Child Care Centres During COVID-19

Return to child care or school

People who need an assessment for testing based on their symptom(s) are not permitted to return to school, child care, or go to any public setting until one of the following criteria is met:

• A health care provider has advised that a test for COVID-19 is not indicated AND they have been symptom free for 24 hours without use of fever reducing medications, such as Ibuprofen / Advil, Acetaminophen / Tylenol, OR it has been 10 days since symptom onset (whichever is shorter).
• If the health care professional determines the individual's symptoms are something other than COVID-19, they are to remain at home until 24 hours after symptoms go away completely, OR 10 days after symptom onset (whichever is shorter).
• Test was negative for COVID-19 AND it has been 24 hours since symptoms have gone away completely, OR 10 days after symptoms started (whichever is shorter)
• Completion of 10 days self-isolation since the day the symptoms began. This includes individuals who test positive and those who have chosen not to be tested
• Positive infected persons are to self-isolate for a minimum of 10 days after the positive infected person's symptoms started, or as directed by Public Health
• Household members of symptomatic children going for testing should self-isolate
• For children with only one group 2 symptom, meaning they don't necessarily need a test or health care assessment, testing is still encouraged, but isn't required

Failed screens, absences, and every serious occurrence report don't need to be reported to Niagara Region Public Health.

Reporting

• When to contact Public Health

  This policy overrides the Operational Guidance During Covid-19 Outbreak Child Care Reopening Guidelines for reporting suspect cases.

  Call Niagara Region Public Health to report confirmed COVID-19 cases.

  Call Niagara Region Public Health to report suspect cases proactively (before test results are back) if staff or children are symptomatic (have symptoms) AND they have had exposure.

  An exposure is:

  • Symptoms and travel outside of Canada in the last 14 days
  • Symptoms and exposure to a known case in the last 14 days

  Don't report staff or children who are symptomatic and going for testing without any known exposure even if a serious occurrence report is completed.

  Call Public Health when you suspect an outbreak. As per the Child Care Manual, an outbreak may be in effect when there are two or more children or staff, who attend the same child care setting, with similar signs and symptoms that:

  • Occur within 48 hours in the centre, or
  • When the number of ill staff / children exceeds what is normal in the child care centre within a short period of time
• Others who cannot enter child care centres

  In addition to a failed screen, exclusion from child care applies to those who:

  • Reside with anyone who shows symptoms of COVID-19 AND a decision has been made by the family or health care provider that a child will be referred for testing
  • Have been exposed to a confirmed case of COVID-19
  • Have travelled outside of Canada. They must self-isolate for 14 days upon their return.
• Children or staff who develop symptoms of COVID-19 while in a child care centre

  Any child or staff who develop symptoms of COVID-19:

  • Should be isolated in a separate room and family members contacted for pick up
  • Should return home and follow the steps outlined in our screening for symptoms of COVID-19
• Outbreaks

  An outbreak may be declared by Public Health when, within a 14-day period, there are two or more laboratory-confirmed COVID-19 cases in children, staff / providers or other visitors with an epidemiological link where at least one case could have reasonably acquired their infection in the child care setting. Examples of an epidemiological link include cases in the same room or cases that are part of the same before / after school care cohort.

  Surveillance testing

  • If a parent / guardian is tested for COVID-19 as part of surveillance testing by the employer and is asymptomatic (has no symptoms), they may continue to bring their child to the child care centre / home child care program while waiting for the outcome of the test

  • If the home child care provider and / or any resident of the home is tested for COVID-19 as part of surveillance testing by the employer, and is asymptomatic (has no symptoms), home child care may continue in the home child care premise while waiting for outcome of the test

  Individuals who have no symptoms, went for testing, have no exposure, are awaiting results, and haven't been told by Niagara Region Public Health to isolate, don't need to be excluded from child care.

  Refer to the Province of Ontario to review COVID-19 cases in schools and child care centres. This page is updated every weekday at 10:30 a.m. by the Province with the most up-to-date COVID-19 information available, including a summary of cases in schools and licensed child care centres and agencies.

• Serious occurrence reporting

  Previously, licensees were required to report all suspected cases of COVID-19 to the ministry. Currently, licensees only need to report the following as a serious occurrence to the ministry:

  • When a child, staff, student, home child care provider, home child care visitor or a person who is ordinarily a resident or regularly present at a home child care premises has a confirmed case of COVID-19, such as a positive COVID-19 test result

  Regulatory changes to O. Reg. 137/15 have been made under the Child Care and Early Years Act, 2014, including serious occurrence reporting of confirmed or suspected cases of COVID-19.

  Don't notify Public Health for every serious occurrence report unless it meets the criteria under 'When to contact Public Health'.

  A serious occurrence report must be submitted under the category suspected / confirmed case of COVID-19 when one of the following individuals has a confirmed case of COVID-19 OR a suspected case involving the individual showing one or more symptoms AND the individual has been tested, or has indicated that they will be tested for COVID-19

  • A child who receives child care at a home child care premises or child care centre
  • A home child care provider
  • A person who is ordinarily a resident of a home child care premises, such as the home provider's child or spouse. For a complete definition, refer to the Home Child Care Licensing Manual.
  • A person who is regularly at a home child care premises, such as the home provider's friend who visits the premises once a week. For a complete definition, refer to the Home Child Care Licensing Manual.
  • A home child care visitor
  • A parent of a child mentioned in sub clause (i.)
  • A staff member at a child care centre 
  • A student at a home child care premises or child care centre

  When a serious occurrence is reported for a suspected case (as defined above) and the individual's test results are positive, licensees must update the original serious occurrence report submitted and add this information.

  If a second individual develops a suspected or confirmed case, and there is still an open serious occurrence report, licensees must update the existing / open serious occurrence report to add this information. A new serious occurrence isn't required when there's an existing report.

  However, where a second individual develops a suspected or confirmed case and there isn't an open serious occurrence report under this category, the licensee must submit a new report. 

  Should the entire child care centre, part of the child care, such as a program room, or a home child care provider's home close due to a "confirmed or suspected case", a separate serious occurrence for an unplanned disruption of service isn't required. Licensees must include this information in the serious occurrence report and / or update the serious occurrence report when the closure occurs.

COVID-19

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