The Adult Care Home Program (ACHP) has compiled responses to Frequently Asked Questions for adult care home providers. Please click on the links below to read more.  Please contact us at 503-988-3000 or advsd.adult.carehomeprogram@multco.us with any questions you have regarding temporary policy or procedures changes, resources, trainings or other questions.   In addition, you can visit the Multnomah County COVID-19 website for up-to-date information and general resources.

COVID-19 Update 10/19/2021

Oregon Health Authority administrative rule #333-019-1010 requires all adult care home staff (paid and unpaid) to be fully vaccinated or have submitted a qualified exception form to their employer no later than October 18, 2021. This applies to all Operators, Resident Managers, caregivers and any other paid or unpaid staff in the adult care home.

Resources for COVID-19 Exceptions

Instructions for exceptions: Instructions (147.02 KB)

Religious exception form: Religious Exception Form (31.74 KB)

Medical exception form: Medical Exception Form (35.09 KB)

      COVID-19 Update 7/28/2021

      The ACHP acknowledges the ongoing efforts you as providers have made to ensure the safety and well-being of the people you serve, staff, their families and yourselves. It has truly been an unprecedented time for providers and we appreciate the patience and care that has been needed as we continue to navigate this. 

      Effective June 30th, 2021 Governor Kate Brown ended Oregon’s County COVID Risk Level framework and safety restrictions for the population outside of health care settings. While the decrease in COVID numbers and increase in levels of vaccinated Oregonians are promising statistics, we must continue at this time to exercise caution and apply appropriate safety measures to keep the most vulnerable members of our community safe within our health care settings. 

      According to the Oregon.gov website: “While the new Executive Order cancels most pandemic-related restrictions, it also reminds Oregon residents that masks are still required in health care settings, airports, airplanes and public transportation. The new Executive order also creates terms for ongoing recovery efforts that will be in effect through Dec. 31, 2021.”

      Adult care homes are considered health care settings because they provide direct client services in a residential care setting, including personal care activities that involve very close contact with an individual, such as toileting or bathing. See https://osha.oregon.gov/covid19/Pages/covid-19-QAscope.aspx

      Updated COVID Precautions for Adult Care Home Providers:

      Visitors

      • Visits must be allowed regardless of the vaccination status of residents or visitors. Adult care home staff should not ask visitors about their vaccination status. 

      • Screening visitors for symptoms of COVID is no longer required; however, you must maintain a visitor log with the date, visitor’s name and contact information, and the reason for the visit. This log must be maintained for the purposes of contract tracing in the event a positive COVID case is detected. 

      • Ask visitors who show signs of illness (such as fever or cough) or who have known recent exposure to COVID to postpone their visit until they are no longer symptomatic.

      • There is no longer a 2-person limit on visitors for both residents and household members. Residents, staff and household members of the adult care home may have multiple visitors in the home at the same time. 

      • In-person licensing visits will continue. Ombudsman visits will continue. In addition, case managers are starting to visit clients.

      • NOTE: No personal visitors are allowed when there is a COVID condition in place or when anyone in the home is undergoing testing for COVID. Essential visitors should be notified of the COVID condition or pending tests, but should be allowed in.

       Infection Prevention Precautions

      • Regardless of vaccination status, all visitors must continue to wear a mask when inside the adult care home.

      • Regardless of vaccination status, employees who do not live in the care home must continue to wear a mask when inside the home. 

      • Continue to practice good hand hygiene, including asking all visitors to use hand sanitizer or wash their hands.

      • Review the current OSHA rules for health care employers, including adult care homes, for more details. https://osha.oregon.gov/OSHARules/div1/437-001-0744.pdf

      Screening Residents

      • You may not deny an admission because a resident is not vaccinated.

      • We recommend you screen potential new residents for symptoms of COVID infection or for exposure to people known or suspected/presumed to be infected with COVID or who are awaiting test results for COVID 19 infection.

      • The following symptoms should be included in Covid screening: Fever or has felt feverish, chills, difficulty breathing, cough, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea.

      • You may request that a potential new resident get tested prior to admission. If the potential new resident tests positive or is suspected/presumed to be positive with COVID, see below for admission criteria.

      Admission / Readmission Criteria for Adult Care Home Residents With Confirmed or Presumed COVID Infection:

      Adult care homes can admit new residents or re-admit current residents following mild to moderate illness and who are not severely immunocompromised when:

      • At least 10 days have passed since symptoms first appeared, and

      • At least 24 hours have passed since last fever without the use of fever-reducing medications, and

      • All symptoms (e.g., cough, shortness of breath) have resolved, and

      • A note from the treating doctor gives permission to move into or return to the adult care home.

      Adult care homes can admit new residents or re-admit current residents following severe to critical illness or who are severely immunocompromised when:

      • At least 20 days have passed since symptoms first appeared, and

      • At least 24 hours have passed since last fever without the use of fever-reducing medications, and

      • All symptoms (e.g., cough, shortness of breath) have resolved, and

      • A note from the treating doctor gives permission to move into or return to the adult care home. 

      Reporting Positive COVID Test Results

      • Continue to report all positive COVID test results for adult care home staff, residents and household members to the Adult Care Home Program (503-988-3000) and to the Health Department Communicable Disease Team (503-988-3406)

      Vaccine availability (updated 10/21/2021)

      Responsibility for self-reporting confirmed or presumed COVID-19 infection

      Change in Condition Guidance

      Staff Screening

      Training on COVID-19, Infection Control, Precautions

      Mandatory PPE Use in Adult Care Homes (updated 8/27/2020) 

      Multiple Home Oversight

      Screening and Admissions, Rescreening

      Involuntary Move Notices

      Renewals (updated 1/21/2021)

      Background Check Updates (updated 1/8/2021)

      New Caregiver Applications

      Required Testing for Caregivers (updated 1/8/2021)

      Expiring Qualifications

      OIS recertification

      Visitors (updated 2/10/2021)

      Resident Outing Guidance

      Frequently Asked Questions (updated 8/27/2020)

      Additional Resources


      Vaccine Availability (updated 10/20/2021)

      Information about vaccine availability is changing daily. Boosters for the Pfizer vaccine have been approved for anyone who previously received two doses of Pfizer at least 6 months ago.  Moderna and Johnson & Johnson have not yet been approved for booster shots but are under review by the FDA and CDC.

      Please talk with residents and guardians about their interest in receiving the initial or booster vaccine. As with any medical care, a resident or their guardian has the right to make their own decision about whether or when to receive a vaccine. If residents are unsure, ACHP recommends that adult care home providers encourage residents to talk with their primary care provider to help them determine what is best for them.  If a resident wants a vaccine and has a guardian, ACHP recommends that the adult care home provider contact the guardian as soon as possible to obtain written consent, this may be required at the time of vaccination. Adult care home operators, staff and household members also have the right to make their own decisions about whether or when to receive a vaccine. 

      Responsibility for self-reporting suspected, presumed, or confirmed COVID-19 infection

      All providers are required to report to the ACHP anytime a resident, staff, or household member has shown symptoms (cough, fever, shortness of breath or serious fatigue), is pending COVID-19 test results, or has a positive test result for COVID-19.

      All providers are also required to report to the Multnomah County Health Department if any resident, staff or household members in your care home have tested positive or are suspected of having COVID-19. ACHP can provide the contact information for the Health Department Communicable Disease program, or visit www.multco.us/health.

      In addition, providers serving residents whose services are funded by Intellectual/Developmental Disabilities Services are also required to report to ODDS.  Information about reporting requirements including scenarios and the reporting form are available at https://www.oregon.gov/DHS/SENIORS-DISABILITIES/DD/Pages/ODDS-COVID-19-Information.aspx.

      Change in Condition Guidance

      You are required to notify the ACHP immediately if a resident, staff member or occupant is experiencing flu-like symptoms. Out of abundance of caution and lack of available testing we are requiring homes to be proactive to stop the spread of any COVID-19. Staff should be screened for coronavirus symptoms at the start of every shift using the Coronavirus Screening Form (211.99 KB). If they have any of the risk factors identified on the screening form, they should not be allowed to work. If a resident or occupant has flu-like symptoms:

      • Isolate that resident to their room and seek medical advice.
      • Clean all high-touch surfaces everyday and after the resident uses the bathroom.
      • You should wear a facemask and gloves whenever you enter the resident’s room.
      • Assess the resident’s symptoms often. Take their temperature and observe their breathing. 

      Seek immediate medical attention if the resident has:

      • Trouble breathing
      • Persistent pain or pressure in the chest
      • New confusion or inability to arouse
      • Bluish lips or face

      For more information about when to seek care, visit: https://multco.us/novel-coronavirus-covid-19/when-seek-care 

      Staff Screening

      In April 2020, ACHP sent an email to all caregivers asking them to self-assess for symptoms or possible exposure to COVID-19 before they report to work.  We have asked them to stay at home if they have been exposed or have symptoms of COVID-19, even if they only have mild symptoms.  

       In addition, we are asking Operators and Resident Managers to take the temperature of staff when they arrive at work, if possible. We strongly encourage the use of a non-contact thermometer. If you take your staff’s temperature orally or with some other thermometer that requires contact, thoroughly disinfect the thermometer immediately.  

      Guidance for All Adult Care Home Staff:
      Please stay home if you are sick, even if you only have mild symptoms.  Before you go to work, please take your temperature and complete the below self-assessment. 
      1. Do you have any signs or symptoms of a respiratory infection, such as a fever, cough, shortness of breath?  
      2. In the last 14 days,have you had close personal contact with someone with a suspected or confirmed diagnosis of COVID-19? 
      3. Have you worked in a facility that has a confirmed outbreak of COVID-19 or provided care to someone who was suspected or confirmed to have COVID-19? 

      If you answered yes to any of these questions, please call your employer and tell them you are unable to report to work.  

      Training on COVID-19, Infection Control, Precautions updated 1/27/2021

      All adult care home providers are required to follow recommendations and guidance for infection control provided by the CDC. Required precautions include: 

      • Using gloves when providing care
      • Washing hands frequently
      • Regular cleaning and disinfecting of frequently touched surfaces
      • Care providers who do not live in the home must wear masks while working.
      • Follow community guidelines when out in the community, including wearing masks and maintaining at least 6 feet physical distance. 

      Additional suggestions: Immediately wash hands and clothing when returning home from work or community visits.  Wipe down the lunch box and other tools or equipment used at work.  Remember to wipe down the doorknob and other frequently used furniture and spaces, at least daily. Keep sick people isolated in a specific room as much as possible. When possible, designate one caregiver to provide care for a sick resident and have other caregivers provide care to those who are not sick. 

      Weekly Health Department Webinars
      Multnomah, Clackamas and Washington County Health Departments sponsor regular webinars on COVID issues for group living facilities including adult care homes. Webinars are free and held every other Wednesday at 3 pm. Upcoming dates, topics and registration information are available here.

      Mandatory Infection Prevention Training
      All Operators and Resident Managers are required to complete a 45-minute COVID 19 Infection Prevention Training through Oregon Care Partners by August 15, 2020, and the training is highly recommended for caregivers. This 45-minute online training hosted by Oregon Care Partners and is worth .75 CEUs. There is a 15-question test at the end of the online training. The online class, “Infection Prevention: What You Need to Know About COVID-19 For Adult Foster Home and In-Home Caregivers” is available here: https://oregoncarepartners.com/app/#/class-details/1722  

      When you pass with a score of 80% or higher, you will receive a certificate.  Please fax the certificate to (503) 988-5722 or email it to advsd.adult.careprogram@multco.us.  ACHP will send you an email a three-question survey. Once you complete it, you will receive an additional 1.5 CEUs.  

      Please also review the infection control guidance and obtain additional information on disease prevention from the CDC at CDC infection control guidelines or https://www.cdc.gov/infectioncontrol/ .

      Oregon Care Partners offers a tool-kit through Relias titled “How To Prepare for Coronavirus (COVID-19) and Influenza.”  Search the title at this link: https://www.relias.com/resource

      Link to additional free training resources 

      Mandatory PPE Use in Adult Care Homes (updated 8/27/2020)

      All caregivers who live outside the Adult Care Home are mandated to wear masks or face coverings while working with residents.

      ACHP sent out a COVID-19 update on July 22, 2020 which explained that as part of Governor Brown’s Executive Order that all caregivers had to wear masks while providing care. While ACHP recommends that all caregivers wear masks while providing care if they are going out into the community, visiting friends and family and are unable to physically distance, Governor Brown's order did not require live-in caregivers to wear a mask while providing care.

      Exceptions to this may be granted if: 
      • The Adult Care Home caregiver has a documented medical needs that prevent them from wearing a mask 
      • Wearing a mask triggers a resident's anxiety causing them to act out stress behaviors, and resident's needs are documented in the resident’s care plan. 

      When working with residents who have COVID symptoms or who are confirmed COVID-positive, defer to the precautions outlined by CDC and COVID 19 Tool Kit.

      If masks are unavailable, the Operator must call the ACHP at 503-988-3000 to obtain appropriate PPE. 

      Multiple Home Oversight

      The Adult Care Home Program has temporarily suspended the requirement for Operators to conduct on-site, in-person visits to care homes with resident managers or shift managers. 

      Operators are still required to have oversight of their homes and to check in a minimum of three times per week. The goal is to limit the number of people who come into the care home in order to reduce possible exposure to COVID-19.  This temporary policy does not restrict Operators from visiting the home, but encourages them to utilize other methods of oversight where possible. 

      If you do visit the home, remember to have the Resident Manager screen you for COVID-19 symptoms or risk factors and document the screening on the Coronavirus Screening Form (211.99 KB)

      Ideas for maintaining oversight without entering the home: 

      • Ask Resident Managers to complete the self-audit tool and send it to Operator for review
      • Check in with residents by Facetime, Skype, or phone call
      • Review new physician orders or other documents by fax or email 

      Ask the Resident Manager to document your contact in the business records to demonstrate that you have engaged in oversight of the home three times per week.

      This temporary policy does NOT exclude Operators from visiting the homes. This policy is to inform you that there will be no corrective action taken if you do not physically visit the home. However, you are still required to maintain oversight of the home.  

      Screening and Admissions, Rescreening

      Every day we all receive new information regarding COVID-19 and the impact on our communities. The ACHP wants to ensure that providers have current information regarding screening new residents,rescreening residents and admission in ACHs.

      • Operators can continue to screen and admit new residents. Complete as much screening as possible by phone, record review and Facetime or Skype. Complete the Coronavirus Screening Form prior to admission.  
      • Operators must re-screen and re-admit residents after a hospital stay.   
      Initial Screening & Admission: 
      When you conduct your initial placement screening, please obtain as much information via phone or medical record review as possible. Please use Skype or other video tour technology instead of an in-person tour. Use the ACHP screening form to ensure the potential resident is within your classification and you have the appropriate amount of staff to provide care.

      At the time of admission, use the COVID-19 screening form (https://multco.us/file/87339/download)  to ensure the new resident does not have COVID-19 symptoms or risk factors. 

      Rescreening:
      It’s important to remember that admittance to the hospital or other facility is not a reason to deny a resident readmission to your ACH. A screening needs to be completed on both the ACHP screening form and the above COVID-19 screening form to ensure the resident is still within your classification and is medically stable. If your resident has been diagnosed with COVID-19, the hospital should give you verification that the resident has tested negative prior to readmission.

      A patient admitted to a hospital for non-COVID-19 related issues and no fever or respiratory symptoms may be readmitted to an AFH. As with any resident of an AFH, newly admitted patients should be monitored daily for fever and other symptoms of COVID-19 and promptly isolated if symptoms develop.

      Please reach out to the Adult Care Home Program with individual questions and further clarification.

      Involuntary Move Notices

      Involuntary Move Notice may not be issued solely because a resident has symptoms or a positive diagnosis for COVID-19. A list of  acceptable reasons can be found in MCAR 023-090-615. Any appropriate notice must be submitted to ACHP and will be evaluated and prioritized per available resources.

      License Renewals (updated 1/21/2021)

      ACHP has resumed license renewal inspections. When the county is in the "Extreme Risk" category, inspections will be completed document review and virtual video inspections. When Multnomah County is at a high, moderate or lower risk level,  in-person inspections will be conducted. In-person licensing visits will be conducted at ny risk level when there are health or safety concerns. 

      If you submit your license renewal application at least 30 days prior to your license expiration date, your license remains in effect and you will be paid on time. Your application must include a new Provider Enrollment Agreement. We are accepting applications via US postal mail, fax or email but prefer fax or email at this time. If you do not submit a license renewal application, your license will close on its current expiration date and you will not be paid.

      • Submit completed renewal applications at least 30 days in advance. 
      • Please fax 503-988-5722 or email it to advsd.adult.carehomeprogram@multco.us 
      • With each submission include a cover sheet with the name of the person you are sending to, your license number, and the number of pages.
      • ACHP is only accepting payment over the phone by credit or debit card.  ACHP will contact you by phone to arrange payment by credit card.
      • When faxing, please add your name and license number to each page document and number each page of the fax. 

      Background Check Extensions (updated 1/8/2021)

      All currently approved Care Providers (Operators, Resident Managers, and Caregivers), Housekeepers, Property Maintenance Staff, and Volunteers whose background checks were set to expire in 2021 will now be extended to 2022. ACHP will be sending updated approvals via email in order of expiration date. Individuals in these roles are not required to submit a renewal background check and do not need to contact the ACHP at this time.

      Background checks for Household Members and Occupants will not be extended. Background check requests for these roles continue to be due annually. Fingerprint requirement continue to be waived and are not required at this time.

      Please make note, ACHP continues to require all Operators, Resident Managers, and Caregivers to submit role renewal applications annually. These applications are separate from the background check request forms.

      New Caregiver Applications

      New caregivers are still required to submit caregiver applications. They can do so by faxing the forms to 503-988-5722 or emailing it advsd.adult.carehomeprogram@multco.us. New caregivers are required to bring their ID in person to the downtown office front desk. 

      Caregivers applying for jobs may interview at the home, but they must be screened for COVID-19 symptoms and risk factors before entering.  In addition, applicants must be kept away from resident's areas until they have been approved by the ACHP. 

      Once you are ready to hire an applicant, submit your background check request and caregiver application fax it to 503-988-5722, email it to advsd.adult.carehomeprogram@multco.us, or drop it off in person at the downtown office. Remember to include a copy of the applicant's government ID in your application.

      Required ACHP Testing for Caregivers updated 1/8/2021

      ACHP is not able to provide qualifying tests at this time because of the current restrictions based on County risk levels. We will keep this page updated and provide testing as soon as the restrictions change. While testing is suspended, ACHP can provide 1-on-1 testing if there is urgent need. Please contact Alex at 503-988-3000 for information.

      Information for DD-Caregivers Applicants: ACHP will now temporarily accept self-certification from DD caregiver applicants and issue preliminary approval while testing is suspended. To receive this temporary preliminary approval, DD caregiver applicants must submit the DD Basic Training Module Verification Sheet, located on page 3 of the DD basic training manual, affirming that they have studied the manual. Once this is submitted, the DD-Caregiver Applicant will be provided, via email, a Temporary Preliminary Approval Letter to start work with the restriction to not work alone. Applicants must give a copy to the Operator they would like to work for. Preliminary approvals are usually processed within 2 business days of all requirements being submitted. 

      Once testing resumes all DD caregiver applicants with this temporary preliminary approval will be contacted to register and take the DD Qualifying test. All applicants will be required to take and pass the test as soon as possible to continue working. If the applicant does not take and pass the DD Qualifying test, the temporary role will expire and they will no longer be approved to work. They will need to submit a new caregiver application and take and pass the DD Qualifying test in order to be approved. 

      When ACHP resumes testing, capacity will be limited to 9 people. Please register at https://multco.us/adult-care-home-information/basic-training-qualifying-tests . Remember to bring ID and Basic training certificates. 

      All new APD care providers are required to submit verification of completion of an approved Pre-Service dementia training. This training is available online through Oregon Care Partners. 

      Expiring Qualifications

      ACHP is extending all expiring qualifications for renewals (for example, First Aid, CPR, OIS, EQC test) 

      New care providers cannot work alone if they do not have First Aid or CPR. 

      ACHP understands that Operators and Resident Managers may not have been able to get an appointment for an updated Health Statement prior to submitting the renewal application. You may request an exception if you are unable to obtain this updated statement by the time of your renewal inspection. 

      CEU’s continue to be due during your licensing year. Many trainings available online. Please work with your licenser regarding CEUs. An exception may be possible at the time of your renewal.

      OIS recertification

      Some OIS instructors are offering the certification class. 

      OIS Participant certificates that expire in March, April or May 2020 will extended. The extension letter will be valid from May 1 through October 31, 2020 and encompass the same categories that the Instructor currently holds certification. Physical Skills recertification will occur in the month of October. This month was chosen as OIS Behavior Professionals, Non-Instructional are required to retest their physical skills techniques for their certification requirement by the end of that month. For more information contact your OIS instructor. 

      Visitors

      Visitation Updates 2/10/2021
      Multnomah County Adult Care Home Program is following the State's recommendations for visitation based on each county's risk level. Effective February 12, 2021, Multnomah County will be in the HIGH RISK category and indoor visits can resume.   ACHP will send a summary of indoor visit policies to licensed operators. Use these links review the detailed state policies for APD Adult Care Homes and DD Adult Care Homes
      • Extreme Risk: Visitation is limited to only essential visitors indoors, including compassionate care visits.  Outdoor visits with limited numbers and physical distancing is allowed, masks are encouraged.  Licensing visits will be limited to followup on health or safety concerns. 
      • High Risk: Essential visitors and personal visitors allowed, including family and close personal relationships. Visitors limited to 2 at a time in the adult care home. Licensing visits will resume. Ombudsman visits will resume. 
      • Moderate Risk: Essential visitors and personal visitors are allowed, including family and close personal relationships. Visitors are limited to 2 at a time in the adult care home. Licensing visits will continue. Ombudsman visits will continue.
      • Lower Risk: Essential visitors and personal visitors are allowed, including family and clos personal relationships. Visitors are limited to 2 at a time in the adult care home. Licensing visits will continue. Ombudsman visits will continue.
        Essential Visitors:
        The definition of essential visitor includes: 
        • Caregiving staff and prospective staff seeking employment 
        • Outside medical personnel 
        • Emergency responders including EMS, fire and police. 
        • Vendors, such as an appliance repair person,  but only when access to home is required 
        • Adult Protective Services staff engaged in an active adult abuse investigation 
        • Licensing staff 
        • Long Term Care Ombudsman and deputies 
        • Legal guardians on official business
        • Compassionate care visitors including friends or family members providing social/emotional support or comfort during challenging times. This includes during end-of-life stages, bereavement due to the loss of a loved one, or support for a resident who has just moved to a new setting and is adjusting to their new surroundings. If you are unsure whether a situation qualifies for "compassionate care" visit, please consult with your licenser or the Ombudsman Program.  
        Screening Visitors  
        Screen all visitors, including essential visitors and outdoor visitors, for COVID-19 symptoms and risk factors before they are allowed into the home. Please document these screenings using the Coronavirus Screening Form (211.99 KB) form and keep it in your business records.  Any visitors with symptoms of COVID-19 infection shall not be permitted to visit with a resident in the home or on ACH grounds. If any essential visitors are screened out and denied entry, please document this in the resident’s progress notes and notify ACHP.
        Outdoor Visitation on ACH Grounds
        1. Appointments for outside visitation should be scheduled so that only 1 resident with a maximum of 2 visitors are outside at any given time
        1. Providers must ensure all visiting stations are cleaned and disinfected between visitor sessions; 
        1. Food is not permitted during these visits. However visitors may bring their own water which cannot be shared with the resident. 
        1. All visitors must practice hand hygiene (including alcohol-based hand rub) prior to their visit with the resident and wear a mask or cloth face covering for the duration of the visit; Residents may have exceptions due to underlying medical conditions. 
        1. Residents and their visitors should be kept 6 feet apart. Create safe spaces by placing chairs at least 6 feet apart, marking the ground with tape, or by stationing physically distant tables in an outdoor seating area. 
        1. Only ACH facility staff may provide care including transfer to and from the visitation area. A caregiver familiar with the required protocols shall monitor visits to assure infection prevention procedures are being followed during visits. 
        1. All visitors must be screened using the screening log and restricted from visitation if: They have symptoms of COVID-19 including fever equal to or greater than 100.4, chills, cough, shortness of breath or difficulty breathing, sore throat, fatigue, muscle or body aches, headache, new loss of taste or smell, congestion or runny nose, nausea or vomiting, or diarrhea; or in the past 14 days, they have been exposed to anyone who is confirmed to have COVID-19 or has symptoms of COVID-19.
        1. Residents being quarantined or monitored due to the presence of COVID-19 symptoms shall not be permitted to have visitors on ACH grounds. 

        Indoor Visitation Guidelines (essential Visitors only when Multnomah County is in the Extreme Risk category)

        • All visitors must be screened for symptoms of COVID infection or exposure to COVID. Screening documentation including visitor contact information must be maintained in the home.
        • Visitors with symptoms of COVID or visitors who are required to quarantine due to exposure to COVID must not be permitted to visit.
        • All visitors must practice hand hygiene prior to visiting the resident and must wear a mask for the duration of the visit. Residents are also encouraged to wear masks and practice hand hygiene.
        • Visitors are limited to 2 people at a time. Appointments can be required to manage the number of visitors in the home at one time. 
        • Visitors' time in common areas should be minimized, and visiting areas should be cleaned or disinfected after each visit.

        While many residents and their families want to resume visits, there are still no non-essential visitors allowed inside the care home. We do understand how important it is to combat isolation. Below is a list of options to keep residents connected to loved ones.

        Virtual Visitation
        Virtual visits should be encouraged.  Providers who have access to Ipads or Laptops can allow residents to visit through Facetime or Google hangouts. The ACHP has electronic devices that can be borrowed from ACHP to support providers in providing this service. Please call or email to have a tablet delivered to your home. 

        Staying Connected to Family and Friends

        All across the country people are finding different ways to stay connected to family, friends and other important community members. Older adults are more susceptible to the detrimental effect of isolation, but social interaction is important to all, residents as well as providers, and statistically speaking, research has shown Love & Belonging is third in Maslow’s hierarchy of needs. 

        ACHP has received some wonderful stories about creative ways providers have been able to facilitate residents' connections to the important people in their lives. Here are some ideas on ways to safely support social visits:

        • On a warm sunny day, one family member visited a loved one outside on the patio, 6 feet apart, wearing PPE.
        • Through the glass door or window, families and friends have had short visits to offer love and support from afar.
        • Use an iPad or smartphone to video chat. If the resident can’t access the device, the caregiver could start the call.

        There is an app that has been recommended for those who like to be active, a caregiver and/or outside person can join an online fitness class with the resident: https://flextogether.com/

        As you navigate the complexities of COVID-19, it's important to find creative ways to maintain the balance of keeping your home safe and supporting resident choice. We have a desire to keep residents safe and we also need to support their emotional and social needs. By using your creativity, problem-solving skills, and working collaboratively with your care teams, residents can stay connected to family and friends.

        We know you are finding other creative ways to support residents and the ACHP would love to hear your stories to highlight in the newsletter.

        Resident Outing and Return Guidance

        Residents may leave the ACH but should be encouraged to stay at home and have virtual or outside visitation.If residents choose to leave the ACH for social outings, work or shopping, ACH providers should be screening upon re-entry from the community. 

        Before they leave home, remind the resident to: 

        • Wear a mask, 
        • Stay 6 feet apart from others,
        • Try not to touch the common surfaces
        • Wash hands with warm soapy water often
        • If available, give hand sanitizer.

        When returning from a community outing: 

        • Do daily monitoring for symptoms of COVID-19 and note the monitoring in progress notes. 

        • Ask the resident about their outing, and if the resident reports they have been exposed to someone who potentially has COVID-19:

          • The resident may be placed on a 14-day enhanced monitoring period and quarantine.

        Frequently Asked Questions

        FAQ's updated 8/27/20

        Question: Do I have to quarantine a resident every time they leave the house or have a family patio visit?

        Answer: No. As long as safeguards are followed including social distancing, wearing a mask, and sanitizing their hands, residents should not be required to quarantine. Also, quarantine should not be used as a punishment or way to discourage residents from outings.

        Question: If for some reason the resident becomes ill and is sent to the ER, would they then be placed in quarantine? 

        Answer: No. If the resident’s treating physician believes the resident has been exposed, they will advise you. If a resident is tested and is positive, the resident will not be readmitted until they have tested negative or after completing quarantine in a specialist setting. 

        Question: Are there different levels of quarantine?

        Answer: No. However, due to illness one resident may need more monitoring than another. 

        Question: I know visitors are not allowed, but can potential residents who I am screening for admission come to my ACH?

        Answer: No. Potential residents may not visit the home in person. ACH operators can allow potential residents to virtually visit through video chat.

        Resources

        Personal Protective Equipment Requests: If you are unable to get supplies such as gloves, masks or other resources, contact ACHP. ACHP currently has a limited supply of gloves, masks and disinfectant that can be delivered to homes.  ACHP is coordinating these resource requests for Adult Care Homes with the Multnomah County Emergency Operations Center.   

        Ideas for Activities: CHP has multiple resources with ideas for activities that can keep residents socially engaged while staying at home. Contact your licenser or the Worker of the Day for information. 

        Letters for residents and family: ACHP has sent out a letter to providers to share with residents and family that explains the restrictions that are currently in place. Contact ACHP if you need another copy of this letter. On 6/25/2020 updated letter was sent out.

        Letters for providers requesting stores allow additional supplies: Since the Governor issued an Executive Order directing Oregonians to stay home, we have heard from several providers who are concerned they will not be allowed to purchase adequate supplies for their care home residents and needs. The ACHP can provide Operators and Resident Managers with a personalized letter to use when addressing concerns regarding their need to be out in the community to provide ACH services. Operators and Resident Managers should call or email their licenser to request this letter. If you do not have a current assigned licenser, call ACHP at  503-988-3000 and ask to speak to the Worker of the Day.

        COVID 19 Testing: If you suspect a provider or resident that you are currently working with could be positive for COVID-19 and they were denied a test, please call the ACHP at 503-988-3000 as we may be able help get the caregiver or resident tested.

        The Senior Loneliness Line is available 24 hours a day for conversation and resources for adults 55 years and older at 503-200-1633.

        Multnomah County COVID-19 Website has up-to-date information about COVID-19: https://multco.us/novel-coronavirus-covid-19

        Regional Public Health Webinars For Group Living Facilities:  Regional public health staff host a free webinar every other Wednesday to answer questions for providers.  Dates, times, topics and registration links are available here: https://multco.us/novel-coronavirus-covid-19/covid-19-webinars-group-living-facilities