accination is a vital tool to reduce the presence and severity of COVID-19 cases in the workplace, in communities, and in the nation. Home Aide Complete, LLC has adopted this policy on mandatory vaccination to establish critical safeguards for the health of all people, their families, and the providers who care for them. Scope: This Mandatory COVID-19 Vaccination Policy applies to all staff who provide services for Home Aide Complete, LLC’s Medicare and Medicaid programs, regardless of clinical responsibility or patient contact. The requirement includes all current staff as well as any new staff who provide any care, treatment, or other services for the organization and/or its patients. This includes facility employees, licensed practitioners, students, trainees, and volunteers. Additionally, this also includes individuals who provide care, treatment, or other services for the organization and/or its patients under contract or other arrangements. Individuals who provide services 100 percent remotely and who do not have any direct contact with patients and other staff at any time are not subject to the vaccination requirements outlined in this regulation. Policy: Home Aide Complete, LLC must fulfill the staff vaccination requirements over two phases. For Phase 1, staff must have received, at a minimum, the first dose of a primary series or a single dose COVID-19 vaccine prior to staff providing any care, treatment, or other services for the organization and/or its patients by January 27, 2022. For Phase 2, staff must complete the primary vaccination series (except for those staff for whom COVID-19 vaccination must be temporarily delayed, as recommended by CDC) by February 28, 2022. Home Aide Complete will not be accepting any exemption requests, however, employees may be legally entitled to a reasonable accommodation if they cannot be vaccinated because of a disability within the extent of the law. • Staff are considered fully vaccinated if it has been two weeks or more since they completed a primary vaccination series for COVID-19. However, staff who have completed the primary series for the vaccine received by the Phase 2 implementation date are considered to have met these requirements, even if they have not yet completed the 14-day waiting period required for full vaccination. • The completion of a primary vaccination series for COVID-19 is defined as the administration of a single-dose vaccine (such as the Janssen (Johnson & Johnson) COVID-19 Vaccine), or the administration of all required doses of a multi-dose vaccine (such as the Pfizer-BioNTech COVID-19 Vaccine (interchangeable with the licensed Comirnaty Vaccine) or the Moderna COVID-19 Vaccine). • Staff who receive vaccines listed by the World Health Organization (WHO) for emergency use that is not approved or authorized by the FDA or as a part of a clinical trial are also considered to have completed the vaccination series in accordance with CDC guidelines. • Additional or booster doses are not needed for staff who have completed a COVID-19 primary vaccination series authorized or licensed by the FDA or listed by the WHO for emergency use. Page 2 of 3 • Staff who have received a COVID-19 vaccination neither licensed or authorized by the FDA nor listed on the WHO emergency use list may receive an FDA licensed or authorized vaccination series. Per CDC guidelines, staff in this category should wait at least 28 days following the last dose of a non-FDA approved or authorized and non-WHO-listed vaccination to begin a new series. Staff should consult with their doctor or other health care provider about their vaccination. • Individuals should generally avoid using heterologous vaccines—meaning receiving doses of different vaccines—to complete a primary COVID-19 vaccination series. In certain exceptional circumstances (e.g., when the vaccine product given for the first dose cannot be determined or is no longer available), a different vaccine may be used to complete the primary COVID-19 vaccination series. Accordingly, staff may be considered fully vaccinated if they have received any combination of two doses of a vaccine licensed or authorized by the FDA or listed on the WHO emergency use list as part of a two-dose series. The second dose in a two-dose mixed vaccine series must have been received no earlier than 28 days after the first dose. • Testing is not an approved alternative to vaccination. • Staff who have previously had a COVID-19 infection are not exempt from these vaccination requirements. • All medical information collected from individuals, including vaccination information, test results, and any other information obtained as a result of testing, will be treated in accordance with applicable laws and policies on confidentiality and privacy. Procedures: 1. All Home Aide Complete, LLC employees must be fully vaccinated no later than February 28, 2022. To be fully vaccinated by February 28, 2022, an employee must:  Obtain the first dose of a two-dose vaccine no later than January 27, 2022; and the second dose no later than February 28, 2022; or  Obtain one dose of a single dose vaccine no later than January 27, 2022. 2. Up to two (2) hours of paid time off will be provided for employees to obtain each vaccine dose subject to the scheduling requirements of your work department (which means four hours total for 2 doses). Employees who take longer than four hours (total for two doses) must send their supervisor an email documenting the reason for the additional time (e.g., they may need to travel long distances to get the vaccine). Any additional time requested will be granted, if reasonable, but will not be paid; in that situation, the employee can elect to use accrued leave, (e.g., sick leave,) to cover the additional time. If an employee is vaccinated outside of normally scheduled work hours, they will not be compensated 3. Employees may utilize up to two workdays of sick leave immediately following each dose if they have side effects from the COVID-19 vaccination that prevent them from working. Employees who have no sick leave will be granted up to two days of additional sick leave immediately following each dose if necessary. 4. Request for time off to receive the COVID-19 vaccine must be submitted to your immediate supervisor in writing seven (7) days prior to leave if advance notice is possible. Requests for sick leave should be reported as soon as possible to ensure adequate coverage for patient care services. 5. To be considered fully vaccinated, employees are required to provide the Administrator with acceptable proof of vaccination, via email or in-person:  Record of immunization from a healthcare provider or pharmacy;  A copy of the COVID-19 Vaccination Record Card;  A copy of medical records documenting the vaccination; Page 3 of 3  A copy of immunization records from a public health, state, or tribal immunization information system; or  A copy of any other official documentation that contains the type of vaccine administered, date(s) of administration, and the name of the healthcare professional(s) or clinic site(s) administering the vaccine(s). 6. Proof of vaccination should include the employee’s name, the type of vaccine administered, the date(s) of administration, and the name of the healthcare professional(s) or clinic site(s) that administered the vaccine. In some cases, state immunization records may not include one or more of these data fields, such as clinic site; in those circumstances Home Aide Complete, LLC will still accept the state immunization record as acceptable proof of vaccination. 7. Employees who do not fulfill this vaccination requirement prior to February 28, 2022, will be placed on unpaid leave for up to thirty (30) calendar days. During this time period, employees who submit information proof of a completed vaccination will be authorized to return to duty subject to operational needs. If at the end of the unpaid leave period an employee has not completed vaccination, his/her continuing employment status will be determined by Home Aide Complete, LLC, and the employee may be subject to separation at Home Aide Complete’s discretion. 8. Individuals receiving offers of employment are required to timely comply with this policy prior to the commencement of employment by providing proof of a completed full vaccination status prior to hire. Individuals receiving offers of employment from Home Aide Complete, LLC who do not timely comply with this policy will have their offer of employment rescinded. 9. Booster shots or additional doses of the COVID-19 vaccination are not mandated by this regulation but are recommended by the CDC if it has been more than six months since the initial vaccination series or if the individual is immunocompromised. 10. Any falsification of vaccine information will subject an employee to disciplinary action up to and including termination of employment and required reporting to governmental entities. Summary of Timeline: Vaccination Status and Acceptable Forms of Proof of Vaccination Vaccination Status: Fully vaccinated Instructions: Submit proof of vaccination that indicates full vaccination Deadline: February 28, 2022 Vaccination Status: Partially vaccinated (i.e., one dose of a two dose vaccine series). Instructions: Submit proof of vaccination that indicates when the first dose of vaccination was received, followed by proof of the second dose when it is obtained. Deadline: January 27, 2022 (first dose), February 28, 2022 (second doseaccination is a vital tool to reduce the presence and severity of COVID-19 cases in the workplace, in communities, and in the nation. Home Aide Complete, LLC has adopted this policy on mandatory vaccination to establish critical safeguards for the health of all people, their families, and the providers who care for them. Scope: This Mandatory COVID-19 Vaccination Policy applies to all staff who provide services for Home Aide Complete, LLC’s Medicare and Medicaid programs, regardless of clinical responsibility or patient contact. The requirement includes all current staff as well as any new staff who provide any care, treatment, or other services for the organization and/or its patients. This includes facility employees, licensed practitioners, students, trainees, and volunteers. Additionally, this also includes individuals who provide care, treatment, or other services for the organization and/or its patients under contract or other arrangements. Individuals who provide services 100 percent remotely and who do not have any direct contact with patients and other staff at any time are not subject to the vaccination requirements outlined in this regulation. Policy: Home Aide Complete, LLC must fulfill the staff vaccination requirements over two phases. For Phase 1, staff must have received, at a minimum, the first dose of a primary series or a single dose COVID-19 vaccine prior to staff providing any care, treatment, or other services for the organization and/or its patients by January 27, 2022. For Phase 2, staff must complete the primary vaccination series (except for those staff for whom COVID-19 vaccination must be temporarily delayed, as recommended by CDC) by February 28, 2022. Home Aide Complete will not be accepting any exemption requests, however, employees may be legally entitled to a reasonable accommodation if they cannot be vaccinated because of a disability within the extent of the law. • Staff are considered fully vaccinated if it has been two weeks or more since they completed a primary vaccination series for COVID-19. However, staff who have completed the primary series for the vaccine received by the Phase 2 implementation date are considered to have met these requirements, even if they have not yet completed the 14-day waiting period required for full vaccination. • The completion of a primary vaccination series for COVID-19 is defined as the administration of a single-dose vaccine (such as the Janssen (Johnson & Johnson) COVID-19 Vaccine), or the administration of all required doses of a multi-dose vaccine (such as the Pfizer-BioNTech COVID-19 Vaccine (interchangeable with the licensed Comirnaty Vaccine) or the Moderna COVID-19 Vaccine). • Staff who receive vaccines listed by the World Health Organization (WHO) for emergency use that is not approved or authorized by the FDA or as a part of a clinical trial are also considered to have completed the vaccination series in accordance with CDC guidelines. • Additional or booster doses are not needed for staff who have completed a COVID-19 primary vaccination series authorized or licensed by the FDA or listed by the WHO for emergency use. Page 2 of 3 • Staff who have received a COVID-19 vaccination neither licensed or authorized by the FDA nor listed on the WHO emergency use list may receive an FDA licensed or authorized vaccination series. Per CDC guidelines, staff in this category should wait at least 28 days following the last dose of a non-FDA approved or authorized and non-WHO-listed vaccination to begin a new series. Staff should consult with their doctor or other health care provider about their vaccination. • Individuals should generally avoid using heterologous vaccines—meaning receiving doses of different vaccines—to complete a primary COVID-19 vaccination series. In certain exceptional circumstances (e.g., when the vaccine product given for the first dose cannot be determined or is no longer available), a different vaccine may be used to complete the primary COVID-19 vaccination series. Accordingly, staff may be considered fully vaccinated if they have received any combination of two doses of a vaccine licensed or authorized by the FDA or listed on the WHO emergency use list as part of a two-dose series. The second dose in a two-dose mixed vaccine series must have been received no earlier than 28 days after the first dose. • Testing is not an approved alternative to vaccination. • Staff who have previously had a COVID-19 infection are not exempt from these vaccination requirements. • All medical information collected from individuals, including vaccination information, test results, and any other information obtained as a result of testing, will be treated in accordance with applicable laws and policies on confidentiality and privacy. Procedures: 1. All Home Aide Complete, LLC employees must be fully vaccinated no later than February 28, 2022. To be fully vaccinated by February 28, 2022, an employee must:  Obtain the first dose of a two-dose vaccine no later than January 27, 2022; and the second dose no later than February 28, 2022; or  Obtain one dose of a single dose vaccine no later than January 27, 2022. 2. Up to two (2) hours of paid time off will be provided for employees to obtain each vaccine dose subject to the scheduling requirements of your work department (which means four hours total for 2 doses). Employees who take longer than four hours (total for two doses) must send their supervisor an email documenting the reason for the additional time (e.g., they may need to travel long distances to get the vaccine). Any additional time requested will be granted, if reasonable, but will not be paid; in that situation, the employee can elect to use accrued leave, (e.g., sick leave,) to cover the additional time. If an employee is vaccinated outside of normally scheduled work hours, they will not be compensated 3. Employees may utilize up to two workdays of sick leave immediately following each dose if they have side effects from the COVID-19 vaccination that prevent them from working. Employees who have no sick leave will be granted up to two days of additional sick leave immediately following each dose if necessary. 4. Request for time off to receive the COVID-19 vaccine must be submitted to your immediate supervisor in writing seven (7) days prior to leave if advance notice is possible. Requests for sick leave should be reported as soon as possible to ensure adequate coverage for patient care services. 5. To be considered fully vaccinated, employees are required to provide the Administrator with acceptable proof of vaccination, via email or in-person:  Record of immunization from a healthcare provider or pharmacy;  A copy of the COVID-19 Vaccination Record Card;  A copy of medical records documenting the vaccination; Page 3 of 3  A copy of immunization records from a public health, state, or tribal immunization information system; or  A copy of any other official documentation that contains the type of vaccine administered, date(s) of administration, and the name of the healthcare professional(s) or clinic site(s) administering the vaccine(s). 6. Proof of vaccination should include the employee’s name, the type of vaccine administered, the date(s) of administration, and the name of the healthcare professional(s) or clinic site(s) that administered the vaccine. In some cases, state immunization records may not include one or more of these data fields, such as clinic site; in those circumstances Home Aide Complete, LLC will still accept the state immunization record as acceptable proof of vaccination. 7. Employees who do not fulfill this vaccination requirement prior to February 28, 2022, will be placed on unpaid leave for up to thirty (30) calendar days. During this time period, employees who submit information proof of a completed vaccination will be authorized to return to duty subject to operational needs. If at the end of the unpaid leave period an employee has not completed vaccination, his/her continuing employment status will be determined by Home Aide Complete, LLC, and the employee may be subject to separation at Home Aide Complete’s discretion. 8. Individuals receiving offers of employment are required to timely comply with this policy prior to the commencement of employment by providing proof of a completed full vaccination status prior to hire. Individuals receiving offers of employment from Home Aide Complete, LLC who do not timely comply with this policy will have their offer of employment rescinded. 9. Booster shots or additional doses of the COVID-19 vaccination are not mandated by this regulation but are recommended by the CDC if it has been more than six months since the initial vaccination series or if the individual is immunocompromised. 10. Any falsification of vaccine information will subject an employee to disciplinary action up to and including termination of employment and required reporting to governmental entities. Summary of Timeline: Vaccination Status and Acceptable Forms of Proof of Vaccination Vaccination Status: Fully vaccinated Instructions: Submit proof of vaccination that indicates full vaccination Deadline: February 28, 2022 Vaccination Status: Partially vaccinated (i.e., one dose of a two dose vaccine series). Instructions: Submit proof of vaccination that indicates when the first dose of vaccination was received, followed by proof of the second dose when it is obtained. Deadline: January 27, 2022 (first dose), February 28, 2022 (second dose).