April 2020, Newsletter

Facility Safety Cal-OSHA Compliance

We need Cal-OSHA Training because we can get exposed to unknown diseases and infect others. Violations of OSHA standards can cost from $5,000 to $500,000.

We need to be trained in safely operating the health facility by the California Occupational Safety and Health Administration (Cal-OSHA) because we can get expose to unknown disease (such as COVID-19), bodily fluids and waste; we are responsible for frail and needy seniors; we could also infect other staff members; we need to meet requirements in running the facility safely; and we work with flammable and hazardous cleaning chemicals.

One such resource is Cal/OSHA Training from Community Care Options.  From this training you can learn to prepare your staff for inspections; the required materials to be Cal-OSHA compliant and how to stay compliant; find out about facility safety and how to run an efficient compliant program. Click here to purchase.

Cal/OSHA Training details in six categories:

  • General Workplace Safety
  • Back and Lifting Safety
  • Bloodborne Pathogens, HIV, Hepatitis and Standard Procedures
  • Personal Protective Equipment
  • Workplace Violence
  • Fire, Chemical & Electrical Safety.

General Workplace Safety are detailed on timeliness, proper response to injury and accident, safety protocols, issues and preventive measures against job hazards, and recognizing the symptoms of cumulative trauma disorder on the job.

Back and Lifting Safety demonstrates to operators the proper methods in handling the patient and avoiding injury to both operator and patient while doing it.  Focus on perfecting these techniques and augmenting it with different tools.

Bloodborne Pathogen, HIV, Hepatitis and Standard Procedures educates operator medical concepts essential to the proper execution of the job. As well as measures for prevention, safety and protection like personal protective equipment (PPE) and how to avoid hazardous situations.  It identifies the kind of infectious diseases, the at-risk and how infection can happen.

Personal Protective Equipment dwells deeper into PPE.  OSHA requires employers to provide PPE at no cost to employees.  These include: OSHA-approved gown, gloves, mask, face shield, head and shoe cover.  When and how to use PPEs and even tools.  Focus on the proper sequence to wear and remove PPEs and what to do after.

Workplace Violence enumerates the different violence that occur in facilities, their root cause and measures to prevent them.  Focus on the three-stage strategy before violence can occur. Included is a discussion on unwanted sexual attention communicated both verbally or other ways. Also discussed are flags that should get the manager’s attention and what he should do about the situation.

Fire, Chemicals and Electrical Safety flags the instructor to custom-make the training according to the facility; to familiarize operators with the specific emergency equipment, alarms and exits; It also deals with extinguishers, smoke alarms, fire drills, checking out electrical appliances and circuits. Focus is on the proper order of rescue and recognizing and knowing the properties of the chemicals in the facility.  An OSHA-specified eye wash station is also required in corrosive chemicals are used.  When OSHA adopted the Globally Harmonized System of classification and labelling of chemicals (GHS) Hazard Communication Standard, the Material Safety Data Sheet (MSDS) was replaced by the Safety Data Sheet (SDS). The SDS or formerly MSDS reveals the ingredients of chemicals, characteristics, health hazards and measures to limit the danger.

OSHA violations and penalties

One important thing to note is that even if operators don’t know a specific OSHA standard has been violated, the filed complaint for the violation is valid and citation can still proceed. It starts with an inspection.   An inspection can be triggered by: an employee complaint, a public complaint, Workers Comp. Mod. Rate above 125 percent or an injury.

Also, Cal-OSHA standards are independent of Federal OSHA standards. There are some standards unique to California and this has consequently resulted in higher number of violations than in any other state.  Furthermore, legislation and enforcement change frequently, proving to be even more burdensome to home care owners through the years.

Below is a broad coverage of OSHA violations and penalties, according to USLegal.com.

When a violation can lead to death or physical harm that the employer knew or should have known carries a mandatory penalty of up to $7,000 for each occurrence.

When a violation occurs relating to workplace safety or health that would unlikely cause serious physical harm or death carries a discretionary fine of up to $7,000.

When an employer intentionally commits a violation or even though aware of hazardous condition and makes no reasonable effort to eliminate it, the act carries a penalty of not less than $5,000.   If the violation causes an employee’s death, the court can impose a fine of up to $250,000 per individual and/or imprisonment of up to six months. For a corporation, a fine of up to $500,000 may be imposed.

Repeated violations can be fined up to $70,000 each.

Failure to correct prior violation can be fined up to $7,000 if it is prolonged beyond abatement date.

White House
COVID-19, Payment Protection Program

Trump Signs $484 Billion Coronavirus Relief Bill to Boost Small Business, Hospitals and Testing

President Trump on Friday signed the nearly $500 billion emergency coronavirus relief package into law replenishing the Payment Protection Plan (PPP) fund for small businesses amid the COVID-19 pandemic.

The legislation includes:

  • $310 billion in new funds for the Paycheck Protection Program, which provides small business loans that can be forgiven if used for wages, benefits, rent and utilities. $60 billion is set aside for small lenders.
  • $60 billion for Small Business Administration disaster assistance loans and grants.
  • $75 billion in grants to hospitals dealing with a flood of patients.
  • $25 billion to bolster coronavirus testing, a key part of efforts to reopen the economy.

Payment Protection Program

The PPP was created as part of the more than $2.2 trillion stimulus package, known as the CARES Act, which passed last month.  The program converts the small business loans to grants and would be fully forgiven if 75 percent of the loan is used to keep employees on the payroll.

Most application is done online.  It is a a very short form to fill out.  Be ready to provide payroll information as loan is 2.5x of monthly payroll.

Source: CNBC News

All Posts, COVID-19

Nursing Homes Want to be Held Harmless for Death Toll

Here’s Why Governor Newsom May Help

For weeks, nursing homes have been the epicenter of coronavirus outbreaks and deaths in California, making them prime targets for civil lawsuits and even criminal prosecutions. But the nursing home industry has some leverage to fend off legal action: California needs these nursing homes to relieve pressure on hospitals statewide.

Source: Maura Dolan, Harriet Ryan, Anita Chabria, Los Angeles Times.

All Posts, COVID-19

Hospital & Health Care Update

In a recent All Facilities Letter (AFL), The California Department of Public Health (CDPH) released updated guidance on prioritization of testing for COVID-19. Citing the importance of expanded testing in understanding the virus, CDPH indicated this guidance will “be reassessed on a weekly basis based on California’s evolving situation and input from stakeholders. The prioritization categories below are suggested as guidance to sequential expansion of testing. As testing capacity increases, testing should expand accordingly at the discretion of the Local Health Officer.”

  • Priority 1:
    • Hospitalized patients
    • Symptomatic healthcare workers
    • Persons identified for testing by public health contact investigations and disease control activities in high risk settings, including both residents and staff (e.g., congregate living facilities, correctional facilities)
  • Priority 2:
    • Screening of asymptomatic residents of congregate living facilities prior to admission or re-admission to congregate living facility (e.g., a hospitalized patient will be screened for COVID-19 prior to discharge to a congregate living facility)
    • Screening of asymptomatic healthcare workers (e.g., skilled nursing facility workers, hospital workers)
    • Symptomatic persons in essential health and public safety occupations (e.g., first responders, law enforcement, congregate living facility workers)
    • Symptomatic persons >65 years of age or with chronic medical conditions
  • Priority 3:
    • Symptomatic persons in essential infrastructure occupations (e.g., utility workers, food supply workers, other public employees)
  • Priority 4:
    • Community-based testing of all low-risk symptomatic persons
    • Surveillance testing of asymptomatic persons
  • The AFL further guides, ill persons should stay home and away from others until:
    • There has been no fever without the use of fever-reducing medications,
    • There has been improvement in respiratory symptoms (e.g., cough, shortness of breath) for at least three days; AND,
    • It is at least seven days since symptoms first appeared, i.e., the minimum length of time will be seven days.
Members

6Beds’ Got Your 6

6Beds, the first and only California organization of residential care providers officially recognized by the Department of Social Services, Department of Disability Services and Department of Labor, has got your back. 6Beds watches out for you when new laws and proposals from special interest groups impact the small care home industry. In 2014 and 2015, … Continue reading

In order to access this content, you need to be a 6Beds member.

6Beds delivers meal packs to Seton Medical Center for front line staff
All Posts, COVID-19

6Beds Delivers Meal Packs to Seton Medical Center for Front Line Staff

To express their highest recognition and deepest appreciation for their selfless dedication in the performance of their sworn duty, officers of 6Beds Inc. prepared delivered and turned over food packs for the so-called front line staff in the fight against coronavirus COVID-19 at Seton Medical Center in Daly City.

Realizing the extent of sacrifice of those directly in the line of fire in the fight against the virus, 6Beds led by its Northern California President and Daly City Commissioner Dory Paniza, Olivia de Anda and Ethel Gumban delivered 150 meal packs that were readied by the Pampanga restaurant also in Daly City for the hardworking Seton staff on duty.

The trio were gladly met and welcomed by Karen Lau of Seton Medical Center Food and Nutrition Department that is in charge of distributing donated food packs to all the healthcare workers on duty.

6Beds delivers meal packs to Seton Medical Center for front line staff

6Beds officials Olivia de Anda, Dory Paniza and Ethel Gumban unload the meals to be given Seton Medical Center staff.

“We really appreciate this. Thank you so much. It is so kind of you to do this for our community,” Lau expressed elation. “It is really awesome to see everybody coming in helping out and it heartening to know is thinking about the health workers in the frontlines. It is heartwarming to see all these even if there is coronavirus, there is something good coming out of it as well.”

Lau shared that Seton Medical Center has around 500 health workers – doctors, nurses, food service, security, lab technicians, maintenance, to name some —  in any given day divided into different shifts half of whom are Filipinos.

“We have a lot of vendors coming as often as three times a day to lend their support. And those in the frontlines like the nurses are very appreciative of whatever is shared no matter how big or small it is. It will somehow ease the burden they have in the performance of their duties   Daly City may be a small City but it does so much for everybody. The food you shared is like nursing of the soul,” Lau underscored.

6Beds delivers meal packs to Seton Medical Center for front line staff

The meals are formally turned over to Karen Lau (second from left) of Seton Medical Center food and nutrition by 6Beds’ Olivia de Anda (extreme left), Dory Paniza and Ethel Gumban (third and fourth from left).

Paniza reminded that they have always been very supportive of Seton Medical Center especially when it was threatened with closure.

“Our mission is for the elderly which is my advocacy. We need to take care of the front liners because if something happens to our clients, who is going to take care of them but the front liners themselves. You guys take care of our clients, and we take care of you,” Paniza stresses.

Paniza also imparted that she knows how sensitive and scary the jobs of the frontliners are that some doctors, nurses and other staff members are even dying after getting infected themselves.

“Through the food that we brought we showing that sharing is caring as it is all about loving and sharing. We stay at home to be safe but they are out there working hard to save lives. So this is all for sharing our blessings,” Paniza added.

Olivia de Anda, Dory Paniza and Ethel Gumban (left to right) pose for a shot in front of Seton Medical Center in Daly City.

For her part, de Anda extols the front liners total dedication to their job despite the risks they face.

“While many of us are trying to figure out how to stay away from people as much as possible to avoid illness, these frontliners are working so hard in the war against Covid-19,” de Anda emphasized. “On behalf of 6beds, thank you doctors, nurses, other medical and  administrative personnel of Seton Hospital for risking your lives to save others. You are heroes and you deserve this extra dose of appreciation.”  

Gumabn echoed Paniza and de Anda’s appreciation of the efforts that the hospital staff exerts and gives out whenever they report for work.

“I am humbled and blessed to be a part of 6beds organization that’s very active in our community. This is just a simple token of appreciation of hard work of the frontline workers who don’t have time to go out & pick up a hot meal for themselves,” Gumban pointed out.

Contact 6Beds

Call / Text: 1-833-my6Beds
Fax: 1-833-696-2337
Email: Admin@6Beds.com
Website: www.6Beds.org
Facebook: 6Beds.org

Grocery stores
COVID-19

California Department of Social Services Releases Guidelines for Providers Requesting Stores to Waive Supply Limitations Due COVID-19

With the Coronavirus disease (COVID-19) causing increased bulk purchasing of items, many stores across California have placed purchasing limitations on certain items. The California Grocers Association (CGA) represents hundreds of stores across California including Costco, Vons, Safeway, Albertsons, Raley’s, Ralphs, Whole Foods, Smart and Final, and others.

In response to the COVID-19 pandemic the CGA has advised their stores to designate an employee such as the store manager or manager on duty, to handle bulk order requests. Additionally, stores are being advised to post signs at entrances or other prominent locations notifying customers of any requirements needed to fulfill bulk orders.

The following are best practices for providers to consider when planning a trip to the grocery store:

  • Check the store’s website for information regarding store policy for bulk purchasing, including documentation and verification needed, etc.
  • Call Ahead: Contact customer service for the store and explain that you are a PIN 20-08-CCLD Page Two licensed facility in need of placing a bulk order for supplies for your clients. Verify if they have a policy in place to allow this and confirm what you will need to do to make your bulk purchase.
  • At the Store: Look for signs or notices at the store entrances or prominent locations that provide the store’s procedures for obtaining bulk orders.
  • Bring a copy of your facility license to the store as verification for your unique need (e.g. you can take a picture of your facility license as an option). You can inform them that they can also verify your license at our website.
  • Online Ordering & Delivery Options: If visiting a store in person is not a viable option, many retailers also offer delivery and online ordering through their website or third parties.
  • Alternative Suppliers: Reach out to local farms, restaurants, bakeries and other businesses who may be offering supplies during this time. Some restaurant chains like Panera and Subway have converted to operate as grocery stores to stay in business and support communities.

Additional Resources
California Grocers Association
California Grocers Association: retailers special shopping hours
International Foodservice Distributors Association

Please continue to monitor the CCLD homepage for updated information regarding COVID-19. If you have any questions regarding this PIN, please contact your local Regional Office at the following applicable link:
Adult and Senior Care Program Regional Offices
Child Care Program Regional Offices
Children’s Residential Program Regional Offices

ARF, COVID-19, RCFE

Governor Newsom Outlines Steps to Protect Residents and Employees of California Nursing Home & Residential Care Facilities

Governor Gavin Newsom has outlined steps California is taking to protect the residents and employees of the more than 1,224 skilled nursing facilities and 7,461 residential care facilities across the state. Building on the state’s early action to protect these facilities, California has trained and is deploying 600 nurses to support compliance with COVID-19 guidance, and state staff is calling nursing homes across the state daily to provide support.

“Protecting California’s most vulnerable residents and the employees is a top priority – not only to protect public health but because it’s the right thing to do,” said Governor Newsom. “Older Californians and those who are medically fragile are at higher risk of becoming seriously ill due to COVID-19, which is why we took early action to restrict visitors to these facilities. Now we are providing even more support for these facilities, their residents, and staff who serve them.”

Recognizing the threat to these medically fragile individuals, the state last month restricted visitors to these facilities except for end-of-life and other rare circumstances. Before COVID-19 had spread widely in the community in California, the Department of Public Health and the Department of Social Services issued guidance and offered trainings on infection control. And the Departments jointly deployed strike teams of infection control specialists to counties, nursing homes and residential care facilities for the elderly to provide one-on-one technical support and expertise.

The Governor also announced that the USNS Mercy will be taking non-COVID-19 patients to help decompress skilled nursing facilities in the Los Angeles area.

To further protect vulnerable Californians, California is:

  • Retraining 600 nurses to support facility compliance with COVID-19 guidance and to assist facilities with positive cases;
  • Working to decompress facilities to help slow the potential spread of COVID-19 in these facilities and create facilities specifically for positive patients;
  • Reaching out proactively to each skilled nursing facility on a daily basis to assess their specific needs and identify and address any challenges early on;
  • Prioritizing testing for patients discharged from a hospital to a skilled nursing facility to ensure patients who test positive are transferred to a facility that can safely provide care to the residents and also protect COVID-19 negative residents. California will also prioritize the testing of symptomatic residents and potentially exposed residents to ensure they are immediately isolated;
  • Prioritizing personal protective equipment to facilities with COVID-19 positive staff or residents and facilities that are at increased risk to COVID-19;
  • Providing stipends to certified nurse assistants, licensed vocational nurses and other critical staff at nursing homes to make sure their needs are met. A previously announced Facebook donation of up to $25 million available to provide $500 stipends to up to 50,000 nursing home workers;
  • Offering no-cost or low-cost hotel rooms for workers who have had possible exposure to COVID-19 or test positive for COVID-19 and do not need to be hospitalized; and
  • Ensuring that families of nursing home residents are informed and educated on COVID-19 safety protections for their loved ones.

Learn more about the state’s ongoing COVID-19 response efforts here. Visit covid19.ca.gov for critical steps Californians can take to stay healthy, and resources available to those impacted by the outbreak.

Paycheck Protection Program
All Posts

Paycheck Protection Program Now Available for Residential Care Operators

Paycheck Protection ProgramGood news to small businesses including residential care operators who are struggling to stay afloat and keep their workforce intact in this time of the COVID-19 pandemic!  The Small Business Association (SBA) announced that a forgiveness of loan is now available to provide a direct incentive for small businesses like residential care operators to keep your care workers on the payroll.

Paycheck Protection Program Details & Important Links

Known as the Paycheck Protection Program (PPP), is a loan designed to provide direct incentive for for small business to keep their workers on the payroll.

SBA will forgive loans if all employees are kept on the payroll for eight weeks and the money is used for payroll, rent, mortgage interest, or utilities.

Loan payments will also be deferred for six months with no collateral or personal guarantees are required and neither the government nor lenders will charge small businesses any fees.

With a maturity of two years and an interest rate of 1%, loan forgiveness is based on the employer maintaining or quickly rehiring employees and maintaining salary levels although forgiveness will be reduced if full-time headcount declines, or if salaries and wages decrease.

Business owners can apply through any existing SBA 7(a) lender or through any federally insured depository institution, federally insured credit union and Farm Credit System institution that is participating or any other regulated lenders that were approved and enrolled in the program

Find a Lender

Lenders may begin processing loan applications as soon as April 3, 2020. The Paycheck Protection Program will be available through June 30, 2020.  For affiliation rules applicable for the Paycheck Protection Program, click here.

The Interim Final Rule for Applicable Affiliation Rules for the Paycheck Protection Program information is being posted in advance of publication in the Federal Register.  The official version will appear in the Federal Register.

Frequently Asked Questions for Faith-Based Organizations Participating in the Paycheck Protection Program and Economic Injury Disaster Loan Program

Among the entities affected by Coronavirus (COVID-19) and eligible for PPP include any small business concern that meets SBA’s size standards (either the industry based sized standard or the alternative size standard) and sole proprietors, independent contractors, and self-employed persons

You can download a copy of the PPP borrower application form If you wish to begin preparing your application, and see the information that will be requested from you when you apply with a lender.

Business owners can click apply for disaster assistance. to see if they are eligible for assistance due to the Coronavirus (COVID-19) pandemic.

Enhanced Debt Relief is also available in SBA’s other business loan programs to help small businesses overcome the challenges created by this health crisis.

For information on additional Lending options, please click here.

SBA provides local assistance via 68 district offices and a nationwide network of resource partners. To find resources near you, please click here.