Loading...
HomeMy WebLinkAbout20-02 - Res. Adopting a Request for Variance from COVID-19 Phase 1 Recovery to Phase 2 Recovery - 2020/05/11 Resolution No. D"0 A Resolution Adopting a Request for Variance from COVID-19 Phase 1 Recovery to Phase 2 Recovery WHEREAS, Mason County Community Services, Public Health opened Incident Command for support of COVID-19 response on February 24,2020; and, WHEREAS, Mason County initiated Area Command on March 4, 2020 to address COVID-19 response; and, WHEREAS, The Governor has proposed a means by which counties may move from COVID- 19 Phase 1 response to COVID-19 Phase 2 response through the use of a variance request; and, WHEREAS, the Mason County Board of Health recognizes the need to balance safety from COVID-19 as well as the need to recover the economy and medical system; and WHEREAS, the Mason County Board of Health met in a special meeting, in compliance with the Open Public Meetings Act, on May 11, 2020 to consider the Application for Variance COVID-19 Phase 1 to COVID-19 Phase 2; and ,- NOW,THEREFORE BE IT RESOLVED by the Mason County Board of Health to approve the Mason County Application for Variance from COVID-19 Phase 1 to Phase 2 (Attachment A) and direct staff to send the application to the Washington State Department of Health. Adopted this 11"' day of May 2020 MASON COUNTY, WASHINGTON BOARD OF HEALTH �ck; �1 -ram Scott Hilburn, Hospital District#1 G�Ib&-f� Kathy McDowell, City Commissioner rf=-S W Kevin Shutttty, ommissi e Randy N atherlin, Commissioner Board of Health Resolution No.a�� Request to COVID-19 Phase 2 ATTEST Sharon Trask, Commissioner LAh,4, Peg n Buskirk, Hospital District #2 Melissa Drewry, Clerk f he Boar G `"� APPROVED AS TO FORM: Gary Plews, Fire Commissioner Tim Whitehea , Chief Civil Deputy Prosecutor Keri Davidson, Shelton School Board Page 2 of 2 J:\Board of Health\Resolutions\2020 BOH Resolutions-Proclamations\Resolution for COVID Phase 2 request.docx k AttachmentA M.aso.n. County Application for . Variance Phase Ito Phase2 Abstract Mason County application to Washington Department of Health to move from Phase s recovery to Phase 2 David Windom dwindom@co.mason.wa.us. � � , ' � � Contents .--` Statementof Purpose.............................................................................................................................z ` Washington's Phased Approach..............................................................................................................z PublicHealth Criteria .............................................................................................................................. Case Data ' ..............................................................................................................................................3 � Case.................. ............................................................. ................................................ _—'--.4 Case Calculations for Release------'-------------'—'-----'--'---------4 Hospitalizations, u —.--------------.-----------'---'--------------'S Physical Distancing Adherence Trends................................................................................................S Long Term ��'�� —'-------------'------''----'--------------S Readinessand Cap abilities Needed.........................................................................................................S HealthcareSystem Readiness............................................................................................................. Bed AxaUabi|it^ '.................................................................................................................................5 Ventilators-----------..--.-------------------_-----.'-----6 PPE................................................................................................................................. TestingCapacity and Availability.........................................................................................................6 .Case and Contact| ns----.--------------.----------------..6 - ) Ability to Protect High-risk Populations -----------------------.-------'—'7� Social � ----------------------------,--------_—'''—'7 MasonCounty is Ready...........................................................................................................................O Summary..................................................................................................................................................8 - ' � ' ' DAVDVYINDOM z ' Statement of Purpose . Mason County seeks a collaborative and responsible approach to moving our community from Phase 1 Recovery into Phase 2. Mason County with a comprehensive partnership with the community,tribes, health care,first responders,city,and county leadership,continue.to achieve meeting or.exceeding the criteria need to reopen our local economy and support medical systems. Mason County's population estimate is 66,768(census.gov,5/5/2020),which is below the next phase standard established by the governor's office.As a responsible governing body, Mason County is seeking this variance to prevent collapse or further unnecessary and preventable second and third order of effects. Washington's Phased Approach Governor Inslee, in collaboration with local elected officials,the Department of Health,and local health jurisdictions, has established a data-driven approach to reopening businesses and modifying physical distancing measures while minimizing the health impacts of COVID-Zg.This approach reduces the risk of COVID-3.9 to-Washington's most vulnerable populations and preserves capacity in our healthcare system,while opening businesses safely.The plan involves assessing COVID-ig activity in the state along with healthcare system readiness and our state's ability to perform extensive testing, isolate and manage cases, quarantine their contacts, and protect high risk populations.The state will implement a phased approach to reopening businesses and modifying physical distancing measures when disease activity is adequately suppressed,and readiness is achieved in four key areas. WASHINGTON"S PHASED APPROACH Modifying Physical Distancing Measures as we Reopen the State INDIVIDUALS AND BUSINESSES SHOULD FOLLOW ALL REQUIREMENTS LISTED ABOVE DURING ALL PHASES El El 11 Phase 1 Phase 2 Phase 3 Phase 4 High-Risk Resume public interactions, Populations' Continue tostsy Home,Stay Neahhy Continue to Stay Home,Stay Healthy Continue to Stay Home,Stay Healthy with Physics!distancing -Outdoor group rec.sports activities Parfewerpaoda) Recreationallacy lties at<50%capacity Outdoor recreation involving S orfewer (gyms,public'pods,etc.) Someoutdoor recreation eopleouWde your household -ProfosslonaIsportswithoutaudterxe Recreation (hunting,ftshing,golt boating,liking) Pwmping,be es,etc) participation horseracusl baseball,etcl Resume all recreational activity Gatherings -None Gather with no mom than eo le AIIow atherin swith no mare than -Oriveanspbitualaervice with Peale 9 9 (sodal,spiritual) one householdpeivehltle outside your household per week 50people Allow gatherings with>Sopeople Essentlaitravelandlimhednon-essential Essential travel and limited non-essentlal Travel travul for Phase l permissible activities travel for Phase l&0 permissible activities Resume non-essential travel Continuenon-essantialtrdval RemalNny manufacturing -Additional construction phases -1whome/domestfcservices -Restaurantsllaverm<75%capacity/ (nannies,housecleaning,etc), table size no larger thin10 •Refell(in•store purchases allowed •0arareas fn reshwrantllavems at with restrictions) Q5%capatity -Essential businesses open -Reaiestate -Movie theaters at<50%capacity •FxBtioy construction that meets -professfonalservices/office-based -Customer-fadny govermnerR serntes agreed uponcriteria Witnesses(telewarkrernalm strongly Itelemrk remains stronglyencouraged) Nlghtdubs -Landscaping encouraged) -Libraries -C..ert venues -Auto/RV/boat/oRvules -Hahand a)salomPoarbars -Museums •Largespu1 events BUSInesS/. -Ratall(cur"dopick-upordarsonly) -Petgroosningg •Allotherbusinessactivitiesnotyet •Ressmeunrestrictedstaffingoftvorksltes. -Carwashes -Restauronts/t..<So%capoclty table listed except for nightclubs and events but continue to practice physical Employers -Petwalkers size no larger than S(ne bar-area seating) with greater than 50people distancing and good hyg arse � 0 dA uaom„ta.eauvdnasrea.seommssr.+aor .w d:s.:a edta.st.wnedea,u medulmMltlmeltwatWdjmr.el{emm4d,FdWine cpltnlibckm,k4cgdmxum moJe,cab,e ercnEme pcMlvMAM Xruu,IwncWrknl rt�wt.e a�re'smnv+manprom{se4ptoateu{ink,ereoecsm.otncuwi(n'masnna9`vyt.immamrs�eraeeu'4rr�yrmomuvmrrdacaty,roar.euds,:atwurno�"v{naewsmna,taumenacxerw{n DAVID WINDOM 2 Mason County seeks to use a locally based version of this approach to move from Phase i as outlined, by the Governor's office,to.a Phase 2 as acknowledge in the following variance request..Mason County continues to experience very low occurrence of new.cases since the observed peak in late March. It is conceivable that low numbers of cases may continue to come in over an extended period with potential increased testing capacity statewide.As new cases trickle in,they fall well within the capability of the current resources available in Mason County to maintain further test,track, and trace. It is observed that all positive tests received in April and May have traced back to being symptomatic in March and continue to fall since the peak that was observed at the end of March. Mason County continues to move past the most highly infectious stage of COVID-1g. Businesses, organizations,,and the public have been incredibly responsible in complying with all recommendations. This has brought the case levels down but is also having increasingly harsh effects on economies and lives.With a comprehensive partnership with the community,tribes, health officials, emergency responders,city and county leadership, Mason County is strongly prepared and readyto move forward into Phase 2. Public Health Criteria Case Data Data as of May 01,202011:59PM PT Confirmed cases by county Haver over a county for details Total Confirmed 25 Cases i Total Deaths 1 I i y Total Tests 1,155 Percent Positive I 2.2% ry [A Mason County Age 0-19 0 0 Age 20-39 2 0 Age 40-59 9 0 Age 60-79 10 1 Age 80+ 1 0 Positive UnkAge 0 0 3. 1 httr)s://www.doh.wa.ciov/Emerciencies/Coronavirus DAVID WINDOM 3 0 Click here: COVID-19 in Washington State Illnesses that began in Confirmed Cases Data as of May 01,202011:59PM PT the 1ast4 to 7 days may not yet be reported.. *Confirmed cases 0 laHersan Caunry 4 0 IGng County ❑IGuap Coumy ❑IG12das County 3 ❑Krjddwco my ❑Ceais County C 15 Mason county 2 t❑6kanogan Count' . 0 m - Mason C—My � 4J 1 ® I II I I II I II I II Feb 2020 NW2020 Apr202D may 2020 Date of illness onset Case COVID-19 in Washington State Counties Number of Individuals Tested by Specimen Collection Date Mason cconty " Data as of May 01.202011:59PM PT 2.2% of individuals test positive Data maybe incomplete for the most recent dates. •Positive o Negative Y 40 A _ N 30 .. {[[ 0 20 E ��- 10 I ii l 3 I , ; I 0 a rr r / " r ■ ■ r� � P.9ar 2020 Apr 2020 May 2020 Specimen CoGlection Date Case Calculations for Release Using CDC recommendations of.77 new cases per soo,000 people and applying that to Mason County we show the following calculation. Convert.77/100,000 to x/64,000(Mason Population)= .45/64,000 cases per day. From March sst to May 15t=64 days. 25 cases/64 days= .38 cases per day,well below CDC recommendations. From April 215t to May 11th(three weeks)Mason County has had .23.cases per day which falls well within the ability of public health to track and trace as well as well within the health care system ability to treat. DAVID WINDOM 4 Hospitalizations As of May 151, Mason County has had two patients hospitalized in hospitals outside of Mason County. Mason General Hospital has had no in-patient cases of COVID-19. Mason General Hospital currently has capacity far more than what has been required for both COVID-19 and general patients. Physical Distancing Adherence Trends DOH does not maintain the same detailed set of adherence data for small counties as it does for greater Puget Sound urban communities.An extrapolation could be made using Seattle data for Mason County due to its proximity. "Based on the aggregated Facebook data,we can say with confidence mobility behavior in the greater Seattle area has reduced dramatically since early March,when it first became clear community transmission of COVID-19 was occurring in the area.Significantly fewer people are commuting to work,and many more people are spending their days at home. However,we see evidence of inconsistency, particularly during weekends. Mobility is not a direct measure of social distancing; while these data indicate people are spending much more time at home and away from shared spaces (which has been shown to reduce disease transmission),we cannot use it to determine the percent reduction in social contact.See the follow-up report to learn how these changes in mobility relate to reductions inCOVID-19 transmission."' Long Term Care Facilities Since the very beginning of the COVID-ig crisis, Mason County long term care facilities have been our highest priority prevention effort.To date, no instances of infection have occurred in our LTC facilities. Readiness and Capabilities Needed Healthcare System Readiness Bed Availability Throughout the COVID response Mason County has never reached or exceeded bed capability either for COVID patients or patients requiring hospital beds for other reasons.Currently Mason General stands mostly empty. Current Availability as of May 3, 2020 Within county: 231 beds Mason General Hospital • 26 beds available • 20 additional expansion beds In addition to hospital facilities, Mason County Community Services(MCCS)also has a too bed Alternate Care Facility ready to deploy to the middle school directly behind Mason General Hospital to provide further capability. MCCS also provided support to Community Lifeline to add a ten-bed capacity to care for ill homeless.County owned Building io converted to an isolation/quarantine facility 2 https://covid.idmod.org/data/Understanding_irhpact_of COVID_policy_change_Seattle.pdf DAVID WINDOM 5 r with 75 beds,showers,and porta-potties to handle an outbreak within the homeless population should one occur. Outside of county bed availability generally: • Thurston Capitol average 25 available • Thurston St. Pete average 37 Available • Kitsap Harrison 14-20 Ventilators Mason General currently has 3 ventilators with 4 on order and two bipap(non-invasive)machines which can be converted PPE • Mason General currently has adequate PPE for both COVID-1g response and clinical operations • Area Command has PPE for EMS, law enforcement and emergency management.The pipeline continues to fill • Mason General has the ability to surge within its own facility as well as having access to too beds in a public health provided Alternate Care Facility Testing Capacity and Availability As noted in the graph above, Mason County continues to maintain adequate capacity for testing. Mason General Hospital conducts daily drive-through testing averaging z5-35 tests per day. Other testing capacity exists with Harrison Hospital, Port Orchard,as well as Peninsula Health Care Systems in Belfair and Kitsap County. Laboratory resources are adequate through the public health lab and private labs.Total tests average 25-35 per day.Tests are geographically and economically:available to all populations. Case and Contact Investigations Mason County Department of Community Services, Public Health and Human Services Division maintains a highly trained communicable disease staff with experience in contacts investigations. Three full time staff are dedicated to current investigations with an additional staffing of seven investigators available should the need arise.At the peak in March, Mason County did not exceed the capacity of the first line series of investigators.loo percent of positive cases are investigated within 24 hours. Investigators maintain communication with positive cases throughouttheir case progression to ensure that positive cases have the resources needed through recovery. All cases with the exception of the two cases hospitalized outside of Mason County,all cases have isolated and recovered at home.The county has the capability to isolate/quarantine an additional 170 cases utilizing the alternate care facility and the Building 10 isolation and quarantine facility. Should the need arise, DOH maintains strike teams that would support Mason County Staff in contact tracing and tracking. DAVID WINDOM 6 Ability to Protect High-risk Populations Mason County maintains the ability to immediately respond to outbreaks in congregate settings such as long-term care facilities, homeless shelters,jails, and works with Department of Corrections for prison facilities. • To date,there have been no cases within the long-term care facilities in Mason County. Outreach to LTC's was the very first priority. • Mason County maintains internal capacity to respond to outbreaks within 24 hours and has the ability to reach out to DOH strike teams if needed. • Through local positive case reports and monitoring of the DOH website3, Mason County maintains situational awareness of cases and works with partners such as the Squaxin Tribe and Skokomish Tribe to ensure that vulnerable populations receive protection. Social Considerations The stress put upon the population from the"Stay Home, Stay Healthy"is beginning to takes its toll. Suicide rates since the lock down began have doubled past normal expectations.Though it can't be definitively listed as causation,there is a very high and suggestive correlation. The population sees the allowed activities as arbitrary and capricious.Anger continues to grow amongst those that were initially supportive of policies to reduce the effects of the virus. Lives and livelihoods are severely impacted. If restrictions cannot be relaxed in a controlled way immediately, public support may well vanish by the end.of May. 3 https://www.doh.wa.gov/Emergencies/Coronavirus DAVID WINDOM 7 Mason County is Ready Phase 1 Phase 2 High Risk Populations Continue to Stay Hone,Stay Healthy Continue to Stay Home;Stay Healthy jGolf,fishing,hunting,boating, All outdoor recreation involving fewer Recreation hiking) than S people outside your household bone - Drive-in spiritual services with one Gather with no more than 5 people from Gatherings household pervehicle outside your household perweek Limit non-essential travel within proximity Travel Only essential travel of your home New construction Remaining Manufacturing Esstential businesses open in-home domestic services Ixistingconstruction that meets Retail in-store criteria Real Estate i Landscaping Professional Services/office based Automobile Sales businesses 1 . Curb-side retail Salons and Barbers Car Washes Housecleaning Business/Employers Petwalkers Restaurants<iebcapacity 1. We have all the policies and support systems in place to move forward into Phase 2. Our case peak happened over a month ago. Cases per day are at.38 which is well below CDC recommendations Of.77- - cases per day/zoo,000. Our businesses and communities are prepared with great, common sense interventions of their own that fully support the effort to prevent a second wave(as an example,see Annex A).The Emergency Operations Center stands ready to implement the move to Phase z as soon as possible. Timeline(Tentative): • Monday May 4th, present to Area Command and key partners • Tuesday May 5th,send to Board of Health and County Commissioners • Wednesday May 6th, request letter of support from Mason General Hospital • Wednesday May 6th, request special meetings of the BOH and BOCC • Monday May szth,submit completed packet to John Wiesman,Secretary of Health. Summary Mason County strongly believes to have addressed each item in Governor Inslee's Plan to Re-open Washington at the state level based on county capabilities and data.We kindly request to be considered and approved to allow Mason County to join our neighboring counties of Grays Harbor and Jefferson in moving into Phase z. DAVID WINDOM 8 Latest Update: May 1,2020 Ridge Motorsports Park - Participant Guidelines Ridge Motorsports Park(RMP) In preparing for the return to participant track days,you will read about [CLEAN-COVER-CONFINE].As the country;and motorsports in particular,gradually eases back into business it is important to remember that everyone needs to remain aware of reducing and eventually eliminating the spread of COVID-19. Keeping these three simple words in mind as you go about your business will enable all of us to work toward the time when tracks will reverberate to the sound of motorsports and the cheering of fans. PRE-EVENT a. HEALTH i. If Participant is sick or displays symptoms of COVID-19,STAY HOME ii. Covid-19 Symptoms includes Fever, Muscle Pain, Cough, Headache,Shortness of breath or difficulty breathing,Sore Throat, Loss of Taste or Smell,Chills or Repeated Shaking with Chills. iii. CDC COVID-19 Symptoms/Symptoms of Coronavirus Guidelines: https://www.cdc.gov/coronavirus/2019-ncov/symptomstesting/­s ym ptoms.htm l b. PERSONAL HYGEINE i. Participants should wash hands with soap and water every 20-minutes throughout the day...Sanitizer should ONLY support hand-washing, not take the place of. [CLEAN] ii. Participants should wash hands after being in a public place,after blowing nose,coughing, or sneezing; preparing and/or consuming food. [CLEAN] iii. Participants should avoid touching their face. [CLEAN-COVER] I. CDC Hand-Washing& Hand Sanitizer Guidelines: https://www.cdc.gov/handwashing/when-how-handwashing.htmi C. PREPARATION i. NO CASH...Participants will need a Credit or Debit card as ALL transactions at the Facility will be CARD ONLY I Participants should bring cloth Face Cover(or similar)and Gloves...PLEASE DO NOT use any medical-style Face Masks or Gloves that Would otherwise be used by a health care worker. pg. 1 Latest Update: May 1,2020 Special consideration may need to be given to the fact that some Staff will be communicating via 2-way or 1-way radios. [COVER] iii. Ridge Cafe will be open with limited menu options...Participants should be permitted to bring a cooler...NO Alcohol...NO Glass. iv. Participants should prepare to stay in Race Haulers, Personal Vehicles,or Motorhomes following event. [CONFINE] d. CLEANING i. Participants shall professionally clean &disinfect all equipment prior to arrival to the Facility. [CLEAN] ii. It is highly recommended that all trucks,trailers, motorhomes and personal vehicles be actively disinfected through a wipe-down process by individual attendees prior to arrival at the Event. Professional cleaning services may be considered by some Participants. [CLEAN] e. CONSIDERATIONS i. If you live with someone over the age of 65 or with underlying medical conditions,you should consider staying home or be prepared to self-quarantine upon your return. [CONFINE] ii. CDC`How to Protect Yourself&Others'Guidelines: https://www.cdc.gov/coronavirus/2019-ncov/prevent-gettingsick/prevention.html f. TRAVEL I. Participants should travel and attend with household contacts only if possible. [CONFINE] iii. CDC Travel Considerations: https://www.cdc.gov/coronavirus/2019ncbv/travelers/travel-in-the-us.htmI EVENT EXPERIENCE a. ARRIVAL L Participants should leave one (1) parking space in between ALL Race Haulers and park in their respective designated area. [CONFINE] b. TRANSACTIONS L There will be NO Cash transactions at the Facility...ALL transactions must'be by Credit or Debit Card. C. SOCIAL DISTANCING L Participants should practice Social Distancing at ALL times at the track day including any necessary one-on-one conversation. [CONFINE] ii. CDC Social-Distancing Guidelines: pg.2 Latest Update: May 1,2020 i i https://www.cdc.gov/coronavirus/2019-ncov/prevent-getti ngsick/socia l- distancing.htmI d. GROUPS i. Participants should not congregate in groups larger than ten (10)and when/if doing so they should practice Social-Distancing and should wear cloth face covers. [COVER-CONFINE] e. PERSONAL HYGEINE i. There will be hand-washing stations located throughout the Facility. Participants should wash hands with soap and water every-20-minutes throughout the day...Sanitizer should ONLY support hand washing, not take the place of. [CLEAN] ii. Participants should wear cloth Face Cover(orsimilar)and Gloves when around other Attendees...PLEASE DO NOT use any medical-style Face Masks and Gloves that would otherwise be used by a health care worker.Special consideration may need to be given to the fact that some Staff will be communicating via 2-way or 1-way radios. [COVER] iii. Participants should avoid touching their face. [COVER-COVER] iv. Participants should cover ALL coughs&sneezing. [COVER]v. CDC Hand-Washing&Hand Sanitizer Guidelines: https://www.cdc.gov/handwashing/when-how-handwashing.html f. ACCESSIBLE AREAS i. ALL Participants MUST stay in the participant parking Areas,specifically their designated pit area, other than when on the track. [CONFINE] ii. There will be NO spectator access g. CONCESSIONS i. Ridge Cafe will be open with a limited menu. ii. There will be NO CASH transactions at the cafe;all items should be paid for by Credit or Debit Card. iii. When lining up to enter the Facility,or for the Ridge Cafe, Participants should observe the pre-marked lines indicating six-feet spacing. [COVER-CONFINE] iv. Food and beverages should be consumed at respective pit location. (there will be no "Food Court"orseating area forgroups) [CONFINE] pg.3 Latest Update: May 1,2020 POST-EVENT PLAN a. CLEANING L Participants are strongly recommended to use active disinfection of high-use surfaces through a wipe-down prior to leaving the Facility. [CLEAN] ii. It is highly recommended that Participants conduct additional disinfection upon returning to their homes, places of business or race shops. It is encouraged to employ a lockdown strategy for a period of 96 hours. [CLEAN- CONFINE] b. HEALTH i. If an attendee feels any COVID-19 Symptoms within 72 hours of thecompletion of the track day we ask you to contact the event organizer and see your primary doctor. (CONFINE) ii. Covid-19 Symptoms includes Fever, Muscle Pain,Cough, Headache,Shortness of breath or difficulty breathing,Sore Throat, Loss of Taste or Smell,Chills or Repeated Shaking with Chills. CDC GUIDLINES b. SUPPORT DOCUMENTS i. COVID-19 Symptoms a. https://www.cdc.gov/coronavirus/2019-ncov/symptomstesting/symptoms.html I Community Mitigation Strategies a. https://www.cdc.gov/coronavirus/2019ncov/downloads/community-mitigation- strategy.pdf iii. Hand Washing&Hand Sanitizer Use a. https://www.cdc.gov/handwashing/when-how-handwashing.htmi iv. Mass Gathering Guidelines a. _https://www.cdc.gov/coronavirus/2019-ncov/communitv/large- Events/mass-gatheri n gs-rea dy-fo r-COVI D-19.htmI v. How to Protect Yourself&Others a. https://www.cdc.gov/coronavirus/2019-ncov/prEvent- gettingsick/prEvention.html vi. Social Distancing Guidelines a. https://www.cdc.gov/coronavirus/2019-ncov/PrEvent-gettingsick/social- distancing.html vii. Travel Guidelines a. https://www.cdc.gov/coronavirus/2019-ncov/travelers/travel-inthe-us.htmI pg.4 Latest Update: May 1,2020 viii. Aerosol and Surface Stability of SARS-CoV2 as Compared with SARS-COV1 a. https://www.neim.org/doi/full/10.1056/NEJMc2004973 ix. Cleaning and Disinfection for Community Facilities a. https://www.cdc.pov/coronavirus/2019ncov/community/organizations/cleaning -disinfection.html x. FDA Food Safety and the Coronavirus Disease 2019 (COVID-19) a. https://www.fda.gov/food/food-safety-during-emergencies/foodsafety-and- coronavi rus-d isease-2019-covid-19 A CDC Prevent the spread of COVID-19 if you are sick a. https://www.cdc.gov/coronavirus/2019-ncov/downloads/sick-with- 2019-n cov-fa ct-s h eet.pdf xii. CDC Cleaning and Disinfecting Your Facility a. https://www.cdc.gov/coronavirus/2019ncov/community/disinfecting-building- facility.html xiii. CDC Guidance for Businesses and Employers to Plan and Respond to Coronavirus a. https://www.cdc.gov/coronavirus/2019-ncov/community/guidancebusiness- response.html xiv. Guidance on Preparing Workplaces for Covid-19 a. https://www.osha.gov/Publications/OSHA3990.pdf This document has been reviewed by and incorporates feedback from the following industry experts: Agajanian &Anthony, P.C. www.agajanianandanthony.com Mr.Jeff Ladd Sports Insurance Specialists, LLC www.kicksomerisk.com Jack Faircloth, MD Atrium Health Diplomate ABFM North Mecklenburg County, NC COVID-19 Briefing Coordinating Panelist pg.5