Updated as of August 25, 2021

In-Home Provider—COVID-19 Policy

Exposure:

If, within the last 10 days, any non-immune (as defined below) member of a caregiver’s household has a suspected or confirmed case of COVID-19, or has been in Close Contact with anyone who has a suspected or confirmed case of COVID-19, then unless the caregiver is immune, you must remove the caregiver from Bright Horizons Back-Up network. Immune caregivers do not need to be excluded because of Close Contact with a suspected or confirmed case of COVID-19.

Symptoms:

All symptomatic caregivers, including any immune individuals, must be removed from the network, unless cleared to return.

Individuals will be considered “immune” commencing:
  • For vaccinated individual: Two weeks after completing the full course of vaccination.
  • For previously positive individual (with lab-confirmed case): ten (10) days after the onset of symptoms, or, in the case of an asymptomatic individual, ten (10) days after the date tested.
Travel:

If a caregiver has traveled internationally within the last 10 days, you must remove the caregiver from Bright Horizons Back-Up network unless the caregiver was fully vaccinated at the time of travel.

After the applicable exclusion period has passed, you may return the caregiver to the Bright Horizons Back-Up network provided these three things have happened:
(a) At least 10 days have passed since anyone in the caregiver’s household first experienced symptoms; and
(b) Symptoms have improved for anyone in the caregiver’s household that experienced symptoms (for   example, cough or shortness of breath has improved); and
(c) The caregiver’s household has been fever-free for at least 24 hours without the use of fever-reducers

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

HOUSEHOLD MEMBERS: means anyone living or present in the household on a regular basis (e.g. houseguests, nannies, caregivers, home health workers, contractors, etc.).

CLOSE CONTACT: Someone who was within 6 feet of an infected person for a cumulative total of 15 minutes or more over a 24-hour period starting from 2 days before illness onset (or, for asymptomatic individuals, 2 days prior to test date).

Factors to consider in determining Close Contact include proximity, duration of exposure, whether the infected individual was symptomatic and/or generating respiratory aerosols (e.g., was coughing, singing, shouting), and other environmental factors (crowding, adequacy of ventilation, whether exposure was indoors or outdoors). Masks are not a substitute for social distancing. Consequently, when determining Close Contact for members of the general public, the determination should be made irrespective of whether the contact was wearing respiratory PPE or fabric face coverings.

FOR MEDICAL PROFESSIONALS: The determination of Close Contact for the potentially exposed individual will consider the use of recommended personal protective equipment or PPE (e.g., gowns, gloves, NIOSH-certified disposable N95 respirator, eye protection).



In-Home Provider 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 the care recipient, the caregiver or anyone else present in the household becomes ill during a care session, you must require your caregiver to notify you and Bright Horizons to make immediate arrangements, as needed, for supervision of the care recipient and for the caregiver to leave the household.

DAILY HEALTH CHECK:

All caregivers, families, children and their household members must conduct a daily health check before any in-home care session. Should your caregiver (or any household member of the caregiver) have any of the following COVID-19-like symptoms during the preceding 10 days, you must remove the caregiver from the Bright Horizons Back-Up Care network and 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-reducers). The threshold temperature is 100.4° F, unless a LOWER threshold temperature is imposed in the local jurisdiction or by the specific center.

All symptomatic caregivers, including any immune individuals, must be removed from the network, unless cleared to return.

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— RETURNING AFTER EXCLUSION:

Consistent with our COVID-19 Policy, you cannot return the caregiver to the network for 10 days.  There are, however, two options to return earlier following an exclusion due to symptoms:

PCR Return:  If the caregiver provides a copy of a negative PCR (or other molecular) test result for the symptomatic individual(s) showing the name, date of test and date of result, then the caregiver will be cleared to return and the ten (10) day exclusion period will not apply.  Antigen tests will NOT be accepted for this clearance option.

Clearance to Return: If a medical provider assesses the symptomatic individual and provides acceptable clearance to return, then the individual will be cleared to return and the ten (10) day exclusion period will not apply. Clearance to return will be acceptable if a medical provider confirms in writing that: a) the individual has tested negative and can return when fever-free for at least 24 hours (without use of fever-reducers) and symptoms are resolving, b) there is an alternate diagnosis causing the COVID-like symptoms and the individual has tested positive for a confirmed non-COVID microbiological diagnosis, or negative for COVID-19 using a molecular or antigen test for SARS- CoV-2, or c) there is an alternate diagnosis causing the COVID-like symptoms. Patients presenting with symptoms of an upper respiratory illness, or ear, nose or throat infection, must provide clearance to return pursuant to options a or b above, and option c will not be sufficient. Any unspecified diagnosis is presumed to be COVID-19 and the exclusion will continue.  Clearance to return cannot be provided by a family member, can only be provided to clear an exclusion for symptoms and is not sufficient to clear an exclusion for exposure. All Clearances to return must be reviewed and approved by the COVID-19 Response Team.

Early return requirements may change from time to time based on current conditions.

REPORTING SUSPECTED OR CONFIRMED CASE IN HOUSEHOLD:

Notify us immediately at providers@brighthorizons.com– indicating "Caregiver: Suspected/Confirmed Case" in the subject line – if you become aware your caregiver has a suspected or confirmed case of COVID-19 occurring within 14 days before or  within 48 hours after any care assignment through our Back-Up network.  In addition, notify us immediately of any other COVID-19-related concern with your caregivers or in your community, particularly any which may impact your ability to provide care in our Back-Up Network.

 



In-Home Care 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.  This guidance does not apply to adult care recipients who are:

  • Advised not to wear a face covering for health reasons;
  • Are unable to remove the face covering without assistance; or
  • Have severe asthma, breathing difficulties or other safety concerns.

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 under 2, 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 2 years and older is able to safely and consistently wear a cloth face covering while in care.

When in the presence of the caregiver, children 5 and over are required to wear masks/face coverings, and children over 2 are recommended to wear masks/face covering 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.



Best Practices for In-Home Provider Agencies

INTRODUCTORY CALL

Caregivers are required to reach out prior to each care session via phone or text to address the following questions and concerns before providing care:

  1. Health Checks. The caregiver will reiterate with the family:
    • The caregiver is required to complete a daily health check and currently complies with the check
    • Each member of the family’s household is required to complete their own health check (including a temperature screen) prior to EACH scheduled care session
    • Families are required to exclude themselves from care if anyone in their household has:
      • known or suspected COVID exposure
      • symptoms identified as part of the daily health check

  2. Mildly Ill Care. Due to the COVID-19 pandemic, caring for ill children is not allowed as part of the Bright Horizons’ back-up care program. The caregiver will confirm expectations with the family:
    • If the child/children becomes ill prior to a care session, the care session must be cancelled.
    • Should the caregiver arrive and find or become aware of a sick child or household member or learn the family should have exclude themselves because of symptoms, testing or exposure, the caregiver will contact their supervisor immediately.

  3. Masks. Caregivers and families must comply with state and local regulations regarding masks or face coverings. Confirm that the family understands that:
    • 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 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).
    • When in the presence of the caregiver, children 5 and over are required to wear masks/face coverings, and children 2 and over are recommended to wear masks/face coverings.This guidance does not apply to children 2 or under, or to those children who are advised not to wear a face covering for other health reasons.
    • The family must inform the caregiver before the care session, if any care recipient (child or adult) is unable to wear a mask due to the health and safety noted in the posted In-Home Care Mask/Face Covering Policy – COVID-19 Mask Policy.

  4. Available Outdoor Space. Outdoor time is strongly recommended.
    • Determine if there is outdoor space at the home location that can be used during the care session. If not, the caregiver should ask if there are any outdoor spaces nearby, such as a park the family would like the caregiver to use to increase the outdoor time during the care session.

  5. Social Distancing. Physical distancing greater than 6 feet is recommended by the CDC. The caregiver should understand:
    • The family’s position on physical distancing
    • Rules within the home
    • Rules outside the home
    • What are the family’s expectations for masks and physical distancing outside of the family unit?
    • The caregiver is not able to care for other children who are not included in the family’s reservation but the caregiver should understand how the family would like the caregiver to respond if approached by people outside the home (friends at the park or family members who stop by)?

  6. Arrival. How would the family like the caregiver to approach the home and greet the family?
    • This goal is to outline the procedures that will make the family feel safe and comfortable when the caregiver arrives at the home.

  7. Hand Hygiene. The caregiver will need immediate access to wash hands upon arrival to the home. Will the family be able to accommodate that?

  8. Sanitized Materials. The caregiver may bring sanitized supplies to interact with the child/children.
    • Does the family have any preferences with regard to bringing items into the home or would the family prefer using items in the home?

Day of Care Checklist
  • Complete daily health check prior to leaving for the family’s home.
  • Sanitize all caregiver bag supplies taken into the home (even if not used). If any items are unable to be sanitized, please do not bring into the home.
  • Greet the family as outlined in the introductory call instructions.
  • Immediately request somewhere to complete proper hand washing.
  • Verify information / instructions received during the introductory call.
  • Enjoy the day of care and be sure to wash hands frequently (caregiver and child(ren)), especially before and after meals as well as after using the bathroom.
  • Wash hands prior to leaving the care location.
  • Notify your supervisor immediately if there are any concerns about the care delivered.

 



GROUP CARE REQUIRED COVID POLICIES

The health and well-being of our families, provider partners and staff are our highest priorities.  In the interest of limiting the opportunity for transmission within our childcare communities, we require all group care providers in our network maintain and enforce:

  • COVID-19 Exclusion Policy which excludes individuals with known or suspected exposure (including through community spread),and
  • Daily Health Check Policy to screen individuals for COVID-19 symptoms/exposures

Both policies are based on guidance from the Centers for Disease Control and should be consistent with state and local laws, rules, regulations and guidance.

REPORTING SUSPECTED OR CONFIRMED CASES:

Notify us immediately at providers@brighthorizons.com– indicating "Provider: Suspected/Confirmed Case" in the subject line – if you become aware of any suspected or confirmed case of COVID-19 which occurred within 14 days prior to or 48 hours after any care assignment and which impacts any care recipient placed at the center/facility through Bright Horizons Back-Up network. In addition, notify us immediately of any other COVID-19-related concern in your community which may impact your ability to provide care in our Back-Up Network.



BEST PRACTICES FOR GROUP CARE

In an effort to assist in establishing your policies, Bright Horizons’ COVID-19 Exclusion Policy and Health Check and Illness Policy are included below for your reference.  Bright Horizons is recommending these best practice guidelines for all group childcare settings (camps, centers, family child care) in our network.

Center Policy—COVID-19

Exposure:

If, within the last 10 days, any non-immune (as defined below) member of your household has a suspected or confirmed case of COVID-19, or has been in Close Contact with anyone who has a suspected or confirmed case of COVID-19, then all non-immune members of your household must remain out of the center. For example, if a member of your household has been excluded from school due to a possible exposure, all non-immune members of your household must remain out consistent with Bright Horizons’ COVID-19 exclusion and return requirements. 

Symptoms:

All symptomatic individuals (including any immune individuals) and any non-immune member of that symptomatic individual’s household who have been excluded under the Center Health Check and Illness Policy-COVID-19 must remain out of the center, unless cleared to return.

Individuals will be considered “immune” commencing:

  • For vaccinated individual: Two weeks after completing the full course of vaccination.
  • For previously positive individual (with lab-confirmed case): ten (10) days after the onset of symptoms, or, in the case of an asymptomatic individual, ten (10) days after the date tested.
  •  

Travel:

If you have traveled internationally within the last 10 days, you must remain out of the center unless you were fully vaccinated at the time of travel.

After the applicable exclusion period has passed, you/your household may return provided these three things have happened:
(a)  At least 10 days have passed since anyone in your household first experienced symptoms; and
(b) Symptoms have improved for anyone in your household that experienced symptoms (for example, cough or shortness of breath has improved); and
(c) Your household has been fever-free for at least 24 hours without the use of fever-reducers.   

 

HOUSEHOLD MEMBERS: means anyone living or present in the household on a regular basis (e.g. houseguests, nannies, caregivers, home health workers, contractors, etc.) and includes anyone with pick up or drop off privileges at the center.

CLOSE CONTACT: Someone who was within 6 feet of an infected person for a cumulative total of 15 minutes or more over a 24-hour period starting from 2 days before illness onset (or, for asymptomatic individuals, 2 days prior to test date).

Factors to consider in determining Close Contact include proximity, duration of exposure, whether the infected individual was symptomatic and/or generating respiratory aerosols (e.g., was coughing, singing, shouting), and other environmental factors (crowding, adequacy of ventilation, whether exposure was indoors or outdoors). Masks are not a substitute for social distancing. Consequently, when determining Close Contact for members of the general public, the determination should be made irrespective of whether the contact was wearing respiratory PPE or fabric face coverings.

FOR MEDICAL PROFESSIONALS: The determination of Close Contact for the potentially exposed individual will consider the use of recommended personal protective equipment or PPE (e.g., gowns, gloves, NIOSH-certified disposable N95 respirator, eye protection).

 

Center 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, children must 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 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-reducers). The threshold temperature is 100.4° F, unless a LOWER threshold temperature is imposed in the local jurisdiction or by the specific center.

All staff, families, children and their household members must submit to a temperature check upon arrival at the center and must provide complete and accurate responses to the Daily Health Check. Anyone refusing to comply will not be permitted entry.  The Daily Health Check questions and the temperature threshold may be updated from time to time. All symptomatic individuals (including any immune individuals), and any non-immune members of the symptomatic individual’s household must remain out of the center, unless cleared to return.

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— RETURNING AFTER EXCLUSION:

Consistent with our COVID-19 Policy, a symptomatic household will be required to remain out of the center for at least 10 days.  There are, however, two options for a household to return earlier following an exclusion due to symptoms:

PCR Return: If the household provides a copy of a negative PCR (or other molecular) test result for the symptomatic individual(s) showing the name, date of test and date of result, then the household will be cleared to return and the ten (10) day exclusion period will not apply.  Antigen tests will NOT be accepted for this clearance option. 

Clearance to Return: If a medical provider assesses the symptomatic individual and provides acceptable clearance to return, then the individual will be cleared to return and the ten (10) day exclusion period will not apply. Clearance to return will be acceptable if a medical provider confirms in writing that: a) the individual has tested negative and can return when fever-free for at least 24 hours (without use of fever-reducers) and symptoms are resolving, b) there is an alternate diagnosis causing the COVID-like symptoms and the individual has tested positive for a confirmed non-COVID microbiological diagnosis, or negative for COVID-19 using a molecular or antigen test for SARS- CoV-2, or c) there is an alternate diagnosis causing the COVID-like symptoms. Patients presenting with symptoms of an upper respiratory illness, or ear, nose or throat infection, must provide clearance to return pursuant to options a or b above, and option c will not be sufficient. Any unspecified diagnosis is presumed to be COVID-19 and the exclusion will continue.  Clearance to return cannot be provided by a family member, can only be provided to clear an exclusion for symptoms and is not sufficient to clear an exclusion for exposure. All Clearances to return must be reviewed and approved by the COVID-19 Response Team.

Early return requirements may change from time to time based on current conditions. Once all COVID-19 concerns have been cleared, all returns must still comply with standard (non-COVID) return requirements per Bright Horizons Health Check and Illness Policy.

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 prior to or 48 hours after any member of your household has been in present at the center.