Linda Tremblay Ready Set Grow Claremont

Lorraine Greer, Sunrise Children's Center

Dianne Chase, DHHS/DEHS/BuCDHSC

Patti Subirana- Seedlings Early Learning Center, LLC, Epping

Tricia Patten, Boys and Girls Clubs of Central NH

Sarah Franco - The World of Discovery

Jason & Tina North from PB&J's Childcare & Learning Center

Rob Riley - YMCA of Strafford County

Building Block Commons, Exeter NH (Preschool-8th grade)

Lorry Porter Barnyard Buddies, Fremont

Johanna Booth-Miner Live & Learn Early Learning Center

Danielle Piccolo - The World of Discovery

Susan Bendroth, Acorn School Stratham

Ardis Yahna, Children Unlimited in Conway

Libby Brunette, Applewood Learning Center

Marguerite's Place Nashua

Jenn Parker Creative Kids Adventures

Penny Dube and Jillian DAmbrosio at Penny's Child Care

Jennifer Weeks, Kidworks Learning Center

menasdaycare@hotmail.com Filomena Ferreira Mena's Childcare

Jenn Ganim-Smith, SNHS, Child Care Aware of NH

Lara Quiroga, LAUNCH Manchester, Amoskeag Health

Amy Graham, Lancaster Play & Learn

Olga Lazarenko - Country Club for Kids

Shannon, Heavenly Sonshine

Colleen Martin Easterseals NH

Claire Doody Country Village Montessori School

Becky’s House Family Daycare

Melissa Gray, M. and C. Children's Learning Place, Candia

Vicky Welch The Kids Place Newport

Karen Smith, Casa dei Bambini Montessori Children's Center

Question: What if you have a High-Risk employee that wants to work? How do we best deal with this situation?

Liz FItzgerald United Way of Greater Nashua Greater Nashua Regional Smart Start Coaliiton

Melyssa Paul, Woodside at St. Paul's

Sally Wood, First Start Children's Center

Mary Davern - The Learning Path -Derry

Sarah Leonard- UNH Child Study and Development Center in Durham, NH

Thank you for arranging this!

Nicole The World of Discovery

Melissa Tardiff Rise for baby and family

Amy Brooks - Early Care and Education Association (Upper Valley region)

HI - Jane Gianetti from Cozy Kids in Londonderry

Cassie Emerson, University of New Hampshire Child Study and Development Center

Liz from Keene Montessori School

Nicole Burke, CCLU

Lindsey Roy - Little Apples in Hooksett

Sara Johnson license exempt childcare provider-Manchester, NH

Rachel form The Learning Center at Concord Hospital

Heather Dombroski - CCLU

Natalie D'Angelo, New Morning Schools

Linda Brady Trinity Early Learning Center Bedford

Karen from UNH- Preschool Dev. Grant

Brett Cossaboon from Polka Dots Child Care Center, Hooksett

Emily sullivn & kendra gardner- The Lil' Daycare Hinsdale NH

Elizabeth Morin-Moultonborough Child's Place/DBA Imaginations...A Child's Place LLC

A Place to Grow - Brentwood

Gina Hodgdon - Strafford KinderCampus & Little Blessings Pre-School at St. Joseph's Church

Question: What if you have a high-risk child at home. Should we stay closed or open up and risk our child getting COVID-19? How to minimize this risk so we can stay open?

Is someone does not have a PCP where can they call to have phone consultation to discuss symptoms?

@lfitzgerald- my understanding is that 211 is number to call in this situation.

medical staff answering 211?

or 211 helping to get a primary care physician?

even if the child bring a doctor notes saying it is just a flu?

Danyelle DiCecca - Little Scholars Salem NH and Haverhill MA at Granite United Church

Our program closed starting Monday (numbers halved when public schools closed the week before) - when it is time to re-open, we want to reassure families that everything is clean, virus-free. What cleaning/sanitization recommended?

Is runny nose defined as clear fluid or green fluid , if they have clear fluid do we send home

If COVID-19 not cause of illness, refer to child care licensing rules for exclusion criteria.

Question: Do we follow the "No groups Larger Than 10" recommendation. Also, How do we maintain the 6' distance rule in Early Childcare?

They say to stay home if you are in close contact with someone who has COVID, so if we are staying open to help first responders doesn't that contradict the whole point? As these nurses and doctors are with patients all day, why would we continue to watch their children?

Just to confirm, it is your advice that child care programs exclude children not just for cough, fever, but also any sore throat or runny nose?

Yenis Day Care yeni Dominguez will08071981@hotmail.com

so we are not allowing anyone with the flu?

what do we do if the doctor says its just the flu and the child can return too childcare because they are fever free and no medication but has cough, runny nose, etc if doctor won't test for COVID-19?

Children are not good at social distancing for sure! Should childcare close while we figure out which facilities can best manage this complicated situation?

Lisa Doyon, Lisa's Family Day Care in Manchester. Sorry for not re-entering right away when the conference was restarted. I have been online since 5pm.

Social distancing of 6’ seems IMPOSSIBLE with early childhood.

Is everyone experiencing blue lines on their screen?

I agree Christiane. The sooner it happens the better, before it gets out of control.

yes

Nevermind.

I lost 5 children because a parent who is a nurse spoke about working directly with patients who tested positive.

If a employee suspects or have symptoms and are advised to stay home BUT not formally diagnosed or tested - how does the center handle that.

no idea where these lines are coming from. Never seen it before. We apologize and hope it does away again. Best, Jackie

Blue lines gone, but now seeing green lines

If a doctor has given a definitive diagnosis of the flu and the child may otherwise be in the program based on child care licensing rules for illness, then the child may attend if you choose to have them.

THANK YOU MELISSA CLEMENT

thanks, Melissa. I choose to not have them. Too risky to pass the illness (flu) around.

Thank you Melissa Clement

HERE IS 300 QUESTIONS

Question: Sanitizing and cleaning supplies are in high demand. I can not buy sanitizer or cleaning supplies because the stores are sold out. How are we to do the cleaning when we can not get supplies?

I also choose not to have FLU infected children!

Jason - solicit parent help - ask them to donate.

Me is Donna Mahoney

Can we use hand santizer now for staff and kids or just staff

Will CCL let us know which centers have closed due to positive diagnosis of COVID-19 so that we may choose to let children that are trying to enter our program (temporarily)? ie: emergency care.

Centers can't get supplies, parents can't either.

Employee is High-Risk based on CDC guidelines.

I did not have a problem for adult hand sanitizer from our distributor Central paper.

Correct

Underlying medical conditions

/what should a child’s fever be to be sent home in a childcare center? My staff is saying 99?

will licensing be more relaxed on hand sanitizer? Still keepin gout of reach of children but very present in our program - thanks Melissa

Items are being restocked, having parents, staff, board members looking also can't hurt, I've just told them what we are looking for and that we will reimburse or credit their account with a receipt

Restating an early question what if a staff member has a high risk child at home, should they not work?

What is the state doing to help centers obtain supplies that are in shortage right now (hand sanitizer, lysol wipes, etc)

Are pregnant women considered high risk? What is your recommendation for a director that is pregnant, center is still open, and she is in the classroom?

Can CCLU develop a screening tool for centers to use to screen staff and children upon entering for the day? It might be helpful to have all programs on the same page.

Jason - distillaries are now offering sanitizer

I am the Director of a child care program serving children of health care workers. Should the exclusion criteria for children and staff remain the same (symptoms or confirmed COVID-19)?

ALSO THEY ARE TOO EXPENSIVE

what about a pregnant employee

Can we get a copy of these slides?

NO CLOROX LEFT ON THE STORE EITHER

How do you clean if someone is diagnosed with COVID-19? Are there guidelines somewhere?

Should deeper cleaning beyond regular day to day cleaning be done periodically and if so how often?

Do you have any advice on staggering drop offs?

Pregnant women are at higher risk

Ask parents for supplies too - they will help out.

how do you clean if someone in the program is diagnosed with COVID-19?

Ask your local Dollar store. If you ask nicely they will hold cleaning supplies for you. My local one has been amazing.

IF WE ARE OPEN WE SHOULD BE ABLE TO GET DDELIVERING TO DAY CARE THAT ARE OPEN

Also immediately complete the needs survey on Child Care Aware of NH and we, at the Bureau will connect you with resources that are being put together from our philanthropic partners, including ELNH's great work, and BCDHSC

Are there guidelines regarding the comings and goings of parents/relatives as they drop off and pick up children?

BCDHSC will then reach out to those on the list

All Childcare providers should connect with town emergency response team or regional childcare coalition so that needs and shortages are known and Emergency Response Team can help.

A standard checklist for all of us would be helpful. This is the problem is we are all making up our own guidelines. Can Licensing send out 1 standard checklist? I can see parents getting upset and telling us that we are being too strict/lenient in comparison to another center

What is the specific criteria to allow children and/or staff who have confirmed COVID-19 back into the center?

Stacey I agree!

We have adopted and adapted the Longterm Care screening form sent out last week... completed each am and temps taken in foyer before enter center proper.

Is there any HR legal liability for employer decides based on own guidelines which employees work and which ones don't?

We stopped purchasing hand sanitize because our licensing coordinator discouraged us using it.

I am so sorry, but much of what you are saying seems to contradict what we are being told about isolating ourselves and keeping safe.

What are the current statistics on Children acquiring covid-19

WE are watching the confirmed cases in NH increase exponentially with another new number just now. We are unable to get ahold of proper cleaning materials and that puts at higher risk. If supplies are not available no one can get them. How high do the numbers need to get before we are concerned?

Doctor's note?

yes please review

I agree with Stacy. It would be helpful to have a screening tool that is official from cclu

I AM AGREE KITTY

official screening tool is needed o everyone is on the same page

I am following the hospitals screening tools from CDC

Does anyone have a system in place for drop off and pick up routines? Does anyone have any suggestions about getting ahold of parents? Parents already ignore calls on a normal day. I feel like parents would do the same and wait until the end of the day to come.

our child care licenser gave us a citation for having hand sanitizer out of reach of children in our school age classroom

Once you are diagnosed with COVID19 and recover are you immune? Can you still carry? Can symptoms reflare?

If fever is not always present doesn't that negate the screening?

Yes the standard form sent out last week is pretty standardized, we are not repeatedly asking the travel questions daily but screening temp, and washing hands upon entry

There is so muc that does seem contradictory! I so applaud that everyone is doing the best they can! Our country and the states even can't agree!

Is there a new licensing regulation on what temp we should be excluding, and how is that taken, head, ear, arm pit, is that adding a degree?

Should we only be offering care to families who need to work and should we be encouraging families to keep their children home who are able too?

We are taking temps on arrival and excluding children over 100

What about a screening tool for new children/families that are displaced from 1 center closing due to Covid outbreak. A list of closed centers due to positive test would be helpful.

Please address the use of hand sanitizer Thank you

So if a child has a parent who has been exposed to Covid they can come to the center as long as they are not symptomatic?

I know other states around us have given out guidelines from licensing with procedures and guidelines.

We can’t even get hand sanitizer

Does the 7days/72 hour rule apply to symptoms without fever? What if the child just has a cough with no other symptoms>

Our hand sanitizers are out of children's reach, and we have not had an issue.

Another concern is if a staff member get covid19 at the center is that considered Worker Comp? That's huge consideration

We are excluding if fever is over 99.9. Correct?

Good point Hutchinson.... Can licensed care centers have these hand sanitizing pumps out on wall at doorways without being cited? If so, where can we put them for access to people "without" being in reach of children?

Good point Kitty Larochelle!

How do we protect our families when we go home? I have a child that is deemed high-risk according to the CDC guidelines.

A screening tool would be great! Also can an employee work if they were in contact with someone who might have been in contact with someone with Covid?

I tell parents that if I cannot contact them via cell or work I will contact help from the local pd if they need to pick their child up due to illness especially with stage of emergency

Is it true that children can have very slight symptoms and still be able to pass the virus to their families / others?

Licensing already said we can have hand sanitizer now.

Can we go over again how the 10 in a group works in our setting? Preschoolers love to play and are magnets to each other. Reality is we are running numbers of 16 etc. A lot of my staff are asking this question so I would love to be able to give them better information.

How can we figure out these symptoms in infants and toddlers? they can't tell us they have muscle aches....sore throats..etc..

If a child or staff were diagnosed with COVID-19, should the childcare facility close down that classroom and enforce a policy where all who came in contact need to quarantine themselves for the 14 days? We also have multiple classrooms that share the same playground space. What are the potential of this spreading to multiple students/classrooms?

We take it under the arm and add a degree

Agreed Amber. Everything is subjective with little ones

This is so hard. We are not medical professionals. It seems that most of us are looking for a clear list of screening symptoms. We are always looking over each child that enters our facility as a rule anyway...but this seems so much harder. We don't have a nurse on staff. It really seems like we are being asked to screen like medical professionals. It's so hard

Question for the Dr. what are his thoughts on the outlook of this crisis are we still days out of this getting worse?

While I do recognize the need to have some care options available to those in essential roles, I feel like we are using early childhood teachers and children as a pawn in a very dangerous game.

With what you just listed off all kids would have to go home.

Agreed Sarah!

Great question S. Tremblay. What is the outlook?

Are we held to the 10 group size? I've limited family events in light of COVID19

Can you please address the question re: why schools are closed state wide but childcare are open? I find this very confusing

Linda yes agree!! And, then the added pressure of the parent standing there saying he/she is fine. Its just a cold or covering up the symptoms with fever reducing medicine.

Agreed Sarah.

Sarah leaonard I AGREE!

If a center does decide to close, when should they re-open? If the understanding that this will be around for a while. When does a center decide it’s time to re-open?

Handwashing with soap and water is more effective against various viral infections, sanitizer doesn't kill things like norovirus, if I'm recalling correctly sanitizer should be used if handwashing isn't feasible. We are treating it as a far second to handwashing

Can you review how to make sure "child care staff" can decontaminate after their day and before entering their homes?

I agree with Sarah Leanard

Should we send every kid home that has a runny nose?

Everyone needs to read the comments already asked and answered. There are so many duplicate questions. Aslo the recording with the chat box will be on Childcare Aware website.

Yes: Can you review how to make sure "child care staff" can decontaminate after their day and before entering their homes?

Is there financial support to keep child care provider income tstable while sending all children home and focusing on caring for just essential workers children?

The schools are doing remote learning. Basically, the teachers are still working and the children are still learning. We are different.

Can you please address- is it really wise to be offering early childhood age childcare at this time? It seems like we'd have to put kids in little cubicles away from one another.

We have a group home in our community that is using Electo-Static cleaning service...that that effective?

Agreed Ksoule!!!

All this information is why CC should close, had hard guidance from HHS. Then reopen when staff is trained

What is the position of Dr. Chan and Ms. Daly about the NH Child Care Licensing Rules being relaxed in light of this pandemic?

Thank you!!!

thank you

Thank you

Thank you!

Thank you

Thank you

T

Thank you

thank you

Where are we going from here?

Thank you, everyone stay healthy!

Thank you

TY

Thank you

I was asking more about what they thought about the rules changing.

Thank you so much FOR YOUR TIME

Thank you for the clarity on many topics!

As a director we are not given very good directions!

Thank you

THANKS

Thank you to all the staff at DHHS.

Thank You

thank you

Thank you

thank you!

Thank YOU all...from Donna Mahoney (for some reason it says ME

Thanks so much

Please email where this presentation will be posted. Thank you.

Thank you!

Thank you for your time

Thank you!

Thank you

Thank you so very much!!

Thank you.

thank you

Thank you

Thank you

thankyou!!

Thank you for your time and great information.

Thanks very much!

Thank you

Thank you!!!

Thank you!

WE NEED CLEANING SUPPLIES

Thank you so much for your leadership!

Thank you.

Thank you for everything!

Does Dr. Chan think we should be open?

Will there be a protocol posted for childcare programs?

Thank you for all you do! Everyone is doing their best during this difficult time - much to navigate and ultimately, we want to be there to help our families and children.

Thank you