IDPH Guidances Relating to the COVID-19 Outbreak

Licensed Day Care Guidance

On March 9, Gov. JB Pritzker declared all counties in Illinois disaster areas in response to the COVID-19 pandemic. Executive Order 2020-10 called for the suspension of licensed day care centers, day care homes, and group day care homes in order to protect the health and safety of children and staff. On March 20, 2020, the Illinois Department of Children and Family Services (DCFS) began issuing Emergency Day Care (EDC) Licenses to ensure licensed child care was available to children and to families of essential workers, with an emphasis on those in health care, public health, human services, law enforcement, public safety, and first responder fields. On May 29, 2020, the Governor announced Restore Illinois, a comprehensive phased plan to safely reopen the state’s economy, get people back to work, and ease social restrictions. Child care is a critical component of getting Illinois back to work.

Local Health Departments with Open Oral and Dental Care Programs

Bond County Health Department

City: Greensville
Phone: (618)664-1442
Contact: Sean Eifert
Emergencies Oral and Dental Care only: Yes
Qualifiers/Hours: Patients of all ages accepted

Cass County Health Department

City: Virginia
Phone: (217)452-3057
Contact: Teresa Armstrong
Emergencies Oral and Dental Care only: Yes
Qualifiers/Hours: Patients of all ages accepted  7:30 a.m.- 5:30 p.m. Mon.-Thurs.; closed each day 12 p.m. – 1 p.m. for lunch.

Long -Term Care COVID-19 Testing Requirements

This interim guidance provides updated guidelines and criteria for COVID-19 testing in licensed long-term care (LTC) facilities, as defined by the Nursing Home Care Act, 210 ILCS 45, primarily focusing on skilled nursing and intermediate care facilities.

Given their congregate setting and resident populations served (e.g., older adults often with underlying chronic medical conditions), nursing home populations are at the highest risk of being affected by COVID-19. If infected with SARS-CoV-2, the virus that causes COVID-19, residents are at increased risk of serious illness. The Illinois Department of Public Health (IDPH) is committed to working proactively with LTC facilities to prevent illnesses.

Long Term Care Facilities Guidance

This interim guidance provides updated guidelines for nursing homes and other long-term care (LTC) facilities regarding restrictions that were instituted to mitigate the spread of COVID-19. The guidance in this document is specifically intended for facilities as defined in the Nursing Home Care Act (210 ILCS 45), and also applies to Supportive Living Facilities, Assistive Living Facilities, Shared Housing Establishments, Sheltered Care Facilities, Specialized Mental Health Rehabilitation Facilities (SMHRF), Intermediate Care Facilities for the Developmentally Disabled (ICF/DD), State-Operated Developmental Centers (SODC), and Medically Complex/Developmentally Disabled Facilities (MC/DD). Modifications for specific categories of LTC facilities and programs are provided in the Appendix.

Long Term Care Facility Resident Monitoring Protocol

Long-Term Care Facility Residents/Patients

All Patients

Obtain vitals (temperature, heart rate, respirations) AND pulse oximetry every eight hours (Q8 hours). Blood pressure can be taken once a day.

Symptom screening to be performed every shift (Q8H) and should include questions about and/or observations of the following:

  • Fever 
  • Shortness of breath (SOB) 
  • Cough 
  • Sore throat
  • Chills or shaking w/chills
  • Muscle pains
  • Headache
  • New loss of taste or smell

Contact the clinical supervisor for any of the following: new-onset fever, SOB, cough, sore throat, or for any decrease in pulse oximetry from resident baseline level or any pulse oximetry reading < 92%. If these symptoms are present, providers should strongly consider transfer to a higher level of care. Monitoring every four hours is appropriate for patients with evidence of clinical deterioration.

Long-term care Frequently Asked Questions

Q: What is being done to protect long-term care (LTC) residents from COVID-19?

A: Administrators have been instructed to restrict visits, cancel group activities, close dining rooms, and screen residents and staff for fevers and respiratory diseases.

Q: Are LTC residents and staff required to be tested for COVID-19?

A:  Yes.  The Illinois Department of Public Health (IDPH) requires every skilled and intermediate LTC facility to test all residents and staff for COVID-19 (starting May 28, 2020).  Each facility must collect specimens and arrange for laboratory testing.  The number of residents and staff tested, and the number of positive, negative, and indeterminate test results are to be reported to public health officials.

Medical Care for Sexual Assault Survivors

Illinois Hospitals Are Ready and Safe for Sexual Assault and Domestic Violence Survivors to Receive Medical Care

Sexual assault and domestic violence survivors come to hospitals to seek important medical and forensic care in their most vulnerable moments. During these tumultuous times, it is imperative that survivors know hospitals remain committed to providing these essential services to survivors who seek them. Hospitals work in collaboration with Illinois Coalition Against Sexual Assault rape crisis centers, the Illinois Coalition Against Domestic Violence, and other advocacy organizations to assist survivors.

Medically Fragile Child Guidance

Planning actions for a home health care agency during an infectious disease pandemic

  • Review your list of clients and ensure it is up to date and includes levels of informal support available to individuals. Providers should consider how to benefit from sharing client health information electronically with local partners (hospitals, local health departments, emergency medical service providers), if they receive a legitimate request.
  • Work with local agencies/facilities to establish plans for mutual aid, taking into account business continuity plans and considering arrangements to support sharing of the workforce between home care providers, local primary and community services, and with the deployment of volunteers, where that is safe to do so.
  • Note the arrangements that local authorities are putting in place to refer vulnerable people self-isolating at home to volunteers who can offer practical and emotional support.
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Migrant Farmworker Guidance

How can I protect myself, my crew, friends, and family from COVID-19?

  • Wash your hands with soap and water for at least 20 seconds before to eating, during breaks, after using the restroom, and when you return home from work. Wash hands throughout the day when convenient.
  • Cover your coughs and sneezes with a disposable tissue or use the inside of your elbow.  Wash your hands after blowing your nose, coughing, or sneezing.
  • Use a cloth face covering at work and in public when social distancing of 6 feet or more cannot be maintained. When at home, use a mask if you share housing and cannot maintain 6 feet  distance from others. Do not touch the front of the mask. Wash the cloth mask each day after using it.
  • Avoid touching your eyes, nose, or mouth with unwashed hands.
  • Maintain social distance (6 feet). Avoid close contact with people at work, in public, and at home if you live in shared housing.
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Migrant Labor Camp Guidance

The Illinois Department of Public Health (IDPH) recommends that agricultural employers and migrant labor camp operators implement the following guidance to reduce exposure to and the spread of COVID-19 among migrant and seasonal farmworkers. To lessen the impact of COVID-19 outbreak conditions on these essential workers, their employers, and the public, agricultural employers and migrant labor camp operators should immediately implement preventative measures and create a COVID-19 response plan.

This guidance and the accompanying checklist provide recommendations on how to implement the following measures and prevent the spread of COVID-19 at agricultural housing, transportation, and worksites:

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