YA 74,31? . . . U.S.C1tizensh1 la 5 and Immigra on 5" Services 19 Risk Level Decision Tree for Supervisors Based CDC Recommendations (Version 3/ 16/2020) i 1. Recommending Of?cials (Field Of?ce Directors, Assistant Center Directors IPO Division Chi 1 Assistant Associate Directors) will assess potential COVID-19 employee case and make recommendation to SES leadership (District Director, Center Director, or IPO Chief) in his/her 1 f: on Whether an employee is high-risk. I 2. SES leadership will review the recommendation and make a ?nal determination whether the wait? will self-quarantine for 14-days, based on the following guidelines I Self-Quarantine (14-days) and Self-Monitor: 0 Employee has traveled from or through a country identi?ed with CDC Widespr a f: Sustained Transmission (currently China, Iran, South Korea, and Italy) or 4. Community Transmission (currently Japan) in the past 14 days; i 0 Employee has been in close contact with a person with a con?rmed COVID-19 infection; Employee resides with an individual with a ?r . laboratory-??, yr 3-4 . - ?1 's'?mployee has been 1n the same indoor environment with a lab con?rmed COVID-19, but has not had close contact with that individual, or 0 Employee has been in the same indoor environment with an individual who has traveled from or through a country identi?ed with CDC Widespread Transmission or CDC Sustained Community Transmission, but has not had clo? with that individual. V. Q?d 5? SK: Ni?? QQ. ?9 ?q x. 0 Employee who is but none of the above- listed risk factors apply, requested to use sick leave or telework, as appropriate, and follow the protocols Observation or, ,1 1/ . 1/111, . ,9 Employee with documented higher risk of severe illness Employee 1s requir 1 Igjdoctor 3 note ?1?11 1'111' 111' '1 11111" 1? :111'111 1 1' 111111 111 use note: 0 The factors listed above are guidelines and ma I . not cover every scenario. Please use your Judgement and seek Regional. Headquarters or USCIS Medical Officer Guidance, as appro 0 ?Close contact? 18 defined as being within approximately six feet ofa smtemat?ie COVID-I case for a prolonged period of time or being ?coughed on.? compatible with include subjective or measure fever. cough or diffic breathing. Self-Monitoring means peeple should monitor themselves for fever by taking their tempera twice a day and remain alert for cough or difficulty breathing. If they feel feverish or develop measured fever, cough. or dif?culty breathing during the self-monitoring period. they should wt?? isolate, limit contact with others. and seek advice by telephone from a healthcare provider or ??53 local health department to determine whether medical evaluation is needed. Self-Observation means people should remain alert for subjective fever, cough or dif?culty . breathing. If they feel feverish or develop cough or difficulty breathing during the self-ob .. period, they should take their temperature. self-isolate, limit contact with others, and seek mg by telephone from a healthcare provider or their local health department to determine WW medical evaluation is needed. 0 Social Distancing means remaining out of congregate settings, avoiding mass gath . v. .2 maintaining distance (approximately 6 feet or 2 meters) from others when possible._ 0 Isolation means the separation of a person or group of people known or reasonably. infected with a communicable disease and potentially infectious from those who . . prevent spread of the communicable disease. Isolation for public health . . . raiji" oricompelled by federal, state, or local public health order. I: of People Exposed to CDC does ?1w 3 . ,mnim-ngorsma managemth forpeopleexpow H, 6:9 sum. to COVE-1931191135 ahOde'l?? git.313'5 r1?: -. . .?ysu. t'g- . Employee had close contact (less than 6 feet) to known case- No PPE. MEDIUM RISK Employee had close contact (less than 6 feet) to known case- Wearing appropriate PPE. ee had~nO close (gramr 6 feet) to known COVID-19 5859? Have employee . quarantin able; if not, offer for 14 public health. if Is the employee work appropriate leave develop, employee or $9 Denise: no after 14 days Have employee isolate- Offer Yes Is the employee Have employee self?observe for 14-days_ to work. Employee can telemk ifazble. if NO employee isolate and employeeor _o f1 . public health. Employeeshould or" . . WW telework if able). Employee orsrmervisor- - health. Employee should consult meats. .41- Have empbyee We- om if! Yes Is the employee No telework if able). Employee or I. health. Employeeshouldconsw. .