As of January 7, 2022 – please check back for future updates.

Current JSL COVID-19 Plan:

These plans to be evaluated on an ongoing basis.

JSL will follow the requirements of all applicable Executive Orders and Michigan Department of Health and Human Services (MDHHS) Emergency Orders, Orders from the Local Health Department, and Centers for Disease Control Guidance.

 

The current effective Guidance can be found here (in chronological order):

CDC Guidance on Quarantine and Isolation for the General Public updated January 4, 2022

https://www.cdc.gov/coronavirus/2019-ncov/your-health/quarantine-isolation.html#closecontact

 

CDC Guidance for Healthcare Workers updated December 23, 2021

https://www.cdc.gov/coronavirus/2019-ncov/hcp/guidance-risk-assesment-hcp.html

 

Centers for Medicare and Medicaid Services QSO 20-39-NH (Revised11-12-21)

https://www.cms.gov/files/document/qso-20-39-nh-revised.pdf

 

MDHHS October 12 Order: Testing in Skilled Nursing Facilities, Homes for the Aged, and Adult Foster Care Facilities.

https://www.michigan.gov/documents/coronavirus/10.12.21_RCF_testing_order_738420_7.pdf

 

MDHHS Guidance to Protect Residents of Long-Term Care Facilities: Quarantine and Testing Protocols updated October 7th.

https://www.michigan.gov/documents/mdhhs/MDHHS_Guidance_to_Protect_Residents_of_Long_-Term_Care_Facilities_721564_7.pdf

 

MDHHS Residential Care Facilities May 21, 2021, Order Guidance updated October 7th.

https://www.michigan.gov/documents/mdhhs/Residential_Care_Facilities_May_21_2021_Order_Guidance_727968_7.pdf

 

MDHHS May 21st Order: Requirements for Residential Care Facilities

https://www.michigan.gov/documents/coronavirus/5.21.21_RCF__Final_726030_7.pdf

 

Centers for Medicare and Medicaid Services QSO 20-38-NH (revised 4-27-2021)

https://www.cms.gov/files/document/qso-20-38-nh.pdf

 

JSL will continue to follow the protocols below:

Assisted Living (AL) Communities (Fleischman Residence and Coville Apartments)

As of this writing, all residents in JSL Assisted Living Communities are fully vaccinated and have been offered booster shots.  The County remains in a High Transmission rate.  The plan below reflects this status.

 

Source Control (Masks) and Social Distancing

  • Masks are required by all residents and visitors, in common areas when the County is in a substantial or high rate of transmission as indicated on the CDC COVID data tracker except that residents may remove their masks when eating in the dining room. (https://covid.cdc.gov/covid-data-tracker/#county-view|Michigan|26125|Risk|community_transmission_level).
  • Surgical masks are preferred and recommended over cloth masks.
  • Additional details about masking during visits can be found under the Visitation section of this plan.
  • Social distancing is required in common areas of the building when the County is in a substantial or high rate of transmission. Further details can be found in the Visitation section of this plan.

Screening and Testing Protocols

  • All staff, residents, and persons entering the facility will continue to be screened. Staff or residents with symptoms or signs of COVID-19 will not be permitted entry and must be tested immediately, whether or not they have been vaccinated.
  • We request that visitors provide evidence of vaccination and/or conduct rapid point of entry (POC) testing onsite (or proof of a negative PCR test within 72 hours) whenever possible.
  • We will not deny entry based on either vaccination or testing status, but we are requesting your cooperation, in an effort to ensure the safety of our residents and staff by either providing proof of vaccination, negative PCR test evidence or taking a POC test if requested.
  • Visitors who decline to disclose vaccination status will have a vaccination status of “unknown” and we will follow guidance as if they are an unvaccinated individual.
  • Records of vaccination will be maintained for staff and residents and can include AL community’s electronic medical record system reflecting a resident’s receipt of the vaccine and booster, Michigan Care Improvement Registry (MCIR) or other official immunization record from a doctor, local health department, hospital, pharmacy or health system or a copy of a valid CDC vaccination card.

Routine Testing Intervals

  • Fully vaccinated+ staff [completion of primary vaccine series – 2-dose series of an mRNA COVID-19 vaccine (Pfizer-BioNTech or Moderna), or single-dose COVID-19 vaccine (Johnson & Johnson’s Janssen vaccine)] are no longer required to be tested per MDHHS. However, due to the current high level of transmission in Oakland and Wayne Counties, JSL requires all fully vaccinated staff to be tested weekly until further notice, even if they have received the booster.
  • Unvaccinated staff are required to test based on the County COVID-19 Level of Community Transmission which can be found on the COVID-19 Data Tracker https://covid.cdc.gov/covid-data-tracker/#county-view.
  • Staff who decline to participate in testing will not be permitted to have contact with residents and will be redeployed to other duties, if available.
  • Staff or residents who have recovered from COVID-19 within the last 3 months do not need to be tested whether or not they have been vaccinated. Staff may elect to test, if they desire. Medical documentation of the diagnosis will be required to be sent to Human Resources or maintained in the electronic health record.
  • Regular testing as required by MDHHS of all residents and staff will occur when an AL community is experiencing an outbreak. An AL community is deemed to be in outbreak mode when there a facility acquired positive case is identified among residents or staff.
    • Residents or their responsible party are required to consent to testing and must sign and return the consent form that was sent to them from their building Administrator.
    • Residents who decline testing, even if asymptomatic, will be placed on Transmission-Based Precautions for COVID-19 per the Centers for Disease Control (CDC) guidelines. This means that the resident would not be able to participate in communal dining or programming.
    • During these outbreak periods, we may now continue communal dining and programming as all residents are vaccinated. During the testing period, if a concern is found, we may close dining and programming as deemed necessary by management.
    • We will communicate with you via VoiceFriend or email when we are in outbreak mode.
    • A series of 2 negative tests will be required to end outbreak testing. Initial testing will be performed as soon as possible after exposure (but not earlier than 2 days) and, if all residents and staff test negative, again 5-7 days after the exposure. Testing will continue, if additional cases are identified, every 3 to 7 days until no new cases have been identified for a period of 14 days

On October 7, 2021, MDHHS updated its April 2nd, resident testing guidance as follows:

Testing After Returning To Facility

                                                                                           1 Resident Fully Vaccinated – the completion of a primary vaccine series.

                • 2-dose series of an mRNA COVID-19 vaccine (Pfizer-BioNTech or Moderna), or
                • single-dose COVID-19 vaccine (Johnson & Johnson’s Janssen vaccine)

Visitation

Indoor and outdoor visitation is permitted.  The following protocols will be observed:

  • Visitors must enter at permitted entrances only.
  • All visitors must enter and be screened as currently practiced. Those with symptoms or exposures will be excluded.
  • Visitors are required to wear a mask as described above upon entry and when in the common areas of the community.
  • Visitors who refuse or are unable to wear a face mask in the public areas or follow proper hand hygiene protocols, will be excluded.
  • Visitors must observe social distancing of 6 feet in the public areas.
  • It is recommended that no more than two persons visit any one resident at any one time.
  • Although there is no limit on the number of visitors that a resident can have at one time, visits will be conducted in a manner that adheres to the core principles of COVID-19 infection prevention and that does not increase risk to other residents.
  • Visits are preferred to take place in the resident’s apartment. Visitors must go directly to the resident’s apartment and limit movement within the building.
  • No large gatherings (e.g., parties, events) are permitted indoors where large numbers of visitors are in the same space at the same time and physical distancing cannot be maintained.
  • Residents and visitors are recommended to not share food.
  • Outdoor visits are preferred but not required, regardless of vaccination status.
  • While not recommended, residents who are on transmission-based precautions (TBP) or quarantine can still receive visitors. In these cases, visits should occur in the resident’s room and the resident should wear a well-fitting facemask (if tolerated).
    • Before visiting residents, who are on TBP or quarantine, visitors will be made aware of the potential risk of visiting and precautions necessary in order to visit the resident. Please refer to letter distributed to families called “Educational Material: Visits While the Community Is in Outbreak Mode or Visiting a Resident on Transmission-Based Precautions”
  • Visitors must adhere to the core principles of infection prevention including the wearing of well-fitted masks, social distancing when possible and washing of hands and/or using hand sanitizer.
  • JSL may offer well-fitting facemasks or other appropriate PPE, if available; however, JSL is not required to provide PPE for visitors.
  • Physical distancing during visits is recommended to be maintained.
  • If a resident is fully vaccinated, they can choose to have close contact (including touch) with their visitor in accordance with the CDC’s “Interim Infection Prevention and Control Recommendations for Healthcare Personnel During the Coronavirus Disease 2019 (COVID-19) Pandemic.”
  • Unvaccinated residents may also choose to have physical touch based on their preferences and needs, such as with support persons for individuals with disabilities and visitors participating in certain religious practices, including in end-of-life situations.
  • Unvaccinated residents (or their representative) and their visitors will be advised of the risks of physical contact prior to the visit.
  • Visitors should physically distance from other residents and staff in the facility.
  • Compassionate care visits are permitted at any time.

Visits During Outbreak Mode

  • An outbreak investigation is initiated when an onset of COVID-19 occurs (i.e., a new COVID-19 case among residents or staff).
  • Outbreak testing will occur as described below.
  • While it is safer for visitors not to enter during an outbreak investigation, visitors are permitted.
  • Visitors will be made aware of the potential risk of visiting during an outbreak investigation and must adhere to the core principles of infection prevention. Please refer to letter distributed to families called “Educational Material: Visits While the Community Is in Outbreak Mode or Visiting a Resident on Transmission-Based Precautions”
  • Visitors must wear face coverings or masks during outbreak mode visits, regardless of vaccination status, and visits will occur in the resident’s apartment.

 

Visitor Testing and Vaccination

  • JSL strongly encourages all visitors to become vaccinated and obtain a booster shot.
  • While not required, we encourage visitors to test prior to visiting their loved ones in a JSL community while Oakland County remains in substantial or high levels of community transmission.
  • JSL can offer onsite POC testing or we encourage visitors to be tested on their own before coming to the facility (e.g., within 2–3 days).
  • JSL is permitted to ask about a visitors’ vaccination status, however, visitors are not required to be tested or vaccinated (or show proof of such) as a condition of visitation.
  • If the visitor declines to disclose their vaccination status, the visitor will wear a well-fitted face covering or mask at all times, social distance from residents and staff and use hand sanitizer and/or wash hands frequently. This does not preclude physical contact with the resident being visited if the resident permits same.

 

Volunteer and Service Provider Testing

  • Testing of service providers such as consultants, contractors, volunteers, and caregivers who provide care and services to residents on behalf of the facility must participate in testing pursuant to protocols for staff.
  • JSL is currently only permitting individuals who are vaccinated and have a booster shot to volunteer.

 

Notification of COVID-19 Positive Cases

  • All residents, guardians and healthcare proxies will be notified when there are any staff or resident cases of COVID-19 as required by the MDHHS order(s). This notification will be transmitted via Voice Friend text messaging or email and the information will also be placed on the jslmi.org website under the Response to COVID-19 banner under the specific community.
  • A notice will be posted in a visible and obvious place near the main entrance of the facility indicating the presence of a confirmed COVID-19 positive employee or resident. The notice will continue to be displayed for 14 days after the last positive COVID-19 test result for an employee or resident in the facility.
  • Prospective residents and staff will be advised of the presence of a confirmed COVID-19 positive employee or resident.
  • Anyone with a known close contact with an individual diagnosed with COVID-19 will be notified per Centers for Disease Control guidelines.
  • All notifications per MDHHS order will be made (local health department, electronic reporting system).

 

Dining, Programming and Resident Outings

  • While adhering to the core principles of COVID-19 infection prevention, communal activities and dining are permitted to occur.
  • Residents and families will be notified if dining or programming is suspended during a surge in COVID-19 cases in either the community at large or within the AL community staff and/or residents.
  • The safest approach is for everyone, regardless of vaccination status, to wear a face covering or mask while in communal areas of the facility and to practice social distancing.
  • JSL permits residents to leave the facility as they choose. Should a resident choose to leave, the resident and any individual accompanying the resident will be reminded to follow all recommended infection prevention practices including wearing a face covering or mask, physical distancing, and hand hygiene and to encourage those around them to do the same.
  • Upon the resident’s return, JSL will take the following actions:
    • Screen residents upon return for signs or symptoms of COVID-19.
    • If the resident or family member reports possible close contact to an individual with COVID-19 while outside of the community, JSL will test the resident for COVID-19, regardless of vaccination status.
    • If the resident has not been fully vaccinated, they will be placed on quarantine.
    • If the resident develops signs or symptoms of COVID-19 after the outing, JSL will test the resident for COVID-19 and place the resident on Transmission-Based Precautions, regardless of vaccination status.
  • Residents will be monitored for signs and symptoms of COVID-19 daily.
  • Residents who leave the facility for 24 hours or longer will be managed as a new admission or readmission, as recommended by the CDC’s “Interim Infection Prevention and Control Recommendations to Prevent SARS-CoV-2 Spread in Nursing Homes.”

 

Quarantine (see chart below for detail)

  • Fully vaccinated residents who have had a close contact with someone with COVID-19 will wear source control and will be tested.
  • Fully vaccinated residents, and residents fully recovered from a COVID infection in the last 90 days do NOT need to be quarantined, restricted to their room, or cared for by HCP using the full PPE recommended for the care of a resident with COVID unless they develop symptoms of COVID-19, are diagnosed with COVID-19, or the facility is directed to do so by the jurisdiction’s public health authority.
  • New admissions and residents who leave the facility who are fully vaccinated or have had COVID-19 within the last 90 days do not need to be placed in quarantine.
  • All unvaccinated residents who are new admissions will be placed in a 14-day quarantine, even if they have a negative test upon admission.
  • All unvaccinated residents who leave the facility for less than 24 hours do not need to quarantine.
  • In the event of an outbreak and transmission is not controlled with initial interventions, strong consideration will be given to use of quarantine for fully vaccinated residents.

On October 7, 2021, MDHHS updated its April 2nd, resident quarantine guidance as follows:

how to determine quarantine status

                                                                                          1  Resident Fully Vaccinated-the completion of a primary vaccine series.

                • 2-dose series of an mRNA COVID-19 vaccine (Pfizer-BioNTech or Moderna), or
                • single-dose COVID-19 vaccine (Johnson & Johnson’s Janssen vaccine)

 

Management of Residents with Confirmed COVID-19

  • Symptomatic residents, regardless of vaccination status, will be on transmission-based precautions (restricted to their rooms and cared for by staff using a NIOSH-approved N95 or equivalent or higher-level respirator, eye protection (goggles or a face shield that covers the front and sides of the face), gloves, and a gown pending evaluation for SARS-CoV-2 infection).
  • A COVID test will be obtained for symptomatic residents.
  • If a positive test result is obtained resident will continue to be on transmission-based precautions and outbreak testing will occur (see Screening and Testing Protocols section).
  • Residents will be removed from transmission-based precautions 14 days after positive test result.
  • Residents will be monitored closely while in transmission-based precautions.
  • Medically unstable residents will be transferred to the hospital for evaluation. Medically stable residents will be quarantined in their apartments and will be monitored closely for changes in condition.  Should their medical condition change, residents will be transferred to the hospital.  Attempts to transfer the resident to a Care and Recovery Center will be considered on a case-by-case basis if they are still being utilized.
  • Residents will be evaluated by nursing staff who will consult the primary care physician.
    • JSL will coordinate transportation for resident to be taken to the hospital for treatment, if needed and follow 911 protocols.
    • JSL will assist with tracking any contact between an impacted resident and those with whom they may have interacted.
    • JSL will work with hospital to track resident’s results and progress as appropriate and permitted and discharge plan accordingly.

Independent Living (Meer, Hechtman, Prentis and Teitel Apartments)

Masking and Social Distance

Masks are required to be worn by all residents, guests and staff in common areas and public spaces, unless dining, when the transmission rate of COVID-19 is substantial or high as determined by the CDC COVID data tracker (https://covid.cdc.gov/covid-data-tracker/#county-view|Michigan|26125|Risk|community_transmission_level).

Surgical masks are preferred over cloth masks.

Social distancing is required in common areas of the building.

If rates of infection in Oakland County continue to rise, additional restrictions may be imposed.

 

Screening and Testing Protocols

All residents, unvaccinated staff and persons entering the facility will continue to be screened. Staff with symptoms or signs of COVID-19, must report their illness to Human Resources, leave the building immediately and have a PCR test regardless of vaccination status. Staff will be excluded from work until they are clear to return to work by Human Resources. Residents are not required to test if they have signs or symptoms of COVID-19 but are urged to obtain a PCR test per CDC guidelines regardless of vaccination status.  Visitors with symptoms or with a diagnosis of COVID-19 will be excluded from entering the facility unless they can provide evidence of a negative COVID-19 test.

All vaccinated staff members in IL settings are no longer required to test unless they work in Hechtman Dining Services.  Hechtman Dining Services staff will test at Hechtman using point of care testing weekly.

All unvaccinated staff members in IL settings will continue to be required to test weekly onsite using point of care testing. Staff may also obtain weekly PCR testing on their own.  Hechtman unvaccinated Dining Services staff will be required to test weekly at Fleischman Residence using PCR testing with Great Lakes.

 

Notifications of COVID-19 Cases

We will notify all residents, guardians, and healthcare proxies when there are any staff or resident cases of COVID-19 in the community as soon as possible via Voice Friend and on our JSL website (jslmi.org) under the Response to COVID-19 banner.  Notices of positive cases will be posted in a conspicuous place in all communities as per JSL protocol and HUD guidelines.  Anyone with a direct exposure will be notified.  The Oakland County Health Department will be notified of any COVID-19 cases among staff or residents.

 

Visitors

All visitors must enter and be screened and logged in at permitted entrances only.  Those with symptoms or exposures will be excluded.

 

Quarantine

Who should quarantine?

If you come into close contact with someone with COVID-19, you should quarantine if you are in one of the following groups:

  • You are ages 18 or older and completed the primary series of recommended vaccine, but have not received a recommended booster shot when eligible.
  • You received the single-dose Johnson & Johnson vaccine (completing the primary series) over 2 months ago and have not received a recommended booster shot.
  • You are not vaccinated or have not completed a primary vaccine series.

What to do for quarantine

  • Stay home and away from other people for at least 5 days (day 0 through day 5) after your last contact with a person who has COVID-19. The date of your exposure is considered day 0. Wear a well-fitting mask when around others at home, if possible.
  • For 10 days after your last close contact with someone with COVID-19, watch for fever (100.4◦F or greater), cough, shortness of breath, or other COVID-19 symptoms .
  • If you develop symptoms, get tested immediately and isolate until you receive your test results. If you test positive, follow isolation recommendations.
  • If you do not develop symptoms, get tested at least 5 days after you last had close contact with someone with COVID-19.
    • If you test negative, you can leave your home, but continue to wear a well-fitting mask when around others at home and in public until 10 days after your last close contact with someone with COVID-19.
    • If you test positive, you should isolate for at least 5 days from the date of your positive test (if you do not have symptoms). If you do develop COVID-19 symptoms, isolate for at least 5 days from the date your symptoms began (the date the symptoms started is day 0). Follow recommendations in the isolation section below.
    • If you are unable to get a test 5 days after last close contact with someone with COVID-19, you can leave your home after day 5 if you have been without COVID-19 symptoms throughout the 5-day period. Wear a well-fitting mask for 10 days after your date of last close contact when around others at home and in public.
    • Avoid people who are immunocompromised or at high risk for severe disease, and nursing homes and other high-risk settings, until after at least 10 days.
  • If possible, stay away from people you live with, especially people who are at higher risk for getting very sick from COVID-19, as well as others outside your home throughout the full 10 days after your last close contact with someone with COVID-19.
  • If you are unable to quarantine, you should wear a well-fitting mask for 10 days when around others at home and in public.
  • If you are unable to wear a mask when around others, you should continue to quarantine for 10 days. Avoid people who are immunocompromised or at high risk for severe disease, and nursing homes and other high-risk settings, until after at least 10 days.
  • Do not travel during your 5-day quarantine period. Get tested at least 5 days after your last close contact and make sure your test result is negative and you remain without symptoms before traveling. If you don’t get tested, delay travel until 10 days after your last close contact with a person with COVID-19. If you must travel before the 10 days are completed, wear a well-fitting mask when you are around others for the entire duration of travel during the 10 days. If you are unable to wear a mask, you should not travel during the 10 days.
  • Do not go to places where you are unable to wear a mask, such as restaurants and some gyms, and avoid eating around others at home and at work until after 10 days after your last close contact with someone with COVID-19.

After quarantine

  • Watch for symptoms until 10 days after your last close contact with someone with COVID-19.
  • If you have symptoms, isolate immediately and get tested.

Isolation

Isolation is used to separate people with confirmed or suspected COVID-19 from those without COVID-19. People who are in isolation should stay home until it’s safe for them to be around others. At home, anyone sick or infected should separate from others, or wear a well-fitting mask when they need to be around others. People in isolation should stay in a specific “sick room” or area and use a separate bathroom if available. Everyone who has presumed or confirmed COVID-19 should stay home and isolate from other people for at least 5 full days (day 0 is the first day of symptoms or the date of the day of the positive viral test for asymptomatic persons). They should wear a mask when around others at home and in public for an additional 5 days. People who are confirmed to have COVID-19 or are showing symptoms of COVID-19 need to isolate regardless of their vaccination status. This includes:

  • People who have a positive viral (PCR) test for COVID-19, regardless of whether or not they have symptoms.
  • People with symptoms of COVID-19, including people who are awaiting test results or have not been tested. People with symptoms should isolate even if they do not know if they have been in close contact with someone with COVID-19.

 

Dining and Activities – Communal dining and group activities will be permitted although wearing of masks (except when eating or drinking) and social distancing is required.  Currently, the following additional protocols will be observed:

  • Access to hand hygiene is available.
  • Residents who wish to continue to receive meals in their apartment will be accommodated.

During a COVID-19 surge in the County, JSL will determine when it is appropriate to temporarily suspend dining or programming.  Residents and families will be notified when a temporary suspension occurs.

 

Salon and Wellness Center – Open with social distancing and masking required.  Due to the requirement of social distancing, the number of individuals who can be permitted in the salon or wellness center will be restricted accordingly.

During a COVID-19 surge in the County, JSL will determine when it is appropriate to temporarily suspend the use of the salon and/or wellness center.  Residents and families will be notified when a temporary suspension occurs.

 

Transportation – Transportation will be offered for medical appointments, essential appointments, and social appointments where and as available. Masks and social distancing are required.

During a COVID-19 surge in the County, JSL will determine when it is appropriate to temporarily suspend the use of transportation.  Residents and families will be notified when a temporary suspension occurs.

 

Management of Residents with Confirmed COVID-19

  • Residents diagnosed with COVID-19 will be placed in transmission-based precautions.
  • Current CDC guidelines for isolation will be followed.
  • Staff will use full PPE (gowns, gloves, eye protection, and a NIOSH-approved N95 or equivalent or higher-level respirator) if the need arises to enter the apartment.
  • Residents will be removed from transmission-based precautions per the CDC guidelines.
  • Resident will be encouraged to be evaluated and seek medical treatment with their own primary care physician.

 

For All JSL Communities

Miscellaneous

  • JSL staff are required to follow our MIOSHA/OSHA work plan.  If you would like to see a copy of our plan or any other staff protocols, please speak with your building Administrator.  Topics covered in this plan include the following:
    • Engineering controls – barriers between the worker and exposure to the virus including masks and facial coverings.
    • Administrative controls – policies, procedures and practices such as staggered work schedule, teleworking and increase social distancing measures.
    • Basic infection prevention measures – handwashing and facility cleaning, in accordance with CDC guidance.
    • Health surveillance – screening protocols to identify known or suspected COVID-19 cases at the start of work shifts, employees should report any signs or symptoms of COVID-19.
  • Marvin’s Bistro and the Krolik Café are currently closed. Should either location open, if there is a COVID-19 surge in the County, JSL will determine when it is appropriate to temporarily suspend the use of the Bistro or Krolik Cafe.  Residents and families will be notified when a temporary suspension occurs.
  • Boutiques, where provided, are currently closed. Should any boutique open, if there is a COVID-19 surge in the County, JSL will determine when it is appropriate to temporarily suspend the use of the boutique. Residents and families will be notified when a temporary suspension occurs.
  • No hosting of outside meetings in communities.
  • Tours available by appointment and on a walk-in basis.
  • Move-ins and move-outs are permitted and subject to protocols and policies for the same.
  • Continued vigilant sanitation building-wide.
  • Congregating in common areas of the buildings is permitted, provided all residents and staff are appropriately masked and observe social distancing.
  • Residents in assisted living communities in shared suites will be separated into individual apartments, if available. Couples to be offered option for separate apartments/suites, if available.

 

Plan of action in the event of an outbreak of multiple cases of COVID-19 at a JSL Community:

  • Take instruction from the Oakland County Health Department and follow recommendations.

If you have questions about any of the above information, or require additional information or clarification please contact your building administrator.