Participant Assessment For In-Person Programming


CUSR Return to In-Person Eligibility

As we move forward in Phase 4 of the Restore Illinois Plan we look forward to offering limited in-person programs. Champaign-Urbana Special Recreation is committed to the health and safety of all employees, guardians, community members, and participants.

In order to best prevent the spread of COVID-19 in our workplace and within agency programs the following procedures have been put into place utilizing the most recent information from local and federal health organizations.


Participant Eligibility

If a participant is unable to meet the following expectations, they may be unable to participate at this time in accordance with current federal, state, and local mandates and guidelines.  We expect guidelines to become less restrictive as Illinois passes through each Restore Phase. Staff will consistently evaluate participant progress in meeting these criteria and communicate any concerns with guardians.

  • Independently attend to personal self-care such as bathroom needs, hand washing, eating, dressing, and personal hygiene.
  • Maintain physical distance of 6 feet or greater from other participants, staff, and community members with minimal verbal reminders.
  • Independently put on, wear, and take off a face covering, when necessary and for the duration of the program.
  • Participate in the activity without the need for physical assistance (i.e. hand over hand, lifting/transferring).
  • Follow CUSR’s Code of Conduct and participate without emotional outbursts that require direct or close proximity, which expose others to respiratory droplets (i.e. yelling, spitting or biting).
  • Conduct a personal health screening prior to each program. Must be able to honestly answer “No” to all questions.

If you are able to meet all of the expectations above, in-person programming may be a good fit. If you are not able to, virtual programs are the best way to participate until guidelines are updated.


Participant Health Screening Protocols

All participants are required to complete a wellness screening prior to joining a program. Participants will be asked the following questions.

In the last 24 hours:

Y or N: Have you felt feverish?

Y or N: Do you have a cough?

Y or N: Do you have a sore throat?

Y or N: Have you been experiencing difficulty breathing or a shortness of breath?

Y or N: Do you have muscle aches?

Y or N: Have you had a new or unusual headache (e.g., not related to caffeine, diet, or hunger, not related to history of migraines, clusters, or tension, not typical to the individual)?

Y or N: Have you noticed a new loss of taste or loss of smell?

Y or N: Have you been experiencing chills or rigors (rigors: a sudden feeling of cold with shivering accompanied by a rise in temperature)?

Y or N: Do you have any gastrointestinal concerns (e.g., abdominal, pain, vomiting, diarrhea)?

Y or N: Is anyone in your household displaying any symptoms of COVID-19?

Y or N: To the best of your knowledge, have you or anyone in your household come into close contact with anyone who has tested positive for COVID-19 (close contacts include household contacts, intimate contacts, or contacts within 6-ft for 15 minutes or longer (10 minutes or longer for ambulatory care services) unless wearing N95 mask during period of contact)?

The answer to all of the above should be No in order to proceed to the program.

If the participant displays any of the above symptoms, CUSR must take precautions as if participant has COVID-19. If the participant has illness such as allergies or other non-contagious conditions that may appear similar to a contagious illness a note from a medical professional is required prior to participation.


Eligibility Assessment

Participants interested in registering for in-person programming will be required to complete an assessment to determine eligibility.

Once submitted, staff will review the assessment and utilize previous participant program experience (if any) to evaluate the criteria. CUSR will contact guardians/participants with additional questions and/or to confirm their eligibility. Please do not register for in-person programs until you have learned the outcome of your assessment. If you need assistance completing the assessment, please call the Hays Recreation Center.

By signing up for in-person programs, guardians/participants are confirming they can meet the eligibility criteria. If during a program the participant is not able to follow these guidelines without minimal verbal prompts, the participant will be asked to pause on in-person programs until they can demonstrate the ability to meet all guidelines.


Participant Assessment for In-Person Programming

Fields marked with an * are required
  • Participant's Information

  • Who is Completing This Assessment?

  • Independence

    What level of support does the participant need to do the following:
    (Painting, Cooking, Art, Sports, etc.)
  • Safety

    With limited verbal prompts is the participant able to do the following:
  • This field is for validation purposes and should be left unchanged.

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