Official Website of Ohio’s Response to COVID-19

https://coronavirus.ohio.gov/wps/portal/gov/covid-19/home

Governor DeWine’s daily Ohio briefings can be viewed at

https://www.youtube.com/channel/UCporaXCeaOJgZKz7y3C0zbg

The Ohio channel will make these available in multiple languages within a few hours after each update is complete

United way 2-1-1

http://www.211.org/services/covid19

Unemployment and Benefits

https://unemployment.ohio.gov/

https://benefits.ohio.gov/

National Domestic Violence Hotline

https://www.thehotline.org/help

1-800-799-SAFE (7233)

TTY 1-800-787-3224

Childcare licensing rule 5101: 2-12-13 pertaining to hand washing, cleaning, and sanitizing can be found at http://emanuals.jfs.ohio.gov/ChildCare/ChildCareCenter/Rules/. See addendum A at the end of this document and for more information.

Preventing COVID-19 Guidelines

https://mcusercontent.com/87e81069e26e36abf0c1648ba/files/59867bf6-20c3-42d9-8d02-2e0d99f80402/Flyer_COVID_19_Prevention.pdf

Checklist to Get Ready

https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/checklist-household-ready.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fprepare%2Fchecklist-household-ready.html

Handwashing as a Family Activity

https://www.cdc.gov/handwashing/handwashing-family.html

Ohio Departments of Health: Find Your Local Health Department

https://odh.ohio.gov/wps/portal/gov/odh/find-local-health-districts

Children/Youth with Special Healthcare Needs

https://coronavirus.ohio.gov/wps/portal/gov/covid-19/home/covid-19-checklists/children-youth-special-healthcare-needs-covid-19-checklist

Cleaning and Disinfecting Alternatives when Everyday Supplies Run Out

https://coronavirus.ohio.gov/wps/portal/gov/covid-19/home/covid-19-checklists/cleaning-disinfecting-alternatives-covid-19-checklist

If you have questions about the COVID-19 Coronavirus Disease, the Ohio Department of Health has established a phone line for people to ask questions at 1.833.4.ASK.ODH (1.833.427.5634). The phone line is open 7 days a week from 9 a.m. to 8 p.m.

EPA list of Disinfectants for use against Novel COVID-19 ** Use search function at website for Corona Virus

https://www.epa.gov/pesticide-registration/list-n-disinfectants-use-against-sars-cov-2

Please note: Starting Point does not endorse or recommend any business product or sources listed. We urge consumers to contact sources directly to determine the options that best meet their needs.

Although the availability changes daily, and some items are backordered, periodic checking has indicated that retailers below are continuously stocking these items.

Suggested retailers with limited availability of everyday items, such as, gloves, Sanitizing wipes, bleach, paper towels, toilet paper, thermometers, paper plates, plastic silverware:

• Giant Eagle
• Ace Hardware
• Marcs
• Deans Supply
• Heinen’s
• Rite Aid
• Amazon
• WB Mason
• Free deliveries to Ashtabula, Cuyahoga, Geauga, and Lake Counties.
• Contact Caitlin Walsh, account executive, and let her know that you are a child care professional referred by Starting Point.
• Phone: 1-888-926-2766 ext. 5773
• Direct Line: 508-436-5773
• Fax: 216-267-5555
• Email: Caitlin.walsh@wbmason.com
• BuyRite Office Supplies
• Free deliveries to Ashtabula, Cuyahoga, Geauga, and Lake counties.
• Contact Michelle Ryb at supplylady56@aol.com or at 216-292-7112

SAMHSA’s National Hotline 1-800-662-HELP (4357)

SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

24-hour Crisis Text "4HELP" to 741741. A live, trained crisis counselor will respond within five minutes. The crisis counselor helps you move from a hot moment to a cool calm to stay safe and healthy using effective active listening and suggested referrals – all through text message using Crisis Text Line’s secure platform. 

National Alliance for Mental Illness COVID-19 Information and Resources

https://www.nami.org/getattachment/Press-Media/Press-Releases/2020/COVID-19-and-Mental-Illness-NAMI-Releases-Importan/COVID-19-Updated-Guide-1.pdf?lang=en-US

Helping Homebound Children

https://mha.ohio.gov/Portals/0/assets/HealthProfessionals/About%20MH%20and%20Addiction%20Treatment/Coronavirus/CSTS_FS_Helping%20Homebound%20Children%20during%20COVID-19%20Outbreak%203-16-20.pdf?ver=2020-03-17-092013-767

Stress and Coping

https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/managing-stress-anxiety.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fcoronavirus%2F2019-ncov%2Fprepare%2Fmanaging-stress-anxiety.html#parents

It is Still Important to Complete the Census during COVID-19

https://2020census.gov/en/news-events/press-kits/covid-19.html

Resources for Economic Support: Resources will be updated periodically

https://coronavirus.ohio.gov/wps/portal/gov/covid-19/home/resources-for-economic-support/econ

The Small Business Owner’s Guide to the CARES Act

https://www.sbc.senate.gov/public/_cache/files/9/7/97ac840c-28b7-4e49-b872-d30a995d8dae/F2CF1DD78E6D6C8C8C3BF58C6D1DDB2B.small-business-owner-s-guide-to-the-cares-act-final-.pdf

VOTE BY MAIL EXTENDED UNTIL APRIL 28!

If you have not voted yet, the primary has been extended until April 28 and vote-by-mail is the only way to cast your vote.

To Vote-By-Mail please use the following link to the Board of Elections’ website to request a vote-by-mail application:  https://boe.cuyahogacounty.us/en-us/vote-by-mail.aspx

Looking for activities to do at home?

Barnes and Noble- online story time
www.barnesandnoble.com/b/online-storytime/_/N-ryw

Great Lakes Science Center virtual science activities
https://greatscience.com/curiosity-corner/diy-science/check-out-curiosity-corner-live

Scholastic at home activities
https://www.scholastic.com/teachers/teaching-tools/articles/resources/scholastic-learn-at-home--free-resources-for-school-closures.html#

Go Noodle
https://www.gonoodle.com

Virtual Field Trips
https://docs.google.com/document/u/0/d/1qpFAQz_QJt0ZTVTixAyuGRjsKGYI23CjlaO9eLBkThE/mobilebasic

Cincinnati Zoo live animal video
http://cincinnatizoo.org/news-releases/cincinnati-zoo-is-bringing-the-zoo-to-you/

Ready4K
https://ready4k.parentpowered.com/

Children’s Museum of Cleveland
https://cmcleveland.org/virtual-programs/

Dolly Parton’s Imagination Library
https://www.literacycooperative.org/imagination-library/

Ashtabula County Community Action Agency
http://communityaction.wixsite.com/accaa

Ashtabula County Mental Health and Recovery Services Board
https://www.ashtabulamhrs.org/
Crisis line 24/7 is 800-577-7849

Cleveland Dental Institute – remains in operation for emergency care
https://www.cdiohio.org/ashtabula

United Way of Ashtabula County
https://www.unitedwayashtabula.org/

Click link below to access COVID-19 Child Care in Cuyahoga Resource Tool
COVID-19 Child Care in Cuyahoga Resource Tool

Cuyahoga County Board of Alcohol, Substance Abuse and Mental Health
http://www.adamhscc.org/

Domestic Violence and Child Advocacy Center
https://dvcac.org/
216-391-HELP (4357) - available 24/7

Crisis and trauma resolution and 24/7 Hotline
https://www.frontlineservice.org/
216-623-6888

Cuyahoga County Board of Health

https://www.ccbh.net

Legal Aid

The Legal Aid Society of Cleveland will continue to serve clients during the Covid-19 pandemic.
https://lasclev.org/covid19/
Do you have questions on employment benefits or unemployment compensation? The Legal Aid Society of Cleveland can answer your questions
https://lasclev.org/what-are-the-new-rules-for-unemployment-compensation-uc-benefits-related-to-covid-19/

Utilities Assistance

Cleveland Water, Dominion, and Cleveland Public Power has temporarily stopped disconnection due to non-payment.
Cleveland Water Department
http://www.clevelandwater.com
Cleveland Public Power
https://www.cpp.org/
Dominion Energy
https://www.dominionenergy.com/

Food Assistance

The Greater Cleveland Food Bank will continue to provide food for families in need. You can call the Help Center at 216-738-2067 if you need food assistance.
https://www.greaterclevelandfoodbank.org/
CMSD is providing carryout meals for students 18 and younger at 22 different scheduled sites. RTA will still continue to honor student bus passes for meal pick-ups. Students will receive a bagged lunch for the day, as well as breakfast for the next day.
https://www.clevelandmetroschools.org/coronavirus
Cleveland Public Library will be serving bagged lunches for kids at their 28 locations, Monday through Friday from 3:30pm – 4:30pm.
https://cpl.org/cleveland-public-library-expands-closure-offers-meals-and-resources-to-children-during-covid-19-pandemic/

Geauga County Board of Health
http://geaugacountyhealth.org/

Geauga County Board of Mental Health and Recovery Services
http://www.geauga.org/
Copeline: For Immediate Help When Distressed
Call 1-888-285-5665 or 440-285-5665

Geauga County United Way Services
https://www.uwsgc.org/

Women's Safe
https://womensafe.org/
Copeline 1-888-285-5665

Geauga County Department of Jobs and Family Services
www.geaugajfs.org

Geauga Hunger Task Force
www.geaugahungertaskforce.org/howtofindhelp

United Way Services of Geauga County Aging and Disability Center
https://www.uwsgc.org/aging-and-disabilty-resource-center

Lifeline
https://www.lclifeline.org/about/

Lake County 211 Interactive Database
https://www.lclifeline.org/2-1-1/2-1-1-database/

Lake County Alcohol Addiction and Mental Health Services Board (ADAMHSBD)
http://www.helpthatworks.us/
Lake County Crisis Hotline: 440-953-8255

Domestic Violence and Child Advocacy Center
https://dvcac.org/
216-391-HELP (4357) - available 24/7

COVID-19 Related Stress Factors and Resources for Lake County
http://375a9m1efpkdzmkqad250u1d.wpengine.netdna-cdn.com/wp-content/uploads/2020/03/COVID-19-Related-Stress-Factors.pdf
Lake County Hunger Task Force
http://www.lakecountyhungertaskforce.org/
United Way of Lake County
https://www.uwlc.org/
Lake County General Health District Public Health
https://www.lcghd.org/

Tips and Reminders for Pandemic Child Care Providers
Handwashing – Follow guidance outlined by ODJFS in Appendix A of Rule 5101:2-12-13

Staff member & employees shall wash hands, defined as using soap & water or using hand sanitizer, at the following times:
⦁ Upon arrival for the day, after breaks and upon returning from outside.
⦁ After toileting or assisting a child with toileting.
⦁ After each diaper change or pull-up change.
⦁ After contact with bodily fluids or cleaning up spills or objects contaminated with bodily fluids.
⦁ After cleaning or sanitizing or using any chemical products.
⦁ After handling pets, pet cages or other pet objects that have come in contact with the pet.
⦁ Before eating, serving or preparing food or bottles or feeding a child.
⦁ Before and after completing a medical procedure or administering medication.
⦁ When visibly soiled (must use soap and water
Children shall wash hands, defined as using soap and water or using hand sanitizer (if 24 months or older), at the following times:
⦁ Upon arrival for the day.
⦁ After toileting/diaper change.
⦁ After contact with bodily fluids
⦁ After returning inside after outdoor play.
⦁ After handling pets, pet cages or other pet objects that have come in contact with the pet before moving on to another activity.
⦁ Before eating or assisting with food preparation.
⦁ After water activities.
 When visibly soiled (must use soap and water).

The CDC has additional guidance: When & How to Use Hand Sanitizer in Community Settings _Handwashing _ CDC.html
Cleaning & Sanitizing Items-Follow guidance outlined by ODFJS in Appendix B of Rule 5101:2-12-13
To clean: Wash the surface or item with a detergent solution or other appropriate commercial product used for cleaning purposes. Questions about products must be directed to the manufacturer of the product. Follow the manufacturer’s instructions exactly.
To sanitize: Centers must use a commercial product registered by the United States Environmental Protection Agency (US EPA) as a sanitizer that has directions for use that are appropriate for the surface or item you are sanitizing. Questions regarding commercial products must be directed to the manufacturer of the product or the US EPA. Follow manufacturer’s instruction exactly when using any product to sanitize.
Caring for Our Children has guidance on selecting an appropriate sanitizer or disinfectant located at nrckids.org/files/appendix/AppendixJ.pdf
Continue to check ongoing updated information at www.coronavirus.ohio.gov-COVID 19

Caring for Our Children: National Health and Safety Performance Standards
Appendix J
One of the most important steps in reducing the spread of infectious diseases in child care settings is cleaning, sanitizing or disinfecting surfaces that could possibly pose a risk to children or staff. Routine cleaning with detergent and water is the most common method for removing some germs from surfaces in the child care setting. However, most items and surfaces in a child care setting require sanitizing or disinfecting after cleaning to further reduce the number of germs on a surface to a level that is unlikely to transmit disease.
What is the difference between sanitizing and disinfecting?
Sometimes these terms are used as if they mean the same thing, but they are not the same.

Sanitizer is a product that reduces but does not eliminate germs on inanimate surfaces to levels considered safe by public health codes or regulations. A sanitizer may be appropriate to use on food contact surfaces (dishes, utensils, cutting boards, high chair trays), toys that children may place in their mouths, and pacifiers.
See Appendix K, Routine Schedule for Cleaning, Sanitizing and Disinfecting for guidance on use of sanitizer vs. disinfectant.
Disinfectant is a product that destroys or inactivates germs (but not spores) on an inanimate object. A disinfectant may be appropriate to use on hard, non-porous surfaces such as diaper change tables, counter tops, door & cabinet handles, and toilets and other bathroom surfaces.
See Appendix K, Routine Schedule for Cleaning, Sanitizing and Disinfecting for guidance on use of sanitizer vs. disinfectant.
The U.S. Environmental Protection Agency (EPA) recommends that only EPA-registered products be used. Only a sanitizer or disinfectant product with an EPA registration number on the label can make public health claims that they are effective in reducing or inactivating germs.
Many bleach and hydrogen peroxide products are EPA registered and can be used to sanitize or disinfect. Please see the “How to Find EPA Registration Information” section below to learn more specific information on the products.
Always follow the manufactures’ instructions when using EPA-registered products described as sanitizers or disinfectants. This includes pre-cleaning, how long the product needs to remain wet on the surface or item, whether or not the product should be diluted or used as is, and if rinsing is needed.
Also check to see if that product can be used on a food contact surface or is safe for use on items that may go into a child’s mouth.
Please note that the label instructions on most sanitizers and disinfectants indicate that the surface must be precleaned before applying the sanitizer or disinfectant.

Are there alternatives to chlorine bleach?
A product that is not chlorine bleach can be used in child care settings IF:
• it is registered with the EPA;
• it is also described as a sanitizer or as a disinfectant;
• it is used according to the manufacturer’s instructions.
Check the label to see how long you need to leave the sanitizer or disinfectant in contact with the surface you are treating, whether you need to rinse it off before contact by children, for any precautions when handling, and whether it can be used on a surface that may come in contact with child’s mouth.

Selecting an Appropriate Sanitizer or Disinfectant
Some child care settings are using products with hydrogen peroxide as the active ingredient instead of chlorine bleach. Check to see if the product has an EPA registration number and follow the manufacturer’s instructions for use and safe handling. (Please see the “How to Find EPA Registration Information” section below for more information.)
Remember that EPA-registered products will also have available a Safety Data Sheet (SDS) that will provide instructions for the safe use of the product and guidance for first aid response to an accidental exposure to the chemical.
In addition, some manufacturers of sanitizer and disinfectant products have developed “green cleaning products” that have EPA registration. As new environmentally-friendly cleaning products appear in the market, check to see if they are EPA-registered.
Household Bleach & Water
Many household bleach products are now EPA-registered. When purchasing EPA-registered chlorine bleach, make sure that the bleach concentration is for household use, and not for industrial applications. Household chlorine bleach is typically sold in retail stores as an 8.25% sodium hypochlorite solution.
EPA-registered bleach products are described as sanitizers and disinfectants. Check the label to see if the product has an EPA registration number and follow the manufacturer’s safety and use instructions. (Please see the “How to Find EPA Registration Information” section below for more information.)
Pay particular attention to the mixing “recipe” and the required contact time (i.e., the time the solution must remain on a surface to be effective) for each use. Remember, the recipe and contact time are most likely different for sanitizing and disinfecting.

If you are not using an EPA-registered product for sanitizing and disinfecting, please be sure you are following state or local recommendations and/or manufacturer’s instructions for creating safe dilutions necessary to sanitize and/or disinfect surfaces in your early care and education environment. Using too little (a weak concentration) bleach may make the mixture ineffective; however, using too much (a strong concentration) bleach may create a potential health hazard.
To safely prepare bleach solutions:
• Dilute bleach with cool water and do not use more than the recommended amount of bleach.
• Select a bottle made of opaque material.
• Make a fresh bleach dilution daily; label the bottle with contents and the date mixed.
• Wear gloves and eye protection when diluting bleach.
• Use a funnel.
• Add bleach to the water rather than the water to bleach to reduce fumes.
• Make sure the room is well ventilated.
• Never mix or store ammonia with bleach or products that contain bleach.

To safely use bleach solutions:
• Apply the bleach dilution after cleaning the surface with soap or detergent and rinsing with water if visible soil is present.
• If using a spray bottle, adjust the setting to produce a heavy spray instead of a fine mist.
• Allow for the contact time specified on the label of the bleach product.
• Apply when children are not present in the area.
• Ventilate the area by allowing fresh air to circulate and allow the surfaces to completely air dry or wipe dry after the required contact time before allowing children back into the area.
• Store all chemicals securely, out of reach of children and in a way that they will not tip and spill.
Adapted from: California Childcare Health Program. 2013. Safe and Effective Cleaning sanitizing and Disinfecting. Health and Safety Notes (March).

To Review:
• Determine if the surface requires sanitizing or disinfecting;
• Check the labels of all products to see if they are EPA-registered; there are alternatives to chlorine bleach;
• Many chlorine bleach products (8.25% sodium, hypochlorite) are now EPA-registered
• If EPA-registered, you must follow the label instructions for “recipes” and contact times;
• If using non-EPA-registered products, follow state or local recommendations for “recipes” and contact times;
• Prepare and use the solutions safely;
• Use products that are safe for oral contact when used on food contact surfaces or on items that may mouthed by children.

How to Find EPA Registration Information
The following information is intended to serve as a visual guide to locating EPA registration numbers and product label information. Any products featured in the examples below are used for illustrative purpose only, and do not represent an endorsement by the National Resource Center for Health and Safety in Child Care and Early Education (NRC). The NRC does not endorse specific products.
1. Locate the EPA Registration number on the product label: Caring for Our Children: National Health and Safety Performance Standards Appendix J
2. Go to http://iaspub.epa.gov/apex/pesticides/f?p=PPLS:1. Enter this number into the box titled “EPA Registration Number” and click the Search button:
Caring for Our Children: National Health and Safety Performance Standards Appendix J
3. You should see the details about the product, and beneath that, a portable document file (PDF) bearing the date that this product was registered by the EPA (if there is a list, the PDF at the top of the list should show the most recent approval).
Click on that most recently-approved PDF. You will need a PDF file reader to access this file.
There are a variety of Caring for Our Children: National Health and Safety Performance Standards Appendix J
PDF readers available and most are free.
4. The PDF should come up on your screen. Scroll down to the section that shows the directions for using the product as a sanitizer or disinfectant. Follow the directions listed for your intended use.

A Final Note
Remember that any cleaning, sanitizing or disinfecting product must always be safely stored out of reach of children. Always follow the manufacturer’s instruction for safe handling to protect yourselves and those in your care.

References

1. California Childcare Health Program. 2009. Sanitize safely and effectively: Bleach and alternatives in child care programs. Health and Safety Notes (July). http://www. ucsfchildcarehealth.org/pdfs/healthandsafety/SanitizeSafely_En0709.pdf

2. U.S. Environmental Protection Agency. 2012. Pesticide Product Label System Website. http://iaspub.epa.gov/apex/pesticides/f?p=PPLS:1

3. U.S. Environmental Protection Agency. 2012.
What are antimicrobial pesticides? Pesticides Website: http://www.epa.gov/oppad001/ad_info.htm

4. U.S. Environmental Protection Agency. 2012. Selected EPA-registered disinfectants. Pesticides Website. www.epa.gov/oppad001/chemregindex.htm

5. Grenier D., D. Leduc, eds. 2008. Well beings: A guide to health in child care. 3rd ed. Ottawa: Canadian Pediatric Society.

6. Rutala, W. A., D. J. Weber, the Healthcare Infection Control Practices Advisory Committee (HICPAC). 2008. Guideline for disinfection and sterilization in healthcare facilities, 2008. Atlanta, GA: Centers for Disease Control and Prevention, National Center for Preparedness, Detection, and Control of Infectious Diseases, Division of Healthcare Quality Promotion. http://www.cdc.gov/hicpac/pdf/guidelines/ Disinfection_Nov_2008.pdf

7. U.S. Department of Health and Human Services, Public Health Service, Food and Drug Administration. 2009. Food code. College Park, MD: Food and Drug Administration. http://www.fda.gov/Food/FoodSafety/RetailFoodProtection/FoodCode/FoodCode2009/default.htm