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SOP FOR QUARANTINE AT DESIGNATED FACILITY - FIFTH EDITION STANDARD OPERATING PROCEDURE FOR QUARANTINE AT DESIGNATED FACILITY MINISTRY OF HEALTH 5/12/2021 COVID-19 PREPAREDNESS & RESPONSE

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SOP FOR QUARANTINE AT DESIGNATED FACILITY - FIFTH EDITION

STANDARD OPERATING PROCEDURE FOR

QUARANTINE AT DESIGNATED FACILITY

MINISTRY OF HEALTH

5/12/2021

COVID-19 PREPAREDNESS & RESPONSE

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

For counselling services, Please call: 17123237/38/39/40/41

CONTENTS

1. Objective 1

2. Legal provision 1

3. Who Should be quarantined 1

4. Duration of quarantine 1

5. Testing 2

6. Release/discharge of QI 2

7. Quarantine Facility Management team 3

8. Medical, PPE item list and procedure 3

9. Amenities to be provided to the Quarantined Individuals 3

10. Food 4

11. Laundry 5

12. Cleaning and waste management 5

13. Quarantine Procedures: The quarantine procedure will include the following : 6

13.1 Point of Entry (Air) 6

13.2 Quarantine Facility (QF) identification: 7

13.3 Allocation 7

13.4 Deployment of personnel for QI care: 8

13.5 Transport and Escort: 9

13.6 Briefing: 10

14 Roles and responsibilities of Quarantine Facility Managers (Desuups) 10

15 Roles and Responsibilities of Medical team 12

16 Roles and Responsibilities of Security team at QF 12

17 Roles and Responsibilities of Hotel management (if individuals are quarantined in hotels) 12

ANNEXURE 1: HOTEL ASSESSMENT CHECKLIST 14

ANNEXURE 2: CONTRACT AGREEMENT BETWEEN THE HOTEL/FACILITY AND THE

CABINET SECRETARIAT 15

ANNEXURE 3: QUARANTINE SECURITY MANAGEMENT SOP 18

ANNEXURE 4: DOS AND DON’TS DURING QUARANTINE 24

1. Objective

The purpose of the quarantine is to prevent the spread of COVID-19 into the community by

restricting the movement of or isolating people who may have been exposed to the infection but

not sick yet.

It is a collective action for the common good to aid individuals infected or exposed to infectious

agents while also protecting others from the dangers of inadvertent exposure.

2. Legal provision

During the emergency, as per Article 33 (2) of the Constitution of Kingdom of Bhutan, 2008,

the Fundamental Rights granted under Article 7 (2), (3), (5), (12) and (19) shall be suspended as

per Article 33 (7).

Any individuals not complying and failing to cooperate shall be liable for the offence of Criminal

Nuisance as per the Section 410 of the Penal Code (Amendment) Act, 2011 and for the offence of

Obstruction of Public Service as per the Section 424 of the Penal Code, 2004.

3. Who Should be quarantined

A person who is not ill, but may have been potentially exposed to COVID-19 and was involved

in any of the following:

3.1 Any individual/traveler entering the country ( International travelers)

3.2 Any individuals traveling from high risk to low risk region within the country (Local

travelers)

3.3 Providing direct care for COVID-19 patients (frontline workers)

3.4 Frontline workers at the Border duty and transshipment areas (where there can be

potential contact with the people from outside the country)

3.5 Any individual who have history of close contact with confirmed COVID-19

case (Primary Contacts : contact within 2-meter distance for a minimum of 15 minutes)

3.6 Any individual who has come in contact with objects which are assumed to be infectious.

4. Duration of quarantine

4.1 The duration of the quarantine shall be twenty-one (21) days from the date of last contact

with the confirmed case or from the day of arrival into the country.

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

For counselling services, Please call: 17123237/38/39/40/41

2 | P a g e

4.2 Health workers and other volunteers working in the isolation facility, Frontline workers in

the southern borders, and the cabin crews will have to be quarantined for 14 days after the

completion of their duty.

4.3 For the travelers from high risk to low risk regions in the country, the quarantine period

will be 7 days.

4.4 The day of admission/check in into the facility will be considered as zero (0) day.

4.5 In case there is an individual detected positive during the quarantine testing, the duration

of the quarantine will be extended for the quarantine facility managers and the room mate

of the positive individuals. The risk will be assessed by the surveillance team and

accordingly the duration of extension will be determined. The duration of quarantine

extension in such cases is normally 14 days.

5. Testing

5.1 Testing shall be carried out as per the current testing protocol and will be conveyed to the

quarantine facility managers by the surveillance team from the Ministry of Health or the

Dzongkhag Health team.

5.2 Apart from the scheduled testing, Quarantine Individuals (QIs) will be tested anytime they

develop symptoms

5.3 Test samples shall be taken at QIs room/ or in the lobby/designated room which are well

ventilated. QIs shall be called one at a time for sample collection incase lobby or designated

rooms are used.

5.4 Based on the test report, the surveillance team will inform the quarantine facility managers

for further action such as extension of the quarantine period or release of the quarantine

individuals.

5.5 If the test report is positive, the individual who tested positive shall be moved to isolation

either at hospital or other designated isolation facility depending on the symptoms of the

individual which will be assessed by the clinical team from the Ministry of Health or

respective Dzongkhag Health team.

6. Release/discharge of QI

6.1 The QI should not be released without adequate validation of the final test results (test

result should be negative) and information from the surveillance team.

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7. Quarantine Facility Management team

The Quarantine facilities shall be managed by the following:

7.1 Health staff

7.2 Royal Bhutan Police

7.3 Desuups

7.4 Hotel Management

8. Medical, PPE item list and procedure

8.1 Basic medicines – antipyretics, antihistamines, antacid, vitamins and minerals, etc ( the

mobile medical team for quarantine will retain the supplies)

8.2 Soap

8.3 Hand sanitizer

8.4 Face mask (surgical and N95 face mask): While one face mask/day can be used in the

quarantine facility, for those personnel delivering meals, refreshment, parcels and carrying

out waste management, mask should be changed after every meal/refreshment/parcel

delivery and after every waste collection.

8.5 Face-shield: Should be disinfected frequently

8.6 Utility gloves: Should be disinfected after every use ( delivery of meals, refreshment and

parcels to the QI; waste collection)

8.7 Disinfectant

8.8 In addition to the PPEs, maintain physical distance ( at least 2 meters or 6 feet) and hand

hygiene at all times.

*The facility managers can raise requisition for above supplies to the medical supply focal in their

respective districts/area.

9. Amenities to be provided to the Quarantined Individuals

9.1 Three Standard meals a day

9.2 Refreshment at least once a day

9.3 Mineral water (three liters a day and any additional water requirement shall be delivered

by the quarantine facility managers during any of the meal time),

9.4 Water boiler and tea/coffee items in each room.

9.5 Two towels for each QI (to be used throughout their stay at the facility).

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9.6 Soaps, detergents and bleaching solution for washing and cleaning toilet

9.7 A set of linen for the entire quarantine duration

9.8 Toiletries (tooth brush, tooth paste, toilet paper) (for additional requirement, the individual

shall contact the health staff/Desuup at the facility.

9.9 Two trash/waste bags ( one each for wet and dry waste)

9.10 Uninterrupted internet connectivity ( may be wifi or data package)

10. Food

10.1 All quarantined individuals will be served standard meals, tea/coffee and snacks from

the hotel

10.2 Meals, tea and coffee shall be served by the hotel in a disposable container

10.3 A set of plate, spoon and cup shall be provided in the room. However, the individual

shall have to clean them and reuse for the entire stay at the quarantine facility.

10.4 Home prepared/outside the facility meals and snacks shall be allowed as long as they

are packed in disposable containers. In the case of meals brought in non-disposable

containers, the containers shall not be allowed to be taken out of their room until the

quarantine is over*.

10.5 Packed meals from outside the quarantine facility shall be allowed only twice/day and

should be delivered as per the timing set by the facility managers*

*not applicable during lockdowns and for the high risk regions ( No delivery of things (

Food/clothes etc.,) from outside into the quarantine facility during lockdowns and for the

high risk regions).

10.6 No Ala carte service shall be entertained in the quarantine facility.

10.7 Any food allergy or dietary restrictions shall be informed to the facility managers in

advance, who shall arrange appropriate meals accordingly in consultation with the QI care

unit.

10.8 Where the food is to be catered from outside, the cooks and the delivery personnel shall

have to work from containment areas. Kitchens shall be identified and no other people

other than the authorized cooks, kitchen help and delivery personnel shall be authorized to

enter the kitchen premises. Strict monitoring and testing (every week with antigen) shall

be put in place.

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

For counselling services, Please call: 17123237/38/39/40/41

5 | P a g e

11. Laundry

11.1 Personal laundry shall be done by the individuals themselves using regular laundry

soap, or detergent.

11.2 Additional clothes for change (from outside the facility) shall be allowed through the

designated health staff/Desuup in the quarantine facility*. However, no clothes will be

allowed to be sent home or given to laundry until the quarantine period is over.

*not applicable during lockdowns and for the high risk regions ( No delivery of things (

Food/clothes etc.,) from outside into the quarantine facility during lockdowns and for the

high risk regions).

12. Cleaning and waste management

12.1 The individual shall maintain cleanliness of their respective room and toilet.

12.2 Waste bin with waste bags shall be provided in all the rooms.

12.3 The waste bags shall be collected and sealed when the bag is ¾ full and shall be placed

outside the room, which will then be collected, disinfected and placed at designated waste

areas in the quarantine facility.

12.4 The waste shall be collected every two days from the designated areas of the Quarantine

facility(s) or as and when required, and transported to the treatment site for autoclaving or

incineration or burning as appropriate.

12.5 The Thromde, Drungkhag or the Dzongkhag in coordination with the facility managers

shall arrange transport vehicle and a dedicated staff for the transfer of wastes from the

designated area of the quarantine facility(s) to the treatment site for autoclaving, burning

or incineration where available.

12.6 Gloves and masks shall be provided to the individuals identified for waste disposal by

the Ministry of Health or respective Dzongkhag hospitals.

Note: In case the quarantined individual tests positive, the positive patient shall be

transferred to the isolation ward/facility. The roommate(s) of the patient will be moved

to another room and the room of the patient will be left empty for three days after which

it will be disinfected and decontaminated by the health team or the hotel management

team who will be trained on decontamination and disinfection of COVID-19

contaminated areas by the health.

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

For counselling services, Please call: 17123237/38/39/40/41

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13. Quarantine Procedures: The quarantine procedure will include the following :

13.1 Point of Entry (Air)

13.1.1 Individuals/passengers in the aircraft will be adequately briefed on the protocol from

right from the exiting the aircraft until they reach their quarantine facility

13.1.2 Individuals shall be taken to the quarantine facility directly from the airport bay without

going through the immigration and customs.

13.1.3 Frontline workers such as volunteers (Desuups), officials (essential service providers)

and loaders shall be deployed at the bay for crowd management and guiding the

individuals to their respective transport

13.1.4 Luggage’s shall be taken out from the aircraft by the loaders, separated and placed at

the bay to be taken by the respective individuals/passengers

13.1.5 Adequate PPEs ( face mask, face shield, gloves and gown) shall be provided to the

personnel deployed at the bay and drivers and escorts transporting the individuals

13.1.6 Frontline workers shall ensure compliance to COVID-19 safety protocols such as

physical distancing, hand hygiene, use of face masks at all times

13.1.7 Sim card shall be arranged for all passengers who don't have one

13.1.8 Health Declaration and immigration procedures shall be carried out once the

individuals are put in the quarantine facilities

Point of Entry (Land)

13.1.9 Individuals (foreigners) entering the country shall be subject to quick document

verification for immigration, health declaration and antibody testing

13.1.10 All Individuals will be adequately briefed about the quarantine protocols and other

COVID-19 safety protocols

13.1.11 Sim card shall be arranged for all individuals who don't have one

13.1.12 Individuals wanting to travel from high risk to low risk regions in the country shall

register with the respective Dzongkhag Task Force and shall be quarantined at

respective Dzongkhags for 7 days, after which they will be transported to destination

dzongkhags.

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

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13.1.13 In case of inadequate quarantine facilities in the southern dzongkhags, nearby

dzongkhags/destination dzongkhags shall be consulted, and only after ensuring

availability of quarantine facilities and adequate transport and escort, the individuals

shall be systematically transported to the nearby/destination dzongkhags for quarantine

in close coordination with the receiving Dzongkhags.

13.1.14Adequate PPE ( Face Mask, face shield, gloves) shall be used by all the frontline

workers and physical distancing shall be maintained at all times

13.2 Quarantine Facility (QF) identification:

13.2.1 The Quarantine Security Team, Health, Desuup Gojays and logistics desk shall jointly

assess and approve the hotel/facility to be used for quarantine as per the checklist*

(Annexure 1). * Checklist may be applicable in Thimphu and Paro, for other

dzongkhags with limited facilities, a checklist may be developed to suit the respective

situation. However, infection prevention and control, security measures should be

considered at all times.

13.2.2 The logistics desk shall approve the facility to be used as a QF upon signing a contract

agreement ( Annexure 2)

13.2.3 The logistics desk shall activate the QFs a day prior to the arrival of the QIs and inform

the security team and QI Care.

13.2.4 The Security team shall take over the QFs with proper handing-taking process prior to

the arrival of QIs.

13.2.5 Once the isolation facility services are activated, quarantine facilities for health staff

working in the isolation centers have to be identified and kept ready.

13.2.6 Special facilities for patients requiring routine medical support and diet restrictions

have to be identified.

13.3 Allocation

The list of hotels identified as quarantine facilities shall be provided to the respective

Dzongkhag task force by the Logistic Desk. Accordingly, the dzongkhag task force shall

allocate the hotels/facilities to the travelers/individuals as per following:

13.3.1 The travelers/individuals from the same cohort will be put in the same quarantine

facility and will not be mixed with other cohorts.

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

For counselling services, Please call: 17123237/38/39/40/41

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13.3.2 Allocation shall also be carried out based on the age (Elderly shall be put in cottage

type facilities/facilities which appear to be prone to quarantine security breach or from

where one can easily escape) and gender (Segregate males and females and put them

in different facilities wherever possible, except for couples after obtaining their

undertaking (in-case of people aged 18+) and families who may be put up in the same

facility).

13.3.3 Elderly, pregnant women and family shall be allotted single/suite rooms.

13.3.4 Once activated, the facility shall entertain, if adequate rooms available, additional QIs

up to 7 days. After that, no additional Qis shall be entertained until the quarantine

period is complete.

13.3.5 Few rooms (3-5) in all hotels have to be left vacant ( incase QI turns positive, the

roommate has to be moved to another room)

13.4 Deployment of personnel for QI care:

13.4.1 Desuung office shall deploy an adequate number of facility managers and security

team to respective identified QFs to provide necessary medical and logistical support,

and to ensure the compliance of the quarantine protocols and provide security.

13.4.2 The frontline workers to be deployed at the quarantine facilities shall be carefully

chosen as per the selection criteria developed by the Desuung Office.

13.4.3 All individual to be deployed for the QF should be vaccinated and undergo RT-PCR

the day prior to deployment

13.4.4 Health and RBP shall ensure that frontline workers identified for deployment in the

quarantine facilities are adequately trained on the quarantine protocols, clinical

monitoring and reporting, waste management, security and any other activities related

to quarantine.

13.4.5 QFMs and static security shall be turned over every 30 days.

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

For counselling services, Please call: 17123237/38/39/40/41

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13.5 Transport and Escort:

13.5.1 A maximum of 10-15 individuals/travelers entering the country shall be

transported in each of the buses depending on the available space and size of the

bus. And, separate buses shall be arranged for individuals/travelers with

symptoms of COVID-19.

13.5.2 For the people travelling from high risk to low risk regions in the country, a

maximum of 15 vehicles (full seating capacity in each vehicle may be utilized)

in one convoy shall be considered. In case there are more than 15 vehicles,

subsequent convoys with a time gap of at least two hours shall be arranged.

13.5.3 Transport vehicles shall have clear labeling of the facility destinations, visible

DOs and Don'ts poster, and audio briefings.

13.5.4 All Drivers shall wear masks and gloves and the driver seat shall be cordoned

off with appropriate shield,

13.5.5 Drivers shall not come out of the bus/vehicle until passengers are reached to

the destination quarantine facility, except at the identified areas for meal and

toilet break.

13.5.6 All passengers traveling in the bus shall wear masks and carry their own

luggage. The bus drivers shall not handle the passenger’s luggage at any point

of time.

13.5.7 A back-up transport shall be made available in case of any mechanical

failure or breakdown.

13.5.8 Upon the completion of the task, all buses shall have to be disinfected

before returning to their respective stations.

13.5.9 The transport vehicles ferrying the QIs shall not be allowed to

carry/deliver any parcels or packages.

13.5.10 Escorts shall be arranged for each convoy of transport to monitor and

ensure compliance to the protocols mentioned above during transport of

QIs.

13.5.11The details (name and phone no) of escort and drivers should be

communicated to the escort team and the QFMT at the destination

dzongkhags prior to their travel.

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

For counselling services, Please call: 17123237/38/39/40/41

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13.6 Briefing:

13.6.1 All quarantine individuals shall be thoroughly briefed on quarantine

protocols, clinical monitoring and testing, dos and don'ts in the

quarantine, disaster contingency plan and penalties for breaches, prior to

the check in.

13.6.2 Briefings shall be made available in Audio/Visual format in multi

languages which will be played during the transportation, and shared

through social media platforms.

13.6.3 Dos and Don'ts pamphlets shall be put in every room of the QIs.

13.6.4 Face mask and face shield shall be worn and Physical distancing shall be

maintained at all times during the time of briefing, particularly between

the facility manager who is briefing the QIs

13.6.5 There shall be a sign board with clear name and instructions to public

14 Roles and responsibilities of Quarantine Facility Managers (Desuups)

QFM assigned at the designated Quarantine Facility must remain at the facility until the

completion of the quarantine period and will be tested in a similar way to the QIs.

QFM shall:

14.3 Provide all necessary health education and precautionary measures to prevent COVID-19

infection and spread

14.4 Be responsible for the overall management and supervision of the quarantine facility

(monitor security, fix time for food, tea/snacks, supply of meals and supplies, ensure

cleanliness, laundry service and waste disposal)

14.5 Register and update all the quarantined individuals in the template and COVID ICT system

at the facility and submit a report to the Quarantine focal point at the Ministry of Health.

14.6 Disinfect the stairways and elevators after 2-3 hours of QI admission

14.7 Maintain proper hand hygiene by hand washing with soap and water or alcohol-based hand

rub and follow cough etiquette

14.8 Ensure adequate ventilation in rooms of the QI (allow to open windows)

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

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14.9 Maintain physical distance (of more than 2 meter or 6 feet) at any given point and minimize

contacts with the quarantined individual as far as possible.

14.10 Ensure that no personal belongings or any things once placed at quarantine facility(s) are

taken out of the quarantine facility.

14.11 Ensure that meals are served on time, and monitor waste disposal at the facility

14.12 Ensure proper usage and disposal of the PPE's (face mask & gloves).

14.13 Deliver food or any other items, as per the SoPs to the quarantined individuals.

14.14 Totally refrain from going inside the room(s) of the quarantined individual.

14.15 Instruct the quarantined individuals to clean and tidy their respective rooms including their

wash room.

14.16 Carry out clinical monitoring of the quarantined individuals twice daily and submit the

symptoms report through telephone or other social media platforms to minimize physical

contacts, and report to the surveillance team.

14.17 Shall immediately report any QI who have developed fever OR sign/symptoms of a

respiratory illness (cough, or shortness of breath) OR gastrointestinal symptoms (diarrhea,

or vomiting), OR loss of smell/taste during the quarantine period to the Surveillance Team

to facilitate testing and medical support.

14.18 In the case of quarantined individuals requiring any psychological counseling support, the

facility managers shall inform the Counseling Team.

14.19 Monitor and manage waste generated at the quarantine facility

14.20 Ensure that the quarantine facility is clean by mopping and disinfecting the corridors, steps

and elevators periodically, or as and when required.

14.21 Coordinate and communicate with respective focal as per the contact details provided by

the logistic desk and the respective dzongkhags in case issues arise in the quarantine

facility

14.22 Shall maintain register/logbooks to record any incidents ( such as plumbing, electrical and

other issues) in the QI’s room/QF, and the details of interventions undertaken (such as

name and contact details of the individuals who have come into the QF to resolve the

issue)

14.23 Validate test reports before releasing QIs and provide exit advice to the QIs during

discharge

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15 Roles and Responsibilities of Medical team

15.3 Attend to any medical emergencies and medical conditions including follow up of chronic

conditions such as diabetes, hypertension etc., vaccination and dressings of the quarantine

people and staff on duty at the quarantine centers

15.4 Provide consultations, prescribe and supply medicines to the people at quarantine facility

15.5 Provide advice and recommend COVID-19 test when signs and symptoms are reported

15.6 Provide counseling service when required or inform Counseling Team

15.7 Communicate with respective hospitals incase referrals are required

16 Roles and Responsibilities of Security team at QF

16.3 Ensure no COVID-19 protocol breach during the quarantine and escort management

16.4 Provide security to the quarantine facility and ensure adequate monitoring and inspection

of the QFs as per the SoP of the Royal Bhutan Police (Annexure 4)

16.5 Enforce movement restriction in and out of the quarantine rooms

16.6 Manage traffic in and around quarantine facility where necessary

16.7 Cordon of the designated quarantine facility where necessary to restrict the movement of

the people in and out of the facility.

16.8 Regulate and maintain records of individuals dropping parcels/food items/clothes.

16.9 Receiving parcels and handing over to QFM

16.10 The QF will be cordoned off with barricades

16.11 Visitors/public shall not be allowed to enter the quarantine facility

16.12 QIs, QFM, hotel staff and others in the quarantine facility shall not be allowed to come

out of the facility until the completion of their quarantine duty.

17 Roles and Responsibilities of Hotel management (if individuals are quarantined in

hotels)

17.1 Strictly follow the current security protocols.

17.2 Provide meals, tea/coffee and snacks (as per the contract agreement), and schedule fixed

by the health staff/Desuup

17.3 Provide adequate trash bags and other basic hotel amenities as per SOP

17.4 Ensure zero mixing with quarantined individuals, and minimal contact with the QFM.

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17.5 Ensure designated hotel staff are educated on basic infection prevention and use of

personal protective equipment and waste management,

17.6 Ensure use of face mask at all times

17.7 Ensure essential services are provided to the quarantined individuals without disruption.

17.8 Identity drop and pick-up points for hotel essential supplies, all incoming supplies for the

hotel or patients can only be dropped at the designated pick-up points outside of the QF

without mixing outside team (suppliers) and inside (recipient) team.

17.9 The hotel management shall handover the property to the security team with proper

handing-taking process one day prior to the arrival of the QIs.

17.10 Hotel staff shall remain inside QF till the end of the quarantine period. In times of

emergency, a staff may be relieved upon conducting COVID tests and approval from the

MOH Surveillance team and information to the Security Team

17.11 Hotel Staff on duty shall maintain zero contact and exposure to QIs and have minimal

interaction with FMs at all times.

17.12 Hotel staff shall also be turned over after every 30 days.

17.13 Owners/other persons shall not be allowed to reside within the premises. If they reside

within the premises, they shall not be allowed to come out.

Contact details of the officials involved in the COVID-19 response shall be provided by the

Logistic Desk of the respective dzongkhags. Any issues arising in regard to quarantine,

surveillance, ICT, food, logistics, medical emergencies/ medical conditions etc. should be

informed through these officials

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

For counselling services, Please call: 17123237/38/39/40/41

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ANNEXURE 1: HOTEL ASSESSMENT CHECKLIST

sl# Checklist Remarks

1

Internet

Connectivity: Each room has to have satisfactory internet connectivity ( Wi-fi/data)

2 Water Supply: Water supply should be continuous

3 Intercom facility Each hotel rooms should have intercom facility

4

Room well

ventilated Please reject hotels with inadequate room ventilation

5 Room space Beds to be at least 1 meter apart ( if small, only allow one individual)

6 Water boiler Each room has to be provided with water boiler

7 Veranda

Where balconies are adjacent and close with the adjacent room, it

should be closed

8 Trash bags

Each room has to be provided with adequate trash bags ( at least 2

/room for wet and dry waste)

9

Neighborhood

buildings

The facilities close to multiple neighborhood buildings should be kept

as the last option and appropriate measures to prevent mayhem in the

neighborhood. (this can be done by informing and educating the

neighbors as well as the Qis on the COVID-19 and the safety

protocols)

10 Multiple exit doors

All exit points should be locked and key should be with the Facility

manager or the security personnel deployed for the quarantine facility

11 CCTV

Prioritize facilities where CCTV facility is available, where there is no

CCTV, proper mechanisms to ensure security has to be in place

12 Toilet Condition Each rooms should have proper toilet facilities

SOP for Quarantine at Designated Facility/Hotel– 5th Edition

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ANNEXURE 2: CONTRACT AGREEMENT BETWEEN THE HOTEL/FACILITY AND

THE CABINET SECRETARIAT

Contract Agreement

This Agreement has been entered into on……….day…………..month………..year by and

between:

M/s ……………………………….. (hereinafter referred to as “said premises”) represented by

Mr/Mrs……………………………… holding citizenship Identity Card

number……………………. from ……………….Village …………………….. Gewog

…………………………. Dzongkhag (hereinafter referred to as “Grantor”) which expression

shall, unless otherwise stated, include heirs, successors and Legal representative as PARTY OF

FIRST PART;

AND

Mr/Ms………………………………. holding citizenship Identity Card

number…………………..from ………………….. Village………………… Gewog

…………………………Dzongkhag (hereinafter referred to as “Grantee”) representing the

Cabinet Secretariat (Logistics desk) which expression shall, unless otherwise stated, include heirs,

successors and Legal representative as PARTY OF SECOND PART.

WHEREAS, the Grantor and Grantee shall be known as Party singularly and Parties as

collectively;

WHEREAS, the Grantor is the absolute proprietor and is in absolute possession of the said

premises situated at ………………………………

WHEREAS, the Grantee desires to use the said premises as the quarantine facility/containment

center/isolation center/deisolation center.

AND WHEREAS, the Parties hereto had due deliberations and discussions and the consequences

thereof they have reached an understanding, which they have decided to reduce into writing.

NOW THIS AGREEMENT WITNESS and it is hereby mutually agreed by and between the

parties;

1. That the Grantor shall allow the said premises which consist of ………….. rooms to be

used as Quarantine Facility/Containment Center/isolation center/deisolation center until

COVID-19 is contained at the standard rates as prescribed/revised by the Royal

Government of Bhutan.

2. That the grantor shall ensure that the hotel management team shall follow quarantine

protocols strictly as per the quarantine Terms of Reference (ToR) below:

3. That the Grantor shall bear the cost of Utility bills such as electricity, internet charges and

laundry;

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4. That the Grantor and the Grantee shall undertake proper handing taking of the facility;

5. That the, Grantee and Grantor shall inspect the said premises to see whether the properties

are in working condition;

6. That the Grantee shall be responsible to repair or replace any properties listed hereinabove

at the cost of Grantee in the event of damage or breakage caused due to the negligence of

Grantee;

7. That the Grantee shall be responsible for the disinfection and decontamination of the

facility;

8. That this Agreement shall be governed by the laws of the Kingdom of Bhutan and subject

to jurisdiction of Courts in Bhutan;

9. That any dispute arising in relation to this agreement shall be resolved mutually in amicable

nature among the parties;

10. That if the parties are not able to reach to mutual understanding in amicable manner then

the dispute shall be referred to Arbitration as per the Alternative Dispute Act of Bhutan;

11. That the dispute may be referred to the Court only upon having exhausted all the remedies

provided in Clauses 9 and 10 herein above; and

12. That this Agreement contains all the terms agreed to by the parties relating to subject matter

including any documents attached or addendums.

Terms of reference (ToR):

1. The initial inspection and approval of the hotel to be used as a quarantine shall be done by

the Quarantine Management Team.

2. The Security team headed by a Gojay shall take over the hotel one day prior to the arrival

of the Quarantine Individuals. The hotel management shall hand over the property to the

security team with proper handing-taking process.

3. Hotel staff shall remain inside QF till the end of the quarantine period. In times of

emergency, a staff may be relieved upon conducting COVID tests and approval from the

MOH Surveillance team and information to the Security Team

4. Hotel Staff on duty shall maintain zero contact and exposure to QIs and have minimal

interaction with FMs at all times.

5. Hotel staff shall be turned over after every 30 days.

6. Owners/other people shall not be allowed to reside within the premises. If they reside

within the premises, they shall not be allowed to come out.

7. Hotel staff/ owner shall cooperate and follow any other security and health related

instructions provided by the Gojay incharge of the Hotel/facility.

8. Only set menus to be allowed: For those with dietary restrictions and allergies, prior

information should be provided to the QFs and accordingly QF should arrange such meals

which will be delivered only during the meal times. QFs should not provide any meals on

Ala carte basis.

9. QFs are not allowed to cater food to outside people during the active quarantine period.

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IN WITNESS WHEREOF, the parties hereto have set and subscribed their respective signature

and seal on this ……. day of ………. month of ………. Year in the presence of the following

witnesses.

Affix Legal Stamp Affix Legal Stamp

Name: Name:

Contact: Contact:

Witness 1 Witness 1

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ANNEXURE 3: QUARANTINE SECURITY MANAGEMENT SOP

Introduction:

To prevent the breach of Covid-19 safety protocols during the escort of Quarantine Individuals

(QI) and at the Quarantine Facilities (QF), this Standard Operating Procedure (SOP) has been

established. The RBP personnel and Desuups on duty will be held responsible and accountable in

the event of any lapses on their part.

A Quarantine Facility Management Team (QFMT) will be set up at RBP, HQ, Thimphu, under

RBP Covid - 19 Focal Officer (FO) designated as Chief Coordinating Officer (CCO), with a

dedicated officer as Quarantine Facility Liaison Officer (QFLO), to coordinate all security related

issues of the Quarantine Facility Management (QFM) of the Divisions & Police Stations.

A similar office, Quarantine Facility Management Unit (QFMU) should be set up by the respective

Divisions/Police Stations to manage QFs and QIs with a dedicated officer as Quarantine Facility

Coordinating Officer (QFCO). The QFCOs from all of this QFMU offices should report and

coordinate with the QFLO.

QFMT will consist of RBP Chief Coordinating Officer, RBP Quarantine Facility Liaison Officer,

Quarantine Facility Manager from PMO, Health Representative from MoH and Desuup Gojays

from Desuung Office. This SOP will cover the jurisdiction of all twenty dzongkhags.

The role and responsibilities of different stakeholders are as given under:

Chief Coordinating Officer (CCO):

1. Shall head the QFMT, who shall coordinate issues related to QFM.

2. Shall coordinate and report to RBP, HQ on any important matters.

3. Shall coordinate with PMO, MoH, Desuung Office, Regional Task Force, RBP

Divisions and other relevant stakeholders.

4. Shall supervise, monitor and advise QFMT/QFMU.

5. Shall collect reports from QFLO and submit to relevant authorities.

6. Shall conduct coordination meetings with stakeholders as and when necessary.

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7. Shall review and update the SOP periodically / as and when required.

Quarantine Facility Liaison Officer (QFLO):

1. QFLO shall be stationed at QFMT with Desuup Gojays.

2. Shall coordinate with the QFCOs of the Divisions/Police Stations to manage the

security of QFs/Escorts.

3. Shall monitor and ensure adequate security at the QFs/Escorts in liaison with QFCOs.

4. Shall collect reports from QFCOs and submit to the CCO.

5. Shall brief and monitor the QFCOs.

6. Shall monitor and ensure no covid-19 breaches take place in QFs.

7. Shall report any incidents in the QFs to the CCO.

8. Shall submit requisition for Desuups as per requirement to Desuung Office/Dzongkhag

Desuung Coordinator.

9. Shall assess and relieve FMs/security from duty on emergency ground in coordination

with the health desk.

10. Shall report to CCO on any covid protocol breach by QF.

11. Shall carry out any other functions assigned by the CCO.

12. Shall ensure that QFCOs carry out the roles without failure.

QF Coordinating Officer (QFCO):

1. QFCO shall be stationed at QFMU of Divisions/Police Stations.

2. Shall be assisted by Desuup Gojays.

3. Shall deploy adequate security for the QFs/Escorts.

4. Shall ensure no covid breach takes place in their respective jurisdictions.

5. Shall submit a report to QFLO/SSP/SP.

6. Shall submit requisition for Desuups to Desuung office/Dzongkhag Desuung

Coordinator.

7. Shall assign one police personnel and adequate number of Desuups for Isolation

wards at hospital, identified isolation facilities and primary contact QFs.

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8. Shall keep evacuation routes and assembly points identified and QIs briefed in the

event of disasters (Fire/Earthquake).

9. Shall brief, inspect and monitor Desuups on QF/Escort duty.

10. Shall report on breach of health protocols by duties immediately to

QFLO/SSP/SP.

11. Shall immediately surrender the duties on security lapses/protocol breach /

disciplinary ground to Desuung office/RBP for necessary action.

12. Shall maintain proper record of routine activities of QFMU.

13. Shall carry out any other functions assigned by QFLO.

Desuung Office:

1. Desuung office shall render all necessary administrative support to Gojays.

2. Shall support with necessary communication equipment to Gojays.

3. Shall support with vehicle requirements of Gojays for monitoring and inspection.

4. Shall take immediate action to replace Desuup who are surrendered on disciplinary

ground/security lapse/covid 19 protocol breach.

5. Shall respond to reports submitted by CCO and take action without delay.

Desuup Gojays:

1. Desuup Gojays will be stationed at QFMT/QFMU to assist QFLO/QFCO.

2. Shall assist QFLO/QFCO in monitoring and inspection of QFs/Escorts.

3. Shall coordinate with Desuung office/Dzongkhag Desuung Coordinator for manpower

requirement.

4. Shall maintain record of the Desuup routine activities at QFMT/QFMU.

5. Shall route all correspondences to Desuung office through proper channel.

6. Shall submit a report to the Desuung Office as per requirement.

7. Shall recommend for selection of Desuups for security/FMs in consultation with

QFLO/QFCO.

8. Shall function under the command, control and directives of QFMU/QFLO.

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Logistic Desk (PMO):

1. Arrangement & management of QFs & QI transports.

2. QFs shall be assessed and approved by RBP/QFLO/QFCO.

3. Shall provide necessary security facility requirements at the QFs.

4. Shall inform QFLO/QFCO on travelers to be quarantined, a day ahead of arrival.

5. Shall liaise with Dzongkhag Task Force (DTF) and share information on special

travel permits/other permits with QFLO/QFCO.

6. Shall ensure the QIs are briefed on security & health protocols.

7. Shall inform CCO on any security aspects of QFs/QIs.

Health:

1. Shall provide all necessary safety protocol advice & training to

QFMT/QFMU/CCO/Desuups/QIs.

2. Shall keep updating the team on health protocol changes or advisories.

3. Shall provide adequate PPE for the QFMT/QFMU and duties at QFs/Escorts.

4. Shall inform QFLO/QFCO on any covid 19 protocol breach at QFs and during QI

escort.

Responsibilities of Quarantine Facility Static Security (QFSS):

1. Shall be on duty on rotation 24/7.

2. Shall not leave duty post at any cost.

3. Shall seek permission from QFMT to leave QF in case of emergency.

4. Shall not invite any relative/friend to QF or mix around with anyone nearby.

5. Shall strictly abide by health safety protocols at all times.

6. Shall ensure compliance to SOPs of relevant stakeholders.

7. Shall ensure strict compliance to health protocols by FMs/QIs/hotel staffs.

8. Shall ensure QFs are out of bound for all.

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9. Shall permit entry of authorized individuals with prior permission from

QFCO/QFLO.

10. Shall monitor entry & exit points, so that no QIs /hotel staff/Desuups sneak out.

11. Shall take over entry & exit keys from the hotel owner/manager.

12. Shall ensure no contact with QIs/hotel staffs/visitors/duties.

13. Shall regulate visiting hours, maintain log books & check parcels (if necessary).

14. Shall always remain alert & vigilant.

15. Shall take over QF by security one day prior to arrival of QIs.

16. Shall report of any incidents in the QF immediately to QFCO/QFCO without delay.

Responsibilities of Inspection & Monitoring Team:

1. Shall consist of QFLO/ QFCO and Desuup Gojays.

2. Shall form teams to inspect the QFs for wider coverage.

3. Shall inspect QFs once a day / as and when required.

4. Shall maintain record of all such inspections in register/GD.

5. Shall submit inspection report to CCO/SSP/SP.

6. Shall consult on any matters related to QFs & QIs with CCO.

7. Shall report on any incidents in the QFs immediately to CCO.

Responsibilities of Escort Team:

The QFLO/QFCO shall receive information (number, origin, destination QF and quarantine

period) on movement of QIs from the logistics desk one day in advance.

1. QFLO/QFCO shall inform the escort gojays, FM gojays and security gojays to

arrange and be prepared accordingly.

2. QFLO/QFCO shall coordinate & monitor the QIs escort & convoy enroute.

3. Escort Gojay & duties shall ensure that the escort team and QIs do not breach covid

protocol on the way, and no one enters the QIs vehicle.

4. Allow lunch break & natural call at various identified locations.

5. QFLO/QFCO shall ensure traffic bike escort for QIs from receiving point to QF.

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6. Escort Gojay & duties shall immediately report to QFLO/QFCO on any enroute

issues.

7. QFLO/QFCO shall coordinate with enroute Divisions/Police Stations.

8. QFLO/QFCO to ensure escort teams and drivers are kept at containment facilities or

securely sent back the same day.

9. QFLO/QFCO shall share information regarding movement of QIs with OC Traffic/PS

of Divisions for safe enroute travel.

10. QFLO/QFCO to coordinate with the Logistic Desk during road blocks & vehicle

break down. Keep a contingency plan for such cases.

11. QFLO/QFCO to ensure no parcels are taken in the QIs transporting vehicle.

12. QFLO/QFCO to immediately inform CCO on any issues enroute.

Responsibilities of Hotel (QF) Management:

1. Shall sign MOU with PMO with clear role & responsibility.

2. Shall give the details of cooks and hotel staff to the security team.

3. Shall conduct covid 19 tests of cooks and hotel staff before arrival of QIs. MoH to

ensure.

4. Shall ensure the cooks and hotel staff stay in the QF till the end of the quarantine period.

5. Shall have no contact with QIs & FMs.

6. Shall work under the supervision of FMs and security.

7. Shall be dealt as per law on any breach of QF rule.

Legal Action:

1. No unauthorized persons or items shall enter or exit the active quarantine facilities.

2. Any lapses by Desuup on FM duty and QF security will be dealt as per the

Law/Code of Conduct of the respective organization.

3. Any Covid 19 protocol breaches by the frontline workers shall be dealt seriously as

per the prevailing laws of the country.

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ANNEXURE 4: DOS AND DON’TS DURING QUARANTINE

Dos Don’ts

Please cooperate with quarantine officials Leave your designated quarantine room

Maintain personal hygiene Sneak out of the facility

Indulge in activities like reading, meditation and exercise that will keep you healthy

Disturb those in the adjacent room with loud music and sound

Report any signs and symptoms of illness, particularly fever, cough or respiratory issues.

Damage properties in the facility

Change your own linens and toiletries Spit or throw things out of the window

Manage your own laundry waste food or water

Dispose of waste in designated bins Convey false information

Individuals failing to cooperate and comply shall be liable for payment of the entire quarantine and test, and undergo mandatory community services. Additionally, defaulters shall be dealt with as per prevailing law of the country.