Serenity Light Recovery responds immediately and medically appropriate to the potential risk of an influx of clients with infectious diseases and/or an outbreak of clients that have contracted an infectious disease(s).


If and when a potential risk is apparent to the clients and staff, it is the Medical Director’s responsibility to assess, respond and implement a plan for addressing the potential risk and/or outbreak of the infectious disease.

The following elements shall be included in the MD plan:

  • Determine the severity and/or risk potential for Serenity Light Recovery
  • Determine if the risk is localized or system-wide
  • Determine if Serenity Light Recovery will continue to admit clients, continue to treat current clients, quarantine clients, and/or discontinue services for a specified time frame
  • Develop a plan for continuing care of infected clients, if so determined to continue services
  • Develop a plan for communicating information about the risks and/or outbreak of infectious disease(s) and updates on status of epidemic

The following elements shall be the Executive Director’s responsibilities:

  • Maintain constant communication with MD and carry out orders per MD plan
  • Utilize resources, such as the CDC and other state health agency web sites to keep current on potential risks, emergence of epidemics, and/or new infections
  • When risks arise and potential threat is seen, notify MD on situation and communicate to medical and all appropriate staff.

Staff is trained on assessing and identifying health risks among our clients and shall immediately report any identifying signs, symptoms, and/or behaviors to the medical staff. Medical staff examines, consults Serenity Light Recovery physician(s), and proceeds per MD orders.

All infectious disease emergencies are documented on incident reports, infection control log, and reported to the appropriate authorities by the Executive Director.

In accordance with OSHA Title I standards, Serenity Light Recovery has put precautionary steps in place to ensure that the spread of respiratory infectious diseases is minimized and will not increase the risk for personnel and/or clients. At the first report of an epidemic or pandemic, the organization shall implement the following:

  • Screens on all calls and/or potential admissions prior to the person coming to facility (primary response)
  • Medical screens (temperature and questions) upon arriving at the facility (primary response)
  • Medical screens on all staff prior to starting shift (secondary response)
  • Medical screens on all visitors prior to coming on property (secondary response)
  • Closing campus / property to all visitors, family members, etc. (tertiary response)


As an update to this Safety Program Report: the pandemic virus: COVID-19 has caused the organization to initiate preventive measures with screens, on campus processes, and external measures. All efforts have been documented and will be reviewed for efficacy once the pandemic warnings and cases have decreased in this region. To date, the facility, staff and clients are negative for any signs and/or symptoms. Emergency processes include:

  • Intake began initial phone screens with brief symptoms assessment and travel history
  • In person assessments / contacts were physically screened by medical personnel for symptoms
  • The Risk Assessment has been modified to include questions on travel, in contact with persons that traveled, respiratory issues / illnesses, and fever
  • Shine Team (housekeeping) has been instructed to sanitize all areas daily
  • Sanitizers, hand hygiene practices, and social distancing (within 6 ft of another person) have been communicated to all personnel and clients
  • Initially all visitors and IOP clients presented to medical office for medical screening, but after a week, the Leadership Team decided to implement a closed campus, so no visitors allowed
  • IOP clients will continue services via video conferencing and phone
  • All staff that has traveled, been on cruises, or come into contact with someone infected with COVID-19 is to self-quarantine for 14 days
  • A dedicated room is set up for medical assessments
  • All employees will begin a medical assessment at the start of each shift and scrub in prior to their work shift
  • Each department will sanitize their work stations and area after each shift, including computers, keyboards, phones, mouse, desktops, doorknobs, handrails, exercise equipment, and all other areas frequently touched and/or utilized.

Serenity Light Recovery takes the warnings and recommendations for COVID-19 seriously. We have in place policies and procedures that comply with the newly issued OSHA standards for respiratory infections and illnesses in the Medical Emergency – Infectious Disease(s) Outbreak and/or Risk of Outbreak. The Leadership Team continues to monitor the situation and attempts to implement the highest level of preventative measures possible with continuing to provide high quality services to existing clients. This pandemic is proving to have challenges, but the organization’s medical and clinical teams are qualified and dedicated to ensure that all remains stable, professional, and calm.