COVID-19

ADULT SERVICES

Per Public Health Order 20-20 last updated on April 20, 2020, Horizons is not allowing any visitors to our long term facilities except in compassionate care or end-of-life situations. We are screening all personnel, essential medical care, and maintenance providers using the following restrictions (updated 5/29/2020):

  • Fever above 100F within the past 24 hours
  • Daily temperature
  • Coughing/sneezing
  • Sore throat
  • Shortness of breath
  • Muscle aches
  • Chills
  • 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

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. Due to an increase of cases in Colorado, the Colorado Department of Health Care Policy and Financing (HCPF) has released several operational memos for providers of Home and Community Based Services (HCBS). As a Medicaid provider, Horizons is required to implement all guidance delivered through these operational memos. Operational Memo 20-035 provides clear guidance regarding family/natural support visits during the COVID-19 Pandemic.

“These new restrictions and orders mean that families, guardians, and/or other natural supports will no longer be able to take members on community outings or visits outside of the residence unless the families, guardians, and/or other natural supports choose to keep the person in their home for a fourteen day symptom-free quarantine period prior to returning the residence.”

Quarantine is defined by the Centers for Disease Control and Prevention (CDC) as “keep[ing] someone who might have been exposed to COVID-19 away from others” and states that “people in quarantine should stay home, separate themselves from others, monitor their health, and follow directions from their state or local health department.”

If you want to take your loved one for a community outing or home visit, you will need to:

  1. Quarantine with your family member for 14 days.
    • During quarantine, you and your family member should not have any close contact (less than 6 feet for more than 10 minutes) with members outside of your household and should not engage in extended travel. If you and your family member choose to travel or have close contact with someone outside of your household, you will need to start the 14 day quarantine period after those visits/travel.
  2. Monitor your family member for COVID-19 symptoms daily using Horizons screening form. All forms must be returned when your family member returns to the facility.
    • 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.
  3. Monitor yourself and other members of your household for symptoms of COVID-19. If you or someone in your household experiences 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.

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.

Family Information for Outdoor Visits at Congregate Care Facilities: If you would like to schedule an outdoor visit please call the staff at the home where your friend or family member resides. Even if you speak with your friend or family member about an upcoming visit you must finalize all visits with staff. If you need contact information for the home, please call our main office at 970-879-4466.

Once you have scheduled an outdoor visit at a Horizons Congregate Care Facility, you will be required to follow all requirements laid out by the Colorado Department of Public Health and Environment. These include:

  1. Self-screening the day of the visit.
  2. 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, dry cough/sneezing, sore throat, shortness of breath, muscle aches, chills.
  3. 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 and wait outside for staff. You will not be permitted to enter the facility for any reason, even to use the restroom. Please plan accordingly. Staff will meet you outside and you will:

  1. Be screened for symptoms and have your temperature taken.
  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 outdoor 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 outdoor 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 is under the stay-at-home orders related to COVID-19.
  6. Statewide restrictions are implemented due to increased cases of COVID-19.
  7. 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

Day Program: Our Day Program facilities remain closed. As guidance regarding group activities and interactions with at-risk persons changes, we will provide updates on our plan to reopen these facilities.

Supported Living Services: We continue to provide staff support for essential activities of daily living for individuals without natural support in the area. We are providing remote services via phone/video conference as approved by HCPF.

 

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.