Home Training Compliance and Safety COVID Resources and Re-Entry Information COVID Exposure Reporting
Supervisors and Managers
- Manager Case Response Form
- COVID Situational Response Matrix
- Safety Plan Inspection Form
Case Response Information for Off-Campus Students
- Students who are enrolled in programs where they are authorized to obtain experience off site where by contract Los Rios is responsible for the Workers' Compensation coverage including most Clinical Contracts, Work Experience, and CalWORKs placements.
- The students covered by our Workers' Compensation have access to Company Nurse to report or obtain advice regarding COVID-19 exposure, symptoms, or positive results.
- Company Nurse Report received by VPA will be sent to Coordinator for tracking student.
- LRCCD Program Coordinator completes the 5020, Supervisor's Injury Report, and DWC-1 form lines 12, 13 only. Send DWC-1 to student via email or US Postal Service.
- Return the Forms to the VPA's office or campus work comp designee.
- Student is not required to complete the DWC-1 form but must receive the form.
- If the student returns the DWC-1 via email, then send to VPA's office. Otherwise, they can mail it to District Office at 1919 Spanos Ct. Sacramento CA 95825 Attn: Risk Management. d. Coordinator must email VPA if student has (or has no) classes on campus to evaluate campus exposure to other employees and student within the last 14 days.
- If Company Nurse Report was an exposure, then Coordinator will track student and check in periodically during the next 14 days.
- If the exposure turns positive, then report to the VPA as that triggers tracking and work comp steps.
- Follow Clinical site protocols for exposure. For Work Exp/CalWORKs quarantine for 14 days and notify site supervisor. Follow Company Nurse advice or seek advice from personal doctor.
- Student will follow guidance by Company Nurse or personal doctor.
- Since students are not employees, Company Nurse will refer them to their personal doctor as it is an exposure.
- If Company Nurse report indicates a Positive test (to including asymptomatic), then Coordinator tracks student and follows Clinical Site Protocols.
- If student is hospitalized or death, then report to VPA ASAP.
- Company Nurse can refer them to Occupational Medicine for treatment or the clinical site may take over treatment.
- Coordinator should notify the VPA's office at the end of the 14 days regardless of an exposure or positive outcome to confirm student is back to normal routine and close the case.
- Fire Stations and Hospitals: Usually these locations will both provide testing and direct students to next steps. If they do not receive that information, then contact Company Nurse.
- If Students are also attending classes on campus, then use On-Campus Student Case Response Form.
- If site coordinators that are LRCCD employees (working outside the home) are exposed or Positive, then contact campus VPA immediately and call Company Nurse to make a report.
- COVID-19 Quick Response Team: Includes representatives from Health and Wellness, Human Resources, Employee Benefits, Risk Management, and the Office of the General Counsel. Email questions or report incidents to firstname.lastname@example.org.
- Campus Health Services: Dr. Dierdre Gilliam, District Director of Health and Wellness, will coordinate the district's response to a positive COVID-19 case with county public health officials, including assigning other campus health center nurses to follow up with employees who are known or suspected to be positive with the virus and employees whom may have been exposed. She will also work with campus vice presidents, campus administration, and district office managers in assessing return to work dates for their employees and to answer questions.
- For students participating in on-campus classes, campus health center nurses will assist VPA and VPI with CDC recommendations of student able to return to class.