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May 11, 2020

Letter for Arcadia Home Health Services

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May 11, 2020

Dear Clients and Families,

As we move into Week 9 of the COVID-19 pandemic, thank you for your continued patience and personal efforts to help “flatten the curve” within our state and keeping COVID-19 out of the Arcadia Family of Companies. We have come together as a family – residents, clients, members and staff working toward a common goal – thank you for making this happen!

“Silver Linings of COVID-19” and “Conversations” continue to serve as effective communication tools and ways to celebrate positive moments during this pandemic. The Arcadia Family remains secure with respect to PPE supply and continues to receive shipments daily. Staff remain committed, dedicated, passionate and grateful to serve all of you.

As of May 1st, the Arcadia Family of Companies has performed COVID-19 testing for 12 residents at Arcadia, 4 residents at 15 Craigside, 2 clients with Arcadia Home Health Services and 18 staff. All tests have been negative.

This letter provides an update of new and existing restrictions for the Arcadia Family of Companies in light of Governor Ige’s extension of the “stay at home” order through May 31st, Honolulu Mayor Kirk Caldwell’s reopening of some “low-risk” businesses on May 1st and Governor Ige’s decision to reopen malls and some retailers on May 15th.

• As we have seen not only across our nation but on a global scale, our kupuna are at a much higher risk in terms of contracting and being able to recover from COVID-19. We want to avoid putting our kupuna at risk at all costs and will therefore continue with the following precautionary measures:

o Our staff will continue to screen any visitors who may visit you or your loved one during their scheduled shift to identify any symptoms of respiratory illness such as fever, sore throat, cough or shortness of breath, or recent travel outside of the state within the last 14 days. Depending on the situation, he/she will be asked not to visit with the client or possibly to remain at a safe distance or to wear a face mask during the shift. This is to ensure the safety of both clients and staff during this time.

o Please continue to keep us informed of any changes regarding the health and well-being of you or your loved one in the event that more care or follow-up is needed.

o Staff will continue to wear disposable surgical face masks during their shift which they will put on right before entering the client’s home. Staff will be required to wear a mask each shift and dispose of the mask. The mask should be changed out for each shift or more frequently as needed.

• As an added measure our staff may be required to wear full personal protective equipment (PPE) if the client is experiencing respiratory symptoms. In addition to the face mask, shoe booties and gloves the staff are already using during their shift, full PPE would include a gown and safety glasses. We understand that the use of full PPE may cause some confusion for the client and possibly cause some discomfort as the care is being provided in their home and not in a facility. However, the use of full PPE in these types of situations are recommended by our organization’s Infection Preventionist and in accordance with CDC guidelines.

• We understand that mental well-being is a concern during this time and family caregivers and clients may be experiencing added stress as ‘normal’ routines are modified and there continues to be many uncertainties about the future. With this in mind, we hope to provide you with some additional support including:

o E Malama Mau (Enduring Care) – a virtual caregiver support group starting May 6th. This support group will be led by Sara Tompkison, Licensed Social Worker for the adult day care program, and will include a variety of topics over a 5-week period.

o Our home health staff continue to be available to support you during this time. Please reach out should you need additional assistance or resources.

• While we have continued to offer our regular services (personal care, meals and housekeeping) during this time, the future is still uncertain in terms of when we as a community will feel the same reassurance we did pre-COVID. We are beginning to plan for what measures will remain post-COVID. We will continue to keep you informed on any significant changes or necessary precautionary measures that may be implemented.

• As other businesses across the state begin to reopen and as restrictions in our community slowly start to loosen, the question of implementing universal testing had been posed. The Arcadia Family of Companies has discussed universal testing of all residents and staff with its Medical Directors and we will not be moving forward with universal testing at this time. We do continue to test residents and staff based on CDC and DOH guidelines. If you have any questions about this please contact Stacey Young, COO, at 983-5901 or stacey.young@arcadia-hi.org.

• Without a vaccine, the most effective way to fight COVID-19 is through preventive measures. We ALL must continue to practice these life-saving measures:

o Stay at home and avoid going out into the greater community.

o Continue social distancing - treat everyone as though they have the virus and maintain the recommended six-foot distance between you and the person closest to you.

o Practice excellent hand hygiene by washing your hands with soap and water for at least 20 seconds.

o If you do need to leave your home for essential business it is best that you wear a mask when out in public.

In closing, I remind all of us that COVID-19 is a marathon, not a sprint. Just because government is beginning to loosen restrictions on “low risk businesses” and reopen malls and select retailers, does not mean that health care providers such as the Arcadia Family of Companies can or will do the same. We are home to and care for the most vulnerable population in this pandemic and must ensure the health and welfare of all of you. I ask that we continue to watch out for each other, take care of one another and stand strong against COVID-19 and not allow it to enter our organization.

Stay safe and healthy,

Suzie Schulberg

President & CEO

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© Arcadia Family of Companies 808-533-5416 1434 Punahou Street, Honolulu, HI, 96822-4754