San Diego Awaiting Guidance On Re-Opening

Fire crews from Nevada and Arizona are joining the battle against the nearly two dozen major wildfires burning,... mostly in northern California. Cal Fire says its resources are stretched thin, and this fire season, fewer prison inmate crews are available because of the Coronavirus...which has swept through prisons and prompted early releases. At a news conference [Wednesday], California Governor Gavin Newsom insisted steps have been taken to maximize the state’s ability to fight fires. We've been putting billions, quite literally billions, of dollars over the course of the last number of years into procuring more equipment, establishing even stronger relationships with FEMA and our partners up and down the state of California in the exceptional mutual aid system that I'll put up against any state anywhere in the world." Newsom says California is an incredibly resilient state and that we will get through this moment in time... as we have others. Seven elementary schools are cleared to reopen under the state's waiver process. The names were submitted to the state and, after three days on the county’s website, the county heard no objections back from the state. That’s good news. San Diego County Public Health Officer Dr. Wilma Wooten says more schools could be approved this week. "So as we submit, if three days transpire and we don’t hear back from the state, then we will post those names.” San Diego county just recently got off the state’s watch list. And if we continue to report low case rates...schools serving higher grade levels could be allowed to reopen September first. In addition to re-opening schools, Governor Gavin Newsom has promised the state will give businesses some guidance on how they can reopen…but not until next week. "We'll be making public next week the details of our strategies as it relates to reopening when we see the data stabilize based on new criteria. And we will assert a framework of clarity." But, at a county press conference, County Supervisor Nathan Fletcher urged patience. "That does not mean next week everything will reopen but we are working with the state to get the guidance" San Diego county could be placed back on the state watchlist if it exceeded any one of six metrics for three consecutive days. Those include changes in the case rate and an increase in the number of hospitalized patients. As this heat wave burns on...The city of San Diego opened five new cool zones Wednesday. The new locations mean the county now has a total of nine cool zones in operation. Taevee Davis is with the City Heights Recreation Center and Mid-City Gym. "What we offer here besides the big cool zone is a clean, safe area for the public to come if they don't have a cool zone to go to. We are offering water and of course going by county guidelines to protect everyone as far as protocols." If you want to go to a cool zone--expect to have your temperature taken at the door and you must wear a mask. The cool zones are open daily from noon - 5pm. We have a full list of cool zones on our website at KPBS dot org. Day three of the Democractic National Convention concluded last night with speeches by former President Barack Obama and an address by the Vice Presidential nominee, former California Attorney General Kamala Harris…. And we’re on for day four tonight with Joe Biden accepting his party’s nomination.. Be sure to tune in to KPBS Radio starting at 6pm … or catch it this evening on KPBS Television. If you miss it, you can always go online at KPBS dot org to get the latest recap. I’m Anica Colbert. It’s Thursday, August 20th. You’re listening to San Diego News Matters from KPBS News. Stay with me for more of the local news you need to start your day. San Diego County's cash-strapped child care providers who've seen their costs go up and revenue go down... because of the pandemic can now apply for a little relief. The county is offering small grants using federal CARES Act funding. KPBS’ Claire Trageser reports. The county is planning to spend $25 million to help existing home daycares and larger childcare centers with costs related to COVID-19. Many have cut their class sizes and taken on extra cleaning and staffing costs, and so they've taken a financial hit. Some say they are in danger of going out of business. In-home daycares can apply for grants of around $3,000, while larger childcare centers can get between $100 and $175 per child. Pamela Gray Payton is the vice president of the San Diego Foundation, which is distributing the grants. "We're really hoping this will allow childcare centers to create more space for children because families are returning to work." Providers can begin applying for the grants on Monday at www.SDFoundation.org/ChildcareGrants. They will accept applications for 10 days and then will begin awarding the money within a few weeks. Claire Trageser, KPBS News That was KPBS investigative Reporter Claire Traegeser. Businesses across San Diego County are adjusting to outdoor operations. But this week, there's a new challenge… record-breaking heat and humidity. London Nails Spa in Point Loma has only been open outside for a few days now….Owner Cindy Phan says the heat makes doing nails tough. "The chemicals, when we use like nail polish, it drys really fast, so it's hard to work with." After being closed for three months and unsure if business would survive, Phan says, for now, she can deal with the miserable weather. This week Governor Gavin Newsom signed a bill requiring all students in the State University system to take an ethnic studies course in order to graduate. California State Assemblywoman Shirley Weber told KPBS Midday Edition...that the new requirement will help students understand and engage in a conversation about issues regarding race and ethnicity in America. "We have to really continue to grapple with this issue, and education - a broad education that really engages students in that conversation - is paramount." When asked if the Legislature should be shaping school curriculum...Weber said lawmakers have a responsibility to, quote, respond to educational needs. The ethnic studies course becomes mandatory for students who graduate, starting in the 2024-25 academic year. Indoor dining is still banned across the state of California, leading many restaurants to take their business outside. In City Heights, some Vietnamese restaurants are not only moving outdoors, but changing menus to match their new setting. KPBS reporter Max Rivlin-Nadler has our story. On El Cajon Boulevard, the restaurant Nhu Y [Notes:New-E] has completely altered its menu to offer Vietnamese-style street food, more typically found at a night market. Beef, chicken, and seafood sizzle on skewers on a large grill outside the restaurant until late. The El Cajon Boulevard Improvement Association has been helping local restaurants transition outdoors. Julie Tran is a board member with the El Cajon BIA. Tran: It feels right at home. I was just thinking sitting out there, that I just saved two grand sitting out there, from having to travel to Vietnam to experience this. I can just drive to City Heights, get that feel of being in Asia, being outside, nice weather, good food. Have family around. Tran hopes that business owners in City Heights don't give up on outdoor dining when they're finally allowed to operate indoors again. Max Rivlin-Nadler, KPBS News. That was KPBS reporter Max Rivlin-Nadler. The non-profit Veterans Village has a new president and CEO, after Kim Mitchell left in November. The organization runs programs for drug treatment and homeless veterans. CEO Akilah Templeton sat down with KPBS Military Reporter Steve Walsh. That was Akilah Templeton, the new head of Veterans Village speaking with KPBS Military Reporter Steve Walsh. Stay with us… Part three of the “Older and Overlooked series comes to us from our partners at KQED. The series is an investigation into the challenges faced by long-term care homes … during both a pandemic and a now raging wildfire season. That’s up next after this break. Fast-moving wildfires are burning right now in Northern California, forcing thousands to flee their homes. KQED has been investigating the risk wildfire poses to medically frail californians who live in skilled nursing facilities They have found that a quarter of nursing homes are in parts of the state at heightened risk for wildfire. The most medically frail older Californians live in those skilled nursing facilities - and the coronavirus has upended lives. Many of those homes were ill prepared for the risk posed by the coronavirus and are not ready for yet another looming disaster at the same time. KQED science reporter Molly Peterson continues our series, Older and Overlooked, by examining the regulations that are supposed to protect these patients. Speaker 2: 00:34 Last October, a brush fire was fast coming toward the nursing home, where Bob Hannah's wife Speaker 3: 00:39 And the smoke and the wind was blowing really bad. Speaker 2: 00:43 Crystal Ridge care center is a top of Hill in rural grass Valley staffers. We're bringing patients to the parking lot. And Bob started to wonder how they were going to get everyone out. Speaker 3: 00:52 Cause they had one van that was, you know, they might've gotten a few people in, but not enough to take care of everybody that was out in the parking lot Speaker 2: 01:00 In a wildfire. The first plan at crystal Ridge is to shelter in place. If that isn't safe, staff would shuttle residents to a sister facility nearby. They asked visitors like Bob to leave. And as he did, he thought of his wife, Laura Lee. Speaker 3: 01:14 I wanted to make sure that she was out. You know, no problem. Speaker 2: 01:17 Bob is 80. Still play softball. Laura Lee can't walk independently. She's got ms. Before the pandemic, Bob would pick her up for day trip. Speaker 3: 01:26 Well, I have a van that has a ramp on it. Speaker 2: 01:28 So he turned back to pitching as more brush caught, flame crews put that fire out quickly. Federal regulations now demand that skilled nursing facilities prepare and practice for hazards. Exactly like this one wildfires hurricanes and yes, pandemics part of why is climate change? Water flooded into st. Rita's nursing home, outside new Orleans drowning 35 residents on after hurricane Katrina in 2005, federal watchdogs recommended better emergency preparedness rules like identifying hazards and nursing home might face training knowing who to call for help and telling families about the plan. Speaker 3: 02:06 Katrina was a wake up call for all of us. Speaker 2: 02:08 Industry trade groups fought to weaken and delay those regulations. It was 12 years before they took effect. Meanwhile, natural disasters became more common over and over. Gulf coast storms have left wheelchairs piled up caked with mud after flooding. After the campfire in 2018 Bay area, paramedic Jimmy Pierson remembers a similar scene outside of paradise care, home Speaker 3: 02:31 Seven or eight, just empty wheelchairs on the driveway. So you do what happened. There was, it was crap. Crap, crap, Speaker 2: 02:39 California has over 1200 skilled nursing facilities. Only Texas is even close. The state department of public health oversees these nursing homes and inspects them using federal and state standards. KQBD investigated how ready they are for disasters. We found that over a two year period, 78% of these homes got caught violating regulations for emergency preparedness, big deal. You submit a plan of correction and that's just about it. Pat McGuinness directs the watchdog group, California advocates for nursing home reform. That's a problem because it's very seldom corrected. It repeats and repeats and repeats. And we see it every year and we see it with the same facilities. KQBD also looked at the severity of the violations. Just 6% of the time, evaluators considered deficiencies bad enough to require a followup visit in person. Again, it says, if you're missing an emergency plan, that's not even labeled in actual harm. Speaker 2: 03:32 We really need to have an oversight agency that gets out there tries to find problems in advance of the tragedies. You know, how serious is this? How many residents could potentially be affected by this and how severe is this violation? And of course we don't do that. Last fall. Federal auditors criticized California for its oversight of emergency preparedness at nursing homes. They said the state should offer more training and inspectors should visit facilities more often. The California department of public health rejected those recommendations saying it doesn't have enough staff or resources. CDPH denied our request for a taped interview and did not respond to written quiz. Speaker 4: 04:13 You picked a good day to come out. Good morning. How are you, sir? Okay. Speaker 2: 04:20 In February I met Ray Baldwin when at the sequoias in Portola Valley, it's part of a small group of care homes. Bowen is the director of facilities and former fireman Botto and says, it's rare to get through inspections with zero problems, but being without a comprehensive emergency plan. Speaker 4: 04:37 Yeah, I think that that's pretty serious. If you don't have any emergency plan, I don't really understand how you could even get licensed. Speaker 2: 04:44 Being prepared is a huge capital investment. He says, especially now Bowen's plan is so big. It has cheat sheets and color. Speaker 4: 04:53 For example, you know, we have code silver for active shooter, code yellow for bomb, threat code pink missing resident, which is always an issue. They're going to have code beige, which is for mountain lion. Speaker 2: 05:04 Pandemic is in there too. He says the three facilities he oversees have been in an emergency for months. They use the same management style police and firefighters do one commander with clear responsibilities for everyone below, Speaker 4: 05:17 You can see the body language from the staff they're worn out. I mean, this has been an active situation since late February. It's, it's kind of like a war. You know, it doesn't go away. Speaker 2: 05:28 None of his facilities have yet found COVID-19 among patients. I am still knocking on wood, but if fires come Boto and says, the pandemic will complicate evacuations, smaller groups and force them to be more spread out, it'd be more of a campground style. But Owen says he might have to move residents as much as a hundred miles away from home. Speaker 4: 05:48 I have to worry about air quality. The residents may have a compromised immune system. They may have respiratory issues, cardiac issues. So we've got to get them in safe. So the Speaker 2: 05:58 Trade group representing most nursing homes in the state, the California association of health care facilities offers training and templates for emergency plans. But the state has suspended routine inspections during the pandemic and critics say state and federal policies do little to encourage preparedness. You need to be able to hit them where it hurts. Pat McGuinness argues the state should levy more fines and even block nursing homes from admitting patients. That's not going to be in their hearts. That's going to be in their wallets violations. Almost never cost a facility money. The California department of public health, rarely issues, fines when they do facilities can appeal. I think the regulatory structure in nursing homes desperately needs to be changed. That's Mike Wasserman, a gerontologist who used to run a company overseeing 70 nursing homes. Now he leads a reform minded group, California association for longterm care medicine Wassermann says issuing fines. Speaker 2: 06:54 Doesn't touch the actual problem. Nursing home real estate owners are today's today. He argues that owners limit their financial liability with webs of corporations, different companies for property, for operations, for management, that makes fines just a small cost of doing business. You can just ask yourself where that's gonna end up from a quality perspective where that's going to end up. If there's a fire where that's going to end up and we're seeing the results he says, the state should demand more transparency about corporate ownership. Without it, the people who suffer are the patients and their families. COVID-19 outbreaks are overwhelmingly common in California nursing homes, where they're at risk for fire. More than half of skilled nursing facilities have reported cases of the virus to they include Randy Odette's 96 year old mother who is recovering from COVID-19. Speaker 5: 07:46 He's just like 80 pounds. And I'm just sleeping. Speaker 2: 07:51 Sure. The facility where Betty Odette lives, a story in nursing and rehab center has reported over 140 cases of the Corona virus. 25 people have died. Speaker 5: 08:00 Infection control, infection control. These are all separate companies. Speaker 2: 08:04 Randy reads a list of active and proven complaints. Since the pandemic began this year, Speaker 5: 08:09 Ability, staffing, pressure, sores, extra controlled practices, not followed that last man. Speaker 2: 08:15 Randy took care of her mom for a decade before finding a story on the edge of the San Fernando Valley. Now she lives in an RV parked on a wide street near the same steep hillsides that threatened the facility. She was born and raised here. She knows fire comes without warning, Speaker 5: 08:31 The dry Britney dry up there, but that's kind of cool. Speaker 2: 08:36 Randy asked the administrator about a story as emergency plan. He's supposed to let her see it. He pointed her to a sign on the wall, like what you'd see at a motel six, showing where the emergency exits are. Speaker 5: 08:46 The state has got to be responsible for these homes. Speaker 2: 08:49 Now she's scared and a little angry. Speaker 5: 08:51 I mean, they can't help themselves. The patients. And it's really up to the staff. Speaker 2: 08:57 Odette believes the staff at a story. I didn't pay attention to COVID-19 until it was too late. She fears the same will be true. When a wildfire comes, nursing homes are obligated to protect their residents from disasters, no matter how frequent they are or how often they overlap right now, we can't really be sure they're all doing that for KQBD news. I'm Molly Peterson in Los Angeles. 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