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Twenty-Ninth
Community Health Advisory Coronavirus (COVID-19)
weekly message from the director...
National Hispanic Heritage "Month" Started this Week

This week was the kick off of national Hispanic Heritage month, which started as a week of recognition in 1968 under President Lyndon Johnson, and expanded to a month by President Ronald Reagan in 1988. Here are a few facts about Hispanics and VMRC:

1.   While the adults served at VMRC by far identify as "White" representing 46% of our adult population, the children we serve by far identify as "Hispanic" representing 45% of our children.

2.   Nationally, Hispanics make up almost 17% of the US population but they represent 16% of our Direct Support Professionals workforce (https://ici.umn.edu/program-areas/community-living-and-employment/direct-support-workforce).

3.   While 13% of the bachelors level college graduates (minimum requirement for service coordinators) are Hispanic (National Center for Education Statistics 2016), Hispanics make up 28% of our workforce at VMRC.

4.   And finally, though in general Hispanics make up 38.9% of the California population, their COVID-19 death rate is over-represented at 48.5% of the deaths (CDPH Data). However, in the regional center system Hispanics represent 40% of the total consumers served but 28% of the COVID-19 related deaths. (September 17, 2020 DDS Data).

 
The End of 2020 National Direct Support Professionals Recognition Week

Thank you to all the DSPs around the country for the great work they do every day supporting people with intellectual and developmental disabilities and their families, and to the national organizations who took the time to properly recognize this important workforce. Sessions this week centered on the impact and value of proper training, direct support as a true profession, the added stressors on DSPs related to COVID-19, and an amazing talk by Dave Hingsburger that brought many of us to tears.

Special thanks to our local DSPs for supporting the consumers served by Valley Mountain Regional Center, because the regional centers are nothing without a quality provider network with quality DSPs. This Saturday is officially the last day of the recognition week and I really encourage anyone who hasn't participated yet in the virtual recognition week to sign up for the remaining session, and view the archives, they have been excellent. Today's session is, "Words of Encouragement- Reflections from a Pandemic and Moving Forward to Professionalism and 2020 Gratitude Award Presentation" featuring Joseph Macbeth, NADSP President and CEO.

And finally, I wanted to take a moment to share this message with our community.

Tony Anderson
Executive Director
Valley Mountain Regional Center
Case Management Update


Day Services Survey Results

VMRC Service Coordinators have been compiling information from consumers and families about their needs and preferences as they relate to day program services. While our vendors are busy putting together Alternative Service options and reviewing delivery of traditional services, we surveyed consumers by asking some pertinent questions that may assist all in making those important decisions. The Google Survey provided the data collected in percentages for each question. The results were broken down by either 1) consumers residing independently/with family/in a Family Home Agency (FHA) or 2) those consumers residing in care homes. The following questions were asked and the percentages are noted by the residence type:

Are you or anyone in your household part of the vulnerable population? 
o  Yes—1) 54%    2) 76%   
o  No—1) 42%  2)19%   
o  Total Unsure—5%

When safe to do so, do you want to attend an on-site day program when county, state allows?
o  Yes—1) 74%     2) 73%   
o   No—1) 12%  2) 12%  
o  Total unsure—19%

Which of the following day program services do you prefer?
o  Remote—1) 59.5%   2)54% 
o   In-Home—1) 32%  2) 34%;  
o  Community Setting—1) 46%  2)37%
o  None—13%

For remote services, do you have internet access and a Wi-Fi enabled device?
o  Yes—1) 77%  2)64%   
o  Internet, but no Wi-Fi—1) 7%  2)22%
o  Wi-Fi device, but no internet—1) 3%  2) 1.4%
o  No internet or Wi-Fi—1) 12%  2) 13%

If allowed, would you want a combination day program?
o  Yes—1) 36%  2)30%  
o  No, prefers remote or in-home—1) 24%  2)28%
o  No, prefers on-site—1) 40%  2)42%

Are you aware of and able to follow safety protocols?
o  Yes, with physical assistance and reminders—1) 22%  2) 28%
o  Yes, with physical assistance—1) 2%  2)2%
o  Yes, with reminders—1) 64%  2) 42%
o  No, consumer is not aware of and will not be able to follow protocols—1) 11% 2) 28%

We will provide the chart results on our website: www.vmrc.net
Thank you to Tatiana Supnet, Adult Service Coordinator for her creative idea to use this survey method and the follow through that she provided!


Emergency Preparation During Hazardous Times

The COVID-19 pandemic has made preparing for and responding to disasters and emergencies more complicated, but also even more important, we are dealing with the additional health threats of extreme heat and poor air quality from wildfires in our area.
All individuals, especially those who are at increased risk for severe illness from COVID-19, should prepare for the effects these and other hazards can have on personal and public health. Here are some suggestions from the State of California Department of Public Health:

·        Create a family-sized emergency supply kit and smaller “go kits” for your family. Include personal needs, disinfectant wipes and spray, bar or liquid soap, hand sanitizer with at least 60 percent alcohol, and at least two masks per person age 2 or older in your household. Home delivery is the safest choice for buying supplies; however, that may not be an option for everyone. If in-person shopping is your only choice, take steps to protect yourself and others when running essential errands.

·        Stay informed of how the COVID-19 pandemic has affected emergency preparedness and response planning where you live. Pay attention to local guidance for evacuations and shelters. Your shelter location may be different this year because of the pandemic. 

·        Find ways to support your community while taking steps to protect yourself and others in your home and community from COVID-19. For example, offer to help gather disaster supplies (e.g., shop for personal needs and pick up prescriptions) for those who are older, have mobility issues, use public transportation, or are at increased risk for severe illness. 

·        Check your Air Quality Index before making plans at https://mobile.arb.ca.gov/breathewell/

0-50—Good—Enjoy your usual outdoor activities

51-100—Moderate—Extremely sensitive children and adults should refrain from strenuous outdoor activity

101-150—Unhealthy for sensitive groups—Sensitive children and adults should limit prolonged outdoor activity

151-200—Unhealthy—Sensitive groups should avoid outdoor activities and others should limit prolonged outdoor activity

201-300—Very Unhealthy—Sensitive groups should stay indoors and others should avoid outdoor activity

301-500—Hazardous—Everyone should avoid all outdoor exertions


National Federal Eviction Moratorium

A federal eviction moratorium was issued by the Centers for Disease Control (CDC) and is in effect from September 4, 2020 through December 31, 2020. This temporary moratorium on evictions extends vital protections to tens of millions of renters at risk of eviction for non-payment of rent during the global pandemic.

To be eligible, renters must meet the following qualifications:

• You have used your “best efforts” to obtain government rental assistance;

• You do not expect to earn more than $99,000 in 2020 (or $198,000 if you are married and filed a joint tax return), or you did not need to report income to the federal government in 2019, or you received an Economic Impact Payment this year;

• You have been experiencing a “substantial” loss of household income because of a layoff or reduced work hours, or you have “extraordinary” out-of-pocket medical expenses (defined as an unreimbursed medical expense that exceeds 7.5% of your adjusted gross income for the year);

• You have been making your best effort to make partial rent payments as close to the full amount due as possible; and

• Being evicted would cause you to become homeless or you would have to move in with a friend or family member (live “doubled up”).

To be protected, qualified renters facing eviction should immediately provide a signed declaration to their landlords. For more details about the moratorium and a sample declaration that renters can use, please access this website: https://nlihc.org/sites/default/files/National-Eviction-Moratorium_FAQ-for-Renters.pdf


Census Deadline is Upon Us

The 2020 Census deadline is quickly approaching, and it is important that people with disabilities and their families are ready to be counted! The government counts everyone in the country every 10 years by asking questions about every home in The United States.

It's quick and easy. The 2020 Census questionnaire will take about 10 minutes to complete. It's safe, secure, and confidential. Your information and privacy will be protected and your response helps to direct billions of dollars in federal, state, and local funds to communities for schools, roads, and other public services. These decisions affect people with disabilities by funding services and programs. The results will also be used to determine the number of seats each state has in Congress and your political representation at all levels of government. 

The census asks a few simple questions about you and everyone living with you on April 1, 2020. Here is a sample of questions you will be asked:

·        What is your phone number?

·        Do you own or rent your home?

·        How many people live in your home?

·        What is your name?

·        What is your sex? The census gives two options. You can choose “male” or “female.”

·        What is your age?

·        Are you Hispanic, Latino, or of Spanish Origin? This question has to do with where your family comes from. The form uses the term Hispanic, Latino, or of Spanish origin, so if your family comes from a Spanish speaking country, your answer to this question is probably yes.

·        What is your race? For this question, you check boxes. The census lists different races. Some examples are “white,” “black,” or “American Indian.” You can check more than one box. After you check boxes, the census asks for more details, like what area, country, or tribe your family is from.

·        The census will also ask these same questions about the people who live with you.
 
The Covid-19 pandemic has made the census-gathering process more challenging than ever before. If you have already completed the 2020 Census, that is great. If not, you can use the materials mailed to you or left at your door, complete them and mail them in. You can also phone in your results by following the directions on the website listed below or access the questionnaire and complete online. If you do not have those hard copies, it is likely that a census-taker (wearing a mask, of course) may stop by your home. Those staff will be knocking on doors until September 30th. Tabulation of those results will begin soon thereafter. There is a statutory deadline of delivering the results to the President and Congress by December 31, 2020. An extension is being considered due to the pandemic, however it is best to get those answers in as soon as is possible. Our future funding and representation is at stake. For more information or to complete online, please access: https://my2020census.gov/


Cindy Mix
Director of Consumer Services
Clinical Update

It has been 6 months since the Governor first gave the stay at home order for the State of California due to the COVID-19 pandemic. To date, there have been over 30 million cases globally with 944,358 deaths. In California, cases are still increasing reaching over 766,000 cases and 14, 721 deaths as of yesterday’s writing. We all need to continue doing our part of wearing masks, hand washing for 20 seconds and physical distancing of more than 6 feet away.

Each day, there is a new information that we learn about the novel coronavirus, including its disease course, long term sequelae, possible medications, vaccination, and a lot of other things related to it. Below are some of the most recent information from reliable and reputable scientific sources.

·        CDC reported that out of the deaths in individuals less than 21 years of age, 91% occurred in those with at least one underlying medical condition, while 54% occurred in those with more than or equal to 2 medical conditions.[1] The medical conditions commonly reported were chronic lung disease, including asthma, obesity, neurologic and developmental conditions, and cardiovascular conditions.1

·        Restaurant dining has been linked to positive cases of COVID-19. Adults with positive COVID-19 test were twice as likely to report dining at a restaurant in the past 2 weeks prior to being sick, as compared to individuals with negative COVID-19 test results.[2]

·        AstraZeneca has resumed the clinical trial for the Oxford vaccine candidate, AZD1222, in the UK after the Medicines Health Regulatory Authority deemed it was safe to do so.[3] The trials in other countries remains paused.

·        A meta-analysis of 75 different studies has shown that individuals with obesity are 46% more likely to test positive to COVID-19, 113% more likely to be hospitalized with 75% requiring ICU admissions, and 48% more likely to die.[4]

·        A promising result of the phase 2 BLAZE-1 trial by Eli Lilly showed that patients with mild to moderate COVID-19 treated with LY-CoV555, a potent neutralizing monoclonal antibody that is directed against the spike protein of SARS-CoV-2, had reduced hospitalization rate and emergency room visits. [5] BLAZE-1 is a randomized, double-blinded, placebo-controlled clinical trial looking for treatment of symptomatic COVID-19 in the outpatient setting.

·        A retrospective cohort study found that factors that predict return to emergency room visits of COVID-19 patients after emergency room discharge are age older than 60 years, hypoxia or low oxygen levels, fever, and abnormal chest x-ray.[6]

·        A meta-analysis showed that administration of systemic corticosteroids to critically ill COVID-19 patients was associated with lower 28-day all-cause mortality.[7]

Please continue to stay safe and healthy.


[1] The Centers for Disease Control and Prevention (CDC). September 18, 2020. https://www.cdc.gov/mmwr/volumes/69/wr/mm6937e4.htm
[6] Academic Emergency Medicine, Official Journal of the Society for Academic Emergency Medicine. August 27, 2020. https://onlinelibrary.wiley.com/doi/abs/10.1111/acem.14117



Claire B. Lazaro, MSN, RN, NP, PHN, CCRN, FNP-C
Clinical Director
Early Start/Intake/Education Update


We are engaged in a campaign to increase our child find for Early Start. Please help us get the word out so that we can serve children who need us. To learn more about Early Start please check out this link-

Early Start Service Coordinators have been communicating with families to help them determine service delivery for their children. Whether it be remote services, in person services keeping in mind the health and safety of the child/family or alternative services we want to ensure that families drive these decisions.

As a reminder the following waivers were extended:

Early Start In-Person Meetings: Any requirements of the California Early Intervention Services Act or Title 17 requiring in-person meetings for determining eligibility or service coordination are waived. The regional center may continue to conduct evaluation and assessment activities and provide Early Start coordination by remote electronic communications, including Skype, Facetime, video conference or teleconference. The new expiration date for this waiver is October 8th, 2020.

Early Start Remote Services: The requirements of the California Early Intervention Services act, Title 17 or a child’s Individualized Family Service Plan (IFSP) requiring the delivery of services in-person are waived. A service provided to a child in-person may be provided may be provided by remote electronic communications, including Skype, Facetime, video conference, or telephone conference. The new expiration date October 8th, 2020.

Extension of early intervention services: Any requirements of the CEISA, including Government Code section 95014(a), mandating early intervention services end at age three are waived. Regional centers must continue to work with local schools to transition children to educational service pursuant to existing regulations. This is extended for 30 days.

Presumptive eligibility: Extended to October 21, 2020. Department Directive 01-032520

                                                           Education

This article discusses about how 17 schools in SJ county were given the ok to start in person instruction… 12 are private schools, 5 are within Ripon Unified. Waiver is applicable to grades tk-6. Ripon will be starting with grades up through 3rd and then phase in 4th, 5th, then 6th. https://www.recordnet.com/story/news/2020/09/15/17-schools-san-joaquin-county-can-start-in-person-instruction/5807478002/

Lodi Unified is officially moving forward with small cohort in-person instruction.. an official start date is not known yet. Special Education is a priority. https://www.lodiusd.net/parents/coronavirus-and-coldflu-season

Check out this free e-book library for children, teens, and young adults. Books are able to be viewed on the website, or can be downloaded for later use. https://freekidsbooks.org/


Tara Sisemore-Hester
Assistant Director, Clinical Services
North Valley Hills Update
Dena Hernandez, Regional Manager
November 3, 2020 is Election Day in California.
Are You #VoteReady

You can vote if you are:
 Registered to vote (If not, you can do it now at https://registertovote.ca.gov/)

 A US Citizen

 18 years or older by Election Day

 A resident (homeless citizens can vote)

 Not currently in state or federal prison or on parole for the conviction of a felony

 Not prohibited from voting by a court (some people under conservatorship may not be eligible to vote

Go to https://disabilityvoteca.org/ and scroll to "Resources" to learn more)



Have a question or concern- feel free to contact me at 209-473-6930 or dena.hernandez@scdd.ca.gov
Self-Advocacy Council 6
 
Lisa Utsey - Self Advocacy Council 6 chairperson invites you to join the SAC6 Friday CHATS!
 
With so much happening because of the virus SAC6 wants to hear how you are doing and share information so we can all get through this together!
 
Health and Wellness
 
Join us on a SAC6 ZOOM CHAT!!
Let’s Check In with each other!
WHEN: Friday September 18th, 2020
TIME: 11:00am-12:00pm
WHERE: ZOOM- computer, tablet, cell phone
 
The next SAC6 CHAT:

·    Friday, September 18, 2020 -  Law Enforcement and YOU - How to Be Safe in our Communities Together with SAC6
 
Join Zoom Meeting on your computer, tablet or phone
 
https://zoom.us/j/92176037090?pwd=VS9WRXpSeFFrS2IweEpTaWtpc2duUT09
 
Meeting ID: 921 7603 7090

Password: 666744

You must enter the Password or you can call in:
 
TOLL FREE NUMBER TO CALL IN:
·    877 853 5257 US Toll-free
 



California Memorial Project

Remembering Those Who Were Forgotten

Disability Rights California’s Peer Self-Advocacy (PSA) Program advocates for and oversees the California Memorial Project (CMP). The CMP’s mission is to honor and restore dignity to individuals with mental health and developmental disabilities who lived and died in California state institutions.

CMP Annual Remembrance Ceremonies

We celebrate the 3rd Monday of each September as California Memorial Project (CMP) Remembrance Day. On this day, the CMP holds remembrance ceremonies throughout California at state institutions and local cemetery grave sites where these individuals were buried. Leading a statewide moment of silence, we honor and celebrate the lives of all our peers.

Upcoming Events for September 2020

This year, the 18th Annual California Remembrance Day ceremony will be held on Monday, September 21, 2020. We will have a virtual ceremony via a Zoom webinar this year instead of in-person ceremonies to take precautions during this time of the COVID-19 pandemic.
We help fight the mental health stigma and discrimination
we experience as peers by remembering those
who came before us.

Five County Data Update
as of September 17, 2020

San Joaquin County
  • 19,701 total positive cases and 407 deaths
  • 9.5 new cases per 100,000 people and 7.1% positivity rate

Stanislaus County
  • 16,150 total positive cases and 325 deaths
  • 9.4 new cases per 100,000 people and 5.6% positivity rate

Tuolumne County
  • 220 total positive cases and 4 deaths
  • 2.7 new cases per 100,000 people and 2.0% positivity rate

Calaveras County
  • 305 total positive cases and 13 deaths
  • 5.2 new cases per 100,000 people and 3.6% positivity rate

Amador County
  • 248 total positive cases and 15 deaths
  • 1.1 new cases per 100,000 people and 1.3% positivity rate

State of California
  • 775,037 total positive cases and 14,804 deaths

Valley Mountain Regional Center
  • 173 positive consumer cases and 10 deaths
  • 10 positive staff cases
  • 1 positive volunteer case
  • 68 positive provider cases and 1 death

Local County, State and National Public Health Resources