• Anyone in our community system who had contact with someone else who tested positive for COVID-19;
• If they have COVID-19 symptoms and went to a hospital for this or tested for COVID-19;
• If they were recommended to be tested for COVID-19;
• If they tested positive for COVID-19; or
• If they have COVID-19 symptoms and were told to quarantine.

• Adult Residential Facilities for Persons with Special Health Care Needs (ARFPSHN)
• Intermediate Care Facilities/Developmentally Disabled-Continuous Nursing (ICF/DD-CN)

1. Monday March 23, 2020: VMRC IT finalizes our negotiation with Zoom to get more accounts that can accommodate longer meetings for community forums and larger staff meetings.
2. Our Leadership of the Coalition of Local Area Service Providers (CLASP) met on Monday and held several check-ins during the week to coordinate efforts to support people in their residential programs and family homes. CLASP is heading up effort with VMRC and SCDD and others to get needed supplies to help maintain people in their homes.
3. Received a report of a confirmed case, began the notification process for anyone in contact with the person.
4. The regional center directors met with DDS officials to get updates and discuss upcoming directives.
5. Received Directives regarding Visits to Licensed Homes and New Protocols for certain health related homes.
6. Tuesday March 24, 2020: CLASP Leadership meets again for additional planning for supporting people in their homes.
7. VMRC Senior Leadership meets for half day to strategize a variety of organizational changes to support our staff and improves operations - changes to work at home policies, preparations for all staff meetings, agreements for communications to the public, etc.
8. Wednesday March 25, 2020: Meeting with our Union Leadership to update on all COVID-19 related activities, changes in work conditions, etc.
9. Received Directives from DDS on changes to SIR Reporting related to COVID-19, DDS Admissions and Discharges, and More waived requirements.
10. Thursday March 26, 2020: We conducted three all staff forums for staff wanting updates on our response to COVID-19 crisis, changes to their working conditions, expectations, etc.
11. The regional center directors met with DDS officials to get updates and discuss details and clarification of new directives.
12. We met with the leadership of our Self-Advocacy Council 6 to discuss the VMRC response to COVID-19 and plan for ways the leadership can reach out to consumers, answer their questions, and keep them informed. Also discussed how they could help protect consumers from the new scams happening right now.
13. Friday March 27, 2020: COVID-19 related statewide meetings all morning.
14. Conducted three public forums on zoom open to anyone to provide updates on the Directives for the week.
15. All but one targeted forums for specific groups have been scheduled in coordination with specific stakeholder representatives.
16. This Constant Contact Communication went out...

1. Another meeting with regional center directors and DDS to discuss several policy ideas that are being worked on to help the regional center respond to the COVID-19 crisis.
2. Governor Gavin Newsome calls for shelter in place for all seniors 65 and older and those with chronic vulnerable health conditions. VMRC institutes this guidance for our region.
3. Monday March 16th: Meeting with the CLASP leadership on the status of the response and questions and answers and scheduling of membership Zoom meetings with the Director.
4. Quality Assurance meeting with teDirector to discuss a re-prioritizing of issues to focus on during the crisis. Prevention of the spread of COVID-19 and consumer health number 1 priority.
5. By the end of the day all gatherings of more than 10 were rescheduled or went to remote formats.
6. Foster Grandparents and Senior Companions postponed all future gatherings and institute teh governors restrictions for seniors.
7. Tuesday March 17th: The City of Manteca calls for Shelter in Place following Six Bay Area Counties simultaneous call for Shelter in Place. Allows for grocery shopping, gas, doctors, essential services.
8. Reiteration to VMRC staff to work from home if they can and that remote meetings is the preferred way to do your work in the crisis - consumers not conferring overrules this preference.
9. By the end of the day on Tuesday 10 day programs had voluntarily closed their doors tot eh public.
10. VMRC announced the site closure of our San Andreas - services still operational.
11. Wednesday March 18th: VMRC receives 5,800 N95 masks from DDS for distribution to our provide community and consumers. Announces the ordering process online.
12. CLASP and VMRC held our first Zoom meeting with about 50 members Updates and questions.
13. Thursday March 19th: Several more day programs closed their sites.
14. DDS releases a much anticipated state Directive: DEPARTMENT DIRECTIVE ON REQUIREMENTS WAIVED DUE TO COVID-19 AND ADDITIONAL GUIDANCE.
15. VMRC announced the site closure of the Modesto office - services still operational.
16. All 5800 masks were distributed either by drive through pick-up or deliveries by staff and volunteers.
17. Senior Leadership meets with all managers at VMRC meet to review the status of the responses and discuss administrative solutions to the many problems related to this crisis and the overwhelming workload.
18. Senior Leadership begins it's planning process for the most scenarios are our region.
19. Another meeting with regional center directors and ARCA staff and DDS for updates and planning.
20. Thursday evening Governor Newsome calls for the state to shelter in place:
21. Friday March 20th: 4 Open Forums being held to inform the public of our activities with more targeted group forums being scheduled.
22. Stockton head quarters office closes for public meetings. All service Service Coordination still operational throughout the regional center.
23. ...

1. Monday March 9th VMRC published it's first Health Advisory on the Coronavirus. All 5 of our County Departments of Public health had no known cases. 
2. Tuesday March 10th: San Joaquin and Calaveras Counties had reported confirm cases.
3. Wednesday March 11th: World Health Organization declares the COVID-19 spread to be a global pandemic.
4. Wednesday March 11th: Stanislaus reported confirmed cases bringing our regional total to 3 counties and 5 cases.
5. Wednesday March 11th: Major sports leagues cancel or suspend their seasons and the media reports athletes and celebrities with confirmed cases.
6. Wednesday March 11th: The President addresses the nation suspending and restricting travel, signed a bill authoring increased funding to the Centers for Disease Control for COVID-19 response,and a plan for fiscal relief for Americans.
7. Thursday March 12th: Governor Newsome holds another press conference on COVID-19 response and release executive order highlighting the specific needs of Californian's with developmental disabilities. Calls for waiving in-person contact requirements, allows for public meetings to be remote, mitigation efforts for the financial losses of providers, and social distancing requirements of large gatherings.
8. DDS publishes a directive for regional centers outline the mitigations and waivers in support of the governor's executive order.
9. VMRC begins the process for cancellations of large group gatherings and developments it's first FAQ document to answer the question from consumers, providers, and families.
10. Friday March 13th: Messages sent out to staff and community and manager and senior leadership begin the implementation process for the new policies. As of today there are no known cases of consumers with COVID-19.

1. Advisories were developed and CDC resources ordered.
2. Policies and an advisory for staff developed and disseminated.
3. Informational plain language web page developed and updated regularly.
4. First report of potential exposed person (Consumer A) (a few days later was tested negative)
5. Clinical Director along with Senior Leadership developed staff policy plus enhanced universal precaution procedures and resources and supplies ordered.
6. Facilities manager is ordering additional supplies and equipment for antibacterial wipes, hand sanitizers, tissues, etc. for the universal precautions kits we will be assembling.
7. Hand sanitizer dispensing machines ordered for the lobbies and public areas, supplies were found in short supply and higher costs.
8. Wednesday March 4, 2020 (Consumer B): It was reported that a consumer potentially exposed second hand (no symptoms - testing scheduled - reported as low risk).
9. Thursday March 5^th (Consumer C): It was reported that a consumer potentially exposed third hand (no symptoms - testing scheduled - reported as low risk).
10. CA Department of Public Health and Office of Emergency Services Published Official Use Only report which show all of our five counties listed at either Lowest Risk or Level 3 (lowest Risk) (San Francisco and Berkeley ranked Highest Risk)
11. Friday March 6^th:  DDS has called for a Directors Meeting to discuss regional activities and ideas to support the local communities.
12. VMRC Resource Development receives a message from a parent wanting us to shut down the schools because of COVID-19. While misdirected and alarming it’s a good reminder that there are probably many out there in our community that are afraid and in need of good and reliable information. 
13. Public Health officials warned us to be careful not to violate HIPAA by revealing anyone is under quarantine and reiterating that the involved person can reveal whatever they want about their own health condition but no one else can.

1. Amador County (2 known cases March 23, 2020)
2. Calaveras County (2 known cases March 23, 2020)
3. San Joaquin County (60 known cases - two deaths March 23, 2020)
4. Stanislaus County (11 known cases March 19, 2020)
5. Tuolumne County  (no known case March 23, 2020)
6. VMRC - no confirmed consumer case March 27, 2020

1. It’s the time of year when many people get the flu so you should get the flu vaccine and flu antivirals if your doctor prescribes them. All providers serving people should follow these 10 actions to ensure the health and safety of those they support.
2. Stay at home if you are sick. People who have a fever and or respiratory symptoms should not go to work or school or any public gathering until 24 hours after their fever ends.
3. Wash your hands often with soap and water for 20 seconds; use an alcohol-based hand rub if soap and water are not available.
4. Avoid touching your nose, mouth, and eyes.
5. If you have a cough or sneezing wear a mask and if you’re working with someone who is coughing or sneezing offer them a mask.
6. If you do not have a mask cover your coughs and sneezes with a tissue, or cough and sneeze into your upper sleeve(s) – wash hands immediately after. 
7. Keep frequently touched common surfaces clean with disinfectants.
8. Try not to use someone else’s phone, desk, office, computer, or other work tools and equipment. If you must use a coworker’s equipment, clean it first with an alcohol wipe.
9. Avoid shaking hands or coming in close contact with people who may be ill.
10. Speak with your doctor and find out if you are in a high risk category for seasonal flu (e.g., elderly, pregnant women, small children, persons with asthma, etc.).
11. If you have been have been exposed to someone sick with COVID-19 in the last 14 days, you will face some limitations on your movement and activity. Contact your doctor or county public health if you think you might be exposed.