[Note: This policy is subject to change pursuant to state, county or city ordinances or new guidance provided by the CDC, ODH, ODE, local health departments or any other prevailing authority]
During the COVID-19 pandemic, Early Intervention Vision Services (EI) continues to strongly encourage the utilization of tele-visit and virtual service options wherever possible since this remains the safest way to provide EI services. EI recognizes that sometimes it is not possible to serve families through virtual-only methods and supports safely providing some EI services in-person in those cases where it is necessary.
In order to provide in-person EI services, EI teams must use the Individualized Family Service Plan (IFSP) process to determine the method of EI service delivery. The IFSP process should be used to determine how best to utilize a particular EI service to meet an outcome and consider factors such as the progress being made toward the outcome using virtual options; the health risks of the child being served, caregivers, and other family members; and the extent of COVID-19 spread in the local community. Any determination on whether an in-person service is necessary must be made by the IFSP team in conjunction with the OSSB Early Intervention supervisor.
OSSB EI Employees and contractors must continue to follow all State and local public health orders and guidelines and agency policies related to how EI services will be provided during the COVID-19 pandemic.
If the IFSP team has determined that an in-person EI service visit is necessary, the following protocols are to be put in place. 
Prior to the Home Visit:
- Ensure home visitors have access to required face coverings and have been trained in the use and disposal of face coverings.
- Ensure home visitors have access to thermometers in order to have daily temperature checks.
- Ensure home visitors have access to disposable gloves and have been trained in the use and disposal of disposable gloves.
- Report any employee, contractor or client/program participant infections to the local health department and assist with contact tracing.
- Encourage any employees or contractors suspected of having COVID-19 or who has been exposed to COVID-19 to contact their primary care physician as necessary.
- Contact the client/program participant or family to obtain approval to conduct the visit in-person instead of virtually.
- Ensure that the home visitor conducts a daily symptom assessment prior to the home visit.
- Ensure that home visitors who are symptomatic notify their supervisor and do not make any home visits.
- Ensure that home visitors who have a fever above 100.4 degrees notify their supervisor and do not make any home visits.
- Prior to making the home visit, the home visitor must contact any county health providers that would be accompanying them on a home visit to determine if 1) they have had close contact with a COVID-19 positive or presumed COVID-19 positive case, 2) complete a symptom assessment for that individual and ensure that they do not have a temperature over 100.4 degrees. If any county health providers that would be accompanying the home visitor is symptomatic, has a fever of 100.4 degrees or higher or has had close contact with a person who is COVID-19 positive or is presumed to be COVID-19 positive, the county health provider must not accompany the home visitor, even if that means the home visit needs to be cancelled and rescheduled.
- Prior to making the home visit, the home visitor must call the individual or family being visited to 1) determine if the individual or anyone in the family has had close contact with a COVID-19 positive or presumed COVID-19 positive case, 2) complete a symptom assessment for the participating individual and all others in their household and 3) ask if the participating individual or anyone in their household has a fever of 100.4 degrees or higher.
- If the individual being visited or anyone in their household is symptomatic, has a fever of 100.4 degrees or higher, or has had close contact with a person who is COVID-19 positive or presumed COVID-19 positive, the home visit must not be held and must be re-scheduled.
- Upon arrival, prior to entering the home for a home visit, the home visitor must repeat the symptom assessment. If anyone in the household is symptomatic or has had close contact with a person who is COVID-19 positive or is presumed to be COVID-19 positive, the in-person home visit must be cancelled.
- Home visitor must clean and sanitize hands prior to starting the home visit.
During the Home Visit:
- The home visit should be conducted outside if at all possible.
- The home visitor must wear a facial covering which covers the individual’s nose, mouth and chin and/or other appropriate PPE during the entirety of the visit.
- The home visitor should ask program clients/participants and household members to consider wearing face coverings at all times during the home visit.
- The home visitor should utilize disposable gloves as much as possible when needing to be in contact with a participant.
- The home visitor must ensure a minimum of six feet between the home visitor and members of the household except when necessary to complete a required component of the visit.
- The home visitor should only bring items needed for that visit into the home and should not share those items (paper, pens, etc.) with individuals in the household.
- Limit home visit participants to those necessary to complete the home visit.
- Request that household members not involved with the home visit to stay in a different part of the house from where the visit is taking place.
- If possible, home visitor should utilize a hard chair that can be sanitized after the home visit. Alternatively, the Home visitor can bring a disposable plastic tablecloth to place on a chair during the home visit. Home visitor should also consider bringing their own chair that can be sanitized between home visits.
- The home visitor should avoid placing personal items (laptops, tablets, binders, etc.) on any surfaces that have potential contamination.
- Home visitor should clean or sanitize hands frequently.
After the home visit:
- Home visitor must clean/sanitize any laptop, tablet, binders, pens or other equipment used during the home visit.
- Home visitor must clean or sanitize their hands upon departure.
- Home visitor must clean or dispose of their face covering at the end of the day or after an encounter with an individual who is COVID-19 positive or presumed COVID-19 positive, symptomatic of COVID-19 or whenever the mask becomes visibly soiled or wet such that it makes breathing difficult.
- Home visitor should consider cleaning items worn to a home visit.
- Home visitor should consider cleaning or sanitizing their car at the end of their work day.
- The home visitor must notify their supervisor if they learn of individuals with COVID-19 symptoms.
- The home visitor must maintain accurate records of completed home visits including the date and time of the home visit, the name(s) of the individual(s) participating in the visit and contact information to assist in any necessary contact tracing.
 For purposes of this policy, a home visitor is defined as a person who provides program services to individuals/families in their home.
 Refer to the OSSB/OSD Screening and Isolation Policy for a list of new, non-chronic symptoms that are indicative of COVID-19.
 Close contact is defined as being within 6 feet for more than 15 minutes of a person who is COVID-19 positive or presumed COVID-19 positive. This includes living in the same household or caring for someone who is COVID1-19 positive or presumed COVID-19 positive or being in direct contact with secretions from a person sick with COVID-19.
Adoption Date: 08-31-2020