COVID-19 Guidance for Clinicians, Facilities & Schools
COVID-19 Guidance and Resources for Clinicians and Facilities
San Mateo County Health is working closely with the California Department of Public Health (CDPH) and the Centers for Disease Control and Prevention (CDC) to respond to Coronavirus Disease 2019 (COVID-19) and its potential impacts on the Bay Area.
Please note that these recommendations are intended for medical providers, congregate facilities, schools/child care facilities, and employers in San Mateo County. Providers in other counties should contact their local health department for guidance.
General Resources
- Updated isolation and quarantine guidance from CDPH
- Core Service Agencies – Emergency Safety Net Assistance
- CDPH COVID-19 Updates (Coronavirus Disease 2019) webpage
- CDC Coronavirus (COVID-19) webpage
COVID-19 Digests
- 06/27/22: COVID-19 Digest, Issue #78
- 05/05/22: COVID-19 Digest, Issue #77
- 04/21/22: COVID-19 Digest, Issue #76
- 04/01/22: COVID-19 Digest, Issue #75
- 03/18/22: COVID-19 Digest, Issue #74
- 03/04/22: COVID-19 Digest, Issue #73
- 02/17/22: COVID-19 Digest, Issue #72
- 02/02/22: COVID-19 Digest, Issue #71
- 01/19/22: COVID-19 Digest, Issue #70
- 12/31/21: COVID-19 Digest, Issue #69
- 12/17/21: COVID-19 Digest, Issue #68
- 12/03/21: COVID-19 Digest, Issue #67
- 11/19/21: COVID-19 Digest, Issue #66
- 10/19/21: COVID-19 Digest, Issue #65
- 09/30/21: COVID-19 Digest, Issue #64
- 09/14/21: COVID-19 Digest, Issue #63
- 08/27/21: COVID-19 Digest, Issue #62
- 07/16/21: COVID-19 Digest, Issue #61
- 06/30/21: COVID-19 Digest, Issue #60
- 06/18/21: COVID-19 Digest, Issue #59
- 06/04/21: COVID-19 Digest, Issue #58
- 05/28/21: COVID-19 Digest, Issue #57
- 05/21/21: COVID-19 Digest, Issue #56
- 05/14/21: COVID-19 Digest, Issue #55
- 05/07/21: COVID-19 Digest, Issue #54
- 04/30/21: COVID-19 Digest, Issue #53
- 04/23/21: COVID-19 Digest, Issue #52
- 04/16/21: COVID-19 Digest, Issue #51
- 04/09/21: COVID-19 Digest, Issue #50
- 04/02/21: COVID-19 Digest, Issue #49
- 03/26/21: COVID-19 Digest, Issue #48
- 03/19/21: COVID-19 Digest, Issue #47
- 03/12/21: COVID-19 Digest, Issue #46
- 03/05/21: COVID-19 Digest, Issue #45
- 02/26/21: COVID-19 Digest, Issue #44
- 02/19/21: COVID-19 Digest, Issue #43
- 02/11/21: COVID-19 Digest, Issue #42
- 02/05/21: COVID-19 Digest, Issue #41
- 01/28/21: COVID-19 Digest, Issue #40
- 01/21/21: COVID-19 Digest, Issue #39
- 01/13/21: COVID-19 Digest, Issue #38
- 01/07/21: COVID-19 Digest, Issue #37
- 12/31/20: COVID-19 Digest, Issue #36
- 12/24/20: COVID-19 Digest, Issue #35
- 12/18/20: COVID-19 Digest, Issue #34
- 12/10/20: COVID-19 Digest, Issue #33
- 12/2/20: COVID-19 Digest, Issue #32
- 11/25/20: COVID-19 Digest, Issue #31
- 11/18/20: COVID-19 Digest, Issue #30
- 11/11/20: COVID-19 Digest, Issue #29
- 11/4/20: COVID-19 Digest, Issue #28
- 10/30/20: COVID-19 Digest, Issue #27
- 10/21/20: COVID-19 Digest, Issue #26
- 10/16/20: COVID-19 Digest, Issue #25
- 10/7/20: COVID-19 Digest, Issue #24
- 9/30/20: COVID-19 Digest, Issue #23
- 9/24/20: COVID-19 Digest, Issue #22
- 9/16/20: COVID-19 Digest, Issue #21
- 9/8/20: COVID-19 Digest, Issue #20
- 9/3/20: COVID-19 Digest, Issue #19
- 8/25/20: COVID-19 Digest, Issue #18
- 8/18/20: COVID-19 Digest, Issue #17
- 8/13/20: COVID-19 Digest, Issue #16
- 8/4/20: COVID-19 Digest, Issue #15
- 7/30/20: COVID-19 Digest, Issue #14
- 7/21/20: COVID-19 Digest, Issue #13
- 7/14/20: COVID-19 Digest, Issue #12
- 7/10/20: COVID-19 Digest, Issue #11
- 7/3/20: COVID-19 Digest, Issue #10
- 6/25/20: COVID-19 Digest, Issue #9
- 6/18/20: COVID-19 Digest, Issue #8
- 6/9/20: COVID-19 Digest, Issue #7
- 6/3/20: COVID-19 Digest, Issue #6
- 5/26/20: COVID-19 Digest, Issue #5
- 5/19/20: COVID-19 Digest, Issue #4
- 5/13/20: COVID-19 Digest, Issue #3
- 5/6/20: COVID-19 Digest, Issue #2
- 4/30/20: COVID-19 Digest, Issue #1
Reporting Requirements for Clinicians and Laboratories
Please refer to current CDPH guidance regarding COVID-19 reporting requirements for healthcare providers and laboratories.
Healthcare providers should report via the CalREDIE Provider Portal or complete a COVID-19 Confidential Morbidity Report (CMR) found at www.smchealth.org/covid-19cmr and submit via fax to 650-573-2919 or secure email to SMCCDControl@smcgov.org. Attaching the laboratory report and relevant medical records to the CMR will help ensure the public health follow-up is able to move forward quickly.
For additional information about communicable disease reporting visit http://smchealth.org/communicablediseasereporting.
Hospitals
Information and Resources for Hospitals:
-
State Public Health Officer Order Health Care Worker Vaccine Requirement
- State Public Health Officer Order Requirements for Visitors in Acute Health Care and Long-Term Care Settings
- California Department of Public Health, Healthcare-Associated Infections Program COVID-19 PPE, Resident Placement/Movement, and Staffing Considerations by Resident Category
- AFL 21-08.7 Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19
- AFL 20-87.1 Movement of Patients/Residents in the Healthcare Continuum During Seasonal Surges and the Coronavirus Disease 2019 (COVID-19) Pandemic
Healthcare Facilities and Clinicians
Facilities may establish their own protocols. These guidelines are intended to support healthcare facilities that do not have internal protocols established. Employees should follow facility-specific protocols when available.
-
State Public Health Officer Order Health Care Worker Vaccine Requirement
- AFL 21-29.2 Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Health Care Facilities
- AFL 21-08.7 Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19
- Vaccine Record Guidelines & Standards
- Core Service Agencies – Emergency Safety Net Assistance
- CDPH Information about COVID-19 Treatments
- ASPR COVID-19 Therapeutics Locator
Skilled Nursing Facilities
What to Report
Follow any additional reporting guidelines provided by the CDPH or your licensing agency.
How to Report
As of April 2022, report all COVID-19 exposures and cases through the Shared Portal for Outbreak Tracking (SPOT). While in the past we have been accepting reporting through phone and email, due to the volume of cases, these are no longer viable reporting methods. As well, SPOT fulfills all reporting requirements. There is no need to submit line lists, spreadsheets, or any other documentation.
The first time you report through SPOT:
- Review the SPOT Intake Form Overview, User Guide, and Demo for Liaisons (YouTube Video).
- Complete the SPOT
Intake Form.
- The Point of Contact listed should be the person who will handle confidential information and report exposure details. A SPOT Liaison Account will be created for this person.
- Verify that you have received a confirmation email.
- Monitor your email inbox for a Welcome to SPOT email and follow the instructions displayed in the screen to finish setting up your SPOT Liaison Account.
- Continue reporting through the SPOT Portal and communicate with San Mateo County Health via the Send Updates feature.
Reporting through the SPOT Portal using your Liaison Account:
- Log into the SPOT Portal using your Liaison Account
- Submit cases and contacts through the “Report Cases and Contacts” feature
- You will be prompted to select which location you are reporting for. If you are reporting for a location for the first time, you will need to select “None of the above” and enter all of the new location’s information before submitting cases
- If you have been notified by a member of our outbreak teams to use an Exposure Event number, please ensure it is included with each case you submit, otherwise please do not enter anything in for the Exposure Event number.
- To update or send new information about existing exposure events and/or records, go to the “View Locations and Exposures” tab, select the location you are submitting an update for, and click on the “Send Update” button on the righthand side
Guidance
San Mateo County guidance for COVID-19 exposures and outbreaks in Skilled Nursing Facilities is entirely aligned with CDPH guidance. Please refer to CDPH licensing for specific guidance related to your facility.
- AFL 21-08.7 Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19
- California Department of Public Health, Healthcare-Associated Infections Program COVID-19 PPE, Resident Placement/Movement, and Staffing Considerations by Resident Category
- CDPH Licensing and Certification Program All Facilities Letters (AFLs)
- Tool for searching guidance documents
Testing
Resources
Congregate Settings
What to Report
- Any probable or confirmed COVID-19 case in a staff member or resident, regardless of vaccination and whether or not symptoms are present, within one business day of the diagnosis or test date.
- 3 or more cases of acute illness compatible with COVID-19 in residents with onset within a 72-hour period.
Follow any additional reporting guidelines provided by the California Department of Public Health (CDPH) or your licensing agency.
How to Report
As of April 2022, report all COVID-19 exposures and cases through the Shared Portal for Outbreak Tracking (SPOT). While in the past we have been accepting reporting through phone and email, due to the volume of cases, these are no longer viable reporting methods. As well, SPOT fulfills all reporting requirements. There is no need to submit line lists, spreadsheets, or any other documentation.
The first time you report through SPOT:
- Review the SPOT Intake Form Overview, User Guide, and Demo for Liaisons (YouTube Video).
- Complete the SPOT
Intake Form.
- The Point of Contact listed should be the person who will handle confidential information and report exposure details. A SPOT Liaison Account will be created for this person.
- Verify that you have received a confirmation email.
- Monitor your email inbox for a Welcome to SPOT email and follow the instructions displayed in the screen to finish setting up your SPOT Liaison Account.
- Continue reporting through the SPOT Portal and communicate with San Mateo County Health via the Send Updates feature.
Reporting through the SPOT Portal using your Liaison Account:
- Log into the SPOT Portal using your Liaison Account
- Submit cases and contacts through the “Report Cases and Contacts” feature
- You will be prompted to select which location you are reporting for. If you are reporting for a location for the first time, you will need to select “None of the above” and enter all of the new location’s information before submitting cases
- If you have been notified by a member of our outbreak teams to use an Exposure Event number, please ensure it is included with each case you submit, otherwise please do not enter anything in for the Exposure Event number.
- To update or send new information about existing exposure events and/or records, go to the “View Locations and Exposures” tab, select the location you are submitting an update for, and click on the “Send Update” button on the righthand side
Guidance
San Mateo County guidance for COVID-19 exposures and outbreaks in congregate settings is entirely aligned with CDPH guidance. Please refer to your licensing agency (CDPH or CDSS) for specific guidance related to your facility.
- PIN 21-53-ASC ADULT AND SENIOR CARE FACILITY WORKER CORONAVIRUS DISEASE 2019 (COVID-19) VACCINATION AND BOOSTER REQUIREMENTS
- PIN 21-12-ASC RESIDENT ISOLATION AND COHORTING, STAFFING, PERSONAL PROTECTIVE EQUIPMENT, AND FACE COVERINGS
- PIN 22-09-ASC UPDATED GUIDANCE ON QUARANTINE AND ISOLATION FOR FACILITY STAFF EXPOSED TO COVID-19 AND RETURN TO WORK FOR FACILITY STAFF WHO TEST POSITIVE FOR CORONAVIRUS DISEASE 2019 (COVID-19)
- PIN 22-04-ASC UPDATED STATEWIDE VISITATION WAIVER, AND TESTING AND VACCINATION VERIFICATION GUIDANCE FOR VISITORS RELATED TO CORONAVIRUS DISEASE 2019 (COVID-19)
- PIN 21-49-ASC UPDATED GUIDANCE ON COMMUNAL DINING, GROUP ACTIVITIES, ENTERTAINMENT, NON-ESSENTIAL SERVICES, AND TRANSPORTATION DURING THE CORONAVIRUS DISEASE 2019 (COVID-19) PANDEMIC
- AFL 21-29.2 Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Health Care Facilities
- AFL-21.52 Guidance for Residents/Clients to Safely Participate in Day Programs
- California Department of Public Health, Healthcare-Associated Infections Program COVID-19 PPE, Resident Placement/Movement, and Staffing Considerations by Resident Category
- State Public Health Officer Order Requirements for Visitors in Acute Health Care and Long-Term Care Settings
- California Department of Social Services (CDSS) Provider Information Notices (PINs) Adult and Senior Care (ASC) Program
- State Public Health Officer Order State and Local Correctional Facilities and Detention Centers Health Care Worker Vaccination Requirement
- Tool for searching guidance documents
Testing
Resources
Schools and Child Care Facilities
How to Report
As of April 2022, report all COVID-19 exposures and cases through the School Portal for Outbreak Tracking (SPOT). While in the past we have been accepting reporting through phone and email, due to the volume of cases, these are no longer viable reporting methods. As well, SPOT fulfills all reporting requirements. There is no need to submit line lists, spreadsheets, or any other documentation.
The first time you report through SPOT:
- Review the SPOT Intake Form Overview, User Guide, and Demo for Liaisons (YouTube Video).
- Complete the SPOT
Intake Form.
- The Point of Contact listed should be the person who will handle confidential information and report exposure details. A SPOT Liaison Account will be created for this person.
- Verify that you have received a confirmation email.
- Monitor your email inbox for a Welcome to SPOT email and follow the instructions displayed in the screen to finish setting up your SPOT Liaison Account.
- Continue reporting through the SPOT Portal and communicate with San Mateo County Health via the Send Updates feature.
Reporting through the SPOT Portal using your Liaison Account:
- Log into the SPOT Portal using your Liaison Account
- Submit cases and contacts through the “Report Cases and Contacts” feature
- You will be prompted to select which location you are reporting for. If you are reporting for a location for the first time, you will need to select “None of the above” and enter all of the new location’s information before submitting cases
- If you have been notified by a member of our outbreak teams to use an Exposure Event number, please ensure it is included with each case you submit, otherwise please do not enter anything in for the Exposure Event number.
- To update or send new information about existing exposure events and/or records, go to the “View Locations and Exposures” tab, select the location you are submitting an update for, and click on the “Send Update” button on the righthand side
Guidance
- State of California Safe Schools for All Hub
- COVID-19 Public Health Guidance for K-12 Schools in California, 2021-22 School Year
- Group-Tracing Approach to Students Exposed to COVID-19 in a K-12 setting
- K-12 school-based COVID-19 testing strategies for school year 2021-22
- Guidance for Child Care Providers and Programs
- California COVID-19 Testing Task Force – School Testing
- California Department of Social Services COVID-19 Child Care Resources
Employers and Businesses (Non-Healthcare)
Reporting Requirements for Employers and Businesses
For information about required reporting, please refer to
the California Department of Public Health (CDPH)
Responding to COVID-19 in the Workplace for
Employers.
Clinicians, laboratories, healthcare facilities, congregate
settings, schools, and child care facilities should refer to
site-specific guidance documents available at www.smchealth.org/providers/covid19.
Please note that Cal/OSHA has additional requirements for
employers to report and respond to COVID-19 cases in the
workplace. Please refer to
Cal/OSHA directly for additional information.
How to Report
If you have a concern, COVID-19 exposures and cases can be reported through the Shared Portal for Outbreak Tracking (SPOT). While in the past we have been accepting reporting through email, due to the volume of cases, this is no longer a viable reporting method. As well, SPOT fulfills all reporting requirements. There is no need to submit line lists, spreadsheets, or any other documentation.
The first time you report through SPOT:
- Review the SPOT Intake Form Overview, User Guide, and Demo for Liaisons (YouTube Video).
- Complete the SPOT
Intake Form.
- The Point of Contact listed should be the person who will handle confidential information and report exposure details. A SPOT Liaison Account will be created for this person.
- Verify that you have received a confirmation email.
- Monitor your email inbox for a Welcome to SPOT email and follow the instructions displayed in the screen to finish setting up your SPOT Liaison Account.
- Continue reporting through the SPOT Portal and communicate with San Mateo County Health via the Send Updates feature.
Reporting through the SPOT Portal using your Liaison Account:
- Log into the SPOT Portal using your Liaison Account
- Submit cases and contacts through the “Report Cases and Contacts” feature
- You will be prompted to select which location you are reporting for. If you are reporting for a location for the first time, you will need to select “None of the above” and enter all of the new location’s information before submitting cases
- If you have been notified by a member of our outbreak teams to use an Exposure Event number, please ensure it is included with each case you submit, otherwise please do not enter anything in for the Exposure Event number.
- To update or send new information about existing exposure events and/or records, go to the “View Locations and Exposures” tab, select the location you are submitting an update for, and click on the “Send Update” button on the righthand side
San Mateo County Resources
California Department of Public Health (CDPH) Resources
- Responding to COVID-19 in the Workplace for Employers (PDF)
- California Current Safety Measures
- Find a Testing Location
Cal/OSHA Resources
- What Employers and Workers Need to Know About COVID-19 Isolation and Quarantine
- UPDATE – COVID-19 Prevention Emergency Temporary Standards What Employers Need to Know About the December 16 Standards
- COVID-19 Emergency Temporary Standards Frequently Asked Questions
- Revisions to the COVID-19 Prevention Emergency Temporary Standards (effective January 14, 2022) Frequently Asked Questions
- 3205 COVID-19 Prevention
- 3205.1 Multiple COVID-19 Infections and COVID-19 Outbreaks
- 3205.2 Major COVID-19 Outbreaks
- 3205.3 COVID-19 Prevention in Employer-Provided Housing
- 3205.4 COVID-19 Prevention in Employer-Provided Transportation
Centers for Disease Control and Prevention (CDC) Resources
Personal Protective Equipment (PPE) Guidance
- California Department of Public Health, Healthcare-Associated Infections Program COVID-19 PPE, Resident Placement/Movement, and Staffing Considerations by Resident Category
- UCSF Health Novel Respiratory Isolation: Donning and Doffing PPE with N95 and Eye Protection video
- CDC PPE Burn Rate Calculator
- CDC Strategies to Optimize the Supply of PPE and Equipment