� � �� � � �� � � �
�����
��������� ��������� �������
����������������������
�����������������All employees and visitors are required to
"self-certify" by answering the questions below prior to entering
the building
CLOVIS UNIFIED
CLA
RIT
Y • Q
UALITY • COM
MITM
ENT60
years
Questions Answer Action1. Feeling fever/chills, body aches,
headache, repeated
shaking/tremors, fatigue, nausea, vomiting or diarrhea?
YES or NO
YES or NO
YES or NO If yes, go home
If yes, go home
If yes, go home
2. New or worsening respiratory symptoms?(Shortness of breath,
cough, congestion/runny nose, sore throat, or new loss of taste or
smell)
3. Has anyone in your household been confirmed or have you had
close contact with anyone diagnosed with COVID-19 in the past 14
days?
If you answered YES to ANY of the questions:Employees must
report possible COVID symptoms to your supervisor to comply with
Health Department contact tracing. Please stay home or go home and
follow the isolation guidelines.If you answered YES with symptoms:
You must isolate until the following requirements have been
met:
a. 10 days since symptoms first appeared andb. 24 hours (1 day)
with no fever (without the use of fever-reducing medicine) andc.
Other symptoms have improved
If you test negative, you may return sooner when symptom free
for 24 hours (1 day) with no fever (without the use of
fever-reducing medicine).If you answered NO to all questions:If
employee/volunteer has no fever and respiratory symptoms, they can
work AFTER washing their hands and need to follow social
distancing, frequent hand hygiene and cleaning of their workspace
throughout the workday.Masking with cloth mask is required in
non-clinical roles if employee works around other employees or
public, and physical distancing (6 feet apart at all times) is not
possible due to the nature of the work.
������������������������������������������� � �� �� � � � �� � �
�� � � � � � � � �� �
For more information visit www.cdc.gov/COVID19 Updated
11.16.20
