There were at least 11,344 confirmed cases among staff and residents at California’s skilled nursing facilities and residential care facilities for elderly according to state data. These cases account for 18.1% of the state’s total 62,512 cases.
PIN_20-17-ASC announces an opportunity for Adult and Senior Care licensees to assist in providing additional beds by entering into contracts to temporarily house COVID-19 positive individuals.
Preferred facilities are those that are currently empty, have a completely separate structure from any other residents, or contain solely COVID-19 positive residents. Current law does not allow the State to limit the ability of a licensee to include both COVID-19 positive and non-COVID-19 positive residents in the same facility. If the State is unable to locate contracted beds in facilities that would house solely COVID-19 positive residents, the State may contract with other adult and senior care facilities.
Services to be Provided
The contracted licensee will be responsible for providing appropriate housing, staffing, and the required services to meet the individual’s needs while placed in the licensee’s care. The duration of the individual’s stay is currently anticipated to be between 3-30 days. To be eligible for this agreement, if there are any existing residents who are not COVID19 positive in any other parts of the facility, the contracted licensee must physically segregate all individuals placed under this agreement, such as utilizing the entire facility, a separate building, separate floor, or separate wing of the facility. In all cases, the contracted licensee must provide staff that are solely dedicated to the provision of services to the individuals, and under no circumstances allow staff to provide services to, or otherwise interact with, other residents or staff at any facility.
The contractor shall follow and comply with guidance and instructions from the Centers for Disease Control and Prevention (CDC), the California Department of Public Health (CDPH), and its local county health departments regarding COVID-19, including guidance related to appropriate Personal Protective Equipment (PPE). Prior to an individual being placed in, or exiting from, the care of the contracted facility, the needs of the individual will be assessed and coordinated with the individual’s home facility, individual and/or individual’s representative, Ombudsman, and the local health department. CDSS will provide technical assistance for placements. Technical assistance from CDSS will continue throughout the temporary stay and until the resident’s return to their home facility, or alternative arrangements are made. The home facility will hold the resident’s bed for the resident once clearance is obtained from the local health department or the resident’s healthcare provider.
CDSS will pay licensees who enter into these contracts (“Contractor”) to temporarily house COVID-19 positive individuals in the following manner:
- For facilities licensed for six or fewer beds:
- The Contractor will be paid a daily all-inclusive rate of $1,000 from the date the first resident is placed under a State contract, in recognition of the need to fully staff the facility.
- The applicable daily rate will continue beyond the initial 15 days so long as residents continue to be placed and remain in the facility under the terms of the State contract.
- For facilities licensed for more than six beds, please indicate your interest via the survey below and CDSS will contact you. These payment rates do not apply to Adult Residential Facilities for Persons with Special Health Care Needs (ARFPSHNs), Adult Residential Facilities (ARFs), or Adult Day Programs (ADPs), which contract with the California Department of Developmental Services. Those facilities should continue to follow guidelines set forth by the California Department of Developmental Services.
>> Download PIN_20-17-ASC
A substantial number of residents and staff members of skilled nursing facilities (SNFs) in California have become victims of coronavirus COVID-19
As of April 25, California Department of Public Health (CDPH) figures show from that more than 545 residents and less than 11 staff members have died at skilled nursing facilities across California of the more than 5,770 residents and employees have contracted COVID-19.
CDPH requires “all 1224 skilled nursing facilities (SNFs) to report COVID-19 positive residents, staff, and deaths associated with COVID-19 on a daily basis. The data is from SNFs that have reported in the last 24 hours and includes only the resident and staff fatalities that are known by the facility. As such, it is not a comprehensive count.”
There is no available figures yet from 6Beds assisted living facilities on residents and/or staff members affected by COVID-19 as of this time and reports will be given as soon as available, verified and reliable data comes in.
California State Governor Gavin Newsom pledged support for nursing home patients suffering from the coronavirus promising more testing of those showing symptoms as he expresses concern on the people who live or work in 94 board and care homes across the state who have tested positive for COVID-19
SWAT teams of infectious disease specialists would be sent to the homes where the virus is present and to some places Newsom called “hot spots” as the state is monitoring the nursing homes with outbreaks and that more than 600 nurses have been sent to help the facilities.
CDPH announces, “California is actively working with the White House, federal Centers for Disease Control and Prevention (CDC), local governments, health facilities, and health care providers across the state to prepare and protect Californians from COVID-19.”
They are also providing information, guidance documents, and technical support to local health departments, health care facilities, providers, schools, universities, colleges, and childcare facilities across California.
On the local front, the City of Hayward has announced that it will dispatch mobile teams of specially trained firefighter paramedics from the city’s COVID-19 testing center to provide coronavirus testing of nursing home residents and employees.
Hayward Fire Department firefighter-paramedics respond to 911 medical emergency calls at nursing homes—and securely share critical care information with relevant county authorities while maintaining the privacy of residents and staff In addition to providing COVID-19 testing,
Inquiries about COVID-19 infection rates in nursing homes should be directed to the California Department of Public Health, which is responsible for nursing home licensing and oversight.
Among the latest to report was Director Alisa Mallari Tu of Gordon Manor Assisted Living Facility in Redwood City confirmed that at least ten residents have succumbed to coronavirus COVID-19 or from complications related to it while ten other residents and seven staff members have also been tested positive in recent weeks.
The more known resident of Gordon Manor who died recently from the virus was Donald Kennedy former head of Food and Drug Administration (FDA) during the term of then President Jimmy Carter and also was a former Stanford University President.
In a more detailed report of the California Department of Public Health (CPDH), 86% of SNFs have reported their data as of April 18, 2020. There are 1224 Skilled Nursing Facilities in California and 258 have reported having one or more COVID-19 case by either a resident or a health care worker (HCW).
The SNFs with the biggest number of residents with COVID-19 are Redwood Springs Health Care Center in Tulare County with 91, Brier Oak on Sunset in Los Angeles County with 80 and Gateway Care and Rehabilitation Center with 69 residents.
Those with biggest number of HCWs with COVID-19 are Brier Oak on Sunset in Los Angeles County with 62 HCWs, Redwood Springs Health Care Center in Tulare County with 46 and Garden Crest Rehabilitation Center also in Los Angeles County with 35.
The SNFs with the more significant number of COVID-19 cases by county as of April 18, 2020 broken down into HCW and residents are:
|Facility Name||County||HCWs confirmed with COVID-19||Residents confirmed with COVID-19|
|ALAMEDA CARE CENTER||LOS ANGELES||26||20|
|BRIER OAK ON SUNSET||LOS ANGELES||62||80|
|BRIGHTON CARE CENTER||LOS ANGELES||20||43|
|CANYON SPRINGS POST-ACUTE||SANTA CLARA||25||39|
|CEDAR CREST NURSING AND REHABILITATION CENTER||SANTA CLARA||19||38|
|CEDAR MOUNTAIN POST ACUTE||SAN BERNARDINO||18||62|
|CENTRAL GARDENS||SAN FRANCISCO||26||36|
|COMMUNITY CARE AND REHABILITATION CENTER||RIVERSIDE||<11||25|
|COUNTRY VILLA PAVILION NURSING CENTER||LOS ANGELES||17||45|
|COUNTRY VILLA SOUTH CONVALESCENT CENTER||LOS ANGELES||15||58|
|EAST BAY POST-ACUTE||ALAMEDA||23||25|
|EL RANCHO VISTA HEALTH CARE CENTER||LOS ANGELES||<11||22|
|EXTENDED CARE HOSPITAL OF RIVERSIDE||RIVERSIDE||26||26|
|GARDEN CREST REHABILITATION CENTER||LOS ANGELES||35||35|
|GARDENA CONVALESCENT CENTER||LOS ANGELES||18||33|
|GATEWAY CARE & REHABILITATION CENTER||ALAMEDA||33||69|
|GRAND PARK CONVALESCENT HOSPITAL||LOS ANGELES||12||16|
|GREATER EL MONTE COMMUNITY HOSPITAL D/P SNF||LOS ANGELES||16|
|HOLLYWOOD PREMIER HEALTHCARE CENTER||LOS ANGELES||25||29|
|HUNTINGTON HEALTHCARE CENTER||LOS ANGELES||<11||19|
|KEI-AI SOUTH BAY HEALTHCARE CENTER||LOS ANGELES||23|
|LYNWOOD HEALTHCARE CENTER||LOS ANGELES||27||22|
|MANORCARE HEALTH SERVICES-HEMET||RIVERSIDE||<11||31|
|NEW VISTA NURSING AND REHABILITATION CENTER||LOS ANGELES||15||18|
|ORINDA CARE CENTER LLC||CONTRA COSTA||28||30|
|RECHE CANYON REGIONAL REHAB CENTER||SAN BERNARDINO||29||22|
|REDWOOD SPRINGS HEALTHCARE CENTER||TULARE||46||91|
|STOLLWOOD CONVALESCENT HOSPITAL||YOLO||31||24|
|SUNRAY HEALTHCARE CENTER||LOS ANGELES||<11||20|
|THE EARLWOOD||LOS ANGELES||17||24|
|THE GROVE POST-ACUTE CARE CENTER||LOS ANGELES||11||20|
|THE REHABILITATION CENTER OF SANTA MONICA||LOS ANGELES||<11||14|
|TORRANCE CARE CENTER WEST INC||LOS ANGELES||15||23|
|VALLEY HOUSE REHABILITATION CENTER||SANTA CLARA||21||42|
The figures on this list may change from time to time as available figures come in from different reliable sources including that submitted by the facilities.
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.
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.
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
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.
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.
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.
“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.
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.
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.