COVID-19 Resources


Updated:  June 15, 2020


We are committed to protecting the safety and well-being of the patients we serve, their families, as well as our employees.  We understand that people can have very different needs during this time, and it is our goal to ensure that we do our part to see that they receive the ongoing, quality care they have come to expect from our company with minimal disruption. 


COVID-19 Specific Procedures


Breakthrough Behavior will continue to monitor COVID-19.  We will follow the instructions and guidance provided by local, state, and federal Department of Health guidelines in the areas we serve and do our best to continue providing care.


Until further notice, Breakthrough Behavior will follow these procedures:


Entering/In the clinics 


Therapy Clients: 

To reduce the amount of traffic in our buildings, Breakthrough Behavior will require the following: 

  • Staff will have a Sign In – Out form that parents/guardian/designee will have to sign as well as a COVID – 19 questionnaires as the person dropping off the students.  If they answer “yes” to any of the COVID screening questions, they will not be granted entrance to our facility. 

  • All children (and accompanying adults for) will have their temperature taken utilizing Breakthrough Behavior Temperature taking procedure before parents depart or participate in therapy session.   If their fever is higher than 100.4 – they will not be permitted to be dropped off or attend. 

  • Children over the age 2 can wear parent provided masks at parent request.   No child under the age of 2 should wear a mask due to risk of suffocation or anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance. 

  • All children will use hand sanitizer upon entrance to the building. 

  • Children attending therapy/evaluations can either be dropped off (and parent/driver wait in car or outside nearby) or one adult attend with the child (no other children/adults can enter the building unless medically appropriate). 

  • No one will be permitted to wait in the lobby. 



  • All staff that enter the building will be required to have their temperature taken at the start of the shift. If their temperature is higher than 100.4, they will not be permitted to enter the building. 

  • All staff that enter the building will be required to complete the COVID-19 Questionnaire. If they answer “yes” to any of the questions, they will not be granted entrance to our facility. 

  • Breakthrough Behavior will be providing masks for all staff or staff/contractors can provide their own as well as any additional PPE at their discretion.  Staff will be required to wear masks when in any of the common areas or with other staff/parents.  Based on developmental age of children or preference of staff member, masks could be worn while working with the children. 

  • Staff will use hand sanitizer upon entrance to the building.  

  • All staff must wash their hands frequently during the day.  This will include but not limited to after all activities, before and after meals, after bathroom use, exposure to bodily fluids, coughing and sneezing.   

  • All staff members must always maintain social distancing (6 feet) except during a medical emergency (not when actively working with patients).    

  • Greetings should not include hugging, handshake, high fives, etc. 

  • No celebrations/group meals will be held. 

  • Capacity will be limited in certain common areas.  

  • Elevators will be limited to one person at a time unless they are parent/student of the same family.   

  • Break rooms, copy rooms and work rooms will have signs posted at each location indicating number of allowed staff at any one time allowed (1 person per 6 ft). 

  • All staff will need to sign our COVID-19 Attestation forms before being allowed to return to work. 

  • Any staff who does not abide by the above rules will have corrective action up to and including termination. 

  • Number of staff members at each location should be severely limited and any meeting that could possibly and effectively be held remotely should be held in that manner. 



  • Vendors should be limited to emergency repairs/required for compliance visits 

  • All vendors must follow the same entry procedures as staff (questionnaire, temperature and hand sanitizing).    

  • Visitors should be severely limited and any meeting that could possibly and effectively be held remotely should be held in that manner. 


Therapy Specific Procedures 

  • Therapy treatment rooms will be restricted to a limited number of people (children, parents, staff). 

  • UCP campuses will have a restriction of no more than a total of 10 people (children, parents, and staff) at any time. 

  • All other rooms should be limited to one child and the therapy whenever possible. 

  • When possible, children should remain in one area throughout their session to avoid cross contamination and to support social distancing.  

  • Hand washing/sanitizer before and after each treatment will be required. 

  • The treating therapist will be required to spray down the surfaces of any treatment area/equipment used before and after each treatment  

  • Extra diligence will be required to ensure children do not share toys that they have “mouthed”.   A “soiled toy” bin will be in each therapy clinic with soapy water and out of reach of children.  

  • Therapists are required to wear gloves during treatment and change gloves between children. 


Facility Enhancements 

  • Breakthrough Behavior will install a hand sanitizer machine in the front lobby of each facility.  Staff/students/vendors are required to utilize this as they enter the facility, as well as frequent hand washing as per CDC guidelines.   

  • Breakthrough Behavior will be posting important reminders throughout the clinics to ensure that everyone is following proper safety procedures during the COVID-19 pandemic.  These include: 

    • Stop the Spread of Germs at Work poster 

    • Step Away for Safety poster (Social Distancing) 

  • Breakthrough Behavior will be training all staff on the above-mentioned safety procedures, as well as other appropriate universal precautions and training deemed necessary to keep our facilities/staff/visitors safe. 

  • The disinfecting of the facilities is taken very seriously by Breakthrough Behavior. As such, we are increasing our cleaning/sanitization of the facilities to multiple times per day.  Common areas such as front desk, bathroom, break rooms, and door handles, will be sanitized multiple times per day.  See Cleaning and Disinfecting section below for information on how cleaning will be done if a case is found to be in the school.  

  • To ensure that cleaning practices are being performed at the same standard across all our facilities, Breakthrough Behavior will hold a training of all our Regional Administrator’s.  In this training, Breakthrough Behavior will train on the following: 

    • SOP Cleaning Procedures and Routines for Janitorial Staff and Contracted Cleaning Companies. 

    • Step Away for Safety (Social Distancing) 

    • Stop the Spread of Germs at Work 

    • The importance of cleaning and disinfecting high touch surfaces daily in common areas. 

    • Importance of hand washing. 

    • Proper mixing of sanitizing/disinfecting solutions. 

    • Proper disposal of garbage. 

    • How to adhere to Universal Precautions while sanitizing/disinfecting facilities. 

  • A Daily Cleaning Log will be filled out by each Assistant Clinic Manager or Clinic Manager and stored in the files section of the COVID-19 team in Microsoft 365 

  • The following process will take place when Breakthrough Behavior staff are disinfecting facilities: 

    • Wear disposable gloves to clean and disinfect. 

    • Clean surfaces using soap and water, then use disinfectant. 

    • Cleaning with soap and water reduces number of germs, dirt, and impurities on the surface. Disinfecting kills germs on surfaces. 

    • Practice routine cleaning of frequently touched surfaces. 

    • More frequent cleaning and disinfection may be required based on level of use. 

    • Surfaces and objects in public places should be cleaned and disinfected before each use. 

    • High touch surfaces include:  

    • Tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, sinks, etc. 


Preventing the Spread of COVID – 19 

  • The CDC recommendations for wearing/not wearing a Cloth face covering are listed below.  

  • The cloth face cover is meant to protect other people in case you are infected and are asymptomatic. Continue to keep about 6 feet between yourself and others.  

  • Cloth face coverings should not be used on anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance. Cloth face coverings must not be placed on young children under age 2. 

  • Wash your hands often with soap and water for at least 20 seconds. This is especially important after blowing your nose, coughing, or sneezing; touching your face; going to the bathroom; and before eating or preparing food. 

  • If soap and water are not available use hand sanitizer Ensure to apply the sanitizer on all surfaces of your hands, rubbing them together until they feel dry.  

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

  • Wear gloves according to Standard Precautions.  This includes when it can be reasonably anticipated that contact with blood or other potentially infectious materials, mucous membranes, non-intact skin, potentially contaminated skin, or contaminated equipment could occur


Process for Dealing with a Child or Staff Who Exhibits COVID-19 Symptoms at a Breakthrough Behavior Clinic 

  • Children who exhibits symptoms of COVID-19 while at the clinic should be brought to the administrator on site.  

  • Apply face masks on both, suspected infected individual and administrator on site. This is recommended if tolerated by the child and developmentally appropriate.  Face coverings must not be placed on young children under age 2. 

  • The administrator on site will call the parents and request an immediate pick up of child. 

  • In the event of an emergency, call 9-1-1. Based on the evaluation of the EMT’s, staff/child may be transported to the nearest hospital.  

  • A doctor’s note or being symptom free for 14 days is required for return to care. 


Process for Dealing with a Staff Who Exhibits COVID-19 Symptoms at a Breakthrough Behavior Clinic 

  • Staff member who exhibits any COVID-19 symptoms will be sent home immediately. 

  • In the event of an emergency, call 9-1-1. Based on the evaluation of the EMT’s, staff may be transported to the nearest hospital.  

  • A staff member who has COVID-19 symptoms is required to go immediately to get tested and provide proof of testing to return to work. If test results are not immediately available, staff member must be symptom free for 14 days to return to work.  


Process for dealing with a staff who exhibits COVID-19 symptoms and not on campus

  • Staff member who exhibits any COVID-19 Symptoms should not be present at work. 

  • A staff member is required to go immediately to get tested and provide proof of testing.  


If there is a case of confirmed Cases of COVID-19 – Notification Tree

Your Regional Administrator 

  • California: Brandi Harris 831-204-7854

  • Virginia: Christine Richardson 504-225-1020 

  • Florida: Tracer Foster 407-574-2384   

  • Maegen Pierce, CEO – (407)574-4631 

  • Sarah Vega, Chief Operating Officer – (407)573-5797 

  • Lynn Hubert, Senior Vice President of Employee Experience – (407) 574-5762 

Cleaning and Disinfecting – (If a positive case of COVID-19 has been identified in our facilities)

  • Clean & Disinfect areas used by the individual with COVID-19 and wait as long as practical before beginning cleaning and disinfection to minimize exposure to respiratory droplets.  Open window /doors (if applicable) to increase air flow in the area.  If possible, wait up to 24 hours before cleaning and disinfection.  If not possible, the cleaning crew will wear full PPE during the cleaning. 

  • Cleaning staff should clean and disinfect classrooms/offices, bathrooms and areas that are frequently touched, especially desks, computer keyboards, doorknobs, etc.  If surfaces are dirty, they should first be cleaned with a detergent or soap and water prior to disinfection.  

COVID-19 Attestation Forms

All Breakthrough Behavior staff and patients will be required to sign an attestation form prior to returning to work or to receiving care. This form attests to the following:

  • You or a household member has not traveled outside of your region in the last 14 days

  • You have not had any guests in your home who have traveled from outside of your region in the last 14 days

  • You or a household member has not come into close contact (within 6 feet) with someone who has a laboratory confirmed COVID – 19 diagnoses in the past 14 days

  • Within the past 14 days, you do not have a fever (greater than 100.4 F or 38.0 C) 

  • Within the past 14 days, you are not experiencing any symptoms of lower respiratory illness such as cough, shortness of breath, difficulty breathing or sore throat 

You may obtain a copy of this attestation form by contacting your Regional Administrator. 


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