Updated as of September 25, 2020

COVID-19 Policy for Centers

Your household must remain out of the center if any member of your household has (or has been in close contact with anyone who has):
(a)        A suspected or confirmed case of COVID-19 (for example – close contact at school, work, religious service, social gathering); or
(b)        Traveled:
Internationally; or
Domestically, from any area which is the subject of travel restrictions under applicable state and local guidance. 
          
14 days after exclusion for exposure or 10 days after exclusion for symptoms, you may return the caregiver to the network provided these three things have happened:
(a)        At least 10 days have passed since any household member first experienced symptoms; and
(b)        Symptoms have improved for any household member that experienced symptoms (for example, cough or shortness of breath has improved); and
(c)        The household has been fever-free for at least 24 hours without the use of fever-reducing medicines.          

Please note, depending on the circumstances we may require you to obtain clearance to return from a medical provider before return to the center will be allowed.

HOUSEHOLD MEMBERS:  include individuals who may not live in the household but may be staying there or are otherwise present in the household on a regular basis (e.g. nannies, caregivers, home health workers, contractors, etc.) and includes anyone with pick up or drop off privileges at the center.

CLOSE CONTACT:  is defined by the CDC as (1) being within approximately 6 feet (2 meters) of a COVID-19 case for 15 minutes or more and can occur while caring for, living with, visiting, or sharing a health care waiting area or room with a COVID-19 case, or (2) having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on). Considerations when assessing close contact include the duration of exposure and the clinical symptoms of the person with COVID-19. 

FOR MEDICAL PROFESSIONALS: If contact occurs while wearing recommended personal protective equipment or PPE (e.g., gowns, gloves, NIOSH-certified disposable N95 respirator, eye protection), that contact will NOT be considered Close Contact for purposes of this policy. 

Health Check and Illness Policy – COVID-19

ILLNESS:
During the COVID-19 pandemic period, our Health Check & Illness Policy (both COVID and Non-COVID provisions) applies to all staff, children and their household members. The final decision on whether to exclude an individual from the program due to illness will be made by the child care center.

For your child's comfort, and to reduce the risk of contagion, we ask that children be picked up within 1 hour of notification of illness. Until then, your child will be kept comfortable and will continue to be observed for symptoms.

For a full copy of the Health Check and Illness Policy, please ask your center leadership team.

DAILY HEALTH CHECK:
All staff, families, children and their household members must conduct a daily health check before coming into the center. Should you or any household member have any of the following COVID-19-like symptoms during the preceding 72 hours**, we ask you to remain out of the center and notify the center.

  • Cough
  • Sore Throat
  • Muscle Aches
  • Difficulty Breathing
  • New Loss of Taste or Smell
  • Fever at or above the threshold temperature of 100.4° F* (or would have, but for the use of fever-reducing medicine).*
The threshold temperature is 100.4° F, unless a LOWER threshold temperature is imposed in the local jurisdiction or by the specific center.
**Note: If the exclusionary symptom has already been cleared by the COVID team, then a “yes” to the continued presence of a cleared symptom will not result in exclusion.

SYMPTOMS—CLEARANCE TO RETURN:
Consistent with our COVID-19 Policy, a symptomatic household will be required to remain out of the center for 10 days, unless clearance to return is provided. Where a medical provider assesses the symptomatic individual and can determine (i) that there is an alternate diagnosis causing the COVID-like symptoms (e.g., an ear infection is causing a fever), or (ii) the individual has tested negative, has been fever-free for at least 24 hours (without the use of fever-reducing medicines) and symptoms are resolving, the individual will be cleared to return and the ten (10) day exclusion period will not apply. In the case of clearance for an alternate diagnosis, if the medical provider cannot affirmatively identify an alternate diagnosis which causes the presenting symptoms, any unspecified diagnosis is presumed to be COVID, and the exclusion will continue.  Clearance to return cannot be provided by a family member.

REPORTING SUSPECTED OR CONFIRMED CASE IN HOUSEHOLD:
Notify us immediately if you become aware of any suspected or confirmed case of COVID-19 in your household occurring within 14 days before or after any member of your household has been in present at the center.

 

Back-Up Care COVID-19 Policy

Customers may not use Bright Horizons Back-Up Care (inclusive of In Home Care), if any member of your household has (or has been in close contact with anyone who has):
(a)        A suspected or confirmed case of COVID-19 (for example – close contact at school, work, religious service, social gathering); or
(b)        Traveled:
Internationally; or
Domestically, from any area which is the subject of travel restrictions under applicable state and local guidance. 

14 days after exclusion for exposure or 10 days after exclusion for symptoms, your household may return to reserving back-up care provided these three things have happened:
(a)        At least 10 days have passed since any household member first experienced symptoms; and
(b)      Symptoms have improved for any household member that experienced symptoms (for example, cough or shortness of breath has improved); and
(c)       The household has been fever-free for at least 24 hours without the use of fever-reducing medicines.   

Please note, depending on the circumstances we may require you to obtain clearance to return from a medical provider before use of back-up care will be allowed.

HOUSEHOLD MEMBERS:  include individuals who may not live in the household but may be staying there or are otherwise present in the household on a regular basis (e.g. nannies, caregivers, home health workers, contractors, etc.) and includes anyone with pick up or drop off privileges at the center.

CLOSE CONTACT:  is defined by the CDC as (1) being within approximately 6 feet (2 meters) of a COVID-19 case for 15 minutes or more and can occur while caring for, living with, visiting, or sharing a health care waiting area or room with a COVID-19 case, or (2) having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on). Considerations when assessing close contact include the duration of exposure and the clinical symptoms of the person with COVID-19.

FOR MEDICAL PROFESSIONALS: If contact occurs while wearing recommended personal protective equipment or PPE (e.g., gowns, gloves, NIOSH-certified disposable N95 respirator, eye protection), that contact will NOT be considered Close Contact for purposes of this policy.

Health Check and Illness Policy – COVID-19

ILLNESS:
Suspension of a care session is sometimes necessary to reduce the risk of COVID-19 transmission. To reduce the risk of contagion, if your child, caregiver or anyone else present in the household becomes ill during a care session, you must relieve the caregiver and make alternate arrangements for supervision of your child(ren) within 1.0 hour of notification of illness.  

DAILY HEALTH CHECK:
All caregivers, families, children and their respective household members must conduct a daily health check before any back-up care session.  Should you or any household member have any of the following COVID-19-like symptoms during the preceding 72 hours**, you should not use back-up care that day and should notify us.
  • Cough 
  • Sore Throat 
  • Muscle Aches 
  • Difficulty Breathing
  • New Loss of Taste or Smell
  • Fever at or above the threshold temperature of 100.4° F* (or would have, but for the use of fever-reducing medicine).

*The threshold temperature is 100.4° F, unless a LOWER threshold temperature is imposed in the local jurisdiction or by the specific center.

**Note: If the exclusionary symptom has already been cleared by the COVID team, then a “yes” to the continued presence of a cleared symptom will not result in exclusion.

SYMPTOMS—CLEARANCE TO RETURN: Consistent with our COVID-19 Policy, a symptomatic household is not permitted to use Back-Up Care (inclusive of Home Care) for 10 days, unless clearance to return is provided. Where a medical provider assesses the symptomatic individual and can determine (i) that there is an alternate diagnosis causing the COVID-like symptoms (e.g., an ear infection is causing a fever), or (ii) the individual has tested negative, has been fever-free for at least 24 hours (without the use of fever-reducing medicines) and symptoms are resolving, the individual will be cleared to return and the ten (10) day exclusion period will not apply. In the case of clearance for an alternate diagnosis, if the medical provider cannot affirmatively identify an alternate diagnosis which causes the presenting symptoms, any unspecified diagnosis is presumed to be COVID, and the exclusion will continue. Clearance to return cannot be provided by a family member.

REPORTING SUSPECTED OR CONFIRMED CASE IN HOUSEHOLD: Notify us immediately if you become aware of any suspected or confirmed case of COVID-19 in your household within 14 days before or after any care session.

Mask/Face Covering Policy – COVID-19

CAREGIVERS AND FAMILIES MUST COMPLY WITH STATE AND LOCAL REGULATIONS REGARDING MASKS/FACE COVERINGS

Center-based Back-Up Care:

Families using center-based back-up care must comply with all mask/face covering protocols in place at the centers. These protocols may differ from center to center depending on state and local guidance.

In-Home Back-Up Care:

Adults: Adults must wear masks/face coverings when in the presence/same room as the caregiver, even if the adult is not in close contact with the caregiver.

Caregivers: Caregivers must wear masks/face coverings at all times when at a care session, except during a break or while eating (in each case, provided proper social distancing can be maintained).

Children: This guidance does NOT apply to children 5 or under, or to those who are advised not to wear a face covering for other health reasons. Parents should consult with their child’s health care provider if necessary (e.g., for children with certain conditions such as asthma), to determine if an individual child age 5 years and older is able to safely and consistently wear a cloth face covering while in care.

Children 5 and over should wear masks/face coverings when in the presence of the caregiver unless:

  • The child is interacting in on-line schooling activities, provided proper social distance from the caregiver is maintained
  • The child is unable to remove the face covering without assistance
  • The child has severe asthma or other breathing difficulties or safety concerns
  • The child has special educational or healthcare needs, including intellectual and developmental disabilities, mental health conditions, and sensory concerns or tactile sensitivity
  • The child continues to remove the face covering or otherwise cannot wear the face covering safely and consistently 

Face coverings should NOT be worn, but proper social distancing should be maintained:

  • While engaged in physical activities outside (unless otherwise required under local regulation)
  • If the face covering is wet or if the child is engaged in activities that may cause the face covering to become wet (e.g., swimming)
  • While eating at least 6’ apart from the caregiver
  • If the child is unconscious or otherwise incapacitated Masks/face coverings are NOT a substitute for social distancing, hand washing or other everyday preventative actions.

Masks/face coverings are NOT a substitute for social distancing, hand washing or other everyday preventative actions.