Thank you for the many updates to the proposed regulation.  Below are comments on the updated proposed amendments.

·         Additional guidance is needed on exactly what area’s metrics are to be used to make the determination on community transmission (county, region, state, etc.).

·         The process of finding the metrics required to determine the transmission level should be streamlined on the VDH website to allow for accurate and efficient determination of community transmission.

·         There needs to be an implementation timeline for rolling out the additional requirements for vaccinated employees once the data indicates community transmission has become substantial or high.  The change in expectations for vaccinated employees when this happens will need to be communicated and understood by hundreds of people throughout the facility.  We recommend at least 24 normal business hours to implement.