Updated as of September 25, 2020

IN-HOME PROVIDER POLICIES

COVID-19 Policy

You must remove any caregiver from Bright Horizons Back-Up network if the caregiver (or anyone in close contact with the caregiver) 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 member of the caregiver’s household first experienced symptoms; and
(b)        Symptoms have improved for any member of 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-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 back-up network 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 caregiver or anyone else present in the household during a care session becomes ill, your caregiver should notify you immediately and notify the family to make arrangements for alternate supervision of the 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 a caregiver have any of the following COVID-19-like symptoms during the preceding 72 hours, the caregiver should not provide care and should notify you.

  • 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.

SYMPTOMS—CLEARANCE TO RETURN:

Consistent with our COVID-19 Policy, you cannot return the caregiver to Bright Horizons’ network for 10 days, unless you receive clearance to return from your caregiver. 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- CAREGIVER: 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 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.

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.

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 should 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 should be cancelled.
  • Should the caregiver arrive and find a sick child or learn the family should be excluded due to the COVID-19 or health check policy, 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).
  • Children 5 and over should wear masks/face coverings when in the presence of the caregiver. This requirement does not apply to children 5 or under, or to those who are advised not to wear a face covering for other health reasons.

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 PROVIDER POLICIES

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 should be 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 of 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.

COVID-19 Policy

You must remove any caregiver from Bright Horizons Back-Up network if the caregiver (or anyone in close contact with the caregiver) 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 member of the caregiver’s household first experienced symptoms; and
(b)        Symptoms have improved for any member of 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-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 or facility 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 program.

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 symptom.

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 (which have not already been cleared to return through the center), 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.

SYMPTOMS—CLEARANCE TO RETURN: Consistent with our COVID-19 Policy, the 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.