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covid-19 testing
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More than 1.5 Million Diagnostic Tests Have Been Conducted Statewide

A significant increase in the testing capacity of California in recent weeks caused the surge in number of COVID-19 diagnostic test results to a total of 1,696,396 statewide, an increase of 52,294 tests since Sunday May 24, 2020 or a 3.2% increase.

This was the latest figure given by California Governor Gavin Newsom in his statement May 26, 2020 since daily testing has averaged more than 35,000 in the past few days. By contrast, there were only 11,000 tests conducted in March 20, 2020 when the pandemic was in its earlier stage.

“Ramping up our testing capacity is critical as we begin modifying our stay at home order,” announced Governor Newsom. “In addition to standing up more than 80 new testing sites across the state in under-served communities, soon Californians will be able to get tested when they pick up their prescriptions at some pharmacies across the state.”

In the state’s gradual efforts to modify the stay at home order, as laid out in the Resilience Roadmap, the state ensures that it has sufficient capacity to test for COVID-19 and ability to conduct contact tracing when outbreaks surface are key indicators

Increasing testing is one of the six critical indicators guiding California’s Resilience Roadmap. California’s six indicators for modifying the stay-at-home order are:

  • The ability to monitor and protect our communities through testing, contact tracing, isolating, and supporting those who are positive or exposed;
  • The ability to prevent infection in people who are at risk for more severe COVID-19;
  • The ability of the hospital and health systems to handle surges;
  • The ability to develop therapeutics to meet the demand;
  • The ability for businesses, schools, and child care facilities to support physical distancing; and
  • The ability to determine when to reinstitute certain measures, such as the stay-at-home orders, if necessary.

The governor also stated that that pharmacists will now be allowed by the California Department of Consumer Affairs and State Board of Pharmacy to collect specimens for COVID-19 tests and order tests for consumers and that the specimens will be delivered to and processed at public health, university or commercial labs.

Also, Medi-Cal patients without a health plan (fee for service) and uninsured Californians can heave a sigh of relief as a new “Medi-Nurse” line was made available by the state for them simply by dialing 1-877-409-9052 which is available 24/7 for COVID-19 concerns or for general medical issues.

Those who have health insurance may visit covid19.ca.gov and use the telehealth zip code finder to access their health insurance plan’s telehealth and nurse help lines.

All Posts, COVID-19

Coronavirus: Our Skilled Nursing Facilities Are Crucial

Post By: Craig Cornett, President & CEO, of the California Association of Health Facilities, which represents 900 skilled nursing facilities and 450 intermediate care facilities for individuals with intellectual disabilities in the state.

As the coronavirus pandemic progresses, it’s become increasingly evident that its most pervasive threat is to vulnerable older adults with underlying health conditions. In California, across America and around the world, the virus’ toll has been most severe in places where that population is concentrated.

It is equally evident that our response must be targeted at keeping those individuals safe.

County and state assistance remain necessary to address staffing shortages resulting from worker exposure to COVID-19.

Skilled nursing facilities in California are facing unprecedented challenges. While they fight to keep the virus out of their buildings, or contain it if it is present, the daily struggle of nursing facilities remains the same — to protect the lives and well-being of sick and vulnerable individuals who are most susceptible to COVID-19.

These outbreaks are not the result of inattentiveness or lapses in nursing homes. It’s a combination of the vicious nature of the virus and its unique threat to the very people who are in our care.

We must deploy county, state and federal resources to the skilled nursing sector and we applaud Gov. Gavin Newsom for his recent announcement that skilled nursing is moving up on the state’s priorities.

There is a continuing shortage of personal protective equipment (PPE) in many areas of the state. The lack of proper equipment puts employees and residents at risk and has been a contributing factor to outbreaks across the state.

We also need priority testing for all healthcare workers in long-term care settings to stop the spread of the virus.  Where tests are available, we have seen success in keeping COVID-19 out of buildings. In other cases, when the virus is identified early, testing has allowed patients and workers to be successfully isolated to prevent further spread. But even with the best infection prevention protocol in place, we can’t stop the infection from spreading without adequate PPE and testing.

We are indebted to every employee who selflessly continues to show up to work every day, sometimes at great personal risk, whether at a skilled nursing center or community-based home for the developmentally disabled. These workers are the only lifeline residents have to the outside world as they remain isolated from their families and loved ones.

County and state assistance remain necessary to address staffing shortages resulting from worker exposure to COVID-19.  Gov. Newsom’s initiative to retrain 600 nurses to support facility compliance with COVID-19 guidance and to assist facilities with positive cases is a good first step.

We can’t emphasize enough the importance of creating well-equipped, separate facilities or alternate sites to care for COVID-positive patients to keep the virus contained.

Early on, the California Association of Health Facilities opposed any requirement to transfer positive COVID-19 patients from the hospital to skilled nursing facilities. The result of state orders to nursing homes to accept coronavirus patients has played out in New York and New Jersey with devastating consequences.  We continue to work with our hospital partners and county and state agencies to address the critical need for alternate COVID-positive sites.

As many of our members shift from prevention to a containment strategy, they need assistance to provide the highest level of protection to their residents and staff.  The Centers for Medicare and Medicaid Services (CMS) and the California Department of Public Health (CDPH) have issued waivers to offer relief to health care providers, employees and residents during the pandemic.

In addition, the Governor’s Office has coordinated efforts to assist. Included are  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.

Skilled nursing administrators, long-term care nurses and critical care workers are doing everything possible, with the resources that are available, to slow the spread of the virus in our member facilities. We remain committed to do everything we can to support their heroic and dedicated efforts on behalf of the 400,000 residents we serve.

All Posts, COVID-19

PIN 20-17-ASC: Temporary Contracts to Increase Bed Capacity Due to Anticipated Surge In COVID-19

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.

Highlights include:

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.

Reimbursement Rate

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

covid-19
All Posts, COVID-19

More than 500 die In California’s skilled nursing facilities to COVID-19

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
Grand Total 1290 1740

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.

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.
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

Paycheck Protection Program
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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.