 14 days: traveled internationally, or to a COVID-19 “hot spot” with rising cases, been on a cruise or airplane, or had known contact with someone with COVID-19.

You can check the risk status of any areas you may have traveled at https://globalepidemics.org/key-metrics-for-covid-suppression/

Upon arrival at the facility, you will call the home to alert them to your arrival. Staff will meet you at the entrance of the facility and you will:

  1. Be screened for symptoms, have your temperature taken, and provide your contact information.
  2. Perform hand hygiene with provided hand sanitizer.
  3. Don a mask. If you do not have one with you, the facility will provide a surgical mask.
  4. Be escorted to the designated indoor visiting area.

During your visit, you must:

  1. Wear your mask covering both your mouth and your nose.
  2. Maintain social distance by remaining at least 6 feet away from the individual you are visiting.
  3. Rely on staff to provide all assistance and hands on care for your family member.
  4. Only interact with the individual you are scheduled to visit.
  5. Remain in the designated indoor visiting area.

It is extremely important that you follow all of these requirements. Failure to do so may result in a suspension of visiting privileges during COVID-19.

Your visit may be cancelled or rescheduled if:

  1. The individual you are scheduled to visit has symptoms of COVID-19. 
  2. The individual you are scheduled to visit is in isolation or quarantine. 
  3. The facility you are scheduled to visit has an active outbreak. 
  4. The facility you are scheduled to visit has had a recent outbreak and is still completing the required 14-day isolation period. 
  5. The county or the city where the facility is located has a covid-19 positivity rate above 10% per the CDPHE dial dashboard at https://covid19.colorado.gov/data/covid-19-dial-dashboard.
  6. The county or the city where the facility is located is under the stay-at-home orders related to COVID-19. 
  7. Statewide restrictions are implemented due to increased cases of COVID-19. 
  8. Local Public Health Offices advise or impose restrictions.

If you are not prepared to follow the above guidelines, please do not schedule to visit your family member. Instead, please reach out to the staff at their residential facility to coordinate other ways to connect. We are happy to set up phone or video calls, mail letters, or facilitate other ways to help you stay connected during this time.

For information about COVID-19 and how it spreads please visit https://covid19.colorado.gov/about-covid-19

  • Outdoor visitation information does not change and is still available in both counties.
  • Family home visits have updated procedures:
    • Procedure for Family Visits during COVID-19

Horizons is taking active measures to assure the health and safety of individuals receiving services and the staff who support them. The creation of the Colorado Department of Health and Environment (CDPHE) COVID-19 Dial Dashboard allows for evaluation of risk at each level of the dial. With this tool, we are able to expand options for home and community visits for individuals and their friends/families. Check your county’s level on the dashboard at https://covid19.colorado.gov/data/covid-19-dial-dashboard.

Individuals who reside in communities in levels green (protect our neighbors), blue (caution), and yellow (concern) are now able to leave the facility for a day visit with friends and/or family. Additionally, they will not be required to fully isolate after a day or overnight visit unless they participate in high-risk activities (listed below), they develop symptoms, or they receive a positive test result during surveillance testing. If you elect to take your family member for a day or overnight visit in communities in orange (high risk), red (severe risk), or purple (extreme risk) they will be required to complete a 14 day quarantine upon their return.

In order to maintain the safety of the individuals receiving services and the staff who support them we will be continuing surveillance testing each week.

If you would like to schedule to pick up your friend or family member, please call the house to coordinate.

Prior to the visit:

  • Everyone participating in the visit is encouraged to get tested and receive their negative results 48 hours prior to the visit.
  • Everyone participating in the visit should monitor for symptoms (fever, new or changing cough, taste or smell disorder, chills, fatigue, body/muscle aches, sore throat, runny nose, congestion, nausea/vomiting, and/or diarrhea). If anyone develops symptoms in the 14 days prior to their visit they must seek testing, receive negative results, and have their symptoms resolved for at least 24 hours prior to picking up their friend/family member. Failure to follow these steps may result in the individual in services having to quarantine for 14 days after returning to the facility.
  • Everyone participating in the visit is encouraged to refrain from high-risk activities. This includes gathering events (more than 10 people or more than 2 households), traveling out of the county to hotspots or via airplane, indoor dining at restaurants, indoor activities at businesses without enforced covid-19 mitigation plans, or close contact with people outside of your usual cohort for 14 days prior to their visit.

When you arrive at the home to pick up the individual receiving services:

  • Please call the house and wait in the car. You will not be able to enter the facility.
  • The individual receiving services will exit the home independently or staff will support them to get into the vehicle.

While the individual receiving services is with you:

  • If the individual is going for an overnight visit, you must complete a daily symptom screening for the individual receiving services and document on the forms provided. Completed forms must be returned to staff when the individual receiving services returns to the Horizons facility.

o   If your family member exhibits symptoms, you must call the Routt County Residential Coordinator (Meghan McNamara at 970-846-7153) or the Moffat County Adult Community Coordinator (Jesica McMillan at 970-701-1458) immediately for next steps.

  • Monitor yourself and other members of your household for symptoms of COVID-19 (fever, new or changing cough, taste or smell disorder, chills, fatigue, body/muscle aches, sore throat, runny nose, congestion, nausea/vomiting, and/or diarrhea).

o   If you or someone in your household experience symptoms please notify the Routt County Residential Coordinator (Meghan McNamara at 970-846-7153) or the Moffat County Adult Community Coordinator (Jesica McMillan at 970-701-1458) immediately for next steps.

  • Please follow COVID-19 precautions and the 6 commitments to stop the spread (wearing a mask in the community, maintaining 6 foot social distancing, staying home if you are sick, seeking testing when you are sick, practicing frequent hand washing, and avoiding personal gatherings).
  • Refrain from high-risk activities including gathering events (more than 10 people or more than 2 households), traveling out of the county to hotspots or via airplane, indoor dining at restaurants, indoor activities at businesses without enforced covid-19 mitigation plans, or close contact with people outside of your usual cohort. Participation in these activities may require the individual receiving services to quarantine for 14 days upon returning to the Horizons facility.

When the individual receiving services returns home:

  • Please call the house upon arrival and wait in the car.
  • The individual receiving services will independently unload their items from the car or staff will assist them to unload their items from the vehicle for you.
  • Staff will support the individual receiving services to exit the vehicle and will screen the individual receiving services and have them put on a surgical mask prior to entering the home.

After the individual receiving services returns home:

  • They will be tested at the regularly scheduled surveillance testing. If they refuse to participate in surveillance testing they will need to quarantine for 14 days following their visit.
  • Staff will increase screening to twice per day for 14 days.
  • The individual receiving services will need to wear a surgical mask, as tolerated, when in common areas of the home for 14 days.

The ability to continue home visits relies on our ongoing ability to support everyone and maintain safety. We appreciate you following the guidance and recommendations provided so this continues to be an option for you and the individual receiving services. 

Most of all, we sincerely hope you and the individual receiving services are able to have a wonderful visit. We know you have both missed each other very much and we are grateful that the updated guidance allows you to spend time together. 

If you are not prepared to follow the above guidelines, please do not take your family member for a community outing or home visit. Instead, please reach out to the staff at their residential facility to coordinate other ways to connect. We are happy to set up phone or video calls, mail letters, or facilitate other ways to help you stay connected during this time.

 

EARLY INTERVENTION

In alignment with Governor Polis’ Safer at Home order, guidance provided by the Colorado Department of Health and Environment and CDC, as well as advisement from a planning group, all EI services will continue to take place virtually through at least June 30, 2020. No in-person visits for children with an Individualized Family Service Plan (IFSP) are authorized or funded as an EI service by EI Colorado.

We understand that this decision impacts families, service coordinators and providers in different ways. EI Colorado is striving to meet the needs of everyone concerned and is weighing the risks and benefits to the best of our ability, using the most current information we have. This requires careful thought and planning and the need for flexibility whenever possible.

As more information is available, we will continue to revise plans, evaluate practices and share any updates. To ensure the health and safety of the children, families, and providers engaged in EI services, please know that virtual visits may extend beyond June 30, 2020.