Sector Frequently Asked Questions
This page is updated as needed. Last updated on 2/9/23.
Thank you for visiting the Sector Frequently Asked Questions page. Below are common questions asked from the community related to COVID-19 specific to each sector below. For General COVID-19 FAQs, visit the Frequently Asked Questions page.
Table of Contents
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Which decision tree should special education, also referred to as
special day class (SDC), preschool classrooms use on school campuses?
The Early Care and Education (Child Care; ECE) decision tree applies to both daycares and preschools. As a result, SDC preschool classrooms should be following the ECE tree. The K12 Decision Tree is only intended for children in TK-12th grade.
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Is a virtual (telehealth visit) doctor’s note okay for a child to return
after being sick?
Yes. Consider taking a picture of the doctor’s note for the daycare center’s records or the child’s chart for recording any chronic conditions, allergies, or other conditions; or documentation that the child is cleared to return to school with a negative test on day 5 or later; or are more than 10 days past symptoms onset without a test.
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Do close contacts of close contacts need to be excluded from school or
daycare attendance (e.g., a child who was exposed at daycare has a
sibling who also attends daycare but was not exposed)?
No. Close contacts of close contacts do not need to be excluded. Direct contacts of a COVID-19 positive case should follow precautions provided on the Guidance for Close Contact for Coronavirus Disease 2019 page. However, anyone exhibiting symptoms should isolate and test as soon as possible.
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Where can I learn more about isolation and close-contact situations?
o The What To Do If You Have COVID-19 page offers information on isolation, and
o The What To Do If You Are In Close Contact With COVID-19 page offers information what to do if exposed to someone with COVID-19.
o Visit the California Department of Public Health (CDPH) Child Care Guidance page for more information specific to Child Care settings.
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What are the current ratios for children in child care centers?
Child care facilities may return to Title 22 regulations on group sizes. However, it is strongly recommended that adding more children is done slowly and cautiously. Adding more children increases the risk of an outbreak, and is the provider's responsibility to ensure guidelines are followed.
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What are the recommended guidelines for facility sanitation?
- It is important to know the difference between cleaning, disinfecting, and sanitizing and when to do each to maintain a healthy child care environment and ensure the well-being of children in care. See Centers for Disease Control and Prevention (CDC) guidance on Cleaning and Disinfecting Your Facility for detailed information on infection control practices related to cleaning and disinfection.
- Cleaning removes germs, dirt, and impurities from surfaces or objects. Cleaning works by using soap (or detergent) and water to physically remove germs from surfaces. This process does not necessarily kill germs, but by removing them, it lowers their numbers and the risk of spreading infection.
- Disinfecting kills germs on surfaces or objects. Disinfecting works by using chemicals to kill germs on surfaces or objects. This process does not necessarily clean dirty surfaces or remove germs, but by killing germs on a surface after cleaning, it can further lower the risk of spreading infection.
- Sanitizing lowers the number of germs on surfaces or objects to a safe level, as judged by public health standards or requirements. This process works by either cleaning or disinfecting surfaces or objects to lower the risk of spreading infection.
- Please see California Department of Public Health (CDPH) Guidance for the latest information on cleaning and disinfection for Child Care Providers and Programs.
- It is important to know the difference between cleaning, disinfecting, and sanitizing and when to do each to maintain a healthy child care environment and ensure the well-being of children in care. See Centers for Disease Control and Prevention (CDC) guidance on Cleaning and Disinfecting Your Facility for detailed information on infection control practices related to cleaning and disinfection.
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What do we do if a child, staff, or facility contact has a positive
COVID-19 test?
Isolate and report the incidents to the County, Community Care Licensing (CCL), and affected families.
- Isolate the individual with symptoms
- Isolation is immediately required if a person meets one or more of the following criteria:
- A positive diagnostic test for COVID-19; or
- Signs and symptoms that are consistent with COVID-19 (cough, shortness of breath or trouble breathing, fatigue, fever or chills, muscle or body aches, headache, sore throat, new loss of taste or smell, congestion or runny nose, nausea or vomiting, or diarrhea); or
- A physician has informed the individual that they are likely to have COVID-19.
- Report the case to the County
- If a child, staff, or facility contact has tested positive for COVID-19, please contact the Epidemiology Unit by phone at (619) 692-8499, or complete the Online COVID-19 Notification Form. Calling is preferred for outbreak reporting. For urgent matters on evenings, weekends, or holidays, dial (858) 565-5255 and ask for the Epidemiology Unit duty officer.
- Childcare providers must report to the local health department (see above) the presence, or suspected presence, of any communicable diseases (see the California Code of Regulations for more information).
- Report multiple cases to CCL
- If 3 or more children, staff, or facility contacts have tested positive for COVID-19, please contact the local CCL regional office within 24 hours. To reach a Licensing Duty Officer, call (619) 767-2200 and press #3.
- Isolation is immediately required if a person meets one or more of the following criteria:
- Submit an Unusual Incident Report (LIC 624 or LIC624B) within 7 days of reporting the cases to the assigned Licensing Program Analyst or Regional Office. Please include the contact with Epidemiology or Public Health Official with recommendations in the report. Follow California.
- Isolate the individual with symptoms
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Are there any recommendations for hand sanitizer?
- Hand Sanitizer should contain at least 60% ethyl alcohol (preferred) or at least 70% isopropyl alcohol (a neurotoxin and eye irritant). WARNING: Do not use any products that contain methanol.
- Closely supervise young children using hand sanitizer to prevent swallowing hand sanitizer because it can cause alcohol poisoning.
- Hand sanitizer may be used under adult supervision only and must be kept out of children’s reach. Call Poison Control if consumed: 800-222-1222. Note that frequent handwashing is more effective than the use of hand sanitizers. Hand sanitizer must be rubbed into children’s hands until completely dry. Hand sanitizer is not recommended for children under 24 months.
- Please refer to CDPH Child Care Guidance, California Poison Control Organization, and the When and How to Wash Your Hands page for more information.
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Where should we store hand sanitizer?
From Title 22 Licensing Regulations:
§ 101238(g). Buildings and Grounds: Disinfectants, cleaning solutions, poisons, and other items that could pose a danger, if readily available to children, shall be stored where inaccessible to children.
AND
§ 102417(g)(4). Operation of a Family Child Care Home: Poisons, detergents, cleaning compounds, medicines, firearms, and other items which could pose a danger if readily available to children, shall be stored where they are inaccessible to children.
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Is an antigen test for COVID-19 sufficient proof of a negative COVID-19 diagnosis?
In an asymptomatic individual, an antigen test may be sufficient. However, a second test may be needed in a symptomatic individual if an antigen test is an initial test. Please refer to the Child Care Decision Tree (Spanish) and CDPH Guidance for Child Care Providers and Programs for the latest information on testing.
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Where do we stay up-to-date on COVID-19 information?
- World Health Organization (WHO)
- CDC school and child care program resources are also on the CDC webpage.
- California Department of Public Health (CDPH)
- California Department of Social Services (CDSS)
- The CDSS will communicate new and updated information related to child care facilities to providers through Provider Information Notices (PINs).
- Please sign up to be notified of new PINs here and visit the Department’s website for the latest PINs.
- Community Care Licensing
- County of San Diego www.coronavirus-sd.com
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How do I receive the recording of the telebriefing?
The latest recordings are posted on Child Care Services (Early Care and Education) (sandiegocounty.gov). The recorded telebriefing link expires one week after the telebriefing.
For additional questions and resources, please email:

Centers for Disease Control and Prevention
- Frequently Asked Questions for Healthcare Providers
- Frequently Asked Questions about Personal Protective Equipment
- Frequently Asked Questions: Infection Prevention & Control in Dental Settings
- Using Personal Protective Equipment (PPE)
- Clinical Questions about COVID-19: Questions and Answers-Infection Control
For additional questions and resources, please email:

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Is the County tracking positive COVID-19 tests and clusters among the
homeless population?
The County tracks the number of persons experiencing homelessness (PEH) who test positive for COVID-19 as well as clusters, recognizing that the data for people who are homeless may only reflect the location where the individual was tested. Information on positive cases and other COVID-19 statistics can be found on the County COVID-19 Dashboard.
A summary of cases among PEH is released weekly, and a link to the data is included in the homeless sector email updates. Per the Centers for Disease Control and Prevention (CDC), there is an expected delay in reporting COVID cases among homeless people because the data has not been uniformly collected at a national level.
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If I encounter an individual experiencing homelessness who has symptoms
of COVID-19 during outreach, what is my first step to getting them help?
- Always observe the 6-foot social distancing guidelines. Do not send anyone to the Emergency Department unless illness warrants it. The first step is administering the Universal Screening Tool (the instructions are on the Universal Screening Tool Guide).
- Based on the screening tool results, if the person is symptomatic, assist in calling a medical provider.
- If the person does not have a medical provider, call the 2-1-1 Nurse Help Line for telehealth and/or referral to the nearest community clinic. Additional resources are available at RTFHSD.org (San Diego Regional Task Force on Homelessness) “get help” page and SDHC.org (San Diego Housing Commission) Homeless Response Center page.
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How are outreach workers to know if a person experiencing homelessness /
unsheltered individual is infected with COVID-19 or just "sick?”
What is the process for an unsheltered sick person who does not have a
healthcare provider or a phone? Who do we ask for when dialing 2-1-1 for
a medical assessment?
- Utilize the Universal Screening Tool to determine if a person should be referred to a medical provider or the 2-1-1 Nurse Help Line. Public health nurses have joined several Homeless Outreach Teams (HOTs). The HOT’s role is to perform screenings to determine if an individual is symptomatic and needs further evaluation and/or vaccination.
- When calling 2-1-1, a selection for the County of San Diego Public Health Nurse Help Line is available that can be selected to speak with a registered nurse in English or Spanish.
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How do we notify people who may be undocumented that they can be tested
and treated as necessary?
Outreach workers are trusted resources in the community. Anyone who is symptomatic can access the 2-1-1 Nurse Help Line.
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How do we ensure a complete handoff of unsheltered symptomatic clients
to the proper health provider? If transportation can be arranged for
someone who is symptomatic and says they are going to the clinic after
the screener, is that sufficient
Utilize the Universal Screening Tool to determine whether to refer the individual to a healthcare provider or the 2-1-1 Nurse Help Line. When working with a symptomatic individual, arrange for telehealth or transportation directly to the clinic whenever possible.
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Is there information on where COVID-19 has occurred to identify highly
vulnerable individuals in the homeless populations?
Yes. The County of San Diego continues to update the data on the Summary of Cases Among Persons Experiencing Homelessness page.
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Will public health nurses continue to be part of the Homeless Outreach
Teams once the COVID-19 crisis is over?
Some HOTs were working with Public Health Nurses prior to the pandemic. More information about public health nurses continuing to be part of the Homeless Outreach Teams will be provided as it becomes available.
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How can we access hygiene kits and COVID-19 informational materials? Who
can we contact to add names for email blasts?
Please contact COVID-Homeless@sdcounty.ca.gov to make requests to be added to the regional distribution list for updates related to the Homeless Sector and to request hygiene kits or other resources.
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Can organizations have a standing order for hygiene kits to meet
constant needs?
Hygiene kits are being dispersed to homeless outreach workers monthly. A standing order can be requested if an organization conducting routine outreach in the field needs hygiene kits consistently. Please email COVID-Homeless@sdcounty.ca.gov. Each organization requesting hygiene kits needs to identify one point of contact.
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How do we request handwashing stations and portable restrooms? Can
shelters get handwashing stations?
- The County of San Diego has partnered with cities to provide hand washing stations. A handwashing station map is available to show the locations of all handwashing stations in San Diego County.
- To request a handwashing station at a particular location, please contact MOC.LOGS.HHSA@sdcounty.ca.gov.
- The County has installed portable restrooms in unincorporated areas and cities upon request where there are encampments with more than 10 people. Shelters should consult with their individual Funding Agency regarding facility needs.
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How should shelters ensure appropriate spacing?
- CDC recommends spacing all beds/mats at least 6 feet apart and arranging them head-to-toe. The more distance between people, the lower the risk of spreading COVID-19 to others. Learn more at CDC Guidance on Essential Services for Encampments.
- Agencies with multiple sites are recommended to use one location for people sick with respiratory illness or with COVID-19 and another area for people who do not have symptoms. Continue to separate all beds/mats by 6 feet.
- For additional information, visit CDC Interim Guidance for Homeless Service Providers.
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How will shelter staff be able to distinguish between COVID-19, a cold,
or the flu? If someone with COVID-19 symptoms presents at the shelter,
is it safe for them to stay the night and get connected to care the next day?
- Shelter staff will be unable to tell the difference between COVID-19 or another type of respiratory illness. All clients should be screened with the Universal Screening Tool. There are many reasons other than COVID-19 that someone might show symptoms of respiratory illness, including underlying health conditions, allergies, pneumonia, influenza, or the common cold.
- Refer to basic infection prevention recommendations provided at Coronavirus-sd.com to help limit the spread of disease regardless of what is causing the illness.
- Any person with COVID-19 symptoms should wear a mask, perform good hand hygiene, and be isolated from the rest of the shelter guests. Contact the 2-1-1 Nurse Help Line.
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If someone from a shelter tests positive for COVID-19, will the shelter
staff be notified of the results?
- Shelters will be notified under the Health Insurance Portability and Accountability Act (HIPAA) compliant guidance about anyone with lab-confirmed positive COVID-19 disease identified as needing to be isolated. Public Health will initiate an investigation If an outbreak is reported.
- Some people awaiting COVID-19 test results may be isolated until the test results are known.
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Are nurses going to the shelters to conduct screenings?
Public health nurses have been conducting screenings at shelters for COVID-19. The screening tool is available. An Outreach and Shelter Protocol developed by the County of San Diego Health and Human Services Agency and Regional Task Force on the Homeless (RTFH) offers shelter providers guidance to continue delivering essential services to the homeless population. This guidance and other resources are available at Coronavirus-sd.com or on the RTFH resource library at http://www.rtfhsd.org/.
For additional questions and resources, please email:

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What responsibilities do schools have related to COVID-19?
Institutions of Higher Education (IHE) administrators can help protect students, faculty, and staff slow the spread of COVID-19 by encouraging vaccinations and using Centers for Disease Control and Prevention (CDC) Guidance for IHEs. IHEs can help increase vaccine uptake among students, faculty, and staff by providing information about COVID-19 vaccination, promoting vaccine trust and confidence, and establishing supportive policies and practices that make getting vaccinated as easy and convenient as possible.
IHEs, where not everyone is fully vaccinated, will have a mixed population of people who are fully vaccinated and people who are not fully vaccinated on campus—which requires decision making to protect the people who are not fully vaccinated.
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Is there anything we can do for each other when feeling overwhelmed?
Seek help when needed. If distress impacts daily activities for several days or weeks, talk to a counselor, doctor, faith leader, or contact the Substance Abuse and Mental Health Services Administration (SAMHSA) helpline at 1-800-985-5990.
Visit the County Behavioral Health Services website for resources to help manage mental health and coping during COVID-19, and the County mental health and wellness handout for tips and recommendations. Each Mind Matters, a County of San Diego Live Well Partner, also has mental health resources and tips for self-care during COVID-19.
The County of San Diego initiated the LiveWell@Home website containing age-based resources to encourage fitness and social connection during difficult times. 2-1-1 San Diego also provides information about local mental health and wellness resources.
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Where can we find guidance for events?
Beyond the Blueprint Framework for Industry and Business Sectors. This document contains information for any venues (including food and retail) on campus, sporting events, and large indoor/outdoor live performances that may be considered Mega Events.
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What guidance do IHE follow for COVID-19
IHE must follow:
- CDPH Guidance for the Use of Face Masks
- California Division of Occupational Health and Safety (Cal/OSHA) COVID-19 Prevention Emergency Temporary Standards (ETS)
Colleges and universities can further plan by following current CDC Recommendations for Colleges, Universities, and Higher Learning, including Guidance for Shared or Congregate Housing.
CDC, CDPH, and the County of San Diego continues to strongly recommend COVID-19 vaccinations and boosters for all residents, including eligible students, faculty, staff, volunteers, contractors, and others. Campuses should consider maintaining regular testing protocols for those individuals who are not vaccinated, and refer to level of community transmission of COVID-19 for optimal implementation of prevention strategies. Masks, physical distancing, and ventilation should be considered for ongoing safety measures.
- Consistently and correctly wear a well-fitting fitted mask protects others as well as themselves. Consistent and correct mask use by people who are not up to date on their vaccines is especially important indoors and in crowded settings, and when physical distancing cannot be maintained. CDC has information on different types of masks and respirators.
- Indoors: Everyone ages 2 years and older who are not up to date with their COVID-19 vaccines should properly wear a well-fitting mask indoors in public in areas, regardless of community transmission. Everyone who is up to date with their COVID-19 vaccines should wear a mask indoors in public in areas of substantial or high community transmission.
- Outdoors: In general, people do not need to wear masks when outdoors. In areas of substantial or high transmission, people might choose to wear a mask outdoors when in sustained close contact with other people, particularly if
- They or someone they live with has a weakened immune system or is at increased risk for severe disease.
- They are not up to date on COVID-19 vaccines or live with someone who is not up to date on COVID-19 vaccines.
- Physical distancing means keeping space of at least 6 feet (about 2 arm lengths) between people who are not in the same household in both indoor and outdoor spaces. In general, CDC recommends people who are not up to date on their COVID-19 vaccines should continue to practice physical distancing, especially if they are at higher risk of getting very sick with COVID-19.
- Gatherings, events, and visitors. Crowded settings still present a greater risk of transmission among people who are not up to date with their vaccines, especially when they bring together people of unknown vaccination status from different communities where community transmission is high. People who are not up to date with their vaccines should continue to avoid large gatherings, but if they choose to attend, they should wear well-fitting masks that cover the mouth and nose, maintain physical distancing, and practice good hand hygiene. For mixed campus IHEs, in-person instruction should be prioritized over extracurricular activities, including sports and school events, to minimize risk of transmission in schools and to protect in-person learning.
- Shared housing (such as dormitories) in IHE settings is considered a congregate setting. People living and working in this type of housing may have challenges with physical distancing and other prevention strategies to prevent the spread of COVID-19. Shared housing includes a broad range of settings, such as dormitories, apartments, condominiums, student or faculty/staff housing, and fraternity and sorority housing. Roommates/suite-mates can be considered a household and do not need to use masks or physically distance within the household “unit” (e.g., dorm room or suite) unless someone in the household has symptoms or has tested positive.
- Food service and communal dining areas. Avoid crowding in areas with high levels of community transmission, stagger use of dining areas, and reduce seating capacity, and use markers and guides to ensure that people remain at least 6 feet apart when waiting in line to order or pick up.
- Improving ventilation is an important COVID-19 prevention strategy for IHEs. Along with other preventive strategies, protective ventilation practices and interventions can reduce the airborne concentration of viral particles and reduce the overall viral dose to occupants. For more specific information about maintenance and use of ventilation equipment and other ventilation considerations, refer to:
- CDC’s Ventilation in Buildings webpage
- CDC’s Ventilation FAQs and
- Improving Ventilation in Your Home webpage
- Additional ventilation recommendations for different types of IHE buildings can be found in the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE) schools and universities guidance document.
The National Collegiate Athletic Association (NCAA) Resocialization of College Sports document provides information for resuming sports practice and competition, including determination of risk levels and prevention, mitigation, and treatment of COVID-19 for student-athletes.
Refer to CDPH Education and Childcare page, under Higher Education, for additional resources.
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Do I still need to wear a mask? What about if I am vaccinated?
Please visit the Face Coverings page for the latest mask guidance.
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The guidance on international travel. What does it say?
For travel recommendations, visit the CDC Travel page. See Frequently Asked Questions for more information.
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Who should get tested for current infection?
Please visit What To Do If You Have COVID-19 for isolation and testing recommendations.
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How do I receive the recording of the telebriefing?
The latest recordings are posted on Child Care Services (Early Care and Education) (sandiegocounty.gov). The recorded telebriefing link expires one week after the telebriefing.
For additional questions and resources, please email:

Table of Contents
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How can health care professionals, such as school nurses, sign up to
administer vaccines?
Individuals interested in volunteering to administer the vaccine can complete the online application at https://www.healthcarevolunteers.ca.gov. Website administrators are committed to processing applications as quickly as possible and will acknowledge applications within 24-48 hours. Interested volunteers will be contacted directly with volunteer assignments. Please do not self-deploy to a site. Interested volunteers can also sign up via the San Diego Medical Reserve Corps here.
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How can a school district become a vaccine distribution site?
Sites interested in administering the COVID-19 vaccine, that have equipment such as a temperature monitored refrigerator, must be enrolled in the federal COVID-19 Vaccination Program. The federal government will procure and distribute vaccines and ancillary supplies at no cost to enrolled, approved COVID-19 vaccination providers. The California Department of Public Health (CDPH) coordinates enrollment for the region.
- Potential vaccination sites will need to meet all requirements before enrolling. This includes being actively listed in the San Diego Immunization Registry (SDIR).
- Interested schools can enroll in SDIR at SDIR.HHSA@sdcounty.ca.gov, or calling the SDIR Help Desk at (619) 692-5656 for assistance.
- For additional information, please visit the California COVID-19 Vaccination Program website.
- For questions about the enrollment process or need technical assistance, please contact the County of San Diego’s COVID-19 Vaccine Branch at COVIDVaxEnrollment.HHSA@sdcounty.ca.gov or (858) 569-3300.
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How can a school host a vaccination event?
Schools can request a pop-up through the California Coronavirus COVID-19 Response Toolkit at Mobile Vaccinations | Covid19Toolkit (CA.gov). Schools may also request to host a vaccination event through Live Well San Diego at Request to Host a Vaccination Event (Smartsheet.com).
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If an educator has had COVID-19, does this impact their ability to get
the vaccine?
Persons who have tested positive for COVID-19 need to wait until after isolation to receive the COVID-19 vaccine. Educators who received monoclonal antibodies for treatment for COVID-19 infection do not have to wait to get vaccinated.
Data from clinical trials indicate that COVID-19 vaccines are safe in persons with a history of COVID-19 infection. Vaccinations should be offered to persons regardless of history of prior symptomatic or asymptomatic infection. Vaccination of persons with known current COVID-19 infection should be deferred until the person has recovered from the acute illness (if the person had symptoms) and have met the criteria to discontinue isolation. This recommendation applies to persons who develop COVID-19 before receiving any vaccine doses and those who develop COVID-19 after the first dose but before the second dose. For more information, visit CDC Considerations for the Use of COVID-19 Vaccines.
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If someone experiences symptoms after receiving the vaccine, how is it
determined if it is a reaction to the vaccine or symptoms of a COVID-19 infection?
It is not uncommon to have mild to moderate reactions following any immunization. Common side effects after COVID-19 vaccinations include local soreness, itching and/or swelling at the injection site, fever, fatigue, headache, nausea, chills, and muscle and joint aches. Most of these post-vaccination symptoms are mild to moderate in severity. Symptoms occurring within the first three days of vaccination (the day of vaccination and the following two days, with most symptoms occurring the day after vaccination), and resolving within 1-2 days of onset, can be treated with acetaminophen, ibuprofen, or naproxen. Symptoms can be more frequent and severe following the second dose of the vaccine among younger persons compared to those who are older (>55 years). However, cough, shortness of breath, rhinorrhea, sore throat, or loss of taste or smell are not consistent with post-vaccination symptoms and might be symptoms of SARS-CoV-2 or another infection. Those experiencing these symptoms should be medically evaluated and tested for COVID-19 and/or other infections. San Diego County Office of Education (SDCOE) has posted a letter, Common Side Effects of Moderna, Pfizer, and Johnson & Johnson Vaccines during COVID-19 Pandemic, with more information.
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If an individual has been vaccinated, do they still need to isolate if symptomatic?
Someone who is symptomatic should not be at school. Anyone showing symptoms should isolate themselves, follow the COVID-19 Decision Tree, and test for COVID-19 infection. The immune system is most prepared to fight COVID-19 about two weeks after the second dose in a two-dose series or two weeks after the first dose in a single-dose vaccine.
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If an individual was vaccinated, should they still participate in
routine testing?
Vaccinated individuals should still participate in routine staff screening and testing for COVID-19. While current COVID-19 vaccines are shown to effectively reduce illness and hospitalizations from this virus, research continues to learn how well they prevent those who are immunized from becoming infected, or transmitting the virus, if they do become infected. Vaccinated individuals should participate in school screening programs and get tested if symptoms of COVID-19 infection develop. Please continue to follow the SDCOE K-12 Decision Tree guidance.
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Do I have to wear a mask or socially distance if I'm vaccinated?
Review the CDPH Guidance for the Use of Face Coverings, which applies to all settings, including schools. For more information, visit the CDPH Face Covering Q&A Page.
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Do minors need to show proof of eligibility to get a vaccine?
Items required at the time of vaccination depend on a person’s age. For vaccine-eligible minors, based on their age, requirements vary depending on whether an adult (18 years and older) will be present when the minor receives the vaccine. Visit the County’s Vaccine Website for more details on the different scenarios for minors.
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Do you recommend requiring volunteers to be vaccinated?
The CDPH Guidance states, “Schools should limit nonessential visitors, volunteers, and activities involving external groups or organizations with people who are not fully vaccinated, particularly in areas where there is moderate-to-high COVID-19 community transmission.” It is recommended that all eligible individuals get vaccinated. Anyone involved with K-12 schools (e.g., volunteers or contract workers) are highly recommended to get vaccinated. Cal/OSHA Emergency Temporary Standards do not specifically address volunteers. It is recommended that a school contact their Human Resources department for more information on volunteer requirements.
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What guidance documents do schools need to follow?
K-12 Schools must follow the CDPH COVID-19 Public Health Guidance for K-12 Schools in California, 2021-22 School Year. Schools must also comply with the Cal/OSHA Emergency Temporary Standards (ETS) for employers.
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How does the Yavneh-Stipulated order Impact San Diego County Schools?
- The Yavneh stipulated settlement merely confirmed the state’s Cohort Guidance and Places of Worship Guidance apply to private schools.
- The settlement agreement restated that the Cohort Guidance does not cap the number of cohorts at a given school, public or private.
- The settlement confirms that religious schools may follow the Places of Worship Guidance for in-person religious services and cultural ceremonies.
- Finally, it confirms that a county can choose to be more restrictive when acting under its own authority than state guidance.
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Do schools need to update and post their Safe Reopening Plans on their
website and post the COVID-19 Safety Plan (CSP)?
Schools are encouraged to post their Safe Reopening Plans, but it is not required.
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Does the CSP have to be site-specific, or can it be consolidated for the district?
If there is anything unique to an individual school site, then that school site must have its own plan. If there are no differences across schools in a district, then a district can post a consolidated plan.
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What steps will a school need to take if a staff member or student has a
confirmed positive case? Will the entire school be required to close for
a period?
Schools are required to report to the local health office the presence, or suspected presence, of any communicable diseases. Schools are also required to report suspected outbreaks. Schools must perform the following actions:
- If a child, staff, or facility contact has tested positive for COVID-19, please contact the Epidemiology Unit at 1(888) 950-9905 or the online report form to notify the local public health department. Please be ready to provide the following information:
- Caller’s name and contact number,
- Name of business or entity, and
- Individual’s name, date of birth, and contact number.
- Isolate the case and exclude the individual(s) from school. Please follow the K-12 Decision Tree for isolation instructions for symptomatic and/or COVID-19 positive persons.
- Recommend notification of exposed persons per the K-12 Decision Tree. A close contact is someone sharing the same indoor airspace (i.e., home, clinic waiting room, or airplane), for a cumulative total of 15 minutes or more over 24 hours (e.g., exposed to three infected individuals, three 5-minute exposures, for a total of 15 minutes), during an infected person's laboratory-confirmed or clinically diagnosed infectious period.
- Disinfect and clean the classroom and primary spaces where the case spent significant time.
- The school remains open.
- The school community must be notified of a known case.
Schools should develop a plan for when a staff member, child, or visitor becomes sick. Schools can review the Reporting and Responding to Confirmed Positive COVID-19 Case(s) at K-12 Schools document for more information about the process of reporting a case.
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Is there a template schools can use to notify parents of a positive
COVID-19 case
SDCOE template letters can be found here: https://covid-19.sdcoe.net/District-Resources.
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Can children get tested at public testing sites?
Children 6 months and older can be tested at any County-coordinated public testing site.
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Can home tests be used for students and staff?
FDA-authorized COVID-19 tests can be used for students and staff. Results should be verified by means such as a time-stamped photograph.
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How long after a positive test should a staff member wait to return to
in-person instruction?
CDPH COVID-19 Public Health Guidance for K-12 Schools recommends to advise staff members and students with symptoms of COVID-19 infection not to return for in-person instruction until they have met the following criteria:
- At least 24 hours have passed since resolution of fever without the use of fever-reducing medications; AND
- Other symptoms are improving; AND
- They have a negative test for SARS-CoV-2, OR a healthcare provider has provided documentation that the symptoms are typical of their underlying chronic condition (e.g., allergies or asthma) OR a healthcare provider has confirmed an alternative named diagnosis (e.g., Streptococcal pharyngitis, Coxsackie virus), OR at least 10 days have passed since symptom onset.
- If the student or staff member tests positive for SARS-CoV-2, follow the guidance for isolation.
CDC (Test for Current Infection) advises individuals who had COVID-19 in the past 90 days and recovered do not need to be tested unless new symptoms develop. If new symptoms develop, isolate immediately and get tested. Continue to stay home until the results prove negative for COVID-19 infection. Wear a well-fitted mask around others.
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Should students and teachers be screened before entering campus?
Daily screening for COVID-19 symptoms and screening those exposed to someone with COVID-19 is a best practice recommended for everyone. This practice can prevent some people with COVID-19 from coming to school while infectious, thus preventing in-school transmission. Screening does not prevent asymptomatic cases from being at school and spreading COVID-19. Parents may be provided the list of COVID-19 symptoms, instructed to keep their child at home if the child is feeling ill or has symptoms of COVID-19 (even if symptoms are very mild), and to get their ill child tested for SARS-CoV2. Staff members may also be provided with the list of COVID-19 symptoms, be instructed to call in sick, be recommended to stay home if symptoms of COVID-19 infection emerge, and get tested for SARS-CoV2. Even previously positive or vaccinated individuals can get COVID-19 and spread the disease.
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Who should be tested, and how often?
Schools are subject to the minimum testing requirement standards established by Cal/OSHA. These standards include response testing for exposed cases and weekly outbreak testing for everyone until no longer considered an outbreak. Please refer to Cal/OSHA guidance for complete details and the Safe Schools for All Hub for K-12 testing strategies.
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What is the process of receiving the BinaxNOW antigen test?
Interested schools may visit the CDPH Lab Field Services page to find guidance for antigen testing. After reviewing the information, schools can contact the County’s Medical Operations Center, at LOGS.TESTING.HHSA@sdcounty.ca.gov, for more information on applying for available test kits.
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Do schools still need to follow the Decision Tree?
Yes, schools should continue to use the COVID-19 K-12 Decision Tree based on the current CDPH Public Health Guidance for Schools.
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Are schools required to collect medical releases for all students who
have tested positive for COVID-19 before participating in sports and/or
Physical Education (PE)?
Districts may ask parents if their physician has cleared the student for athletics and/or PE. Parents should also be made aware of the myocarditis risk. Physicians completing regular sports physicals should ask questions about myocarditis and note if the student has a history of COVID-19. Physicals are typically valid for one year, so if a student develops COVID-19 after their annual test, they should return for another physical.
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Is the Cue (Rapid PCR) test approved to clear a student or employee for
return to school
The Cue test is authorized by the Federal Drug Administration (FDA) to test for COVID-19. While it is not as accurate as a PCR test, it can still be used, and the results do not need to be confirmed.
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What are the recommendations for after-school groups?
Cohorts should be maintained to the best of a program's ability. Students together in a classroom during the day could be kept together in the after-school program. Those who are not together in a classroom during the day could be put into a cohort that remains stable each day in the afterschool program. View the COVID-19 and Reopening In-Person Instruction Framework & Public Health Guidance for K-12 Schools in California for more information. After-school programs operated by schools follow the same K-12 Decision Tree Guidance as to the schools.
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What are the recommendations for cleaning and sanitation in schools?
According to CDPH Public Health Guidance for Schools, cleaning once a day is usually enough to sufficiently remove potential viruses on surfaces. Cleaning using disinfectants on the U.S. Environmental Protection Agency COVID-19 list removes any remaining germs on surfaces, reducing any risk of spreading infection. For more information on cleaning a facility regularly, when to clean more frequently or disinfect, cleaning a facility when someone is sick, safe storage of cleaning and disinfecting products, and considerations for protecting workers who clean facilities, see Cleaning and Disinfecting Your Facility. If a facility had a sick person with COVID-19 within the last 24 hours, clean AND disinfect the spaces occupied by that person.
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What are the guidelines for isolation and quarantine?
Visit the Health Officer Order page for the Isolation and Quarantine Order. Visit the COVID-19 K-12 Decision Tree (English | Spanish), If You Have COVID-19, and If You Are a Close Contact page for more details.
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Is 6-feet still being used to define a close contact now that schools
may have only 3-feet of physical distancing in a classroom?
CDPH has changed its definition of close contact to “someone sharing the same indoor airspace (i.e., home, clinic waiting room, or airplane), for a cumulative total of 15 minutes or more over 24 hours (e.g., exposed to three infected individuals, three 5-minute exposures, for a total of 15 minutes), during an infected person’s laboratory-confirmed or clinically diagnosed infectious period.
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What is the mask guidance for students and staff?
The following guidance is available from CDPH COVID-19 Public Health Guidance for K-12 Schools in California, 2021-22 School Year:
- No person can be prevented from wearing a mask as a condition of participation in an activity or entry into a school, unless wearing a mask would pose a safety hazard (e.g., watersports).
- CDPH strongly recommends that all persons (e.g., students and staff) wear masks in K-12 indoor settings, with consideration of exemptions per CDPH face mask guidance.
- Persons exempted from wearing a face covering due to a medical condition are strongly recommended to wear a non-restrictive alternative, such as a face shield with a drape on the bottom edge, as long as their condition permits it.
- Schools must develop and implement local protocols to provide masks to students who inadvertently fail to bring a face covering to school and desire to use one.
- Public schools should be aware of the requirements in AB 130 (Chapter 44 of the Statutes of 2021) to offer independent study programs for the 2021-22 school year.
- In situations where use of masks is challenging due to pedagogical or developmental reasons, (e.g., communicating or assisting young children or those with special needs), a face shield with a drape (per CDPH guidelines) (PDF) may be considered instead of a mask while in the classroom.
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Do students need to remain in cohorts?
No. However, maintaining cohorts and/or stable groups is a best practice and a strong component of a layered mitigation approach. Stable groups help minimize spread and facilitate group contact notification.
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What are the recommendations for air filtration in classrooms?
- Airflow and ventilation enhancements are recommended where practicable.
- Keep windows and doors open for cross ventilation. If this is not possible, make sure that Heating, Ventilation, and Air Conditioning (HVAC) systems are operating to clear the air of small airborne particles.
- The CDC has information about air filtration and ventilation, including considerations for operating schools during COVID-19, and indoor environmental quality.
- Have a Heating, Ventilation, and Air Conditioning (HVAC) specialist review the school’s system so that particulate matter (2.5 microns) is in an acceptable range. Recommendations may include:
- Changing ventilation settings so "air changes per hour" is set to a minimum of 5 changes per hour, and/or
- Use MERV 13 if your HVAC system has the capacity for these filters, or
- Place one or more HEPA filters/air purifiers per room to filter the air of small particles.
- Turn off classroom ceiling fans, and do not use a desk or floor fans. Even if a classroom has air filters, fans should only be used to exhaust room air out a window. Fans that merely circulate the air in a closed space are not recommended.
- Use either carbon dioxide monitors or particle counters (2.5 microns) to measure the quality of the classroom's ventilation when it is occupied. Use particle counters if your system has MERV 13 filters or HEPA room air purifiers. Carbon dioxide monitors are no longer a good proxy for the air quality in terms of COVID-19.
- Airflow and ventilation enhancements are recommended where practicable.
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What is the guidance for central heaters and space heaters?
There is no evidence that portable space heaters directly create an increased risk of COVID-19. The American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) recommends keeping occupied spaces heated to normal levels because spending time under thermal stress, such as excessively cold spaces, can lower resistance to infection.
However, there are other issues to consider when selecting and operating a space heater. Be aware that unvented combustion space heaters (e.g., using kerosene, propane, or natural gas) release combustion products into the indoor air. These contaminants can build up to unacceptable or even hazardous levels without adequate ventilation. Unvented combustion emits nitrogen dioxide (NO2), a reactive oxygen species and a known breathing irritant, that could increase susceptibility to respiratory infections, such as COVID-19. Unvented combustion-based heaters are banned in some jurisdictions. Electric space heaters do not pose those risks. The placement of any portable heater requires some thought and care to avoid overheating any nearby materials.
See ASHRAE FAQs for more information.
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We have purchased air purifiers for use in our classrooms. The purifiers
are more effective with doors/windows closed, but health guidance
suggests we keep doors/windows open. Is there any guidance as to whether
doors/windows should still stay open if air purifiers are in use in classrooms
In-room/portable air cleaners should be used in rooms where adequate ventilation with outdoor air cannot be maintained. Purifiers work better when the fan is constantly running. Their noise may affect where they are placed in the classroom. A portable air cleaner will be much more effective for a specific room when any exterior doors and windows in a room are closed. If there are concerns about an air filtration system, keep the windows open. Air quality can also be tested with a particle counter.
Additionally, the Environmental Protection Agency’s (EPA) Technical Summary of Residential Air Cleaners states, on page 37, “the air cleaner should not be situated where walls, furniture, curtains, and other obstructions will block the intake and outlet. Manufacturer instructions may indicate that the air cleaner is placed a certain distance from any objects that might obstruct airflow.”
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Where can I get additional ventilation information and resources?
The CA Safe Schools for All for ventilation guidance and the CA COVID-19 School Readiness Hub for potential funding opportunities.
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What activities can I do with my child at home?
The County launched the Live Well @ Home initiative, which provides free resources to help community residents find tips and strategies to stay healthy, in both mind and body, while staying at home. Visit livewellsd.org to learn more and pledge to stay home to keep residents safe and save lives.
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What resources are available for childcare or placement during a crisis?
Visit the YMCA Childcare Resource Services page for information on childcare placement in San Diego County. For additional information on childcare for essential workers and at-risk populations seeking financial assistance for childcare, visit http://www.sandiegoforeverychild.org/covid19/.
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Are there resources available for students without computers
- Computers2Kids San Diego offers refurbished desktops and laptops with Microsoft Office software for qualified applicants for $80 to $100. Visit https://www.c2sdk.org/ for more information.
- The San Diego Futures Foundation also offers low-cost computers. The process is by appointment only. To apply, visit https://sdfutures.org/.
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Are there resources for students without access to the internet?
- Cox Connect2Compete offers free internet for three months for students who qualify for free lunch and/or are low income.
- Spectrum is offering COVID-19 Remote Education Credit. Visit the COVID-19 Update page for more information.
- Visit the California Department of Education, Getting Internet Access: Available Plans, page for information on Telecom and Data Companies Extending Services and available plans.
- The San Diego County Office of Education has connectivity resources offering students and families in need of broadband access for distance learning.
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What resources are available for distance learning/online learning?
SDCOE offers Distance Learning Resources on their website: https://covid-19.sdcoe.net/educators.
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How can students without printers at home make copies needed for school?
Each district is taking a unique approach to providing resources to students. District contact information is available on the California School Directory, San Diego County Office of Education, to request more specific information. Students attending Juvenile Court and Community Schools are provided with any materials needed. Email COVID-Education@sdcounty.ca.gov for more detailed information.
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Do children attending in-person school instruction need to be up-to-date
on their immunizations?
Yes. Children must be current on vaccinations by the first day of enrollment.
Infants and children are eligible to receive the Pfizer-BioNTech or Moderna COVID-19 vaccine (see COVID-19 Vaccine Eligibility). Vaccination is the best way to prevent hospitalization and severe disease in the pediatric population. While COVID-19 vaccinations are not currently required for a child to be able to attend school, COVID-19 vaccinations are strongly recommended by the CDC, CDPH, and the County Public Health Services Department.
It is critically important that children receive COVID-19 immunizations. Also, routine preventative services are still critical during this time, and immunizations are one of the most vital public health interventions. It is recommended that families work with a pediatrician, family doctor, medical home, or, if eligible, a County Public Health Center, to schedule immunization services.
Pediatricians are ready to provide these immunizations. Learn more by visiting the #CallYourPediatrician campaign page.
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There is widespread concern that kids have fallen behind in their
routine immunizations during COVID-19. Do plans from the Office of
Education address providing "catch-up" immunizations at
school, even at sites without school-based health centers?
No, that is not the role of the County Office of Education. Immunization guidelines are state guidelines from the California Department of Public Health that align with immunization recommendations from the CDC. Visit the CDPH Immunizations page for more information, or the CDC Morbidity and Mortality Weekly Report (May 15, 2020) to see early information on the impact of the pandemic on the pediatric vaccination in the United States.
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What mental health and stress management resources are available for families?
- Visit the County’s How to Manage Your Mental Health and Cope During COVID-19 page for information and resources on managing mental health and coping during COVID-19
- County: Maintaining mental health and wellness during the COVID-19 outbreak tip sheet
- Call the Access & Crisis Line (888-724-7240) for assistance finding mental health resources or for help during a mental health crisis. Available 24/7, answered by trained clinicians, and available in multiple languages
- CDC: Coping with a Disaster or Traumatic Event tip sheet
- Mental Health America: COVID-19 Resources and Information
- Greater Good Magazine: Guide to Well-being During Coronavirus, including resources for parents and educators (published by the Greater Good Science Center at UC Berkeley)
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How can the suicide prevention lifeline be accessed?
Text TALK to 741741 to text with a trained counselor for free, call the National Suicide Prevention Lifeline at 1-800-273-8255, or visit https://suicidepreventionlifeline.org/ for more support information and resources.
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Besides school lunches, what resources are available for nutrition assistance?
- Call 2-1-1 for help locating nutrition programs and resources in your community
- Visit the CalFresh website to learn more about nutritional assistance or apply at https://www.getcalfresh.org/?source=sandiegoweb
- San Diego Food Bank: Neighborhood Distribution Program
- Feeding San Diego: Food Distribution Locator
- San Diego Hunger Coalition: COVID-19 and Hunger Relief
- SDCOE: District Resources
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How can we keep kids active?
Action for Healthy Kids has activities to do with kids at home: Activities for kids during COVID-19
The YMCA is currently offering virtual memberships for families: Virtual memberships
The American Heart Association has ideas for Physical Activity Breaks: AHA Educational Resources
5-2-1-0 is a campaign developed by the Childhood Obesity Initiative which promotes 5 fruits and vegetables a day, no more than 2 hours of screen time, at least 1 hour of physical activity, and 0 sugar-sweetened beverages replaced by increased water consumption.
Other resources for physical activity include: Power up in 10, Instant Recess, and Go Noodle.
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Are there any websites, webinars, or resources to help us prepare for recovery?
San Diego County Office of Education has developed a response plan in April of 2020. No one knew that the pandemic would last over two years. While the pandemic is still under way, here are some resources to adapt:
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How do we help ensure our students are safe from abuse?
View the COVID-19 Resources page and San Diego District Attorney’s Office website.
- National Domestic Violence Hotline: 1-800-799-7233 / TTY 1−800−787−3224
- Child Abuse Hotline: 858-560-2191 or https://www.preventdv1.org/
- Message from the District Attorney’s Office: Read the message here
- San Diego County Child Welfare Services: Visit their website here
- Abuse reporting during COVID-19.
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What resources are available for homeless youth?
Resources for homeless youth include:
- The Disaster Distress Hotline – call 1-800-985-5990 or text TalkWithUs to 66-746
- The Trevor Project (for LGBTQ youth) – call 1-866-488-7386, or text START to 678-678
- 2-1-1 (shelter and basic needs) & Access & Crisis Line: 888-724-7240
- SDCOE: Foster and Homeless Youth Resources
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Who is eligible to receive school food?
Any children 18 and under. If students have IEP/special needs, then 22 and under. https://covid-19.sdcoe.net/District-Resources
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Do children have to be present when parents are picking up meals?
Children do not have to be present for parents to pick up meals for their kids. No verification, ID, or registration is needed.
For additional questions and resources, please email:

Table of Contents
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Why is the San Diego Veterans Coalition (SDVC) the place to transition
the County's COVID-19 Military and Veterans Telebriefings?
The County of San Diego and the SDVC worked together during the pandemic to create the COVID-19 Military and Veterans Telebriefing. The SDVC is the bedrock of the Veterans network and has always disseminated information to the Veterans’ community.
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How long will the County Military and Veterans Sector Team provide
COVID-19 updates on the SDVC monthly meeting?
Beginning in August 2022, the County of San Diego's Chief Resilience Officer, Gary Johnston and Medical Subject Matter Expert, Dr. John Malone will assess if updates will be provided upon request or if there is a new public health concern regarding COVID-19.
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What is the date and time of the Military and Veterans Sector telebriefing?
The San Diego Veterans Coalition (SDVC) hosts the Military and Veterans Sector telebriefings on the first Friday of the month, from 8:30 AM to 10:00 AM.
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How is the County of San Diego (County) Emergency Operations Center
(EOC) working with the EOCs on Navy and Marine Corps installations to
prevent the spread of COVID-19?
County and military installations staffs work together to train military personnel to prevent the virus from spreading. The County shares the Situation Report with military commanders and other agencies to show how the County maintains communication within the various sectors. The County provides real-time information to the San Diego County community via regular telebriefings and e-blasts from multiple community sectors. The County liaison communicates with military medical personnel to keep track of positive COVID-19 cases.
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How are San Diego’s vaccine rates compared with the State’s?
The County of San Diego works closely with federal and state agencies and the local healthcare community to monitor and test for the COVID-19 virus in the region. To view the number of vaccine doses in San Diego County, visit the COVID-19 Vaccination Dashboard. Vaccinations are free, and walk-ins are available. For more information on vaccines, please visit Coronavirus-SD.com.
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What should I do if I receive an email and/or call selling COVID-19 test kits?
If you receive emails and/or calls selling COVID-19 test kits, call the San Diego County District Attorney Hotline at 619-531-3507 to report the company or individual selling the test kits.
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I’ve heard much about the County of San Diego’s COVID “T3 strategy.”
What does T3 stand for, and how is this strategy affecting COVID-19
rates in the County?
T3 stands for Test, Trace, and Treat. The strategy is to locate, identify, and contact asymptomatic persons (i.e., positive for COVID-19 without symptoms); contact and test close contacts of those infected; and isolate (treat) those who test positive for COVID-19. T3 also tracks COVID-19 infection and vaccination rates in the County on the Vaccination Dashboard.
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If I tested positive for COVID-19, do I need to get tested again before
returning to work?
The Centers for Disease Control and Prevention (CDC) states employers are not required to have employees who tested positive for COVID-19 be tested again before returning to work. However, individuals should follow the CDC recommendation for isolation management and guidelines for when to come off isolation.
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Who is conducting contact tracing?
The County has transitioned from universal case investigation and contract tracing. Currently, County Contact Tracers conduct contact tracing in high-risk settings, such as Nursing homes and homeless shelters. Contact tracing in K-12 schools is now frequently performed with a classroom notification letter.
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Has there been an increase in suicides or other mental health issues
related to the pandemic?
There has not been an increase in suicide rates but rather a decrease in suicides, according to CDC National Vital Statistics System data (November 2021; National Center for Health Statistics pressroom announcement).
However, there has been an increase in fatalities due to substance abuse. On May 11, 2022, the CDC announced that 107,000 Americans died of overdoses last year, setting another tragic record in the nation’s escalating overdose epidemic. There is an opioid epidemic that is nationwide and impacting San Diego. Illicit Fentanyl contamination with cocaine and other street drugs has led to clusters of overdoses in San Diego.
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What is the San Diego County Medical Reserve Corps? Are volunteer
opportunities available?
The San Diego Medical Reserve Corps (MRC) is a community-based group of local medical and health workers who can serve as volunteers during a local health emergency. The County of San Diego MRC continues to look for licensed clinicians with current active and unencumbered licenses who are interested in and are readily available to support COVID-19 response activities, such as handling medical-related phone inquiries, assisting with training/presentations to healthcare entities, serving at a call center, and performing other disaster-related support activities.
The MRC is currently in need of Infectious Disease Specialists, Infection Control Nurses, and Epidemiologists. However, a wide range of licensed medical and/or mental health professionals can also volunteer, including:
- Physicians and physician assistants, nurses (e.g., nurse practitioners, registered nurses, licensed vocational nurses, certified nurse assistants);
- Psychologists, counselors, and other mental health professionals;
- Pharmacists and pharmacy technicians;
- Paramedics and emergency medical technicians;
- Dentists, veterinarians, other health professionals; and
- Non-medical volunteers.
Anyone interested in joining the San Diego’s Medical Reserve Corp can email MRC-VOLCOORD.HHSA@sdcounty.ca.gov or register directly on the state website at https://healthcarevolunteers.ca.gov/index.php.
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Does the Naval Medical Center have to comply with San Diego County
Public Health Orders? Is the Naval hospital conducting elective-type
surgeries or procedures?
The Naval Medical Center does not have to comply with San Diego County Public Health Orders. However, the Naval Medical Center complies with County Public Health Orders to maintain continuity. As of May 19, 2020, the U.S. Department of Defense announced all elective surgical, invasive, and dental procedures may resume at military medical and dental treatment facilities.
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Where can I find information about local communities or webinars to help
manage the stress of COVID-19?
To find information about local communities or webinars to help manage stress, visit:
- Live Well San Diego Live Well @ Home,
- County of San Diego Behavioral Health Services COVID-19 support, or
- Center for Disease Control and Prevention Coping with Stress.
For immediate mental health support, visit It’s Up 2 Us San Diego to chat with a representative, or call the San Diego Access & Crisis Line at 888-724-7240, or dial 2-1-1 and select option 4
For current and former service members and their families who need immediate mental health support, visit Courage to Call to chat with a representative, or call 877-698-7838.
Contact your Employee Assistance Program (EPA) if you or your spouse’s employer offers an EPA.
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Is Veterans Affairs (VA) still processing claims and disabilities?
Yes, the San Diego County Office of Military and Veterans Affairs (OMVA) is still processing claims and disabilities. For more information, call (858)-694-3222 or visit SanDiegoCounty.gov.
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How often should I clean the cloth mask I use to cover my face?
The cloth mask should be cleaned after each outing to prevent the spread of the disease. If leaving the house multiple times a day, the cloth mask should be changed to prevent the spread of the disease.
While cloth masks help decrease the aerosol spread of COVID-19, the County health department, California Department of Public Health, and CDC highly recommend wearing surgical masks to provide greater protection, with KN95 and N95 masks providing the highest level of protection.
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Are military bases required to adhere to San Diego County Public Health Orders?
Although military installations do not have to follow the San Diego County Public Health Orders, they often align to maintain continuity throughout San Diego County. Military installations adhere to San Diego County Public Health Orders, as long as the orders do not affect military operations.
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Are there volunteer organizations veterans can join to help fellow San Diegans?
Yes. Volunteers can register at SanDiegoCounty.gov/Volunteer, Justserve.org, TeamRubiconUSA.org, and MRC.hhs.gov for the Medical Reserve Corps.
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Is the VA able to perform in-person Compensation & Pension Exams for veterans?
As of May 28, 2020, the VA resumed in-person C&P exams. Visit VA Compensation & Pension Exam to find a VA location.
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What authorities does the County of San Diego have over incorporated cities?
The County of San Diego works closely with the incorporated cities or municipalities within the region. Incorporated cities that do not have public health capabilities are supported by the County and abide by the County Public Health Orders. Incorporated cities may also contract with private entities to provide necessary services to the public. Incorporated cities’ COVID-19-related orders/guidance are subordinate to the County Public Health Orders. Incorporated cities may have more strict COVID-19 guidance, but not less than what is required under the County Public Health Order.
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How has the pandemic affected the suicide rate among veterans?
There is no evidence that the pandemic has affected the veterans’ suicide rate. The pandemic has affected veterans the same way it has impacted everyone; physically, socially, and economically. Those factors significantly impact how veterans receive care from the VA medical facilities. For immediate mental health support, please call the National Suicide Prevention Line at 1-800-273-8255.
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Are there respite services that can be highlighted so caregivers can get
a break?
- Horse of the Sun Ranch allows caregivers to take a break and recover from daily activities.
- Armed Services YMCA San Diego can provide respite services to military caregivers and families.
- Southern Caregiver Resource Center offers free and confidential caregiver support services, such as clinical coaching (e.g., Operation Family Caregiver), respite services, and bilingual education and programs.
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What is the VA doing in offering COVID-19 testing?
The VA offers free diagnostic COVID-19 lab tests for veterans who are enrolled in VA Healthcare. Everyone in the U.S. can also get no-cost, at-home self-test kits. Visit COVID-19 Testing at VA for more information.
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Are any services providing pick-up/delivery of food distribution items
available to Veterans?
Courage to Call has free food distributions every second and fourth Saturday of the month for active duty, veterans, guard, reservists, and their families. Please email couragetocall@mhsinc.org for location information for each distribution or visit Courage2Call.org.
For additional food assistance, call 2-1-1 San Diego, a free, 24-hour confidential phone service and searchable online database.
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Is the VA hospital conducting COVID-19 testing?
The VA offers diagnostic testing for veterans currently enrolled in VA healthcare and meets the CDC testing criteria. At this time, there is no copay for testing. Veterans who wish to receive a COVID-19 test at the VA must schedule an appointment.
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Does the VA offer COVID-19 vaccines? Do veterans have to make an
appointment or are walk-ins available?
The VA offers COVID-19 vaccines to veterans, spouses, caregivers, and Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) recipients. Walk-in hours and appointments are available. Visit the VA COVID-19 Vaccines and VA section to find the nearest VA facility that offers COVID-19 vaccines.
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Is the VA offering in-person Transition Assistance Program (TAP) classes?
The VA offers in-person and online TAP courses. Visit the U.S. Department of Labor Transition Assistance Program page for transition resources organized by branch of service, or visit https://tapevents.mil/ for online options.
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Do the County’s current COVID-19 cases include military cases?
Yes, the County’s current COVID-19 cases include military cases.
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If my spouse is deployed and I begin to show signs and symptoms of
COVID-19, what should I do with my kids while I am in isolation?
If there is no one to temporarily care for the children, they should stay with the parent, and all should follow the preventive measures. Having a family care plan is very important. Active duty personnel is required to complete a family care plan before deploying. Get tested for COVID-19 if signs and symptoms emerge.
At-home test kits are available at no cost for every home in the U.S. and at various local retailers. Alternatively, the County of San Diego has no-cost COVID-19 testing sites throughout San Diego.
Anyone who tests positive for COVID-19 infection should:
- Follow self-isolation instructions;
- Immediately contact their healthcare provider for recommendations and early treatment options, such as oral medications or monoclonal antibody treatment;
- Maximize ventilation in the house (e.g., opening windows);
- Frequently sanitize surface areas in the house;
- Use a face covering around others to prevent the spread of the disease; and
- Use a separate bedroom and bathroom from the rest of the family, if possible.
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What resources can service members utilize to maintain a healthy mindset?
- Fleet and Family Support Centers provide support services to service members and their families, including counseling options and family activities.
- Military OneSource (1-800-342-9647) offers 24/7 connections to information, answers, and support to help military families reach goals, overcome challenges, and thrive.
- Armed Services YMCA San Diego provides innovative and quality social, educational, and recreational programs to meet the needs of military service members and their families, including telehealth clinical counseling and food distribution. Food drive registration information is posted on https://www.facebook.com/ASYSandiego/ at 6:00 PM every Friday.
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Is there a way for veterans to virtually access the Navy’s Retired
Activities Program?
The Navy’s Retired Activities Program cannot be accessed virtually. However, veterans can call 1-833-330-6622 to obtain information about the Navy’s Retired Activities Program.
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What is the best way a service member and the public can receive updated
information about military installations in response to COVID-19?
The best way for service members and the public to receive information about military installations in response to COVID-19 is to visit the website of their current military installation or the County of San Diego Military and Veterans Sector’s website for up-to-date information. Visit the County of San Diego Coronavirus-SD.com website for more information and resources on COVID-19.
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Are veterans with disabilities or retirees allowed to come on-base and
use the commissaries or Navy Exchange (NEX)?
Visit the VA Commissary and Exchange Privileges for Veterans page for details on base access eligibility.
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What specific things has the Naval Medical Center done to support both
active duty and veteran service members and their families during the
response to the COVID-19 pandemic?
The Naval Medical Center is constantly working on ways to keep active duty military, veterans, and service member families healthy. The Naval Medical Center has different ways to provide healthcare to the military community, including virtual appointments (70 percent of meetings are virtual; most over the phone) and inpatient care (more than 120 negative pressure rooms). The Naval Medical Center also has a contingency plan for a surge of positives for COVID-19 and a system to rapidly test active-duty members for COVID-19.
If the public has any other serious illness (e.g., broken bone or chest pain), it is safe to go to the emergency department to be treated. Measures are being taken to ensure the safety and health of all patients.
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Has Balboa Naval Hospital supported other local hospitals and healthcare
clinics by taking non-military COVID-19 patients?
Balboa Naval Hospital is very integrated with the community, but has not needed to provide additional support for other local hospitals and healthcare clinics. The Naval Hospital is ready to provide necessary support if the County of San Diego is in need.
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Is childcare available for parents while going to appointments?
The Naval Medical Center can provide childcare for parents attending appointments, but the Naval Medical Center does not recommend bringing children to the hospital. If urgently ill and need emergency care, the Naval Medical center has the capability to provide childcare support, but children who are not sick should come to the hospital only as a last resort.
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Is the Armed Services YMCA offering any summer programs?
The Armed Services YMCA has summer programs and events. To view Armed Forces YMCA programs and events, visit www.asymca.org/san-diego-home.
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What can veterans living abroad do about medicines provided by the VA?
VA hospitals continue to mail prescriptions to the service member’s place of residence. However, VA Hospital providers cannot travel to Mexico to provide physical care because they are not licensed to work in Mexico. The veteran should call their healthcare provider before going to the VA hospital for further assistance on how to proceed.
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Will telehealth be made available to veterans living in Mexico?
Yes, telehealth is available to veterans living in Mexico, depending on if they have the technological capabilities. VA healthcare personnel are not licensed in Mexico. However, they can prescribe something to be picked up locally.
For additional questions and resources, please email:

Table of Contents
- For information on COVID-19 vaccines, including eligibility, additional doses, and booster doses, visit the COVID-19 Eligibility page.
- Common myths, resources, and records on misinformation are available on the Evaluating COVID-19 Information page.
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What should I do if I get COVID-19?
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Get treated if eligible. There are two options available to
treat COVID-19 infection. These include monoclonal antibodies and
oral treatment.
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Monoclonal antibodies, via IV infusion, is available at
theMonoclonal
Antibody Regional Centers (MARCs) to treat persons
12 years of age or older with mild to moderate COVID-19 symptoms
within 7 days.
- Where?
- MARC at Vista Community Clinic (open Tuesday - Friday)
- MARC at Clairemont Friendship Center in Clairmont (open Monday - Saturday
- MARC at San Ysidro Health in Chula Vista (open Wednesday - Sunday)
- Family Health Centers of San Diego in Hillcrest (open Tuesday - Friday)
- Video on MARC: English | Spanish/Español
- For more information, visit the County MARC page or email COVIDTreatment@sdcounty.ca.gov.
- Call (619) 685-2500 with questions and/or to schedule an appointment directly.
- Where?
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Oral treatment, such as Paxlovid, is available as a 5-day
course for individuals who have mild to moderate symptoms of
COVID-19 infection.
- Where?
- Please call 1-888-634-1123 to schedule an appointment at an OptumServe site for testing and treatment with Paxlovid, if eligible.
- Where?
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Monoclonal antibodies, via IV infusion, is available at
theMonoclonal
Antibody Regional Centers (MARCs) to treat persons
12 years of age or older with mild to moderate COVID-19 symptoms
within 7 days.
- Isolate at home or in a safe place. Instructions outlined in the document Home Isolation Instructions for Coronavirus Disease 2019 (COVID-19), issued by San Diego County and California public health officials, are for people confirmed to have COVID-19 or clinically suspected to have COVID-19. This document is available in the following nine languages:
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Contact your healthcare provider. Anyone with symptoms
consistent with COVID-19 should immediately connect with a
healthcare provider.
- Those without a primary care provider can call 2-1-1 to be connected with one.
- The CDC Steps When Sick page also has information on steps to take when symptoms of COVID-19 are present.
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Get treated if eligible. There are two options available to
treat COVID-19 infection. These include monoclonal antibodies and
oral treatment.
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What is the best way to prevent the spread of COVID-19 in congregate
settings, such as in an independent senior living community
- Vaccines are the most effective tool to help prevent the spread of COVID-19, but vaccines are not the only tool. Even after being fully vaccinated, everyone should continue to take preventive measures.
- The following additional actions also help to protect against COVID-19:
- Washing hands often with soap and water for at least 20 seconds,
- Practice physical distancing, and
- Wear a face covering in indoor spaces where air is shared.
- Visit the County About Coronavirus (COVID-19) page to learn how the virus spreads, symptoms, and how to stay protected.
- For Guidance related to care in Residential Care Facilities for the Elderly (RCFE’s), also known as Assisted Living, Skilled Nursing Facilities, and other residential care facilities, please see the Long-Term Care and Residential Care Facilities Sector page.
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If I believe I might have been exposed to COVID-19, what safety
precautions should I take?
- Regardless of your COVID-19 vaccine status, if you do not have
COVID-19 symptoms (asymptomatic), you do not need to quarantine.
However, there are recommended actions:
- Take a COVID-19 test (either PCR or antigen) 3-5 days after the last exposure.
- Wear a well-fitted face covering for a total of 10 days after exposure, especially in indoor settings and when near those at higher risk for severe COVID-19.
- Monitor your health for COVID-19 symptoms through day 10.
- Regardless of your COVID-19 vaccine status, if you do not have
COVID-19 symptoms (asymptomatic), you do not need to quarantine.
However, there are recommended actions:
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How do I get access to COVID-19 email updates for Older Adults and those
with Disabilities?
- The Older Adults and Disability Sector support team sends out a COVID-19 update twice a month (1st and 3 rd week) that contains the most up-to-date information pertaining to COVID-19, and how it affects older adults and those with disabilities. Timely information from the State and how it may affect the community is also included.
- Sign up for Older Adult and Disability COVID-19 email updates by sending an email to COVID-AIS@sdcounty.ca.gov.
- The COVID-19 Community Resources page for older adults and adults living with disabilities also provides resources and updates.
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How can people stay socially connected?
- Many creative activities are available to encourage connection while physical distancing.
- Visit Aging and Independent Services Social Engagement page for resources to stay connected while at home.
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What are some ways for older adults to combat feelings of isolation?
- The Get Connected Guide (Spanish/Español) provides resources and strategies to help get connected, whether it’s feeling lonely, wanting to build connections to prevent loneliness, or trying to help someone become more socially connected. This guide covers how social connection impacts a person’s health, first steps to becoming connected, overcoming challenges, ways to engage, and even includes tips for caregivers.
- For more ways to stay socially engaged, such as how to stay connected from home, learning how to use virtual platforms, and making video calls using Zoom, visit the County of San Diego Health & Human Services Agency Social Engagement page.
- For ideas on how to connect with others, volunteer work, and more, visit the following Aging & Independence Services (AIS) pages:
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Because older adults are at higher risk for complications from COVID-19
and variants circulating the region, are there any resources available
to help caregivers with ideas on how to stay engaged with their care
partners who are living with dementia while at home?
- The Dementia-Friendly Activities Toolkit is a resource to support caregivers and families alike looking for simple and easy ways to engage with their loved ones.
- This toolkit includes activities and resources that support the needs of people living with dementia and make it easier for them to remain engaged.
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What are the differences between Flu and COVID-19?
- The flu and COVID-19 are both contagious upper respiratory diseases but are caused by two different viruses. Many symptoms of the flu are very similar to COVID-19. Testing is the main way to identify if a person has COVID-19, the flu, or another illness.
- The County provides a Flu vs COVID-19 chart (Spanish/Español) showing the differences and similarities between the flu (Influenza virus) and COVID-19 (SARS-CoV-2 virus).
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How can older adults and those with disabilities get connected to food resources?
- A variety of resources are available to ensure older adults and those with disabilities can access healthy, nutritious food. Visit AIS COVID-19 and Community Resources page for more information.
- Individuals with funds to pay for food, but would like to try commercial delivery options can check out the Commercial Food Services page to learn how to use online commercial food delivery services, such as UberEats and Doordash, with step-by-step instructional videos.
- If finances are tight, check out the Non-Profit Food Assistance page to discover free food resources, such as the AIS home delivered meal program, or call 2-1-1 for more options.
- If an individual has benefited from the Great Plates Delivered Program and continues to need food assistance, learn about additional food resources available by viewing the Great Plates Delivered End of Program Notice. Most programs are little to no cost for eligible participants.
- Please note that CalFresh EBT cards can now be used to pay for grocery delivery. Visit http://mycalfresh.org for more information on CalFresh benefits or call 2-1-1.
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How can folks with special needs get the assistance they need?
- Call 2-1-1 for an operator to help work with people requiring specific needs and identifying supportive programs based on eligibility.
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I receive In-Home Supportive Services (IHSS). My caregiver tested
positive. How do I receive emergency caregiver support? What is the sick
leave policy for IHSS caregiver with COVID-19?
- The Public Authority handles emergency caregivers and sick leave.
- For information pertaining to these matters, please contact a social worker or the Public Authority at 1-866-351-7722.
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If I am interested in volunteering with an organization to support the
community during this time, where do I go to get more information?
AIS has a Social Engagement page providing ways to stay connected at home.
- View the COVID-19 Edition: Ways to Engage resource flyer
- For additional volunteer opportunities, visit the County of San Diego Volunteer Program page.
For additional questions and resources, please email:

Beverage Providers
For additional questions and resources, please email: