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Randolph County Health Department
1319 E Hwy 24, Suite A, Moberly, MO 65270

660-263-6643
660-263-0333

COVID-19 Recommendations & Guidance

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General Recommendations

The Randolph County Health Department recommends the following precautions, to assist in slowing the spread of the virus and preventing severe illnesses within our community.

*Employees and patrons should wear masks as much as possible.

*Social distancing (at least 6 feet apart)

*Wash your hands for at least 20 seconds with soap and water.  Use alcohol-based hand sanitizer of 60% or better if soap and water is not available.

*Avoid touching your eyes, nose, and mouth

*Stay at home if you are sick

*Cover your cough or sneeze

*Clean and disinfect frequently touched objects and surfaces regularly (card readers, door handles, counter tops, rails, restrooms, etc.)

*Post signage to remind people of general recommendations.

                                                          Mass Gatherings Recommended Guidance         

Mass gatherings are not recommended at this time; however, it is the business or organizations determination on whether or not to hold these events.  Large gatherings offer more opportunities for person-to-person contact and therefore pose a greater risk of COVID-19 transmission.  Spread of COVID-19 from person-to-person happens most frequently among close contacts (within 6 feet).   If the event is still planned the Randolph County Health Department recommends the following:

Reminders for event participants

Visitors should be reminded to continue to social distance while attending the event, by staying at least 6-feet apart from individuals who are not part of their household.

In addition to social distancing, masks are strongly encouraged by attendees. Masks have been shown to reduce the spread of transmission when combined with social distancing and good hygiene practices.

Social distancing requirements should apply in all situations, including, but not limited to, when customers are standing in line or when using shared indoor or outdoor spaces.

Remind participants to stay home if they are sick, if possible to monitor the temperature of individuals coming to the event.

Cover your coughs and sneezes with a tissue, and then throw the tissue in the trash.  If a tissue is not available cough or sneeze into elbow. 

Wash hands often with soap and water for at least 20 seconds, especially after going to the bathroom; before eating; and after blowing your nose, coughing, or sneezing.  If soap and water are not available, use hand sanitizer that contains at least 60% alcohol.

Avoid touching your eyes, nose, and mouth with unwashed hands.

Discourage handshakes, hugs, and other direct contact between others who are not living in the same home.

Post as much signage as possible to inform participants of best ways to prevent the spread of COVID-19.

For Operators/Management of Event

It is recommended that you develop an infectious disease preparedness and response plan, including policies and procedures for workforce contact tracing if an employee tests positive for COVID-19

Monitor workforce for indicative symptoms.  Do not allow symptomatic people to physically return to work.

Educate staff and volunteers on good hygiene practices and personal health.  Management and supervisors are responsible for monitoring employee/volunteer health and hygiene.   Individuals performing job duties that require contact with other people closer than six feet (6’) should take enhanced precautionary measures, such as wearing masks, to mitigate the risks of contracting or spreading COVID-19.  This provision shall apply in all situations, including, but not limited to, when customers are standing in line or individuals are using shared indoor or outdoor spaces.

Closely follow recommendations and requirements for cleaning and sanitizing/disinfecting the facilities, including increased cleaning and disinfection of commonly touched surfaces and provide extra hand washing stations/hand sanitizer.

Encourage social distancing throughout the event.  Social distancing requirements shall apply in all situations, including, but not limited to, when customers are standing in line or individuals are using shared indoor or outdoor spaces.

Make sure you are in compliance with applicable ill food handler rules and policies

If you have an employee that has tested positive for COVID-19 or have been in closed contact with others who have been diagnosed with COVID-19, check with the Randolph County Health Department before that employee returns to work.

Wear disposable gloves when cleaning and disinfecting surfaces.  Wash hands before putting on the gloves, discard after each use and wash hands immediately after gloves are removed.

If surfaces are dirty, they should be cleaned using a detergent or soap and water prior to disinfection.

Clean and disinfect all “high-touch” surfaces, such as counters, tabletops, doorknobs, bathroom fixtures, toilets, and carnival ride surfaces frequently.

               For disinfection, diluted household bleach solutions (1/3 cup of unscented household bleach per one gallon of water), alcohol solutions with at least 70% alcohol, and most common EPA-registered household disinfectants should be effective.

               Be sure to allow the disinfectant to remain on the surface for the appropriate contact time, as directed on the label.  This will allow the disinfectant to work properly.

Food vendors

Make sure you are in compliance with applicable food handler rules and policies.

Food vendors are strongly encouraged to prioritize public health and safety by implementing the following measures:

               Keep facilities stocked with soap and disposable towels or hand dryers.

               Provide alcohol-based hand sanitizers for customers to use, in addition to handwashing facilities.

               Frequently clean and sanitize/disinfect any objects or surfaces customers may touch, including but not limited to restroom surfaces, menus, condiments, etc.  Follow retail food code requirements for use and storage of wiping cloths.

               Social distancing is encouraged:

               Tables spaced at least 6 feet apart.  Employees/volunteers need to try to meet the social distancing requirements of 6 feet where possible.  There should be no areas of people grouped together while waiting on a table, at a bar, or communal seating where a distance of 6 feet cannot be kept between dining/patron groups.  Customers grouping or passing closely at doorways should be minimized.

               Packaged single service utensils are recommended. Limit the number of reusable items (condiment dispensers, self-service items like scoops or tongs, eating utensils, etc.).

Amusement Rides

Operators of amusement rides should have hand washing facilities and/or sanitizing products available for use by staff and patrons.

Operators should be trained in cleaning/sanitizing procedures and frequencies.

Rides and amusement equipment should be regularly cleaned and sanitized/disinfected at a higher frequency, with emphasis on high touch surfaces.

Concession vendors are to operate according to retail food code requirements and policies for the event they are participating in.

Other venues

Organizers should develop a plan for entry and exiting the venue that promotes social distancing.  Seating should include social distancing guidance for attendees and venue employees.  The traffic flow pattern should be reviewed to promote social distancing.

Guidance on social distancing should be plainly posted in restroom and concession areas.

Staff should be trained on monitoring and cleaning/disinfection methods for frequently touched surfaces.

Restaurant Recommendations and Guidance

The more people that gather, the more opportunities there are for person-to-person contact and the greater the risk of COVID-19 transmission.  Spread of COVID-19 from person-to-person happens most frequently among close contacts (within 6 feet).  The Randolph County Health Department recommends the following:

Protect Employees:

Checking on the well-being and health of employees before every work shift by screening employees for possible exposure or COVID-19 symptoms. Temperature checks are encouraged.

Consider having employees who have traveled to an area that has a high number of positive cases quarantine for 14 days after returning before allowing back to work. Have employees work from home if possible.

Provide Personal Protective Equipment and training on proper hygiene practices

  1. Face masks
  2. Washing hands with soap and water for at least 20 seconds
  3. Hand sanitizer
  4. Gloves

Asking customers to wear face masks when interacting with employees.

Modifying space to maximize social distancing

Protect Customers:

Encourage social distancing.  Placing spacing marks six feet apart near registers.  Encouraging guests no to congregate in large groups.

Having hand sanitizer readily available at entrances.

Wearing face masks when dealing with customers.

Washing and/or sanitizing hands on a regular basis.

Sanitizing frequently used surfaces such as doorknobs, handles, countertops, etc. on a frequent basis.

Posting Signage for the Following Reminders:

Social distancing (at least 6 feet apart)

Wash your hands for at least 20 seconds with soap and water.  Use alcohol-based hand sanitizer of 60% of better if soap and water is not available.

Avoid touching your eyes, nose, and mouth

Stay at home if you are sick

Cover your cough or sneeze

Clean and disinfect frequently touched objects and surface.

Recommendations for Hairdressers & Barbers (updated 6/16/2020)

The Randolph County Health Department recommends the following precautions, to assist in slowing the spread of the virus and preventing severe illnesses within our community.

Limit People in salons/shops – consider seeing clients by appointment only.  Limit the number of persons in the waiting area of the salon/shop.  Recommend clients wait outside the shop in their vehicle until the cosmetologist or barber is ready to serve them.  It is recommended that persons not being serviced in the salon/shop wait outside if possible.

Maintain Social Distancing – spacing between persons in the salon should be at least six feet, except when staff is serving a client.  Consider additional spacing between booths, or alternating work schedules of stylists.

Disinfection – Sanitize stations between customers.  Regularly disinfect all tools, shampoo bowls, pedicure bowls, workstations, treatment rooms and restrooms. 

Use of Personal Protective Equipment and Best Practices – It is recommended that employees wear masks at all times.  Clients should wear masks if available.  Face shields, gloves, disposable or re-washable capes, smocks, neck strips, etc. should be used.  These items should be disinfected or disposed of between each client. 

It is recommended employees wash hands with soap and warm water, for a minimum of 20 seconds between every client.

Signage for General Reminders:

Social distancing (at least 6 feet apart)

Wash your hands for at least 20 seconds with soap and water.  Use alcohol-based hand sanitizer of 60% or better if soap and water is not available.

Avoid touching your eyes, nose, and mouth

Stay at home if you are sick

Cover your cough or sneeze

Clean and disinfect frequently touched objects and surfaces

Recommendations for Election Officials and Poll Workers

 

  • Hand Hygiene and Respiratory Etiquette
    • Provide an alcohol-based hand sanitizer with at least 60% alcohol for use at each step in the voting process where voters interact with poll workers, after using the voting machine, and as the final step in the voting process. Place alcohol-based hand sanitizer in visible, frequently used locations such as registration desks, where “I Voted” stickers are dispensed, and exits. Alcohol-based hand sanitizers may not be compatible with electronic voting equipment and may damage paper ballots. Poll workers and voters should ensure their hands are completely dry before handling these items.
    • Encourage poll workers to wash their hands frequently (e.g., before entering the polling location, before and after breaks or shifts, after touching or handling cloth face coverings or PPE, after using the restroom, after touching shared surfaces or objects) with soap and water for at least 20 seconds.
    • Encourage workers and voters to cover coughs and sneezes with a tissue or use the inside of their elbow. Used tissues should be thrown in the trash and hands washed immediately with soap and water for at least 20 seconds.
      • If soap and water are not readily available, use hand sanitizer that contains at least 60% alcohol.
  • Cloth Face Coverings
    • Recommend and reinforce the use of cloth face coverings among all workers. Face coverings are most essential in times when physical distancing is difficult. Information should be provided to workers on proper use, removal, and washing of cloth face coverings.
    • Encourage voters to use cloth face coverings while in the polling location. In jurisdictions where voters’ face coverings may need to be removed to support identification procedures, alcohol-based hand sanitizer containing at least 60% alcohol should be provided at the station so voters can sanitize their hands after removing their face coverings. A plastic barrier between the voter and the poll worker can provide additional protection. Post signs providing instruction on proper removal and handling icon of face coverings.
      • Note: Cloth face coverings should not be placed on:
        • Babies and children younger than 2 years old
        • Anyone who has trouble breathing or is unconscious
        • Anyone who is incapacitated or otherwise unable to remove the cloth face covering without assistance
    • Cloth face coverings are meant to protect other people in case the wearer is unknowingly infected but does not have symptoms. Cloth face coverings are not surgical masks, respirators, or personal protective equipment.
    • Cloth face coverings can make it more difficult for people who are deaf or hard-of-hearing to lip-read, hear, or understand what people are saying. Communication can be supported with written communication, posting information/instructions, and decreasing background noise. Lip reading can be supported with clear face coverings, face shields, or plexiglass barriers. Consistent with applicable law, election officials should consider having supplies, such as clear face coverings available, to ensure that voting is accessible to people with disabilities.

 

  • Adequate Supplies
    • Ensure adequate supplies to support healthy hygiene behaviors. Supplies include soap, hand sanitizer containing at least 60% alcohol (placed at every station, if supplies allow), paper towels, tissues, disinfectant wipes, and no-touch trash cans.

 

 

  • Social Distancing
    • Remind voters upon arrival to leave space between themselves and others. Encourage voters to stay at least 6 feet apart. Polling places may provide signs, or other visual cues such as floor markings, decals, or chalk marks to help voters and workers remember this.
    • Have plans to manage lines to ensure social distancing can be maintained.
    • Clearly mark points of entry and exit to avoid bottlenecks.
    • Discourage voters and workers from greeting others with physical contact (e.g., handshakes). Include this reminder on signs about social distancing.

 

Maintaining Healthy Environments

 

  • Disinfect surfaces
    • Surfaces that are frequently touched by multiple people, for example door handles, registration tables, pens, and clipboards, should be disinfected frequently using products with EPA-approved emerging viral pathogens claims.
    • Follow the manufacturer’s instructions for all cleaning and disinfection products (e.g., concentration, application method and contact time, use of personal protective equipment, storage).
    • If the surface is dirty, it should be cleaned before disinfecting.
    • If public restrooms are available in the polling location, they should be cleaned and disinfected routinely.
    • After the polling location closes, clean and disinfect all facility areas and items, including all tables, chairs, door handles, and restrooms, used by poll workers or voters. The facility can be returned to normal use immediately with no additional precautions.

 

  • Clean and disinfect voting-associated equipment
    • Voting machines, laptops, tablets, keyboards, ballot activation cards, and other reusable items should be disinfected routinely.
    • Follow the equipment manufacturer’s instructions for appropriate cleaning and disinfection procedures for voting machines and associated electronics.
      • To prevent damage to the equipment, post signs near voting equipment discouraging voters from disinfecting the equipment with their own wipes or touching the equipment with hands that are still wet with hand sanitizer.
    • Consider use of wipeable covers for electronics.
    • If no manufacturer guidance is available, consider the use of alcohol-based wipes or spray containing at least 70% alcohol to clean voting machine buttons and touch screens. Dry surfaces thoroughly to avoid pooling of liquids.
    • After the polling location closes, all equipment and transport cases should be cleaned and disinfected following the manufacturer’s instructions prior to returning it to the election office.

 

  • Shared objects
    • Where possible, replace shared objects, like pens or ballot activation cards, with single-use objects.
    • Shared objects, like pens or ballot activation cards, should be disinfected between users.
    • Headphones for voters with disabilities should be single-use or disinfected between users.
    • Minimize handling of shared objects. For example, reusable ballot activation cards or ballot secrecy sleeves can be deposited into a container instead of handing them to a poll worker.

 

  • Ventilation
    • Ensure that ventilation systems operate properly and increase circulation of outdoor air as much as possible, for example by opening windows and doors. Do not open windows and doors if doing so poses a safety or health risk to poll workers, voters, or children accompanying voters (e.g., risk of falling or triggering asthma symptoms).

 

  • Crowd and line management
    • Consider increasing the number of polling locations available for early voting and extending the hours of operation.
    • Maintain or increase the total number of polling places available to the public on Election Day to improve the ability to social distance.
    • Unless there is no other option, do not increase the number of potential registered voters assigned to each polling place.
    • Minimize lines as much as possible, especially tightly spaced queues in small indoor spaces. Use floor markings or decals and signs to remind voters to maintain social distancing while in line.
    • Limit the number of voters in the facility by moving lines outdoors if weather permits or using a ticket system for access to the facility.

 

  • Modified layouts and procedures
    • Increase distance between voting booths to ensure that voters remain 6 feet apart.
    • To ensure sufficient space for social distancing and other measures, identify larger facilities for use as future polling places.
    • Modify the polling location layout to ensure voters move in one direction while in voting locations and to avoid bottlenecks, such as single doors for entry and exit.
    • Items to be reviewed, such as poll books or identification, should be placed on a table for examination to minimize handling.
    • Notify voters of changes to polling operations, including the availability of alternative voting options that minimize contact, as allowed in the local jurisdiction.
    • Ensure that any changes to operations do not limit accessibility to voters with disabilities.

 

  • Physical barriers and guides
    • Physical barriers, such as plexiglass shields, can be used to protect workers and voters when physical distance cannot be maintained, for example at registration desks or between voting stations.
    • Consider placing markings or decal on the floor to remind voters to maintain at least 6 feet of space from other voters and workers.

Recommendations for Youth Sports and Recreational Activities

Youth sports organizations may consider implementing several strategies to encourage behaviors that reduce the spread of COVID-19.

  • Staying Home when Appropriate
  • Hand Hygiene and Respiratory Etiquette
    • Teach and reinforce handwashing with soap and water for at least 20 seconds
      • If soap and water are not readily available, hand sanitizer that contains at least 60% alcohol can be used (for staff and older children who can safely use hand sanitizer).
    • Do not allow spitting and encourage everyone to cover their coughs and sneezes with a tissue or use the inside of their elbow. Used tissues should be thrown in the trash and hands washed immediately with soap and water for at least 20 seconds.
      • If soap and water are not readily available, hand sanitizer that contains at least 60% alcohol can be used.
  • Cloth Face Coverings
    • Teach and reinforce the use of cloth face coverings. Face coverings are not intended to protect the wearer, but rather to reduce the risk of spreading COVID-19 from the person wearing the mask (who may not have any symptoms of disease). Face coverings may be challenging for players (especially younger players) to wear while playing sports. Face coverings should be worn by coaches, youth sports staff, officials, parents, and spectators as much as possible.
    • Wearing cloth face coverings is most important when physical distancing is difficult.
    • People wearing face coverings should be reminded to not touch the face covering and to wash their hands frequently. Information should be provided to all participants on the proper use, removal, and washing of cloth face coverings.
      • Note: Cloth face coverings should not be placed on:
        • Babies and children younger than 2 years old;
        • Anyone who has trouble breathing or is unconscious;
        • Anyone who is incapacitated or otherwise unable to remove the cloth face covering without assistance.
  • Adequate Supplies
    • If hand washing facilities are available, support healthy hygiene by providing supplies including soap, paper towels, tissues, and no-touch/foot pedal trash cans. If hand washing facilities are not available, provide hand sanitizer with at least 60% alcohol (for coaches, staff and older players who can safely use hand sanitizer).
  • Signs and Messages

Maintaining Healthy Environments

Organizations may consider implementing several strategies to maintain healthy environments.

  • Cleaning and Disinfection
    • Clean and disinfect frequently touched surfaces on the field, court, or play surface (e.g., drinking fountains) at least daily, or between uses as much as possible. Use of shared objects and equipment (e.g., balls, bats, gymnastics equipment) should be limited, or cleaned between use by each individual if possible.
    • Develop a schedule for increased, routine cleaning and disinfection.
    • Ensure safe and correct use and storage of disinfectants, including storing products securely away from children. Use products that meet EPA disinfection criteria.
    • Identify an adult staff member or volunteer to ensure proper cleaning and disinfection of objects and equipment, particularly for any shared equipment or frequently touched surfaces.
    • Cleaning products should not be used near children, and staff should ensure that there is adequate ventilation when using these products to prevent children or themselves from inhaling toxic fumes.
    • Use gloves when removing garbage bags or handling and disposing of trash. Wash hands after removing gloves.
  • Shared Objects
    • Discourage sharing of items that are difficult to clean, sanitize, or disinfect. Do not let players share towels, clothing, or other items they use to wipe their faces or hands.
    • Make sure there are adequate supplies of shared items to minimize sharing of equipment to the extent possible (e.g., protective gear, balls, bats, water bottles); otherwise, limit use of supplies and equipment to one group of players at a time and clean and disinfect between use.
      • Keep each player’s belongings separated from others’ and in individually labeled containers, bags, or areas.
      • If food is offered at any event, have pre-packaged boxes or bags for each attendee instead of a buffet or family-style meal. Avoid sharing food and utensils. Offer hand sanitizer or encourage hand washing.
  • Ventilation
    • If playing inside, ensure ventilation systems or fans operate properly. Increase circulation of outdoor air as much as possible, for example by opening windows and doors. Do not open windows and doors if doing so poses a safety or health risk (e.g., risk of falling or triggering asthma symptoms) to players or others using the facility.
  • Water Systems
    • To minimize the risk of Legionnaires’ disease and other diseases associated with water, take steps to ensure that all water systems and features (e.g., drinking fountains, decorative fountains) are safe to use after a prolonged facility shutdown. Drinking fountains should be cleaned and disinfected but encourage staff and players to bring their own water to minimize touching water fountains.
  • Modified Layouts and Social (Physical) Distancing
    • Identify adult staff members or volunteers to help maintain social distancing among youth, coaches, umpires/referees, and spectators (if state and local directives allow for spectators).
    • Space players at least 6 feet apart on the field while participating in the sport (e.g., during warmup, skill building activities, simulation drills)
    • Discourage unnecessary physical contact, such as high fives, handshakes, fist bumps, or hugs.
    • Prioritize outdoor, as opposed to indoor, practice and play as much as possible.
    • Create distance between players when explaining drills or the rules of the game.
    • If keeping physical distance is difficult with players in competition or group practice, consider relying on individual skill work and drills.
    • Encourage players to wait in their cars with guardians until just before the beginning of a practice, warm-up, or game, instead of forming a group.
    • Limit the use of carpools or van pools. When riding in an automobile to a sports event, encourage players to ride to the sports event with persons living in their same household.
    • If practices or competition facilities must be shared, consider increasing the amount of time between practices and competitions to allow for one group to leave before another group enters the facility. If possible, allow time for cleaning and/or disinfecting.
  • Physical Barriers and Guides
    • Provide physical guides, such as signs and tape on floors or playing fields, to make sure that coaches and players remain at least 6 feet apart.
  • Communal Spaces
    • Close shared spaces such as locker rooms, if possible; otherwise, stagger use and clean and disinfect between use.
    • Limit the number of players sitting in confined player seating areas (e.g., dugouts) by allowing players to spread out into spectator areas if more space is available (e.g., if spectators are not allowed).

© Randolph County Health Department