February 17, 2022 CDC Updates Developmental Milestones for Young Children The Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) have revised developmental milestones for infants and young children in the Learn the Signs. Act Early. program, which helps parents identify autism and developmental delays in their children. Learn More According to a news release distributed by the CDC and the AAP, the previous developmental milestone checklists used 50th percentile, or average-age, milestones. Using this approach meant only half of children could be expected to achieve that milestone by that age. Thus, clinicians and families with concerns would at times choose a wait-and-see approach, leading to a delay in diagnosis. The revised developmental milestones identify the behaviors that 75% or more of children can be expected to exhibit at a certain age based on data, developmental resources, and clinician experience. Updates Changes to the guidance include: Adding checklists for ages 15 and 30 months; now there is a checklist for every well-child visit from two months to five years. Identifying additional social and emotional milestones (e.g., Smiles on their own to get your attention, age four months). Removing vague language like “may” or “begins” when referring to certain milestones. Removing duplicate milestones. Providing new, open-ended questions to use in discussion with families (e.g., Is there anything that your child does or does not do that concerns you?). Revising and expanding tips and activities for developmental promotion and early relational health. More Information The process behind the revised milestones is detailed in an article titled “Evidence-Informed Milestones for Developmental Surveillance Tools” published in Pediatrics. Full resources and checklists are available on the CDC’s Learn the Signs. Act Early. page.
January 13, 2022 COVID-19 Isolation Guidance for ECE/Child Care Programs The Office of Child Development and Early Learning (OCDEL) is reminding ECE and child care programs that they should continue to follow the Centers for Disease Control and Prevention’s (CDC) COVID-19 recommendations regarding child care and early learning settings — particularly around isolation. CDC Guidance The change in isolation guidance issued by the CDC to decrease to five days was focused on the “general population,” where a greater number of individuals have the ability to become vaccinated. However, the CDC’s guidance child care and early learning settings continues to advise the following: “The length of time the child should stay out of an ECE program depends on whether the child has COVID-19 or another illness. In most instances, those who have COVID-19 can be around others after 10 days since symptoms first appeared and 24 hours with no fever without the use of fever-reducing medications and other symptoms of COVID-19 are improving. Children who test positive for COVID-19 but do not have symptoms can be around others 10 days after their first positive COVID-19 test.” More Information The full current recommendations can be found on the CDC website.
January 4, 2022 CDC Isolation and Quarantine Updates As of Monday, December 27, 2021, the Centers for Disease Control and Prevention (CDC) is shortening the recommended time for isolation for the public. People with COVID-19 should isolate for 5 days and if they are asymptomatic or their symptoms are resolving (without fever for 24 hours), follow that by 5 days of wearing a mask when around others to minimize the risk of infecting people they encounter. The change is motivated by science demonstrating that the majority of SARS-CoV-2 transmission occurs early in the course of illness, generally in the 1-2 days prior to onset of symptoms and the 2-3 days after. COVID-19 Exposure The CDC has updated the recommended quarantine period for anyone in the general public who is exposed to COVID-19. For people who are unvaccinated or are more than six months out from their second mRNA dose (or more than 2 months after the J&J vaccine) and not yet boosted, CDC now recommends quarantine for 5 days followed by strict mask use for an additional 5 days. Alternatively, if a 5-day quarantine is not feasible, it is imperative that an exposed person wear a well-fitting mask at all times when around others for 10 days after exposure. Individuals who have received their booster shot do not need to quarantine following an exposure, but should wear a mask for 10 days after the exposure. For all those exposed, best practice would also include a test for SARS-CoV-2 at day 5 after exposure. If symptoms occur, individuals should immediately quarantine until a negative test confirms symptoms are not attributable to COVID-19. Additional Information Individuals should refer to the CDC website for updated information on protocols following a COVID-19 exposure or positive test.
October 5, 2020 Pittsburgh Welcomes Trick-or-Treating with Precautions On October 5, the City of Pittsburgh announced that it welcomes trick-or-treating this Halloween but urges residents to follow safety protocols to reduce risk and avoid the spread of COVID-19 in Pittsburgh communities. About The official trick-or-treating hours will be from 5:00 to 7:00 p.m. on Saturday, October 31. However, due to the COVID-19 pandemic, many behaviors will have to change this year to meet safety guidelines issued by the Centers for Disease Control and Prevention (CDC). Residents are urged to: trick-or-treat only with family members; wear cloth facemasks, in addition to Halloween masks; carry and regularly use hand sanitizer; distribute candy by leaving it outside, and avoid in-person, face-to-face interactions at the door; follow social distancing guidelines (at least six feet from others) on sidewalks and when approaching homes where others are getting candy; and avoid indoor costume parties. Like any other year, motorists are asked to be especially vigilant on Halloween night, decrease speeds, and increase awareness of trick-or-treating children and families. Read the Full Release This information was provided by the City of Pittsburgh. To learn more, read the full press release.
September 28, 2020 Health and Safety Trainings Available The Office of Child Development and Early Learning (OCDEL) announced that COVID-19 Health and Safety System Supports Training Webinars are available on the Pennsylvania Key website. About Each webinar provides COVID-19 guidance on topics related to the early childhood field, including: CDC Guidance for Child Care Parent, Family and Community Engagement Implementation Considerations Re-Imagining ECE Environments Supporting the Social-Emotional Well-Being of ECE Professionals, Children, and Families Watch the Webinars To watch the webinars, visit the Pennsylvania Key website. The guidance provided in these videos has been based on evidence and information available at the time of publishing. Guidance will be reviewed as new information continues to emerge. To ensure you are implementing the most up-to-date guidance, visit the OCDEL or CDC website.
July 30, 2020 Reopening Plans for Allegheny County Districts Allies for Children has compiled and will update information about reopening and health and safety plans for school districts in Allegheny County. Find the information for your school district in their Google spreadsheet. School Reopening Guidance Please utilize the following state and national resources for more information about guidance for schools that are reopening. Pennsylvania State Guidance Pennsylvania Department of Education Pennsylvania School Reopening Task Force Health and Safety Plans Pennsylvania Department of Education School Health and Safety Plans State Mask Mandate Public Health Guidance Regarding COVID-19 for Phased Reopening of Pre-K to 12 Schools National Guidance CDC Consideration for Schools CDC Reopening Guidance for Cleaning and Disinfecting Public Spaces, Workplaces, Businesses, Schools, and Homes Community Interventions and Critical Populations Task Force CDC COVID-19 Emergency Response CRAFT Schools Briefing Packet The National Academies of Science Engineering Medicine Reopening K-12 Schools During the COVID-19 Pandemic Prioritizing Health, Equity, and Communities (2020) American Academy of Pediatrics The School Superintendents Association National Academy of Sciences, Engineering & Medicine Ed Week – Transportation Johns Hopkins University eSchool+ Initiative Analysis of School Reopening Plans More Information More resources related to COVID-19 are available for families and professionals on the Trying Together website. To learn more about Allies for Children, please visit their website.
July 10, 2020 COVID-19: Updated Guidance for Child Care Programs To maintain the health and safety of their staff and the families they serve, all child care facilities and programs that continue to remain open or that are preparing to reopen in Pennsylvania should follow the guidance issued by the Centers for Disease Control and Prevention (CDC) and the Pennsylvania Department of Health (DOH). With this, programs are highly encouraged to implement additional health and safety procedures as soon as possible. About The Office of Child Development and Early Learning (OCDEL) released a revised announcement that outlines recommended steps child care providers can take to mitigate the impact of COVID-19. This guidance was developed based on recommendations from the CDC and the DOH and is subject to change. To access the full list of recommendations, read Announcement: C-20-06 Revised: Interim Guidance for Certified Child Care Facilities operating during the Novel Coronavirus Pandemic. Additionally, in Announcement C-20-08: COVID-19 Operations for Licensed Child Care, OCDEL issued clarification regarding health and safety compliance during the COVID-19 pandemic to licensed child care providers and child care certification representatives employed by the Department of Human Service (DHS). For examples of required and recommended policies and procedures, continue reading below. Required Procedures Announcement C-20-08: COVID-19 Operations for Licensed Child Care states that child care providers are required to do the following: Child care staff must wear face coverings indoors; they must also wear face coverings outside where staff are unable to maintain a six-foot distance from others unless a medical reason prevents the staff from wearing a face covering. This includes anyone who has trouble breathing, is unconscious, incapacitated, or otherwise unable to remove the face covering without assistance. Child care programs must establish and implement a screening procedure to assess for symptoms of COVID-19 for staff and children prior to entering the child care space and mingling with others. CDC guidance should be followed in developing the screening procedure. Child care programs must have a written health and safety plan that aligns with CDC guidance to minimize the risks of COVID-19. The safety plan must be communicated to staff and enrolled families. At a minimum, the safety plan must address screening procedures; child drop-off and pick-up policies; sick policies; mask policies; and cleaning and sanitation procedures. Providers can see the “Child Care Facility COVID-19 Health and Safety Plan Template” for developing a health and safety plan. Child care programs must adhere to the reporting of suspected or confirmed cases of enrolled children or staff with COVID-19 and complying with follow-up guidance pertaining to remediation, quarantine, and directive for temporary closure to address additional cleaning and sanitation. Effective July 17, 2020, child care certification representatives will cite child care programs operating out of compliance with the previously described Critical Elements derived from CDC guidance. Child care programs failing to comply with acceptable plans of correction may be subject to further action that impacts the child care programs’ Certificate of Compliance, ability to continue to operate, and eligibility for distributions of supplemental financial supports. For more information, view the full announcement or FAQ document. Drop-Off and Arrival Procedures Child care programs are strongly recommended to: greet children outside as they arrive; stagger arrival and drop-off times and plan to limit direct contact with parents as much as possible; post signage in drop-off and arrival areas to remind staff and children to keep six feet of distance whenever feasible; and set up hand hygiene stations at the entrance of the facility so children, families, and staff can clean their hands before they enter. Screening Procedures The best way to prevent the spread of COVID-19 is to prevent it from getting inside the facility. Child care providers should: conduct a daily health screening of any person entering the building, including children, staff, family members, and other visitors to identify symptoms, diagnosis, or exposure to COVID-19 (any person with a fever of 100.4 degrees Fahrenheit or above, or other signs of illness, should not be admitted into the facility); not allow staff and children to enter the child care facility if they have tested positive for COVID-19, are showing symptoms, or have had potential exposure to a person with COVID-19; and immediately isolate a child or staff member that starts to display symptoms and send them (and any family members) home as soon as possible. Routine Disinfecting and Sanitation To reduce the spread of COVID-19 in their program, child care providers should: post signs in highly visible locations that promote everyday protective measures and describe how to stop the spread of COVID-19 (washing hands, wearing masks, disinfecting, etc.); develop a schedule for cleaning and disinfecting; routinely clean, sanitize, and disinfect surfaces and objects that are frequently touched (toys, games, tables, toilet training potties, chairs, nap pads, etc.); and keep all cleaning materials secure and out of reach of children. Bedding and Toys Child care providers should: not use toys and bedding that cannot be washed, cleaned, and sanitized; not share toys with other groups of infants and toddlers unless they have been properly washed and sanitized before being moved from one group to the other; set toys that need to be cleaned aside and out of children’s reach; keep each child’s bedding separate and stored in individually labeled bins, cubbies, or bags; and clean bedding that touches a child’s skin weekly or before use by another child. Face Masks Child care staff are required to wear cloth face coverings. Children two years old and older are required to wear a face covering unless the child fits one of the exceptions included in Section 3 of the Order of the Secretary of the Pennsylvania Department of Health Order for Universal Face Coverings. If a child is outdoors and is able to consistently maintain a social distance of at least six feet from others who are not a part of their household, they do not need to wear a mask. If a parent, guardian, or responsible person has been unable to place a face covering safely on a child’s face, they should not do so. If a child two years old or older is unable to remove a face covering without assistance, the child is not required to wear one. Social Distancing If possible, child care providers should: limit individual classes to the same group of children and same child care providers each day; consider creating a separate classroom or group for the children of healthcare workers or other first responders; limit the mixing of children, such as staggering playground times and keeping groups separate during special activities; and maintain space between each child’s naptime mat or crib (ideally six feet or more) and place children head to toe during naptime to reduce potential virus spread. More Information For additional information, including information on what to do if a person at your facility tests positive for COVID-19 or is exposed to someone with COVID-19, view the full guidance from OCDEL. To stay up-to-date on the most recent COVID-19 information, visit the Department of Health or Centers for Disease Prevention and Control websites.
June 16, 2020 Choosing Child Care | Virtual Workshop Choosing high-quality child care is a complex process, and to many it may feel overwhelming right now. Join the Center for Women Pittsburgh, Early Learning Resource Center (ELRC) Region 5, and Trying Together on June 28 for their virtual workshop “Choosing Child Care.” About Through this virtual workshop, participants will: learn about the CDC guidelines that early learning professionals are incorporating into their programs; hear questions they can use to ask providers about sanitation and physical distancing; see a live demonstration a new search tool for child care in Allegheny County; get tips on the application process, as well as what you need to apply for assistance; and know how they can help advocate for needed changes to the child care system. Registration To register and learn more, visit the event webpage.
June 2, 2020 Coronavirus (COVID-19) Information As of June 9, 2020 at 12 p.m., the Pennsylvania Department of Health has stated that there are 76,436 confirmed cases of the novel coronavirus (COVID-19) in the Commonwealth, including 2,027 positive cases in Allegheny County. For a full breakdown of affected counties, visit health.pa.gov. While positive cases have been confirmed, it’s important for community members to remain calm and take precautionary measures to reduce your likelihood of infection. COVID-19 Resources To best support these community members and the young children in their lives, Trying Together has created two resource lists, featuring helpful resources that families and educators can use to maneuver this difficult time. Click the links below for more COVID-19 information. COVID-19 Resources for Families and Caregivers COVID-19 Resources for Early Care and Education Professionals Guidance for Pennsylvanians As of June 5, there are 33 counties in the yellow phase and 34 counties in the green phase of reopening. On Friday, June 12 at 12:01 a.m., 12 counties currently in the yellow phase will be moving into the green phase. For information about work, congregate setting, and social restrictions, please review Governor Wolf’s Process to Reopen Pennsylvania. Counties in the Green Phase Counties in the green phase of reopening include the following: Allegheny, Armstrong, Bedford, Blair, Bradford, Butler, Cambria, Cameron, Centre, Clarion, Clearfield, Clinton, Crawford, Elk, Fayette, Forest, Fulton, Greene, Indiana, Jefferson, Lawrence, Lycoming, McKean, Mercer, Montour, Potter, Snyder, Somerset, Sullivan, Tioga, Venango, Warren, Washington, and Westmoreland. Counties in the Yellow Phase Counties in the yellow phase of reopening include the following: Adams, Beaver, Berks, Bucks, Carbon, Chester, Columbia, Cumberland, Dauphin, Delaware, Erie, Franklin, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Mifflin, Monroe, Montgomery, Northampton, Northumberland, Perry, Philadelphia, Pike, Schuylkill, Susquehanna, Union, Wayne, Wyoming, and York. What is COVID-19? According to the Allegheny County Health Department (ACHD), “COVID-19 is a disease caused by a new coronavirus not previously seen in humans.” While this strain of coronavirus is new, coronaviruses are actually a large family of viruses, some causing illness in people and others circulating among animals, including camels, cats, and bats. While it is rare for animal coronaviruses to infect people who are exposed to infected animals, it has happened in the past as seen with Middle East Respiratory Syndrome (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS-CoV). Symptoms As COVID-19 is a respiratory disease, common symptoms of infection include fever, dry cough, tiredness, shortness of breath, and difficulty breathing. However, WHO states that some patients may have aches and pains, nasal congestion, runny nose, sore throat, and diarrhea. After being infected with COVID-19, individuals generally display mild symptoms that begin gradually, but some people who become infected may not develop any symptoms at all and may feel healthy. 80 percent of the individuals who become infected recover from the disease without needing special treatment. However, one out of every six people who get COVID-19 becomes seriously ill and develops difficulty breathing. Elderly individuals, immunocompromised individuals, and individuals with underlying medical conditions such as high blood pressure, cardiovascular disease, chronic kidney diseases, hepatitis B, and cancer are particularly at risk of developing serious illness if infected with COVID-19. Because of this, it’s important to limit possible contamination and reduce the spread of the virus. Currently, there are no vaccines or medications approved to prevent or treat COVID-19 and reported illnesses have ranged from mild to severe cases, including illness resulting in death. However, possible vaccines and drug treatments are currently being investigated through clinical trials. How It Spreads COVID-19 spreads through person-to-person contact (within about six feet) or by touching your mouth, nose, or eyes after coming into contact with surfaces that have been contaminated with respiratory droplets produced when an infected person coughs or sneezes. WHO states that “studies suggest that coronaviruses (including preliminary information on the COVID-19 virus) may persist on surfaces for a few hours or up to several days.” The risk of getting infected by COVID-19 depends on where you are and if there is an outbreak currently happening in that area. Individuals living in or visiting cities or areas that are experiencing an outbreak have a higher risk of becoming infected. There is a higher risk of infection and serious complications for elderly individuals, immunocompromised individuals, and individuals with underlying medical conditions. With this, WHO states that it’s important to “comply with any local restrictions on travel, movement, or large gatherings” and to cooperate with disease control efforts to reduce your risk and potential spread. How to Protect Yourself and Others Currently, the most effective ways to reduce the spread of COVID-19 to protect both yourself and others against infection are to: avoid touching your face, nose, and mouth; frequently wash your hands, scrubbing for at least 20 seconds, especially if you come into contact with commonly used items and frequently touched surfaces such as doorknobs, light switches, handles, faucets, desks, sinks, and tables); if water and soap are not available, sanitize your hands regularly with an alcohol-based hand sanitizer that contains at least 60% alcohol; clean and disinfect commonly used items and frequently touched surfaces such as the items listed above with household cleaners and EPA-registered disinfectants that are appropriate for the surface, following the label directions appropriately; practice social distancing from others, especially avoiding individuals who are exhibiting symptoms, coughing, or sneezing; wear a face mask when shopping at essential businesses, visiting your health care provider, on public transportation, interacting with others at essential business, and when feeling sick, coughing, or sneezing; and comply with any local restrictions and recommendations on travel, movement, or large gatherings. Visit the Centers for Disease Control and Prevention (CDC) website for more information on how to properly clean and disinfect the areas around you. While this resource is primarily intended for individuals and households with suspected or confirmed cases of COVID-19, hygienic practices can help reduce the spread of the virus. Watch this video for proper handwashing techniques. Resource for At-Risk Individuals The CDC also has a resource highlighting precautions and preparation tips for individuals at risk of developing serious complications from COVID-19, such as elderly individuals, immunosuppressed individuals, and individuals with underlying medical conditions. Visit the CDC website to learn more. What to Do After Infection If you are experiencing symptoms of COVID-19, including fever, cough, and shortness of breath, please stay at home and contact your primary care provider to determine if you need to be tested for COVID-19. If you are in Allegheny County, do not have a primary care provider, and are not sure if you need to be tested, please contact the Allegheny Health Department at 412.687.2243. If you need to seek immediate medical care, please call 911 or phone ahead before going to a doctor’s office or emergency department to ensure staff at these locations have time to prepare for your arrival. If an infection is confirmed, health care professionals will assess whether the infected individual needs to be hospitalized or if they can be cared for at home in mandatory quarantine. If isolated at home, infected individuals will be monitored by staff from their local or state health department. Until a healthcare provider says that you or the infected person can return to their normal activities, the CDC states that infected and potentially infected individuals should follow the following preventive measures: stay at home except to get medical care (do not go to school, work, or public areas and avoid using public transportation, ride-sharing, or taxi services); separate yourself from other people and animals in your home as much as possible, if possible; if you must care for others or your pet while sick, wash your hands before and after you interact with them and wear a face mask; call ahead before visiting your doctor, as they need to take steps to prepare to reduce spread and exposure; wear a face mask when you are around other people and animals; and cover your coughs and sneezes with a tissue or your elbow, followed immediately by washing your hands with soap and water or sanitizing with an alcohol-based sanitizer. For a full list of COVID-19 resources, preventative measures, and precautions, visit the CDC website. More Information For more information about COVID-19, visit the Allegheny County Health Department, World Health Organization (WHO), or Centers for Disease Control and Prevention websites. *Information provided by the Centers for Disease Control and Prevention, World Health Organization, and Allegheny County Health Department
June 1, 2020 Summer Camp and Recreation Guidance During COVID-19 On May 22, the Wolf Administration issued frequently asked questions to provide guidance to parents, caregivers, summer camp operators, public bath places, part-day school-age programs, and other entities that provide necessary child care and enrichment and recreational activities for children and youth during the summer. About Summer programs that provide child care and enrichment and recreational activities for children and youth are permitted to operate without a waiver in counties in the yellow and green phases of the Governor’s phased-in reopening plan so long as they follow the Centers for Disease Control and Prevention (CDC) guidance for Youth and Summer Camps and the CDC Supplemental Guidance for Child Care That Remain Open. Summer programs include child care facilities regulated by the Pennsylvania Department of Human Services and the following part-day school-age programs: a part-day school-age program that operates for less than 90 consecutive days per calendar year from the date the program opens to the date the program closes; a part-day school-age program that operates 2 hours or less per day for 3 or fewer days per week; a part-day school-age program that has a single purpose for the children’s attendance and that purpose is the only focus of the program (e.g., soccer or art class); and a drop-in program where a child or youth may come and go at will. To view the guidance, visit the FAQ document. This guidance does not apply to public school-operated summer programs or extended school year services. Guidance related to reopening public schools will be released by the Pennsylvania Department of Education at a later date. Summer Programs in Pittsburgh On May 15, the City of Pittsburgh announced how summer activities will be impacted by the ongoing COVID-19 pandemic. While many activities will be allowed, others will be cancelled or postponed. Decisions on closures and activities may be revisited as pandemic circumstances and federal and state guidelines change. To view lists of permitted and non-permitted activities, read our news post. More Information For more information, view the full press release.