January 25, 2022
This memorandum is intended to supersede and replace some aspects of the following memorandum and all previous direction: COVID-19 patient isolation and quarantine changes (January 13, 2022).
The purpose of this memorandum is to notify staff of the following changes:
- the number of days required for quarantine and quarantine rounding procedures,
- the number of days required for isolation and isolation rounding procedures, and
- incarcerated Critical Worker test to work strategies
Quarantine timeframe (new)
Effective immediately, a resident in post-transfer quarantine or quarantine due to exposure to COVID-19 may be released after at least 10 days of quarantine if the patient has: (1) a negative PCR result on a specimen collected on or after day 10; and (2) documentation of no symptoms. All other timeframes on the Movement Matrix remain the same.
Quarantine screening process (unchanged from January 13, 2022 memorandum)
The following steps regarding COVID-19 quarantine rounds shall be implemented at each institution approved for contingency staffing levels. In lieu of the standard quarantine rounds, effective immediately, quarantine screening shall be conducted once daily and shall be performed by any licensed health care staff as defined in Health Care Department Operations Manual (HCDOM).
Screening process steps:
- Provider to enter quarantine order.
- The institution shall export and print a paper list of patients on quarantine using the COVID Monitoring Registry.
- Staff shall use the paper list to ensure screening is conducted on all patients.
- Health care staff shall:
- Ask each patient “Are you feeling sick today?”
- Visually assess the patient for any signs/symptoms of COVID-19 illness.
- Staff shall place a check mark next to the patient name on the paper list once they have completed rounding on that individual patient.
- The list shall be maintained at the institution as proof that screening was conducted.
- When symptomatic cases are identified, an assessment utilizing existing documentation for COVID-19: Quarantine Surveillance Rounding Power Form shall be completed.
- Symptomatic patients shall be referred to a Registered Nurse (RN) or Provider for further evaluation as needed.
Utilization of the above process shall be determined by institution leadership, including the Chief Medical Executives, Chief Nurse Executives and in coordination with the Regional Health Care Executives. This screening process shall remain in effect for the duration of the critical staffing levels.
Incarcerated critical worker test to work (new)
Effective immediately, critical incarcerated workers who are housed in quarantine housing due to exposure to COVID-19 may POC test to work when the institution is in contingency staffing levels with incarcerated critical workers. This change is being made to be consistent with the process that is being followed for quarantined CDCR and CCHCS employees.
During contingency staffing, asymptomatic incarcerated critical workers may continue to work as long as they have a negative POC on each day they are working in that 10 day timeframe, a negative PCR on day 10, and wear a KN95. If they are working in designated areas (isolation and quarantine space), they must be fit tested and wear an N95.
Utilization of the above process shall be determined by the institution leadership, including the Wardens, Chief Executive Officers, Chief Medical Executives and in coordination with the Associate Directors and Regional Health Care Executives.