Students and staff with COVID-19 can end isolation after Day 5* ONLY if all of the following criteria are met:
1. A COVID-19 viral test** collected on Day 5 or later is negative, and
2. No fever for at least 24 hours without the use of fever-reducing medicine, and
3. Other symptoms are improving --or-- Isolation can end after Day 10 if no fever for at least 24 hours without the use of fever-reducing medicine.
*For symptomatic students and staff, Day 0 is the first day of symptoms; Day 1 is the first full day after symptoms develop. For asymptomatic students and staff, Day 0 is the day the first positive test was collected; Day 1 is the first full day after the positive test was collected.
**The test must be an FDA-authorized viral test (e.g., PCR or Antigen test, including at-home tests). An antigen test is preferred for testing out of isolation.
• If a student meets the criteria to leave isolation after Day 5, it is strongly recommended that they wear a highly protective mask around others, except when eating or drinking for 10 days after onset of symptoms or, if asymptomatic, after the first positive test.
Staff with COVID-19 are required to wear a highly protective mask in the workplace around others, except when eating or drinking, for 10 days after the positive test.
• NOTE: For staff, per Cal/OSHA COVID-19 Prevention Emergency Temporary Standards (ETS), employers are required to fulfill the following: inform all employees about how they can obtain testing, offer testing at no cost and during paid time, and provide testing in a manner that ensures employee confidentiality.
To comply with the testing requirements of the ETS, an over-the-counter (OTC) COVID-19 test may be both self-administered and self-read if verification of the results, such as a time and date stamped photograph of the result or an OTC test that uses digital reporting with time and date stamped results, is provided. Additionally, staff may request masks and respirators from their employer at no cost to staff.
• A case is considered to be infectious from 2 days before their symptoms first appeared until their isolation ends, as described in the Home Isolation Instructions for COVID-19 (ph.lacounty.gov/covidisolation). A person with a positive COVID-19 test but no symptoms is considered infectious from 2 days before their test was taken until their isolation ends.
• Close Contact: Persons are considered to have been exposed to a case (close contact) during the case’s infectious period if: In indoor airspaces that are 400,000 cubic feet or less per floor: They shared the same indoor airspace at school with the infected person (case) for a cumulative total of 15 minutes or more over a 24-hour period during an infected person’s infectious period. This is the preferred definition to best mitigate additional transmission in school andis strongly recommended for identifying student close contacts in classrooms and similar sized indoor spaces. This shared indoor airspace definition must be used for identification of staff close contacts per Cal/OSHA(COVID-19 Prevention ETS).
 Alternatively, schools may limit designation of student close contacts to students who were within 6 feet of the infected person for 15 minutes or more over a 24-hour period and may apply this definition in all settings, including classrooms. In indoor airspaces that are greater than 400,000 cubic feet per floor: They were within 6 feet of the infected person (case) for a cumulative total of 15 minutes or more over a 24- hour period during the infected person’s infectious period. This applies to both student and staff close contacts. NOTE: Spaces that are separated by floor-to-ceiling walls (e.g., offices, suites, break/eating areas separated by floor-to-ceiling walls) are considered distinct indoor airspaces.
NOTE: Persons with an outdoor exposure at school are not considered close contacts.
Required: All close contacts to a COVID-19 positive case at school are notified by the School Compliance Officer of the exposure and provided with actions to take. • Notification can be done using an individual notification or group notification method where individuals are notified of their exposure and actions to take.
• If applying the within 6 feet of an infected person for 15 minutes or more over a 24-hour period definition for identifying student close contacts in indoor spaces that are 400,000 cubic feet or less (e.g. classrooms or similar size settings), all other students who shared in the same indoor airspace with the infected person for 15 minutes or more over a 24-hour period must be notified of a potential exposure and provided with recommended actions to take. Actions for close contacts
• Asymptomatic close contacts are not required to quarantine; they may remain on campus if they follow all requirements for close contacts. Specifically:
(1) monitor for symptoms;
(2) wear a highly protective mask around others indoors, except when eating or drinking, for 10 days after the last date of exposure;
(3) test with an FDA-authorized viral COVID-19 test (e.g., PCR or Antigen test, including at-home tests) within 3-5 days since the last date of exposure.
* *NOTE: Asymptomatic student and staff close contacts who were previously infected with SARS-CoV-2 within the last 90 days are exempt from the post-exposure testing requirement but must mask around others indoors for 10 days after the last date of exposure.
Asymptomatic close contacts who recovered from recent COVID-19 infection are recommended to test 3-5 days after an exposure if their previous infection was more than 30 days ago (i.e., date of first positive test was 31-90 days ago). An antigen test, which includes at-home tests, should be used. If their previous infection was within the past 30 days (i.e., first positive test was 1-30 days ago), testing is not recommended. Refer to Instructions for Close Contacts for COVID-19 for details. Â
If applying the within 6 feet of an infected person for 15 minutes or more over a 24-hour period definition to identify student close contacts in indoor spaces that are 400,000 cubic feet or less (e.g., classrooms and similar size settings), all other students who shared in the same indoor airspace with the infected person for 15 minutes or more over a 24-hour period are also advised to: (1) monitor for symptoms; (2) wear a highly protective mask around others indoors, except when eating or drinking, for 10 days after the last date of exposure; and (3) test with an FDA-authorized viral COVID-19 test (e.g., PCR or Antigen test, including at-home tests) within 3-5 days since the last date of exposure.
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If symptoms develop, test using an FDA-authorized viral COVID-19 test and stay home. If the test is positive, follow Home Isolation Instructions for COVID-19 (ph.lacounty.gov/covidisolation). Â
For students who have a mask exemption* and have been exposed:
Students should wear a face shield with drape at the bottom if their condition allows. For students who cannot tolerate a mask or a face shield with drape at the bottom, they may remain on campus if:
1) they remain asymptomatic,
2) monitor for symptoms for the 10 days after last exposure, and
3) test for COVID-19 twice during the 10 days after last exposure, once during days 3- 5 and once during days 6-9.
Students who cannot mask after exposure and cannot meet these requirements must remain at home until after Day 10 after last exposure.
*Individuals may be exempt from wearing a mask for the following reasons (refer to Appendix T-1: COVID-19 Protocol for TK-12 Schools for additional information): § Persons younger than two years old. § Persons who are hearing impaired, or communicating with a person who is hearing impaired, where the ability to see the mouth is essential for communication. COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTH ORDER OF THE HEALTH OFFICER COVID-19 Exposure Management Plan in TK-12 Schools Revised 12/12/2022 Page 5 of 7 § Persons with a medical condition, mental health condition, or disability or whose medical provider has determined that it is unsafe for them to wear a mask, may file for an exemption with their school. A certification from a state licensed health care provider attesting that the student has a condition or disability that precludes them from wearing a mask safely will be accepted as proof of exemption. The following licensed health care professionals may provide such attestations: Medical providers including physician (MD or DO), nurse practitioner (NP), or physician assistant (PA) practicing under the authority of a licensed physician; and licensed mental and behavioral health practitioners including Clinical Social Worker (LCSW), clinical psychologist (Psy.D.), Professional Clinical Counselor (LPCC), or Marriage and Family Therapist (LMFT).
Staff who are close contacts exposed at work must follow the guidance outlined in Cal/OSHA COVID-19 Prevention Emergency Temporary Standards. Please refer to Table 2 in Cal/OSHA’s COVID-19 Emergency Temporary Standards Frequently Asked Questions for guidance after an exposure, including for staff who are unable to mask.  Staff may request masks and respirators from their employer at no cost to staff. See Wear a Mask and Know your Rights for more information.  For staff, per Cal/OSHA COVID-19 Prevention Emergency Temporary Standards (ETS), employers are required to fulfill the following testing requirements: inform all employees on how they can obtain testing, offer testing at no cost and during paid time, and provide testing in a manner that ensures employee confidentiality; to comply with the testing requirements of the ETS, an over-the-counter (OTC) COVID-19 test may be both self-administered and self-read if verification of the results, such as a time and date stamped photograph of the result or an OTC test that uses digital reporting with time and date stamped results, is provided. Additionally, staff may request masks and respirators from their employer at no cost to staff.
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