We have made some updates to our COVID-19 Outbreak Policy. Please take a moment to review this policy along with The Ministry of Education's Guidelines for re-opening Child Care.

Below Infection Prevention and Control (IPAC) measures were developed by reviewing College of Audiologists and Speech Language Pathologists of Ontario’s (CASLPO) IPAC recommendations. 

We will continue to review and revise IPAC as recommended by CASLPO, Public Health Ontario, Infection Prevention and Control Canada and the Ministry of Health. 

Our IPAC may vary dependent on type of treatment, client’s overall health condition, health and immunization of people in the practice environment, time of the year, outbreaks of infectious diseases in a particular community and information released by public health officials. ​​

Our IPAC will consist of:

  • Point of Care Risk Assessment (PCRA) 

  • Covid 19 Screening 

  • Personal Protective Equipment (PPE) Usage 

  • Hand Hygiene 

  • Physical Distancing 

  • Virtual Care Usage 

  • Toys and Equipment Cleaning 


  • Initial assessments or screening will be completed virtually to allow risk assessment before in person visits. 

  • Prior to any interaction, Speech Language Pathologists (SLP) will assess infectious risks posed to themselves and clients and take necessary precautions. Precautions will vary depending on risk posed e.g., use of face shield. As suggested by CASLPO, clinicians must assess if a hazard is present in a situation? What is the health status of the patient? What type of task is being completed? When is the task being completed? What action and precautions need to be taken? 

 Point of Care Risk Assessment (PCRA) 

 COVID 19 Screening 


  • Screen all clients for COVID 19 before visits. All clients and family members involved in therapy will be screened before their appointment over the phone within 24 hours of the appointment. ​

  • COVID 19 screening is negative if the answer to all the questions is a NO. At this time screening   questions include: 1. Does the client or accompanying family member have any COVID 19 symptoms? 2. Have you travelled outside of the province in the past 14 days? 3. Have you come in close contact with a confirmed case of COVID 19? 4. Are you confirmed with COVID 19? ​

  • Clinicians will screen themselves before providing in person services to patients on a daily basis.



  • All clinicians will wear a mask at all times. ​

  • Patients and accompanying family members will wear own mask or cloth to cover nose and mouth. ​

  • Gloves will be worn during patient interactions e.g., touching during an assessment.

  • Eye protection or face shield will be worn depending on risk assessment and in situations  2 meters distance cannot be maintained. ​

  • If a client or family member with cognitive or intellectual disability is not able to wear a mask, the SLP should wear a mask and a face shield and perform physical distancing as much as reasonably possible.

    Personal Protective Equipment


  • Clinician will use an alcohol-based hand rub or wash hands with soap and water for at least 20 seconds before and after each session. 

  • Hand hygiene will be practiced after taking off gloves. 

  • Hand hygiene will be practiced after touching the client, any surface at daycare and materials such as toys. 

Hand Hygiene 

 Physical Distancing  


  • Office and administrative tasks will be completed from daycare e.g., progress notes 

  • Individual (1:1) and Group therapy will continue at daycare. 

  • We will not be engaging in physical greetings such as handshakes, high fives etc. 

  • To ensure minimal physical interaction the therapist will be engaging with the child and one adult only.  

  • 2 meters distance will be maintained with the caregiver at all times. 2 meters distance will be maintained with the client/ child as much as possible. In situations where 2 metres cannot be maintained with the child/ client a face shield must be used. 

Virtual Care 


  • Assessments will be completed virtually to allow risk assessment before daycare visits. 

  • Continuation of virtual intervention will be considered when appropriate. 

 Toys and Equipment Use


  • Assessments will be completed informally as much as possible. 

  • Clean and disinfect all assessment materials with hospital grade disinfectant before and after use 

  • Clinician will use gloves when handling toys and discard at the end of each session. Clinician must disinfect toys used in session before and after use.