Healthy LREI

This page outlines our most up-to-date policies and practices:


January 11, 2022

Dear LREI Community, 

Hello to all on this chilly evening.  First of all, I want to offer a big “Thank you” to your children for hanging in there and having a productive school day when the buildings were a wee bit chilly.  Thank you, as always, to the teachers for making the day enriching and welcoming.  

As we are returning from a week of remote learning and have completed two rounds of testing, it seemed like a good time for a brief update.  

Most of the results of yesterday’s testing have been returned. As you remember, we tested half of the children (half of each class/grade) and half of the adults. Those folks who are currently home because they are positive and those who had Covid in the past 90 days were not included in the testing. With about 60 results still outstanding, we had 17 positive cases identified through this round of testing. Most of these positive cases are in the older middle school grades and the high school.  At this point we are scheduled to test the other half of the community next Tuesday.  We may decide to test 100% instead.
 
If your child/children tested positive you have been contacted. In-school contacts of cases will be contacted by tomorrow. Any unvaccinated contacts will be contacted this evening. We expect parents of positive cases to contact their outside of school and close friends to inform them of their exposures.

We will continue to run our current academic program each day. For those students who are excluded due to Covid we will provide a hybrid experience. This is only available to those students who have been told by the school that they must stay home. It is likely that as the number of excluded students drops, which it should do soon, that we will end the remote program.  

Please know that while we are doing all that we can to keep students in school each day, one of the limiting factors is the number of adults we need in school every day to provide the progressive classroom program that you expect. There may be times when we have to ask a classroom or grade or division to be remote for a short time due to the number of adults who can be in school that day/week and our estimation of the best situation for the students.  

Finally, a reminder that our mitigation efforts continue to limit transmission in school.  You can help with by: 
  • keeping your children home if they have symptoms, 
  • keeping them home if they are unvaccinated and exposed, 
  • keeping them home if they have a high-risk in-home exposure, 
  • making sure to complete the Magnus health survey each day, 
  • and making sure that your children arrive at school with high quality well-fitting masks. We recommend that all students wear a KN95 or KF94 mask. 
  • helping your children to select safe social activities, keeping socialization masked and PLEASE no sleepovers at this time.  
Thank you.  We so appreciate all that the community is doing to keep us all healthy.

Questions?  Don't hesitate to email me or to contact Ava and Brian at nurses@lrei.org.  

Best,
Phil

Note:

Our policies are currently being reviewed and updated, please email nurses@lrei.org for current guidance if you have questions.

COVID Q&A - Symptoms/School Exclusion/Isolation/Quarantine/Contact

List of 15 items.

  • Student and Staff Symptoms/Illness Policy

    • All students and staff must stay home and immediately take a  COVID test if they exhibit any of the following symptoms:
      • Fever (100 F)
      • New cough or congestion
      • Sore throat
      • Loss of taste or smell
      • Vomiting or Diarrhea
    • Students and staff must stay home and monitor for the following symptoms. If the symptoms do not resolve within 24 hours, take  COVID test:
      • Headache
      • Fatigue
      • Muscle aches
      • Abdominal pain
    • Vaccinated individuals may be cleared to return to school with a negative provider-performed rapid antigen test  (or PCR, Rapid PCR, Rapid Molecular). Home antigen tests are not accepted.
    • Unvaccinated individuals have a molecular COVID Test to return (PCR, Rapid PCR, or Rapid Molecular - antigen tests will not clear to return). 
    • Students and staff with a negative test as above may return to school when they have been fever free for 24 hours without fever-reducing medication, 24 hours after any episode of vomiting or diarrhea, when feeling better and able to tolerate masking. All results must be sent to nurses@lrei.org for clearance.
    • Positive results must be reported to Ava Dawson immediately (adawson@lrei.org)
  • Parent/Household Member Illness Policy

    • If a parent or household member (including caregivers/nannies) has any of the symptoms above, we request that you keep any unvaccinated students home and be tested for COVID (PCR, Rapid PCR, Rapid Molecular for unvaccinated, minimum of rapid antigen for vaccinated). If the adult at home is  positive, please report this to the nurses (nurses@lrei.org)
    • If this household member has been present in the LREI buildings in the 48 hours prior to symptom onset or a positive test, you must report this to the nurses immediately (nurses@lrei.org).
  • Mask Policy

    • All students and staff are required to wear fitted face coverings over their nose and mouth at all times while indoors on school property and on trips. They may be removed indoors only for eating, drinking or napping. 
    • Masks are currently optional outdoors. The school will support students whose family requests they mask outdoors.
    • Masks should be form fitting and made of at least 2 layers of fabric. 
    • Gaiters and masks with valves are not permitted.
    • Face shields may be used in addition to, but not in place of face masks. 
    • Disposable masks are available on site, if needed. 
  • COVID Vaccines

  • COVID Exposure Policy

    • All students and staff are required to report any known COVID exposure immediately to the schools’ Health Director. Ava Dawson is available by phone or email (adawson@lrei.org). 
    • If you are unsure if a circumstance warrants exposure, please err on the side of caution and contact the nurses (nurses@lrei.org) or Ava (adawson@lrei.org). 
    • Families and staff will be notified by the School of any in-school exposures, and will be directed as to the proper quarantine and testing measures. 
  • Quarantine Policy

    • Vaccinated
      • Fully vaccinated students and staff are not required to quarantine after a known COVID exposure if they are not experiencing symptoms.
      • In order to attend school, exposed vaccinated students and staff must take a lab-based COVID PCR test at time of notification exposure and on day 5 after exposure. For exposures that occur at LREI, this testing will be offered on-site. Families may choose to obtain testing outside of school. 
      • If the exposed individual develops ANY symptoms, they must immediately isolate and take a lab-based COVID PCR. 
    • Unvaccinated
      • Unvaccinated students or staff are required to quarantine for 10 days after their date of last contact with COVID.  
      • Students may be released from quarantine early by taking a lab-based PCR on day 5 after exposure, and return to school on day 8 if asymptomatic and negative. We will inform contacts of the appropriate test and return dates. 
    • Siblings/Household members of exposed students/staff
      • Vaccinated Primary Contact
        • Siblings and household members of vaccinated contacts may continue to attend school UNLESS the primary contact develops ANY symptoms and is required to quarantine and test. 
    • Unvaccinated Primary Contact
      • Siblings and household members must remain at home until the primary exposed contact has tested negative by a rapid test, and then may return to school.
      • Families must separate the quarantined individual to the best of their ability at home. 
      • If the primary contact develops ANY symptoms during quarantine, the sibling must quarantine at home. Contact the nurses immediately if this occurs (nurses@lrei.org).
  • Travel Protocol

    Note that COVID is still a threat and the CDC does not recommend unnecessary travel at this time. Please review the COVID rates and prevalence of your destination when choosing to travel and again immediately prior to your trip and upon your return home. We strongly discourage any travel to destinations with greater than a COVID prevalence of more than 35 cases per 100,000 residents. (See here for current prevalence.)
    • Vaccinated
      • Domestic - no current limitations or testing requirements
      • International - no quarantine required, must take a PCR on day 3-5 after return to  the US. 
    • Unvaccinated - 
      • Domestic- quarantine and PCR on day 3-5 after arrival per CDC guidelines. 
      • International - quarantine and PCR testing on day 3-5 after arrival required per CDC guidelines. 
  • What is Isolation?

    Isolation applies to individuals with a suspected or confirmed case of COVID-19. It involves the diagnosed person having no interaction with other members of the household. The person must have their own bathroom and a door to their quarters. Meals are delivered to the room. This is difficult in a private residence, and may be impossible if the person in isolation is a young child. 

    Per the NYS DOH guidelines, a person diagnosed with COVID-19 must isolate for 10 days after the onset of their symptoms OR 10 days from the date they were tested (if they were asymptomatic). Repeat COVID testing is not recommended after the 10 day isolation period.
  • What is Quarantine? 

    Quarantine applies to individuals exposed to a suspected or confirmed case of COVID19, or who have recently traveled internationally or in states with widespread COVID-19 transmission. People in quarantine feel well, but may be pre-symptomatic. A person in quarantine must monitor themselves closely to determine if they have developed symptoms of COVID-19. The person must have their own bathroom or clean the bathroom between each use. They must sleep in a separate room from anyone not in quarantine, in case symptoms develop at night. If they develop symptoms, they must be tested and start an isolation period. 
     
    Per the NYS DOH guidelines, an unvaccinated contact must quarantine for 10 days after their date of last contact with a person diagnosed with COVID-19, and continue to monitor closely for symptoms for 14 days. If a person has ongoing contact with a case during their isolation period, they must quarantine for the case’s 10 day isolation period, plus an additional 10 days (potential 20 day quarantine). 

    Per the NYS DOH guidelines, a vaccinated contact is not required to quarantine but must wear their face covering at all times and monitor closely for symptoms for 14 days. If they develop any symptoms, they must immediately quarantine and test.
  • What happens if my child gets sick at school? 

    If your child develops any symptoms of COVID-19 at school, as defined by the CDC and NYS Department of Health above, they will be evaluated by a nurse, placed in an isolation room, and a parent/guardian will be called to pick them up. We expect that you will be available to answer a call from the school at all times during the day, and will pick up your child within 1 hour of contact. Young children and children requiring ongoing nursing care will be accompanied into isolation by a nurse. Older children will be visually monitored by a nurse while in isolation. 
     
    Any child sent home with COVID-like-symptoms must have the following to return to school:
    • A negative COVID test (unvaccinated: PCR, Rapid PCR, Rapid molecular; minimum of rapid antigen for vaccinated) 
    • At least 24 hours fever-free without fever-reducing medication
    • Symptom improvement and the ability to self-manage any lingering symptoms in school
    If a child is not tested for COVID-19, they must stay home and isolate (as if they were positive) for 10 days after the onset of symptoms. We will be required to quarantine all of their contacts from the preceding 2 days. 
     
    Siblings/other household members who are not vaccinated must stay home while a student has a pending COVID-19 test due to symptoms. If the ill student tests negative on a rapid test (including rapid antigen) siblings/other household members will be permitted to attend school. 
  • I have more than one child in the school. What happens to a sibling if the other gets sick? 

    If you have more than one child in the school and are called to pick up one sick child, you will be asked to take any other unvaccinated children home as a precaution until the primary contact has a negative COVID-19 test. Well siblings will be permitted to return if the primary student has a negative rapid test.
  • What if my child has seasonal allergies and is coughing or congested? 

    Cough and congestion are both symptoms on the list of COVID-19 symptoms. For any new onset or new worsening of symptoms, we are required by the NYS Department of Health to isolate and refer the student for testing. 

    To avoid this situation, we strongly recommend that you talk to your pediatrician regarding starting your child on daily allergy medications to prevent these symptoms before they start.
  • What if my child already had COVID-19?

    It is possible to contract COVID-19 more than once. As a result, you will be required to follow the isolation, testing and return to school procedures outlined above, even if your child was diagnosed with COVID-19 in the past or has a positive antibody report UNLESS the COVID infection was within the last 90 days and the person has not traveled or had known COVID exposure. 

    If your child has had COVID-19 in the last 90 days, but their class is closed due to quarantine, they will be required to join their class in LREI Remote. 

    Students/Staff having tested positive for COVID-19 will not be required to participate in any surveillance or screening testing for the 90 day period following their positive test result. 
  • COVID-Testing Sites 

    Please note that COVID test processing times change frequently. Please confirm insurance/test processing time information with any site you visit prior to testing. The NYC DOH requires molecular COVID testing to return to school. Be sure to request a PCR if obtaining a rapid antigen.

    Note: City MD consistently has the longest processing time for testing (3-7 days). We do not recommend City MD at this time. 

    Recommended:

    • Free if no insurance
    • Processing time 12-36 hours
    • Takes insurance
    • Processing time 24 hours
    • Takes insurance
    • Processing time 24-48 hours
    NYU Pediatricians/Lab
    • Takes insurance if your pediatrician is affiliated
    • Processing time 12-24 hours
    • Takes insurance
    • Processing time 24 hours
    • Takes insurance
    • Processing time 24 hours
    • Takes insurance
    • Processing time 24-48 hours
    • Also offers Rapid PCR (not covered by insurance) 
    • Does not take insurance
    • Offers Rapid PCR only 
  • Which COVID Tests are Acceptable?

    • Lab-based PCR -  a nasal PCR test that is taken by a medical provider and sent to a lab for processing. Results take 12-72 hours.  Accepted for all circumstances. 

      Saliva-based testing (Vault/Phosphorus) - a PCR that is sampled through saliva and sent to a lab for processing. Results take 48-72 hours. Accepted for all circumstances. 

      Rapid PCR/Molecular Testing - a nasal swab that is processed and run on a point-of-care machine in a doctor’s office. This test is more sensitive/accurate than a rapid test, but not as accurate as a lab-based PCR. Now accepted for symptom clearance for all individuals

      Rapid Antigen Testing - a less sensitive nasal test that is run in an office in 15 minutes. If positive, allows us to notify contacts quickly. NOT ACCEPTED FOR SYMPTOM CLEARANCE IF UNVACCINATED. NOT ACCEPTED FOR QUARANTINE CLEARANCE.