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  • 'Everything Happened All at Once': Can California Cities Weather the COVID Recession?

    ByBen Christopher, CalMatters

    1024px Rancho cucamongaEver since the end of the Great Recession, Rancho Cucamonga has been on a tear.

    New retailers and restaurants have sprung up to serve the residents of its gated ‘burbs. The city’s population has swelled with Angelenos in search of cheaper housing. And at last count, its unemployment rate sat at just 4%. The city earned an upgraded credit rating earlier this year.

    But now that shopping and dining have been deemed non-essential activities, the good times are gone, said Rancho Mayor Dennis Michael.

    “Since we recovered from the Great Recession, we generated about $9 million in new sales tax revenue,” he said. “We’ve lost all of that gain. We’re basically starting from square one.”

    For local governments still sporting the budgetary scars of the last “once in a generation” recession, this downturn is at once familiar — forcing elected leaders to cut, furlough and delay — and entirely new. Never before in state history has so much economic activity ground to a halt so quickly.

    (Image: Tobias Rochlitz / Public domain)

    “When we came through the Great Recession we were able to use reserves to have a softer landing over a period of years,” said Michael. “This is worse than the Great Recession because everything happened all at once.”

    Rancho has it better than most cities. It has healthy reserves, low debts and a relatively wealthy population. 

    In San Pablo, a city just north of Richmond in the Bay Area with a median income a little over half of Rancho Cucamonga’s, City Manager Matt Rodriguez “is bracing for a ‘Worse Case Budget Scenario,’” he said in an email.

    San Pablo relies on the local casino run by the Lytton Band of Pomo Indians for 60% of its discretionary funds. Since state and county officials declared shelter-in-place orders in mid-March, the city has been hemorrhaging $2.3 million every month, said Rodriguez. That’s about 5% of the city’s annual general fund every 30 days.

    City managers aren’t known for their colorful language, but municipal leaders across the state are now facing economic conditions that seem to define hyperbole.

    “Staff estimates that the Covid-19 pandemic will devastate the City’s General Fund,” wrote Monterey’s City Manager Hans Uslar last month. The city then voted to axe up to 84 jobs.

    Down the coast in Anaheim, home to Disneyland, Mayor Harry Sidhu offered a sober reminder to his colleagues on the council last month: The Magic Kingdom and its ancillary hotels and shops provide half of the city’s jobs and half of the city government’s revenue. 

    “As to when Disneyland Resort will open, I don’t know. I don’t believe anyone knows,” he said.

    And in Yountville, the town of roughly 3,000 in the heart of the Napa Valley wine country, the decline in hotel and sales tax revenue has resulted “in about a 74 percent loss in revenue,” said Mayor John Dunbar, who is also president of the League of California Cities, in a live-streamed discussion with CalMatters.

    That’s 3 out of 4 of the city’s expected tax dollars now gone.

    “Yes, unfortunately you heard me correctly,” he added. 

    Cities without much fiscal wiggle room heading into the pandemic will do particularly poorly, said Bill Statler, a municipal finance consultant who spent decades working for the city of San Luis Obispo. 

    “The roots of fiscal trouble are in the good times,” he said. “If you have strong revenues during the good times, build reserves, pay down unfunded liabilities, invest in capital projects, then when the inevitable bad times come, you’ll have more resilience and flexibility.”

    Still, in ways that highlight just how unusual the current economic downturn is, there are clear exceptions. 

    With a strong tourism and hospitality sector, “I would have used Santa Monica as a poster child for how some cities have really good financial DNA,” said Statler.

    Last month, Santa Monica’s city manager was pushed out of his job after his proposed budget cuts elicited massive public outcry. Now the city is considering laying off 337 workers.

    If there is any type of California city best suited to weather the current recession, it’s bedroom communities.

    “Those cities that are highly reliant on property taxes and not sales — it’s not to say that they won’t suffer, but their treasuries won’t get depleted immediately,” said Michael Pagano, dean of the College of Urban Planning and Public Affairs at the University of Illinois at Chicago. 

    That’s because while sales taxes and tourism-dependent revenue sources like hotel taxes are paid into local coffers with each transaction, property taxes are paid twice a year. Property tax revenues tend to be stable from year to year too, because California law assesses residential or commercial buildings based on purchase price rather than current market value. 

    “For cities that rely on sales,” said Pagano, “it’s not like a downturn that we’ve ever experienced before. This is just an immediate shutting off of the spigot.”

    The divide between municipalities that rely heavily on property values versus those that do not is a Tale of Two Cities. According to a CalMatters analysis of municipal tax revenue data from 2018, the cities that rely most on property taxes are Mountain View, Pleasanton, Newport Beach and San Clemente — all wealthy.

    Cities that are dependent on sales and hotel taxes are more of a mixed bag, with some well-to-do tourism destinations, but also many working- and middle-class towns with below-average incomes or cooler housing markets: South Gate, Hemet, Merced, Redding.

     

    And for cities hoping for a helping hand, very few have been extended.

    The state, for one, has its own financial troubles. Gov. Gavin Newsom’s Finance Department is now projecting a $54.3 billion deficit for the coming fiscal year. That’s twice the size of the state’s “rainy day” reserve fund. 

    “I’m going to do everything I can to work with these cities and counties,” Newsom said at a press conference last week before the deficit projection was announced. “But I can assure you this: We are not going to be in a position, even as the nation’s fifth-largest economy, to provide for the needs of all the cities and the counties without federal support.”

    The federal government has already directed $150 billion to cash-strapped state and local governments through the CARES Act, the financial relief bill signed into law last month. About $9.5 billion of that went directly to the state government, with another $5.8 billion for cities or counties — though only to those with populations of more than 500,000. 

    Even for the lucky six California cities that qualify for the help, the funding comes with strings attached, said San Diego Mayor Kevin Faulconer, who was also in the CalMatters live-streamed conversation. 

    “It has to be COVID-related, it’s not supposed to be used for revenue replacement,” he said. It’s not entirely clear how those guidelines will be enforced, but the intent is clear: the funding is not to be used to plug budgetary holes. While city leaders “try to get clarity” from the federal government, said Faulconer, San Diego is projecting a $300 million deficit.

    Though Democrats in Washington are clamoring for more federal assistance to state and local governments, Republicans remain divided. Last month, Senate Majority Leader Mitch McConnell of Kentucky likened providing additional aid to a “bail out” for state and local governments and their underfunded pension systems. McConnell has since softened his rhetoric.

    Another possible benefactor for desperate cities: the voters. 

    The California constitution generally requires cities, counties and school districts to receive voter approval to raise taxes or borrow. And while the state electorate has historically been inclined to back most revenue-raisers, it may be feeling less generous this year.

    In the March 3 primary, only 40% of local fiscal measures — bonds and taxes — were approved by voters, according to an analysis by Michael Coleman, who maintains the California Local Government Finance Almanac. That’s compared to a 77% passage rate in 2018 and 81% in 2016. 

    There were many more measures on the ballot this year overall — including a record-breaking $15 billion school construction bond — which may have given voters sticker shock. A recent change in state law governing how ballot measures are described could have also turned some voters off. The coronavirus pandemic was only beginning to register as a national concern on Election Day, but that too could have diminished the public’s appetite for new costs.

    Whatever the reasons, said Coleman, it does not bode well for cities hoping to patch up their budgets via the ballot box this November.

    “I think we’re going to continue to have this malaise about what’s going on in the economy, about job security, about how the world is changing. That’s the sort of psyche that causes people to wonder if this is the right time for a tax increase,” he said.

    Many in local government — and the campaign staff they hire — are hoping that local budget cuts will have the opposite effect.

    In a conference call this morning, San Francisco Mayor London Breed championed a statewide ballot measure by framing it as a conflict between necessary government services during a pandemic and commercial property owners. 

    “Any local official will have a tough time explaining to their constituents why in the midst of this crisis they didn’t support closing corporate tax loopholes,” she said. 

    Sometimes known as the “split roll” initiative, the measure would change the way that many commercial properties are assessed, resulting in much higher property taxes on some businesses and much higher tax revenue for cities, counties and school districts.

    Industry groups and low tax advocates argue — and will likely continue to argue until November — that now is precisely the wrong time to raise taxes on businesses.

    Jared Boigon of TBWB Strategies, a consulting firm that helps to pass local bond and tax measures in California, said he’s optimistic that “most voters don’t want to see their community services be completely gutted.” Despite the economic climate, if a local government is thinking of going to voters for money this November, “they shouldn’t just automatically rule it out,” he said.

    Not many have yet, said Curtis Below, a partner at the Oakland polling outfit FM3 Research.

    “There have been a few more clients who said they want to sit out the cycle, but the vast majority still want to explore this year,” he said. “A lot of our clients are going full steam ahead.”

    But both Dunbar of Yountville and Faulconer of San Diego are skeptical that the funds that could be raised at the ballot box would be even remotely enough to fit the pandemic’s fiscal bill.

    “We’re not going to be able to tax our way out of this recession,” said Faulconer.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • ‘Things have gotten ugly’ — pandemic pushback drives health directors to quit

     
    AP NicholeQuik 01Leigh Dundas angrily wagged her finger at Orange County supervisors at their board meeting last month as she ticked off what she thought were damning details about the professional background of county health officer Nichole Quick. The anti-vaccination attorney named Quick’s boyfriend and disclosed her home address, saying she was going to bring protesters in masks to do calisthenics on her front doorstep until they passed out. 
     
    “She needs to be fired,” Dundas declared. 
     
    It was a strikingly personal attack on Quick, who had vexed many local officials and residents alike with her recent order requiring that people wear masks when in public to prevent the spread of the novel coronavirus. The county sheriff provided her with a security detail even as he said he would not enforce the mask order. Finally, under pressure from both county supervisors and the public, Quick resigned last week, the third high-level Orange County health official to do so during the pandemic. And Orange County reversed her mask order.  
     
    Local public health officers haven’t been this important in a century. They’re also being second-guessed, harassed and threatened by residents, and sometimes local leaders, angry about pandemic shutdowns. Some have simply quit.  
     
    Four other health officers in California have resigned or retired in the last two months, in Nevada, San Benito, Yolo and Butte counties, as have two public health department directors in San Bernardino and Orange counties (in addition to Quick). On Monday, the state reported nearly 150,000 confirmed COVID-19 cases and more than 5,000 deaths.  
     
    This isn’t just happening in California. Ohio’s state health director, Amy Acton, resigned last week after facing legal challenges to her authority and protests in front of her home. Wisconsin state health director Jeanne Ayers was asked to resign in early May, at a time when COVID-19 cases in the state had surpassed 10,000, and top officials would not say why.   
     
    (Orange County Chief Health Officer Dr. Nichole Quick resigned June 8, after receiving threats over her order for residents wear to face masks in public to protect against the coronavirus. Quick is one of several local health officers in California to quit since the pandemic began. Photo by Jeff Gritchen/The Orange County Register via AP)
     
    “Things have gotten ugly,” said one Northern California health officer who asked not to be named over personal safety concerns. “The health officers are kind of in this position where everything that everyone is angry about is the health officer’s fault.” 
     
    The official described death threats received by email and on social media as well as protesters showing up to their home. “It … makes you feel that there is nowhere that’s safe.” 
     
    California Gov. Gavin Newsom’s reopening strategy, which asks counties to certify that their COVID-19 cases are under control, was a “terrible decision…that deflected all the political pressure to local officers,” the Northern California officer said.  
     
    County health officers occupy a unique position in local government. They’re responsible for overseeing the public health response to disease outbreaks, among many other duties. Every county, and a few cities that run their own public health departments, must designate one. They are not elected officials and typically are appointed by county executives.  
     
    In emergency situations, health officers have legal authority to shut down businesses, order millions of people to stay at home, isolate or quarantine people, even order mass evacuations. They also can issue orders, such as requiring people to wear masks in public, that are stricter than state mandates. 
     
    Their authority can be challenged in court, and health officers are subject to due process, said Kat DeBurgh, executive director of the Health Officers Association of California.  
     
    But that power comes with a price as the worst pandemic in a century unfolds in a politically polarized nation.  
     
    “Health officers are always there working in the background to protect communities from communicable disease. This is the first time I’ve seen this level of animosity,” DeBurgh said, noting that one health officer she would not name has a sheriff’s security detail posted outside her home.  
     
    Californians emboldened by a president who initially played down the pandemic and now refuses to wear a mask, feel freer to vent their frustrations on health officers placed front-and-center at press conferences and government meetings, said Dr. Jonathan Fielding, who served as Los Angeles County’s health officer for 16 years and now is a professor at the UCLA school of public health that bears his name. 
     

    “None of us has the unfettered right to do what we want,” Fielding said. “People are saying, ‘Our president’s not doing this, why do I have to?’ That’s one of the roots of this problem — the radicalization of views on individual rights.” 

    A full-page ad published in the San Jose Mercury News blasted Santa Clara County health officer Dr. Sara Cody, who ordered the nation’s first local shelter-in-place lockdown. It accused Cody of “cratering our economy” and asked her to permanently donate her salary and pension to “those you are impoverishing.”  

    On social media, people circulated a doctored photo of Los Angeles county health officer Dr. Barbara Ferrer that made her appear very ill, with pale skin and deep circles under her eyes. A tweet calling Ferrer “the most unhealthy looking person I’ve ever seen” was retweeted 29,000 times and “liked” by more than 89,000 people.   

    In a sign of just how tense things have become, Santa Cruz County supervisors in late May briefly shut down a public meeting about reopening when a pizzeria owner approaching a microphone veered away and started walking toward the county’s health officer. He told the supervisors he was just trying to read her name, the Santa Cruz Sentinel reported, but they weren’t taking chances.  

    We are deeply concerned that politics may be trumping public interest in some of these cases, and that the public’s health may be compromised as a result,” California Medical Association president Dr. Peter Bretan Jr. said in a statement.  

    Nearly nine in 10 Californians agree that shelter-in-place orders are necessary to protect public health, according to California Health Care Foundation polling. But about 38% of Californians agree that the COVID-19 regulations “go too far,” the poll shows.  


    Former Santa Barbara County health officer Dr. Charity Dean, who had become second-in-command at the state Department of Public Health, submitted her resignation June 4, as first reported by CNBC. A few days later, she tweeted her encouragement to other health officers: Screen Shot 2020 06 16 at 12.02.51 PM

    State Sen. Richard Pan, a pediatrician who has received death threats and been shoved by an activist over his childhood immunization lawmaking, described the statewide harassment of public health officers as “shameful.”  
     
    “Our public health officers are given the responsibility to act in the best interest of the public – they certainly should not be personally attacked and bullied and intimidated,” Pan said. “The job’s already challenging enough.”
     
     
  • 1918 Flu in Sonoma County Offers Lessons for Today

    1918 flu Geo McNear Office Staff by John Sheehy
     
    In June of 1918, the government deployed Petaluma’s mayor, a saddle maker named A.W. Horwege, to Portland, Oregon, to run a large saddle plant for the U.S. Cavalry fighting in World War I. Chosen to fill his remaining term was city councilman Dr. Harry S. Gossage, a prominent local surgeon.
     
    [Image: Ada Fay Turner, top row, third from left, and other employees of George P. McNear’s Feed Mill, B Street and Petaluma Boulevard South, 1918. Courtesy of Petaluma Historical Museum & Library]
     
    Aside from a minor deficit in the city’s budget, Gossage’s mayoral challenges appeared relatively routine.The main news that summer was that American forces fighting in Europe had achieved their first major victory, marking a turning point in the war. However, on the horizon signs of a larger threat loomed, one, it turned out, Mayor Gossage was uniquely qualified for.
     
    It began with word from Spain that a deadly influenza was spreading across the continent. American media, mistakenly assuming the disease had originated in Spain, tagged it the Spanish Flu. The influenza soon spread to U.S. military bases, and by midsummer Petaluma newspapers were running obituaries of local enlisted men stationed in army camps out East and in the Midwest.
     
    In mid-September, as allied forces began their final offense of the war in Europe, a San Francisco man returning from a visit to Chicago brought back the disease. Although he was immediately quarantined in a hospital, by the first week of October influenza had spread to a couple hundred people in San Francisco. A week later, the pandemic reached Sonoma County, where it claimed its first victim, Helen Groul, a young girl living at the Salvation Army orphanage in Lytton, north of Healdsburg. She was among 153 children at the orphanage stricken with influenza.
     
    As local newspapers began running obituaries of former Petaluma residents killed by the disease in other parts of the Bay Area, Dr. Gossage, who also chaired the city’s board of health, held a special meeting of the city council on the epidemic. Although no cases of influenza had been reported in Petaluma, the mayor raised the issue of a general closure to get ahead of it.
     
    Many feared such an order would do more harm than good, inducing panic and crippling the economy, and ultimately proving ineffective. Others argued it was probably too late to take such action, as Santa Rosa already had sixty reported cases, and California overall 19,000 cases.
     
    On October 19th, California’s State Board of Health ordered the closure of all theaters, dance halls, and schools, along with a ban on public gatherings. Churches were exempted, although it was strongly recommended they either cancel services or hold them in the open air, which is what St. Vincent’s Catholic Church did two days later.
     
     
  • Acts of Grace from Everyday Californians Are Getting Us Through

    ByJocelyn Wiener, CalMatters

    041720CaMattersAltruism1From inside our homes, this might seem the loneliest moment in modern history. 

    Slowing coronavirus has meant many of us are physically cut off from friends and family, schools and workplaces, senior centers, book clubs and Little League teams. 

    Yet woven throughout the horror of the present, evidence of grace abounds. Some manifests in grand gestures, some in small details.

    Becca Rosen, a Los Angeles-based fashion designer, said her neighbor — who, as luck would have it, owns a small toilet paper company — has been gifting rolls on neighborhood porches. Talia Golin, a 5-year-old Berkeley street artist of sorts, has been drawing chalk rainbows on the sidewalks near the homes of immunocompromised neighbors.

    (Image: Patti Wang-Cross plays the ukulele as neighbors sing ‘You Are My Sunshine,’ ‘Happy Birthday,’ and songs by Bruno Mars during their weekly sing-along. Photo by Anne Wernikoff for CalMatters)

    And then, consider the case of the swans and the canned corn.

    Gayle Hagerty, the volunteer caretaker of swans that live on the grounds of the San Francisco Palace of Fine Arts, recently had to spend two weeks in quarantine. For 25 years, Hagerty has cared for the swans — clipping their wings, ordering their food, overseeing their medicine. She currently has two in her charge — 23-year-old Blanche (who Hagerty has known since she was an egg) and Blanche’s somewhat grumpy betrothed, 12-year-old Blue Boy (who also goes by Swanathen). Hagerty could order enough feed for the swans from home. But the canned corn they loved was being rationed.

    With Blanche sitting on her nest full time (Swanathen is reluctant to be a stay-at-home dad), the corn was especially important, because Blanche could eat it quickly and hurry back to the nest. So Hagerty posted to Nextdoor. Her community responded in force. Swan lovers came from various corners of the city, ultimately dropping off more than 200 cans of corn at the Palace’s locked gates.

    “It’s been phenomenal, really, the generosity of the neighbors,” Hagerty said.

    Christine Carter, a senior fellow at the Greater Good Science Center at the University of California, Berkeley, and author of several books about happiness, said efforts to connect and support each other are a very human response to crisis.

    “Is this exceptional? I don’t actually think it is,” she said.  “I think humans are hardwired to help each other.”

    In stressful situations, she said, people can have two different instincts. Some go into a fear-based response, worrying primarily about their own survival. They hoard toilet paper and Tylenol. Others are more focused on species survival and, thus, the needs of others. While fear-based responses tend to create more stress and raise people’s blood pressure, community-mindedness has the opposite effect: lowering blood pressure and fostering positive emotions, “even a sense of awe.”

    “Ironically, it helps us more as individuals,” she said.

    Even the smallest details matter, Carter said, noting that she recently burst into tears watching a video of people standing on their balconies, cheering for health workers.

    “The beauty in such a small act, it’s more than a silver lining, it’s everything,” she said.

    In her own neighborhood in San Rafael, people have begun stepping outside their homes every night at 8 p.m. to howl to one another, like wolves in the forest.

    “It’s just connecting into the larger neighborhood in a way that, frankly, we never have before,” she said. Her dog, she said, has found this development confusing.

    041720CaMattersAltruism2

    The weekend before the Bay Area began sheltering in place, Krista Luchessi, who runs an organization that delivers free groceries to low-income seniors, spotted an article about a woman from Louisville who was matching neighbors who needed help with those who could provide it. She forwarded the article to her friend Paige Wheeler Fleury, a marketing strategist. 

    “Can we do this?” Luchessi wondered. The next day, Wheeler Fleury posted news of their effort, called Oakland At Risk, on Nextdoor and Twitter. A month later, she’s had 1,400 volunteers sign up, and has matched 220 of them with seniors and immunocompromised individuals in need of help with groceries or medications — or just someone to talk with. 

    To prevent abuse, Wheeler Fleury said she matches people of the same gender who live in the same neighborhood, and does her best to vet volunteers online and over the phone — especially when she’s pairing them up with someone who seems especially vulnerable.

    (Image: Talia Golin, 5, creates rainbow sidewalk chalk messages for her neighbors thanking them for acts of kindness or showing support for those who are self-isolating. Photo by Anne Wernikoff for CalMatters)

    “Every person that stepped up to do this lives within five miles of me and that gives me so much hope about what we can be as a community,” Wheeler Fleury said.  

    Since word of their effort has spread, people around California have reached out for tips about how to replicate it: “It’s kindness spreading,” she said.

    Shawna Reeves, director of elder abuse prevention at the Institute on Aging, said while such programs are “vital and important” and most participants are “good, honest people,” the current combination of isolation, dependence and fear can put some vulnerable seniors in precarious situations. She recommends that volunteer organizations limit financial transactions between volunteers and the people they serve, and says ideally the same volunteer shouldn’t do both wellness checks and grocery shopping. She also recommended that elderly people tell trusted individuals about the arrangement and that the volunteer organizations try to raise awareness about scams targeting seniors.

    Such grassroots efforts can have real impact on emotional well-being, said Merritt Schreiber, a professor of clinical pediatrics at the Lundquist Institute at Harbor-UCLA Medical Center and UCLA’S David Geffen School of Medicine.  “Social support has been shown to be one of the strongest predictors of coping with disasters and adverse experiences,” he said.

    While much discussion surrounding coronavirus has focused on flattening the infection curve, Schreiber believes there’s a psychological curve too. Enhancing social support, he believes, is one way to protect more people from mental health problems.

    Billie Greer, 82, lives in downtown Los Angeles, in a building she shares with “a lot of millennials and their dogs.” Greer, who ran a government affairs firm for decades before retiring recently, guesses she’s probably the oldest resident. She’s been surprised and heartened by how many of her younger neighbors have reached out to ask if they can buy groceries for her.

    “I jokingly say to friends, ‘With all this, I should open a food bank out of my front door,’” she said.

    Just as meeting basic needs for food and medicine is essential right now, providing protective gear for health workers has become imperative.  

    That’s why Carol Wu and her friend, Li Yan, decided to raise money to buy masks for health workers in their community. They started tracking the outbreak earlier than many of their Palo Alto neighbors, since they have family members and friends in Hong Kong and China. Wu said she read stories in the international press about people lining up for six hours to wait for masks. Then, in late February, the first cases of the virus began appearing in Santa Clara County, which still has one of the state’s largest outbreaks.

    Anxiety kept Wu up at night, worrying about the doctors, nurses, firefighters and those living and working in senior homes in her community.  On one of these sleepless nights, she sent a text to other parents at her kids’ school.

    “Let’s do something,” she told them. “Each of us is just a drop of water in a bucket, but together we can let the river flow. Even if we can save one clinic for one week, we’re doing something to help rather than just sitting on the sidelines.”

    Yan offered to collect the money. Donations poured in — especially from the local Chinese-American community. Overnight, they raised $3,000, enough to buy 2,000 surgical masks from a local dentist’s office. Within a few days, they’d raised $26,000 from a few hundred people. They bought all 15,000 of the dentist’s remaining masks. They quickly distributed all of them. When they couldn’t find any more masks to buy, they refunded the excess money.

    This support from the public is not lost on Dr. Peter Yellowlees, a professor of psychiatry and Chief Wellness Officer at UC Davis Health. People have written the medical staff thank-you notes in chalk at the entries to the hospital, he said.

    “When you walk in in the morning and you read a note before you even get into the door that says ‘thank you for what you’re doing,’ that means a great deal to a lot of people,” he said.041720CaMattersAltruism3

    Yellowlees objects to the term “social distancing,” saying what we’re actually doing right now is physical distancing, but social connecting. He thinks this experience — and our efforts to support each other and grieve together — will ultimately leave us more connected as a society

    “I think we will value our neighbors, our communities more and I think we will interact with them differently,” he said.

    This has begun to happen in one corner of Berkeley where, every Wednesday evening, a block of Francisco Street hosts a neighborhood sing-along.

    A few neighbors came up with the idea last month, and posted it on their block’s emergency email list.

    Patti Wang Cross is among those who embraced the idea. On a recent Wednesday, Wang Cross, who says she plays ukulele “not terribly well, but enthusiastically,” dragged a small blue stool into the middle of the street, and laid some sheet music down on the asphalt. Her 7 and 10-year-olds knelt next to her. Soon, other neighbors trickled outside — each household standing at least six feet from the next. Someone blocked off both ends of the block. Someone else produced a box drum.

    (Image: Patti Wang-Cross plays the ukulele with her children Keli, left, and Oskar, right, during their neighborhood Wednesday night sing-along. Wang-Cross said the weekly event was inspired by videos of neighbors singing from their balconies in Italy and Spain. Photo by Anne Wernikoff for CalMatters)

    For a moment, the block was quiet, the way everything seems quieter these days. This silence makes you notice the birds chirping, the breeze rustling through the leaves, the occasional Fed-Ex truck rumbling past. It also makes you miss people.

    And then, from the hush, Wang Cross began strumming her ukulele. She, and some two dozen neighbors scattered along the block, muddled their way through the words to “Let It Go,” from Frozen. They moved on, with more confidence, to The Beatles. Two women threw on rainbow boas and led a spirited rendition of YMCA. Everyone did the hand movements. Obviously.

    “Overall, I feel like this crisis has brought out the best in people,” Wang Cross said. “It’s been a really beautiful thing.”

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • All Sonoma County Residents Required to Wear Face Coverings Outside of Home

    040320CalMattersSeniorsBeginning Friday, April 17, Sonoma County will require that all residents wear face coverings to help slow the spread of COVID-19. 

    A new public health order stipulates that residents must wear a face covering before they enter an indoor facility (except their homes), any enclosed space, and outdoor areas where they can’t keep six feet of distance from others.

    Facial coverings means any fabric or cloth that covers the mouth and nose. The facial covering can be made using common everyday household items, can be sewn by hand, or factory-made.

    The order also applies to employers who require their employees to leave their residence to work or provide a service. Employers must make sure that their employees comply by either supplying face coverings, ensuring access to them, or ensuring that employees are using their own coverings.

    (Image: Food bank volunteer Betty Kimmel wears a protective mask as she hands out oranges to seniors at Teamsters 315 Hall in Martinez on March 19, 2020. Photo by Anne Wernikoff for CalMatters)

    “We hope those in our County understand the importance of complying with these Orders and cover their faces when engaging in essential activities in public,” Sonoma County Chair Susan Gorin said. “I would like to emphasize the public’s role in helping stop the spread of COVID-19 by using facial coverings and continuing to stay at home.”

    The county health officer is discouraging people from purchasing medical grade surgical or N95 masks, which should be reserved for health care workers.

    The order goes into effect at 12:01 a.m. Friday, April 17. Find CDC guidance for how to wear face coverings, and how to make them, here. For more information on the county’s response to COVID-19, visit visit SoCoEmergency.org.
     
  • As Millions Navigate Unemployment, Local Organizations Rise to Help

    By Camille Escovedo

    032920CalMattersEmptyRestaurant

    The last time this many people filed for unemployment in the U.S. — over 26 million as of April 27 — was during the Great Depression, experts say. Over a million Californians have filed for unemployment in March, and the layoffs have not let up. 

    “It’s something I wouldn’t have thought of that I’d be doing, so yeah, it’s a little weird when your employer says, ‘OK, yeah, you should file for unemployment,’” said Josephine, who is — or, was — a kitchen manager and teaching assistant at a preschool in Santa Rosa. 

    She asked us not to use her real name. The school shuttered, she’s been furloughed, and now she emails with managers and coworkers to talk about payroll and how they’re doing.

    “But it doesn’t actually feel like I’m not employed,” she said. “It's just we’re in this big waiting game and if I need money to support myself during this time, and unemployment’s going to be the way to get it…”

    Josephine said staff were told paid sick and vacation hours could be used to stand in for a paycheck. And to mark themselves as “temporarily unemployed” if they filed a claim. 

    “I tried filing for unemployment, but the online process is a bit confusing,” she said. “I keep trying to find the button to like, OK, file a claim, and then it takes you to another page that’s like, OK, here’s how to file a claim, but I haven’t found the actual document that I’m supposed to fill out.”

    Josephine may not be the most representative of laid-off workers. She’s got bills, but no monthly rent. But local organizations are working to reach those struggling during COVID-19. Mara Ventura, executive director of North Bay Jobs with Justice, focuses on those falling through the cracks.

    “The first thing we did was ensure that folks could call us to get information about how or what they might be eligible for and walk them through the paperwork if they needed that. And we provide that in Spanish and in English,” she said. 

    Their website lists info about new qualifications for unemployment benefits, including reduced hours due to the outbreak. There are also resources on state disability insurance, the Family and Medical Leave Act and paid sick leave.

    “... Because people should not be having to worry about medical debt at a time like this and deciding between going into a hospital or clinic to get care and not, because at this point, that’s not just about the workers, it’s about a huge public health risk,” Ventura said. 

    North Bay Jobs with Justice recently co-founded Sonoma County United in Crisis, a coalition that calls on local governments to adopt policies to protect tenants, immigrants, seniors, homeless people and workers during the pandemic. 

    “But they also need to know that they’re not going to be evicted and they’re not going to come out of the COVID crisis owing thousands of dollars to their landlords,” Ventura said. “And they also need to know that their sheriff isn’t going to turn them over to ICE.” 

    North Bay Jobs with Justice helped launch UndocuFund in 2017 during the Tubbs Fire, to aid immigrants who, if undocumented, were ineligible for assistance through the Federal Emergency Management Agency, or FEMA. 

    UndocuFund reactivated in the wake of coronavirus to provide disaster relief funds for undocumented people in Sonoma County who won’t receive federal stimulus checks through the CARES Act. 

    “They’re going through the same thing that many other millions of workers are in terms of losing work, but they will not be eligible for so many of the programs that other workers will be able to get a hold of,” Ventura said. 

    Coping with the coronavirus pandemic is a communal experience, but job loss means different things for different people. So many applied for aid that UndocuFund has closed its waitlist for now. Meanwhile, other groups rise to meet the county’s needs. 

    More information about Sonoma County COVID-19 resources can be found at norcalpublicmedia.org. 

  • Asm. Wood Asks Public to Raise Awareness About Dangers of Domestic Violence Amid COVID-19

    JimWoodFor people experiencing domestic violence, stay-at-home orders may be trapping them with their abusers.

    California Assemblymember Jim Wood (D-Santa Rosa) is asking the public to raise awareness about these dangers as directives to shelter-in-place to slow the spread of COVID-19 continue throughout the state. 

    “The recent passing of a woman from Mendocino County, allegedly from an attack by her husband who had been arrested numerous times for domestic abuse, is a grim reminder of the tragedy of domestic abuse and sexual assault,” Wood said in a press release. “We are now asking people to isolate and shelter in place in their homes, which should be a place we rely on to be safe.”

    According to the release, the National Domestic Violence Hotline says they’ve seen an increase in the number of callers reporting that their abusers are using COVID-19 to increase their isolation from friends and family. In a statement on the hotline website, they say, “In a time where companies may be encouraging that their employees work remotely, and the CDC is encouraging social distancing, an abuser may take advantage of an already stressful situation to gain more control.”

    According to Legal Aid of Sonoma County, the courts are still filing temporary restraining orders online during this time. Temporary restraining orders that are set to expire will be automatically renewed. Visit Legal Aid of Sonoma County's website for more help filing a restraining order.  

    “Every county in the district I represent – Del Norte, Humboldt, Trinity, Mendocino, and Sonoma – has resources to help both victims and the public,” Wood said. “I have put many of them here on my website, along with other COVID-19 resources, and would ask that if you know of someone or see someone experiencing or vulnerable to this abuse or assault, please seek advice about how you can help.”

    General resources and advice:

  • Big Cuts Could Hit Little Californians: $1 Billion in Preschool and Child Care Dollars at Risk

    ByElizabeth Aguilera, CalMatters

    classroom 2093743 1280Even the littlest Californians have not been spared in the governor’s big proposal to cut a budget decimated by the COVID-19 pandemic.

    Gov. Gavin Newsom’s ambitious plans to expand free preschool for low-income children and increase state support for child care now are on the chopping block. He also has proposed cuts to existing, early childhood funding that advocates worry could force child care providers to reduce the number of kids they serve, or even close their businesses.

    The child-friendly budget Newsom announced in January was amended last week, revealing cuts and takeaways totaling more than $1 billion for early childhood programs. The revisions, if passed, would sink plans to create 20,000 new preschool slots and offer more child care subsidies to low-income working families. 

    The proposals are a blow to many Californians, who believed that they had found a champion for early childhood education in Newsom, also known as “Governor Dad.” With four young children himself, Newsom created optimism by making it clear, early on, that he had an interest in and a heart for little kids. 

    “There’s an understanding of how bad this budget is, but early childhood and kids need to be the least impacted,” said Ted Lempert, president of Children Now, an Oakland-based nonprofit focused on youth-related policy.

    The cuts would be “devastating to families,” he said, and potentially harm many providers.

    “What makes me optimistic is that the governor gets these issues and leading legislators get it, and now we need to put the pressure on,” he said. “As difficult as the budget is, we need to prioritize kids.”

    California began providing state-funded preschool in 1965 to foster children and at-risk kids. Eventually, eligibility widened to include all children from low-income families. State-subsidized child care operates in much the same way, launched in 1997 for kids from low-income working families who otherwise could not afford quality care. 

    But only a small percentage of the California kids who are eligible actually benefit. For instance, only 1 in 9 children eligible for subsidized child care and preschool were enrolled in 2017 because of inadequate state and federal funding, according to research by the California Budget and Policy Center, which focuses on how state finances affect lower-income residents.

    Newsom vowed to try to close the gap. Then came the pandemic.

    Now, nearly all his new initiatives – like the $160 million expansion of preschool  – have been pulled, and current expenditures will be decreased if the slimmed budget is approved. The budget does continue to route federal funding into child care for essential workers and other COVID-19 support, as part of the CARES Act.

    Proposed cuts also include a 10% reduction in the daily rate paid for preschool and a 10% cut to funding for subsidized child care. It also eliminates a plan to provide more child care for low-income parents receiving cash aid from the state through the CalWORKs social services program. These three areas account for a $421 million savings, according to the new budget proposal.

    Even Newsom’s big plan to create a Department of Early Childhood Development to oversee all learning and child care programs has been put on hold. Instead of spending $8.5 million for the new agency, the revised budget includes $2 million to move these programs to the Department of Social Services.

    “We have been making historic investments in the last many years in California,” Newsom said May 14 when publicly announcing the revised budget. “And now being forced back into a position where we have to make cuts breaks my heart, because behind every category is a person and a dream.”

    Advocates say they understand the need to cut but argue the long-term ramifications are not worth it, especially because child care and preschool start from an already weakened position

    “Before COVID, far too many kids had no access to child care and we were well behind where we needed to be for preschool,” said Lempert. “That is why these cuts are disproportionate because they need the most help.”

    This isn’t just about immediate money savings, it’s about a critical stage of development for children that lays the foundation for the rest of their lives, said  Steven Barnett, founder and senior co-director of the National Institute for Early Education Research.

    “It’s the long-term consequences that don’t seem to get taken into account, that children will start school less well prepared, that our achievement gaps will widen, that our adults will be less productive,” Barnett said.

    Child care is not just about having a place for children to go while parents work, said Patricia Lozano, executive director of Early Edge California, a Los Angeles-based policy and advocacy organization focused on early learning for children.

    “For little kids this is a chance to reduce the achievement gap,” she said. “Education can change your life, and now we are saying we are going to cut it.”

    The cuts proposed by Newsom in the new $203 billion state budget are considered “trigger,” meaning they only happen if the federal government does not provide budget aid.

     

    While the revised budget proposal keeps the number of existing subsidized child care slots in place, advocates worry about a domino effect. If child care operators or preschools cannot stay afloat, or must downsize, the impact could be felt by families currently enrolled.

    Providers already operate on very thin margins, with little room for rate cuts, said Mary Ignatius, statewide organizer for Parent Voices, a California parent organization that focuses on more subsidized child care for families.

     “If a parent has a subsidy or a voucher,  and now the value is cut 10 percent, providers may decide they can’t afford to stay open,” she said. “So a parent has to find a new provider in a world where there is already a shortage of providers.

    “You don’t just drop off your kids at the next place that is open.”

    Many child care centers and homes are currently closed, in response to the pandemic, and some providers who are open say they haven’t seen kids in weeks. Providers said they have furloughed or laid off employees and are looking hard at the bottom line, especially with new social distancing and disinfection regulations.

    For Miren Algorri, who runs Little Blossoms Child Care in Chula Vista, the 10% pay cut would hurt the business she has run for more than two decades out of her home. She regularly cares for about 12 kids, from infants to elementary-school age – all paid for by the state through subsidy programs. The last three weeks, though, she has had zero attendance because parents are keeping kids at home or parents have been laid off.

    Algorri said she will mostly likely limit the number of children she cares for and lay off her one full-time staff member.

    “I haven’t slept, I have dark circles around my eyes because these cuts mean that most likely the person who has been my right hand for the last 20 years is not going to be my assistant any longer,” she said. “I won’t be able to pay an assistant to help me bring the best quality education to the children who are already underprivileged.”

    In the San Diego region, the state pays $220.87 per week for the full-time care of kids ages 2 to 5, Algorri said. That is well below market rate, where parents who pay out of pocket often pay double or more per week.

    To slash an already low rate throws providers and parents over the edge, Algorri said. The families she serves are low-income, mainly working in the service industry in restaurants.

    “Child care helps the workforce make it to work,” she said. “We really need support and we really need for this new budget to really focus on what matters and what matters the most is the children.”

    Some advocates, providers and parent groups say they intend to push back, at least to keep what is already being paid and supported.

    For some parents, the cuts could affect their ability to continue working and keep child care in place.

    Oakland parent Noni Galloway is working from home as a human resources specialist while caring for her 4-year-old son. His child care home closed the same week Galloway’s office shut down, and she set up her laptop at home.

    She pays out of pocket, $50 a day, but has been on the state’s subsidy waitlist for several years. If providers lose funding, the cost for private-pay parents like her might rise – or kids like her son could lose their spots because of downsizing or complete closure, said Galloway, a member of Parent Voices.

    Galloway said it took her a full year to find a child care provider she feels safe leaving her child with and that her child adores – a connection she views as vital.

    “Quality professional reliable child care that fits our schedules is most important,” she said. “A child care is not like an automotive shop where you drop your car off. This is my baby, my life.

    “If we don’t take care of the providers we are going to have a serious problem going back to work or reopening the economy.”

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • California Community College Chancellor Endorses Going Online-Only This Fall

    ByMikhail Zinshteyn, CalMatters

    CommunityCollegesCalifornia’s 115 community colleges will likely remain an online system of higher education in the fall, its chancellor Eloy Ortiz Oakley said Monday.

    “As we transition to the fall, many of our colleges have already announced that they’re going fully online in the fall,” Oakley said. “I encourage them to continue to do so. I fully believe that that will be the most relevant way for us to continue to reach our students and to do it in a way that commits to maintaining equity for our students.”

    The remarks further highlight the massive change confronting California’s public higher-education students due to the COVID-19 pandemic. It also underscores how higher education’s emergency measures to address the health risk are becoming longer-term solutions to ensure public safety.

    (Image: Eloy Ortiz Oakley, chancellor of the state community college system, has been a supporter of the new online community college. But faculty unions feel it duplicates work they already do. Photo by Anne Wernikoff for CalMatters)

    Last week California State University Chancellor Tim White said most of the instruction will remain online in the fall. “Consequently, our planning approach will result in CSU courses primarily being delivered virtually for the fall 2020 term, with limited exceptions for in person activities that cannot be delivered virtually,” the leader of the 23-campus system said.

    The University of California expects to decide about its fall plans next month.

    Oakley’s remarks began the meeting of California Community Colleges Board of Governors meeting, the body that oversees the system of 2.1 million students.

    Commenting on the system’s transition to online instruction in March, Oakley admitted that “there have been lots of bumps on the road to this transition” but that “by and large faculty have made an amazing transition, our colleges have made amazing effort to continue to engage our students.”

    The Board of Governors meeting is the first of the three public higher-education segments in California — the CCC, CSU and University of California — to gather following the release of Gov. Gavin Newsom’s revised budget for next year. The revised budget proposal detailed across-the-board cuts of about 10 percent to state programs, including state support for the three public higher-education systems. While the systems were told to expect nearly $2 billion less than it was promised back in January, financial aid to keep tuition free for hundreds of thousands of students remained largely intact.

    Oakley cautioned against advocates who want to pull money from one community college program to support others. The chancellor didn’t name any school specifically, but it’s likely he was referring to an ongoing campaign to cut funding to Calbright. The state’s new online community college received $100 million in one-time funding two years ago and $20 million of ongoing funding.

    The Faculty Association of California Community Colleges, an influential faculty membership organization, called for the college to be eliminated last week. The association is part of a constellation of faculty groups and lawmakers who oppose the creation of the college.  

    The president of the faculty union representing the system’s instructors said that proposed budget cuts to community colleges make in-person learning in the fall a non-starter. 

    “We would need more money to continue the services in-person during this period of time, to provide it safely,” said Jeff Freitas, president of the California Federation of Teachers. “With less money, there’s no other option than online.”

    He cites money needed to teach smaller classes, cleaning demands, personal protection gear, and that the same classroom is used by multiple classes during a week.

    He stressed that if colleges do remain online, which is a decision that should be made with local officials and administrators, then students must have the Wi-Fi connectivity and laptops they need to continue their learning. “We have to be dealing with equity for our students,” he said.

    Oakley stressed unity in his remarks.

    “It’s increasingly important that we stay together in our advocacy in this budget year, not to pick one college or one part of the budget and try to use that to mitigate cuts, but to protect all of our colleges to protect all parts of our budget,” Oakley said.

    “This is not the time to pull back” on improving student outcomes, Oakley said later in the meeting. “This is a time to double our efforts, because otherwise we’re going to be in the same position we always find ourselves in in California and in the country: We make strides to improving equity, we hit a crisis, and we use that as an excuse to say we can’t continue.”

    “We can’t let that happen this time,” he added.

    The Board of Governors will continue to meet Tuesday morning. The University of California Board of Regents also starts its three-day meeting Tuesday.  

    Get the latest on coronavirus in California with our frequently asked questionsdashboard tracking the numbers and our latest updates.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • California Just Revealed a $54.3 Billion Deficit — Signaling Deep Cuts Ahead

    ByJudy Lin, CalMatters

    050820DeficitCalifornia finance officials revealed a $54.3 billion deficit Thursday in the first economic assessment of the coronavirus pandemic’s devastating blow to the fifth-largest economy in the world.

    That figure is higher than the deficit during the Great Recession and obliterates the state’s once-healthy reserves.

    Without sugar-coating how hard the prolonged shutdown of businesses and job losses will hit the state, Gov. Gavin Newsom’s administration released bleak projections on key statewide indicators: 18% unemployment rate for the year, 21% drop in new housing permits and nearly 9% decline in California personal income. 

    (Image: In this file photo, Gov. Gavin Newsom presents the 2020-21 state budget at a press conference at the California Capitol on Jan. 10, 2020. Photo by Anne Wernikoff for CalMatters)

    The California numbers signal a financial tsunami and cuts to schools, health care and safety-net programs, as state and local governments turn to the federal government for additional stimulus support. In one example, California’s public school system, including K-12 and community colleges, will lose $18 billion in the state’s minimum-funding guarantee, setting back years of striving to reach adequate education funding. 

    Newsom Thursday stressed once again that California had balanced its budget and headed into this year with a huge surplus — all undone by the pandemic. He said the state is resilient and can rebound, with a caveat.

    “My optimism is conditioned on this — more federal support. We’re seeing economic numbers, unemployment numbers, more acute than anything we’ve seen in modern times,” he said. “We need the federal government to recognize this. We really need the federal government to do more.”

    Lawmakers began to prioritize the programs they hope to protect. The Legislature will take up the budget after Newsom releases his proposal on May 14. Lawmakers will then have until June 15 to pass a balanced spending plan.

    “I want to keep education as whole as possible,” Sen. Jerry Hill, a Democrat from San Mateo. Referring to deep cuts made during the last recession, he added, “we cannot abandon another generation of children.”

    The governor had warned that the budget figures would be “jaw-dropping” and sought to brace the public for a prolonged recovery. Newsom struck a positive note: The state was in a better position to withstand the crisis because it paid down debt and built up reserves in good years.

    Still, the deficit is three and a half times the state’s $16 billion rainy day fund and nearly 37% of the state’s general fund.

    Officials from Los Angeles, San Francisco and Stockton wasted no time campaigning for a statewide tax increase. The Schools and Communities First campaign, led by labor and education groups, is pushing a November ballot measure to overhaul Proposition 13, California’s landmark property tax cap, to help prevent steeper cuts to local governments and public schools.

    “I urge strongly everyone to endorse this measure because, again, we’re going to need revenue,” said Stockton Mayor Michael Tubbs.

    It remains unclear how a recession will affect voters’ mood for a tax measure. Business and anti-tax groups have vowed vigorously to oppose the measure, saying it harms businesses.

    The governor’s budget update projects California’s economic losses will fall disproportionately hard on low- and middle-income Californians, which will only exacerbate income inequality. At the same time, low-income households and people of color are at greater risk of contracting and dying from the virus as the number of confirmed cases reaches 60,000

    Since mid-March, Californians have filed more than 4.2 million unemployment claims.

    “This is particularly concerning because the average income did not return to pre-Great Recession levels until 2018,” wrote the Department of Finance in its fiscal update Thursday. 

    It’s an about-face for a state that began the year with ambitions of expanding child care for working parents and health care for undocumented seniors. Compared to the budget Newsom released in January, the state’s three main revenue sources in the general fund are now projecting a 25.5% drop in personal income taxes, 27.2% drop in sales taxes and 22.7% drop in corporate taxes

    The $54.3 billion deficit is driven by three factors: $41 billion in revenue loss, $7 billion increase in health and human services programs, mainly Medi-Cal, the state’s health program for the poor, and about $6 billion in additional spending, mainly driven by the state’s response to COVID-19. The Newsom administration’s response has come under scrutiny as lawmakers demand oversight of multi-million dollar contracts and federal investigators look into supply deals gone awry.

    Now anti-poverty advocates are bracing for a deja vu. 

    The Great Recession led to deep, painful cuts to California’s social safety net — such as CalWorks, California’s welfare program for families with children, Supplemental Security Income for elderly and disabled people, and subsidized child care — even as unemployment and poverty spiked. Many social safety net programs are still less generous than they were in 2007.

    “It’s devastating because at a time when people need government the most — which is any recession — it’s also the time when we have limited ability to help,” said Assemblyman Phil Ting, a San Francisco Democrat and chair of the budget committee. 

    Here’s how the deficit may impact major programs:  

    Housing and homelessness

    Before the pandemic struck, California’s twin housing affordability and homelessness crises were at the top of Newsom’s 2020 agenda. The self-proclaimed setter of “big, hairy, audacious goals” devoted his entire State of the State to housing the more than 150,000 Californians living outside or in shelters, and vowed to enact a signature bill to ease the state’s housing shortage. 

    California will have to scale back those ambitions, including:

    • A proposal from big city mayors for $2 billion a year in ongoing homelessness funding may be able to draw on federal dollars in the short term, but backers will have a difficult time answering where that money should come from in future years. 
    • An emergency rental assistance proposal backed by California landlords, which could request around $2 billion in an emergency appropriation, will run up against fiscal reality unless federal funding materializes. 
    • State funding for subsidized, low-income housing developments could also be in jeopardy, while housing dollars pegged for more moderate income Californians could be redirected towards emergency help for those at the lowest-end of the income spectrum. 

    Proposals to ease rules and regulations on homebuilding are also in danger. A slew of bills to reduce the fees cities can charge developers for new housing will run up against local governments’ desperate need for revenue. And legislative efforts to get cities to build denser housing may fail without new dollars for infrastructure and low-income housing. 

    K-12 schools 

    Despite record increases in school funding over the last decades, the state’s school districts never seemed to fully recover from the devastating cuts made during the Great Recession. The state increased school spending by about $24 billion since 2013 through the Local Control Funding Formula at same time as schools saw significant increases in fixed costs, such as special education, healthcare and employee pension obligations. 

    For many schools, those rising costs offset the increases in state funding. 

    The state’s projected $18 billion decrease in minimum funding guaranteed for K-12 schools and community colleges come at a time when school officials are asking for more state and federal support to help cover emergency spending, such as buying computers to facilitate distance learning and distributing food to students in need.

    The California School Boards Association estimates districts have spent roughly $400 per student, or $2.4 billion, responding to the coronavirus pandemic.

    Higher education

    Already the COVID-19 pandemic has led to hundreds of millions of dollars in losses for the University of California and the California State University. 

    Through March, the UC reported losses and higher costs of $310 million because of the pandemic. The CSU says it has $337 million in revenue losses and new expenses for its spring semester because of COVID-19. The federal government did dole out stimulus to help out colleges, but the money isn’t enough to shore up the losses in California, say legislative analysts.

    Community colleges will likely have a shortfall of $2 billion in state support based on projections from California finance officials. 

    The last recession gives clues to the hit on colleges. Staff reductions and class cuts had imperiled students’ chances of earning certificates and degrees.

    Whether students will face tuition increases is an open question. While tuition and fees were already rising before the last recession, the trend only accelerated at the UC and CSU, where tuition effectively doubled between 2008 and 2012. And while state funding for the two public university systems has risen since the recession, they’re still well below per-student levels before 2008. 

    Health care

    Medi-Cal, the state’s Medicaid program, covers almost 13 million, or nearly one in three, Californians. But the pandemic is expected to drive that number up to 15 million. 

    Just this January, California restored several benefits that were cut during the Great Recession. The state brought back audiology, optical services, podiatry, incontinence supplies and speech therapy. 

    Since eyeglasses and hearing aids are not required by the federal government, they are most likely the first benefits to be cut by the state, said Linda Nguy with the Western Center on Law and Poverty. 

    Health advocates sought to expand Medi-Cal to undocumented seniors, but the proposal will be a tough sell in the current environment. “I think this is a message to temper our expectations,” Nguy said. 

    California also recently started offering subsidies through the state’s health insurance exchange, Covered California. It’s just one of many health programs now at risk.

    “We can’t afford to go back in the middle of a pandemic when so many people have lost employer-based coverage and need that help,” said Anthony Wright, executive director of Health Access, a statewide health advocacy group.

    Earned income tax credit and safety-net programs

    Immigrant advocates had hoped to extend California’s Earned Income Tax Credit to undocumented workers who file taxes. Now, they say it’s even more crucial. Undocumented and mixed-status families have missed out on unemployment insurance and the federal stimulus check, yet work in some of the hardest-hit industries. But at a price tag between $117 million and $167 million, it may be cost prohibitive.

    Other safety-net expansions that now seem like pipedreams:

    • A $10 million plan to create a California consumer financial protection bureau, which Newsom said would go after debt collectors and payday lenders for unfair and deceptive practices. 
    • A proposal for $93 million to reduce fines and fees associated with traffic courts and the criminal justice system for low-income people.

    Prisons

    Newsom had contemplated closing a state prison at the start of the year as the prison population fell from 165,000 in 2010 to 112,000 as of this month. A pre-pandemic budget proposal from the Legislative Analyst’s Office recommended closing two prisons

    Yet while the proposed prison population is shrinking, the budget for the budget for courts, probation and parole is growing. 

    The criminal justice system was forecast to spend $19.4 billion on courts, prisons, probation and parole, up $341 million from the last year, the vast majority of which — $13 billion — goes to prisons, parole and probation. 

    The analyst’s office recommended expanding pretrial diversion services to include misdemeanor convictions in an effort to reduce the number of people sent to prison.

    The analyst also recommended against reducing the time individuals spend on probation, a proposal the office predicts would lead to longer — and therefore, more expensive — prison and jail sentences.

    Environment

    While California’s green intentions seem baked into the DNA of state policy, key environmental programs could nevertheless be put on a starvation diet in the upcoming budget. 

    Funding for transit, clean car rebates and urban forestry have all seen cuts during past recessions, according to a report from the University of California, Los Angeles that could foreshadow decisions to come. 

    Newsom signaled that California would prioritize the fight against climate change, outlining $12 billion-worth of climate programs in his January budget proposal. But continued funding for clean-car rebates and charging stations, some wildfire prevention programs, and funding to support response to immediate climate impacts could be reduced. 

    Some of those programs were contained in the governor’s nearly $5 billion climate resiliency bond, which would have allocated 60% of the funds for water-related projects, a particular interest of the governor.

    In jeopardy, too, is the $20 million set aside to establish the first new state park in a decade.

    Early childhood

    Newsom’s initial budget was hailed by early childhood advocates for increasing child care, preschool and other efforts to support working parents. His proposal had

    included $10 million to start a training program for adverse childhood experiences and raise public awareness on childhood trauma, not to mention an additional $31 million to create 10,000 more preschool slots.

    Now those initiatives will likely be shelved. 

    “Child care took the brunt of the cuts during the last recession and we will fight hard against that same outcome,” said Keisha Nzewi, director of public policy for the California Child Care Resource & Referral Network. “It will be up to the governor and the Legislature to figure out how to keep child care functioning, because without it, Californians can’t go back to work.”

    CalMatters staff writers Elizabeth Aguilera, Rachel Becker, Jackie Botts, Ricardo Cano, Julie Cart, Elizabeth Castillo, Nigel DuaraMatt Levin, Mikhail Zinshteyn and contributing writer Barbara Feder Ostrov contributed to this report.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • California Offers Discounted Hotel Rooms to Health Workers Exposed to Coronavirus

    ByLaurel Rosenhall, CalMatters

    041220HealthCareCoronaCalifornia health care workers may qualify for discounted hotel rooms under a new arrangement Gov. Gavin Newsom announced Thursday as part of the state’s ongoing effort to limit the spread of coronavirus.

    More than 150 hotels around California have agreed to provide discounted rooms to help “a workforce that is deeply stressed out,” the governor said — health care workers treating COVID-19 patients who are worried that sleeping at home could expose their families to the virus.

    “Some of the nicest and finest hotel chains in the world are participating in this program, providing deep discounts to the state of California, and we will extend those deep discounts directly to our caregivers,” Newsom said.

    “They can stay closer to the needs in their communities.”

    (Image: Health care workers at a Kaiser hospital in San Francisco on April 9, 2020. Today, Gov. Gavin Newsom announced that the state would make hotel rooms available to care providers in regions with high rates of COVID-19 infections who need to self-isolate. Photo by Anne Wernikoff for CalMatters)

    The announcement follows a similar move in New York City, and comes after reports surfaced of a Bay Area nurse spending $2,000 a month to stay in a hotel and an Orange County doctor sleeping in a tent in his garage — both attempting to avoid exposing their families to the virus they may have picked up on the job.

    Newsom did not identify the participating hotels or give many details on the cost of discounted hotel rooms. He described a sliding scale that would provide discounts for workers with higher incomes and full reimbursements for lower-wage workers, and said more information will soon be available at this website.

    The priority is providing hotel rooms in areas of the state that have dense populations or large numbers of people with COVID-19, including Los Angeles, Santa Clara, Riverside, San Bernardino, Orange, Alameda, Contra Costa, San Francisco, San Diego and Fresno counties. 

    Health care workers who have been frustrated by a shortage of protective gear said the discounted hotel rooms amount to “a nice gesture” but fall short of what they want from their employers.

    “The bottom line is that health facilities should be providing proper personal protective equipment and infection control practices and policies in the first place so that nurses and other health care workers should not be resorting to living in their cars or camping out in their garages to avoid exposing their loved ones to the COVID-19 virus,” said a statement from National Nurses United spokeswoman Lucia Hwang.

    The union, she said, wants employers or the government to cover the full cost of hotel rooms, adding that discounted rooms “do not adequately support nurses who are risking their lives daily to fight on the front lines of this COVID pandemic.”

    The cost for the hotel rooms is being shared by the state and the Federal Emergency Management Agency, Newsom said, adding that the new stock of rooms for health care workers will not impact a separate effort to house homeless people in hotel rooms. About 2,000 people who were sleeping on the street or in shelters have moved into hotel rooms since the state began a relocation effort last month in response to the pandemic.

    Providing discounted hotel rooms for healthcare workers is also a help to the hotel industry, which has been battered by the coronavirus pandemic and government orders for people to stay at home. Occupancy rates are dropping and many hotels are planning to furlough workers or close.

    Airlines are also jumping in to help health care workers, Newsom said. United Airlines will provide free flights for medical professionals who sign up for California’s Health Corps, a program to expand the health care workforce, the governor said, and the state is negotiating with other airlines to provide a similar service.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • California Readies Army of Coronavirus Detectives

    ByRachel Becker, CalMatters

    gavin 923y592375The Newsom administration has teamed with two universities to train more than 3,000 employees per week to become coronavirus detectives tracing the spread of the disease throughout California.

    Starting Wednesday, the University of California, Los Angeles and the University of California, San Francisco will provide 20 hours of online and in-person training to state employees selected for the program.

    The new “training academy,” as Gov. Gavin Newsom called it, is part of an effort to build an army of 20,000 people to test, trace and isolate people who may have been infected.

    In addition, a new statewide database will help local health departments trace infected people and their contacts as they travel through the state. 

    “I’m very excited about that innovation,” said Madera County public health director Sara Bosse. “It is something that we have needed for a decade in California, because we often have cases in which contacts cross counties for any disease.” 

    The process of tracking the virus as it spreads from person to person is called contact tracing. And experts agree that it is critical to quashing new outbreaks of the novel coronavirus before they start — particularly as efforts to reopen the state provide more opportunities for infection.

    “As people move more, we increase the risk for people to get sick,” Sonia Angell, California Department of Public Health director and State Health Officer, said in a live stream. “If people get sick, we want to identify those individuals very early, and then make sure that all of their contacts are also identified.” 

    Right now, 23 of California’s 61 local health departments are actively tracking exposed contacts as the coronavirus spreads from person to person, according to Newsom. Nearly 3,000 investigators interview people who test positive, identify the people they’ve interacted with and notify them that they need to isolate or quarantine.

    But the National Association of County and City Health Officials estimate that the nation will need 30 contact tracers for every 100,000 Americans to handle the pandemic. Which means that California’s 2,845 contact tracers fall far short of the 12,000 needed to track the virus through California’s population of nearly 40 million

    To that end, Newsom announced plans to redeploy state employees with “the right kind of background cultural sensitivity, cultural competency, different language skills, a health mindset.”

    Madera County’s Bosse said she hasn’t yet seen the training modules. But she said that training resources have been a real need across the state, although her county has adjusted. 

    “Our contact-tracing resources, as you know, on a regular day, are quite small,” Bosse said — which means few people are generally available to help with training. “At this point, we now have a collection of folks that have significant skills and could easily do shadowing and on-the-job training.” 

    The new online training program could help standardize contact-tracing state-wide, she said. “It’s comforting to know that people would at least have a similar approach.”

    Newsom and Angell did not say how they would provide in-person instruction, given public health recommendations for physical distancing.  

    They also did not say when the new contact tracers would be deployed. But when they are, local health authorities can request staffing help from the state,  according to Angell.

    The new contact-tracing platform the state announced Monday will sync up with California’s existing digital disease surveillance platform, and contact tracers can use it to check in on people’s symptoms through texts, chat, emails, and phone automation, according to Angell. Angell emphasized that the database will focus on health information and will be kept confidential. 

    Bosse hopes the new digital database will help streamline contact-tracing for cases and contacts that cross county borders. 

    Still, there’s one major caveat to the state’s efforts to bolster contact-tracing, she said: people must be willing to cooperate, particularly if cooperating means missing work and wages — and potentially putting friends, family, and coworkers out of work for two weeks, too. 

    “With so many people who are unemployed or underemployed at this point, once they have the ability to be employed, are they going to be willing to be tested?” Bosse asks. 

    “Wage replacement, so ability to be paid sick leave, is going to be super important — or people are not going to agree to be tested, and then our contact tracing efforts will be really limited.”

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • California Schools’ Response to Pandemic Varies Widely

    ByRicardo Cano, CalMatters

    041220ParentSchoolCoronaTheir schools sit just five miles apart on opposite ends of Southern California’s notoriously busy Interstate 405, but the gap between their students’ distance learning experiences so far has been vast.

    In Redondo Beach off the South Bay coast, Karen Cull’s three sons began engaging with their teachers online March 18, three school days after their district physically closed campuses to combat the spread of the COVID-19 pandemic. On Monday, Redondo Beach will begin “Phase 2” of distance learning, in which teachers and students will be expected to cover new content.

    In Hawthorne, an inland working-class community, Raul Torres spends five hours a day with his second-grade daughter and fourth-grade son completing paper packets. He’s heard little from their teachers in the four weeks after schools physically closed and the district doesn’t plan to roll out its distance learning program until April 21.

    “It’s been challenging because, obviously, I’m not a teacher,” Torres said.

    (Image: Melina, 8, and her brother Adrian, 9, play minecraft before bed. With limited classwork provided by their district the Torres kids have plenty of time for video games when their homework is finished. Photo courtesy of Raul Torres)

    Across California, school districts are each frantically tackling the same challenge — how to keep students learning remotely — with varying degrees of preparedness. Conversations with parents across the state reflect existing disparities: Wealthier districts appear more likely to weather the transition with greater ease.

    While school systems like Redondo Beach have been able to transition toward online learning without skipping a beat, parents in many districts have said they’ve gone weeks before hearing much about their schools’ academic plans.

    A limiting factor in schools’ transitions has been access to Internet and technology and whether schools had the finances and infrastructure to provide families these resources. Across California’s 1,000 school districts, there have been longstanding inequities in the amount of funding districts have been able to locally raise for needs like student technology.

    State Superintendent of Public Instruction Tony Thurmond said this week that the state is working to secure 150,000 devices for students who don’t have one so they can do online learning. Recent hotspot and Chromebook donations from Google have helped make a dent, but not enough, Thurmond said Tuesday. He asked for //calmatters.org/education/2020/04/california-schools-parents-coronavirus-remote-learning/This email address is being protected from spambots. You need JavaScript enabled to view it.">public donations to secure computers for students.

    “We have had a digital divide in this state and in this country for many years, and It’s an embarrassment, and we must change that,” Thurmond said.

    State officials have said they expect that most California districts will have formally launched distance learning programs by the end of April, though scenarios such as in California’s South Bay underscore the wide variance in how schools are shifting toward it.

    About 9 in 10 students in the Hawthorne district are socioeconomically disadvantaged, according to state data, but academics have praised the district for narrowing achievement gaps for its black and Latino students. More than one-third of the district’s students are English-language learners.

    Before the pandemic, Torres said his 8-year-old daughter was learning a lot, challenged by a rigorous curriculum.

    “She was learning things that I never learned until I was in high school,” Torres said.

    041220ParentSchoolCorona2(Image: Melina, 8, does homework in her parents’ bedroom. Photo courtesy of Raul Torres)

    Since his children’s schools physically closed, Torres, an electrician, has dedicated afternoons and evenings to working through two weeks’ worth of paper review packets with his kids. Torres’ autistic son has not received any special education services, he said, so he relies on the parenting classes he took to help the fourth-grader.

    Torres sees the difference in distance learning as he travels to job sites across Los Angeles. Customers in Torrance and Manhattan Beach, for instance, trade notes on how far along their schools are in making the transitions.

    “They already have the means to do it,” Torres said. “We don’t (in Hawthorne), not yet.”

    A survey by The Education Trust-West, an advocacy group focused on closing student achievement gaps, showed widespread concerns from parents about student regression.

    The poll of 1,200 California parents found that while 8 in 10 gave their schools positive marks in handling the aftermath of school closures, just 45% of respondents said that their schools were providing them with regular contact or access to their child’s teachers.

    Nineteen percent of parents — including 1 in 5 Latino respondents — said they’ve received little to no academic information from their schools. Most black and Latino parents said they’re worried they don’t have the resources to keep their students from regressing.

    “Long before this pandemic came, California faced an epidemic of educational inequality,” said Elisha Smith Arrillaga, executive director of The EdTrust-West, adding that school closures “will only exacerbate those gaps.”

    “There is simply no way to close schools for a month without gaps in student learning,” she said. “Now is the time to accelerate planning to ensure that teachers and school leaders have the resources they need to stop those gaps in their tracks.”

    In Redondo Beach, Cull praised the district’s rapid and “fantastic” response in shifting toward online. The district closed schools March 13, a Friday. By the following Wednesday, Cull’s students were taking part in online lessons covering prior materials. Special educators were quick to prepare a plan for her son with Down Syndrome, she said.

    Each teacher has had different approaches to online learning, Cull said. One of her oldest son’s high school science teachers set up a class meeting using Flipgrid, where students could see each other and interact in a virtual lesson — a helpful exercise in social interaction.

    “He got such a kick out of seeing the videos that the other kids have posted and just seeing other 15-year-old kids in their bedroom messing about,” she said.

    About 16.5% of Redondo Beach students are socioeconomically disadvantaged, according to state data, and about 4% of students are English learners. Like Torres, Cull also trades notes with other parents. She says she and her sons are in “a very lucky place right now.”

    “What this is doing is exacerbating the existing differences, the existing inequalities,” Cull said. “This situation has emphasized (inequalities) because the districts like Manhattan Beach and Redondo Beach have had existing technology structures already there.”

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Coronavirus Could Force Private Practices To Close Or Sell — Raising Costs

    By Kristen Hwang for CalMatters

    042720PrivatePractice1In a matter of weeks, Dr. William Goral, a private practice ear, nose and throat specialist in San Bernardino County, will be out of business.

    His small, solo clinic, which has served patients throughout the Inland Empire for 30 years, postponed about 80% of patient visits due to coronavirus restrictions. That’s not enough revenue to pay rent, utilities or staff. 

    “We are going into the red even having laid off two-thirds of my employees,” Goral said.

    At private practices and small clinics across the state, independent physicians are worried their businesses won’t survive the current crisis, forcing them to either close their doors or sell their practices, which could lead to higher patient costs. In either case, experts worry that will leave the health care system vastly diminished at a time when the state is facing skyrocketing costs and a shortage of doctors.

    (Image: Dr. George Scott in one of several examination rooms in his Manteca clinic. Scott’s private OB/GYN practice is moving to a smaller clinic space in the midst of the coronavirus pandemic due to a rent increase. Photo by Anne Wernikoff for CalMatters)

    About one in three Californians get care from private practice physicians and specialists, according to the California Medical Association, which represents roughly 50,000 doctors across the state. In a recent survey, nearly 76% of members reported being extremely worried or very worried about finances.

    Empty clinics triggered a cash crunch for doctors after Gov. Gavin Newsom issued a shelter-in-place order last month. That’s because the statewide lockdown forced a majority of medical procedures, from hip replacements to annual check ups, to be canceled or delayed unless they are deemed an emergency.

    A catastrophe for private practices

    On Wednesday, the governor announced plans to resume some delayed medical care such as heart valve replacements, angioplasty and and tumor removals, but he warned the state remains far from reopening.

    And though the federal government is providing aid, most say it’s not nearly enough.

    “The whole situation is catastrophic for the entire profession in terms of economics,” said Dr. Thomas LaGrelius, a family medicine doctor in Torrance, Calif. and president of the American College of Private Physicians.

    LaGrelius currently is only able to conduct about three in-person patient consults per day and has tried to switch as many appointments as possible to online video conferences. Unlike other doctors who received emergency grants this week from the U.S. Department of Health and Human Services, LaGrelius’ clinic has yet to get any relief from the federal Coronavirus Aid, Relief and Economic Security Act, or CARES Act.

    The federal department, which is doling out $100 billion to doctors based on the amount of patients they serve who are on Medicare, gave him a test deposit of $0 and told him a grant would come later.

    And while grants are certainly welcome, they’re a “drop in the bucket,” said Debbie Rood, business manager for her husband’s obstetrics and gynecology practice in Manteca. Rood’s husband Dr. George Scott said they received about $2,000 since most women over the age of 65 don’t see a gynecologist regularly. 

    His private practice’s finances are complicated by the fact that insurance companies won’t reimburse him until after patients give birth, leaving him and his staff performing unpaid labor for months. At the same time, their rent tripled, forcing them to downsize to a smaller clinic.

    Taking out a second mortgage

    Scott and Rood are determined to keep the business running but they may need to take a second mortgage on their home. They are also concerned about the long-term implications the economic crisis will have on access to care. 

    “If you lose all of your primary care doctors and your (obstetricians) because you can’t make a living,” Rood said, “where are patients going to go?”

    It’s a question with a complicated answer, said James Robinson, professor of health economics at UC Berkeley. The economic fallout of the pandemic will lead to the closure of many private practices, but the implications are less clear.042720PrivatePractice2

    Consolidating practices

    Increasingly, in the past decade, independent doctors and private community hospitals have been swallowed by sprawling health care delivery systems through mergers and buyouts. Nearly 60% of Californians received care from an integrated healthcare system in 2018, which organizes doctors, hospitals, and sometimes insurance companies into one coordinated system, according to Let’s Get Healthy California, a state task force that monitors key health indicators including access to care.

    Because small businesses like independent physicians typically don’t have the financial reserves to ride out severe economic downturns, the current pandemic will hasten the consolidation of healthcare, Robinson said.

    “I think that it’s going to drive them into the arms of health plan places like Kaiser,” Robinson said.

    The loss of private practices isn’t necessarily a bad thing, experts say. Consolidated health care can lead to better communication between doctors, more efficient use of testing and scans, and more cost-effective treatment, he added.

    (Image: Debbie Rood and Dr. George Scott in their Manteca clinic. Rood says making sure Scott stays healthy during the coronavirus pandemic is a priority. Photo by Anne Wernikoff for CalMatters)

    The problem is many of California’s rural counties, which often face provider shortages to begin with, still rely on private physicians and community health clinics. Forty of the state’s 58 counties had below-average access to consolidated health care in 2018, with as little as 10% of the population in Del Norte enrolled in a managed health care plan. 

    Mergers raise costs on patients

    A large body of evidence shows that hospital mergers and physician buyouts have increased insurance prices throughout the state. 

    In areas with high hospital consolidation and high proportions of hospital-owned physician practices, health insurance premiums cost up to 12% more than in areas with average levels of consolidation, according to research published in Health Affairs, a peer-reviewed health policy journal.

    “There was an uptick in merger activity right after 2008,” said Daniel Arnold, co-author of the paper and research director at the Nicholas C. Petris Center on Health Care Markets and Consumer Welfare at UC Berkeley. “I think you will see something similar here.”

    Rood said she’s scared to death of what will happen to patients should her husband, Scott, become ill from coronavirus or should their private practice be forced out of business. Already, with only five obstetricians and gynecologists in their area and one planning to leave in June, Scott said there aren’t enough OB-GYNs to take emergency calls at the local hospital.

    Like many other doctors and business owners, Rood and Scott applied to the Small Business Administration’s Paycheck Protection Program, a $350 billion emergency fund created by Congress to avert business closures and layoffs during the COVID-19 pandemic.

    Last hope hangs on second relief package

    Their bank, however, took 11 days to send the application to the first-come, first-serve relief program. The day after they submitted, the Small Business Administration announced it had run out of money.

    Now, with Congress approving a second $484-billion relief package with $75 billion set aside for physicians and hospitals, independent physicians like Scott and Goral are hoping to save their life’s work.

    Goral, the ear, nose and throat specialist, was unsuccessful in obtaining help in the first round of federal funding, but he hopes the second round of funding will buy time until patients return. Still, his position is precarious. Each passing day pushes his business further into debt and he fears he’ll close before ever seeing any money.

    “If we have to shut our doors and we don’t have a practice anymore, then the opportunity has been missed,” Goral said.

    Kristen Hwang is a freelance reporter pursuing joint master’s degrees in public health and journalism at UC Berkeley.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Coronavirus Detectives: Here’s How Counties Try to Track Everyone Exposed

    ByRachel Becker, CalMatters

    CoronavirusTestingBy the time public health officer Bela Matyas learned that the novel coronavirus was spreading in Solano County, the patient in her 40s was already on a ventilator.

    Back in February, the woman was the first in the nation known to be infected without traveling or being around someone who was sick. But she was too ill to answer questions about where she’d been and whom she had talked to, worked with and touched. 

    Dozens of public health investigators from local, state and federal agencies fanned out like detectives, questioning the family members who had visited her and the hospitals that had orchestrated her care — even staking out the store where she worked. Their mission: to piece together a list of people who could have been exposed to the virus.

    In the end, the list totaled more than 300 people spanning six California counties, Matyas estimated. Four — including three healthcare workers — tested positive, each prompting their own investigation.

    (Image: U.S. Air Force photo by Airman 1st Class Taylor D. Slater)

    This process, called contact tracing, is a critical element in containing the spread of the novel coronavirus. But the ability of California’s 61 county and city public health departments varies greatly as they struggle to keep pace with rising numbers of patients.

    “What we had to do was clear from the beginning,” Matyas said. “But actually being able to do it was very hard.”

    Some local health departments, like Madera County’s, have managed to trace the contacts of every person who tests positive for the coronavirus. Others, like the city of Long Beach and Placer County, are so overburdened that they are only trying to trace contacts that could put vulnerable people at risk, such as healthcare workers or people in nursing homes. 

    To handle the pandemic, the nation will need 30 contact tracers for every 100,000 Americans, according to the National Association of County and City Health Officials. But no California city or county has anywhere near that many. Under that formula, for example, Long Beach would need 140 investigators, seven to nine times more than it has now.

    North of Sacramento, Placer County, with a population of almost 400,000, would need 120 tracers. 

    “It certainly illustrates the point that 18 — which is our expanded capacity, which is more than our baseline of six — is woefully inadequate,” said Aimee Sisson, Placer County’s public health director.  

    Contact tracing will become even more important as the state starts reopening parts of its economy. The concern is that more human interaction could cause flare-ups, especially since people can spread the virus before feeling ill and limited testing leaves people unaware they’re infectious.  

    “We need to make sure that there is capacity in every county to do adequate contact tracing. That’s part of containing the disease,” said Kat DeBurgh, executive director of the Health Officers Association of California. “Are we ready today? No. When will we be ready? I don’t know.” 

    Gov. Gavin Newsom addressed the concern about inadequate contact tracing on Wednesday, announcing plans to train 10,000 people to help local health departments. “The good news is we believe we have the capacity to build an army of tracers,” Newsom said, although he did not say when they’d be ready to deploy. 

    Jeffrey Martin, a professor of epidemiology and biostatistics at the University of California, San Francisco, said that fighting an epidemic is like fighting a wildfire: The state can’t afford to mess up containment. 

    “[It’s] important to track all of those people down to extinguish all the embers in that brushfire,” Martin said. “If we don’t do it right, and if the brush fires are not extinguished, you’d have to be a magical, wishful thinker, to think that there would not be a raging wildfire.” 

    Some counties keep up, others can’t

    The San Joaquin Valley county of Madera typically has two to three people keeping tabs on tuberculosis and sexually transmitted infections in its population of roughly 157,000 people.

    Then, the coronavirus hit — and the initial cluster encompassed about 200 patients and potential contacts, said Madera County public health director Sara BosseThirty-six people have tested positive.

    Still, by teaming with the sheriff’s department and probation investigators, the county has managed to keep up contact tracing, isolation and quarantine for everyone potentially exposed. 

    Madera is unusual in that investigators, typically in plain clothes, visit patients and their contacts in person — sort of. They drop off packets of information as well as a letter excusing work absences to employers. Then they get back into their cars, and answer questions face-to-face through the window, over the phone. 

    “Then they can explain to them what’s going on,” Bosse said. “We understand that people are experiencing a lot of anxiety and it’s difficult for people to hear this news that they might have been exposed.” 

    For now, the spread of the virus seems to be slowing. “We’re really hopeful that it’s at least in part due to the active contact tracing that we’ve implemented,” Bosse said. 

    In Riverside County, cases are coming in faster than the county’s 30-plus person team can investigate them, according to Barbara Cole, branch chief of disease control for the county’s public health department. The county has 3,084 confirmed cases

    It can take multiple phone calls to build enough trust to reconstruct someone’s string of contacts, Cole said.

    “It’s about trying to establish a rapport, stressing how we’re going to protect their confidentiality,” she said. “The majority of people, they’re concerned about their friends and their family.”

    In the Northern California county of Solano, Matyas quickly realized that tracing and quarantining all contacts would be impossible for every case. To date, 186 people have tested positive in the county. 

    Instead, the county focuses on tracking the risk to vulnerable populations, including people who are older, have underlying medical conditions, or live without shelter.

    Solano County’s communicable disease team, which has shrunk to its original staff of six, first interviews anyone who tests positive about where they work and who they came in contact with. That in some cases is a long list: people who visit their homes, coworkers who sit close or share food.

    Then a member of the team calls all of the contacts. The idea is to identify and isolate people who are feeling ill or whose jobs put them at risk of infecting others in nursing homes, hospitals, or homeless shelters. 

    “We no longer pretend that we can do any kind of active quarantine,” Matyas said. “There’s no bandwidth to check on them to see if they’re doing it.”  

    Long Beach and Sacramento and Placer counties also are only tracing the virus’s spread through vulnerable populations.

    “Instead of asking every place you went to, every person you came into contact with, we say, ‘Have you been in contact with vulnerable populations?’” said Sisson in Placer County. “We just have too many cases for that full interview.” In the county, which is home to the first person to die of the novel coronavirus in California133 people have tested positive.

    In Long Beach, every case initially was tracked. But then people kept getting sick, and most of the deaths are in long-term care facilities

    As people sheltered in place, contact tracing didn’t have to be as extensive. “Now we’re to the point where we have more than 400 cases, and we’re really focusing on our healthcare worker cases, and our cases in our long-term care facilities,” said Emily Holman, communicable disease controller for the city’s health department.

    Tracing contacts of people in long-term care facilities is different than in the community at large. Instead of focusing on reconstructing a web of contacts, the aim is to rapidly identify and separate infected and potentially exposed people from healthy people. Speed is key, so if someone’s symptomatic, they’re treated as a case even with no test results.

    “Every minute in those facilities can be crucial and could prevent an exposure,” Holman said. 

    Staffing up

    Former CDC Director Tom Frieden called for an army of more than 300,000 contact tracers in an interview with STAT. And current CDC head Robert Redfield announced plans to hire 650 more public health personnel, including to help with contact tracing, the Washington Post reported

    Local health departments have been bolstering their workforces on their own. San Francisco plans to recruit and train as many as 150 people to conduct contact tracing, including librarians, city attorney staff and medical students

    The Bay Area’s Alameda County also has ramped up from just seven staff investigating cases of communicable disease to 60 people assigned to the novel coronavirus — including 18 who follow up with contacts. As the epidemic progresses, “we anticipate deploying as many as 300 staff for contact tracing,” said Nicholas Moss, acting director of Alameda County’s Public Health Department. 

    Sacramento County is working to expand its six-person team to 30 by recruiting from other departments and training medical students to work with people who are homeless. 

    “We’re hoping that based on the modeling that’s occurring, that we will be ready — and actually, we’re hoping that there won’t be another wave,” said Public Health Officer Olivia Kasirye.

    Is there an app for that?

    Some counties are looking to technological help. San Francisco, for instance, is training its contact tracers to use a platform that Grant Colfax, director of public health, called “an integral part of our efforts going forward.” 

    The platform, developed by a software company called Dimagi, is not an app that people can download to their phones. Instead, it’s a web portal that public health workers can use to keep tabs on people with infections, list their contacts and keep in touch.

    Apple and Google also have proposed tracking people’s proximities using Bluetooth. Newsom has said the state is vetting various technologies.

    But Alameda County’s Moss is cautious about protecting the privacy of residents. 

    “We want to make sure that any technological tool we employ where people’s health information is going to be input, that there are adequate safeguards for privacy,” Moss said. Plus, the app has to be easy to use, and it has to cough back up the data needed to keep tabs on the virus’s spread.

    Eric Sergienko, Mariposa County’s health officer, worries that if each local health department ends up using different software, it might be hard to trace contacts that cross county lines. 

    That’s where Sergienko hopes the state steps in and standardizes the platform California’s counties use. “What can the state do for us? Just by finding the best one,” he said. 

    State Health and Human Services Secretary Mark Ghaly said that California will need 10,000 more contact tracers as it modifies its stay at home order. Between 2,000 and 3,000 people could test positive per day. And each of them could have ten contacts, he said. 

    California might not have needed to push quite so hard to ramp up during the crisis if it had funded enough public health workers to begin with. “We’ve been seeking increased funding for years,” said Kat DeBurgh, executive director of the Health Officers Association of California.

    More trained health workers could be important in fending off the next pandemic. 

    “By having these trained contact tracing public health workers, we can actually prevent infections, prevent the severe disease from happening in the first place,” said Lee Riley, a professor of epidemiology and infectious diseases at the University of California, Berkeley’s School of Public Health. 

    “But right now, everything that we’ve been doing is just reactive to what’s already happened.”

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • COVID Bailout Cash Goes to Big Players That Have Paid Millions to Settle Allegations of Wrongdoing

    032720OutbreakCoronavirusThe Trump administration has sent hundreds of millions of dollars in pandemic-related bailouts to health care providers with checkered histories, including a Florida-based cancer center that agreed to pay a $100 million criminal penalty as part of a federal antitrust investigation.

    At least half of the top 10 recipients, part of a group that received $20 billion in emergency funding from the Department of Health and Human Services, have paid millions in recent years either in criminal penalties or to settle allegations related to improper billing and other practices, a Kaiser Health News review of government records shows.

    They include Florida Cancer Specialists & Research Institute, one of the nation’s largest U.S. oncology practices, which in late April said it would pay a $100 million penalty for engaging in a nearly two-decade-long antitrust scheme to suppress competition. A top Justice Department lawyer described the plot as “limiting treatment options available to cancer patients in order to line their pockets.” The company, which is required to pay the first $40 million in penalties by June 1, received more than $67 million in HHS bailout funds.

    HHS distributed emergency funding to hospitals and other providers to help offset revenue losses or expenses related to COVID-19. In April, it distributed the first $50 billion based on providers’ net patient revenue, a calculation that gives more money to bigger systems or institutions charging higher prices.

    Companies that have attested to receiving payments as of May 4 collectively received roughly $20 billion. The list is likely to change in the coming days as other companies confirm they’ve received money.

    In total, the CARES Act, signed into law by President Donald Trump in March, provides $100 billion in emergency funding. Subsequent coronavirus relief legislation added another $75 billion. Money has also been steered to hot spots with high numbers of COVID-19 patients, rural health care providers and the Indian Health Service.

    Of the companies documented to date, other top recipients ― including Dignity Health in Phoenix, the Cleveland Clinic, Houston’s Memorial Hermann Health System and Massachusetts General Hospital in Boston — have paid millions in recent years to resolve allegations related to improper billing in federal health programs, false claims to increase their payments or lax oversight that enabled employees to steal prescription painkillers.

    Dignity Health, one of the largest hospital systems in the West, received $180.3 million in HHS bailout funds, making it the top recipient listed. It has settled civil accusations by DOJ that it submitted false claims to Medicare and TriCare, the military health care program.

    The Cleveland Clinic, which in 2015 paid $1.74 million to settle federal allegations that it mischarged Medicare for costly spinal procedures to increase their billings and has entered into other similar settlements, received $103.3 million from HHS, the second-largest amount.

    Memorial Hermann Health System and Massachusetts General Hospital received more than $93 million and $58 million, respectively. In 2018, Memorial Hermann paid nearly $2 million to the government to settle allegations that it improperly billed government health care programs by charging for higher-cost services when patients only needed lower-cost outpatient services.

    Massachusetts General Hospital in 2015 paid the federal government $2.3 million to settle allegations that lax oversight enabled hospital employees to steal thousands of prescription medications, mostly addictive painkillers, for personal use.

    Malcolm Sparrow, a professor at the Harvard John F. Kennedy School of Government, said the HHS methodology for its general distribution of relief funds is “a little bit worrying.”

    “If you peg the amount based on historical volume and you’ve got good reason to believe that historical volume is inflated due to fraud and abuse, the irony is that they get more money because they’re more dishonest,” Sparrow said. “But you can’t prove that in a short period of time.”

    Public tolerance for fraud and abuse naturally rises during times of emergency, Sparrow said, and now is not the time to revisit historical decisions to determine which companies are entitled to federal relief based on legal issues.

    “I think that’s a tough case to make,” he said.

    HHS has criteria for disqualifying providers from receiving bailout money. But even the strongest condition carries a broad caveat: None of the funds may be used for grants to any corporation convicted of a felony criminal violation within the preceding two years ― unless officials have decided that it is not necessary to prohibit them from doing business with the federal government.

    “It’s sort of a high bar” for someone to be disqualified for this money, said Roger Cohen, a health care lawyer at Goodwin who specializes in fraud and anti-kickback law.

    The Florida oncology provider has been charged with a felony and admitted to an antitrust crime, however federal prosecutors agreed to defer any prosecution and trial because a criminal conviction would have “significant collateral consequences” for its patients, the DOJ said.

    Beyond that, HHS in its terms states that providers have to certify that they are not excluded from participating in federal health care programs like Medicare and Medicaid and have not had their Medicare billing privileges revoked.

    The HHS Inspector General has the authority to exclude practitioners and health care companies for a wide variety of reasons — including a conviction of fraud ― but it’s highly unusual for the federal government to do so with large institutions, experts say.

    “I imagine there would be hesitancy to exclude the provider,” Cohen said. “I think you’d have concerns about interrupting access to care.”

    An HHS spokesperson declined to comment on its existing allocations but said the department has rules in place to recoup funds and address fraudulent activity if necessary.

    “Failure to comply with any term or condition is grounds for HHS to recoup some or all of the payment from the provider,” the spokesperson said.

    In a statement, Florida Cancer Specialists signaled it intended to use the funding.

    “During this health crisis, we have continued to keep the doors of our more than 80 facilities open to ensure that cancer patients have access to care and treatment,” Thomas Clark, the company’s chief legal officer, wrote in an email. “We plan to use these funds, if needed, in accordance with government guidelines to continue providing affordable, safe and high-quality cancer care.”

    Dignity Health said, “We have had to bear significant costs to prepare for and manage the pandemic in our communities even as patient volumes have been dramatically reduced across our hospitals.”

    In October 2014, Dignity agreed to pay $37 million after the Department of Justice alleged it admitted patients to 13 of its hospitals in California, Nevada and Arizona who could have been treated on a “less costly, outpatient basis.” The civil case involved patients treated for elective heart procedures, such as pacemakers and stents, and other conditions. The company did not acknowledge wrongdoing in settling the case.

    “Charging the government for higher-cost inpatient services that patients do not need wastes the country’s vital health care dollars,” acting Assistant Attorney General Joyce Branda for the Justice Department’s Civil Division said at the time. “This department will continue its work to stop abuses of the nation’s health care resources and to ensure patients receive the most appropriate care.”

    Dignity said that independent annual audits were conducted after the False Claims Act settlement in 2014 and “no additional concerns were raised related to this issue.”

    Massachusetts General Hospital and Memorial Hermann did not respond to requests for comment. The Cleveland Clinic confirmed the amount of money received from HHS but declined to comment further.

    Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

  • COVID-19: Food Resources

    GroceriesFood is top of mind for many during the COVID-19 pandemic — how to keep your family fed amid layoffs, concerns about grocery outings and food transmission, all while trying to maintain social distance.

    If you’re struggling to put food on the table, have questions about food safety or need help safely getting groceries, here are some resources to help.

    (Image: Pexels / Vicki Moore)

    Looking for these resources in Spanish? Click here.

    Help getting food

    SoCoEmergency.org: Sonoma County says food assistance is available, but because of the increased demand on local organizations, your first resource should be family, friends, neighbors and/or caregivers who can assist you. 

    If you still need help, visit their food assistance web page to learn more about local services for able-bodied individuals, seniors, children and more.

    Redwood Empire Food Bank: The Redwood Empire food bank is operating. See their website for information on how they are responding to the pandemic, including where to get food.

    Catholic Charities: Catholic Charities is providing food distribution and other resources. See a map of where to get food here.

    CalFresh: Monthly food benefits are available for low-income individuals and families. Find information about how to apply here. The Sonoma County Human Services Department can also help connect you to these public benefits.

    211Sonoma Search for Food Pantries: Search for food pantries near you in Sonoma County.

    SF Chronicle Searchable Database for Grocery Delivery: Search through a directory to help you order produce, meat and pantry goods during shelter in place.

    SF Chronicle Searchable Database of Restaurants Delivering:Find Bay Area restaurants that are offering delivery during the pandemic.

    Food Safety

    Consumer Reports: How to Protect Yourself While Shopping

    FDA: Food Safety and the Coronavirus

    USDA Coronavirus Resources

    NPR: No, You Don’t Need To Disinfect Your Groceries. But Here’s How To Shop Safely

    NPR: How Safe Is It To Eat Takeout?

    Local Stores 

    A list of Sonoma County grocery stores offering delivery, pick-up or senior hours can be found on the county website.

    Oliver's: Actions We're Taking on Coronavirus

    Safeway: Answers to Your Covid-19 Questions

    Lucky: Covid-19 Updates

    Helping Others with Food and Donations

    Press Democrat: Here are some suggestions from the Press Democrat on how to help others during the pandemic. 

    Volunteering: Find local volunteer opportunities from the Center for Volunteer and Nonprofit Leadership.

  • COVID-19: Leaders Discuss Food Insecurity and Safety

    During our Coronavirus Virtual Town Hall on April 14, we invited leaders from around Sonoma County to discuss how they are keeping our community fed. Some families are lacking the daily lunches and other meals provided by schools; many have lost jobs or the work that put food on their tables; others with the means to go shopping worry about whether the food and packaging in grocery stores is safe.
    And the workers who pick, pack, ship, shelve, cook and serve the food are essential, of course, but put themselves at risk every day. 
     
    On our panel: Juan Torres is Asst. Director, Community Connections with Catholic Charities of Santa Rosa; David Goodman is CEO of Redwood Empire Food Bank; and Eric Meuse is General Manager of Oliver's Markets. 
     
    Here's a link to some of the food and nutrition resources mentioned in the video, and others. 
     
     
     
  • COVID-19: Santa Clara County Resources

    032720OutbreakCoronavirusSanta Clara County’s Public Health Department is providing detailed information about COVID-19 cases, deaths and hospital capacity on several data dashboards available online. 

    The county has also assembled a variety of COVID-19 resources, as listed below and found at sccphd.org/coronavirus

    Food Distribution Map

    The City of San José has launched a food distribution map (bit.ly/SCCFoodMap) with important information on countywide food distribution sites to ensure food security for those in need. In collaboration with the County of Santa Clara, non-profit community partners, school districts and faith-based organizations, the Silicon Valley Strong coalition now has 129 food distribution sites operating Monday through Friday. Visit siliconvalleystrong.org for more information on how to access food resources or to donate. Also, call 2-1-1, a 24-hour multi-lingual service, or text your zip code to 89821.

    CARES Act Economic Impact Payments

    The Treasury Department and the Internal Revenue Service announced that distribution of economic impact payments will begin in the next three weeks and will be distributed automatically, with no action required for most people. However, some taxpayers who typically do not file returns will need to submit a simple tax return to receive the economic impact payment. More information can be found here.

    Eligible taxpayers who filed tax returns for either 2019 or 2018 will automatically receive an economic impact payment of up to $1,200 for individuals or $2,400 for married couples and up to $500 for each qualifying child.

    Tax filers with adjusted gross income up to $75,000 for individuals and up to $150,000 for married couples filing joint returns will receive the full payment. For filers with income above those amounts, the payment amount is reduced by $5 for each $100 above the $75,000/$150,000 thresholds. Single filers with income exceeding $99,000 and $198,000 for joint filers with no children are not eligible. Social Security recipients who are otherwise not required to file a tax return are also eligible and will not be required to file a return.

    In the coming weeks, Treasury plans to develop a web-based portal for individuals to provide their banking information to the IRS online, so that individuals can receive payments immediately as opposed to checks in the mail.

    New Aid for Small Businesses

    California Small Business Relief Payment Plans: Effective April 2, 2020, small business taxpayers, those with less than $5 million in taxable annual sales, can take advantage of a 12-month, interest-free, payment plan for up to $50,000 of sales and use tax liability. Payment plan requests can be made through an online portal coming soon.

    Paycheck Protection Program:  Small businesses with 500 or fewer employees—including nonprofits, self-employed individuals, sole proprietorships, and independent contractors—can secure funds to pay up to 8 weeks of payroll costs including benefits. Funds can also be used to pay interest on mortgages, rent, and utilities. Funds are provided in the form of loans that will be fully forgiven when used for payroll costs, interest on mortgages, rent, and utilities. Small businesses and sole proprietorships can apply starting April 3. Independent contractors and self-employed individuals can apply starting April 10. Businesses are encouraged to apply as quickly as possible because there is a funding cap.

    Employee Retention Credit:  The Treasury Department and the Internal Revenue Service have launched the Employee Retention Credit, designed to encourage businesses to keep employees on their payroll. The refundable tax credit is 50% of up to $10,000 in wages paid by an eligible employer whose business has been financially impacted by COVID-19. The credit is available to all employers regardless of size, including tax-exempt organizations, except for government entities and small businesses who take small business loans. Qualifying employers must fall into one of two categories: 1) business is fully or partially suspended by government order due to COVID-19 during the calendar quarter, or 2) gross receipts are below 50% of the comparable quarter in 2019. The amount of the credit is 50% of qualifying wages paid up to $10,000 in total.

    Open for Business Hub: A listing of technology companies that are helping small businesses by enabling remote work throughout this period.

    New Guidance for Temporary Federal Sick Leave

    The Treasury Department and the Internal Revenue Service have released new guidance for the Families First Coronavirus Response Act (FFCRA) which provides small and midsize employers refundable tax credits that reimburse them, dollar-for-dollar, for the cost of providing paid sick and family leave to their employees for leave related to COVID-19.

    Employees experiencing symptoms of COVID-19 who are seeking a medical diagnosis or are being advised by a health care provider to self-quarantine are entitled to paid sick leave for up to two weeks (up to 80 hours) at the employee’s regular rate of pay, or, if higher, the Federal minimum wage or any applicable State or local minimum wage, up to $511 per day and $5,110 in the aggregate.

    Employees caring for children whose school have closed are entitled to paid sick leave for up to two weeks (up to 80 hours) at 2/3 the employee’s regular rate of pay or, if higher, the Federal minimum wage or any applicable State or local minimum wage, up to $200 per day and $2,000 in the aggregate.

    More information can be found in this FAQ. U.S. Department of Labor Wage and Hour Division will post a recorded webinar on Friday, April 3, 2020, to provide interested parties a more in-depth description and help them learn more about the FFCRA.

    Hate Crimes PSA

    An unfortunate side effect to community tensions around COVID-19 is a rise in hate crimes. Santa Clara County District Attorney Jeff Rosen has released a PSA condemning these acts of violence and encouraging victims and witnesses to contact their local law enforcement agencies to report them. There are translations in Chinese, Spanish, and Vietnamese.

    Guidance on New Construction Rules

    Among the changes in the updated Public Health Order this week were rules further restricting construction activity. In general, most construction must cease through May 3. There are some exceptions for homeless shelters and residential housing containing at least 10% income-restricted units. There are also exceptions for essential healthcare and public works projects.

    The Public Health Department has created a specific section in its FAQs for construction. The City of San Jose also created its own Construction Guidance webpage that may be helpful for many who have questions related to this issue.

    FAQs about the Local Health Officer Shelter in Place Order

    The county makes regular updates to the FAQ documents for the local Public Health Order as new information becomes available. These materials can be accessed in the following languages:

    Shelter in Place FAQ-English

    Shelter in Place FAQ-Chinese

    Shelter in Place FAQ-Spanish

    Shelter in Place FAQ-Vietnamese

    Shelter in Place FAQ-Tagalog

    More information and regular updates can be found on the County Public Health website and the CDC website.

    If you as a labor, business, faith, nonprofit, or community leader have questions or requests for information, please contact: This email address is being protected from spambots. You need JavaScript enabled to view it..

    Any school-related questions should be sent to This email address is being protected from spambots. You need JavaScript enabled to view it.. 

    Elected or public officials with questions should contact: This email address is being protected from spambots. You need JavaScript enabled to view it..

  • COVID-Plagued California Nursing Homes Often Had Problems in Past

    NursingHomeWhen Jorge Newbery finally got through to his 95-year-old mother, Jennifer, on a video call April 18, she could barely talk or move and her eyes couldn’t focus.

    It was the first time he had seen her since California nursing homes shut their doors to visitors a month earlier. Immediately after the video chat, Newbery called the front desk in a panic.

    “I said, ‘You gotta get her out, you gotta call 911,’” he recalled. “She’s looking like she’s about to die.”

    Newbery’s mother was living at the Rehabilitation Center of Santa Monica, one of 198 nursing homes in California where at least one patient had contracted the coronavirus as of April 28, public health records show. The outbreak at the Rehabilitation Center has been worse than most, with 12 employees and 24 patients infected, including nine fatalities, according to the Los Angeles County health department.

    (Image: Sgt. Nicholas Shepherd, a practical nursing specialist, and Maj. Rahul Vedprakash, assigned to Urban Augmentation Medical Task Force 352-2, walk down a hallway to the next patient at the Royal Suites Healthcare & Rehabilitation Center in Galloway Township, N.J., May 5, 2020. U.S. Army photo by Spc. Miguel Pena)

    The Rehabilitation Center shares several other worrisome characteristics with many other homes beset by coronavirus infections: Historically, it has had lower-than-average staffing levels and a record of not always following basic staffing and infection control rules, a Kaiser Health News analysis shows.

    Compared with homes reporting no patient infections, California facilities with one or more patients with a COVID-19 case had on average a 25% fewer registered nurses per resident in the final three months of 2019, the last period for which the federal government has published data.

    In addition, 91% of nursing homes reporting at least one case of the virus had a previous health violation for not following infection control rules, while 81% of homes without reported cases had such violations. Typical violations included nurses or aides not washing their hands or wearing protective clothing around potentially contagious patients.

    “With low RN staffing, it is not surprising that these facilities have had previous violations for infection control and poorer overall quality as measured by having more deficiencies,” said Charlene Harrington, a professor emerita of the School of Nursing at the University of California-San Francisco. “It is a classic situation that reaffirms what researchers have found previously, only the situation with the COVID-19 virus is far more serious than anything the nursing homes have experienced before.”

    In an email, Jeffrey Huang, the administrator of the Rehabilitation Center of Santa Monica, said “we respectfully and strongly disagree” that Medicare assessments of the home’s quality predict or reflect the nursing home’s efforts to protect residents from the coronavirus. The staff was “continuing to do everything possible for keeping our residents and staff safe in these uncertain times,” Huang wrote. He declined to discuss Newbery, citing patient confidentiality.

    Nursing homes have emerged as one of the places the coronavirus spreads most aggressively. In California, 4,711 nursing home residents had been infected and 663 had died by the end of April, about a third of all COVID-19-linked deaths that homes in the state have reported to authorities.

    The KHN analysis is the first to compare Medicare’s public quality measures for the 198 California nursing homes that registered coronavirus cases by late April with the 983 homes with no cases reported to either the state public health department or Los Angeles County, where a majority of homes with infections are located. KHN found that California homes with coronavirus cases averaged 2.8 stars on Medicare’s five-star overall quality rating, while other homes averaged 3.5 stars.

    On average, the homes that have had coronavirus cases had more complaints lodged against them and were fined 29% times more often. In addition, Medicare also calculated that their health violations of all types were 20% more serious. They also tended to be larger, averaging 105 patients versus 83 on the homes without virus cases.

    The analysis found no substantial difference in the homes’ numbers of nurse aides or licensed practical nurses, but fewer registered nurses, who have the most medical training and supervise the other caregivers. On average, there was one registered nurse for every 39 residents at a California home without a patient coronavirus infection versus one RN for every 52 residents for homes with infections, KHN’s analysis found.

    Certainly, nursing homes with stellar quality ratings also have had coronavirus outbreaks. Nursing Home Compare, the federal government’s consumer website, gave its top overall rating of five stars to Life Care of Kirkland, the Seattle-area nursing home that was the first reported to have a slew of infections. In California, 12 of the nursing homes with coronavirus infections had above-average ratings for both staffing levels and inspection results, although only three had no history of infection control citations.

    The prevalence of coronavirus infections in lower-rated nursing homes could be explained by poorer care, but there might be other factors, said David Grabowski, a professor of health policy at Harvard Medical School. For instance, the lower-rated homes might be primarily located in low-income areas with high rates of coronavirus cases in those neighborhoods, he said.

    “This suggests a very different set of policies if we want to protect nursing homes from further outbreaks,” Grabowski said.

    Representatives of nursing homes rated as below average on Nursing Home Compare say that the coronavirus has thrown everyone off guard and that registered nurse staffing levels are irrelevant to whether a patient is infected by the new virus.

    “It’s really hard to draw a straight line from” issues raised in previous years’ inspections “to this pandemic that even the experts didn’t see coming and were not prepared for,” said Elizabeth Tyler, a spokesperson for Longwood Management Corp., which runs three nursing homes with coronavirus infections that were also poorly rated before the pandemic: Studio City Rehabilitation Center, Burbank Healthcare and Rehabilitation Center and Sunnyview Care Center.

    Burbank and Sunnyview have a health inspection rating of one out of five stars, which is much below average, while Studio City has two stars. Tyler said that health inspection ratings are a “very, very complex system” taking into account hundreds of different factors, and she hesitated to make any connections between past reviews or staffing levels and the current outbreak.

    Lakeview Terrace in Los Angeles, which has recorded three cases of COVID-19, has been on a list of 15,000 nursing homes around the nation that health inspectors are required to visit more frequently because of repeated violations of patient safety rules. It has an overall Medicare rating of one of five stars — the lowest rating — and almost six times the national average of health deficiencies.

    In August 2019, inspectors faulted the home after they saw a nursing assistant deliver a breakfast tray into an isolation room without putting on personal protective equipment. They also discovered the home was not keeping logs to track signs and symptoms of possible infections.

    DJ Weaver, an administrator for Lakeview Terrace, said that on the rare occasion that mistakes happen, the facility counsels and trains staff and makes systemic improvements to prevent future occurrences.

    “Overall, we have done a good job not allowing cross-contamination of any infectious organisms, which is the real danger,” Weaver said in an emailed statement.

    Lakeview’s cases came as a result of accepting a hospital patient who had undiagnosed COVID-19, Weaver said. His infection of two roommates couldn’t have been prevented by the facility’s policies designed to protect residents from the virus. Those include banning staff from working at multiple nursing homes and suspending group dining and activities.

    “That kind of thing is really hard to foresee,” Weaver said.

    Jennifer Newbery entered the Rehabilitation Center of Santa Monica in April 2019. Up until the day of the video conversation, Jorge Newbery said he and his four siblings had been told by staff that the nursing home had only three cases of COVID-19, and that everything was under control.

    But after the home transferred Jennifer Newbery to a local hospital, doctors told her family she tested positive for the coronavirus and had pneumonia, Newbery said.

    When Newbery later called to thank the staffer for facilitating the video chat, he asked if the facility had seen any deaths.

    The staffer said yes, Newbery recalled, and it floored him. “We absolutely had no idea,” he said.

    Newbery said his mom is getting better at UCLA Medical Center Santa Monica. After she’s discharged, Jorge wants to take her to Chicago to live with him and his family.

    Newbery said he had been unaware of Medicare’s critical assessment of the Rehabilitation Center, which has two stars out of five overall on Nursing Home Compare, denoting below-average care. Inspection records show that during a visit in May 2019, health inspectors faulted it for failing to sanitize a blood pressure cuff before it was used on a second patient, and for allowing a urinary drainage bag attached to a catheter to be touching the floor. In August 2019, inspectors determined the home violated California’s minimum staffing requirements because it lacked enough nurse assistants on 10 out of 24 days.

    Huang, the administrator, noted Medicare gave the facility five stars, the best rating, in a quality category that assesses things like the frequency of patient trips to the hospital or emergency room and homes’ self-reported assessments of how often residents improved during their stays. The regulators who issued the May 2019 deficiency found no evidence of harm to a resident, he said.

    Michael Connors, an advocate with the California Advocates for Nursing Home Reform, said nursing homes with fewer staff members and poor compliance with infection control practices are ripe for the spread of the virus.

    “No place could be more dangerous to live right now,” Connors said. “It’s these characteristics that make nursing homes ground zero for COVID-19 outbreaks and deaths.”

  • Cue the debunking: Two Bakersfield Doctors Go Viral With Dubious COVID Test Conclusions

    ByBarbara Feder Ostrov, CalMatters

    MedicalThey dressed in scrubs. They sounded scientific. And last week’s message from two Bakersfield doctors was exactly what many stuck-at-home Americans wanted to hear: COVID-19 is no worse than influenza, its death rates are low and we should all go back to work and school. 

    Drs. Dan Erickson and Artin Massihi, who own urgent care centers in the region, had called a press conference to release their conclusions about the results of 5,213 COVID-19 tests they had conducted at their centers and testing site. They claimed the results showed that the virus had spread further in the area, undetected, and thus wasn’t all that dangerous.

    But public health experts were quick to debunk the doctors’ findings as misguided and riddled with statistical errors — and an example of the kind of misleading information they are forced to waste precious time disputing.

    The doctors should never have assumed that the patients they tested — who came for walk-in COVID-19 tests or who sought urgent care for symptoms they experienced in the middle of a pandemic — are representative of the general population, said Dr. Carl Bergstrom, a University of Washington biologist who specializes in infectious disease modeling. He likened their extrapolations to “estimating the average height of Americans from the players on an NBA court.” And most credible studies of COVID-19 death rates in reality are far higher than the ones the doctors presented. 

    “They’ve used methods that are ludicrous to get results that are completely implausible,” Bergstrom said. 

    Still, the early media coverage went viral. A local television report on the Bakersfield doctors’ press conference garnered more than 4.3 million views on YouTube. Elon Musk, the Tesla founder who wants to reopen his Fremont manufacturing plant this week, praised the doctors to his 33 million-plus Twitter followers. Tonight, the doctors are to get a conservative national audience for their views on Fox News, appearing on Laura Ingraham’s show.

    In a rare statement late Monday, the American College of Emergency Physicians and the American Academy of Emergency Medicine declared they “emphatically condemn the recent opinions released by Dr. Daniel Erickson and Dr. Artin Messihi. These reckless and untested musings do not speak for medical societies and are inconsistent with current science and epidemiology regarding COVID-19. As owners of local urgent care clinics, it appears these two individuals are releasing biased, non-peer reviewed data to advance their personal financial interests without regard for the public’s health.”

    The doctors had set up Bakersfield’s only private walk-in COVID-19 testing site and performed about half of all tests conducted in the area. They did not respond to a CalMatters request for comment Monday.

    Misinformation thrives in a pandemic, and public health officials in California and elsewhere just can’t keep up.

    “This pandemic has been so severely politicized in this country that evidence, no matter how poor, gets amplified enormously if it benefits one side or another,” said Bergstrom, who also was one of the first experts to critique the doctors’ study on Twitter. “We always hoped this crisis wouldn’t come, but that if it did we’d all be in this together. That’s been a huge surprise for all of us doing infectious disease epidemiology. It’s amazing to have to deal with this misinformation that’s being spread around for political purposes and the ways that interferes with adequate public health response.”

    California Democratic state Sen. Richard Pan, a pediatrician who chairs the Senate Health Committee, said lawmakers who favor reopening the state had not yet cited the Bakersfield doctors’ conclusions as a justification to do so. But if they did, they’d “be on pretty weak ground,” he said. 

    The doctors “basically hyped a bunch of data and weren’t transparent about their methods. And they really played on the fact that they’re physicians. I think it’s quite disingenuous of them.” Pan said. “Then we have to push back on any media that promotes this information. They’re really doing this as a way to fish for attention.” 

    A Kern County public health spokeswoman told reporters that officials did not support the doctors’ call to reopen the region. Other epidemiologists echoed that sentiment.

    But already the Bakersfield doctors  — who tout their support of President Donald Trump and refuse to wear masks in public — had become heroes on social platforms and conservative media outlets, with some commenters calling them “brave.” Others who support continuing to shelter-in-place described the doctors as self-promoters whose chain of urgent care centers would benefit from reopening. Non-COVID medical visits have plummeted during the pandemic, endangering the practices of many doctors.

    “As struggling business owners, their economic frustration is understandable. But it can’t be mistaken for science. People trust doctors,” Michigan emergency room doctor Rob Davidson wrote on Twitter. “When they tell Fox viewers to ignore recommendations from real experts, many will believe them…The impact of rejecting science-proven recommendations in exchange for these erroneous ideas would overwhelm health systems and cost lives. While re-opening the economy might be good for their Urgent Care Centers (sic), it would kill medical personnel on the actual front lines.”

    Other highly-publicized studies of antibody test results by Stanford and USC researchers were similarly criticized for sampling bias and for the poor reliability of the tests it used. Researchers had suggested that COVID-19’s true spread in the community was much higher than expected and resulting death rates were low. But again, politicians and media who favor reopening states right away cited them as supporting evidence. 

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Cut Farmworker Pay During the Crisis? Don’t Do It, California Growers Say

    By Kate Cimini, The Salinas Californian

    041820FarmworkerPay1The Trump administration is considering cutting the pay of guest visa farmworkers during the coronavirus pandemic to help the farm industry. But California growers aren’t thrilled: They say it won’t help them much with their financial crisis. And they worry that it might even hurt them by creating uncertainty for their essential employees, prompting them to look elsewhere for work once the pandemic ends.

    Unions and other worker advocates also worry that reducing farmworkers’ wages would cause hardships for people already living on the edge of poverty, and may end up lowering the pay of domestic farmworkers, too.

    Hugo Marcos has an H-2A visa, which allows growers to temporarily employ guest workers from other countries when there is a shortage of U.S. workers willing to take the jobs. He spends his days cutting hearts of romaine lettuce for Foothill Packing, Inc., and returns around 6 p.m. to the motel where he will stay for months. 

    Marcos just arrived in Salinas, but this is his fourth year working U.S. fields on an H-2A visa. He has earned enough to build a two-bedroom home in the Mexican state of Michoacan, and take care of his wife and two children.

    (Image: Norcal harvesting fieldworkers pick strawberries early morning on March 31, 2020. Photo by David Rodriguez, The Salinas Californian)

    “Trabajar de campo es complicado y especializado,” he said. In English: “farmwork is complicated and specialized.” 

    It took Marcos a long time to learn the skills he has: cutting the lettuce in a perfectly flat swipe to maintain a uniform look and size, then removing excess leaves and handing the heart off to be packaged right there in the field. 

    More than 257,000 people worked in the U.S. on an H-2A visa in 2017. These workers have been deemed essential during the coronavirus pandemic by county, state and federal government regulations. 

    In California, H-2A workers earn $14.77 an hour this year, or about $118.16 for an eight-hour day, one of the highest in the country for these workers. The average wage of an H-2A farmworker, known as the  “adverse effect wage rate,” or AEWR, is based on a survey of growers and farm labor contractors, and the AEWR varies state to state. 

    For the same labor in Mexico, Marcos said, he would earn 70 pesos an hour, something like $23.28 a day. A drop in pay would reduce his children’s quality of life, he said. “Reduciría en nivel de vida que les damos,” he said.

    Yet the Trump administration’s Department of Agriculture is exploring cutting H-2A worker pay, according to an NPR report. NPR found that “new White House Chief of Staff Mark Meadows is working with Agriculture Secretary Sonny Perdue to see how to reduce wage rates for foreign guest workers on American farms.”

    The USDA declined comment on whether it is considering such a change, or how it would be accomplished. The administration could announce a temporary rule change, order a new rulemaking or issue an executive order. 

    “During these difficult times, President Trump and Secretary Perdue are doing everything to ensure farmers have the tools to carry out the vital work of feeding the American people,” a USDA spokesman told The Californian.

    By cutting worker pay, the administration hopes to keep farmers afloat through the pandemic.

    Without the wage cut, researchers expect to see up to a $688.7 million decline in sales, leading to a payroll decline of up to $103.3 million between March and May of 2020.  

    The pandemic has shut down restaurants, schools, cafes and other regular buyers of wholesale goods, leaving farmers hauling larger loads to food banks when they can afford to, and letting food rot in fields when they can’t.

    As the administration contemplates cutting pay to workers on the frontlines, farmers also may be on the verge of receiving a $16 billion bailout to keep their operations going.

    But agricultural industry representatives and workers’ advocates alike say the move to cut worker pay won’t solve the food-supply-chain crisis.

    “To see wages being depressed would be reason for concern and evaluation,” said Chris Valadez, president of the Grower-Shipper Association of Central California, which represents more than 300 companies. “We are one of the few industries still essential, still open for business.

    “Longer term, it should cause us to reevaluate the AEWR system and what goes into it, but right now, I just think it would create more uncertainty in the mind of the employees,” Valadez said.

    Union officials say a pay cut for the temporary visa workers may reduce the pay of domestic workers, too, because the H-2A pay rate is considered the average pay for all farmworkers.

    “To reduce their wages at any time would be of deep concern, given that many farmworkers are struggling to feed their own families,” said Gieve Kashkooli, the political and legislative director with the United Farm Workers, a union that serves domestic and foreign farm laborers. “It would be an even deeper concern to do that during this COVID crisis while the federal government has declared farmworkers essential. And it’s a total insult to them.”

    Workers already underpaid, report says

    According to the Economic Policy Institute (EPI), a nonpartisan think tank, H-2A workers are already underpaid compared to other workers.

    “In 2019, the average wage of all nonsupervisory farmworkers was $13.99 per hour, according to USDA, while the average wage for all workers in 2019 was $26.53 per hour, meaning the farmworker wage was just 53% of the average for all workers,” read an EPI post. “And the average wage for production and nonsupervisory nonfarm workers—the most logical cohort for workers outside of agriculture to compare with farmworkers—was $23.51.

    041820FarmworkerPay2“In other words, farmworkers earned 60%—just three-fifths—of what production and nonsupervisory workers outside of agriculture earned.”

    Anne Lopez, director of the Center for Farmworker Families, called it “un-American” to consider cutting wages during a health and economic crisis.

    “They’re already impoverished,” said Lopez. “They live on the edge of survival, they have no guarantees. Right now they’re going through one of the worst periods I’ve ever seen…and to make things worse for them by cutting their pay? It’s obvious our president doesn’t consider these people as human beings. 

    “I think a lot of it’s racist, it’s classist, it’s to keep them where they’re at so they can’t progress. That’s why I say it’s un-American.”

    Casey Creamer, president of the California Citrus Mutual, which represents 2,500 family citrus growers, said that although he had not seen a proposal from either the USDA or the Trump administration to cut H-2A wages, his group does not support cutting salaries of pickers.

    (Image: Farmworkers Juan Manuel Virgen, left, and Daniel Lopez Avilez, middle, wear bandanas to protect them from then coronavirus and dust while they work in the fields of Salinas. Photo by David Rodriquez/Salinas Californian)

    “It’s not a political reality, it’s not supportive of our employees that we have in place. It’s just not a thing that we do,” he said. 

    ‘Not the most significant tool’

    Some industry representatives say the move to cut wages is detracting from the ultimate problem: a sudden drop in demand.

    In the Ventura-Santa Barbara area, citrus growers are leaving lemons on trees, Creamer said. Unlike other produce, which can be disked straight back into the ground and used to fertilize the soil, citrus must be harvested or it will endanger next years’ crop. 

    “We can hold for a little bit longer and hope that restaurants open back up,” said Creamer. “Growers will have to pay to come back in and harvest to drop food back to the ground. We’re buying some time right now but it can’t go on much longer.”

    Valadez said that if the administration wants to help growers, it should “put enough money in the system so employers can pay workers.”

    “I know if the food service market is down, it’s down, and there’s nothing we can magically do to change that,” he said. “However, where federal stimulus is focusing on direct payments, we also need to focus on purchasing power to get that food into the hands of people that need it.

    “Lowering the AEWR is a tool but I don’t think it’s the most significant tool right now,” he said.

    Valadez suggested an injection of funds into purchasers still buying food, particularly ones seeing a real upswing in customers, such as food banks.

    Hunger is a problem across California, and Monterey County has one of the highest rates of food insecurity in the state. A 2016 report by the Monterey County Health Department placed the percentage of food-insecure people in the county at 34%.  

    At the Monterey County Food Bank, which typically serves 20% of the county’s adult population and 25% of its children, the number of people standing in line at the food bank has basically doubled, said the nonprofit’s executive director, Melissa Kendrick. 

    Many of those who take advantage of food banks are farmworkers themselves.

    A food crisis

    Some industry experts say without significant intervention, the farming landscape will be forever changed.

    “We’re in a different world right now,” said Valadez. “As we move forward we might see a lower demand. That is extremely impactful to the industry and to the backbone of the industry: the workers.”

    “Does going back to AEWR save the day?” asked Valadez. “I don’t know. Before COVID, I probably had an interesting quip to give you, but during this crisis I think there are other things that are more in-demand in the moment. Businesses need buyers for their product.

    “We have to keep the system moving. Afterwards, we can have our debates and our cuts. But we have to keep the system moving.”

    Some H-2A workers said they would still participate in the program even if wages went down, as they would make far more in the U.S. program than they would doing the same work in Mexico. Still, they said, it would be a blow to their finances and their plans.

    Marcos has worked cutting romaine hearts for two years for Salinas-based Taylor Farms and two for Castroville-based Ocean Mist.

    As Marcos washed up for dinner at a plastic washstand in the motel parking lot, pumping the water in bursts with his foot and lathering up with industrial green handsoap, he talked about his sons, the oldest, 8 years old, named for him. 

    They’re getting older, he said in Spanish, and he and his wife want to add a bedroom onto their blue-and-white home in Mexico so they could have their own rooms. 

    If his salary were to drop, Marcos said, it would hit his family hard. They would have to put construction plans on hold, probably for years.

    “Suerte, pues, gracias a dios nos da la oportunidad venir por acá y lo aprovechamos después,” said Marcos. 

    “It was luck. Thank God I had the opportunity to come here. I made the most of it.”

    Kate Cimini is a journalist for The Salinas Californian. This article is part of The California Divide, a collaboration among newsrooms examining income inequity and economic survival in California.

     
  • Facing Defiant Counties and Churches, Newsom Willing to Bend

    Updated May 25, 2020.

    033020VentilatorsNewsomCalMattersBy Ben Christopher

    With counties, cities, sheriffs, churches and now the President of the United States challenging Gov. Gavin Newsom’s authority to maintain restrictions over business and public life in the face of the ongoing pandemic, the governor has perfected an approach: Speak collaboratively and carry no stick. 

    “This process has been remarkably collaborative,” he insisted today, downplaying resistance to the statewide shelter-in-place order in effect since March 19. “There are a few examples that are exceptions in the state of California that tend to get highlighted disproportionately, but I just want to express this: they are exceptions.” 

    (Image: File photo by Anne Wernikoff for CalMatters)

    What about, say, the Tulare County Board of Supervisors’ recent vote to allow movie theaters, nail salons and sit-down restaurants to open this week, in defiance of state restrictions? The governor called that “a dynamic that will work itself out.”

    “This is again an exception. The overwhelming majority of counties are working very, very collaboratively. I don’t wake up to look to be punitive.”

    Since the early days of the pandemic, Newsom has been much more comfortable imposing his statewide order through public warnings, badgering, and guilt-tripping. When sun-seekers flocked to beaches in Orange County, he ordered them shuttered. He has yet to send in the National Guard to round up wayward surfers. Though businesses that reopen prematurely have been threatened by state licensing boards, few have been punished

    But whether or not the governor is looking for a fight, he may get one. 

    Today President Donald Trump called upon places of worship across the country to open their doors immediately. The president also declared his intention to “override” state governors who stand in the way, though it is unlikely he has that authority.

    With his announcement today, Trump is taking sides on a standoff in California, where more than a thousand churches declared their intention to reopen this weekend in defiance of state and county orders. This came after the federal Justice Department wrote a letter warning Newsom that “the Constitution calls for California to do more to accommodate religious worship.”

    Some religious leaders in the state have argued that religious services are essential to the emotional and spiritual well-being of their congregants — and that houses of worship can and should be entrusted to enforce social distancing protocols. The state has instead prohibited worship gatherings “while exempting a laundry list of industries and services purportedly ‘essential’ to the government’s various interests, including medical cannabis dispensaries and other medical providers, courts, public utilities, daycare and childcare, and ‘necessary’ shopping,” the South Bay United Pentecostal Church in Chula Vista wrote in its recent lawsuit challenging the state.

    Later in the day, a federal panel of the 9th Circuit Court of Appeals sided against the churches and with Newsom. “We’re dealing here with a highly contagious and often fatal disease for which there presently is no known cure,” the majority wrote, citing an earlier justice’s observation that if a court fails to “temper its doctrinaire logic with a little practical wisdom, it will convert the constitutional Bill of Rights into a suicide
    pact.”

    The sole dissenting judge on the panel noted the churches had provided a list of measures they would willingly put in place upon opening — including spacing out seating, requiring masks, and banning singing, hugging, hand shakes and hand-holding. He regarded the ban on religious services as “inflexible and overbroad.”

    To date, there have been at least 20 private lawsuits challenging some aspect of the state’s response to the pandemic — with at least four filed by churches and other religious institutions. 

    Newsom urged patience, noting that his office is in the process of producing new rules for houses of worship that will be released on Monday “at the latest.” (Update: As promised, the state’s Department of Public Health issued new guidelines on Monday that will allow Californians to gather at places of worship under strict social distancing guidelines that limit “attendance to 25% of an area’s maximum occupancy – or up to 100 attendees.” The new rules also apply to political protests. The Department also announced that retail shops may open for in-store shopping under strict rules. Retailers in some counties had already been granted the right to do so. The new rules apply statewide.”)

    “We are looking forward to a very positive working relationship with faith leaders as we make public those documents and look forward to working through this issue in the spirit of cooperation and collaboration.”

    On paper, the governor’s emergency powers are shockingly broad. But since the beginning of the public health emergency, Newsom has had to strike an awkward balance between what he is legally allowed to do and what cities, counties and California’s citizens are willing to swallow.

    “This ‘bend but don’t break’ approach has worked for him so far,” said Dan Schnur, a political science professor at the University of Southern California and UC Berkeley, and political communication guru for Republican presidential and gubernatorial candidates. “As long as Newsom can find a way to give locals a little bit of leeway in exchange for them not moving as aggressively as they might prefer he avoids a political problem, but much more importantly, he lessens the risk of a pronounced spread of the virus.”

    Last week, Newsom revised the state’s benchmarks that counties must meet before they can ease their local restrictions further, effectively lowering the bar for restaurants, barber shops and shopping malls across the state to reopen. That came after county officials in Southern California floated the idea of banding together to create their own looser set of guidelines. Newsom has said that the relaxing of the state rules was guided by public health data and not political pressure. 

    Some counties have “little to no spread, no cases, and that’s why these variances are appropriate,” he said today.

    But the move may also be an acknowledgment that the governor’s power is restricted, if not by the state constitution, then by his own limited appetite for escalation.

    That was put to the test when Tulare County’s supervisors voted to broadly reopen despite not having met criteria the Newsom administration established for counties to do so. The red county in the Central Valley has the sixth-highest COVID-19 hospitalization rate of any California county, according to a CalMatters tracker, and 73 reported deaths.

    In an uncharacteristic bit of hardball from this administration, the governor’s Office of Emergency Services director Mark Ghilarducci wrote the county warning that the move “could threaten Tulare County’s eligibility for disaster funding.”

    “We certainly interpret their letter as an intent to withhold funding to Tulare County,” said Jason Britt, the County Administrative Officer, when asked by email. “We hope we can arrive at an amicable solution with the state.”

    Asked about it today, Newsom certainly struck an amicable tone. 

    “I want to be responsible and respectful to the deep economic challenges that all of us are facing,” he said. “I want to reflect a…sense of empathy and understanding to those that have disagreements and respect, but hope that they know we look forward to working with them.”

    The Tulare resolution is only the latest bit of pushback the governor has received from impatient Central Valley elected leaders.

    On May 16, Merced County Sheriff Vernon Warnke announced that he and his department would not be enforcing violations of shelter-in-place.

    “I truly believe that Governor Newsom’s motivation is to have the majority of the citizens (and illegal residents) dependant on governments (sic) assistance so he could maintain this control once this ‘pandemic’ is declared over,” the Sheriff’s office posted on Facebook, adding a Trumpian flourish: “The CURE should not be worse than the disease.”

    A day earlier, the city council in Atwater, also in Merced County, engaged in a bit of trolling-by-municipal-resolution, declaring the town a “sanctuary city for all businesses” hoping to operate despite any public health directive. 

    This all follows a headline-grabbing stand-off earlier this month between public health authorities in Alameda County and Tesla founder, Elon Musk. After the Bay Area billionaire opened up the car company’s Fremont factory, daring authorities to arrest him and then suing the county, Newsom again adopted a conflict-averse response.

    “It’s not heavy-fisted — or heavy-handed rather — or close-fisted,” he said at a press conference earlier this month. “We will continue to work as collaborative as possible.”

    Musk has since dropped the suit.

    Newsom is juggling competing public anxieties. The most recent polls, from April, found that roughly 70% of Californians surveyed said they approved of Newsom’s handling of the public health emergency. Similar numbers expressed concern that relaxing public health mandates too soon could trigger another out-of-control outbreak.

    Today, the governor said the state has approved 43 applications from counties hoping to move forward with accelerated reopening plans. Two more approvals are expected by the end of the day.

  • Financial Help for California’s Undocumented Immigrants Starts Monday

    By Jacqueline García, La Opinión

    032720OutbreakCoronavirusCalifornia’s undocumented immigrants can begin applying Monday for disaster relief payments of up to $1,000 per household under Gov. Gavin Newsom’s coronavirus emergency assistance plan.

    In April, Newsom announced a one-time, $75-million fund for undocumented adults who are not eligible for other forms of government assistance, such an unemployment benefits and federal stimulus checks. A qualifying undocumented adult can receive $500, with a maximum of $1,000 per household.

    Since the announcement was made, many undocumented immigrants have been waiting for information to apply as soon as the application period opened.

    California has more than two million undocumented immigrants. Nearly one in ten workers is undocumented.

    With the funds spread among so many people, most families will not receive the funding. Applications are approved on a first-come, first-served basis, until the money runs out.

    “In the best case scenario, these funds would reach one in 10 people,” said Unai Montes-Irueste, director of communications with United Ways of California.

    Magdalena, 47, an undocumented essential worker who up until recently worked making face masks in a sewing factory, hopes to receive the assistance.

    “I haven’t worked for about a week because my 74-year-old mother became ill and we don’t know if she has the coronavirus,” said Magdalena, who preferred not to give her last name because of her undocumented status.

    Magdalena said if she receives help from the state government, she could close the gap on her lack of income, which affects her family of four.

    “This money would help me pay the rent,” she said.

    Another possible beneficiary is Julio Peralta, 45, a single father of a 16-year-old son and a 12-year-old daughter with spina bifida.

    Peralta said that none of them has a legal status in the country since they arrived in Los Angeles from Guatemala five years ago in hopes of obtaining a cure for his daughter.

    “But right now with the pandemic, I already fell behind on my rent payments for April and May,” said Peralta, who is not working.

    Peralta said if he receives the financial aid from the government, he would use the money to find a place to live in Los Angeles since his daughter is receiving treatment at the Children’s Hospital Los Angeles

    “But I don’t know how it is applied,” he said.

    The process of applying

    Montes-Irueste of United Ways of California — which has helped undocumented immigrants without bank accounts during the pandemic — said it is important for people to know where to get help and avoid being scammed.

    Called the Disaster Relief Assistance for Immigrants Project, the $75 million in state funding will be distributed to 12 organizations throughout California.

    Additionally, the governor said $50 million would be available from philanthropy groups to be supervised through the organization Grantmakers Concerned with Immigrants and Refugees (GCIR). However, as of Thursday, only $13 million had been collected from philanthropy through immigrantfundca.org.

    The organizations were selected from among Immigration Services Financing contractors who have existing agreements with the state. The state Department of Social Services also selected nonprofits that have the ability to provide a high volume of application assistance services to undocumented populations in specific geographic locations.

    Applications will be available until funds for each region are exhausted.

    Eligibility

    An applicant must be undocumented, over 18 years of age, ineligible for federal assistance related to COVID-19 such as the stimulus check or unemployment benefits, and able to demonstrate that they have faced financial difficulties as a result of the pandemic.

    Organizations will verify the applicant’s documents to ensure they match the information provided and will make the final decisions.

    To apply, undocumented immigrants should contact the group representing their area:

    Northern California:
    California Human Development Corporation
    (707) 228-1338 www.californiahumandevelopment.org/
    Covering Alpine, Amador, Butte, Calaveras, Colusa, Del Norte, El Dorado, Glenn, Humboldt, Lake, Lassen, Mendocino, Modoc, Napa, Nevada, Pleasure, Plumas, Shasta, Sierra, Siskiyou, Solano, Sonoma Tehama, Trinity

    Bay Area:
    Catholic Charities of California
    Alameda and Contra Costa: www.cceb.org
    Marin, San Francisco, San Mateo: www.catholiccharitiessf.org/
    Santa Clara: www.catholiccharitiesscc.org/

    Central Coast:
    Mixteco / Indígena Community Organizing Project (MICOP)
    www.mixteco.org/drai/3
    Santa Barbara: (805) 519-7776
    Ventura: (805) 519-7774

    Community Action Board Santa Cruz
    (800) 228-6820 www.cabinc.org/
    Covering Monterey, San Benito, San Luis Obispo, Santa Cruz

    Central Valley:
    United Farm Workers Foundation (UFWF)
    (877) 527-6660 www.ufwfoundation.org
    Covering Ash, Kern, Kings, Wood, Merced, Tulare and Mono

    California Rural Legal Assistance Foundation (CRLAF)
    (877) 557-0521 www.crlaf.org/drai
    Covering Mariposa, Sacramento, San Joaquin, Stanislaus, Sutter, Tuolumne Yolo and Yuba

    Los Angeles and Orange County:
    Asian Americans Advancing Justice
    (213) 241-8880 www.advancingjustice-la.org
    Coalition for Humane Immigrant Rights (CHIRLA)
    (213) 201-8700 www.chirla.org
    Los Angeles Central American Resource Center (CARECEN)
    (213) 315-2659 www.carecen-la.org/

    Inland Empire:
    San Bernardino Community Service Center
    (888) 444-0170, (909) 521-7535 www.sbcscinc.org
    Covering Inyo, Riverside, San Bernardino

    TODEC Legal Center Perris
    (888) 863-3291 www.TODEC.org
    Covering Inyo, Riverside, San Bernardino

    San Diego and Imperial County
    Jewish Family Service of San Diego
    Imperial County: 760-206-3242
    San Diego County: 858-206-8281

    Jacqueline García is a reporter with La Opinión. This article is part of  The California Divide, a collaboration among newsrooms examining income inequity and economic survival in California.

  • For Some California Teens, School Closures Led To Work In The Fields

    060620 kidsinfields EA 05

    By Elizabeth Aguilera, Cal Matters

    Updated June 22, 2020

    Sisters Maria and Jennifer Salvador start their days before the sun. The Southern California teenagers report to work at an Oxnard strawberry farm with one goal: To harvest as many bright red strawberries as they can.

    Each 20-pound box of stemless strawberries they collect brings in $3. 

    In the evenings when school was still in session, albeit remotely – and after chores at home were done — Maria and Jennifer turned to their school work. The two relied primarily on their father’s cell phone because the school district’s hot spot didn’t work in their Oxnard neighborhood.  

    “It has gone badly for me,” said 16-year-old Jennifer about remote learning. “It’s not the same because it’s difficult to know how to do the work that the teachers send. You can’t ask questions. It’s like being all alone.”

    (Image: Sisters Maria (left) and Jennifer Salvador of Oxnard are two of the many California teenagers who worked in the farm fields to help support their family when their high school closed during the pandemic. In the evening, the sisters tried to do homework online and via email without the benefit of any direct instruction that took place digitally during the day. Elizabeth Aguilera for CalMatters.)

    Like many students in California’s agricultural communities, the Salvador sisters’ personal and educational lives have been upended by the coronavirus pandemic  When the health crisis interrupted education across the state, closing schools in March and moving learning online, many of these students went to work in the vast green fields that feed much of the country. Jennifer and her 19-year-old sister, for instance, missed out on live digital meetings with their teachers and small group meetings that took place while they were curved over strawberry plants, sifting for the ripest berries.

    This poses a challenge for California schools whose migrant students fell behind this spring. As fall approaches, administrators and teachers are scrambling to figure out how school will look amid the ongoing pandemic  — and how to help these students return to classes and catch up. Advocates worry some students could decide to continue working instead of going back to school if they feel they have lost their educational footing.

    In Oxnard, where Maria and Jennifer are students, school district officials knew the fields would beckon students whose families already live on the economic edge.

     “We absolutely saw this as an outcome of the school closure,” said Tom McCoy, assistant superintendent of educational services at Oxnard Union High School District. “We are working to make sure they have a chance to make up those classes and help them do that once we get set up again. It’s really about being as flexible as we can be to keep the kids connected with their schooling.” 

    McCoy said a committee is studying options, including making school viable for students who may need to work. The district is planning to extend office hours, and to require that digital meetings be recorded for later viewing. Shifting to a quarter system is also on the table, he said. Quarters allow students to take more classes overall but focus on three to four classes each quarter instead of six or seven throughout a semester. 

    Classes on weekends and evenings also may be offered, McCoy said. 

    So far, state-issued guidance for returning to schools focuses mostly on pandemic safety – social distancing and taking temperatures, for instance — rather than offering recommendations for how to support students who have fallen behind. The state Department of Education guidance outlines three possible models for bringing students back that include distance learning, in-class small group instruction and a hybrid of the two. 

    Advocates worry the virtual or hybrid models could keep students in the fields and affect their education long-term. 

    Statistics on how many students worked in the fields because of pandemic-related school closures are non-existent.  

    Federal regulations allow kids as young as 12 to work in agriculture as long as school is not in session. Those who are at least 16 and not enrolled in school can work any time. 

    060620 kidsinfields EA 03A U.S. Government Accountability Office report, released in 2018, found there were nearly half a million youth in the U.S. under 18 working in agriculture in 2016, including on their own family farms. California is home to the largest share of minors working as hired crop hands.

    Concerns about children working in agriculture during school is part of a larger issue. For decades, efforts have been made to raise the age limit because of the perils of pesticides, back-breaking work and dangerous equipment that has maimed or killed children.

     “The law says students can’t work during school hours, but there are no hours going on right now so many of them are working,” said Kendra Moesle of the Association of Farmworker Opportunity Programs and Children in the Fields Campaign. “It’s really going to impact education because they are not focusing on school work and, secondly, there is the physical danger.”

    (The Salvador sisters earned $3 for each 20-pound box of strawberries they picked. Photo by Elizabeth Aguilera for CalMatters)

    The dilemma is playing out in agricultural communities from Imperial County on the southern border to Monterey on the Central Coast to Butte County in Northern California.

    Students went to work because their parents’ jobs were lost or reduced or because parents got sick, said Yvette Irving, superintendent of the Gonzales Unified School District, in the Salinas Valley.

    “Our migrant students don’t sit idle in the summer,” she said. “So this just expedited things and did not allow them to finish the semester of their high school program.”

    Irving said her district’s priority is bringing the students back to in-person instruction, but it will provide distance learning for those who need it.

    “We are concerned about getting them back on track in a traditional classroom setting with daily teacher-to-student interaction and making sure they have all the prerequisites they need to go on to college or a different aspect of the workforce,” Irving said.

    The Gonzales Unified School District is in Monterey County, where a federally funded program for migrant students went into overdrive this year to reach migrant students when remote learning began, said Summer Prather-Smith, senior director of the Migrant Education Program Office.

    Monterey County is home to the largest share of migrant students enrolled in the program in California, with more than 11,000 youths ages 3 to 21. But the program only supports students whose families move for work every three years. Many of the teens also work.

    060620 kidsinfields EA 06Since March, counselors and case workers met with students, set up learning plans and provided late-night support. The program gave all students access to an online tutoring program and hired extra teachers to teach math in the evenings. Toward the end, like most students, the kids dropped off but the outreach will continue into summer and the new school year, said Prather-Smith.  

    She said she is even more focused on how to lure students back to school and wants the district to offer quiet spaces for students to use for remote learning, much like a traditional study hall with social distancing. 

    (Carla Diaz, 16, works in the raspberry orchards in Oxnard with her mother. She went to work in the fields when schools closed and she did her schoolwork in the evenings to try to stay caught up. Photo by Elizabeth Aguilera for CalMatters)

    “The longer they are disengaged from it the harder it is to ask them to go back,” she said. “We have to be more enticing than the money they are going to make.”

    As an added challenge, a growing number of California’s farmworkers have come from indigenous communities, mostly in Mexico, who speak dialects including Mixteco. This can make it more difficult for families to engage with schools, said Arcenio Lopez, executive director of the Mixteco/Indigena Community Organization Project, an organization founded to help the indigenous farmworkers.

    “Our students are not feeling like they will be able to enter the university or college and we are seeing a lot of emotions and stress and mental health issues,” said Lopez. “They are very stressed.”

    Carla Diaz, 16, is from one of these families. 

    For her, schooling began once she returned home from the raspberry orchards in Oxnard where she toiled alongside her mother. 

    A couple of classes scheduled virtual meetings after 5 p.m. but mostly she communicated only by email — a wearisome task, as Mixteco is her first language, Spanish her second and she is learning English. But she did it, keeping an eye on her A average.

    “I miss my teachers, I miss the extra counseling,” said Carla, who is the fifth of 10 children. 

    Her parents have little education, she said, and while they want her to have success they can’t help her with homeschooling.

    “My mom says I have to work for a better future, because she doesn’t want us to suffer like they have,” said Carla. “They didn’t go to school and that’s why they work in the fields.”

    Carla and the sisters are members of a youth group called Tequio, focused on getting kids from the fields to college and is run by the Mixteco/Indigena Community Organization Project.

    The Salvador sisters vow to return to school but for now, they are the sole earners for their family of nine.  Their mother had a baby just weeks ago and their father is caring for them.

    With only their eyes showing above a bandana and below a baseball hat, they focus only on the strawberries, swooping their hands into plants to cut the berries with sharp metal tubes wrapped around their thumbs.

    Older sister Maria can turn in 50,  20-pound tubs of strawberries a day; Jennifer aims for 30. 

    “I haven’t learned anything during this time, it’s very sad,” said Maria Salvador, who graduated from Hueneme High School on June 12. “It’s very hard to work in the fields. I want a better future.”

     She hopes to enroll at Oxnard College in the fall.

  • Hearken Testin'

  • Here’s How Putting California’s Homeless in Hotels Actually Works

    ByMatt Levin, CalMatters

    041120HomelessHotels pRichard Dobbs was coughing, feverish, and preparing to sleep on the sidewalk again. 

    Dobbs, 60 and homeless in Sacramento for the past two years, had just been discharged March 28 from Sutter Medical Center’s emergency department, where he was given a test for COVID-19, the disease caused by the new coronavirus, and written instructions for how to self-isolate while he awaited the results. 

    “Separate yourself from other people in your home,” read a bold-faced warning. “Stay home except to get medical care,” read another.  

    (Image: Richard Dobbs in his Sacramento motel room. Photo courtesy of Ginny Bayly, Loaves and Fishes)

    Home for Dobbs most nights was the sidewalk next to the Wells Fargo Pavilion, a theater in downtown Sacramento. Staff at a local food bank saw him in line the next day and scrambled to find him a motel room where he could safely self-quarantine. 

    Dobbs’ test results came back negative. But with his motel stay scheduled to end on Monday and county caseworkers trying to place him in transitional housing, Dobbs is fearful he’s now even more vulnerable to the virus. 

    “I would stay (in the motel) for a while now because I’ve always hated going into shelters,” said Dobbs. “Because you get sick going into those places.” 

    In an unprecedented effort spurred by the pandemic, Gov. Gavin Newsom and local governments across the state say they are scrambling to find 15,000 hotel rooms for people like Dobbs: homeless and particularly susceptible to or exhibiting symptoms of coronavirus infection. 

    As homeless Californians begin to move into these units, new questions have arisen for hoteliers, shelter providers, health care workers and government officials: How much should a room cost, and who should pay for it? How will meals be delivered? How will residents with mental health and addiction issues be handled? 

    And, when all this ends, will people in these rooms end up back on the street? 

    Here are some answers: 

    How many homeless people have been moved into hotels so far, and how many rooms are available? 

    The data here is sketchy. A spokesperson from Newsom’s office said Thursday 1,813 hotels or motel rooms are now occupied as part of Project Roomkey, a joint effort between the state, counties and the Federal Emergency Management Agency. Newsom also said during a press conference that the state had helped procure 8,742 rooms. 

    State and local housing officials say Newsom’s numbers are underestimates because they don’t capture independent efforts from county governments to set up hotel rooms on their own. San Diego County, praised by Newsom for its quick action, secured 1,300 rooms in mid-March. The number of people actually relocated to hotel rooms is also due to increase significantly this week. Los Angeles County alone plans to have more than 1,069 beds occupied by the end of the week.

    But the task ahead is daunting. More than 150,000 people are homeless in California, 108,000 unsheltered; an optimistic count of the number of those moved to hotel rooms so far represents a little over 1% of that total. The effort has already required a great deal of logistical gymnastics and staffing. Even focusing on only the highest-risks populations — seniors, those with underlying health conditions — will be a huge undertaking. 

    Where are the hotels? And are we talking about the Ritz or Motel 6? 

    State and local health officials have declined to share a comprehensive listing of hotels that have opened their doors to homeless people. They argue releasing such information risks those individuals homeless showing up at hotels and demanding rooms without referrals from physicians or caseworkers. 

    More than 1,000 hotels across the state have at least expressed an interest in providing emergency quarantine accommodations, although that includes temporary housing for health care workers and first responders, according to data from the California Hotel & Lodging Association. Hotels in Los Angeles, San Diego and Orange counties alone account for more than 40% of possible rooms in that survey. 

    While some higher-end boutiques and well-known brands such as Comfort Inn and Radisson are participating, state and county officials are having more success with smaller, independent motels that may already have relationships with local housing authorities. 

    That’s partly because independent motel owners can act quicker than major corporate chains, and partly because those motels are often already located in neighborhoods with shelters and other homeless service providers, making it easier for counties to get them up and running. 

    Are enough hotels willing to do this?

    Yes, at least so far. 

    Local health and homelessness officials will tell you finding hotels and motels willing to participate hasn’t been a major bottleneck yet. At least not compared to other logistical hold-ups (see below). 

    “We have a lot of interest, a lot of receptiveness, from motel operators,” said Cynthia Cavanaugh, director of homeless initiatives for Sacramento County. “We actually have interest from places we never expected, so that part has not been as much of a challenge.” 

    The major reason hotels and motels are opening their doors so readily is the obvious one: It’s not like demand for hotel rooms is high right now. 

    “(These are) brutal, unprecedented, extraordinary times,” said Lynn Mohrfeld, president of the California Hotel and Lodging Association. “Anyone that is open right now is losing money,”

    Mohrfeld said on a typical non-pandemic week, about 70% of hotel rooms across the state are occupied. Now it’s single digits.   

    Who is paying for the hotels, how much are they paying, and what about insurance? 

    Newsom said late last week that the Federal Emergency Management Agency will pick up 75% of the tab for rooms that are housing homeless people who have tested positive, are symptomatic, have been exposed to the virus, or are in highly vulnerable populations. Counties are on the hook for the rest, as well as for services, such as case managers and counselors, that residents may need. Counties can tap state emergency funds to help pay. 

    So far, the state has distributed $150 million to counties to help pay for motels and other homelessness services, but the total cost borne to taxpayers will undoubtedly be more. 

    Lease costs vary from county to county and hotel to hotel. But Mohrfeld said room rates in general are at least in shouting distance of the rates the federal government pays when its employees stay in California hotels. That “standard” rate is about $96 per room per night (higher in most cities), and leases are typically 60 to 90 days with options for extensions. Hotels may also be receiving additional reimbursement for higher insurance rates and associated costs. 

    While local governments and the state have generally agreed in contracts to pay for any property damage incurred as a result of repurposing hotel room, Mohrfeld said there’s still uncertainty among some hotel owners that their properties will be returned to them in the condition they were in before the quarantine. 

    “It’s the fear of the unknown,” said Mohrfeld. 

    Who gets into these hotels? 

    First priority for state and county health officials are homeless Californians who have tested positive or are experiencing symptoms of COVID-19. 

    While the process varies from county to county, the general timeline is as follows: Shelter staff identify someone with symptoms and quarantine them within the shelter as quickly as possible. The shelter staff then alert county health and homelessnsess staff that the individual is in need of a motel room where they can self-isolate. That person is then safely transported to an “isolation” motel where an on-site nurse and other medical staff monitor their health. Once the person is free of symptoms and believed not to be contagious anymore, they are discharged back into a shelter or into another housing option, if available.

    If their condition worsens, they may be taken to a hospital. These “isolation” motels may include not only people who are homeless, but others who are symptomatic or have tested positive but lack a safe place to self-quarantine (those in senior homes, for example). 

    Multiple shelters across the state have already reported residents with positive tests, and officials are hoping to avoid outbreaks in congregate shelters. Removing symptomatic patients can also free up more beds for healthy people to come in off the streets. But some advocates still warn that congregate settings and resident turnover puts healthy people at risk of contracting the virus.

    Those identified as symptomatic on the street will also be eligible for the hotels. 

    What about the homeless who don’t have the virus or aren’t symptomatic? 

    Homeless Californians over 65 or with underlying health conditions will be placed in their own motel rooms, separate from those who have tested positive or are symptomatic. It’s unclear how long this population will be allowed to stay in their rooms, and may vary from county to county. 

    In recent comments, Newsom has pushed back against any expectation that the state may be able to provide motels for every Californian living on the streets. The hope is that by rapidly expanding emergency shelters (San Diego has converted its convention center to a shelter; Los Angeles has converted city recreation centers), homeless individuals that don’t fit the “high-priority” populations eligible for hotels will still be able to come indoors. 

    But some homelessness advocates have decried that approach, insisting that hotel rooms be commandeered for anyone without shelter in the midst of a pandemic. A plan to convert San Francisco’s Moscone Center into a temporary shelter has been scaled back after photos emerged of a conference center packed with thin sleeping mats, folding chairs and not much else. 

    Why the delay between acquiring rooms and getting people inside? 

    On March 16, Newsom said the state had helped acquire its first two hotels for emergency homeless housing, by the Oakland Airport in Alameda County. But the ink on the lease had been dry for nearly two weeks before people who were homeless actually started to move in. Why the delay? 

    Staffing. Arranging physicians, nurses, caseworkers, food delivery, security, cleaning and other services has been more of a hurdle than actually acquiring the hotels. For hotels isolating those who are symptomatic, personal protective equipment is needed for county, nonprofit and hotel staff. 

    Transportation has also proved a challenging issue as counties grapple with how to safely move symptomatic homeless people with pets and belongings while protecting transit workers. 

    “Our population is not just getting on a bus with a suitcase,” said Cavanaugh. “The need to have specialized transportation to handle all of those things is large.” 

    Who is working at the hotels? 

    Staffing will vary from hotel to hotel and county to county, and will depend on whether hotels are intended for isolating homeless people suspected of having the virus or simply vulnerable because of age or underlying health conditions. 

    The Mayfair Hotel in downtown Los Angeles has 23 people who have COVID-19 symptoms or have tested positive, including several who are homeless. Eventually, the goal is to have 284 of the hotel’s 300 rooms occupied with people who are self-isolating. 

    There’s a nurse on site 24 hours a day. Physicians conduct telephone and video check-ins with residents. Private security monitors each floor, and private cleaning crews in personal protective equipment clean rooms when needed. 

    Either Stephen Fiechter or someone else from PATH, a nonprofit homeless service provider, is there all day to check-in with homeless residents on the phone, drop off meals at their door, and connect residents with shelter and other housing options once their stay is over. 

    Fiechter said that while organizations like PATH are happy to assist with the motel initiative, it’s been difficult to maintain their other homeless operations at the same time, which include operating shelters. 

    “It’s the staffing piece that’s really challenging,” said Fietcher. “Bringing on experienced folks, but not stripping our other programs.” 

    While not the case at the Mayfair, hotel staff may also be deputized to assist in cleaning up rooms or common spaces. 

    Mohrfeld, head of the statewide California hotel association, said that while some custodial workers may be hesitant to help, others are eager for the work and feel a sense of civil mission. 

    “Some are okay with it, some are fearful — it kind of runs the gamut,” said Mohrfeld, who said some hotels are negotiating with counties to ensure their staff receive protective gear. 

    What happens after the virus threat subsides? 

    While hotel owners, state and local officials, and homelessness advocates are understandably focused on the public health crisis at hand, the question of what will happen to the homeless after the virus threat subsides lingers. 

    Newsom has said many of the leases the state is negotiating include an option to purchase the entire property for more permanent housing, But Mohrfeld said that most hotels and motels he’s been in contact with haven’t agreed to such options. 

    While the optics of eventually forcing homeless people out of a hotel room may be a public relations nightmare, Mohrfeld said he’s more concerned with possible future litigation from advocates preventing such action if better housing options don’t materialize. 

    “What happens when they don’t have anywhere to go and… (advocates) sue the state and say they can’t move them and then the state’s hands are tied?” said Mohrfeld. “The litigation aspect concerns me a lot.” 

    Homeless service providers are still trying to connect residents in shelters, motel rooms, and on the street to more permanent housing solutions. 

    “None of this is stopping our attention from what really resolves homelessness, and we think we will have an opportunity to move folks into permanent housing,” said Emily Halcon, homelessness services coordinator with the city of Sacramento. 

    What about neighbors of these hotels? 

    How do neighbors feel about nearby hotels housing dozens of homeless people, some with COVID-19 symptoms? In Orange County, a senior community next to a 138-bed hotel slated to house the homeless protested the arrangement until the county agreed to find another site. 

    But other than that high-profile example, Mohrfeld said complaints from neighbors have been relatively rare and haven’t interfered much with motels agreeing to leases. 

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Housing, Homelessness Funds Mostly Spared in Proposed Budget cuts

    ByMatt Levin, CalMatters

    ProjectRoomkeyHomelessWith a forecasted deficit of near-record proportions and an economy in freefall, homelessness and low-income housing advocates were braced for painful cuts in the revised budget proposal Gov. Gavin Newsom unveiled Thursday. 

    But unlike some of the more severe pandemic-induced rollbacks Newsom outlined in areas like education and climate change, affordable housing and homelessness dollars were mostly spared from the administration’s fiscal cleaver. 

    Given an assist from the federal government’s March stimulus package, Newsom is proposing $750 million to buy hotels and motels currently used for emergency homeless housing, hoping to turn the properties into more permanent solutions. Another $500 million in tax credits for building low-income housing was preserved from Newsom’s pre-pandemic budget plans — a major win for affordable housing developers as they try to fill the state’s shortage of 1.3 million low-income homes. 

    (Image: LA County is working with state, federal and local partners on Project Roomkey, an initiative to bring medically vulnerable people experiencing homelessness indoors during the COVID19 pandemic. Photo by Michael Owen Baker, County of Los Angeles via Flickr)

    “We are very encouraged to see the governor continue to prioritize housing and homelessness resources,” said Chris Martin, legislative advocate for the nonprofit advocacy group Housing California. 

    But while Newsom’s housing and homelessness budget was rosier than some had expected, the proposals still leave unanswered difficult questions that state lawmakers and the governor will have to settle before their June 15 constitutional deadline to pass a balanced budget: 

    • How many hotels and motels can be realistically transformed to permanent housing, and where will funding for services come from? 
    • What will the state do about the mounting levels of missed rent payments piling up for renters and landlords? 
    • What happens when federal emergency dollars dry up? 

    “A lot more needs to be done,” said Assemblyman Miguel Santiago, Democrat from Los Angeles, who has proposed legislation, backed by big-city mayors, to spend $2 billion annually for shelters, permanent housing and homeless services.

    “At the end of the day, does it make sense to move at a breakneck speed to house thousands of people during the emergency phase of the pandemic, and then throw everyone out on the streets when it’s over?” 

    Here’s what else you need to know about Newsom’s housing and homelessness budget in a pandemic-induced recession. 

    What was proposed before we talked about “bleach injections“

    Before phrases like “social distancing” and “mask hoarding” entered the day-to-day lexicon, Newsom staked much of his political capital on fixing the state’s painfully visible homelessness woes. His January budget included a one-time infusion of $750 million in new state homelessness dollars, the most California had devoted to the issue in recent memory. It also proposed a new system of bypassing local governments to deliver those dollars directly to homeless services providers, along with hundreds of millions to reform the state’s low-income health insurance program to pay for things like housing and addiction services. 

    Another item Newsom put forward: an additional $500 million in tax credits for low-income housing developers. In his February State of State address, Newsom even flirted with broader ambitions laid forth by his homelessness task force, including ongoing homelessness spending housing providers could rely on every year. 

    What’s been tossed 

    Reforms that would have provided more funding to homeless utilizers of Medi-Cal health services — and tapped more federal dollars in the process — have been put on indefinite hold. Roughly $500 million approved in last year’s budget for things like mixed-income housing developments and new housing near transit was clawed back before it could be tapped by developers and cities scrambling to make projects “pencil out.” And the more ambitious plans, like the new system for delivering state homelessness dollars via “regional coordinators,” or imposing a state mandate to force local governments to make progress on their homeless populations (a plan Newsom never really embraced), have been ditched for now. 

    What’s left, now that we’re broke 

    The $750 million from the state for more general homelessness funding has been replaced by $750 million from the federal government for a specific purpose: buying some of the 15,000 hotel rooms the state has procured to provide emergency pandemic housing for the unhoused. Right now more than 7,000 of those rooms have been occupied, although the state does not track how many of those occupants are there for temporary quarantines as opposed to longer stays. The clock is ticking on the hotel purchases: The state has to make them by the end of the year or it loses the federal money. 

    With the federal funding restricted to acquiring and converting hotels to more permanent housing, Newsom is hoping counties and cities can fund homeless services like social workers and counselors with more than a billion in other federal pandemic supports, some homelessness specific and others for general coronavirus response. So far finding available hotels and motels for temporary homeless housing has proved less of a hurdle than staffing the hotels with appropriate health and safety net workers. 

    Finally, Newsom is keeping the $500 million in tax credits for low-income housing he proposed in January. Perhaps even more auspicious for low-income housing advocates, the vast majority of housing programs aren’t subject to $15 billion in “trigger cuts” Newsom warned would happen if more federal funding for states and local governments did not materialize. 

    What was conspicuously absent 

    Newsom’s pandemic-revised budget contains no new plan to help California renters and landlords beset by missed rent payments, a “looming crisis” for the state’s cash-strapped tenants. While the governor wants to push a $330 million windfall from a Great Recession-era lawsuit settlement to mortgage relief and legal aid clinics, that money is prohibited from being spent on rental assistance. Newsom administration officials have touted the rent relief package in House Speaker Nancy Pelosi’s most recent stimulus proposal, which would require signoff by both Senate Republicans and President Donald Trump. 

    What happens next 

    While Newsom’s housing and homelessness budget wasn’t as brutal as some were expecting, Democratic lawmakers and advocacy groups will still be fighting tooth and nail for additional funding they believe is necessary to ensure the governor delivers on pre-pandemic rhetoric. 

    At the top of the homelessness debate will be requests for billions in ongoing funds — money local governments and service providers can bank on every year to build shelters, operate converted motel rooms, and build permanent housing. Santiago’s proposal for $2 billion a year in new state homelessness funding does not identify a new revenue source (read: tax increase), meaning lawmakers would have to find $2 billion in cuts elsewhere. Another proposal from Sen. Jim Beall, Democrat from San Jose, similarly proposes roughly $2 billion per year for the next four years for homelessness and low-income housing development without specifying a new source of dollars. 

    Assemblyman David Chiu, Democrat from San Francisco, hopes his plan to eliminate the mortgage interest deduction on vacation homes to raise hundreds of millions in homelessness dollars will finally get through. His proposal has failed in past years. 

    “In this crisis we should be addressing the suffering on our streets rather than the tax breaks of the wealthy few who have vacation homes,” said Chiu. 

    Beyond the tug-of-war on homelessness dollars, lawmakers and Newsom will have to decide whether the state can afford a major rent forgiveness program, and if so how it should be structured. 

    State Senate Democratic leaders unveiled a plan they estimate would cost $300 million to $500 million per year that would allow renters to pay back missed rents over the course of decade, while compensating landlords with transferable tax credits. A separate landlord supported proposal would create a state program that would pay for 80% of missed rent payments.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • How California Community College Foundations Are Trying to Help Students

    ByMikhail Zinshteyn, CalMatters

    CalMattersCARESfoundationsphoto1In the third week of April, Shannon Hill approved the donation of some $35,000 in emergency aid to 40 students at Cuesta College in San Luis Obispo.

    Hill, the executive director of the Cuesta College Foundation, the nonprofit arm of the  community college, said that in a normal school year the foundation doles out $90,000 to $100,000 in aid. But given the economic toll the pandemic has taken on students, especially the many community college students who work part-time, the foundation is aiming to distribute closer to $250,000 this year.

    It’s joining other local community college foundations that have been raising money or redirecting existing funds to help plug the gap that remains after state and federal aid.

    At Cuesta, that means prioritizing undocumented students and others who were barred from receiving a portion of the federal stimulus money colleges and universities are set to receive through the federal CARES Act for pandemic relief that Congress approved in March. The stimulus dedicated $14 billion to higher education in the U.S. Of that, California’s higher-education sector is supposed to get at least $1.7 billion.

    (Image: A student walks back to her car after picking up eggs, milk, produce and dried goods from the weekly drive-thru food pantry at Santa Monica College. Photo by Mikhail Zinshteyn for CalMatters)

    “We do anticipate that more of our emergency grants will likely go to students who are not getting the CARES money, because we’ll be helping to fill that gap for our students,” Hill said in an interview late April, whose foundation is giving out grants of $1,000 to students and another $500 for students needing a second installment.

    Money with strings

    The country’s higher-education community cried foul when the U.S. Department of Education said in late April that the roughly $6.3 billion meant for direct student aid was off-limits to certain students, such as  those who had defaulted on past federal loans, had below a C average, have certain drug convictions and are undocumented. One estimate is that there are 454,000 undocumented college students in the U.S., and a fifth live in California.

    Democrats in the House and Senate wrote separate letters to Education Secretary Betsy DeVos saying that restrictions imposed by her department went against the spirit of the legislation. 

    And all that federal money isn’t enough to replenish the college budgets hampered by the pandemic or the aid students need. The Legislative Analyst’s Office warned in an April report that “initial data suggest that the federal relief funding provided under the CARES Act likely will be insufficient to address the full effects of the outbreak.”

     

    Local philanthropy can help to close the gap. The vast majority of California community colleges have an associated foundation, like the one at Cuesta. Several foundation directors say they’re using their available dollars to support undocumented students, along with other students in need. The faucet of foundation cash turned on just as destabilization wrought by the COVID-19 pandemic became more apparent. The foundations responded to a wide range of student needs, such as food distribution, laptops or other mobile learning tools and emergency grants to cover rent. These efforts indirectly support students who wouldn’t qualify for CARES Act funding, foundation heads say.

    “We have many, many students who would not receive any support from the CARES Act but will receive our scholarship funds,” said Lizzy Moore, president of the Santa Monica College Foundation. It raised $780,000 in scholarships to mete out to students, a banner year, Moore said.

    The foundation also partnered with Los Angeles-based meal-delivery company EveryTable to send seven free meals weekly to 1,000 students, which works out to $44 spent per student a week, Moore said. By late April, she had raised $1.25 million in five weeks for the meal program, enough to keep it running through early September while feeding 1,500 students. It’s a service the foundation created toward the end of March after realizing students who relied on the college’s food pantries would be cut off from food as shelter-in-place orders closed campuses and pushed college instruction online. Anywhere from 100 to 200 students used the school’s pantries before the pandemic. Students are eligible for the meal-delivery program if they’re referred to the program by faculty or staff. In a nod to safeguard student privacy, recipients of the meal program don’t have to put down their actual names to receive the meals, Moore said. They could also request to send the meals to another address and pick up the shipment there.

    Food for thought

    The foundation also began running a weekly drive-thru food pantry to help students through the pandemic. On Wednesday, the pantry fed 289 students, who received a bag of fresh produce and shelf-stable food along with 18 eggs and milk. For eligibility, students just need to show they’re currently enrolled at the college.

    “I don’t have to … risk to go out and buy food and second of all I don’t even have that money, so getting the food from school has been a blessing for me and my child,” said a student of the college who’s undocumented and requested anonymity. Through the foundation, she’s received the meal delivery plan and food from the pantry. The food alone saves her $150 to $200 a month, she said. 

    The immigrant from Cameroon works part-time as a homecare assistant. It’s just enough to cover her rent, but her priority is attending school full-time. Between her own school work, classes and assisting her daughter with her own lessons, “it’s heavy,” she said. Sometimes she brings her laptop, provided by the college, to work. When a patient sleeps, she opens her computer to keep up with classes.

    And though she’s ineligible for federal financial aid, California’s financial aid programs are open to undocumented student residents. Her tuition is waived and she receives several state grants, including about $3,000 a semester for being a student with a child and $649 for attending school full-time. 

    “I just have no words, to be honest,” she said. “I just feel like I’ve been surrounded with good people.”CalMattersCARESfoundationsphoto2

    International students gain from the foundation’s efforts as well. Skander Zmerli came from Tunisia and studies at the college, where he’s a member of the student government. He receives free meals through the foundation’s EveryTable program. The college, he said, is compensating for “the fact that the federal government isn’t giving any financial support to international students.” 

    College foundations are limited in how much of their assets can go directly to students’ emergency aid. Because donor money has to be spent how donors want, foundations don’t have as much flexibility to change money allocation on the fly. At Chaffey College Foundation, which supports the Inland Empire community college, 93 percent of the foundation’s funds are restricted to scholarships and program support, said its executive director, Lisa Nashua. 

    (Image: Bags of produce sit moments before Santa Monica College’s weekly drive-thru food pantry opens up to students. Photo by Mikhail Zinshteyn for CalMatters)

    Almost all of the Foothill-De Anza Foundation’s $40 million in assets are restricted. Still, the foundation, which supports the Bay Area colleges Foothill College and De Anza College, freed up more around $350,000 in discretionary funds for the colleges to use in response to the pandemic, said Dennis Cima, executive director of the foundation. It’s using the money as a stop gap until federal CARES Act money reaches students and for students who wouldn’t be eligible for the federal relief anyway. 

    The foundation has about $1.25 million in discretionary funds remaining, but it won’t use it all this school year. Cima said the foundation needs to anticipate the emergency aid support of students in the next school, especially if the economy continues to slide and more workers unable to find jobs head to community college to acquire new skills and request extra financial help.

    In past years the foundation spent $25,000 to $50,000 from its discretionary pot, typically paying for end-of-year college events, student scholarships, supporting abroad studies trips, food pantries and other expenses. With shelter-in-place orders, those activities are unlikely to happen soon anyway.

    By spending more now, the foundation will have less on hand once it’s safe for students to head back to campus. Cima will attempt to fund-raise more to refill the discretionary pool, but drawing down the money now to address an unprecedented need is the foundation’s role. “I am comfortable allocating these discretionary funds knowing the immediate need that our colleges and students have,” Cima said.

    Formula mismatch

    California community colleges enroll nearly 60 percent of the state’s college students but will only receive a third of the main federal funding made available to the state’s institutions of higher learning, according to the April report by the Legislative Analyst’s Office. Nationally, community colleges received less funding per student than did all other types of colleges, including public universities and for-profit colleges, according to a report by The Century Foundation.

    The reason for the mismatch is because the CARES Act counted the number of “full-time equivalent” students instead of the number of enrolled students, a formula which “absolutely disadvantaged community colleges where significant shares of students are part-time,” said Debbie Cochrane, executive vice president at The Institute for College Access & Success. “For community college students, it really adds insult to injury.”

    Community college students often can’t afford to attend classes full-time and need to work as well. As a result, using course units to determine relief money has different real life impacts for part-time students. One way to visualize this, Cochrane said, is to imagine two part-time students who now need laptops at home because classes moved online In that scenario, the logic of full-time equivalency falls apart. “Two part-time students can’t share one laptop. Two part-time students need two laptops,” Cochrane said.

    All funds on deck

    Beyond foundations, community colleges could access state funds to support students facing financial emergencies, including ones ineligible for federal financial aid. A state law passed last year allows community colleges to tap into a nearly $500 million annual pot originally intended for student advising and other academic support to also be used for student emergency aid. 

    Because the state law went into effect this year, it’s unclear how many colleges are using the funds — the Student Equity and Achievement Program — for emergency aid purposes. Assemblyman David Chiu, a San Francisco Democrat and author of the law allowing the money to go to student emergency aid, said in a statement that the emergency aid dollars could offer relief where the federal government does not.

    “I hope that emergency grants will be a useful tool to support our community college students at a time when so many are struggling,” said Chiu. “Given that Secretary DeVos is using the COVID-19 crisis to play politics at the expense of our undocumented students, state-based emergency grants may give us an opportunity to step in and help these students.”CalMattersCARESfoundationsphoto3

    Despite the dire state fiscal situation, there are still ongoing efforts to send more money to students most affected by the escalating recession. The state community college system and the agency that oversees the main financial aid program is asking Gov. Gavin Newsom to send $500 in the upcoming school year to 82,000 low-income students, including nearly 12,000 undocumented students. 

    (Image: Santa Monica College student Skander Zmerli. He benefits from the college foundation’s free meal program. Photo by Mikhail Zinshteyn for CalMatters)

    The University of California and California State University pledged to use internal resources to offer emergency aid support for undocumented students. A UC spokesperson did note that “the aid an undocumented student receives will be equivalent to the amount that an equally needy student who qualifies for CARES Act funding would receive.” The dollars come from flexibility the state has been giving the UC since 2013 to provide financial aid to undocumented students. A spokesperson for the CSU said its emergency aid for undocumented students at individual campuses “could come from a variety of sources including institutional funds, privately raised dollars, and foundation grants,” among others. 

    Fundraising during the pandemic is hard, some community college foundation directors said. Not only are benefactors being asked to support multiple nonprofits, but the shelter-in-place orders undermine the interpersonal touch that’s useful in highlighting to a potential donor a college program in need of philanthropic support. 

    “It’s hard to have a relationship with somebody that you can’t bring on the campus, you can’t visit them, you can’t have them see a program in action,” said Cima.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • In Reversal, Sonoma County Sheriff Will Enforce County’s COVID-19 Health Order

    essick swearing in crop

    Updated Tuesday, 10:15 a.m.

    The Sonoma County Sheriff's Office says it will enforce county health orders, reversing an earlier decision to stop enforcing the county shelter-in-place rules. 

    The change was announced in a joint press release Monday from Board of Supervisors Chair Susan Gorin and Sheriff Mark Essick. It says the county will “convene a Sonoma County Economic Recovery Taskforce focused on shifting our County from a broad, stay-at-home model that is based on essential/non-essential activity, to a risk-based model that weighs all available data.”

    Essick had advocated for a “less restrictive, risk-based system” to mitigate the spread of the coronavirus in a previous statement explaining his decision to stop enforcement of the health order.

    County Health Officer Dr. Sundari Mase said Monday on a call with the media that the county has always used a risk-based approach and sees no difference.

    Mase last week said an increase in local COVID-19 cases merited caution as the county moves through the phases of reopening at its own pace. 

    The joint release from Gorin and Essick indicates that the county and sheriff’s office have turned a new leaf, and will move forward together in unison.

    “We look forward to working together to achieve transparent decision-making processes; data-driven directives; thoughtful enforcement; and collaborative, cross-sector leadership,” it reads.

    Original story:

    Beginning Monday, June 1, the Sonoma County Sheriff’s Department will not be enforcing the county’s COVID-19 health order.

    Sheriff Mark Essick in a Facebook post last week attributed the decision to a lack of information and transparency from the county about why it has not moved to a “a less restrictive, risk based system” to mitigate the spread of the coronavirus.

    “As your elected Sheriff, I can no longer in good conscience continue to enforce Sonoma County Public Health Orders, without explanation, that criminalize otherwise lawful business and personal behavior,” he wrote.

    Sonoma County District Attorney Jill Ravitch said Essick’s decision is at odds with other local law enforcement agencies and adds to fear and confusion around the pandemic. 

    “Yes, it is difficult to enforce and at times may seem arbitrary,” she said. “That said, the Sheriff and I both know our role is not to make policy but to enforce the rules.”

    Ravitch said the decision to file criminal charges lies ultimately with the District Attorney's Office.

    Essick met with county officials on Friday, including Board of Supervisors Chair Susan Gorin, Supervisor Lynda Hopkins, Director of Public Health Barbie Robinson and Sonoma County Public Health Officer Dr. Sundari Mase, to discuss enforcement of the health order.

    Essick said in another Facebook post that while the discussion was “positive and productive in addressing the Sheriff’s concerns,” his decision to stop enforcement still stands. 

    He said the Sheriff’s Office will continue to educate the community and collaborate with the county.

  • Indoor Restaurants Shut Down in 72% of California for Three Weeks

    By Lauren Hepler, CalMatters

    Stanford theatreBeaches and bars were just the beginning. California Gov. Gavin Newsom today ordered indoor portions of restaurants, entertainment centers, museums and other businesses in counties with growing coronavirus outbreaks to shut down for at least three weeks.

    As the Fourth of July weekend approaches, the indoor facilities must close in 19 “watch list” counties that are home to 72% of the state’s population.

    Under the state order, restaurants, wineries, tasting rooms, movie theaters, family entertainment centers, zoos, museums and card rooms in those counties must close indoor facilities. Bars in those counties must close all operations, and many state beach parking lots also will be shut down this weekend, Newsom said.

    “We have specifically targeted our operations to close indoor operations,” Newsom said during a press briefing today. “This doesn’t mean restaurants shut down.”

    The impacted counties are Contra Costa, Fresno, Glenn, Imperial, Kern, Kings, Los Angeles, Merced, Orange, Riverside, Sacramento, San Bernardino, San Joaquin, Santa Barbara, Santa Clara, Solano, Stanislaus, Tulare and Ventura.

    (Image: A sign outside of the Stanford Theatre announced its temporary closure in downtown Palo Alto on March 4, 2020. Photo by Nhat V. Meyer, Bay Area News Group)

    Counties are added to the watch list when they exceed metrics that indicate that they have rising numbers of infections and hospitalizations. All counties under the new restrictions had been on the state list for at least three days.

    On Tuesday, the state recorded 5,898 new cases, and California’s positive test rate has surged to 6.4% in the last week, up from 4.4 in mid-June.

    In addition to the new closures, Newsom said seven state agencies are convening new “strike teams” as part of stepped-up enforcement efforts for businesses operating in violation of health orders. 

    “When people just thumb their nose, turn their back and put your life at risk, put their workers’ lives at risk, that’s why we have rules,” Newsom said. Of individuals who wear face masks as mandated by the state, he said, “It’s a sign of someone who gives a damn.”

    The announcements follow several days of warnings about more aggressive state action to curb record numbers of COVID-19 infections in the past week, which have pushed the state past 6,000 deaths and more than 23,000 cases. On Sunday, the governor began “toggling back” some local reopenings by ordering bars to close in seven counties, including Los Angeles, and recommending that others on a growing state watch list do the same.

    Local governments around the state have responded with a patchwork of closures during what is usually the summer’s busiest weekend. 

    Many residents are confused by the patchwork. In Los Angeles County, beaches will be closed from Friday through Monday. Next door, in Orange County, which previously attracted the governor’s ire for beach crowding and has emerged as a hotbed for backlash against health officials, most beaches are open, including popular Huntington Beach and Newport Beach. However, the city of Laguna Beach cancelled July 4 fireworks and closed its beaches, albeit only for the holiday on Saturday. San Diego is so far keeping beaches open but has implemented some restrictions on parking and indoor structures at area parks.

    The new order means that no indoor dining rooms are open in Southern California for the next three weeks except in San Diego County.

    Testing is also an ongoing area of concern, after Newsom reported a drop to 87,000 COVID-19 tests on Tuesday from some 105,00 tests on both Sunday and Monday. The state is also “pausing” a multi-million dollar test expansion effort in under-served rural towns and inner-city neighborhoods, the Los Angeles Times reported Wednesday, due to the program’s high costs.

    Indoor restaurants 2The new closures illustrate growing geographic divides in the pandemic’s California toll. Hospitalization rates are growing quickly in southern counties, including Imperial, San Bernardino and Los Angeles, the latter of which now accounts for nearly half of all cases statewide. Rural Central Valley counties with limited health infrastructure, including King, Stanislaus and San Joaquin, are also among those with the highest per-capita hospitalization rates and suspected new cases, a CalMatters analysis of state data shows. 

    In Northern California, where hospitalizations are still rising but at a slower pace, beaches have largely reopened in Santa Cruz and Marin counties, so long as visitors keep their distance. Some jurisdictions have voluntarily slowed or “paused” reopening plans, including more densely populated San Francisco, Alameda and Sacramento counties. Bars in the state capital were also ordered closed on Monday, and of particular concern in the Bay Area is a spiraling outbreak at San Quentin State Prison, where more than 1,000 cases have overwhelmed the health system.

     

     (Image: Cleverson Davis, a waiter at Palermo Italian Restaurant in San Jose, tends to customers on June 5, 2020. Outdoor parts of restaurants can remain open in the state’s 19 “watch list” counties. Photo by Dai Sugano, Bay Area News Group)

    “None of this should surprise any of us,” Newsom said. “As we reopen our economy, as more people mix, we’re going to see an increase in spread.”

    Before Newsom announced the new restrictions today, he also extended some programs to ease the harsh economic toll of the virus, though largely keeping with a strategy to leave it up to local officials to decide what to ultimately implement. 

    Among the new authorizations in the executive order signed Tuesday night are the option for local governments to halt evictions for renters impacted by the COVID-19 pandemic through Sept. 30 — a move that housing advocates say is necessary to prevent a wave of mass displacement in high-cost areas. The measure also extends remote marriage and drivers license options, waives some Medi-Cal eligibility reviews and lengthens the window for confirmation of some state appointees. 

    Some 16 million Californians — more than half of all adults in the state — have seen their income fall since shelter-in-place orders in mid-March, according to a Census Bureau survey last month, which has strained state safety-net programs for housing, food and unemployment benefits. 

     
  • Is Now the Time to Bring Back Affirmative Action in California?

    iStock affirmativeaction 01By Ben Christopher, CalMatters

    Depending on your viewpoint, now is either exactly the right time or precisely the wrong time to take up a proposed change to the state constitution that seems certain to reignite a heated debate about race and justice in California.

    At issue: a measure pending in the Legislature that seeks to reinstate affirmative action policies jettisoned by California voters two decades ago.

    For supporters, events of the past week— city streets across the country filled with peaceful protesters and then scattered window smashing, thefts from store shelves and a few incidents of violence — show just how necessary it is to aggressively advance racial equity by fiat. 

    (Image: California lawmakers are revisiting whether to restore affirmative action policies for public schools and universities, as well as state jobs and contracts. Image via iStock)

    Recent headlines “are forcing us to recognize that we are not beyond race as a country or as a state,” said Audrey Dow, vice president of The Campaign for College Opportunity, a Los Angeles nonprofit that advocates for more expansive access to higher education in California. “We have not achieved the nirvana of being color blind. Race matters.”

    Opponents include a politically organized contingent of Chinese American Californians and Ward Connerly, a former University of California Regent who campaigned to ban state affirmative action programs in the mid-1990s. They argue that allowing schools and state agencies to take race into account when making admission and hiring decisions is its own kind of injustice.

    “God knows we’ve got enough things in this nation that Democrats and Republicans argue about,” he said. “Certainly there should be some value that we hold to be dear and not fight over, like whether all citizens should be treated equally.”

    In 1996, just four years after the last time the National Guard was deployed to Los Angeles to put down unrest in response to police violence, California voters passed Proposition 209, a constitutional amendment to ban affirmative action at state institutions. 

    The measure prohibits California’s state colleges and universities from taking into account the race, ethnicity, gender or national origin of would-be students in the admissions process. It also prevents state agencies from using such criteria in its hiring decisions or when awarding contracts for goods and services.

    The Legislature can’t undo Prop. 209 on its own. Democratic Assemblywoman Shirley Weber of San Diego introduced Assembly Constitutional Amendment 5— a measure that, if passed by two-thirds of both the Assembly and Senate, will go before the voters on the November ballot.

    A repeal of Prop. 209 would not mandate that state schools and agencies adopt affirmative action programs. But it would allow them to create employment or admission programs that explicitly take the race, gender or national origin of an applicant into account.

    For some moderates and even some conservatives in Sacramento, the fact that the measure will present the question to voters rather than providing an answer unilaterally has been a vital distinction. In the Public Employment and Retirement committee earlier this month, Republican Assemblyman Randy Voepel, not known as a moderate, voted to pass it out of committee. 

    Prop. 209, he noted, had been passed by voters one “biblical generation” ago. 

    “This has got to go before the people of California of this generation,” he said, noting he had not yet decided how he would vote if the proposed constitutional amendment comes before the entire Assembly. 

    That will have to happen soon. Legislators have until June 25 to pass all potential ballot measures through both chambers. Repealing the affirmative action ban would be a heavy political lift even if the state’s extended shelter-in-place order hadn’t shortened the legislative calendar. It’s also made the in-person schmoozing that whipping votes often requires nearly impossible.

    “I can’t get in their face and whisper in their ear, ‘You know you need to help me,’” Weber told Voice of San Diego

    Earlier this year, Assembly Speaker Anthony Rendon refused to endorse the effort. Though he said he supports the eventual repeal of Prop. 209, “if we are going to get something on the ballot, get it passed in November, from a political standpoint, it almost seems too late,” he told CalMatters. And that was in January, before the pandemic. 

    But with Weber’s proposal set to go today before the Assembly Appropriations Committee, chaired by San Diego Assemblywoman Lorena Gonzalez, a co-author, Connerly unhappily thinks the odds are in the measure’s favor.

    “I will not be surprised if it passes the committee, the Assembly, the Senate,” he said.

    In 1998, the year Prop. 209’s affirmative action ban kicked in, admission rates for black and Latino students across the University of California system dropped 10 percentage points for black students and 7 percentage points for Latino students compared to the previous year, according to admissions data. The numbers were much larger at the most competitive schools within the system — UC Berkeley and UCLA. A study commissioned by the UC Office of the President estimated that the system-wide affirmative action program that was in effect prior to 1998 increased the number of Latino, black and Native American students systemwide by 12%.

     

    “The universities never recovered from 209 in terms of access for students of color,” said Gary Orfield, co-director of the Civil Rights Project at UCLA’s Graduate School of Education. “And there hasn’t been much progress across the state in diversifying faculties.”

    Latinos, for example, make up 6% of professors and lecturers across the UC system.

    Supporters of affirmative action argue that “race blind” admission policies that select applicants based on purportedly objective metrics like SAT scores or recommendation letters only reenforce existing inequalities. Such systems award coveted enrollment slots or jobs to those who can afford expansive test prep courses or who live in rarified social circles, the argument goes. Trying to bridge those racial chasms indirectly by using non-racial criteria like where an applicant lives or their family’s household income is tantamount to “willful ignorance” of the underlying issue, said Vincent Pan, executive director of Chinese for Affirmative Action, a nonprofit headquartered in San Francisco’s Chinatown. 

    For example, he said, “if you want to support Asian-owned businesses that have been affected by COVID-related racism, we should just have a program that supports Asian-owned businesses that have been affected by COVID-related racism.”

    This is not the first legislative broadside against Prop. 209. In 2013 former Sen. Ed Hernandez introduced a similar repeal, applying only to public schools. That passed the state Senate on a party-line vote, but then faced fierce opposition from a coalition led by Chinese American social justice organizations. Their argument: Affirmative action policies in higher education would discriminate against Asian American applicants.  

    After a massive call-in, letter writing and capital lobbying campaign from opponents, Assembly Democrats refused to even put the measure up for a vote. 

    “We would never support a policy that we believed would negatively impact our children,” Assemblymembers Ted Lieu, Carol Liu, and Leland Yee — all Democrats — wrote at the time. The Wall Street Journal’s conservative editorial board referred to the campaign as “California’s Asian Spring.”

    Opponents of Weber’s ACA 5 are counting on another wave of public pushback. 

    Wenyuan Wu, administrative director for the Asian American Coalition for Education, a national nonprofit, said so far there has been significantly more coverage of the issue in California’s Chinese-language press than in English-language outlets. Advocates, she said, have been organizing on WeChat, the Chinese messaging and social media app. 

    Yukong Zhao, president of the coalition, is a Republican candidate for Congress in Florida.

    The reason that Chinese American Californias are among the most vocal opponents is obvious, Wu said. 

    Under any affirmative action system, “when a particular group of students are deemed as overrepresented,” she said, ”they stand to lose, they stand to be hurt by these kinds of admission practices.”

    “Granted, there are inequities and structural issues that are rooted in deeper causes like unequal K-12 public education and deeper socioeconomic disparities,” said Wu. “But I don’t think ACA 5 is the issue. And in this case, I think the medicine might be worse than the disease.”

    national survey of Asian Americans in 2016 found that a majority of respondents supported affirmative action programs “designed to increase the number of black and minority students on college campuses,” compared to 32% who did not. Of the six national origin groups surveyed — Indian, Chinese, Filipino, Japanese, Korean and Vietnamese — only a majority of Chinese-American respondents opposed the policy.

    “We know that there is some intense mobilization in some parts of the Chinese community but we try hard to help explain that actually the Asian American community is quite diverse,” said Pan of Chinese for Affirmative Action. Pan is also the co-chair of Opportunity for All, an umbrella advocacy group pushing to repeal Prop. 209.

    He said that much of the opposition to Hernandez’s bill in 2013 came from relatively new immigrants, many of whom, he said, were misinformed about what the bill would actually do in a “cynical attempt by oftentimes white conservatives to exploit those concerns and direct them against race-conscious and gender-conscious policies.”

    For decades, the U.S. Supreme Court has upheld the constitutionality of affirmative action programs, but on increasingly narrow grounds. Specific race or gender quotas were ruled unconstitutional in 1978. But the court held that schools may consider race as one of many factors when evaluating an applicant.

    “Considerable deference is owed to a university in defining those intangible characteristics, like student body diversity, that are central to its identity and educational mission,” Justice Anthony Kennedy wrote in a high-profile affirmative action case in 2016. 

    But Kennedy is no longer on the nation’s highest court, and the bench has swung decidedly to the right. Chief Justice John Roberts, the court’s ideological center and frequent swing vote, has in the past taken a dim view of racially explicit policy.

    In a 2005 case brought against the Seattle School District’s desegregation plan, which took into account a student’s race in determining which high school they ought to attend, Roberts wrote that “the way to stop discrimination on the basis of race is to stop discriminating on the basis of race.”

    The court is likely to take up the issue of affirmative action in higher education again soon.  

    Students for Fair Admissions, a nonprofit run by conservative litigant and activist Edward Blum, sued Harvard arguing that its race-conscious admission policy represents “intentional discrimination against Asian Americans.” That case is awaiting a decision by a federal appellate court, but both sides have vowed to take the fight to the Supreme Court. 

    Whatever the high court does, Pan said that repealing California’s ban on affirmative action is still worthwhile.

    “The right thing to do is always the right thing to do,” he said. “The best way to address racism and sexism is to address racism and sexism.”

     
  • Kaiser Employees Receive Help With Child Care, Shelter and Extra Leave Under Union Agreement

    Kaiser Permanente A union agreement with Kaiser Permanente will ease the burdens of about 80,000 health care workers on the frontlines of the COVID-19 pandemic.

    Under the agreement, members of the Coalition of Kaiser Permanente Unions will receive assistance with child care and temporary shelter, and extra leave if they are tested for or diagnosed with COVID-19. The agreement applies to full-time, part-time and per-diem employees.

    The agreement focuses on three key areas:

    Child-care assistance: With schools closed, many health care employees are having difficulty finding affordable child care. Under the agreement, Kaiser employees who work 32 hours a week or more in a KP facility will be eligible for a grant of $300 per week to pay for child care for children 14 or younger (and disabled, dependent children). It can be used to pay for their own caregiver (as long as they are not a spouse or domestic partner) or to find child care outside of the home.

    The stipend will last until May 31, 2020, and will be pro-rated for employees who work between 20 and 32 hours (including per-diem employees) with a minimum of $210 a week.

    Temporary shelter: Kaiser will work with several hotel chains to provide alternative shelter for employees who:

    • Test positive for COVID-19;
    • Work a double shift;
    • Work multiple 12-hour shifts;
    • Have fewer than 8 hours between shifts; or
    • Have a household member who either has COVID-19 or is in a CDC-defined vulnerable group.

    Eligibility applies to all employees working at least 20 hours per week (including per-diem employees) at a KP facility between April 13 and May 31, 2020.

    Eighty additional hours of leave for employees who test positive for COVID-19: Employees working at a KP facility more than 20 hours a week (including per-diem employees) who test positive for COVID-19 will receive up to 80 hours of administrative leave. This is above and beyond regularly accrued leave. Employees who are sent home from Kaiser and are awaiting a test result will also be covered.

    “As healthcare workers in the middle of this pandemic, we know our duty is to our patients and the community, and we take that duty very seriously. But we can only give our best if we know our own lives and our families are protected as well,” said Juanita Kamhoot, who works in surgical services at Kaiser Sunnyside Medical Center in Clackamas, Oregon. “This agreement will make a real difference at a time when we need every healthcare worker on the job and focused on taking care of COVID-19 patients.”

  • KBBF Informe: Licencia Por Enfermedad Remunerada, Paid Sick Leave

    Por Edgar Avila, KBBF Radio
    This episode was produced by Edgar Avila, KBBF Radio
     
    flu 5367898 1280This article is a summary of a KBBF informe special loosely translated by NorCal Public Media. Listen to the original version in Spanish below. 
     
    Puedes escuchar este episodio en español abajo:
     
      
     
     
     
    Welcome to this episode of KBBF Informe. Today we talk about emergency sick leave. How can we encourage people to stay in their homes if they have COVID-19? While the economy opens quickly and more people are returning to work, COVID-19 infections continue to rise. It is more important than ever that workers can protect themselves and for employers to protect their employees. One way of protecting workers is for them to have the ability to stay at home if they have symptoms of COVID-19, if they know they might be affected, or if they are at high risk.
    This is especially important for Latinos in Sonoma County because they are disproportionately affected by the coronavirus. Latinos represent 75 percent of all of the COVID-10 infections and many are front-line workers. One analysis shows that Latinos represent 76 percent of essential employees in industries like foodservice, healthcare, construction, and agriculture. Because of this reason having sick leave is critical. All workers can take three days off from work in the case of any illness, not just COVID-19.
     
    In terms of the pandemic, the federal government passed a law called the ‘Families First Law’ that says that employees who work at companies that have fewer than 500 employees have the right to ten sick days of paid leave in situations that are related to COVID-19. This law is to last through the end of 2020. A supplemental order from Governor Gavin Newsom means that people who work in the food sector including food service, restaurants, supermarkets, and agriculture, have the right to two weeks of paid sick leave independent from the size of their company.
     
    We spoke with Mara Ventura, Executive Director of North Bay Jobs With Justice, about this topic.
     
    Avila
    Mara, What is paid sick leave?
     
    Ventura
    Paid sick leave means that the employer has to continue to pay the employee’s salary if an employee is sick or is caring for or living with someone who is sick, or can’t find childcare due to COVID. A sick worker receives their full salary while they stay at home taking care of their health. If someone is caring for someone else in their family who may be sick or is caring for a child so that they cannot go to work, they have to pay them at least 75 percent of their salary. We call for employers to pay 100 percent, nevertheless, it means that the worker could stay in their house taking care of their health or their family member’s health and still be getting paid.
     
    Avila
    And why are these laws so important?
     
    Ventura
    Part of our ability to flatter the curve of COVID is to ensure that people are sheltered in place. Particularly people who have symptoms or are caring for someone with symptoms and this is a luxury that very few can afford.

    If people are working and depend on their salary to pay the rent, the bills, and groceries we have to find a way to replace this salary while they stay home sick. So that they don’t leave for work and possibly expose other people.
     
    Avila
    Then this is especially important for essential workers, right?
     
    Ventura
    Yes, absolutely, our essential workers sometimes don’t have the luxury of stable housing, like many of us, and so they have a greater risk. We need to make sure the employers respect these laws and offer better pay through workplace policies. As we reopen, it’s really important that all employees understand that they have sick leave. Every employer that is trying to bring their employees back to a worksite should assure that everyone understands not just workplace safety protocols but also what to do should they or someone they live with show symptoms.

    Avila
    What are the current laws?
     
    Ventura
    O.K., so there are three measures of paid sick leave in effect. I want to be really clear that in the State of California, everyone has the right to paid sick leave. Before the pandemic, anyone had the right to three days of paid sick leave under state law. This has been the law since 2015 and it also says that one has the right to one hour of paid sick leave for every 30 hours worked.
     
    So people who had been working since January 1st had sick leave before shelter in place in March. Because of this, everyone who was working had at least three days of sick leave and possibly more if their employer did not place limits on how much they could accumulate. What congress did at the end of March was say that if you work for an employer that has under 500 employees, you qualify for seven additional days. In other words, you have ten days of paid sick leave. These days can be used by the hour for up to 80 hours and distributed as one needs them. But there is a limit of two weeks for people that work less than forty hours per week.
    What Newsom said is that he doesn’t think these laws sufficiently support workers in the food sector. Because of this, he decided to give them 80 complete hours without it mattering if their employer had over 500 employees. Agricultural workers in the field, restaurant workers, and grocery store workers have the right to 80 hours regardless of the size of the business they work for. This is very important. Imagine, for example, in a supermarket there might be more than 500 employees. The owner of the business, let’s say Safeway, employs more than 500 people throughout the country. These workers would have been excluded from paid sick leave under congress's act, but not under California’s. 
     
    This is also very important for agricultural workers in the field, who for the most part, do not know that they are entitled to a full ten days or 80 hours of paid sick leave.
     
    Avila
    Who has the right to these benefits?
     
    Ventura
    Everyone has the right to paid sick leave in the State of California but the amount of days depends upon where you work.
     
    Avila
    And what about undocumented workers?
     
    Ventura
    It’s really important for folks to know that your immigration status does not change the majority of your rights as a worker. Everyone has the right to their pay, everyone has the right to paid time off, everyone has the right to overtime pay, and everyone, without regard to their immigration status, has the right to present a claim for wage theft. If you aren’t being paid appropriately or if you are not given paid sick leave, you have the right to file a claim with the California Labor Commissioner's Office. One of their offices is here in Santa Rosa. North Bay Jobs for Justice or the Graton Day Labor Center can help people present these claims.
     
    Avila
    And if you submit a complaint, they won’t ask about your immigration status?
     
    Ventura
    No, not at all. They support a lot of migrant and undocumented workers. They work really hard to make sure that every worker who files a claim receives their money. This includes anyone who took sick days and wasn’t paid. It also includes anyone who was denied using their sick leave.
     
    Avila
    Is it complicated to get your benefits?
     
    Ventura
    There is no paperwork. There are two other important things that I’ll say. One is that your only responsibility as an employee is to notify your boss. This doesn’t have to be in writing, but we encourage people to do it in writing so that you have proof if it is necessary later. The second important thing to know is that legally your boss cannot deny you sick leave in any circumstance, including if they cannot find a worker to replace you. Your boss cannot deny you even if they do not have sufficient funds. They have to allow you to take your sick leave. They have to allow you to stay home and not work and they have to pay you for it.
     
    Avila
    So how does one apply for these benefits?
     
    Ventura
    Because it is a right you already have, you don’t have to apply, you only have to notify your boss as soon as possible, when you or a member of your family has symptoms and you should be staying home. Also when you take a COVID test, they will give you a paper with instructions that say you should quarantine. You should show this paper to your employer if it’s useful or if they ask for it. If your employer asks you for a note when you come back they will also provide that.
     
    Avila
    Are these notes obligatory?
     
    Ventura
    That’s a good question, most likely they are because they fall under the health ordinances of Sonoma County. I’m not sure, but I imagine that there is a lot of concern at this moment because people do not want to take this test as they are going to tell you that you can’t go to work.
    We want to let you know that they do this test so that we can understand where the virus is and if the people that you are around are at risk. If you are working and you are worried about missing work without pay, you can let your boss know that you have the right to paid sick leave and that they should pay you while you stay home. You can call a community organization, like Jobs With Justice if you need help. In whatever case, you should absolutely get tested.
     
    Avila
    And what happens if your boss says no?
     
    Ventura
    If your boss says no, they are violating federal laws and regulations. Please call one of the organizations as soon as possible. We will mention a few numbers at the end of this interview that you can call. If you need help in other languages, we can also help with that.
     
    Avila
    And what happens when the health orders and the quarantine are over?
     
    Ventura
    The California State law is permanent. We will always have that, but the Governor’s order that provides leave for food service workers and the Federal law will end at the end of the year. It will probably be renewed in 2021, but for now, we are covered until January first.
     
    Avila
    And if I have a business, can I get help to pay my workers who are home sick?
     
    Ventura
    If you own a business with less than 500 employees and you pay a worker for sick leave it is 100% deductible from your taxes. The federal government will return this money. I also want to add that I believe that Sonoma County and the larger cities like Santa Rosa and Petaluma should consider financial assistance for small businesses so that some of this money can be recuperated immediately. Jobs With Justice is supporting this initiative. We have spoken with some of our elected officials. We have spoken specifically with the Hispanic Chamber of Commerce to support this idea. We want to encourage business owners to speak with their elected officials to talk about why paid sick leave may be financially difficult and ask what they can do to cover a portion of that cost.
     
    Avila
    Many thanks to Mara Ventura. If you have problems with wage theft or not being about to take sick leave, you can contact these organizations.
     
    North Bay Jobs With Justice: 707 293 2863
    California Rural Legal Assistance: 707 528 9941
    Legal Aid of Sonoma County: 707 542 1290
     
    This KBBF Informe program was produced with Support from John S. Knight Fellowship of Stanford University.
     
  • Keeping The COVID Plague at Bay: How California Is Protecting Older Veterans

    160826 F PD075 017Dr. Vito Imbasciani has been at war with viruses since he was 5.

    Growing up near the U.S. Military Academy at West Point in New York, he contracted polio in 1952 and couldn’t walk for two months. In medical school in Vermont 30 years later, he witnessed AIDS steal the lives of otherwise healthy gay men.

    Now, Imbasciani, secretary of California’s Department of Veterans Affairs, and his staff are responsible for keeping the novel coronavirus away from the state’s eight veterans homes. California’s defenses are holding.

    The explanation, many say, lies in CalVet’s intense preparation, quick response, attention to hygiene and leadership, starting with Imbasciani, a physician and retired colonel who not too many years ago could have been discharged from the military because he is gay.

    “We created our own fortune,” Imbasciani said, looking to knock on wood.

    Deaths are part of life in the state-run veterans homes. The homes are populated largely by frail men and women, some of them veterans of World War II and Korea, and many from the Vietnam War era. A quarter of the vets admitted to California’s homes in recent years had been living homeless.

    (Image: U.S. Air Force Maj. Joseph Knothe, a B-2 Spirit pilot from the 394th Combat Training Squadron, greets a veteran from the Missouri Veterans’ Home at Whiteman Air Force Base, Mo., Aug. 26, 2016. U.S. Air Force photo by Senior Airman Joel Pfiester)

    COVID-19 has hastened the end for scores of retired soldiers in veterans homes in other states: More than 70 veterans have died of the disease at a “soldiers’ home” in Massachusetts; more than 125 have died in New Jersey’s three homes; more than 60 residents of an Alabama veterans home tested positive, and eight have died.

    The California Department of Veteran Affairs, by contrast, is holding the beastly infection at bay. In its eight homes, where 2,100 veterans reside, three residents have contracted the disease, and two have died of it, one in his 90s and one in his late 80s.

    “It’s all hands on deck,” state Sen. Bob Archuleta, a Los Angeles-area Democrat who chairs the Senate Veterans Affairs Committee, said of CalVet’s response. “It goes back to the staff. We have people who care about their veterans, and they will go the extra mile.”

    Like Archuleta, Imbasciani credits the work of the front-line staff of nurses, nursing assistants and doctors who provide direct care. But leadership matters, and Archuleta and others also point to Imbasciani.

    CalVet’s leader is a 73-year-old urologic surgeon who speaks six languages and has a master’s degree in musicology and a doctorate in philosophy. The son of a World War II tail gunner and grandson of a World War I vet, Imbasciani served 27 years in the Army Medical Corps. He deployed to war zones four times before retiring as a colonel in 2014.

    For most of those years, Imbasciani had to hide his personal life because of President Bill Clinton’s “don’t ask, don’t tell” policy that sought to keep LGBTQ service people serving in the closet.

    That changed when President Barack Obama signed legislation repealing the policy in 2010. Two years later, Imbasciani introduced Obama at a fundraiser hosted by LGBTQ community leaders in Beverly Hills.

    “The price of my service was to live a lie,” Imbasciani told the crowd of 600 when introducing the president, as quoted by The Washington Post. “But not anymore.”

    Imbasciani was director of government relations at the Southern California Permanente Medical Group in September 2015 when Gov. Jerry Brown appointed him secretary of the California Department of Veterans Affairs. Gov. Gavin Newsom reappointed him in January, even as the novel coronavirus was starting its global spread.

    Over the years, Imbasciani has tracked SARS (severe acute respiratory syndrome), Ebola and Zika, among other viral threats. In January, when scientists in China sequenced the DNA of a mysterious new coronavirus that had emerged in Wuhan, Imbasciani thought, “Here we go again.”

    He assumed the virus would storm the West Coast, as did CalVet’s director of long-term care, Thomas Bucci. Based on the devastating events unfolding in Wuhan, they quickly recognized COVID-19 as a disease far worse than the flu.

    Bucci, an Air Force veteran, spent 38 years as a health care administrator before going to work for the state in 2015. Knowing that older and immunosuppressed people are particularly vulnerable, Bucci said: “We had a big bull’s-eye on ourselves.”

    By mid-February, a month before the World Health Organization declared COVID-19 to be a pandemic, Bucci was regularly communicating with directors of the eight homes about the threat, and, along with Imbasciani, implementing a 38-step plan.

    The protocol began with the basics. Directors of each home updated their emergency operations plans. They ensured they had enough surgical and N95 masks, gloves and gowns for the staff, and even disposable dinnerware, to minimize the chance of spread.

    As of Feb. 26, all visitors were directed to sanitize their hands before entry, and staff began disinfecting common surfaces every 30 minutes. On March 4, as the infection killed the first of dozens of residents at the Life Care Center in Kirkland, Washington, Imbasciani discussed the coming onslaught at an executive team meeting. And by March 15 — four days before Newsom issued the statewide stay-at-home order — all visitors were barred, with the exception of family members paying respects to veterans in hospice.

    Now, all staffers have their temperatures taken when they arrive for work and are sent home if they show symptoms. At four of the homes, all workers are encouraged to take tests for the virus, and all residents are tested. At the other four, employees who have been exposed to a known or suspected COVID-19 case are being tested, as are any residents who show symptoms.

    All staffers wear masks, as do residents when not in their rooms. Residents are required to social-distance, meaning no congregating closely for conversation or card games. Meals are delivered to residents’ rooms.

    The Veterans Home of California-Yountville opened in Napa Valley in 1884. How it withstood the 1918-19 influenza pandemic is for the most part lost to history. A century later, however, not a single COVID-19 case has been recorded among its nearly 1,000 residents.

    Muriel Zimmer, 85, a Korean War-era Air Force veteran, has been living at the Yountville home for nine years with her husband, Dick. He needs more care and lives in the skilled nursing section of the facility, limiting her ability to see him. They’re allowed only brief conversations, and from a safe distance.

    “I miss him,” she said.

    She also misses seeing friends in the dining hall. But she remembers rationing during World War II, and knows others have it much harder. She is able to walk across the Yountville grounds, with its sweeping views of the Napa vineyards below, and notices small things, like the monarch butterfly that flitted by the other day.

    “I almost get teary-eyed when I think about the staff,” she said. “We are blessed.”

    At the Redding Veterans Home in Shasta County, Michael Vancleemput, a Vietnam-era Army veteran, spoke by phone through a mask, as a worker walked past disinfecting surfaces. “They’re personally motivated to serve us. It’s not like they’re doing a job,” said Vancleemput, 79.

    He has to socially distance from his friends, not that it’s a problem. He lived alone for years in the small town of McCloud at the base of Mount Shasta before moving to the veterans home five years ago. A ham radio operator, he said he keeps in touch with other members of the home’s amateur radio operators club.

    “I would invite you to visit our institution,” Vancleemput said, then paused. “Not now.” No visitors allowed.

    The bulwark that CalVet has erected against COVID-19 builds on a series of improvements. When Imbasciani and Bucci arrived, the state-run homes used paper records. Now, medical records are tracked electronically. Each home once operated independently. Now, they are part of a system with standardized procedures.

    CalVet’s nurses, nursing assistants and physicians are state civil servants with union representation and paid sick leave. One nursing assistant might be responsible for six or eight residents. At a private nursing home, an aide more typically handles 10 or 12. CalVet also has staff physicians on-site every day.

    For many years, the federal government, which rates nursing homes, gave CalVet’s homes dismal marks. Now, among the homes that have been rated, four have the highest designation of five stars, and one has four stars.

    “It does show that when there is strong and visionary leadership, it can make a big difference,” said Charlene Harrington, an expert on nursing home care and professor emerita at the University of California-San Francisco.

    In the military, superiors give what are known as challenge coins to soldiers as an attaboy. The coins have a hierarchy. One bestowed by a two-star general carries greater bragging rights than, say, one given by a one-star general.

    Imbasciani’s challenge coin is one of his most prized possessions. It’s a little larger than a silver dollar and is stamped with the presidential seal and the name of the 44th president. Obama gave it to him, and no one outranks the commander in chief, Imbasciani noted.

    At California’s eight veterans homes, the walls are holding, so far. But Imbasciani knows an asymptomatic carrier could cause a breach any day. He is, after all, someone who has been battling viruses since he was a boy. He can even imagine the epitaph on his tombstone:

    “Here lies Vito. He hated viruses.”

    This KHN story first published on California Healthline, a service of the California Health Care Foundation.

  • Lawmakers Want to Know: What’s Up With That Half-Billion-Dollar Mask Deal?

    ByLaurel Rosenhall, CalMatters

    BlueFlameDealCalifornia lawmakers plan to probe why state officials wired half a billion dollars for masks to a medical supply company that had existed for just three days, and want to know what’s changed in the state’s vetting process since the deal collapsed.

    “We really need to ensure that there are appropriate controls in place and that we are spending California’s tax dollars efficiently and responsibly,” said Assemblywoman Cottie Petrie-Norris, a Laguna Beach Democrat.

    The accountability and administrative review committee she chairs plans to hold a hearing this month to examine the bizarre transaction that CalMatters revealed earlier this week in which California wired $456.9 million on March 26 to Blue Flame Medical LLC – then scrambled to get the money back hours later. The company was incorporated on March 23 by two Republican operatives, Mike Gula and John Thomas, with no track record in the medical supplies field.

    (Image: California lawmakers are demanding details about the state's vetting of Blue Flame Medical and other sellers of supplies to combat the novel coronavirus. Photo by Anne Wernikoff for CalMatters)

    Republican lawmakers also are seeking an audit of all the state’s spending on protective masks, including the rescinded payment to Blue Flame and a $1 billion contract the state subsequently reached with a Chinese company called BYD. 

    “We are concerned about the details of a rushed, half-billion contract to a company only days old and a price-per-mask contract with BYD that could be nearly 40% higher than what is available on the market,” nine GOP lawmakers wrote in a letter to the Legislature’s Democratic leaders Thursday.

    “Rather than learning of these issues from the Administration… we are getting delayed and incomplete reports from news stories.”

    The state decided to cancel the deal with Blue Flame for 100 million N95 masks after bankers involved in the wire transfer alerted California Treasurer Fiona Ma that they were suspicious of it, Ma told the Sacramento Bee. Ma declined an interview request from CalMatters.

    The account she gave The Bee portrays a deal that was about to close until two bankers called her to raise alarms. One bank executive was not comfortable completing the transaction because the Blue Flame Medical account had been opened just the day before, according to The Bee’s report, and another banker involved in the wire transfer thought the transaction might be fraudulent and planned to call the FBI.

    “That’s when I called the governor’s office and said, ‘this is fishy,’” Ma told The Bee. “‘We got the money back, but you need to vet these people better and go through the proper protocol.”

    Newsom insisted Thursday that his administration has improved its vetting process since the Blue Flame deal fizzled in the initial weeks of California’s coronavirus crisis. 

    “We were in the Wild, Wild West period in the early part of this pandemic,” he said. “Those dollars were protected and protocols were put into place that are much more strengthened after that specific incident.”

    Newsom’s director of Emergency Services said the vetting process now includes a team of experts in health, logistics and foreign commodities as well as federal emergency management and law enforcement officials. But he acknowledged that decision making during an emergency is rushed, and that state officials were deluged with offers from people purporting to have the coveted medical supplies.

    “There were thousands and thousands of individuals and organizations reaching out to us that required all of these aspects to be vetted,” Mark Ghilarducci said.

    “And through that vetting process we actually were only able to get through a small percentage of legitimate organizations and companies that could provide the commodities we needed.”

    Because Newsom declared the pandemic an official emergency, the state has waived many of the normal rules for procuring supplies and services. Vendors can land lucrative contracts with the state without going through the usual bidding process.

    One key lawmaker lauded Newsom’s handling of the pandemic and said he trusts the state’s leadership.

    “There has been no pattern ever in this administration or these departments of recklessness that would make me want to suggest that there was anything improper,” said Sen. Bill Dodd, a Democrat from Napa, who chairs a committee overseeing disaster response.

    It’s still not clear why Newsom administration officials decided to make the deal with Blue Flame in the first place, given how new the firm is to the medical supply business. The state’s Department of General Services, which placed the order with Blue Flame, did not respond to several inquiries from CalMatters over the last week and a half.

    “I  think it would be very productive both for the Legislature and also for the public at large to understand what happened,” said Assemblywoman Petrie-Norris.

    At the upcoming hearing, she said she intends to ask Newsom’s aides: “What we have learned, what controls and protocols are now in place, are there still issues and gaps, and if so how are we working to close them?”

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Legislators Vote to Close School Spending Loophole

    ByRicardo Cano, CalMatters

    050820AB1835VoteState lawmakers are one step closer to plugging a technical loophole that has allowed California school districts to divert funds intended for needy kids to other purposes.

    A legislative panel unanimously advanced a proposal that would strengthen oversight of how the state’s school districts spend money designated for needy students, making it one of the few surviving bills as the coronavirus pandemic has upended the state’s education agenda.

    Assembly 1835 by Democratic Assemblywoman Shirley Weber of San Diego stems from a years-long effort to bolster transparency of the state’s landmark 2013 school finance law, the Local Control Funding Formula.

    Advocates of the proposal have long argued that the law, intended to close gaps in student achievement, has lacked the necessary teeth to ensure districts appropriately spend additional funding meant for disadvantaged students.

    But the proposal encountered new opposition from a group of school officials who argued that school districts need as much flexibility as possible to navigate looming steep budget cuts induced by the coronavirus pandemic. Experts and state lawmakers have warned schools of potential cuts in state funding greater than those during the Great Recession that resulted in mass teacher layoffs and years of painful cuts for schools.

    (Image: Assemblymember Shirley Weber advocated for the Local Control Funding Formula in 2013, and now wants to close a loophole in the system. Photo by Anne Wernikoff for CalMatters)

    Weber and supporters of AB 1835 said at a Wednesday morning hearing at the Capitol that the budgetary landscape only adds urgency for passing the proposal. Schools with high percentages of disadvantaged students, they said, experienced the brunt of last decade’s cuts, and they stand to be in a similarly vulnerable position without the legislation.

    Weber, who lobbied legislators to pass the Local Control Funding Formula seven years ago, said she empathized with schools’ financial concerns, but said that the proposed changes remain long overdue.

    “Even in good times for the last seven years, these kids have not benefited from these dollars because we have not held the districts accountable for using the money as it should have been spent,” Weber said. “We could not afford to once again fail these kids. Even in this pandemic, they are suffering the most.”

    Signed into law by Gov. Jerry Brown in 2013, the formula overhauled how school districts in California receive funding. It replaced a system that was criticized for being inflexible and imposing strings for how schools could spend money.

    The Local Control Funding Formula, which remains popular among school officials and education advocates, gave districts greater control in determining school spending while giving extra funding to districts with higher concentrations of students who are English learners, economically disadvantaged or foster youth.

    Under the new formula, each school district receives a flat, per-student base grant. Districts with higher proportions of needy students receive additional funds with the expectation that schools direct those dollars toward disadvantaged students.

    But the November state audit found that the law hasn’t done enough to ensure that districts are appropriately spending that money. The state audit, which renewed the effort to boost the law’s transparency, highlighted that unspent supplemental and concentration funds lose their designation after one year, essentially allowing districts to use those rollover funds for across-the-board expenses, such as teacher pay.

    Wednesday marked the first time the Assembly Education Committee gathered since Gov. Gavin Newsom issued statewide stay at home orders on March 19. The legislative panel took up only a fraction of the bills it had been slated to consider this session as legislators shift their focus toward a budgetary landscape significantly different than the one the governor presented earlier in the year.

    Prior to the pandemic, the state was on rosy economic footing, boasting a $21 billion surplus with plans to invest a record $84 billion for K-12 schools and community colleges. A revised budget later this month is expected to show a completely different picture, and school officials have warned that programs and services across the board will likely be affected by cuts.

    Jeff Vaca, chief governmental relations officer for the Riverside County Office of Education, told lawmakers Wednesday that the county’s districts were not planning to oppose the bill. But, with tough financial decisions on the horizon, “we regretfully must oppose the bill because we believe it will make it more difficult to achieve our pledge and mission.”

    “We will do everything humanly possible to prioritize and preserve programs for disadvantaged and at-risk students, and to mitigate the loss of learning that the crisis has already caused,” Vaca said before lawmakers advanced the bill. “But it is a certainty that all programs and services will be significantly impacted by the forthcoming recession.”

    AB 1835 is among a handful of education proposals that will advance this session. The Assembly Education Committee had been scheduled to hear more than 140 proposals this session, though the panel took up only 13 bills in its sole scheduled hearing before a May 29 deadline.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Looming State Budget Cuts Pose ‘Incredible Financial Challenges’ For Sonoma County Schools, Superintendent Says

    classroom 2093743 1280Sonoma County’s Superintendent of Schools says the state’s landmark budget shortfall brought on by the coronavirus pandemic will pose “incredible financial challenges” for local schools in the coming year.

    Superintendent Steve Herrington’s remarks come a day after Gov. Gavin Newsom shared his revised budget proposal, which features significant cuts to California’s K-12 schools and community colleges.

    Herrington said the county Office of Education and local school districts run many programs, including CTE, workforce development, teacher development and special education preschool initiatives, that could see significant cuts as a result of certain grants or funding categories being scaled back. He also noted that all school districts will see a 10 percent cut in the Local Control Funding Formula (LCFF) funding that makes up the bulk of their budgets.

    “These cuts will pose tremendous challenges at a time when districts are already underfunded and being asked to undertake costly social distancing measures in the fall, while also contending with declining enrollment,” he said.

    Herrington said he strongly supports the governor’s call for federal aid to compensate for the state’s $54 billion deficit caused by record job losses. The Heroes Act proposal unveiled by House Speaker Nancy Pelosi asks the federal government for nearly $1 trillion for local and state governments.

    Herrington said the county will be working closely with school districts to balance budgets, provide core student services and ensure student and staff safety.

    “While these challenges are considerable, I have confidence that local school leaders will do everything they can do to ensure that all students receive the best education possible in the year ahead,” he said. “Now more than ever, our public schools are a critical component of the fabric of our society. Until school campuses reopen, our workforce cannot return and the economy cannot begin to rebound.” 

  • Los Cien Sonoma County Hosts Congressmen for Virtual Coronavirus Town Hall

    Los Cien Sonoma CountyLosCienScreenshot hosted a virtual Coronavirus Town Hall on Friday with Congressmen Mike Thompson and Jared Huffman, who outlined the economic and health challenges facing the region, and federal programs to address them.

    More than 300 people were registered to attend the Latino leadership organization’s first online-only, interactive conversation, hosted on Zoom and streamed on Facebook Live.

    Thompson, who represents California’s 5th Congressional District, and Huffman, who represents the 2nd District, shared details of the legislation passed by Congress to address the fallout of the COVID-19 pandemic — namely the CARES Act and the Families First Act.

    You can watch the full conversation, moderated by Santa Rosa attorney Oscar Pardo, below:

  • More Sonoma County Businesses Given Green Light for Reopening

    032920DowntownSantaRosaAdditional businesses can reopen in Sonoma County, including car washes, pet groomers and outdoor museums, under an amended shelter-in-place order that went into effect Friday.

    The local changes follow Gov. Gavin Newsom’s statewide announcement Tuesday that more businesses could operate with health safety modifications as the fight against COVID-19 continues.

    Under the amended order, the following businesses are allowed to operate and people are permitted to leave home and travel to work in or patronize them:

    • car washes
    • pet groomers
    • dog walking services
    • residential and janitorial cleaning services
    • outdoor museums
    • open air galleries
    • botanical gardens
    • and other outdoor exhibition spaces

    The amended order also allows people to go back to work if telecommuting is not possible, and allows childcare facilities to open to those outside the essential workforce, following strict health protocols.

    The order specifically lists businesses that must remain closed, which are: outdoor restaurants, cafes, or bars, zoos, amusement parks, indoor gallery and museum spaces, and personal care services that have close customer contact, including hair salons, barbershops, nail salons, massage parlors, aestheticians and cosmetology, ear piercing salons and tattoo parlors.

    All storefront and indoor mall access remains closed to the public, though curbside pick-up, delivery and shipping are allowed.

    The Sonoma County Economic Development Board has a new website offering resources for businesses on how to safely and successfully reopen. Industry-specific guidance from the governor’s office on reopening can be found here.

    Find updates on Sonoma County’s response to the coronavirus pandemic at socoemergency.org.
  • New State Child Care Website Comes Up Short

    ByElizabeth Aguilera, CalMatters

    ChildcarePortalCalmattersGov. Gavin Newsom promised that the state’s new child care website would give essential workers all the information they need to choose a provider for their kids.

    It isn’t quite working out that way.

    The portal Newsom announced a week ago, based on state licensing data, lacks key information. In many instances, hours of operation and available spots are missing. The site doesn’t indicate whether providers accept subsidies or what they charge.

    The number of complaints about a provider initially was listed, but the state removed that information within days of the portal’s debut. Citations also are absent. To find that crucial information, a user would need to locate and then click on the license number — which then links to the state’s main licensing database.

    (Image: Amanda Simoni, owner of Heritage School of Discovery in Oakdale, laughs while students play in the school yard mud pit. A new California child care website aims to connect essential workers with available options. Photo by Anne Wernikoff for CalMatters)

    Across California, 72% of child care is provided by licensed private businesses — large centers and small and large family home care sites, accounting for nearly 1 million child care slots. Of those, 35% have a state or federal contract, such as Head Start. The rest get paid directly by parents or via vouchers.

    Newsom said the portal was created to help working parents track down child care during the COVID-19 pandemic. The state’s shelter-in-place order never required private child care and preschool centers to close, but many have shut down for safety reasons or falling enrollment. Relatives who may have provided care or been backup babysitters are now in isolation, and schools are out for the foreseeable future.

    But the portal is not proving to be a one-stop shop, said Nina Buthee, executive director of EveryChild California, a statewide organization supporting early childhood education programs with 1,500 members. 

    “Any parent would still need to make quite a few phone calls and reach out to a number of different places,” Buthee said.  

    Instead, she called the new California child care website a “really good start for finding out where facilities are.”

    The new portal allows a user to enter an address or zip code to see a map of nearby centers as well as a list of providers. From there a parent can choose a provider and access whatever information is available. The portal lists 41,000 sites and 464 new pop-up child care locations. 

    The state Department of Social Services already had a licensing database that is searchable, but it is more complex and doesn’t provide availability information.

    “The purpose of the portal is to provide child care options that are convenient and reliable for their families located near their work, home or preferred location,” department spokesman Scott Murray said in an email. 

    About the missing information, Murray said the department is contacting providers regularly through an automated system to get updates regarding availability. If a center does not respond to text, email or phone calls the site indicates “availability unknown.”

    Originally the new portal included the number of complaints a child care provider has received but the state removed that information within three days. Murray said that element was cut because the page has a link to the original licensing site, where users can explore complaints, citations and facility inspection reports. 

    Buthee said if the goal was to create the informative, user-friendly site that Newsom promised, it should include a list of recent citations and complaints with the date, reason and resolution. Or instead, the site should explicitly explain what parents can find if they follow the link to the licensing data.

    Ironically, there is a more in-depth child care database in the works. In July, a long-awaited multi-million dollar website will launch that includes in-depth information and resources for families. This project was created in response to the requirements of a Child Care Development Block Grant the state received in 2014.

    The website was fully funded in last year’s budget, according to Keisha Nzewi, director of public policy for the California Child Care Resource and Referral Network, which holds the contract and is building the site.

    “It’s good to have something up,” said Nzewi about the state portal. “I wish people could see how beautiful and user friendly this site is going to be. I wish COVID had held off or we had enough money to do this sooner.”

    For now, the referral network is working with the state to infuse the portal with some of the features from the new site, like a more robust database of providers and availability.  

    The current California child care website has disappointed some parents and providers alike.

    “It’s really bad,” said San Francisco mom Maria Jandres. “That portal doesn’t give you any information. It doesn’t say where they are, how many spaces. For a new parent it has nothing. It leaves you more lost and with even more questions.”

    Jandres said her 4-year-old son’s regular child care site closed in March, around the time her work as a Realtor and court translator was coming to a slow stop. She stayed home with him for three weeks before signing up as a food delivery driver for various apps. She now juggles his care with her partner when he is not working. 

    “We have to figure out our child care because we don’t have anyone else,” she said.  “Without child care neither my partner or I would be able to survive.”

    At the same time, she said she is afraid to send her child to a provider she doesn’t already know, even if there are slots for essential workers. She’d rather ask around in her community for a personal recommendation.

    This comes as no surprise to preschool owner Amanda Simoni, who went from having 54 kids every day to the 10 she is taking care of now at Heritage School of Discovery in Oakdale. She said she has laid off half of her staff and hopes to bring them back as soon as more kids return.

    Simoni said California’s new child care website “came too late and it does not give enough information.”

    She reached out to her local nonprofit child care agency after perusing the site and finding her phone number was wrong. It also included three complaints against her program, all of which were three or more years old and had been resolved, she said.

    Simoni said parents should have all the information, but it should be listed in a comprehensive way.  As is, she said, the portal is “just not giving accurate information, it’s not giving parents the opportunity to make a good decision.”

    For parents seeking child care sites that are much smaller than Heritage School, and are operated out of a provider’s home, this portal is going to require some additional hoops.

    These so-called “small family homes,” where providers care for up to eight kids, are listed without the official name of the business, address or contact information.  Department spokesman Murray said that the contact information is not listed for privacy reasons because these are individual homes. So in order to reach these providers, parents would have to call their local nonprofit referral agency that oversees child care.

    Those extra steps could thwart a connection between a family and a small child care provider.

    “They need to have as much of an advantage as anyone else,” Buthee said.

    Child care advocates hope to resolve all of these concerns with the new site. 

    Eventually, any searches will direct web traffic to the new site, Nzewi said. She said she expects the need to find child care to continue to grow into the summer, as some centers reduce enrollment to meet social distancing guidelines — or close altogether.

    “It’s going to become even more important for parents and providers,” she said. “Parents will have to seek out new care.”

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Newsom Moves to Slash School, Health Spending — But Asks Feds for a Rescue

    ByLaurel Rosenhall andJackie Botts, CalMatters

    033020VentilatorsNewsomCalMattersHow does a liberal, blue-state governor take on the unappealing task of slashing the budget? By shifting a lot of the pressure to the federal government.

    In revising California’s budget down to $203 billion Thursday, Gov. Gavin Newsom charted a plan to fill a huge deficit by tying many cuts to additional federal aid. If the feds come through with $1 trillion for state and local governments that Newsom and other Democratic governors have requested, California would not reduce funding to schools, colleges, parks, child care, health care and other programs.

    “The President of the United States, with a stroke of the pen, could provide support for Nancy Pelosi’s new HEROES Act and these cuts could be eliminated,” Newsom said, as he presented his proposal to close a $54 billion deficit brought on by record job losses during the coronavirus pandemic.

    It’s a strategic, if risky, course as Newsom heads into a sprint of budget negotiations with state lawmakers over the next four weeks. 

    (Image: File photo by Anne Wernikoff for CalMatters)

    On the one hand: Newsom’s proposed cuts will likely unleash an outpouring of advocacy from sympathetic constituencies including teachers, firefighters and police that could influence decisions in the nation’s capital. Newsom enjoys longstanding ties to House Speaker Nancy Pelosi, a fellow San Francisco Democrat whose father-in-law was business partners with Newsom’s grandfather. And despite feuds with Donald Trump that defined much of Newsom’s first year in office, he has developed a working relationship with the president. They have been publicly praising each other since the pandemic began. 

    On the other: GOP Senate leader Mitch McConnell has already rejected Pelosi’s latest aid package and previously said he wouldn’t support any “blue state bailouts.” Federal aid at the level Newsom would like — not to mention passage before cuts to the state budget would take effect on July 1 — is hardly a sure thing.

    “We do need to have a Plan B,” said Assemblyman Phil Ting, a San Francisco Democrat who chairs the Assembly budget committee.

    “I don’t think we should only rely on the federal government… If the federal money doesn’t come through, we should think about other options before we go to cuts.”

     

    Ting’s counterpart in the state Senate sounded more optimistic that Congress would come through and that Newsom’s proposed cuts would not come to pass. 

    “The programs that he’s attached to the trigger hopefully will create a wonderful advocacy opportunity for beneficiaries of those programs to reach out to our congressional representatives to make sure that the state gets the resources they need so we don’t have to cut those areas,” said state Sen. Holly Mitchell, a Los Angeles Democrat.

    Indeed, within hours of Newsom’s announcement, the California Teachers Association began asking Californians to call their members of Congress and urge passage of Pelosi’s aid package.  

    Lawmakers will now sift through Newsom’s proposal before they must pass a budget on June 15. GOP Sen. Jim Nielsen of Tehama quickly rejected Newsom’s approach, saying “relying on federal bailouts is not a budget solution.” 

    But Republicans make up just a quarter of the Legislature, not a large enough bloc to be influential in budget negotiations.

    Most Democrats in the Legislature Thursday were elected since the last recession and now face their first bleak budget. Up until the coronavirus outbreak, California had enjoyed the longest economic recovery since the Great Recession. After raising taxes in 2012, the state managed its finances prudently in good years, paying off a $35 billion “wall of debt” from internal borrowing schemes and building up significant reserves — all of which helped improve the state’s credit rating.

    Still, public employee pensions have since reported record losses. That has local officials fearful of service cuts, layoffs and even bankruptcy because state and local governments are obligated to contribute more — even when they have less. CalPERS, for example, shed $69 billion as the global financial market recoiled from the pandemic.  

    And former Gov. Jerry Brown, a doomsayer who paddled right of many legislative Democrats in seeking fiscal restraint throughout his second tenure, warned in his final state budget that the good times wouldn’t last forever.

    “What’s out there is darkness, uncertainty, decline and recession,” Brown said in 2018. “So good luck, baby!”

     

    The Newsom administration projects 24.5% unemployment, a 21% decline in new housing permits and a nearly 9% drop in California personal income for the fiscal year starting July 1. It’s a stark turnaround from January, when the governor laid out an ambitious agenda featuring a $5.6 billion surplus.

    Newsom acknowledged all of that has disappeared “in a blink of an eye” as he walked back many of his January proposals. The governor dropped a plan to extend Medi-Cal health coverage to low-income undocumented seniors over 65 — a move that could cause friction with legislative Democrats hoping to support a community more vulnerable to the virus. 

    “Immigrants are the backbone of our state and have been serving as essential workers throughout this crisis,” Assemblywoman Lorena Gonzalez, a San Diego Democrat, said in a statement. “We are disappointed, but not surprised by the Governor’s actions to go backward on health for all.”

    The crisis, however, may present opportunities for Newsom. He had proposed closing one prison in the next five years. Now he wants to close two prisons, one in 2021 and another in 2022. That will likely put him in conflict with the prison guards union that has traditionally wielded clout at the Capitol, but if Newsom is successful he would burnish his progressive bona fides in any future political campaign.

    Broadly, the governor called for bridging the deficit by canceling non-essential spending, tapping reserves and borrowing. Among his proposals:

    • Canceling $6.1 billion in program expansions and spending increases, including  stopping a $2.4 billion extra payment to the California Public Employees’ Retirement System. 
    • Drawing down $16.2 billion from the state’s main rainy day fund over three years, and tapping a safety net reserve to offset increased costs in health and human services programs over the next two years.
    • Moving $4.1 billion between accounts to help balance the budget, on paper at least.
    • Temporarily suspending and capping tax credits used by businesses and wealthy taxpayers. Specifically, suspend net operating losses and limit to $5 million the amount a taxpayer can claim in credits in any given tax year. The move would generate $4.4 billion in 2020-21 to increase funding for schools and community colleges and maintain other core services. 

    California could look to its taxpayers in other ways as well, though it’s unclear whether voters will be in a mood to help. Labor and education groups are pushing a November ballot measure to overhaul Proposition 13, California’s landmark property tax cap, to help prevent steeper cuts to local governments and public schools. The Schools and Communities First campaign estimates the initiative could bring in $12 billion a year by raising commercial property taxes.

    Newsom has not endorsed the proposal, which business interests vehemently oppose, but said he hasn’t ruled out asking voters for some kind of tax increase.

    “We are considering other approaches, including other revenue strategies,” he said.  “We will  pursue conversations with the Legislature, with leaders all up and down the state and we hope we can help guide some consensus about what is most appropriate to put forward to the voters.”

    In the meantime, about 26% of Newsom’s budget solutions rely on cuts he said would be eliminated if enough federal aid comes through. 

    “We are doing our best to help support people in need, but we now need the federal government to support not only the state of California, but other states across this country,” Newsom said. “If they do, if they meet this moment, we will be able to significantly reduce the stress and anxiety many are feeling.”

    In other words: Washington, the ball’s in your court. 

     

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Newsom the Beneficent? California Governor Steps Into Pandemic Supply Vacuum

    033020VentilatorsNewsomCalMatters

    ByBen Christopher, CalMatters

    California provides.

    That’s the message that Gov. Gavin Newsom has been sending to the rest of the country over the last week. For those short on ventilators, the Golden State will share its mechanical bounty, sending hundreds to New York, New Jersey and Illinois, ferried by California’s uniformed National Guard. 

    For those who lack protective masks, California — as per an announcement he made on MSNBC’s Rachel Maddow show Tuesday night — will be amassing 200 million per month. Enough to meet the state’s needs. And maybe your state’s too. 

    “We need to coordinate and organize our nation-state status as we can, only in California with our procurement capacity that is quite literally second only to the United States,” the governor told reporters this afternoon. California would act as “a catalyst to increase supply” not only for the state’s health care workers, but for those in other states and perhaps other countries “across the globe.” 

    “That’s how we perceive our role.”

    (Image: California Gov. Gavin Newsom / File photo by Anne Wernikoff for CalMatters)

    Newsom’s offer to share California’s public health resources surely makes for good public health policy. No doubt, sharing extra health equipment during a pandemic is also good karma. 

    But it’s also good politics. Unsurprisingly Newsom, widely believed to harbor national political ambitions, refuses to characterize it in those terms.

    “This is not political, this is not in any way, shape or form usurping or undermining, this is all in the spirit of all of us stepping into this moment and doing what we can,” he said in response to a question from CalMatters. “California is just uniquely resourced.”

    In another crisis or under a different president, that’s a role one might expect of the White House. After spending the first weeks after the novel coronavirus made landfall in the United States downplaying its severity, President Donald Trump has since taken a rather hands-off approach when it comes to providing necessary supplies, coordinating purchases of protective equipment or using national emergency powers to force manufacturers to produce more of it.  

    Federalism or Darwinism?

    “Try getting it yourselves,” the president advised state governors in a conference call in mid-March, a decentralized approach that former Maryland Gov. Martin O’Malley described as “a Darwinian approach to federalism.”

    With the federal government receding, governors’ offices have attained a new kind of prominence, said California political analyst Sherry Bebitch Jeffe.

    “We’re returning to the Articles of Confederation where the federal government is just there for war and printing money,” she said. “It’s the local and state governments — the governors — that are moving into the vacuum and creating the leadership and exercising the power in this crisis.”

    For at least a decade, political focus and news coverage has been increasingly nationalized, with governorships, once a predictable stepping stone to the White House, fading from public view, she said. No longer.

    On daytime television, “they are interrupting even the soap operas at noon to carry Newsom live,” she said. “I’ve never seen that!”

    In that respect, Newsom still can’t compete with the star power of New York Gov.  Andrew Cuomo. Chief executive of the state that has been hardest hit by the pandemic — and which is home to some of the country’s most prominent television and print news — Cuomo’s widely televised daily briefings have earned him a degree of national trust that seems to rival the president’s.

    According to a Monmouth University poll conducted in the first week of April, 23% of respondents named Cuomo as the public official they trust most to deal with the pandemic. 20% put their trust in Trump. Only 3% named Newsom.

    That may change now that Newsom is suggesting he could come to the rescue of some other states if California has spares from its equipment bounty. It’s yet another way that California’s governor has distinguished himself from his counterparts in other states. Newsom was the first to call for a statewide shelter-in-place order, issuing the edict days before Washington, New York and Louisiana and weeks before Arizona and Florida. In the weeks since, there are faint signs that California may escape the worst ravages of the virus — though it’s still too early to say whether Newsom and local leaders can take credit.

    “Showing the world what makes our state great”

    Another contrast in leadership styles: Amid a coronavirus outbreak aboard the Grand Princess cruise ship, Newsom coordinated with Oakland Mayor Libby Schaaf and the Trump administration to offload and quarantine the passengers in the Bay Area. He praised Schaaf and other local elected leaders for “showing the world what makes our state great — coming to the rescue of thousands of people trapped aboard this ship and helping tackle a national emergency.”

    In Florida, where cruise ships loaded with sick passengers await disembarkation, Gov. Rob DeSantis said the state would only accept the Floridians

    In announcing his new plan this afternoon, Newsom evoked his Jesuit education.

    “The Bible teaches us we are many parts, but one body,” he said. “Father Coz was my econ teacher at Santa Clara University and he began every single lecture by reminding us of our web of mutuality.”

    Not everyone has applauded Newsom’s generosity. With hundreds of California ventilators lent out to other states in need, Riverside County Supervisor Kevin Jeffries, a former Republican legislator, told The Los Angeles Times that he worried whether regional hospitals would “be able to get the assistance that we’re going to need in a week or two weeks out.”

    For now, plans to produce hundreds of millions of new masks and potentially provide them to other states remains a hypothetical.

    Newsom said that a number of governors had welcomed his plan to mass-purchase equipment and share California’s excess “because they understand we are helping increase supply, we are not taking away a limited number of supplies.” 

    Newsom’s office has not yet responded to the question of which other states he was referring to.

    Tara Lee, a spokesperson for Washington Democratic Gov. Jay Inslee, said in a statement that “Governor Newsom has expressed his hope that the California procurement system will soon be in a sufficiently strong position that they could share some of the opportunities with other states, and Gov. Inslee looks forward to discussing that.”

    New Jersey Democratic Gov. Phil Murphy already has welcomed California’s ventilators:

  • Newsom: Cities Blocking Hotels for Homeless Will Be ‘Judged’ by History

    ByMatt Levin, CalMatters

    042020HomelessnessAs California scrambles to protect more than 150,000 homeless residents from contracting and spreading novel coronavirus, Gov. Gavin Newsom had some harsh words Saturday for cities he accused of blocking the conversion of hotels and motels for emergency housing. 

    After touting the 10,974 vacant hotel rooms the state has acquired so far in a partnership with the federal government — roughly 4,200 of which are now occupied with homeless residents — Newsom charged some municipalities that have resisted the initiative with letting “not-in-my-backyard” politics interfere with a public health imperative. 

    (Image: A row of hotels and motels near Oakland airport on March 25. Gov. Gavin Newsom is encouraging cities to convert hotels into emergency housing to protect the homeless from COVID-19. Photo by Anne Wernikoff for CalMatters)

    “I just want to encourage those cities that are blocking efforts like this to consider themselves in the context of others…to consider their actions in the context and annals of history,” said Newsom, speaking outside a Motel 6 in Silicon Valley that will be repurposed for the homeless. “They’ll judge themselves, not just be judged by others, by the extent they help the least among us.” 

    While Newsom declined to name specific problematic cities and praised others he said were eager to participate, his remarks suggest that the state’s unprecedented effort to convert hotel rooms to homeless housing has run up against a barrier beyond even the massive logistical hurdles of acquiring and staffing the hotels: political and legal challenges from local elected officials reluctant to allow COVID-19 positive and symptomatic homeless to be housed in their communities. 

    Resistance to the hotel initiative has surfaced most publicly in Southern California. The cities of Laguna Woods and Laguna Hills in Orange County, and Lawndale and Bell Gardens in Los Angeles County, have mounted legal challenges to hotels that inked emergency deals with county governments. 

    State, county and local governments across California have long fought over where homeless housing should be located, with few neighborhoods volunteering to devote land and resources to a population many residents associate with crime, mental illness and declining property values. 

    As the state prioritizes hotel rooms for the homeless who have tested positive for the virus or are symptomatic, a potent cocktail of fear is developing in some neighborhoods, say homelessness advocates. 

    “What is at stake right now takes this outside the realm of a conversation about NIMBYism,” said Shayla Myers, attorney for the Legal Aid Foundation of Los Angeles. “I think Gavin Newsom made the moral argument.” 

    A spokesman for the League of California Cities, which represents municipal interests in the Capitol, declined to comment on Newsom’s remarks. 

    Myers says that while she applauds Newsom’s rhetoric, homelessness advocates wish the governor would exercise more of the emergency powers granted to him during the pandemic to commandeer hotels or override zoning rules and other state and local laws cities use to mount legal challenges. 

    “The governor of the state of California has extraordinary authority in this moment of time to take concrete steps to address this emergency,” Myers said. “He is not using that authority to protect unhoused residents of this state.” 

    Beyond the admonishments to reluctant cities, Newsom on Saturday announced a partnership with Motel 6 that could include 5,000 more rooms in 47 motels across the state. While the state has negotiated a lease template with Motel 6, counties will ultimately determine whether to utilize the rooms. 

    The agreement with Motel 6 includes language that Newsom said will allow local governments to convert the sites into permanent homeless housing once the pandemic subsides. 

    Speaking with Newsom, San Jose Mayor Sam Liccardo said he hopes new rounds of federal funding will allow cash-strapped cities to avoid sending people who are homeless back to the streets. The Federal Emergency Management Agency has agreed to pay 75% of the cost of the motels during the pandemic, but funding after the emergency order is lifted is uncertain. 

    “We don’t want these rooms simply open for a few weeks or a few months; let’s give counties and cities the dollars they need to purchase motels so we can really aggressively address the homelessness crisis that will be here well beyond the time this pandemic passes,” Liccardo said. 

    In another sign that the pandemic is still not close to passing, Newsom reported that an additional 87 people had died as a result of COVID-19 in the past 24 hours, taking the state’s total death toll from the pandemic past 1,000, and that hospitalizations for the disease had ticked up 1.3%. The number being treated in intensive care units was little changed.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Ninth Person Dies From COVID-19 in Sonoma County

    Adia White, NorCal Public Media
    Updated July 2, 2020
     
    090701 F 0822K 009Sonoma County's coronavirus death toll climbed to nine Wednesday night. The data was reported on the county's website socoemergency.org.  This has been the deadliest week in the county with four people dying from the virus since Sunday, June 28. 
     
    State data shows that 22 residents have tested positive for coronavirus at Broadway Villa Post Acute. According to the Press Democrat, two of the recent deaths were residents at Broadway Villa.  Other skilled nursing homes with coronavirus cases include Petaluma Post-Acute Rehab. According to state data, that facility has fewer than 11 cases though the data does not specify exactly how many.
     
    (Image: Capt. Mariana Lacuzong, critical care nurse, surgical intensive care/special care unit, 59th Surgical Inpatient Sq., administers patient medication through an IV in the Wilford Hall Medical Center ICU July 1. (U.S. Air Force Photo/SrA Josie Kemp)
     
    Counties across California have seen an increase in cases and fatalities, prompting the state Department of Public Health to order nineteen counties to shut down all indoor restaurants, wineries, movie theaters, zoos, and family entertainment centers. Indoor and outdoor bars were also ordered to shut down. Sonoma County is currently not on the state's watchlist, but Health Officer Dr. Sundari Mase said Wednesday that the county could soon meet those criteria and be ordered to close down some businesses. A case rate of over 100 cases per 100,000 residents could trigger mandatory restrictions and business closures from the state. Sonoma County currently has a case rate of 86.6 per 100,000 residents as of July 2, according to its website.
     
    On Wednesday Health Officer Dr. Sundari Mase also highlighted several other triggers that have sparked concern, including the number of available ICU beds. According to the county's website, there are 10 ICU beds available with 57 occupied.

    The County of Sonoma's website reported 49 new coronavirus cases Tuesday and 44 new cases on Wednesday.  There are now 1,229 total cases in the county. That number includes 620  people who have recovered from the virus.
     
    For more information on cases, hospitalizations and demographic data in Sonoma County visit socoemergency.org. 
     
    This article will be updated as more information becomes available. 
     
  • Not An Option: Governor Orders Statewide Mask Use Amid Scattered Pushback

     
     
    Coronavirus Mask orderWhen hundreds gathered outside the state Capitol earlier this spring, demanding that Gov. Gavin Newsom reopen the state’s economy, some made clear they also had another message for him: You can’t make us wear a mask. One protester held a sign comparing face masks to dog muzzles, and many chanted and mingled without any type of face covering. 
     
    But after weeks of mixed messaging and leaving the decision of implementing mask mandates up to counties, the state today said face coverings will be required after all. 
     
    “Science shows that face coverings and masks work,” Newsom said in a statement. “They are critical to keeping those who are around you safe, keeping businesses open and restarting our economy.” 
     
    Newsom, who has preached localism on many coronavirus-related matters, has often explained that a one-size-fits-all approach doesn’t work in a state with 40 million people. But as the state reopens and coronavirus cases and hospitalizations climb in some parts, a statewide mask order can perhaps make a difference in controlling further spread, some public health and county officials have said. 
     
    Californians must now wear a face covering when interacting with other members of the public, and while in any indoor public space, as well as when in line to enter such spaces. These include pharmacies, a doctor’s office and the vet’s office. People must also wear a face covering while riding on public transportation, including a bus or a ride-share service, like Lyft or Uber. 
     
    The state’s new rules don’t require face masks for children 2 and under and for people with a medical or developmental disability. People also don’t have to wear a mask during outdoor recreation, if they can keep six feet apart. 
      
    (Image: Sinah Yovonie, 27, of Sacramento wears a mask while grocery shopping, but doesn’t think face coverings should be mandated. Ana B. Ibarra for CalMatters.)
     
    Disobeying California’s mandate could result in a misdemeanor and a fine, among other penalties, according to the California Department of Public Health. However, counties with their own mask mandates have learned that enforcement is challenging, and some have leaned toward “education” instead of penalties. 
     
    Prior to the state’s rule, most Bay Area counties already had their own requirements. So did Los Angeles and San Diego. Some counties, including Riverside and San Bernardino, had temporary orders that were later lifted.  
     
    Meanwhile, many other counties stuck to a “strongly encourage” approach.  
     
    et even with the new statewide order, there is almost certain to be continued public resistance and polarization. Across the state and country, arguments over masks have prompted brawls, threats and other violent acts. In one extreme case, a security guard at a Michigan Dollar Store was shot and killed after a dispute with a customer who refused to wear one. But why? 
     
    Psychologists and public health experts point to a variety of reasons: Some people don’t like being told what to do, while some are skeptical about the science or confused by the mixed messaging. 
     
    For others,  masks have become political. 
     
    050120 covidprotest AW sized 07Recently, Orange County became a battleground for face mask policy. This month, Dr. Nichole Quick resigned as the county health officer after receiving threats by people who opposed her mask mandate. Residents in opposition argued that the mask order was infringing on their rights to choose, while others said they weren’t persuaded by the science. 
     
    Two days after Quick’s resignation, the county’s new acting health officer changed the county’s mask guidelines from “must” to “should.”  
     

    Orange County Supervisor Don Wagner said he never understood why the mandate was ordered in the first place, calling it “a real perplexing situation.” 

     “I asked why, I didn’t say no — I couldn’t — but I asked her to explain it to the people of Orange County and to the board of supervisors,” he said. “Instead of getting that explanation, she left her post.” 

    That said, Wagner said he does wear his face covering when out in public. He lives in Irvine and his city required it before the state did. He also said he believes there is a benefit to masks.

    “I do think there is something to the argument that it can, especially if you can’t physically distance, help slow the spread,” Wagner said. “I wear it when I’m in a store and if I am going to be passing people.” 

    (A protester covers his face with an American flag during a reopen California demonstration on May 1, 2020, in Sacramento. Photo by Anne Wernikoff for CalMatters.)

    The county’s clash of opinion was in full view this week when the Orange County Labor Confederation organized a press conference calling for a reinstatement of the mask order to protect essential workers. But the labor group was drowned out by anti-mask protestors, who showed up with a megaphone and signs that read “Show your smile” and “No masks.”

    “Take your mask off, it’s not Halloween,” one woman shouted. “You look crazy!” yelled another. 

    One Placer County official said he will not be wearing a face covering, despite Newsom’s order.

    “This has absolutely nothing to do with us reopening and it has 100% to do with the protests he allowed and encouraged,” Supervisor Kirk Uhler told CalMatters. He blames the jump in positive cases in his county on the Sacramento area protests following the police shooting death of George Floyd in Minneapolis.

    But not all Californians who venture out without face coverings are ardent opponents.

    In Sacramento, Wendy Valdez shopped at her local grocery store Wednesday, opting for no face covering. Her reasoning: it wasn’t required at the time. But if it were, she said, she’d wear it. “I just got my hair done and they required it, so I wore one,” she said.  

    Sinah Yovonie of Sacramento does wear a mask when grocery shopping. For him, it’s become a habit. But he doesn’t necessarily feel unsafe around those who aren’t wearing one, and he doesn’t like the idea of a mandate. “If you don’t want to spread it, you wear it, if you’re not bothered, you shouldn’t be forced.”

    Dr. Susan Philip, a deputy health officer with the San Francisco Department of Public Health, said there is solid evidence that shows face coverings can help protect wearers from spreading the virus to others. 

    Sneezing, coughing and exhaling produces respiratory droplets, and a covering acts as a barrier that keeps these droplets from traveling. 

    San Francisco first issued its mask mandate in mid-April requiring coverings when entering an essential business or using public transportation. Officials then modified the order in late May to require that people wear coverings any time they left their homes. 

    “The thinking behind that is that as more of us start going out, we’re going to be around each other more and the face covering is one way to minimize the likelihood of transmission,” Philip said. “By having this in place for all of society we’re protecting each other.”

    Because there are currently very few tools available to fight the spread of the virus, face coverings should be taken more seriously, some public health officials said even prior to the mandate.

    Dr. Robert Wachter, professor and chair of the Department of Medicine at the University of California, San Francisco, said one of the reasons why mask wearing may have become so controversial is because of the messy, early messaging. For weeks after cases were first identified in the U.S., the CDC and state public health officials warned against face masks for the general public.

    “In the very early days, people didn’t want to run out of masks, and that was not a ridiculous idea in March,” as shortages of protective equipment for health care workers became a top concern, he said. “But the messaging was too weak and inconsistent that some people took that to believe masks aren’t necessary.” 

    Matthew Normand, a psychology professor at the University of the Pacific, explained that wearing face coverings is like wearing safety gear in the workplace. 

    “You have to do some very intentional things to promote safety behavior, like wearing safety equipment,” he said. Workers will sometimes go without their gear because they’re uncomfortable but also because any consequence of not wearing it is often delayed or improbable, Normand said.

    So if people don’t see the immediate danger, they may be less motivated to take safety precautions, he said. 

    If people aren’t too concerned with safety, then they might be more influenced by social aspects — like whether people around them are wearing masks and what those people are saying about face coverings, Normand said. That’s in part why face coverings have become political, he said. 

    Newsom doesn’t make a public appearance without his mask (even if ill-fitting at times). In contrast, President Donald Trump is rarely ever seen wearing one and has ridiculed his Democratic opponent, Joe Biden, for wearing one. 

    “It also is really helpful when we see people who are in positions of authority modeling appropriate behavior, and I think we know we don’t see that much right now,” Normand said. 

    “There’s probably no more important podium than the president’s podium, and if he had a mask on and people were standing six feet away from him consistently, that could have a very strong influence at least on the people that support him.”

     
     
     
  • Not Enough Patients: Health Clinics Struggle to Stay Open

    By Erica Hellerstein, The Mercury News

    033120CoronavirusMercyCommunity health clinics that serve some of the region’s most vulnerable residents are struggling with how to keep their doors open while patient visits plummet during the coronavirus shelter-in-place mandate.

    Statewide, patient visits are down by roughly half across California’s network of community clinics and health centers, leading to tens of millions in lost revenue each week.

    Many local health clinics that primarily serve low-income residents and rely on Medicaid reimbursements to make up a large portion of their income. So the dramatic reductions in patient visits threaten their ability to stay open and care for the kinds of patients who are at a heightened risk of contracting the virus.

    Experts say the Bay Area, which has been in lockdown longer than anywhere else in the nation, has been particularly affected, with some already instituting furloughs or layoffs.

    “The Bay Area clinics are hard-hit,’ says Carmela Castellano-Garcia, president and chief executive officer of the California Primary Care Association.

    There are about 1,300 community clinics and health centers (CCHCs) across California serving more than 7 million patients annually — nearly one-sixth of the state’s population. Many provide care to residents particularly at-risk of contracting the virus or uniquely vulnerable to it. Community health centers serve roughly 1 in every 3 MediCal recipients, and in 2019 worked with 486,628 migrant workers and 246,268 homeless residents, according to CPCA.

    With patient visits down, Castellano-Garcia says California’s community clinics are collectively losing about $90 million a week. Up to 77 health centers statewide may not be able to make payroll within 90 days if the current trends persist.

    “It is not sustainable,” she says.

    In the South Bay, patient visits at Gardner Health Services, which works in Santa Clara and San Mateo Counties, have dropped nearly 60%, says Chief Operating Officer Efrain Coria, prompting financial losses of about $1 million a month. Gardner has reduced its workforce by about 22%, Coria says, and laid off 135 staff members, though he emphasizes he hopes to re-hire many of them in the coming months when and if things calm down.

    In the East Bay, La Clínica de La Raza, which serves about 90,000 patients annually in clinics throughout Contra Costa, Alameda and Solano Counties, has seen in-person visits drop about 30% since the start of the pandemic, says chief executive officer Jane Garcia, resulting in financial losses of about $3 million over the past month. About 300 employees have been furloughed.

    However, La Clinica’s health centers have seen some gains since the state eased some restrictions for telehealth services, allowing patients to connect with health providers electronically. Those visits are also billable to Medicaid.

    “If that option had not been authorized, it would have shut us down,” Garcia says. “And you would have seen [our patients] in emergency rooms and hospitals, or they wouldn’t have gone in at all.”

    Marc Gannon, chief operating officer of Fremont’s Tri-City Health Center, which serves about 26,000 patients in Fremont, Hayward, Union City, Newark, and San Leandro — 37 % of whom are on MediCal or uninsured and the majority of whom live below 200% of the federal poverty level — says the organization changed its business model “essentially overnight” from in-person visits to telehealth appointments.

    But the clinic is still suffering declines in revenue. In-patient visits have decreased by about 35% since the start of the pandemic and Gannon says they are considering reducing staffing to manage the financial hit.

    “This is financially a very difficult time, there is no way of sugarcoating this,” says Gannon. “We are analyzing sustainability on a day to day basis.”

    Amid the financial challenges, Tri-City health care workers are still trying to check in with patients by phone, providing resources from MediCal and other safety net services that they may be eligible for or with behavioral health services for people struggling with isolation and loneliness due to shelter-in-place orders. Last week, they reached 3,000 of the network’s 26,000 patients.

    The federal government recently granted the nation’s federally funded community health centers a reprieve, awarding $1.32 billion to health centers nationwide. But many say that’s not enough to cover their losses. The $1.3 million the South Bay’s Gardner Health Services expects to receive, which is supposed to cover a 12-month period, would last between five and six weeks, Coria says.

    Still, Bay Area community health centers want to make sure that people know their doors — virtually and physically — are still open to people who need care.

    “Community health centers are adaptive, resilient, and have been around for a very long time,” says Gannon. “We are going to survive this.”

    Erica Hellerstein is a journalist with the Mercury News. This article is part of The California Divide, a collaboration among newsrooms examining income inequity and economic survival in California.

  • Not If, But How: California Prepares for an All Vote-by-Mail Election in November

    ByBen Christopher, CalMatters

    VotingFlickrThis coming November, every one of California’s more than 20 million registered voters may receive a ballot in the mail — whether they ask for one or not. In fact, many election administrators and advocates say it’s inevitable.

    “It’s not a question of ‘if,’ said Kim Alexander, the president of the California Voter Foundation. “But ‘how.’”

    California is already ahead of the curve when it comes to voting from home. In the March primary election, 75% of voters got a ballot in their mailbox. But the exigencies of social distancing are putting pressure on state lawmakers to round that up to 100%, ensuring that every registered voter has the option to cast a ballot without having to physically crowd into a polling place.    

    bill from Palo Alto Democratic Assemblyman Marc Berman would ensure just that. But with most state legislators sheltering in place until at least early May, all eyes are on the governor who, with an executive order, could make the upcoming election an all-mail affair. 

    Earlier this month, Joe Holland, president of the California Association of Clerks and Election Officials and top election official in Santa Barbara County, sent Gov. Gavin Newsom a letter requesting that he ink a new edict, declaring the November contest an “all-mail ballot election.” 

    Even if mass gatherings are permitted in November — something Newsom says is unlikely — county election officials say time is of the essence. Ballots have to be ordered, voter rolls assembled, polling places secured. 

    “The consensus for November 2020 is that California is going to go all vote-by-mail — and we should. We don’t want to have a Wisconsin debacle,” Holland said, referring to the April 7 presidential primary where some voters reported waiting in line for five hours. Since then at least three dozen voters and polling workers in Wisconsin have tested positive for COVID-19.

    (Image: Sean Freese / Flickr)

    The governor’s press office has not responded to a request for comment about prospects for a California all vote-by-mail election. 

    Even an “all-mail” election in California isn’t quite what it sounds like — it wouldn’t really be without a brick-and-mortar option. For those who need some extra help exercising their right to vote, state law requires counties to set up a certain number of in-person polling places.

    Through Holland, the association also asked Newsom to grant them the authority to radically scale back that requirement. And therein lies the current rub.

    Some advocates warn that an insufficient number of drop-off sites and vote centers could leave many voters — particularly those from underrepresented demographic groups — either unable to vote or stuck in long lines at the few remaining in-person locations.

    “Waiving the state’s in-person voting standards will potentially disenfranchise tens, if not hundreds, of thousands of California voters,” union president Bob Schoonover, whose chapter of the Service Employees International Union represents tens of thousands of public sector workers across Southern California, wrote in a letter to Secretary of State Alex Padilla earlier this month.

    Like so many debates of the COVID-era, it’s a disagreement that pits constitutional rights once thought to be non-negotiable against the prescriptions of public health. 

    “We’re trying to find the right balance of response that gives voters as much choice as possible, but also keeps them safe, and frankly, which is also implementable in the short number of months that the counties have to gear up,” said California Common Cause interim director Kathay Feng.

    The coronavirus pandemic has injected new urgency into the national conversation about voting by mail, with some states now making it easier for voters to cast their ballots while self-isolating at home — and others not, and getting sued for it

    Despite evidence that making it easier to vote remotely does not benefit one party over another, the debate has taken on a partisan bent. 

    Weighing in earlier this month, President Trump urged Republicans to fight “very hard” against the expansion of vote-by-mail opportunities, claiming without evidence that such a system has “tremendous potential for voter fraud” and that “for whatever reason” such systems don’t “work out well for Republicans.” 

    The president’s views notwithstanding, recent polling has found strong majorities of Americans believe voters ought to be able to cast their ballots by mail without an excuse — though results are split on whether a majority of Republicans feel the same way. 

    But in California, there is little debate in policy-making circles about the merits of vote-by-mail elections.

    Throughout April, Secretary of State Padilla — the administrator in chief of the state election system and, like Gov. Newsom, a Democrat — convened roughly 80 election officials, experts and advocates. They met, remotely, of course, in daily conference calls to game out how California might hold a statewide election during a full-blown pandemic.

    Subgroups splintered off to hammer out every last logistical detail. Would registration deadlines be changed? How will each voter’s language preference be determined? Self-adhering envelopes that risk gumming up ballot-counting machines versus those sealed by pathogen-packed spit — how should counties decide?

    Jonathan Stein, a program manager for the Asian Law Caucus’ voting rights program, was part of that task force. He said there was unanimity on at least one issue.

    “There seemed to be almost universal agreement that we need to send every single voter a vote-by-mail ballot,” he said.

    The question is, what other options will be available too?

    Election rights advocates say in-person polling places offer a vital service to voters who don’t speak English, who experience some kind of disability, who don’t have a fixed address, who recently moved or who simply don’t feel comfortable with or do not understand the vote-by-mail process. 

    “There are a lot of communities that depend on polling places and polling centers,” said Mike Young, political director at the California League of Conservation Voters. In California, in-person voters skew poorer, younger and less white than the average voter

    An insufficient number of polling places could jeopardize public health even further, Young added. Like Holland, he pointed to Wisconsin as a cautionary tale. “People are anticipating that this is going to be an insanely high-turnout election.”

    California voting rights advocates seem to have at least the tacit support of the state’s top election official.

    “I think people who need or prefer an in-person option deserve it,” Padilla told KQED earlier this month. “And so we’re going to have to work really hard with counties to ensure we maintain as much in-person voting as we can.”

    But county registrars argue that such requirements may put voters and poll workers at unnecessary risk. 

    “Quite frankly if we had an election tomorrow I wouldn’t be within a hundred feet of a polling place,” said Holland in Santa Barbara.

    There are also practical questions about space and staffing, both of which are severely limited by the pandemic. Polling places are often hosted in schools, senior centers, and the garages of private homes —  most of which are likely off the table now. The typical poll worker is a retiree, a cohort particularly at risk of severe COVID-19 complications. 

    Santa Barbara County is preparing to reduce the number of in-person locations from the 86 that were open in March to around five. Holland’s office may use the registrar’s three offices and then try to secure a handful of additional sites and the necessary poll workers.

    “I don’t know if I can find three other facilities,” he said. “I have 15 staff and that’s when they’re here and healthy and right now three or four are out sick.”

    Assemblyman Berman’s bill said his bill does not yet address in-person polling site requirements, but that the “first move shouldn’t be to weaken existing in-person voting requirements.” He urged state and county officials to be “creative” in finding locations and staff. 

    In the meantime, he said, some additional guidance from the governor could be helpful.

    Newsom has already issued an executive order mandating that all voters in two upcoming special elections receive ballots in the mail. Though the order “encouraged” counties “to make in-person voting opportunities available,” they were given the freedom to do so “in a manner consistent with public health and safety.”

    The two elections, a Senate race in Riverside County and a congressional contest north of Los Angeles, is showcasing how counties may differ in how they administer elections during a pandemic. In the congressional race, split between Los Angeles and Ventura counties, there will be at least a dozen locations where voters can drop off ballots in-person. 

    In Riverside County, home to the special Senate district, there will be only two physical drop-off points and no polling places or vote centers where voters can have their questions answered or their errors corrected. 

    “That’s a perfect illustration of what will happen if we give election officials full discretion,” said Stein.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Over a Million California Students Still Lack Access to Remote Learning

    ByElizabeth Aguilera, CalMatters

    classroom 2093743 1280More than a month since officials closed schools due to the COVID-19 pandemic, California officials said a two-week blitz led by First Partner Jennifer Siebel Newsom has brought in 70,000 computers and other devices that will be distributed to needy students this week.

    Gov. Gavin Newsom has stressed the importance of distance learning and education multiple times during the past month — even talking about helping his own children with school work. Monday he focused attention on his administration’s efforts to secure donations from tech giants such as Google and Apple, garnering tens of thousands of computers and internet connections to children in need.

    “For class to be in session, it is imperative that California addresses the inequities in access to computers, technology tools and connectivity to ensure that online learning can in fact reach all of California’s children,” Newsom said. 

    In addition, in Sacramento, the city is converting seven transit buses into super hotspots. Google is to begin establishing the first of 100,000 previously pledged hotspots during the first week of May. Already, Apple has distributed 10,000 IPads to 800 school districts and Google has given out 4,000 laptops.

    Yet, even with all of  the new devices going out in the coming weeks, it’s unclear if all of these efforts will really make a dent in the gap — highlighted by the pandemic — between those who have digital access and those who do not. 

    Siebel Newsom said one in five California children does not have connectivity or a device to access remote learning. Based on 2018-19 enrollment data, that means roughly 1.2 million children in California lack access. 

    “We all know that education is fundamental to opportunity and our mission will not end until every child has what they need to continue learning,” she said.

    Previously, State Superintendent of Public Instruction Tony Thurmond said that the state is trying to get 150,000 devices in the hands of students who don’t have one.

    This is especially critical for low-income students and students of color, Siebel Newsom said, referring to a recent study that showed 50% of low-income parents and 42% of parents of color “are worried about distance learning because they don’t have a personal device at home.”

    Newsom also indicated the state will spend $30 million to connect more households that need it.  Most of those funds, $25 million, will come from the California Teleconnect Fund and will be prioritized for rural, small and medium-sized districts.  

    The state Public Utilities Commission will also prioritize $5 million of the $30 million for computers for low-income communities.

    The state Transportation Agency is teaming up with the city of Sacramento to convert the seven city buses into rolling super hotspots and get them going by May 1. These buses will provide connectivity within at least a 500-foot radius. Locations for the buses haven’t been announced. This is a pilot program that may be rolled out in other cities if it proves successful, according to Newsom’s office.

    Since California began to track cases of coronavirus in the state, there have been 1,208 deaths, including 42 over the past weekend. Newsom said he will reveal a more detailed plan for opening up the state on Wednesday. 

    “We are not seeing the downward trend we need to see to provide more clarity on the roadmap to recovery,” he said.

    CalMatters.org is a nonprofit, nonpartisan media venture explaining California policies and politics.

  • Pandemic Food Stamps Offer Up to $365 Per Child

    By Jacqueline García, La Opinión

    PandemicFoodStampsFamilies with children who qualify for free or reduced-price meals at their schools — regardless of immigration status — may notice something in the mail to help them buy groceries. 

    California is issuing one-time food stamps with credits of up to $365 per child to help qualifying families get through the coronavirus outbreak. The Pandemic-Electronic Benefit Transfer card, or P-EBT, from the Department of Social Services is an emergency disaster benefit that can be used to buy food and groceries, including online at Walmart and Amazon.

    The first cards arrived last week for families receiving CalFresh, Medi-Cal or foster care benefits as a supplement to their EBT card. The second phase, which starts Friday, requires low-income families to apply at https://ca.p-ebt.org/.

    (Image: California is sending pandemic food cards to qualifying students. In this file photo, Antionette Martinez and her son Caden, 5, who receive CalFresh, do their weekly grocery shop at FoodMaxx on July 26, 2019. Photo by Anne Wernikoff for CalMatters)

    The deadline to apply is June 30.

    The timing of this extra boost comes as many families struggle to provide nutritious meals for their children while schools are closed in response to the novel coronavirus.

    Betzabe Castillo, who has a 9-year-old son at a public school in Stockton, California, was among the first to receive the P-EBT cards. She welcomes the help since her husband is the only one bringing in an income. Their rent is nearly $2,000 a month.

    “It is very difficult because rent does not wait, the bills do not either,” Castillo said. “We are surviving day to day.”

    Berenice Burgos, who has two children, ages 9 and 4, also received a P-EBT card last week. She wasn’t aware of the extra help but was grateful when it arrived in the mail.

    “Right now I am not working and my husband, who is a mechanic, got his hours cut,” said Burgos, who lives in Concord, in Northern California. “It is very good help, especially for my children – to buy their milk, cereal and fruit because they want to eat all day.”

    Much needed help while schools are closed

    Jason Montiel, a spokesman for the social services department, said the state is offering additional assistance to children who are eligible for free or reduced price meals while school is closed.

    The cards are distributed in two phases. The first batch of about 2 million went to families who enrolled in CalFresh, Medi-Cal, or foster care.

    “For this phase, the beneficiaries do not have to do anything and the card will be mailed to them,” Montiel said.

    The second phase requires residents to apply. The state projects an additional 1.8 million more children are eligible. 

    State officials say the card is available to eligible families regardless of a student’s immigration status or their parents’ status. It also doesn’t impact whether children are picking up grab-and-go meals from schools.

    The food card isn’t considered a public charge by the Department of Homeland Security. However, the U.S. Citizenship and Immigration Services may consider several factors under its public charge test. Those who have questions should seek legal advice.

    State officials also want recipients to be on alert for scams. Since the P-EBT cards began arriving in the mail, some recipients have received calls from people posing as social service representatives seeking personal information.

    “The Department of Social Services will not contact clients or ask for personal information,” said Montiel. “We will not request a Social Security Number or any document that is shared with us.”

    How do I learn more?

    For more information about the P-EBT card visit:

    https://ca.p-ebt.org/en/info 

    Those interested should apply between May 22 and June 30: 

    https://ca.p-ebt.org/

    If you have questions regarding public charge, visit: https://covid19.ca.gov/img/wp/listos_covid_19_immigrant_guidance_en_daf.pdf

    Jacqueline García is a reporter with La Opinión. This article is part of  The California Divide, a collaboration among newsrooms examining income inequity and economic survival in California.

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