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Updated Policies during Covid

Updated COVID Quarantine and Testing Procedures

Therapeds Works continues to follow the CDC, County, and State guidelines and recommendations for the COVID pandemic. Per CDC guidelines updated 12/27/2021:

Given what we currently know about COVID-19 and the Omicron variant, CDC is shortening the recommended time for isolation from 10 days for people with COVID-19 to 5 days, if asymptomatic, followed by 5 days of wearing a mask when around others. The change is motivated by science demonstrating that the majority of SARS-CoV-2 transmission occurs early in the course of illness, generally in the 1-2 days prior to onset of symptoms and the 2-3 days after. Therefore, people who test positive should isolate for 5 days and, if asymptomatic at that time, they may leave isolation if they can continue to mask for 5 days to minimize the risk of infecting others.

Additionally, CDC is updating the recommended quarantine period for those exposed to COVID-19. For people who are unvaccinated or are more than six months out from their second mRNA dose (or more than 2 months after the J&J vaccine) and not yet boosted, CDC now recommends quarantine for 5 days followed by strict mask use for an additional 5 days. Alternatively, if a 5-day quarantine is not feasible, it is imperative that an exposed person wear a well-fitting mask at all times when around others for 10 days after exposure. Individuals who have received their booster shot do not need to quarantine following an exposure, but should wear a mask for 10 days after the exposure. For all those exposed, best practice would also include a test for SARS-CoV-2 at day 5 after exposure. If symptoms occur, individuals should immediately quarantine until a negative test confirms symptoms are not attributable to COVID-19.

Isolation relates to behavior after a confirmed infection. Isolation for 5 days followed by wearing a well-fitting mask will minimize the risk of spreading the virus to others. Quarantine refers to the time following exposure to the virus or close contact with someone known to have COVID-19. Both updates come as the Omicron variant continues to spread throughout the U.S. and reflects the current science on when and for how long a person is maximally infectious.

If You Test Positive for COVID-19 (Isolate)
Everyone, regardless of vaccination status.
▪ Stay home for 5 days.
▪ If you have no symptoms or your symptoms are resolving after 5 days, you can leave your house.
▪ Continue to wear a mask around others for 5 additional days.
▪ If you have a fever, continue to stay home until your fever resolves.
• If You Were Exposed to Someone with COVID-19 (Quarantine)

If you: Have been boosted OR Completed the primary series of Pfizer or Moderna vaccine within the last 6 months OR Completed the primary series of J&J vaccine within the last 2 months
▪ Wear a mask around others for 10 days.
▪ Test on day 5, if possible.
▪ If you develop symptoms get a test and stay home.

If you: Completed the primary series of Pfizer or Moderna vaccine over 6 months ago and are not boosted OR Completed the primary series of J&J over 2 months ago and are not boosted OR Are unvaccinated
▪ Stay home for 5 days. After that continue to wear a mask around others for 5 additional days.
▪ If you can’t quarantine you must wear a mask for 10 days.
▪ Test on day 5 if possible.
▪ If you develop symptoms get a test and stay home o Children < 2 years of age, or other individuals who are unable to wear a mask.
▪ People who cannot wear a mask, including children < 2 years of age and people of any age with certain disabilities, should isolate (if infected) and quarantine (if exposed) for 10 days.
▪ People who have moderate or severe illness
▪ People who have moderateexternal icon COVID-19 illness should isolate for 10 days.
▪ People with severe COVID-19 illness (e.g., requiring hospitalization, intensive care, or ventilation support) should isolate for at least 10 days and may need to isolate longer after symptom onset. They should consult with their healthcare provider to determine the appropriate duration of isolation.
▪ People who are immunocompromised
▪ This guidance is not intended for people who are immunocompromised who might have a longer infectious period.

For guidance on moderately or severely immunocompromised people with COVID-19 in non-healthcare settings, please see Ending Isolation and Precautions for People with COVID-19: Interim Guidance (
• If a staff member, patient, or family member is tested for COVID please refrain from attending work or therapy until the results are confirmed negative. Persons are instructed to quarantine while pending results for a covid test.
• Staff member must turn in a negative covid result to their supervisor.

*This is an approved revision of Policy#34 named Updated Covid Quarantine and Testing Protocol from November 10, 2021. Policy #4A is considered null and void.

Written and approved by Kelli Easley, CEO

For the full updated COVID policy click here.

We are looking forward to seeing all of our friends back in Clinic!

Although we have remained open during the Covid-19 emergency we were also able to provide teletherapy sessions along with in clinic session. Beginning May 4, 2020 we will be resuming all in-clinic ST, OT, and ABA appointments.

Things will look a little different in the clinic as we establish a “new normal” for ourselves. We will continue to practice social distancing and will have no toys available in the waiting rooms at this time.

Please do not bring toys from home into clinic. We are asking that parents continue to wait in their cars, when appropriate, while their child attends therapy sessions.

We will allow one parent back with the child during therapy but are asking that siblings not attend the therapy sessions at this time. If this is a concern please speak with your therapist or a supervisor. We are happy to work with you! 

We will also be asking therapist to wear mask during therapy sessions (as recommended by Gov. Abbott and the CDC) for the next few weeks. Patients will be washing hands at the start and completion of each session with their therapist. Session length will be a few min. shorter as we will allow for cleaning time between each patient. We will ask that no outside food or drink be brought into the waiting at this time. Food will be allowed for our feeding therapy sessions and we will only be using disposable utensils at this time. 

We are continuing to follow strict cleaning guidelines throughout the clinic. If you have any questions please reach out to us! Thank you for your understanding and working with us through out these changing times.


1. Return to work guidelines. Click here to read

2. Wash your hands poster. Click here to read

3. Wear a mask social story. Click here to read

We’ve Added TeleTherapy To Help Reduce Exposure

Therapeds Works remains open however we are offering TELETHERAPY to those that qualify. Please contact your therapist for more information. As we continue to remain open we ask that parents attend the session or wait in  cars when available to limit the number of people in our waiting room at one times. We continue to clean and sanitize and follow precautions as usual!

We have a mix of therapist deciding to stay in clinic or go telehealth so I want families to know both are acceptable. 

Below is the Bell County FAQ and it shows our medical facility can remain open...

COVID-19 Update

At this time, our office remains open. We take the health of our families very seriously, and are taking every precaution necessary to keep staff & your family safe. Please read below for more details about the precautions we have put into place.                     

1. Our office is deep cleaned twice a week by a professional cleaning staff. Every morning before families arrive, we disinfect our whole office, including all waiting room toys. Additionally, our therapy rooms are disinfected between every visit. As a precaution, we will be removing most toys from the waiting room to decrease the transmission of germs. We are being very diligent about cleaning, you might need to wait a few extra minutes before your session starts to allow time for the cleaning.

2. We will be washing our hands and clients hands at the beginning and end of each session.

3. If, prior to your session start, you prefer to wait in your car to avoid the office waiting room, please make sure your therapist has the best phone number to reach you. That way, your therapist can text you when they are ready for your session to start.

4. For the month of March, we will be waiving our cancellation fee for any families that calls to let us know if they are running a fever or not feeling well. We work with some immunocompromised children and their safety is our first priority. No shows will still be billed as usual so please be in contact with us should you need to cancel.

5. If our therapists suspect a client attending a session is sick, the therapist will immediately send the client home as a precaution.

6. We will be conducting therapy sessions in our private treatment rooms as usual and will limit contact with others present in the clinic by allowing no more that 2-3 patients in the gym or a room at a time as best we can. (ABA will be doing our best to limit the number of patients in a room at a time.)

7. If parents feel uneasy about bringing their child to therapy, please call to cancel with no penalty per the attendance policy.

Fun & Function

Video gaming consoles are being used in therapy more frequently.

Gaming provides a multitude of physical, cognitive, and social demands during treatment.

We have added gaming devices as a modality for therapies. We have the Nintendo Switch, Wii U, and OSMO.

Gaming is now an important occupation for current and upcoming generations. It can be used to simulate a task patients do find meaningful.

Ask us more about our gaming devices we will be using in therapy!”

Sensory Processing

I often receive questions from parents and friends about sensory processing in children. Sensory Processing is becoming more of a topic discussed in doctor appointments, daycares, and between parents as we begin to understand how our bodies and our children’s bodies work.

Sensory processing refers to the way the nervous system receives messages from the senses and turns them into responses ( We tend to think of our senses as taste (gustatory), touch (tactile), smell (olfactory), sight (visual), and hearing (auditory). We also now consider additional sensory systems including our vestibular system and proprioception. Our vestibular system provides our brain with information about head position, motion, and spatial orientation. It is also involved with motor functions that allow us to balance and stabilize our head and body during movement as well as maintain posture ( Proprioception (kinesthesia) refers to your perception or awareness of the orientation of your body in your environment ( Proprioception can be thought of as a constant feedback loop within your nervous system, telling your brain what position you are in and what forces are acting upon your body at any given time. An example of this is knowing that you can tell your arm is raised above your head even when your eyes are closed.

How all this information from our senses is received and processed is essentially sensory processing. To keep it simple, lets divide sensory processing into two types: hypersensitive and hyposensitive.

Hyper means excess or exaggeration (oversensitivity). Hypersensitive children tend to avoid sensations. This can be seen in kids who avoid touching the wet, sticky, slimy foods because their sensory system can register the feeling of that texture as unpleasant leading to avoidance of that texture. They can refuse to wear certain clothing because it feels scratchy, avoid hugs and cuddling, or be fearful of swings and playground equipment.  

Hypo means under or beneath (under sensitivity). Hyposensitive kids can appear sensory seeking because their sensory systems require a lot of stimulation to register the feeling and process it. Sometimes these kids will want to touch everything in view, need to move around a lot or be fidgety, and partake in more than usual rough and tumble play.

The question is: How does sensory processing affect us and our children?

Sensory processing disorder (SPD) is a condition in which the brain has trouble receiving and responding to information that comes in through the senses.

Kids with sensory issues may exhibit extreme behaviors when we wouldn’t necessarily expect them. This could look like screaming when their face gets wet, lashing out or becoming aggressive while getting dressed because the feeling of the clothes on their bodies it too overwhelming, or agitation/fear at the grocery store because the lights and noise are too much to handle. This can lead to tantrums and troubles with transitions.

Who can help?

Occupational Therapists (OT) are the specialists who can help children with sensory issues. OTs will engage kids in activities that are designed to help regulate their sensory input. When kids are better regulated, they feel more comfortable and are able to focus and complete tasks they enjoy or that are required. Some examples of therapy activities might be riding a scooter board on your stomach across the floor, jumping on a trampoline, swinging in a specialized swing, or desensitization while finding a buried toy in sand. OTs can create “sensory diets” or maps to help kids throughout the day with regulating their sensory systems, giving breaks at intervals and times of need.

To learn more about how Occupational Therapy can help your child with sensory processing concerns give us a call today!


Miller, Lucy Jane. “Understanding Sensory Processing Disorder.” Sensory Processing Disorder – STAR Institute,

Miller, Lucy Jane. “Understanding Sensory Processing Disorder.” Sensory Processing Disorder – STAR Institute,

Time For Santa Boxes

We are hosting letters to Santa boxes at both our clinics! Your child can leave a letter for Santa….and an elf told us there is a good chance your child will receive a letter back from the “Big Guy” himself!!!!