COVID-19 County Safety Plan 2897

Health Department
County Building (Olean)
1 Leo Moss Drive
Suite 4010
Olean, New York. 14760
United States
Contact Information
Colette M Lulay-Pound
(716) 517-7563
Physical Distancing
Yes
Yes
Yes
Yes
Yes
Yes
The Health Department willmake sure that all staff have completed the assigned COVID-19 Target Solutions training provided by the Department of Human Resources. Face coverings have been /will be provided to staff and PPE to both field and medical staff. Health Department policy will be updated to require that all use of shared space (breakrooms, bathrooms, hallways, walkways) will require all staff to wear a face covering and practice social distancing. Health Department policy will be updated to require that all employees that huddle in an enclosed space (supervisor's / co-worker's office or cubicle) will be required to wear a face covering or avoid such huddles all together wherever possible. All breakrooms and conference rooms will be posted for 50% occupancy of maximum capacity. Break rooms, hall ways, walk ways, time clock areas will be marked with tape and signs to indicate the 6 foot social distancing space requirements.
- The Health Department currently has employees that can work from home if necessary. The continuation of this work arrangement will depend on the county legislature adopting a policy to allow for such a work arrangement. If this does occur, we will use the space, once occupied by this workforce, to expand current workstations to provide more distance between staff.
- Several health department divisions participates in telemedicine and telehealth and will continue that practice going forward to reduce the foot traffic within the department and reduce their exposure to the general public.
Yes
Yes
Health Department policy will be updated to require that all meetings, trainings and huddles will be done through WebEx / phone conferencing when there is over 10 people participating, there are participants from the public or outside agencies or there is not an appropriate space available that will allow for 6 foot social distancing.


Yes
The Health Department currently has staff that are or can work from home. If a person in the department has an underlying health condition and has to be exposed to the public, the health department will provide the individual with the appropriate PPE to reduce the transmission of the virus to the employee, and when possible, will use teleconference and telework to reduce exposure to the employee in an attempt to minimize contact with the public.
- When possible, the Health Department will reduce its foot traffic by offering telemedicine, teleconferencing in areas like Early Intervention, WIC, and occasionally Family Planning. When conducting interviews, the department will conduct all initial interviews via teleconference or over the phone.
Working from Home:
1) Early Intervention: Early Intervention Services Coordinators (2), Early Intervention Services Coordinators Contracted Staff (1), Early Intervention Clerical Staff (2) can work from home.
2) Home Care - Quality Assurance & Performance Improvement nurses (2) and Medical Services Specialist (1) can work from home.
3) Health Educator and the Health Educator Assistant (2) can work from home.
4) WIC staff (3) may be able to continue working from home.
Yes
Federal Express / United Parcel Service (UPS) are designated to pick up outgoing packages at the side entrance to the Health Department so that their drivers do not need to come through the Health Department. Drop offs are either left with the Olean Building reception (signature required) or left behind the Health Department lobby desk (no signature required) just inside the Health Department double doors. In these instances, there are no contact at all between staff and delivery personnel.
Additional Comments
Markers will be placed on the floor, seating arrangements will be measured and face coverings will be worn.
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Physical Space Modifications

Please provide in detail any physical space modifications that are proposed to achieve social distancing requirements.  These modifications can include, but not limited to rearranging offices, adding physical barriers, etc.

Yes
The WIC & Clinic waiting rooms will need 6-foot distance markings and the seating will need to be set up for social distancing. The row of seats are bolted to a frame. The seats will need to be removed from the frame. Since masks are required to enter the County building, signs will be placed in the waiting room also requiring masks in the WIC & Clinic areas.
Details have been provided to Olean Maintenance for a request to install Plexiglas barriers in those reception areas for the public that currently do not have an existing barrier. These would be Health Director's Secretary's desk, Environmental Health reception desk and the Clinic reception desk in Olean. Also requesting a Plexiglas barrier in front of Finance Senior Account Clerk / HD Payroll clerks as this can be a high traffic area for staff. An estimate of costs for the above have not as of yet been received.
- All undivided work spaces within the Olean location of the Health Department currently allow employees to be separated by 6 feet while engaged in their core functions and/or have an existing physical barrier between work stations (5 ft. cubicle walls).
- Requested Maintenance to install 6-foot distance floor and/or wall markers in all hall ways, high traffic areas, breakrooms, shared spaces, and walk ways through Health Department divisions.
- Obtain maximum occupancy set for breakrooms and conference rooms. Have these rooms posted with 50% allowable occupancy information.


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Protective Equipment
Yes
Yes
Yes
Detailed Summary Options
- All Health Department employees have cloth face coverings made available to them. All Home Care nurses, Clinic nurses and Lab personnel have had full medical PPE made available, including face shields.
- Cloth face covering cleaning responsibility has been taken on by all individual staff members for their own cloth masks as they are washable and reusable. Access to replacement cloth face masks have been provided to all staff as replacement cloth masks have been ordered from the EOC as needed.
- All nursing and Lab staff have access to replacement medical PPE and face shields obtained from the EOC. These items have been ordered from the EOC as needed.
- Home Care, Clinic and the Lab already have had existing training on the donning and doffing of full medical PPE as well as what PPE to wear in what situations and circumstances as a part of their medical training prior to hire and as ongoing training provided by the Health
Department relative to COVID-19 and other nursing programs. The Director of Patient Services has several training videos relative to proper PPE use and has distributed to all medical staff guidance obtained from the Health Commerce System relative specifically to COVID-19.
- Upon approval of Safety Plan Environmental Health, Early Intervention and WIC staff will be provided with appropriate PPE and trained on proper donning and doffing of PPE as they enter customers/clients homes as part of their core job duties and/or core duties require close contact with their clients.

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Hygiene and Cleaning
Yes
Yes
Yes
Detailed Summary Options
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Communication
Yes
Yes
Yes
Detailed Summary Options
Approximately 3 dozen 8.5 x 11 posters have been printed off the CDC and Cattco.org website as well as paper/cardboard frames ordered so that the posters can be hung on the wall with a neat look and noticeable outline. The posters pertain to hand washing, social distancing, wearing a mask, the symptoms of COVID-19 and direction to go home if you are sick in both English and Spanish.
- Communication with employees, patients, customers and the public is currently maintained through daily COVID-19 Huddle, Management staff meetings, division staff meetings, Health Department Facebook page, County Website and press releases.
- We are the County Health Department. Staff has currently been tested on a volunteer basis as well as an "as needed" basis due to contact tracing, self-reported possible direct contact with a positive case or COVID-19 symptomatic indications. The test results, contact tracing (if appropriate) and any necessary isolation / quarantine protocols (if appropriate) have been initiated and coordinated by our COVID-19 Response team and nursing staff as per NYS DOH guidelines.
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Screening
Yes
Yes
Yes
Yes
Symptom Screening
Yes
The designated point of entry for the Olean Health department will be the side entrance that faces Bethany Lutheran church. All on site Health Department Staff will have their temperature checked twice daily. All staff that start and/or end in the field will be provided a temperature log and attestation agreeing to self-monitor their temperature twice daily.
Temperature screening is currently and will continue to be performed by Health Department staff on all employees on site twice daily. These temperature checks are done once in the morning and once in the afternoon By Environmental Health Staff. Staff that begin and/or end their shift in the community will be given a log sheet and attestation for them to self-monitor and record their daily temperature readings.

Personal Protective Equipment, Social Distancing Markers, Signage, or Cleaning Products that you will need to reopen.

Yes
Masks/Face Coverings

Cloth/Fabric Masks

For Non-Medical personnel and for Medical personnel for office use when the setting or situation does not allow for a 6 ft. social distancing between staff. This would provide one cloth replacement mask for each Olean Health Department Staff as repeated washing wears them out.
64

Surgical/Procedure Masks

For all staff that provide medical services and/or perform services that require going into customers/clients or patients homes. (Home Care, Clinic, Environmental Health Sanitarians, Early Intervention, WIC (blood draw at clinics). Estimated 30 day supply.
860

N-95 Respirators

The N-95 respirator is part of the COVID19 diagnostic testing PPE. Included minimal additional for Home Care, Clinic and Lab that should have access to N-95 respirators in the event they have a patient/client with an upper respiratory infection or is COVID-19 positive. Estimated 30 day supply.
120

Other, Please describe

Sneeze Guards for WIC for their mobile clinics
6
Yes
Eye Protection

Safety Glasses / Goggles

For all staff that provide medical services and/or perform services that require going into customers/clients or patients homes. (Home Care, Clinic, Environmental Health Sanitarians, Early Intervention, WIC (blood draw at clinics). This quantity based on reusable safety glasses / goggles.
55

Plastic Faceshields

Face shields are part of the COVID19 diagnostic testing PPE. Included minimal additional for Home Care, Clinic, Lab and WIC (Health metrics / blood samples at clinics) that provide medical services which require close contact. Estimated 30 day supply. Assuming disposable face shields.
100

Other Eye Protection, Please describe

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Yes
Protective Clothing

Gowns

Gowns are part of the COVID19 diagnostic testing PPE. Home Care, Clinic and Lab provide medical services which require close contact. Requesting for WIC as their core job duties require obtaining health metrics including blood sample at clinics. Environmental Health Sanitarians and Early Intervention staff conducts in home interviews and assessment of pediatric disabilities which requires interaction with the parents and children for sustained periods. Environmental Health staff conducts water testing and lead testing in customers’ homes but must have interaction with the home owners, sometimes for sustained periods. Estimated 30 day supply.
700

Coveralls

For all staff that provide medical services and/or perform services that require going into customers/clients and patients homes. (Home Care, Clinic, Environmental Health Sanitarians, Early Intervention, Lab and WIC (blood draw at clinics).
200

Other Protective Clothing

Booties - for those staff that provide services that require them to enter customers/clients and patients homes (Home Care, Environmental Health, Early Intervention)
100
Yes
Hand Sanitizer
128
3
Yes
Cleaning/Disinfecting Supplies
7
7
7
40
No Touch Hand Sanitizer Dispensers
1. Outside of Aging / Health bathrooms & breakroom (Shared)
2. Home Care Area
3. Lab / Environmental Health Area
3
Yes
Gloves
2
5
2
Yes
Thermometers
Health Department staff that begin and/or end their day in the field will need a thermometer to self-monitor their temperature and keep a log sheet to be submitted to their supervisor.
Thermometers for self-monitoring employees do not need to be "no-touch" thermometers as the thermometer will be assigned to specific staff for their use only.
30