*At least two of the following symptoms: fever (measured or subjective), chills, rigors, myalgia, headache, sore throat, new olfactory and taste disorder(s); OR at least one of the following symptoms: cough, shortness of breath, or difficulty breathing.
†Implementation of infection control measures and active surveillance for additional cases (including testing of asymptomatic residents and staff) should be considered when a single laboratory-confirmed COVID-19 case has been identified in a resident OR staff member, even if other cases of acute illness have tested negative for COVID-19.
· Residential congregate facilities should be instructed to notify their local health department (PDF) if they identify a suspected or laboratory-confirmed COVID-19 outbreak, or if they identify a single resident or staff member with laboratory-confirmed COVID-19.
· Congregate community settings should be instructed to notify their local health department if they identify a suspected or laboratory-confirmed COVID-19 outbreak.
· Local health departments should report laboratory-confirmed COVID-19 outbreaks in residential congregate facilities to CDPH using the Novel Coronavirus 2019 (nCoV-2019) disease outbreak condition in CalREDIE or through an alternate established process. Reporting of suspected outbreaks is optional.
· Local health departments should report laboratory-confirmed COVID-19 outbreaks in congregate community settings to CDPH if the local health department assesses the outbreak to have public health importance.
For additional testing guidance, refer to: CDC guidance for collecting, handling, and testing clinical specimens from persons for COVID-19.