COVID-19 Preparedness, Response, Health and Safety Plan

(Updated/Effective 11/12/2020)  THE FOLLOWING WRITTEN PLAN TO ENABLE SOCIAL DISTANCING WITHIN THE OFFICES OF BOWERMAN, BOWDEN, FORD, CLULO & LUYT, P.C. IS MADE IN COMPLIANCE WITH CURRENT GUIDANCE FOR COVID-19 FROM THE US CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) AND RECOMMENDATIONS IN “GUIDANCE ON PREPARING WORKPLACES FOR COVID-19,” DEVELOPED BY THE OCCUPATIONAL HEALTH AND SAFETY ADMINISTRATION (OSHA).

1. The screening procedure for all staff upon, or just prior to, reporting to work will include the following assessments:
a) Whether the worker has COVID-19 symptoms including, but not limited to: fever, cough (excluding chronic cough due to known medical reason), shortness of breath, sore throat, and/or diarrhea. Employees will self-report temperature.
b) Whether the worker had any close contact in the last 14 days with someone with a diagnosis of COVID-19. “Close contact” means someone previously designated as a “close contact” by the local health department during a case investigation, a household member, or someone within 6 feet for 15 minutes or longer in a 24 hour period starting 2 days before illness onset (or, for asymptomatic patients, 2 days prior to specimen collection) until the time the person is isolated.
c) Whether the worker has engaged in any activity or travel (international or inside or outside of Michigan) within the last 14 days which fails to comply with office policy as outlined in Section 5 below.
d) Whether the worker has been directed or told by the local health department or their healthcare provider to self-isolate or self-quarantine.
e) An employee shall promptly report any signs and symptoms of COVID-19 to a member of the office COVID-19 team that develop during the employee’s work day.
Any “yes” response to the screening questions above requires the individual to be excluded from work:
a) Until at least 24 hours has passed where the worker has no fever (that is two full days of no fever without use of medicine that reduces fevers) AND other symptoms have improved (for example, when the worker’s cough and shortness of breath have improved) AND at least 10 days have passed since any symptoms first appeared.
b) Until at least 14 days have passed where there has not been any close contact with a diagnosed case of COVID-19.
c) Until at least 14 days have passed following travel requiring self-quarantine pursuant to office policy as outlined in Section 5 below.
d) For patients with severe illness, duration or isolation for up to 20 days after symptom onset may be warranted. Consider consultation with infection control experts.
e) For persons who never develop symptoms, isolation and other precautions can be discontinued 10 days after the date of their first positive RT-PCR test for SARS-CoV-2 RNA.

2. The written plan to enable social distancing within the offices of Bowerman, Bowden, Ford, Clulo & Luyt, P.C. is as follows:
a) All worker’s shall keep a distance of 6 feet of space from another person for employees working in shared spaces.
b) Not more than one (1) person at a time shall be in the kitchen area, workroom, and bathrooms.
c) Contact barriers shall be used (shut office doors / chair in doorway).
d) Signs shall be posted throughout the office to limit one (1) person at a time in designated areas, to use barriers, and to social distance at least 6 feet of space from another person.
e) All employees shall wear face coverings when employees cannot consistently maintain six feet of separation from other individuals as well as in all common areas (hallways, conference rooms, lobby, bathrooms, kitchen, workroom) and individual offices if the door is open. Masks have been provided to staff.
f) Employees are prohibited from using other employee’s phones, desks, offices, or other work tools and equipment, when possible.
g) All employees shall frequently and thoroughly wash hands and / or use hand sanitizer. Hand sanitizer has been provided to staff and placed in all common areas of the office.

3. The written plan to limit exposure to COVID-19 within the offices of Bowerman, Bowden, Ford, Clulo & Luyt, P.C. is as follows:
a) Cleaning and disinfecting the office at last twice daily is being carried out pursuant to the Disinfecting Schedule provided to staff as updated from time to time.
b) In the event of a positive COVID-19 case in the office, affected areas of the office will be closed and cleaned and disinfected immediately.
c) An employee who is sick shall not report to work.
d) Employees will perform work remotely to the extent their work activities can feasibly be performed remotely.

4. The written plan when an employee is identified with a confirmed case of COVID-19 within the offices of Bowerman, Bowden, Ford, Clulo & Luyt, P.C. is as follows:
a) Immediately notify the Grand Traverse County Health Department.
b) Within 24 hours, notify employees, clients, contractors, or suppliers who may have come into contact with the person with a confirmed case of COVID-19.
c) An employee with a confirmed or suspected case of COVID-19 can return to the office only after they are no longer infectious according to the latest guidelines from the Center for Disease Control and Prevention (CDC) and they are released from any quarantine or isolation by the Grand Traverse County Health Department.
d) No employee will be discharged, disciplined or otherwise retaliated against who stay home or who leave work when they are at a particular risk of infecting others with COVID-109.
e) A confirmed infection in the workplace will result in sending employees home and a temporary closure of all or part of the office to allow for deep cleaning.

5. Exposure Determination:
Bowerman, Bowden, Ford, Clulo & Luyt, P.C. is designated as “lower exposure” pursuant to rule 3. exposure determination for all employers of the Emergency Rules, Coronavirus Disease 2019 (COVID-19) issued October 14, 2020 by the Department of labor and Economic Opportunity as follows:
“Lower exposure risk job tasks and procedures. These job tasks and procedures are those that do not require contact with people known to be or suspected of being infected with SARS-CoV-2 nor frequent close contact (e.g., within 6 feet) with the general public. Workers in this category have minimal occupational contact with the public and other cowokers.”

6. We are implementing additional office policies related to travel as follows:
a) Any employee traveling to a COVID-19 “hot spot,” within Michigan or outside of Michigan, is required to self- quarantine outside of the office for a period of 14 days upon return to Traverse City. Designation of a “hot spot” shall be based on available data and guidelines, and shall be at the sole discretion of the office COVID-19 team and may change from time to time. Without limiting the discretion of the COVID-19 team, the Harvard Public Health Institute Covid-19 Risk Level Map will be utilized to determine COVID-19 hot spots. The map can be found at globalepidemics.org/key-metrics-for-covid-suppression/.
b) Any employee that has been in close contact with someone coming from a “hot spot,” within or outside of Michigan, is required to self- quarantine outside of the office for a period of 14 days.
c) Any employee traveling by mode or manner of transportation that subjects the employee to substantially increased risk of exposure to COVID-19, as determined in the sole discretion of the office COVID-19 team based on available data and guidelines, is required to self-quarantine outside of the office for a period of 14 days upon return to Traverse City.
d) Staff shall notify Theresa of travel plans and the office COVID-19 team will make a determination as to whether the place, mode and/or manner of travel requires self-quarantine as set forth above.
e) An employee’s ability to work remotely during quarantine will be determined at the sole discretion of the office COVID-19 team. Any employee that is not authorized to work remotely will: 1) use his or her paid time off; or 2) take the quarantined time as unpaid at the sole discretion of the office COVID-19 team.