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A
Wow,
but
today's
presentation
will
include
some
immunization
information
and
Martha
will
go
into
some
interesting
communicable
disease
information
neuro.
How
far
do
bacteria
fly
will
be
a
test
question
that
you'll
you'll
be
posed
with,
and
then
we
just
thought
it
would
be
helpful
to
give
some
common
health
inspection
violations
so
that
you,
you
kind
of
getting
back
into
the
recovery
from
covid,
where
we're
at
and
then.
B
Yeah,
hello,
hi,
I'm,
Bob
Jenkins
from
the
Florida
County
Health
Department
I
work
in
the
Iz
team,
I
work,
I'm
a
co-ed
nurse
and
I
also
do
vaccines
for
children,
clinics.
B
And
video,
so
here
is
some
links,
so
this
first
one
is
with
the
cdph
cdphe
and
it
has
the
link
where
you
can
look
up
to
see
how
your
preschool
is
doing
as
far
as
compliance
with
shots
and
immunization
rates,
and
it
has
all
the
preschools
and
all
the
grade.
Schools,
high
schools,
universities
in
color
and
all
the
well
all
the
preschool
through
High
School
in
Boulder,
County
and
then
universities,
and
then
it's
pretty
easy
to
navigate,
and
it
also
gives
you
the
rates,
the
overall
rates
for
MMR
for
different
counties.
B
So
there's
a
couple
different
things
you
can
look
up
in
this
very
informational
is
very,
very
good
thing
to
look
at
and
then
and
then
the
next
Point
here
is.
B
If
you
have
any
questions
regarding
rates
or
anything
related
to
that,
you
can
contact
tavio
and
that's
this
email
there
and
he's
the
data
unit
code
manager
and
and
then,
if
you
have
any
other
questions,
there's
the
phone
number
and
the
email,
contact
and
I'm
filling
in
for
my
Marcelo
today,
and
so
she
would
be
the
one
who
teaches
a
good
person
to
contact
and
there's
her
email
in
the
bottom.
There
next
slide.
Please.
B
But
if
you
have
anything
else,
okay,
yeah,
okay,
briefly
on
try
to
give
you
some
clarification
on.
There's
a
lot
of
confusion.
Confusion
about
people,
don't
really
don't
really
know
when
they're
fully
when
they're
fully
immunized,
because
they've
had
maybe
they've
had
four
or
five
four
shots
and
they
they
think
they're
fully
up
to
date.
But
they
aren't
so.
B
You
know
you're
up
to
date,
if
you've
had
at
least
two
primary
monovalent
shots
and
at
least
one
by
villain,
Omicron
booster
shot.
So
the
Omicron
booster
shots
didn't
come
out
until
August,
31st
2022,
and
so,
if
you
haven't
had
a
shot
since
since
then,
then
you
probably
aren't
fully
covered
because
you
probably
haven't
had
the
bivalent
blister
shot.
Yet,
even
though
you
maybe
you've
had
four
different
shots.
B
But
if
you
found
that
shot
since
August
31st
2022,
then
you've
probably
have
had
the
bivalent
booster
shot
and
you're
probably
up
to
date.
B
For
now,
but
to
probably
do
some
changes
in
the
fall,
maybe
a
new
shot
will
come
out
and
if
you're
over
65-
or
you
know,
compromise
within
a
week
or
two,
they
should
be
approving
a
second
bivalent
booster
shot
and
that's
all
they
have
just
wanted
to
give
clear
clarification
on
that,
because
there's
a
lot
of
people
are
really
confused
about
it
because
it's
been
very
fluid
and
changing
and
it's
been
it's
been
confusing
so
anyway.
That's
that's
it
for
me.
Unless
somebody
has
any
questions.
A
Thank
you
Bob.
It
has
been
confusing
and
I
also
just
wanted
to
remind
everyone
that
we'll
be
sending
out
these
slides.
So
you'll
have
this
contact
information,
but
you
can
please
put
any
questions
you
have
in
chat
and
or
you
can
unmute
and
and
ask
I
know
we
have
a
few
minutes.
If
there
is
some
immunization
questions,
I
think
between
Kara
and
Martha
they're
watching
the
the
chat.
D
Thank
you
Bob
and
I
know.
Quite
a
few
of
you.
I
started
in
September
I'm,
an
epidemiologist
and
dietitian,
so
I'm
kind
of
the
bridge
between
the
child,
health
promotion
and
the
communicable
disease
department.
So
whenever
you
write
an
email
to
health
ECE
at
bouldercounty.org
I'm
the
person
that
replies
so
thank
you
so
much
for
utilizing
our
services
I'm
going
to
give
a
quick,
covid
update.
So
the
reporting
is
the
same
as
in.
D
Of
you
probably
heard
our
presentation
in
January
and
that
just
to
remind
you,
the
definition
for
confirmed
covid-19
outbreak
in
an
ECE
facility
is
glad.
Jane
is
five
or
more
people
with
covid-19
and
of
those
five
people.
Two
of
them
need
to
be
confirmed
with
a
PCR
test
and
that's
within
a
14-day
period
next
slide,
and
if
you
want
to
order
your
free
covid
tests,
you
can
order
them
no
later
than
April
14th.
So
today
is
April
10th,
so
you
have
four
days
and
thank
you
to
Marilee
who's,
putting
all
this
information
in
the
chat.
D
D
Okay,
so
I'd
want
a
little
audience
participation
here,
so
if
you
could
type
in
the
chat,
first
of
all,
have
you
been
experiencing
more
illness
in
your
child
care
facilities
this
year
compared
to
years
past,
and
if
yes,
I'd,
be
curious,
if
you
type
in
the
types
of
illnesses
that
you've
been
seeing
this
year.
Interestingly
enough,
when
Kara
and
I
have
been
doing,
Health
inspections
at
your
facilities,
kind
of
anecdotally
people
have
been
saying.
D
Yes,
we've
been
experiencing
more
covid
compared
to
years
past,
someone
just
wrote:
In
covid
all
kinds,
what
what
would
be
some
specific
ones,
Kristin.
D
D
Really
all
of
the
illnesses
says
rain
and
we've
been
noticing
that
too.
So.
Thank
you
so
much
for
keeping
us
informed
about
those
and
go
ahead
to
the
next
slide
and
So
based
on
feedback
from
all
of
you.
Our
epidemiology
team
and
I
have
been
working
hard
to
update
the
illness
logs
to
make
it
quicker
for
you
to
fill
out
as
well
as
more
readable
for
us
and
so
in
the
chat.
Merril
Lee
will
put
a
PDF
of
this
illness
log
that
you
see
right
here,
that
you
can
print
out
and
we've
got
feedback.
D
It
didn't
fit
on
one
page
to
begin
with,
so
thank
you
to
Mary
Mann.
She
helped
us
a
lot
with
that,
so
you
can
print
it
out
and
put
it
on
one
page
or
merrily
will
also
put
in
the
chat
on
Excel
document
that
you
can
type
in
there
directly.
Whatever
works
best
for
your
facility,
but
the
main
changes
you
can
see.
We
have
name
there
like
before,
but
then
student
and
staff,
because
often
I'll
come
back
and
ask.
D
Was
this
a
staff
person
or
a
student
and
then
the
class
or
the
group
and
the
onset
date
and
time
and
then
the
next
ones
you
can
just
put
check
boxes.
You
can
just
check,
was
it
vomiting,
diarrhea,
cough
or
fever?
And
then,
if
you
have
other
symptoms,
you
see
that
little
asterisk
there
and
you
can
see
you
just
have
to
put
a
for
abdominal,
cramps
or
M
for
muscle
aches.
D
And
then,
if
there's
a
positive
or
negative
diagnosis,
we
want
to
know
both
and
if,
let's
say
it
was
a
covid,
we
would
want
to
know.
Was
it
a
positive
PCR
or
a
positive
at-home
test
and
then
we're
curious.
The
next
two
lines
is
very
helpful
for
us
in
knowing
how
what
recommendations
we
have
and
guidance,
for
example,
did
the
symptoms
occur
at
school,
for
example,
was
a
child
having
diarrhea
at
school
or
did
the
symptoms
occur
at
home?
D
It
was
interesting
for
me
to
see
all
of
the
different
illnesses
that
you've
been
noticing
recently
and
the
state
of
Colorado
combined
all
of
the
outbreak
information
that
each
of
your
facilities
in
Boulder
County
provided
to
us,
as
well
as
all
counties
over
the
state
of
Colorado,
and
you
can
see
of
the
GI
illnesses
and
enteric
is
just
another
word
for
GI
outbreaks
in
schools
and
child
care
facilities
between
2015
and
2019.
D
Most
of
them
were
caused
by
norovirus,
so
83
percent
shigella
was
about
two
percent
salmonella
about
one
and
a
half
percent
and
then
less
from
there
I
think.
For
me,
the
most
important
part
of
the
statistic
is
about
94
were
transmitted
person
to
person,
so
that
means
through
touching
touching
each
other
or
touching
other
children
or
putting
toys
in
their
mouth.
Consequently,
since
94
of
these
diseases
were
transmitted
person
to
person,
these
are
things
that
we
can
really
take.
Control
of
and
there's
lots
of
things
that
we
can
do
to
prevent
this
transmission.
D
Okay,
next
So,
today
we're
going
to
focus
on
norovirus.
So
a
lot
of
you
had
written
in
the
chat,
you've
been
noticing
more
diarrhea
and
vomiting,
and
it
could
be
norovirus
and
norovirus
causes
diarrhea
and
vomiting
as
and
is
very
contagious
and
so
other
people
it
can
be
infected
really
easily
and
children
are
more
vulnerable
and
I'd
love
for
you
to
put
in
the
chat.
What
are
some
reasons
that
you
think
that
children
might
be
more
vulnerable
specifically
to
norovirus.
D
Go
ahead
in
the
next
slide
Jane,
but
please
go
ahead
and
start
putting
in
the
chat.
Why
are
children
more
vulnerable
to
norovirus?
D
They
don't
wash
hands?
Well,
perfect,
Yep,
they're,
just
learning
about
the
20-second
rule.
They
have
decreased
immune
system,
sibling
exposure,
they
put
everything
in
their
mouths,
exactly
perfect.
Thank
you
so
much
and
go
ahead.
Jane
I
thought
that
picture
of
a
baby
was
so
cute.
I
think
you've
gotten
all
of
these
hand,
washing
they're,
just
learning
about
yeah
hand,
washing
mouthing
highly
interactive
with
their
environment
was
a
nice
way
to
put
they
touch.
D
Everything
go
ahead:
ching,
they're,
learning
about
toileting
and,
as
you
all
are
aware
of
a
sick
child
often
means
a
sick
teacher.
D
Next,
so
we're
going
to
to
watch
a
little
video,
but
I
took
a
class
on
how
do
adults
learn
best
and
one
way
that
adults
learn
best
is
we
have
such
a
big
knowledge
base
and
basically
we
just
want
to
fill
in
those
gaps.
So
I'm
going
to
have
some
questions
that
I'd,
like
you
to
put
the
answers
in
the
chat,
so
the
first
one
how
many
particles
of
norovirus
can
make
you
sick,
but
go
ahead
and
put
your
answers
in
the
chat,
we'll
start
with
the
first
one?
D
And
if
you
don't
know,
that's
fine
too,
and
then,
if
you
want
to
put
in
the
chat
the
one
person.
Thank
you
so
much
Kristen,
so
10,
norovirus,
yeah
and
another
person
I've
never
thought
about
it.
But
I.
Imagine
not
a
lot
says
Amy
yeah
good
point
and
then
the
second
question
again
go
ahead
and
put
your
answers
in
the
chat.
How
many
feet
does
norovirus
spread.
D
So
think
of,
if
you're
sitting
down
at
your
preschool
during
story
time
or
Circle
time,
how
far
should
you
actually
clean
if
a
child
happens
to
vomit
during
that
time
period,
so
think
about
how
many
feet
does
norovirus
spread
and
then
yep
10
feet?
Thank
you.
Two
feet
yep
great
great
Yep.
This
is
perfect
because
I
think
then
it
gets
people
thinking
along
those
lines
and
then,
when
we
watch
the
video
we'll
we'll
find
out
the
answer.
So
thank
you
and
then
the
third
question.
How
long
does
norovirus
stay
on
surfaces
without
using
a
disinfectant?
D
Do
you
think
it's
hours
days,
months
years,
two
hours,
four
weeks,
two
hours,
four
weeks
weeks,
48
Hours,
yep,
all
all
good
answers.
Okay!
So
now
I
want
you
to
think
of
those
questions
and
Jane's
going
to
start
just
a
short
video
and
it's
called
how
far
do
sneezes
and
vomit
travel
and
there's
actually
people
that
measure
the
distance.
So
scientists
that
help
us
that
help
us
learn
those
things.
So
then
we
know
a
little
bit
more
about
it's.
D
F
Thank
you
for
decades.
Researchers
have
wondered
exactly
what
happens
to
the
liquids
that
fly
out
of
our
noses
and
mouths
when
we're
sick.
But
how
do
you
track
tiny
particles
of
phlegm
or
barf
and
the
microbes
they
carry
well
back
in
the
1930s
Harvard
scientist
William
Firth
Wells
gave
it
a
shot.
Wells
used
sneeze
powder
to
make
whole
rooms
full
of
people
sneeze
at
once.
Then
he
sampled
the
air
and
found
it
full
of
bacteria,
though
less
so,
if
he
let
his
subjects
use.
F
Handkerchiefs
these
days,
scientists
can
use
high-speed
cameras
to
see
the
juicy
details
of
sneezes
and
coughs.
That's
what
researchers
at
MIT
did
in
2014.
They
found
that
droplets
in
a
cough
or
sneeze
travel
on
an
invisible
gas
cloud
which
can
carry
germs
much
farther
than
people
previously
thought.
Small
droplets
can
fly
all
the
way
across
a
room
and
can
get
sucked
into
ceiling,
air
vents
which
could
spread
them
even
further,
and
that's
not
all
to
study
what
happens
when
someone
one's
really
sick
scientists
in
the
United
Kingdom
built
a
robot
called
vomiting
Larry
who's.
F
F
The
diet
showed
that
Larry's
puke
particles,
scattered
farther
than
they
would
have
been
able
to
see
with
the
naked
eye.
One
projectile
vomiting
episode
could
actually
contaminate
close
to
84
square
feet.
That
means
viruses
might
linger
in
places
we
think
are
clean
and
in
the
case
of
norovirus,
those
germs
might
stay
active
for
days
or
weeks
outside
of
a
host
recently
in
a
study
with
a
different
vomiting
machine
and
yes,
there's
more
than
one
researchers
at
North,
Carolina
State
University
found
that
some
viral
particles
can
be
suspended
in
air
after
puking
as
well.
F
D
B
D
Can't
remember:
oh,
how
many
noroviruses
actually
can
cause
can
cause
disease
and
go
ahead.
You
can
unmute
yourself
or
put
it
in
the
chat,
so
how
many
noroviruses
was
20
exactly
and
does
anyone
know
compared
to
covid
how
many
covet
viruses
would
make
you
would
you
need
to
have
in
order
to
get
covered.
D
D
And
when
you
think
of
this
distance
I
want
you
to
think
about
yeah.
Thank
you.
Mary
84
feet,
84
square
feet
so
think
about
that
would
be
in
your
facilities.
That
might
be
the
the
minimum
spread
could
be
a
circle
rug.
So
then,
if
you're
cleaning
up
after
someone
vomits,
you
should
actively
look
for
toys
that
people
could
put
in
their
mouths
or
water
bottles
or
maybe
utensils.
D
And
again
note:
these
are
surfaces
that
were
not
disinfected.
D
And
just
on
a
side
note,
we
had
a
facility
last
week
that
had
a
spread
of
a
GI
disease
and
we
asked
them
what
to
use
for
your
sanitizer
and
what
do
you
use
for
your
disinfectant
and
when
we
did
some
research
into
it,
the
sanitizer
is
approved
on
a
normal
basis,
but
during
a
norovirus
outbreak
her
sanitizer
was
not
approved
to
be
effective
against
norovirus.
So
anytime,
you
have
an
outbreak,
make
sure
that
your
disinfectant
is
effective
as
well
as
your
sanitizer
is
effective
against
norovirus,
so
yep
days
and
even
weeks,
without
disinfecting.
D
So
how
can
we
prevent
the
well
so
next
slide?
I'd
love
for
Merril,
Lee
who's
been
wonderful
and
Manning
the
chat
and
putting
all
of
these
links.
So
you
can
easily
access
them
in
the
chat
as
well.
But
when
we
talk
about
how
long
can
norovirus
stay
on
surfaces,
Marilee
has
an
example
of
a
soccer
team
and
a
plastic
bag,
so
take
it
away
merely.
G
Thanks
Martha,
please
let
me
know
if
you
can't
hear
me
so
I'm
just
going
to
share
a
quick
example
so
that
we
can
better
visualize
what
the
spread
looks
like
from
a
vomiting
incident
of
norovirus.
So
in
this
particular
example,
it's
out
of
Oregon
there
was
a
soccer
team
and
one
individual
on
the
soccer
team
became
ill
with
norovirus.
This
person
was
completely
completely
isolated
from
the
rest
of
the
team.
G
They
were
kept
in
a
separate
room
with
their
own
bathroom,
with
one
parent
chaperone
caring
for
them,
and
then
the
parents
chaperone
took
them
home
on
that
same
day,
back
to
their
family,
about
48
Hours
72
hours
later
they
did
have
additional
spread
through
other
team
members
and
the
State
Health
Department
was
investigating
to
identify
how
without
direct
person-to-person
contact,
was
this
spread
throughout
the
team,
and
it
really
helps
illustrate
the
importance
of
fomite
transmission
and
that's
the
idea
when
someone,
a
human
being,
has
contaminated
an
area
but
they've
since
left
the
area,
and
then
people
either
touch
objects
or
enter
the
room
where
someone
has
been
ill
at
a
later
time
or
date.
G
So
as
Martha
was
talking
about
before,
we
do
know
that
there
is
some
limited
role
of
normal
virus
and
just
being
able
to
inhale
virus
particles,
but
one
of
our
more
important
transition
routes
is
that
foamite
transmission,
something
that's
on
a
Surface.
So
in
this
particular
instant
there
was
a
Trader
Joe's,
reusable
shopping
bag
that
was
inside
of
the
bathroom
not
near
the
toilet
and
I
know
we
just
learned
about
you
know
the
minimum
of
20
particles,
we've
seen
as
few
as
12
and
the
minimum
of
84
square
feet.
G
In
this
instance,
it
was
closer
to
15
or
20
feet
away
from
where
the
toilet
was,
but
because
each
time
you
flush,
you
can
aerosolize
particles
even
further.
So
beyond
that
spread
within
the
toilet,
each
flush
can
help
spread
and
even
that
initial
incident
into
the
toilet
can
spread
throughout
the
entire
room.
So
in
this
instance,
the
shopping
bag
that
was
open
on
the
top.
G
That's
how
it
spread
to
the
other
individuals,
so
I
think
that
that
helped
helps
to
kind
of
visualize
that,
while
there
was
food
inside
of
a
bag
on
the
other
side
of
a
room
and
vomit
was
being
flushed
down
a
toilet
that
people
that
were
staying
in
a
separate
room
that
then
consumed
that
food
and
touched
that
bag
two
days
later
were
infected.
And
for
me
that
helps
me
picture.
You
know
if
there's
a
vomiting
incident
in
a
classroom.
Where
are
the
water
bottles
being
stored
in
relation
to
this?
G
G
G
This
norovirus
can
be
need
to
go
and
sanitize
and
disinfect
every
single
piece
of
a
classroom,
but
to
focus
on
the
immediate
radius
around
the
incident
and
then
to
look
outside
of
that
at
really
targeted.
Things
like
we
said,
water,
bottles,
utensils
or
toys
that
are
intended
for
for
mouthing
would
be
the
greatest
bang
for
your
your
buck
to
focus
on
it's.
D
You
thank
you
merely
and
I
think
I
love,
statistics
and
data,
but
it's
often
the
stories
that
I
read
remember
better
to
help
cause
my
behavior
change.
So
thank
you
merely
so
much
so
now
get
your
fingers
all
active
here.
So
how
would
you
try
to
prevent
norovirus,
so
yeah,
washing
your
hands
is
frequently
is
the
best
way
to
stop
the
spread
and,
interestingly
enough,
if
you
look
at
the
alcohol-based
hand,
gels
they
do
not
kill
norovirus.
D
So
we
often
have
a
lot
of
questions
about
which
disinfectant
works
the
best.
Or
what
do
we
recommend
I?
Think
it's
always
a
combination.
We
need
to
be
practical,
so
we
do
have
bleach
is
effective
and
it's
not
very
expensive
and
you
just
have
to
mix
it
at
the
proper
ratio,
but
depending
on
the
bleach,
it
can
be
a
five
to
ten
minute
contact
time.
D
There
are
some
products
out
there
box
of
ear
and
Purell
and
again
read
the
label
for
those
that
just
have
a
one
minute
contact
time
and
so
those
especially
if
you're
doing
diaper
changes
and
you
have
10
kids
to
do
a
diaper
change
before
a
meal.
You
know
what
is
more
practical,
the
one
minute
or
the
five
to
ten
minutes.
D
D
If
there's
just
one
person,
those
single
cases
do
not
need
to
be
reported
to
us
at
Boulder
County
Public
Health,
but
if
you
have
clusters
of
illnesses
so
clusters
are
anything
that's
above
Baseline
for
your
facility.
Often,
facilities
will
ask
me:
is
there
a
certain
number
and
unfortunately
I
can't
give
that,
because
some
of
you
have
four
children?
Some
of
you
have
150
children
at
your
facility.
D
So
we
really
rely
on
you
as
the
experts
of
your
facility,
and
we
rely
on
you
to
contact
us
if
you
notice
that
this
seems
unusual
this
week
and
it
seems
above
Baseline
for
your
facility
and
then
you
would
just
contact
us
with
Boulder,
add
our
email
and
send
your
illness
log,
and
we
can
help
you
with
how
to
prevent
the
spread
in
your
facility.
D
D
Okay,
so
when
we,
when
Kara
and
I,
come
and
help
with
the
do
the
health
inspections,
our
goal
is
to
collaborate
with
you
to
prevent
children
staff
and
then
the
parents
and
the
bigger
Community
from
getting
sick.
So
I
have
a
question
for
you
and
please
again,
unmute
or
put
in
the
chat.
What
do
you
think
when
Cara
and
I
go
around
and
do
the
health
inspections
are
the
most
common
health
inspections
citations
at
Boulder,
County.
D
D
D
Perfect.
Okay,
you
can
keep
adding
things
in
the
chat
and
here
we'll
go
through
this
one
and
then
or
go
ahead.
Merrily
has
a
question
go
ahead
merely.
G
G
Great
Stephanie,
let
me
know
if
this
answers
your
question.
So
if
there's
an
isolated
vomiting
incident
and
there's
not
a
further
individual
that
has
vomited,
you
can
treat
that
as
a
24
hours
as
soon
as
you're
in
an
active
outbreak,
then
every
single
one
of
those
instances
will
be
treated
with
the
enhanced
precautions
of
needing
48
hours.
G
So
we
will
keep
you
informed
when
the
outbreak
is
closed
and
you
can
return
back
to
24
hours.
Only.
Does
that
help
answer
your
question.
G
D
And,
as
you
all
know,
whenever
you
give
us
your
illness
log
and
then
we
have
an
outbreak
each
week,
we
appreciate,
if
you
send
us
your
illness
log,
because
then
we
can
close
the
outbreak
sooner
with
all
of
our
paperwork.
So
thank
you
so
come
going
back
to
the
slide
common
health
inspection,
citations
so
the
hand
washing
sinks
are
not
supplied
with
soap
and
or
paper
towels
and
next
slide,
and
so
you
know
the
solution
to
the
lack
of
soap
and
paper
towels.
D
You
know
a
lot
of
this
comes
back
on
the
director
to
keep
the
soap
and
paper
towels
well
stocked
and
to
schedule
restocking
and
sometimes
we've
talked
to
staff,
and
they
said
oh
I,
don't
actually
know
where
the
location
of
supplies
are.
So
that's
just
good
when
you
do
the
training
as
well.
Another
common
health
inspection,
citation
is
the
hand
washing
sinks
are
blocked
with
mouth
toys.
The
high
chair,
trays,
dishes
and
even
art
supplies
go
ahead.
James
yeah
such
as
the
brushes
so
just
brainstorming.
D
What
do
you
think
would
be
yeah
a
solution
to
block
sinks.
We
have
some
there,
a
bin
or
a
bucket
next,
to
the
hand,
wash
sink
I've,
seen
in
quite
a
few
facilities.
They
have
the
yuck
bucket
and
then
I
think
high
chair
trays
are
challenging,
but
they're
you
know,
put
them
on
the
counter
and
then
wipe
wash
and
spray
with
this
sanitizer
and
they
shouldn't
even
be
in
the
hand
sink
another
common
inspection
citation,
which
is
what
was
said
earlier
with
Stephanie
the
bottle.
D
The
sanitation
and
the
bibles
are
not
labeled
properly
for
content
and
usage
and
there's
incorrect
concentrations.
So
just
remember,
as
usual,
with
any
chemical
follow
the
manufacturer's
instructions
for
use
and
then,
as
I
said
earlier,
using
sanitizer
instead
of
disinfectant
and
using
disinfectant
instead
of
a
sanitizer.
D
D
So
the
high
touch
areas,
the
the
tables
and
the
changing
tables
the
hand,
the
sinks
used
after
using
the
restroom
and
I
have
a
student
working
with
me
disinfectant
perfect.
Thank
you.
Stephanie
I
have
a
student
with
me
who
helped
me
make
these
slides
he's
a
CU
student
he's
a
neuroscience
student
and
interested
in
working
with
children,
and
so
he's
volunteering
and
learning
a
lot
about
cleaning,
sanitizing
and
disinfecting.
So
just
the
importance
of
cleaning.
D
D
So
we'll
just
start
in
the
upper
left
hand
corner,
and
there
you
have
a
surface
okay
and
my
student.
You
can
see
he
put
a
square
over
that,
and
so
that
means
surfaces
you
would
sanitize
and
then
the
next
one
to
the
right
is
the
changing
table
and
you
put
a
triangle
there,
because
triangle
is
disinfect
and
the
next
one
again
is
disinfection
or
the
toilet
and
the
hand
wash
sink
after
using
the
toilet
and
then
on.
D
The
left
again
is
the
toys
and
sanitize
because
there's
a
square
and
then
the
cots
sanitize
and
then
the
toys
sanitized.
So
if
any
of
you
want
to
use
these
slides,
when
you
do
trainings
for
your
staff,
your
Jane
will
send
them
out
to
everyone.
So
you're
welcome
to
do
that
and
then
just
to
re-emphasize.
D
What
are
the
situations
that
hand
washing
people
didn't
hand
wash
and
so
hair
and
I
have
often
seen
when
people
enter
the
classroom,
so
staff
who
float
a
little
humor
here,
there's
a
little
guy
floating
but
I
mean
staff
who
float,
who
maybe
help
in
the
infant
room
in
the
morning,
but
La
later
they
work
in
the
two-year-old
room
and
so
those
people
it's
really
important
when
they
enter
the
classroom,
that
they
wash
their
hands
or
the
children
after
playing
outside
or
after
restroom
use
or
after
sensory
play
and
now
the
before
category
before
they
start
in
the
day.
D
And
what
do
people
say
so
when
we've
interviewed
people
of
what
they've
said?
Why
don't
we
watch?
Everyone
knows
I
think
how
often
can
we
talk
about
hand
washing,
but
the
question
the
reasons
and
I've
even
looked
into
studies
in
hospitals
and
they'll,
say
too
soap
and
paper:
towels
aren't
stocked
or
there's
not
enough
time.
It's
one
of
the
big
reasons
in
hospitals
and
it's
the
same
in
ECE
facilities
and
Cara
said
she
often
will
see
that
children
just
watch
the
soap
dripping
from
their
hands.
D
And
then
going
back
to
the
previous
Slide,
the
sinks
were
blocked,
or
sometimes
the
staff
will
say
they
didn't
know.
When
we'll
ask
them,
maybe
you
should
have
washed
your
hands
before
entering
this
room.
They
said,
oh
I
didn't
know
so
it's
just
important
to
to
train
and
to
keep
re-emphasizing
this.
D
D
So
by
continuing
to
promote
hand,
hygiene
in
your
facilities,
there
can
be
less
GI,
illness,
less
respiratory
illness,
fewer
absences
and
fewer
missed
work
days
for
parents
and
Guardians,
which
leads
to
fewer
missed
work
days
for
your
staff,
which
is
what
I
think
we're
all
we're
all
working
towards.
D
So,
just
to
end
up
this
part
on
norovirus
I
think
with
training
it's
important
to
have
resources
which
focus
on
just
the
children,
the
staff
and
then
the
parents
and
so
children.
It's
important
to
have
pictures
and
Jane
when
she
used
to
teach
in
the
classroom
in
preschool.
She
had,
she
took
pictures
of
the
kids
hand
and
would
make
a
collage,
and
so
the
children
could
see
their
own
hands
as
part
of
washing
your
hands
poster.
D
Many
of
you
are
already
using
that
20
second
timer
at
the
sink
and
singing
ABC,
and
then
there's
also
a
Sesame
Street
video,
which
is
just
30
seconds.
We
don't
have
to
watch
that
I
think
in
the
element
of
time,
but
merrily
could
maybe
put
that
video
in
the
chat.
If
you
wanted
to
share
it
with
your
children
or
I,
think
a
big
part
of
what
you
do
is
you
educate
the
parents
as
well
and
then
Resources
with
children.
This
is
these
two
posters
are
created
by
the
Centers
for
Disease,
Control
and
I.
D
Think
children
are
always
looking
up
to
a
hero,
whether
it's
a
a
princess
or
a
ction
figure,
and
so
even
just
putting
these
posters
beside
the
hand
washing
sink
can
encourage
children
to
wash
their
hands
and
then
resources
for
your
staff.
Merrily
we'll
put
this
link
in
the
chat
as
well.
If
you
just
want
to
print
this
out
and
attach
it
to
where
your
staff
washed
their
hands
and
then
I
think
parents
often
really
want
to
know
just
key
facts,
particularly
about
norovirus
illness.
D
They
not
only
want
to
know
how
to
prevent
the
spread
at
home,
but
just
to
educate
themselves
and
what
it
actually
is.
So
this
is
another
good
handout
for
parents.
So,
just
a
summary
of
our
disease
update
today
we
talked
about
covid
norovirus,
Health
inspections,
the
most
cited
violations
and
eces
and
hand
hygiene.
And
again,
if
you
have
any
other
specific
questions,
please
contact
our
health
ECE
at
bouldercounty.org
for
specific
questions
about
any
health
topics.
D
A
So
Cara's
gonna
just
give
us
a
brief
update
and
then
we'll
turn
it
over
to
our
partners.
C
Thanks
Jane
real
quick
before
we
move
on
to
this
I
just
wanted
to
make
a
comment
about
or
read
one
of
the
chat
items
so
that
it
can
be
shared
for
the
entire
group.
C
The
question
was
I
want
to
confirm
what
was
said
earlier
about
the
return
to
preschool
after
vomiting
or
diarrhea
that
the
student
can
return
after
24
hours.
If
there
is
not
an
outbreak
and
merrily
did
respond
with
saying
that
isolated,
vomiting
or
diary
is
the
24
hours
following
you
know
the
how
sick
is
too
sick.
It's
during
the
outbreak
that
we're
asking
people
to
follow
the
48
Hours
symptom-free
until
that
outbreak
is,
is
closed
so
and
then
obviously
Martha
with
our
healthy
CE
will
help
centers
work
through
that.
C
So
just
wanted
to
make
sure
everybody
who
might
be
on
the
phone
got
that
all
right,
so
mandatory
lud
sampling
for
drinking
water
I
just
want
to
remind
everybody
that
the
deadline
is
May
31st
and
that,
if
you
haven't
already
registered
with
CDP
cdphe
to
get
your
free
sampling
supplies
that
you'll
want
to
do.
That
and
I'm
going
to
put
I
will
put
that
link
in
the
chat,
and
it
is
a
great
program
it
is
required.
So
you
might
as
well
use
this
program
now
to
get
it
done
for
free.
C
So
that's
really
I
just
want
to
make
sure
everybody
was
aware
of
that.
So
Jamie
go
to
the
next.
C
All
right,
clean
air
for
schools
so
right
now,
cvphe
has
a
program
that
will
help
schools
and
Child
Care
Facility
get
a
free,
high
efficiency,
particulate
air
filter,
they're,
portable
air
cleaners.
C
The
deadline
has
been
extended
to
April
30th
and
so
I
really
encourage
you
all
to
participate
with
that.
One
of
the
things
I
find
interesting
and
I've
been
hearing
a
little
bit
is
cdphg
has
contracted
with
carrier
West.
C
So
when
you
get
some
email
response
back,
it's
going
to
come
from
carrier
West
and
a
lot
of
sites
have
said
it
looks
like.
Is
it
a
Spam
or
is
it
solicitation
I'm?
Not
sure?
Should
we
open
it,
but
just
so
you
understand
that
that
is
why
you're
getting
emails
from
carrier
West
because
they
are
Contracting
with
cdphe.
A
Thank
you
Kara
and
that
I
had
linked
it
when
I
I
did
the
reminder
last
week,
so
you
should
have
a
couple
places
you
can,
if
you're
still
needing
the
the
filter,
the
HEPA,
the
air
quality
HEPA
filters.
So
thanks
thanks
for
that
reminder
and
I'm
not
Jody.
Are
you
available
to
update
anything
you'd
like
to
update
on
CCAP.
E
For
all
that
great
information,
as
usual,
I
yeah
I'll,
take
it
just
a
second
to
thank
all
of
the
programs
that
have
been
contracting
with
CCAP
for
many
years
many
months
and
then
I
also
saw
one
of
our
new
programs
on
this
call.
So
thank
you
for
Contracting
with
us.
I
want
to
remind
everyone
that
we
are
still
CCAP.
E
Boulder
County
C
cup
is
still
paying
up
to
six
absences
for
programs
and
with
quality
ratings
one
and
two
and
up
to
seven,
and
this
is
per
month
for
per
child
per
authorization,
so
up
to
seven
for
Quality
ratings
three
through
five,
so
you
know
I
think
that
ties
in
well
with
what
we're
talking
about
with
kids,
getting
sick
and
being
out
it
used
to
be
that
we
could
only
cover
two
or
three,
and
now
we
are
and
I
don't
see
this
changing
anytime,
soon
up
to
six
and
seven
absences
per
month.
E
If
that
was
one
of
the
deterrents
for
not
Contracting
with
us,
as
well
as
the
the
rate
increase
that
happened
in
July
2022,
that
is
not
going
to
backtrack
and
a
really
really
big
one
is
the
payment
per
authorization
for
children
who
are
zero
through
36
months,
and
that
just
means
you
know,
even
if
they're
out
for
two
weeks,
you'll
get
paid,
you
know
you'll
get
paid
for,
for
whatever
care
is
authorized
for
that
child
you
will
get
paid,
still
have
to
use
the
ATS
to
check
in
and
out,
but
you
won't
be
losing
any
money.
E
If
you
know
one
of
the
the
younger
children
is
is
really
really
sick.
For
two
weeks
you
won't
be
losing
any
money
there.
So
I'm
happy
to
talk
to
anybody
about
Contracting
with
us.
There
have
been
a
lot
of
improvements
to
the
ATS
system.
There's
no
more
cards,
there's
no
more!
It's
a
web-based
system
very
easy
to
use
and,
like
I
said,
the
state
has
been
updating
that
with
some
some
great
enhancements
that
make
it
just
easier
for
families
easier
for
providers
to
use
the
system.
So
I'll
put
my
contact
information
out.
A
You
happy
spring
everybody
Happy
Spring
spring
is
sprung
all
right.
Thank
you,
Jody
I'm,
not
sure
if
Amy
or
maybe
I
think
Amy
might
be
out
this
week
from
the
early
childhood
Council
and
likely
she
gave
someone
else.
The
update
responsibility.
If
you're
there.
A
I'm,
pretty
sure
I
noticed
Amy
was
out
and
she
has
been
doing
some
updates
on
the
an
early
Early
Childhood
teacher
Clinic.
That
starts
in
another
week
or
so
so,
I'm
not
sure
anyone
else
from
the
eccbc
available.
A
A
I'm
sure
there's
not
a
spare
minute
in
in
their
life
right
now,
all
right!
Well,
thanks
for
those
partner
updates,
thanks,
Jody
and
Kyla
was
going
to
give
us
a
an
update,
I
believe
she's
on
the
call
regarding
the
next
two
meetings.
A
Okay,
well
Kyla
made
this
slide,
so
I'll
I'll
just
tell
you
what
it
says:
if
you're
not
able
to
see
it,
that
we've
been
using
one
of
the
monthly
meetings
to
do
our
health
update
as
as
Martha
and
Marilee
and
Cara
gave
information
today
and
the
other
two
months
using
it
to
demonstrate
some
of
our
other
Wellness
health
promotion
programs.
So
May
8th
is
going
to
be
reducing
food
waste
they've
been
calling
it
a
sampler.
A
What
your
appetite
so
they'll
do
a
shorter
kind
of
version
of
it
and
invite
you
to
to
dive
deeper
into
some
of
the
other
heel
programs.
This
would
be
one
aspect
of
it:
heel
stands
for
healthy
eating,
active
living
and
then
on
June
12th,
also
noon
to
one
will
be
a
farm
to
ECE,
update
and
and
where
they're
at
and
what
options
might
be
available
to
anyone
and
an
update
on
that
again
sort
of
a
sampler,
and
then
we
will
not
meet
in
July,
which
would
be
the
third
month
of
that
quarter.
A
But
we
know
everyone.
Everyone
goes
on
vacation
for
July
right,
so
we're
we're
not
going
to
interrupt
your
vacation,
but
we
will
come
back
to
you,
the
the
first
week
in
August
and
and
that's
always
a
good
time,
coming
back
to
school,
coming
back
into
the
fall
and
and
do
an
update
and
and
at
that
point
we'll
we'll
make
some
decisions
on
how
often
we
should
hold
these
calls,
what
kind
of
content
we
have
and
and
what
the
rest
of
2023
will
look
like.
A
H
You
know,
I
just
want
to
say
something
that
I,
maybe
I
shouldn't
say,
but
I'm
going
to
say
it
anyway,
because
it's
positive
I
really
want
you
to
know,
as
someone
that
meets
with
a
lot
of
these
child
cares
monthly,
that
what
you
guys
have
done
and
continue
to
do,
has
really
created
such
a
Feeling
for
them
that
you
guys
are
on
their
team,
and
it
is
I
know
in
the
past
past
that
maybe
that
wasn't
always
the
case.
They
felt
oh,
no,
the
Health
Department's
coming.
H
They
don't
feel
that
way
anymore
and
I
just
want
you
guys
to
know
that
they
are
from
what
I
hear
from
all
of
them.
They're
so
appreciative
the
time
and
the
information
and
the
support
the
resources
and
that
you're
giving
them
it
just
means
so
much
to
them
truly
and
so
I,
if
I'm
just
being
the
advocate
for
the
child,
cares
that
I
work
with
so.
A
Wow,
thank
you.
Mary
man,
I
can
speak
for
all
of
the
Boulder
County
team
that
that's
well
appreciated
and
likewise
thank
you
Stephanie.
Likewise,
we
appreciate.
H
H
A
I
I
mean
I
think
it
has
been
a
partnership.
You
know,
we've
we've
fought
the
good
fight
for
the
last
few
years
and
learned
a
lot
about
each
other
and
and
the
resilience
that
we
need
and
that
we've
developed.
A
H
A
Well
and
I
think
I
I
appreciate
what
Martha
said
about.
If
anyone
I'll
get
these
we'll
get
the
recording
and
the
slides
out
to
you
and-
and
you
can
spread
the
good
news,
you
can
take
this
information
and
share
it
and
I,
and
that
would
be
a
win-win
that.
A
Great,
so
we
won't
go
away,
we
we
may
just
we'll
we'll
focus
and-
and
we
appreciate
any
of
the
input
that
you
of
things
you
would
like
to
know
more
about
and
we're
gathering
information
through
inspections
in
the
in
the
emails
that
Martha
replies
to.
So
you
know
we're
not
going
away
we're
just
trying
to
really
be
responsive
to
your
needs.
A
So
thanks
everyone
for
for
the
hard
work.
You
are
an
essential
population,
a
priority
population
in
our
minds
and
CDC.
So
we
we.
We
know
that
that
might
not
feel
like
it
sometimes,
but
it's
meaningful
for
us
and
it
actually
brings
visibility
to
the
work
that
you
do
so
thanks
to
everyone
and
we'll
go
ahead
and
sign
off
and
and
get
things
wrapped
up
so
enjoy
the
spring.
If
then,
Martha
do
you
have
any
final
words
of
wisdom.