Guidance: Child Care

CA Safe Reopening

COVID-19 Response Recommendations for Child Care Setting

Disease Prevention Guidance
What to do when you find out about a person with COVID-19 at your site
Reporting Guidance
How to Report

Disease Prevention

OCHCA strongly encourages all who are eligible to be vaccinated against COVID-19 as one of the best ways to protect yourself and others.

The latest CDPH Guidance for Child Care Providers and Programs is available via the link.  This guidance reviews a variety of strategies to mitigate the spread of COVID-19 including planning, vaccination, testing, face coverings, essential equipment and supplies, distancing, ventilation, cleaning & disinfection, hand hygiene, isolation, and outbreak response.

Additional CDC Guidance for Operating Child Care Programs during COVID-19 also available and should be reviewed. In childcare settings, CDPH Guidance for the Use of Face Covering to strongly recommend masks for eligible individuals regardless of vaccination status, while indoors, with the following exemptions:

The following individuals are exempt from wearing masks, at all times:

  • Persons younger than two years old. Very young children must not wear a mask because of the risk of suffocation.
  • Children should not wear face masks while sleeping.
  • Persons with a medical condition, mental health condition, or disability that prevents wearing a mask. This includes persons with a medical condition for whom wearing a mask could obstruct breathing or who are unconscious, incapacitated, or otherwise unable to remove a mask without assistance.
  • Providers must ensure the use of face masks does not cause children to overheat in hot weather.
  • 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.
  • Persons for whom wearing a mask would create a risk to the person related to their work, as determined by local, state, or federal regulators or workplace safety guidelines.

Cal OSHA Emergency Temporary Standards (ETS) mandates that employers must supply N-95 respirator mask to unvaccinated employees who request them. FAQs about the Cal OSHA ETS can be found here

What to do if you find out about a person with COVID-19 at your site

When businesses, including childcare, are made aware of a person with COVID-19 in the workplace, the first step is to make sure that person is in isolation per CDPH Isolation & Quarantine Guidance.  If they are still onsite, send them home.

Workplaces are required to provide written notification to employees and independent contractors about potential exposure.

Making COVID-19 testing available to potentially exposed employees with a close contact at no cost and during working hours, with the exception of asymptomatic employees who recently recovered from COVID-19.

A person is exposed if they are in a shared indoor airspace of the person with COVID-19, while they were infectious, for 15 minutes or more over a 24-hour period.

When you report the cases with the required information, OCHCA staff will instruct you as to when the person was infectious.


Child Care Providers are required to report outbreaks or unusual occurrences of communicable disease per California Department of Public Health. Code Regs. tit. 17 § 2508

"It shall be the duty of anyone in charge of a public or private school, kindergarten, boarding school, or day nursery to report at once to the local health officer the presence or suspected presence of any of the communicable diseases."

Child Care Providers are mandated to report outbreaks (three or more cases within a 14 day period) among staff in line with Cal OSHA ETS.

In accordance with California Department of Social Services (CDSS) PIN 20-11-CCP, child care facilities impacted by an individual who has been exposed or tested positive for COVID-19 should:

How to Report COVID-19 cases to Orange County Public Health

Orange County Public Health has moved to electronic reporting of COVID-19 cases and exposures by schools, child care sites, and businesses.  Click on the link below to learn how you can fulfill your reporting responsibilities electronically.



For any questions please contact Orange County Public Health Department