¶ COVID-19 Guidance: Setups and Management for Quarantine Hotels
Translation Section Editors
Prof. Po-Hsiu Kuo, PhD
In response to the global outbreak of COVID-19, the Central Epidemic Command Center (CECC) has successively raised travel notice to higher levels for more countries and territories, and strengthened the managements on immigrants. Starting from March 19th, 2020, all arriving travelers are subject to home quarantine for 14 days upon entry; from March 21st, the CECC raised travel notice for the globe to “level 3: Warning”. Due to the rapidly increased number of individuals under home isolation or quarantine, people who undergo home quarantine or isolation without a fixed residence, or couldn’t take care of themselves under isolation, or not suitable to stay with their family, might have needs to stay at quarantine hotels during the two-weeks period. This guidance is therefore formulated to guarantee the rights of those undergoing home quarantine or isolation and also to secure domestic disease control.
¶ II. Basic Equipment and Measures for quarantine location
- Single buildings are recommended to avoid guests under home quarantine or isolation having possibilities to interact with other residents. If quarantine place is on a separate floor in a building, the hotel should provide separate entries and avoid sharing the same elevator with the general public.
- Areas such as hotel front-doors, counters, elevator entrances, and every floor should be equipped with 75% alcohol disinfectant (using automatic sensor is preferable) for guests undergoing home quarantine or isolation to disinfect their hands conveniently.
- Body temperature should be measured at hotel entrances and exits.
- One room per person is the general principle for quarantine or isolation. Elders, infants, and those who need company or caregivers are allowed to have at most one caregiver per person in a room, and they shall wear face masks properly in quarantine rooms.
- Environmental cleaning in public areas are maintained by working staff at least once a day. The room guests under home quarantine or isolation are responsible for cleaning their own rooms.
- Hotels should provide meals during the quarantine period; details of the meal delivering approaches please refer to III. Entry Access Control and Security Maintenance.
- Hotels should provide daily necessities, cleaning supplies, and bedding.
- Hotel rooms should comply with relevant fire safety regulations.
¶ III. Entry Access Control and Security Maintenance
- Entry access control should be maintained to forbid visitors other than the caregivers entering the room. Hotel staff should wear face masks on duty.
- Hotel guests under quarantine or isolation must not leave the assigned rooms or enter other quarantine rooms without permission. People should only dine in their own rooms, and meals will be delivered to the outside of the room entrance (either provided by the hotel or food delivery service ordered by the guests).
- Hotel staff should contact those who are under quarantine or isolation by phones to prevent close contact between staff and guests. Maintain at least 1 meter distance when face-to-face contact is necessary.
- Accommodation fees and payment on behalf of the guests (e.g. food delivery cost) are preferred to be paid on the charge accounts all at once at checkout. This is to reduce the risk of contagion.
- The rooms should be equipped with independent bathroom and air conditioning. Hotels rooms without openable windows are not recommended for quarantine.
- The rooms should be equipped with communication apparatus, such as phones.
- The rooms should have audiovisual or recreational facilities, such as internet access and television.
- Television remote controls, air-conditioning buttons or other touch panels should be covered with films. Films should be changed once the guests who are under home quarantine or isolation check out.
- The rooms should provide disposable toiletries and table-wares. If there are unused disposable goods from the previous guests undergone quarantine or isolation, do not leave them for the next guest. Those unopened items should be retrieved and placed centrally and kept for at least 7 days before they can be used.
- There should be hand-sanitizers, soaps and 75% ethanol solution in the rooms for people who are in quarantine or isolation to clean their hands at any time.
¶ V. Environment Cleaning and Waste Disposal
- In the public area, surfaces that are frequently touched by people (such as buttons in elevators, escalators,
workout equipment, amusement facilities, tables and chairs, telephone handsets, and faucets, door-knobs, toilet
flush handles in the bathroom) should be cleaned regularly by specialized staff and disinfected at least once a
disinfection frequency can be increased for elevators and escalators that are used by people under home
isolation. One might also want to clean and sanitize these spaces by ethanol solution or diluted bleach solution
every-time used by people under home quarantine or isolation. Disinfection can be conducted with diluted bleach
or sodium hypochlorite (1,000 ppm) by 1:50 ratio (prepared at the same day, 1 portion of bleach solution/sodium
hypochlorite and 49 portions of cold water), applying the diluted solution on the surface with mops or rags for
two minutes, and then wiping the surface till clean with wet mops or rags.
- The cleaning and disinfection work in the rooms should be carried out by the guests themselves in quarantine.
the trash bin is full, the guests in quarantine should tie up the trash bag to ensure that there is no overflow
leakage before putting the trash outside of the door for hotel staffs to handle the dispose of garbage.
- Supplement or replacement of daily necessities (such as towels, blankets, toothpaste, shampoo, shower gel,
be packed into plastic bags and tied up by people under quarantine or isolation then placed outside of the door
hotel staffs to handle it.
- When there are requests for other items or trouble-shooting, contact hotel staff for assistance through
and reduce the chance of contacting with each other.
- Leftovers by people in quarantine or isolation should be disposed as waste instead of food scraps recycling.
- The hotel cleaning staffs should be educated before working to avoid becoming an important transmitter in the
of transmission in the hotel due to lack of knowledge of infection control. When dealing with rubbish (high-risk
containments, such as used tissue), one should avoid contamination. The gloves that are exposed to waste
not touch other facilities that are already cleaned. Wash hands properly and thoroughly ever-time after handling
disposal and be very careful to avoid the contamination caused by waste.
- When the quarantine or isolation period is end, the guest has left or no longer needs to use the room, the room
be sanitized thoroughly (named the final disinfection). Facilities that are frequently been touched, including
bathroom, door knobs, switches, telephones, and remote controls, etc. are especially important. Moreover, sheets
pillow cases in the room should be replaced with the new ones.
The approaches for final disinfection are described as follows.
The cleaning staffs for disinfection work should wear personal protective equipment (including gloves,
mask, waterproof aprons, glasses, goggles, or face shields) to avoid the bleach solution splashing into
mouths, noses, and other body places.
Make sure to sanitize the door knob before entering the room for the final disinfection work. During the
disinfection process, windows should be opened to maintain good air circulation in the space of
disinfection (turn-off the air conditioning during the disinfection process).
If the room was occupied by a confirmed case, one should open the window and close the door for at least
minutes before carrying out the final disinfection work for the quarantine room.
Garbage on the surface or floor should be removed before doing the disinfection work. Use detergent or
clean water to remove the stain and organic matters on surface or floor, and then use the wet rag with
disinfectant to clean and sanitize the quarantine space effectively. When there is a small area stained
blood (<10ml) or organic matters, one should cover it with low concentration (1,000ppm) bleach solution
to do decontamination. If the area of blood stains or organic matters is greater than 10ml, one
should perform decontamination with high concentration (5,000ppm) bleach solution. Similarly, the
stained area should be applied with detergent or soap and clean water to remove the stains and
organic matters, and then keep on using the wet rag and proper disinfectant to clean and sanitize
the environment effectively.
While dealing with used blanket, sheets and clothes, one should avoid shaking them to lower the risk of
contamination in the air, the environmental surface, and the people nearby; then send to the laundry as
possible. Used blanket, sheets and clothes should be placed into bags in the room. Do not bring these
outside the isolation rooms unpacked.
If the room was occupied by a confirmed case, and he or she had turned on the air conditioning or
equipment, the air conditioning filtering facilities, such as air outlet, filter or strainer, should be
disassembled for cleaning or be replaced to a new one. When disassemble these things, one should avoid
movement to cause oscillation or dust flying all around.
The indoor disinfection process (including floor and the walls) should be done from the inside out, and
order of above to below, to sanitize the space step by step. After finishing the disinfection work for
surface, one should use wet rag and mop to clean all the surface and floor.
After the completion of room cleaning, the cleaning staff should sanitize the door knob again before
with diluted bleach or ethanol solution.
- Set up a health monitoring plan for staff members with operational management mechanisms to follow up abnormal
- Staff members should implement self-monitoring of health condition. Report to the authority or section
supervisor if there are occurrence of fever (auricular temperature≧38℃ or forehead temperature ≧37.5℃) or
respiratory symptoms. Under this condition, staff members should adopt proper protective measures and follow
instructions to seek medical treatment.
- All the staff members should wear masks during working hours.
- Any staff members or people under home quarantine or isolation have suspected symptoms should follow the
If the person with suspected symptoms is a staff member, he or she should keep distance of more than one
meter away from others. Moreover, he or she should wear a mask, and obey the instructions of ‘coughing
etiquette’ and ‘hand hygiene.
Inform the health unit immediately and follow the instructions to seek medical treatment. Meanwhile,
corporate with the health unit to do epidemic surveys and other related prevention actions.
People with suspected symptoms should be taken care of by fixed personnel before seeking medical
advices. The caregivers should not be at high risk for medical complications, and should always wear a
mask and gloves when contacting with the patient. After contacting with the patients or dealing with
their waste, the caregivers should carefully take off mask and gloves, and wash their hands thoroughly.
Waste produced by the patients and used masks and gloves should be sealed in sturdy plastic bags before
disposing of these items.
When ill staff members or people under home quarantine or isolation seek for medical treatment, one
should take high standard for disinfection work for the routes patients had passing by or the rooms they
had stayed in.
- Draw up the leave rules for staff having fever and respiratory symptoms as well as the manpower backup plan for
such conditions. Every staff member should be familiar with and follow the rules. If any staff member develops
fever or respiratory symptoms, he or she should take leave and be suspended from work until he or she is totally
recovered and has a normal body temperature for more than 24 hours without taking antipyretics. For those who
take the leave because of suspected or confirmed COVID-19, the leave days should be handled leniently. The leave
days should not be counted in evaluation of full attendance, performance appraisal or performance review.
Nan-Su Huang, Po-Jung Lai, Shin-Yi Tai, Li-Ling Hsu
Yi-Yun Cheng, Yao-Chung Chang