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COVID-19 Resources: For Providers



Q: What are the quarantine and isolation guidelines for child care settings? – Updated March 2, 2022

Due to declining COVID-19 case rates and high levels of immunity, beginning March 12, 2022, Oregon Health Authority has paused the quarantine requirement for individuals exposed to COVID-19 in child care and K-12 settings. Individuals who test positive must be excluded from child care and isolate at home for 5 days. They may then return when symptoms are resolving and fever-free for 24 hours. When returning to care, that individual should wear a well-fitting mask in child care and public settings for 5 days after their isolation started. Early education and child care programs must notify families of an exposure so they can watch for symptoms, but children/staff exposed do not need to be excluded unless they have two or more COVID symptoms or test positive. Early education and child care programs may choose to impose stricter isolation, quarantine or masking requirements.

Q: Does a child care program need to close if there’s a positive COVID-19 case? If so, for how long?

ELD does not require closure of programs. However, a program may need to close if there are too many staff excluded for isolation maintain operations and staffing ratios.

Q: What are child care providers required to communicate to families if there is a positive COVID-19 case? – Updated March 2, 2022

Early education and child care programs must notify families of an exposure so they can watch for symptoms, but children/staff exposed do not need to be excluded unless they are symptomatic or positive. Providers must also communicate about a confirmed COVID-19 case to Local Public Health Authority.

Q: Can a parent ask if a child care staff member is vaccinated?

The Early Learning Division does not have authority to determine if parents are allowed to ask vaccination status. A provider or staff member may choose to answer or not.

Q: Are masks still required indoors?

The statewide indoor mask requirement ended on March 11, 2022. A child care program can choose whether to require masks. Head Start federal mask requirements are still currently in place.

The Early Learning Division and the Oregon Health Authority in alignment with the Center for Disease Control, strongly recommend that masks be worn by all individuals age 2 and older indoors when:

  • There are high  levels of COVID-19 transmission in communities
  • There are medium  levels of COVID-19 transmission and individuals are:
    • Unvaccinated
    • Immunocompromised
    • At high risk of COVID-19 hospitalization
    • 65 and older or with underlying health conditions
    • Living with people who have underlying health conditions.

Some programs may choose to continue universal masking at lower COVID-19 community levels because it promotes an inclusive and supportive environment for those children and staff who are at higher risk for severe COVID-19.

Q: Can a parent ask their child care program to support distance learning?

This is a business decision that should be made by individual programs.

Q: Are testing kits available to child care programs?

The Oregon Health Authority (OHA) has a limited supply of testing kits to distribute across the state. For the first time, there are tests available for a limited number of early learning programs. These kits are being allocated to support Head Start, Preschool Promise and Relief Nurseries across the state. Unfortunately, that means a number of child care programs still do not have access to free tests. We are working with OHA to identify additional resources to serve more early learning and child care programs throughout Oregon.

Free at home COVID-19 tests are available through the federal government’s website with a limit of four at-home tests per residential address.

While there are testing shortages, OHA is prioritizing testing for the following:

  • Individuals with moderate to severe illness who require medical care
  • Individuals with symptoms or exposure at high risk for complications who meet eligibility criteria for COVID-19 therapeutics

Symptomatic individuals with mild symptoms who do not require medical care may be advised to isolate while recovering and not be recommended for testing during supply constraints.

Q: Can a provider accept an at home COVID-19 test?


Q: Can you explain what is a “well-fitting mask” for children?

It’s any mask that fits snuggly and the child will wear reliably.

Q: Where can I find additional resources?

Oregon Health Authority COVID-19 Resources (general):

Oregon Health Authority COVID-19 Resources: Supporting Families Prenatally to Age 5:

Q: Is daily symptom screening still recommended?

Daily screening is no longer required. However, staff and family should be aware of COVID-19 symptoms, and individuals should be excluded if symptoms develop. If symptomatic, it is recommended they get tested for COVID-19.

Q: Are child care providers still required to notify Local Public Health if there is a positive COVID-19 case in their facility?

Yes, per ORS 333-019-0010, programs are required to report COVID-19 cases to the Local Public Health Authority.

CDC COVID Community Levels 

CDC’s COVID-19 Community Levels help communities and individuals make decisions on what COVID-19 prevention strategies to use based on disease transmission rates in the community. The metrics are updated weekly. You can refer to the CDC map for the latest information. These levels factor in a combination of COVID-19 hospitalization rates, healthcare capacity, and cases.

With counties’ transmission levels changing weekly, there is a need for increased prevention strategies in child care during “high risk” periods. When transmission is “high” in your community, we recommend the following:

  • Implement universal indoor masking. All individuals (aged 2 and older) should wear a well-fitting face –covering indoors regardless of vaccination status. Face coverings are effective at preventing the spread of COVID-19 and other respiratory diseases.
  • Stay up to date with COVID-19 vaccines. Information about vaccinations can be found at
  • Be aware of COVID-19 symptoms, and individuals should be excluded if symptoms develop. If symptomatic, it is recommended they get tested for COVID-19.
  • A child or staff member, regardless of vaccination status, should stay at home if they have primary symptoms of COVID-19 (fever, chills, shortness of breath, new cough, or new loss of taste or smell), or go home if symptoms develop while at a child care facility, and get tested.

Programs are required to report COVID-19 cases to their Local Public Health Authority. Review our COVID-19 Requirements and Recommendations:

JUNE 30, 2022

The Nurse Hotline service ended June 30, 2022. The no-cost hotline was established by the Early Learning Division and Oregon Health & Science University Child Care in 2021 to assist providers with COVID-19. Going forward, please consider contacting your Local Public Health Authority or medical provider with COVID-19 health related questions. For other child care questions, email us at

Visit the Local Public Health Authority website.


The Early Learning Division, in partnership with the Oregon Health Authority, updated requirements for managing COVID-19 in child care. Please continue to stay connected via the Child Care Updates newsletter.

Note: Staff and volunteers of school-based programs are not required to be boosted with vaccinations as described by being “up to date.” It is required that school-based program staff and volunteers be fully vaccinated. “Fully vaccinated” means having received both doses of a two-dose COVID-19 vaccine or one dose of a single-dose COVID-19 vaccine and at least 14 days have passed since the individual’s final dose of COVID-19 vaccine.

Learn the symptoms of COVID-19 on the CDC website.

Schools and School-Based Programs Vaccination Requirement

The “COVID-19 Vaccination Requirements for Teachers and School Staff” rule (OAR) 333-019-1030) applies to early learning and child care programs in school settings. It does not apply to programs that are not located in a school setting.

Child care, preschool and recorded programs operating in schools, meaning public, private, parochial, charter or alternative educational programs offering kindergarten through grade 12 or any part thereof, are covered by the rule.

The Oregon Health Authority has published Frequently Asked Questions about the rule and medical and religious exception forms for OAR 333-019-1030 (these links download Word forms). Questions for “Child Care Settings” are included in this document.

Child Care Providers are Eligible for the Vaccine Booster

All three vaccines are available as a booster dose for early care and education (ECE) employees. If you are an ECE employee and received the second dose of Pfizer or Moderna vaccine at least six months ago, you are now eligible for a booster dose. The CDC recommends everyone who received the Johnson & Johnson (J&J) vaccine get a booster or second dose of J&J at least two months after the first dose. A third dose of Moderna is recommended for immunocompromised people at least 28 days after the second dose. Click here for more eligibility information and resources.  

Provider Information Sessions

July 13, 2022  English Language Session
Slides in English

July 14, 2022 Spanish Language Session
Slides in Spanish

Visit our YouTube Channel Provider Information Sessions Playlist to view all previous information sessions.

May Provider Sessions

May 3, 2022  English Language Session
Slides in English  |  Slides in Russian Slides in Traditional Chinese  |  Slides in Vietnamese

The May 5, 2022 Spanish Language Session
Slides in Spanish

Emergency Background Checks

In March 2020, under Oregon’s declared COVID-19 state of emergency, the Early Learning Division (ELD) began to provide an expedited Emergency Background Check (EBC) process and an expedited Emergency Child Care (ECC) licensing process. ECC was defined in Executive Order 20-19. As of the first of the year 2022, the EBC has expired. You can read more about background check requirements here: Central Background Registry – Oregon Early Learning Division

Guidance for License Exempt Providers
ECC Substitute Referral Request

Child Care substitutes are vital to maintaining our early learning workforce and at this time, our substitute referral tool is not active. We look forward to launching a new subsidized substitute system in the near future. The Center on Early Learning and Youth Development (CELYD), in partnership with the Early Learning Division (ELD), is committed to supporting child care programs and early educators throughout Oregon.

Visit for an archive of all documents from the emergency COVID response period.