Depending on the type of facility and the alert level in the territory where they live, people who are hospitalized, who are clients or who live in a residential and long-term care centre (CHSLD), an intermediate or family-type resource (RI-RTF) or private seniors' home (RPA) must follow specific guidelines. These exceptional measures are intended to limit the spread of COVID-19.

Whatever their situation, when people return to their facility, all infection prevention and control measures must be rigorously applied.

In the event of a fire in a RPA, RI-RTF or CHSLD, additional measures must be put in place during the evacuation and at the gathering point (PDF 56 Kb) to prevent the spread of COVID‑19.

Visits to CHSLDs, RI-RTFs or RPAs that do not have an outbreak

In territories where the alert level is level 1 (green) or 2 (yellow), visits to CHSLDs, RI-RTFs and RPAs that do not have an outbreak are allowed, provided visitors and informal caregivers comply with specific infection prevention and control requirements. The number of people allowed varies depending on the facility in question.

To find out the alert level and the requirements in your territory, consult the Map of COVID-19 alert levels by region page.

In territories where the alert level is level 3 (orange), visits to CHSLDs are not allowed except for visits by informal caregivers or for humanitarian reasons. However, visits inside an RI-RTF or the rental unit of an RPA or on the grounds outside these facilities are still allowed subject to compliance with specific requirements. The number of people allowed varies depending on the facility in question.

To find out the alert level and the requirements in your territory, consult the Map of COVID-19 alert levels by region page.

In territories where the alert level is level 4 (red), visits to CHSLDs, RI-RTFs or RPAs are not allowed except for visits by informal caregivers or for humanitarian purposes.

Facilities that have an outbreak

For facilities that have an outbreak (more than 2 confirmed cases), informal caregivers who provide significant help or support to a person in a CHSLD, intermediate resource or family‑type resource (SAPA program) or private seniors’ home may continue to access the facility, provided they comply with specific conditions in this regard. These conditions and other information are presented on the page Informal caregivers during the coronavirus disease (COVID‑19) pandemic.

In the event of a localized outbreak in the facility, visitors may, under certain conditions, be allowed to access unaffected units in the CHSLD, intermediate resource or family‑type resource (SAPA program) or private seniors’ home with the authorization of the institution's Infection Prevention and Control (IPC) Officer or the Director of Public Health.

Visitors must be accompanied to make sure there are no criteria for exclusion and to supervise the application of the required IPC measures.

The exclusion criteria are as follows:

  • people with COVID‑19 infection;
  • people with suspected COVID‑19 infection because they have compatible symptoms;
  • symptomatic people waiting on a COVID‑19 test result;
  • people who have had significant contact with a confirmed case;
  • people who have been told to self-isolate by a public health authority.

Instructions for visits to CHSLDs, RPAs and RI-RTFs

Informal caregivers and visitors must be accompanied to make sure there are no criteria for exclusion and to supervise the application of the required IPC measures during visits to CHSLDs, RPAs and RI-RTFs.

The exclusion criteria for informal caregivers and visitors are as follows:

  • people with COVID-19 infection;
  • people with suspected COVID-19 infection because they have compatible symptoms;
  • symptomatic people waiting on a COVID-19 test result;
  • people who have had significant contact with a confirmed case;
  • people who have been told to self-isolate by a public health authority.

When visitors come from a territory that is not at the same alert level as the territory where the facility is located, the instructions for the most restrictive level apply.

All visitors 2 years of age and older must wear a mask or face covering inside and outside the facility.

Whatever their age, visitors must follow the instructions on the Instructions and directives page.

Visitors must provide their contact information in an entry and exit management register so that they can be contacted promptly by a public health authority in the event of an outbreak. Visitors who refuse to provide this information will not be allowed to enter the facility.

Outings

People who live in a CHSLD

In territories where the level of alert is level 1 (green) or 2 (yellow), residents may go on unsupervised outings or participate in get-togethers outside the CHSLD.

In territories where the alert level is level 3 (orange) or 4 (red) as well as in the event of preventive isolation or an outbreak, outings are no longer allowed, except for outings for medical reasons, walks taken outdoors allowed under certain conditions.

For people who live in an RI-RTF

People who live in an RI-RTF in the Support for Seniors’ Autonomy, Intellectual Disability-Physical Disability-Autism Spectrum Disorder, Mental Health and Dependency service programs that do not have an outbreak can go on unsupervised outings or participate in a get together outside the resource. However, in territories where the alert level is level 3 (orange), it is recommended that outings be limited. In territories where the alert level is level 4 (re), it is strongly recommended to limit the frequency of outings such as medical appointments and socio-professional activities.

The person must be aware of the risk associated with the community spread of COVID 19 when they go on an outing. They must also be able to follow public health guidelines regarding physical distancing of two metres during their outing.

In RI-RTFs where there is an outbreak, outings in the community are not allowed. However, in the event of a partial outbreak, people who are not in isolation are allowed to take walks outdoors.

Young people placed in RI-RTF must comply with different requirements, since they are adapted to their situation. These guidelines are known to institutions (CISSS, CIUSSS) and those in charge of RI-RTF.

For people who live in an RPA

Residents of RPA where there is no outbreak may go outside unsupervised. They must wear a mask or face covering in the common areas of the private seniors’ home.

However, in territories where the alert level is level 3 (orange) or 4 (red), it is strongly recommended that outings be limited as much as possible by encouraging online shopping and the use of home delivery services (restaurant, pharmacy, etc.).

In RPAs where there is an outbreak or that are in preventive isolation, outings in the community are not allowed. However, in the event of a partial outbreak, walks outdoors may be allowed with authorization from the IPC team.

It is essential that these residents follow the health recommendations for everyone at all times.