WINTER/SPRING: RETURN TO CAMPUS

1. PRE-ARRIVAL
   1. All SA’s must present a negative COVID-19 RT-PCR test result to their team’s designated athletic trainer prior to their return to USD’s campus. The COVID-19 RT-PCR test must have been administered within a 5-day window prior to their arrival.   
   2. If a negative COVID-19 RT-PCR test result is not presented prior to SA’s arrival to USD campus it will be mandatory for SA’s to quarantine at their USD residence for 7 days.
2. UPON ARRIVAL TO USD
   1. All SA’s must quarantine for 5 days upon arrival.
   2. Student-athletes can leave their residence only for individual outdoor workouts, campus dining hall (SLP if they live on campus), or out of medical necessity (pharmacy, or to secure additional testing). All grocery and household shopping must be done in advance of quarantine.
   3. During this 5-day quarantine SA’s will be tested on day one and on day four.
   4. Once SA’s have completed their 5-day quarantine with 2 negative test results, they will be cleared to engage in athletic practice activity. This will be a total of 3 negative PCR tests within 10 days.
3. VOLUNTARY WORKOUT ACTIVITY – PRIOR TO TEAM REPORT DATE
   1. A negative USD COVID-19 RT-PCR test result upon arrival to USD will be mandatory in order to gain access to USD athletic facilities for voluntary workouts prior to team’s scheduled report date.
   2. Official captains practice will NOT be permissible this year.
   3. Baseball and Softball will have the opportunity to access their outdoor facility during predetermined hours provided by the Sports Medicine and Sports Performance Staff. A USD Staff member (MUST be sports performance or sports medicine staff) must be present at all times during athletic activity. NO more than 8 SA’s at any given time are permitted at the baseball and softball outdoor facilities (including cages).
4. SCREENING, CONTACT TRACING, RETURN TO PLAY AFTER POSITIVE RESULT
   1. Screening
      1. Only those SA’s with an approved daily health screen confirmation email will report to the ATR to assess temperature.
      2. Any SA who has an approved health screen, AND has a temperature less than 100°F, will be given a wristband signifying SA is allowed to enter athletic facilities.
   2. Contact Tracing (revised December 15, 2020 Pursuant to San Diego County Public Health Order)
      1.  Contact tracing will be administered by the County of San Diego with assistance from the USD Student Health Center and USD Sports Medicine Staff.
      2. Any SA, that through contract tracing is identified as having had close contact with anyone that tests positive for COVID-19 must quarantine pursuant to San Diego County Public Health Order, for at least 10 days and up to 14 days after the last contact with a COVID-19 positive individual.
      3.  If an SA does not develop symptoms during the 10-day quarantine period, the individual may end quarantine after 10 days but MUST continue to adhere to the following risk mitigation factors from day 11 through day 14; masking and maintaining social distancing of at least 6 feet from all individuals (including during all athletic training and practice activity occurring on days 11-14 of an individual’s last exposure to a COVID-19 positive individual)
      4. Any SA that is contact traced due to exposure to COVID-19 and required to quarantine will receive a COVID-19 RT-PCR molecular test on day 5 OR day 6, and also on day 9 OR day 10 of an individual’s quarantine. Any SA that develops COVID-19 symptoms while in quarantine will have a COVID-19 RT-PCR test arranged for them as soon as possible.
      5. Per San Diego County health order, it is not possible to test out of quarantine. Receiving a negative PCR test result subsequent to a positive test result does not result in the original test result being considered a “false positive”, and therefore does not exempt an individual from quarantine.
      6. SA’s that are in on-campus quarantine housing will not be permitted to leave quarantine housing for testing unless SA’s develop COVID-19 symptoms. These SA’s will be tested on completion of their quarantine.
      7. Additional County Guidance on Home Quarantine.
      8. If SA’s are requested to take a University administered COVID-19 test, independent of athletics-related testing (e.g. residential life), it is mandatory that they do so.
      9. COVID RT-PCR testing will occur through Rady Children's Hospital, San Diego County testing sites or through team physicians.
5. RETURN TO PLAY FOR SA'S THAT TEST POSITIVE FOR COVID-19
   1. SA’s that test positive for COVID-19 will be required to self-isolate according to CDC and San Diego County Guidance. The USD Student Health Center will be contacted immediately.
      1. As noted above, per San Diego County health order, it is not possible to test out of quarantine.
   2. All symptomatic SA’s must be 10 days from the onset of COVID-19 symptoms or being diagnosed as COVID-19 positive AND 24 hours without fever, AND COVID-19 symptoms have significantly improved prior to ending isolation. If a SA has had COVID-19 symptoms and has not been tested, they are presumed COVID-19 positive and will be managed as if they have COVID-19.
   3. All asymptomatic SA’s must be 10 days from their first positive COVID-19 test, and have had no onset symptoms during that time in order to end isolation.
   4. Return to play decisions will be overseen by Primary Care Sports Medicine Physicians, and/or the team cardiologist. An SA who has tested positive for COVID-19 and is asymptomatic and/or has experienced mild symptoms (consisting of common cold like symptoms with no fever) must be seen for clearance by the Primary Care Sports Medicine physicians. An SA who has tested positive for COVID-19 AND is symptomatic (moderate to severe symptoms including but not limited to fever, flu-like illness, chest symptoms, or hospitalization) will at minimum be seen for clearance by Primary Care sports medicine physicians. The Primary Care physician will then make the determination on whether the individual needs to be referred to a cardiologist for cardiac clearance prior to being cleared to engage in athletic activity. This will consist of at minimum an EKG and Echocardiogram.
   5. Any SA that has tested positive for COVID-19 will not be retested for up to 3 months unless they develop symptoms again, per CDC Guidance
6. RETURN TO PLAY AFTER MULTIPLE SA'S TEST POSITIVE FOR COVID-19
   1. On rosters with more than 20 SA's: Pursuant to The California Department of Public Health’s Guidance for Institutions of Higher Education, if more than 10% of SA’s on any given team roster test positive for COVID-19 within a 14-day period, all team practice activity will be temporarily shut down until further notice. For team rosters with less than 20 total SA’s, if more than 5 SA’s on the team roster test positive for COVID-19 within a 14-day period, all team practice activity will be temporarily shut down until further notice.
   2. On rosters with less than 20 total SA's: If TWO SA’s on any given team roster test positive for COVID-19 within a 14-day period, all SA’s, on that team’s roster will receive a COVID-19 test and all athletic activity on that team will be suspended until receipt of negative test results. If THREE SA’s on any given team roster test positive within a 14-day period, all athletic activity for that team will be suspended indefinitely pending contact tracing and analysis.

FALL RETURN: SCHOLAR-ATHLETES

SCHOLAR-ATHLETES

1. PRE-ARRIVAL PROTOCOL
   1. Physical Examination
      1. All SA’s are required to have a pre-participation physical prior to arriving on USD’s campus. All SA’s must have a pre-participation physical conducted by a Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) in one of the following specialties: Family practice, Primary Care Sports Medicine, Internal Medicine, Pediatrics,
         Orthopedics
   2. Self- Quarantine Upon Arrival in San Diego County
      1. All domestic SA’s must self-quarantine pursuant to San Diego County Public Health Order: for seven days prior to being granted access to USD’s facilities and clearance for workouts. A signed attestation prior to the start of an individual’s self-quarantine, and at the completion of an individual’s self-quarantine will be mandatory. Completion of the USD Daily Health Screening survey will be mandatory beginning on the first day of self-quarantine. (Pre-Quarantine Attestation Sample is provided on Page 20)
   3. Testing
      1. All returning domestic SA’s will receive a Covid-19 RT-PCR molecular test on Day Five of their seven-day self-quarantine, AND must have a negative test result prior to clearance for use of athletic facilities and participation in workout and skill activity sessions. All SA’s returning from an international location will receive a Covid-19 RT-PCR molecular test on Day Twelve of their 14-day quarantine.
      2. All RT-PCR molecular testing for the fall semester will occur through Rady Children’s Hospital. COVID-19 test results are typically provided within 48-72 hours. Additional guidance on self-quarantine procedures will be provided to SA’s residing off campus.
      3. SA’s required to do any additional isolation due to positive test result or additional quarantine due to exposure, will do so in their own personal off-campus residence, or if living on campus, they will do so in USD’s designated quarantine housing. Decisions regarding housing for SA’s living on-campus will be determined in collaboration with family and San Diego County. If the SA’s family is local, isolating with family will be expected.
      4. Any SA that has tested positive for COVID-19 will not be retested for up to three (3) months unless they develop symptoms again, per CDC Guidance.
      5. If SA's are requested to take a University administered COVID-19 test, independent of athletics-related testing (e.g. residential life), it is mandatory they do so.
   4. Pre-Arrival Screening
      1. A daily USD Sports Medicine Staff screening is mandatory prior to access to athletic facilities. USD’s Sports Medicine Staff screening will include completion of the daily USD Health Screening Survey and a temperature check.
      2. A daily symptom screening will be conducted for all SA’s. Each morning all SA’s will receive an email from Qualtrics. The email will contain a self-declaration daily health check that asks SA’s to report:
         1. (1) If they intend to come to campus that particular day, (2) health symptoms, (3) recent travel and exposure to others with COVID-19
         2. Responses that rule out symptoms and recent travel and COVID-19 exposure will generate an automated approval notification to the SA, certifying that they are cleared to enter campus on that day.
         3. If an SA does not receive an “approved” status on their USD Daily Health Screen, the SA will be contacted by their assigned athletic trainer in order to gather more information. The SA may be advised to self-isolate and contact the USD Student Health Center.
   5. Timeline for SA’s currently in San Diego County
      1. August 16: Seven-day quarantine begins for all SA’s in San Diego
      2. August 20: COVID-19 test administered on campus for all SA’s (test date subject to change). COVID-19 test results will be received on August 21/22
      3. August 23: Seven-day quarantine ends at 7:59 a.m.
      4. August 24: SA’s with a negative COVID-19 test result will be eligible to begin athletic participation.
2. UPON ARRIVAL AT USD
   1. Screening
      1. Only those SA’s with an approved daily health screen confirmation email will report to the ATR to assess temperature.
      2. Any SA who has an approved health screen, AND has a temperature less than 100°F, will be given a wristband signifying SA is allowed to enter athletic facilities.
   2. Contact Tracing(revised December 15, 2020 Pursuant to San Diego County Public Health Order)
      1. Contact tracing will be administered by the County of San Diego with assistance from the USD Student Health Center and USD Sports Medicine Staff.
      2. Any SA, that through contract tracing is identified as having had close contact with anyone that tests positive for COVID-19 must quarantine pursuant to San Diego County Public Health Order, for at least 10 days and up to 14 days after the last contact with a COVID-19 positive individual.
      3. If an SA does not develop symptoms during the 10-day quarantine period, the individual may end quarantine after 10 days but MUST continue to adhere to the following risk mitigation factors from day 11 through day 14; masking and maintaining social distancing of at least 6 feet from all individuals (including during all athletic training and practice activity occurring on days 11-14 of an individual’s last exposure to a COVID-19 positive individual)
      4. Any SA that is contact traced due to exposure to COVID-19 and required to quarantine will receive a COVID-19 RT-PCR molecular test on day 5 OR day 6, and also on day 9 OR day 10 of an individual’s quarantine. Any SA that develops COVID-19 symptoms while in quarantine will have a COVID-19 RT-PCR test arranged for them as soon as possible.
      5. SA’s that are in on-campus quarantine housing will not be permitted to leave quarantine housing for testing unless SA’s develop COVID-19 symptoms. These SA’s will be tested on completion of their quarantine.
      6. Additional County Guidance on Home Quarantine.
      7. If SA's are requested to take a University administered COVID-19 test, independent of athletics-related testing (e.g. residential life), it is mandatory they do so. 

FALL RETURN: COACHES AND STAFF

1. PRE-ARRIVAL PROTOCOL
   1. Self-Quarantine
      1. It is mandatory that all USD athletics inner bubble members receive a COVID-19 RT PCR molecular test. It is strongly encouraged that all USD athletics inner bubble members self-quarantine for seven days prior to coming to USD’s campus. A signed attestation prior to the start of an individual’s 7-day self-quarantine and at the completion of an individual’s self-quarantine will be provided.
      2. All USD athletics employees and staff who are not members of the inner bubble should receive a COVID-19 RT PCR molecular test prior to returning to campus, pursuant to the University of San Diego’s Employee Guide to Return to Work on Campus.
   2. Pre-Arrival Daily Screening
      1. A daily symptom screening will be conducted for staff members working on campus. Each morning all USD faculty and staff will receive an email from Qualtrics. The email will contain a self-declaration daily health check that asks faculty and staff to report:
         1. (1) If they intend to come to campus that particular day, (2) health symptoms, (3) recent travel and exposure to others with COVID-19
         2. Responses that rule out symptoms, recent travel and COVID-19 exposure will generate an automated notification to the USD staff member and to their supervisor, certifying that the staff member is cleared to enter campus on that day.
         3. Any USD athletic coach, staff member, or employee who does not pass the symptom screen will be required to stay home and contact their primary care physician. 
2. UPON ARRIVAL AT USD
   1. Testing
      1. It is strongly encouraged that All USD employees whose jobs require close contact with SA’s (including, but not limited to USD coaches, sports medicine staff, athletic performance staff, and administrators) receive a COVID-19 RT PCR molecular test.
   2. Screening
      1. Before entering any campus athletic facility, USD staff members will report to their designated campus temperature screening location. The individual will be required to show their daily certification email confirmation from Qualtrics; have their temperature taken with a non-contact thermometer; and click on the Qualtrics link to verify the temperature check. This will generate a message stating that they are certified to be on campus, and they will then be provided a wristband to wear before entering the facilities.
      2. Anyone with a temperature of > 100°F will be sent home and required to contact their primary care physician.
   3. Contact Tracing
      1. Contact tracing will be administered by the County of San Diego with assistance from the USD Student Health Center and USD Sports Medicine Staff.
      2. Any inner bubble member who has had close contact with anyone that has tested positive for COVID-19 is required to quarantine for at least 10 days and up to 14 days pursuant to San Diego County Public Health Order. Human resources will be contacted immediately. Any USD athletics staff member that has been required to quarantine for 10 days will receive a COVID-19 RT-PCR molecular test on day 5 OR day 6, and also on day 9 OR day 10 of quarantine. A negative test result will be mandatory prior to being granted access to campus athletic facilities.
      3. If an inner bubble member does not develop symptoms during the 10-day quarantine period the individual may end quarantine after 10 days but MUST continue to adhere to the following risk mitigation factors from day 11 through day 14; masking and maintaining social distancing of at least 6 feet from all individuals (including during all athletic training and practice activity occurring on days 11-14 of an individual’s last contact)
   4. Per San Diego County health order, it is not possible to test out of quarantine. Receiving a negative PCR test result subsequent to a positive test result does not result in the original test result being considered a “false positive”, and therefore does not exempt an individual from quarantine.
      1. If an inner bubble member does not develop symptoms during the 10-day quarantine period the individual may end quarantine after 10 days but MUST continue to adhere to the following risk mitigation factors from day 11 through day 14; masking and maintaining social distancing of at least 6 feet from all individuals (including during all athletic training and practice activity occurring on days 11-14 of an individual’s last contact)

HIGH-RISK INDIVIDUALS

1. UNDERLYING HEALTH CONDITIONS
   1. Increased Risk - Underlying Health Conditions
      1. The CDC has established that individuals that have the following underlying health conditions are at increased risk for severe illness from COVID-19. Bolded conditions are those most likely to be prevalent amongst SA’s.
         1. Chronic kidney disease
         2. COPD (chronic obstructive pulmonary disease).
         3. Immunocompromised state from solid organ transplant
         4. Obesity (body mass index BMI≥30)
         5. Serious heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies.
         6. Sickle cell disease
         7. Type 2 diabetes mellitus
   2. Increased Risk – Additional underlying health conditions
      1. The CDC has advised that individuals with the following conditions might also be at an increased risk for severe illness from COVID-19
         1. Asthma (moderate to severe)
         2. Cerebrovascular disease
         3. Cystic fibrosis
         4. Hypertension or high blood pressure
         5. Immunocompromised state from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
         6. Neurologic conditions (such as dementia)
         7. Liver disease
         8. Pregnancy
         9. Pulmonary fibrosis
         10. Smoking
         11. Thalassemia
         12. Type 1 diabetes mellitus
   3. Mitigation
      1. SA’s, and Athletic Department Employee and staff members that that have been identified to have any of the high-risk conditions listed above will be asked to strictly adhere to protocols to help mitigate exposure to COVID-19. If it is possible for an employee’s job responsibilities to be conducted remotely, an opportunity to work remotely will be provided.
      2. All athletic workouts, practices, and/or skill activity will be voluntary. SA’s will be given the option to opt out of any athletic activity at any time. 

CDPH GUIDANCE FOR USE OF FACE COVERINGS

1. GUIDANCE
   1. The State of California requires individuals to wear face masks during the following high-risk situations listed below. The following situations apply to USD athletics:
      1. Inside of, or in line to enter, any indoor space
      2. Waiting for or riding on public transportation or paratransit or while in a taxi, private car service or ride-sharing vehicle
      3. Engaged in work, whether at the workplace or performing work off-site, when:
         1. Interacting in-person with any member of the public;
         2. Working in any space visited by members of the public, regardless of whether anyone from the public is present at the time;
         3. Working in or walking through common areas, such as hallways, stairways, elevators and parking facilities
         4. In any room or enclosed area where other people (except for members of the person’s own household or residence) are present when unable to physically distance 
2. INDIVIDUALS BELOW ARE EXEMPT FROM WEARING A FACE COVERING
   1. Person’s with a medical condition, mental health condition, or disability that prevents wearing a face covering. This includes persons with a medical condition for whom wearing a face covering could obstruct breathing or who are unconscious, incapacitated, or otherwise unable to remove a face covering without assistance.
      1. Persons exempted from wearing a face covering due to medical condition who are employed in a job involving regular contact with others should wear a non-restrictive alternative, such as a face shield with a drape on the bottom edge, as long as their condition permits it.
   2. 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.
   3. Persons for whom wearing a face covering would create a risk to the person related to their work, as determined by local, state, or federal regulators or workplace safety guidelines.
   4. Persons who are obtaining a service involving the nose or face for which temporary removal of the face covering is necessary to perform the service.
   5. Persons who are engaged in outdoor work or recreation such as swimming, walking, hiking, bicycling, or running, when alone with household members, and when they are able to maintain a distance of at least six feet from others.
   6. Persons who are seated at a restaurant or other establishment that offers food or beverage services, while they are eating or drinking, provided that they are able to maintain a distance of at least six feet away from persons who are not members of the same household or residence.
3. FACE COVERING ADDITIONAL DETAILS
   1. Washing
      1. Wash face covering frequently, ideally after each use, or at least once daily. Use a large bag and/or bin to store face coverings until they are able to be properly washed. Proper washing includes: washing with detergent and hot water, and dry on a hot cycle.
      2. When to Discard Face Coverings
         1. No longer cover the nose and mouth
         2. Have stretched out or damaged ties or straps
         3. Cannot stay on the face
         4. Have holes or tears in the fabric