CBO COVID 19 CALL SYNTHESIS MAY 28, 2020New information is provided in RED.

The answers to “what brings you inspiration at this time” are at the end of the document.

DEPARMENT OF PUBLIC HEALTH

Q and Comment: Can you show the ethnic breakdown on these reports? Can we get it by % of population?

Note, the total number of cases at 1,631 for a population of around 994,000 (0.16% of the County population) results in extremely small percentages to chart ethnicities by percentage of population. The incidence per 100,000 population shown here provides a stronger visual that corresponds to the percentage. It is updated daily and can be found

at https://cofgisonline.maps.arcgis.com/apps/MapSeries/index.html?appid=1f82e8eb24c0403c90e774202c5dafea.

DPH is working on a transition plan to expand contact tracing and is developing a standard agreement. There is funding available, but don’t yet know what it looks like. CBOs play a critical role. The County has trained 105 people within their organization. They anticipate the front-line contact tracers to be hospitals, schools, and clinics. DPH will be working with CBOs as well, but not sure when. Training for the front-line tracers has to first occur.

1

There are now tools and social media flyers to help build trust and education about contact tracing. (See Resource Section).

Note: those items with (**) in the slide means that retail and faith-based are not expected to submit anything to DPH for approval to open. They will be expected to follow state guidelines.

Businesses in the City of Fresno do have a required form that must be posted.

Faith-based organizations were approved statewide, regardless of variance level. There is guidance on the CA COVID 19 website. Dine-in and retail need local approval. Restaurants are self-certified. If something is not done, DPH will not say they can’t open up. They will work with them to improve. A brief application is now needed for hair salons.

Q: Can you explain the difference between close contact and community spread?

DPH: Who have they been in close contact with for more than 15 minutes in the last week? We then follow-up and have them tested. Community-spread means that through contact tracing there is no way to precisely pin down who they were exposed by.

Q: Are there jobs for contact tracers?

We are waiting for the CAO’s agreement and will be working with agencies. For individuals, there is some talk to bring on some people coming on to the county as Extra Help. There is no information on that yet. The County is considering contracts with CBOs, but that will occur after all the front-line tracers are trained. After then looking at the community to see where there is exposure, we will then look for help from our community partners. Not sure if it will be an RFP, a short application, etc.

Ashley Swearengin – this is the perfect group to gain input and there are people on the call who are offering and can be service extenders.

DPH – For those interested, please email Rosemarie Amaral, ramaral@fresnocountyca.gov.

Q – Do we have specific guidelines yet for preschools to reopen?

DPH – There are specific guidelines for childcare. I will follow-up. NOTE: State-funded preschools open for emergency essential workers have guidance on the CDE website. Scroll down below the childcare sections to “Education”. There are updates as of 5/13/20. https://www.cde.ca.gov/sp/cd/re/covid19elcdfaq.asp or send questions to ELCDEmergency@cde.ca.gov. Fresno County Superintendent of Schools has just put out a living document on re-opening that has Early Childhood addressed in pages 24-26. The document is provided in the email with these notes.

2

Q – Can volunteers be trained in contact tracing?

Researching.

Q: Already hearing of restaurants that aren’t following State guidelines. What does enforcement look like?

DPH researching.

Q: To clarify, DPH is recommending that all other non-essential businesses/CBOS remain closed, other than those listed such as retail, restaurants, faith-based, etc?

Note: Statewide Stage 2 (which includes Fresno County at Stage 2.5) includes the re-opening of lower risk workplaces. That includes “offices (when telework not possible) with adaptations at a pace designed to protect public health and safety.” See https://covid19.ca.gov/pdf/guidance-office-workspaces.pdf

Q: What are the guidelines for soccer league practice, when can they start, and what is the compliance needed?

Chat A: Check with their state association. They have guidance for clubs and leagues. NEW from DPH: DPH will be working on guidance for youth soccer leagues.

Q: Why was property tax not deferred?

Researching.

Q: Is there a flyer to share info regarding rental assistance?

Researching

Q: Is there any alternative for the “cooling centers” we usually see open this time of year?

A: Cooling centers are operating. https://www.fresno.gov/parks/cooling-centers for details. If the cooling center is normally a community center, then the cooling center can open for the emergency of the hot day but cannot act as a community center. Social distancing and masks should be worn by everyone.

Q: Are there resources for clear masks for the hearing impaired?

Chat A: Check with the Deaf & Hard of Hearing Services Center at info@dhhsc.org. Also check with the Pi Shop, CTEC, and Visualz (online) for clear “hoods”.

DPH ANSWERS FROM MAY 21 CALL1. What determines the drive-up site surveillance testing numbers? Where did 30 per site come from?

Number of people that have scheduled their test. If we see that more people want to schedule the test then we will bring more tests.

2. Are they giving the community a choice to retest once their time frame of 14 days has been exhausted t o assure they are negative after 14 days? Yes, however, this should be discussed with their medical provider, FQHC, DPH or wherever they received their initial test to determine if necessary.

3. Why was the order changed for masking from ‘shall’ to ‘should’?“Shall” means mandatory and County does not have the enforcement capabilities. “Should” lets people know what is needed to ensure safety and flattening the curve and then have them comply.

Health Officer Order May 20, 2020 - To facilitate safe business reopening in Phase 2 of the State Roadmap to Modify the Stay-At-Home Order, all residents should use cloth masks or equivalent face covering while indoors at work, while visiting a business, or while coming into close contact with someone who is not a family member, in accordance with CDC guidelines to prevent spread of respiratory droplets when physical distancing cannot be maintained.

3

4. Do store policies take precedence over the voluntary mask ordinance? (i.e. Costco requires a mask, the city or county “encourages” the use of a mask) Yes, the Health Officer is the minimum requirement/protocol to adhere too and then the store is welcome to establish a stricter policy.

5. With Tulare County’s current issue opening early before meeting State guidelines and now facing threats of losing COVID funding from the State, will Fresno County try to align with State requirements as much as possible so we don’t possibly lose State funds? Yes. However, the County’s variance request with the State was approved on May 22, 2020 to move into Stage 2.5 and is now on the Department’s website (www.fcdph.org/COVID19) that provides new guidance for restaurants and retail.

6. How about adding NEW folks for contact tracers? I assume the COVID funds can be used to pay for contact tracers? Seems like we need expanded capacity? How are you ensuring linguistic and cultural competence within the contact tracing personnel? Linguistic and cultural competence is at the forefront in our current Contact Tracing staffing and future contact tracing teams in communities throughout Fresno County.

7. There are community members training themselves on contact tracing. Tania Pacheco at Fresno State’s Health

Policy Institute and her staff are training using the John’s Hopkins course. They are willing to support others in the community to get trained. What is the expectation of training required for CBO/employer on-site contact tracer? John Hopkins provides a good foundation but we will have additional training specific to our community/region and software. However, the ASTHO Contract Tracing Course will likely be a baseline requirement. https://learn.astho.org/p/ContactTracer#tab-product_tab_course_content__12 Tania Pacheco, please email ramaral@fresnocountyca.gov to provide, Name, agency, phone number, email, number of staff available, number of hours per week, & bilingual capacity. Rosemarie will put you on a list of CBOs and individual’s interested in contact tracing that will be shared with the contact tracing leads.

8. Are employers required to provide PPE for employees?It is not required for employers to provide PPE for employees. However, in order to ensure safety and to meet the State Department of Public Health and County criteria for businesses opening, employees and customers should be wearing masks when 6 feet social distancing cannot be maintained.

9. If they open restaurants, will all restaurants be required to enforce social distancing and face mask? California Department of Health has provided social distancing and face mask guidance and a link to this guidance is on the health department website. Such guidance includes the following: Implement measures to ensure physical distancing of at least six feet between workers and customers. This can include use of physical partitions or visual cues (e.g., floor markings or signs to indicate to where employees and/or guests should stand). As well as guests and visitors should be screened for symptoms upon arrival, asked to use hand sanitizer,

4

and to bring and wear a face covering when not eating or drinking. Appropriate signage should also be prominently displayed outlining proper face covering usage and current physical distancing practices in use at all entrances and throughout the property. The County of Fresno highly recommends wearing face masks when entering into a public building especially when 6ft of distance is not feasible.

10. What is the status of the Fresno County within the State guidelines? County of Fresno has been granted a variance to proceed further into Stage 2 of the state’s Resilience Roadmap. This variance will allow restaurants to resume modified dine-in service in accordance with the COVID-19 industry guidelines. Retail stores are permitted to open for curbside and is now expanded to include in-store shopping and should follow California Department of Public Health and Centers for Disease Control and Prevention guidelines. Indoor Malls and Swap Meets are not yet permitted to open.

UNITED WAY 2-1-1

Something was happening last week with increased call volume. We are seeing an increase in requests for rental housing and transitional housing. Tax prep and census were also up.

Q: Can we get the information by language and/or ethnicity?

UWFM is researching and will have next week.

This week UWFM launched the prescreening for Round 2 of funding to families. Need to be 1) residents of Fresno or Madera counties and 2) to have experienced 85% or more income loss as a result of COVID 19, along with meeting two of 9 different criteria. There is a survey link to begin the process. https://www.surveymonkey.com/r/Pre-screenApp.

The nine criteria are:1) Undocumented Worker (ITIN)2) African-American / Black3) Housing Insecure (at risk of eviction or losing your home)4) COVID-19 Infected and/or exposed5) Single Parent/Guardian6) 60+ years of age7) Immunocompromised (such as having diabetes or a respiratory illness)

5

8) Pregnant9) Current or Former foster youth (18+)

Q: Can we get a slide with all the Phase 2 info in one slide or email?

Researching. For questions contact Rico Peralta at rperalta@uwfm.org and cell 559-906-5146.

COMMUNITY INFRASTRUCTURE FOR COMMUNITY HEALTHShantay Davies-Balch, Black Wellness & Prosperity Center

A coalition has launched an education campaign in West Fresno. They are actively engaged with the County right now to work on a more robust education campaign in the AA community. There is a hyper focus on credible messengers. Of the two testing events, we maximized the tests we have and need more.

There will be a general household relief fund that UW will administer specifically for AA households. The coalition is partnering with UCSF because they completed a massive SF Mission district community testing process.

Some CBOs are signed up for Prosperity Coaching. There

is a hyper-focus on women because when women are healthy, the whole family tends to be healthy. They are also focused on building long-range trust as well, such as utilizing doulas. They can be home visitors or conduct contact tracing as well, serving dual purposes.

6

Genoveva Isla, Cultiva La Salud and Sandra Celedon, Building Healthy Communities

Health Equity – want to get a pair of shoes that fit metaphor.

Promotora – we often think of them as a promoter, but we would rather think about them as guides to resources for services. While there are immediate needs, we see a pervasive need to serve a variety of needs in our community. Real opportunities to advance equity and inclusion – start with that in place rather than bend systems later.

“Unidos, Muab, Nafeal – United, We Give, We Do.” An application has been submitted to the Opportunity Fund for those speaking Spanish, Hmong, and Arabic to train as promotoras.

It was a $100,000 submission. The goal is to place program graduates and help them land in organizations where they can be liaisons.

The Immigrant & Refugee Field Team calls are bilingual. We really need partnerships to make this work. Even if we don’t get the grant, we really want to work with all of you to address inequities.

7

Q: Can you help us understand what occurs on this call? I heard you had 900 people on the call?

A: The Spanish call [separate from the Immigrant & Refugee Field Team Call} on Fridays is livestreamed on Facebook. It shares information from this call all in Spanish. It has elevated the need for community lay workers to get accurate information for the Immigrant and Refugee team. The link to sign up for the calls is https://bit.ly/2XJJRV9. If you want to watch it on Facebook live: https://m.facebook.com/tania.pachecowerner.3

We need to leverage this new-found collaboration around all our groups. It is great having community members on this call. The residents represented are community leaders already part of informal networks. It is the foundation of the Promotora network and provides connection back to resources.

Q: How long is the Promotora training?

A: Part of the proposal is to give us time to develop. We described a 10 session/10 week training and it will be developed locally. It will begin in the fall.

Q: To donate toward the work, where do they go?

A: Connect with CVHPI, tpacheco@csufresno.edu, or Sandra at sceledon@fresnobhc.org for inquiries about placement collaboration/matching funds/support for our work.

RESOURCES NEW: Infographic from CA to build comfort with Contact Tracing :

https://www.dropbox.com/sh/lx9y3uc4hc92p93/AADRqULIYFqleNZhIrQKF1Mha/Infographic?dl=0&subfolder_nav_tracking=1

NEW: HR Resource Line for Re-opening

http://www.fresnobsc.com/wp-content/uploads/2020/05/hr_hotline_covid2020.pdf NEW: Yia Her President CA Hmong Chamber of Commerce 559-905-6122 To refer elder women to the Support for Senoras, please refer to 559-927-5761

8

NEW: Fentanyl in FAKE PILLS. Help get the word out. For more info: http://www.opioidsafefresno.com .

WHAT BRINGS YOU INSPIRATION? Rico Peralta: Burying myself in meaningful work!! with inspiring leadership

Patience Milrod: MY STAFF!!! I am so grateful for their courage and commitment—it keeps me going.

Alicia Ferrer: I find working with community agencies to be inspirational.

Denise Wyatt: Celebration Church daily devotions

PaKou Cha: My local government and health departments

Craig Scharton: Nature, gardening, helping local businesses, socially disntanced social interaction.

Genoveva Islas, Cultiva La Salud: The resiliency of community members who despite limited resources and means continue to carry on.

9

Kim Majors: The Bible and my fellow church members

Marianne Kast: Long walks in our city

Manuel Cantu: Family Time. and time to connect more with co-workers!

Sagrario Diaz: My family, my faith and people's good will

Niki Singleton: Painting

Sonja Dosti: Churches and many organizations working together to provide meals (especially my friend, Maisie Young, who coordinated it for Central USD!)

Eduardo Gonzalez: Family, Neighbors and Co-workers willing to help others. Community coming together.

Angelita Hurtado: Staying connected with family & friends and loving the time with my kids being home.

Hugo Morales: My inspiration has been the farm workers in the fields, the jardineros in my block working, the janitors in the hospitals, essential workers.

Brian Semsem: Spending quiet time in my garden

Andrew Feil: Organizations like Bitwise doing TakeCare, Good News with John Krasinski, Podcast - Practice for Pandemic… people working together and realizing we can’t do this alone.

Bridget Fithian: You all are amazing! Inspiration: Nature is my inspiration.

Richard Burrell: Smiles on the children's faces we see each day on Parkway Drive.

Lowell Ens: Fellow CBO direct-service leaders pivoting to meet the deep needs of our community.

Amy Hardcastle: Working in the yard with my kiddos.

Karmen Motley: Uplifting music and spirituality.

Elizabeth Jonasson: Our community coming together, shared sense of being

Emily Bahne: Healthcare, friends across the country, my coworkers, my foster daughter

Carol Davies: Spiritual readings and meditation.

Kathy Harriss: Church, outdoors, helping others

Celeste Van Anne: My family :)

Rozanne Hernandez: DIY and Craft projects and learning to cook and bake new things

Ofelia Gonzalez: Enjoying the extra time with my children!

Shannon Mulhall: As I walk in my neighborhood, witnessing my community connect in organic and natural ways - how the sense of community in the neighborhoods is growing and expanding in this way.

PaKou Cha: My coworkers and nature. it was nice to slow down and not drive and just stay home with the people we live with.

Laura Gothard: The Lord and our faith community

Mary Ann Cusator: The innovation of teachers, keeping their students engaged and moving forward. They are already a resourceful group, but this has taken resourcefulness to another level.

10

Don Eskes: My early morning devotional time and contacting friends weekly.

Myra Diaz: Gardening, organizing, prayer, and family

Rosemarie Amaral: Our CBO partners are an inspiration to me and all of the work they are doing to connect with our vulnerable populations to provide food, shelter, testing, and care. I am always amazed and proud of Fresno County!!

Joanne Pacheco: Tenacity of the students of the Central Valley who have learned through distance education.

Evelyn Gonzalez: I've begun meditating and it’s helped so much, and planting pretty flowers

Brooke Frost: Connection with family, my teams, and new people as a result of pulling together to combat the virus and isolation

Genoveva Islas: My mother’s homemade flour tortillas.

Louis Jackson: Family

Jasmin Delgado: That for the most part majority of people sheltered in place, didn't gather, and continue to wear masks for the health of everyone, not just themselves

Donna Oreizi: We are inspired by our family, co-workers, and our patients here at CARE.

Christine Barker: The innovation of the staff and community at finding safer ways to do the work that matters most

Hector Medina: The love and kindness you all share with the community we serve.

Elliott Balch: Getting out and hiking in our beautiful and wide-open Sierra!

Shane Meserve: Walking outdoors, more dinners with my husband, appreciating the little things every day, all of YOU and your incredible hard work and care for your community!

Tracy Beckham: I love that all of our consumers are able to connect virtually and have been enthusiastic about "seeing" each other through Zoom.

JaNessa Williams: Inspiration from within the children who are going through this time unknowing of what is going on and they are still happy.

Alondra Sanchez: How our community is working hard to take care of each other.

Mike Espinoza: Incredibly inspired by our staff and parent leaders- all of whom are powerful, Latina immigrant moms. I feel so privileged to be able to work with them!

Cindy Jurado Hernandez: the brave response from my young teenagers

Susana Rodriguez: Faith in Christ and my family’s love and support.

William Judson: I find the sense of community cooperation that even this call brings and being part of it inspirational

Rosio Laguna: my local home church leading weekly devotions and worship practice, and being around positive optimistic people like family, friends, colleagues, etc.

Edmund Mendoza: Self-care with music as therapy. Got behind the turntables after many years collecting dust and disc jockeyed on streaming platforms to provide others with music to enjoy

Karen Rangel: my resilient and hard-working team, my fur babies, facetime calls with friends and family, and late-night walks with my husband.

11

Sue Kincaid: Music, outdoors, connecting through Zoom, and spending time with family and dogs!

Genoveva Islas: The ANGRY BROWN WOMEN!

Margarita Rocha: Blessed I can come to work and serve families… and this great music!

Davena Witcher: The commitment & resilience of so many people working together to help our community thrive during this unprecedented time.

Matthew Gillian: nature and reconnecting with family in Jamaica, nurturing my cultural roots, and thinking about my 4-year-old son's untapped potential for greatness (as long as the world stops looking at him as a threat)

Kathryn Catania : Pushing hard so our kids can get to the other side of this safely - working to ensure equity for ALL kids

Bertha Perez-Sanchez: The power of working together in collaboration for our communities. The UNITY is uplifting and inspiring.

Mike Espinoza: Being able to spend more time with my wife, my two teenagers, and my pug at home.

Kathy Mahan: First with my staff, who have seen their workload increase 5X in the past couple months. They call everyone back and try to help. Second, county health officers who stay the course for our health despite incredible political and public pressure. Third, my husband, who makes me laugh every day, my mom (who is high-risk) having an incredible network helping her and getting the biggest kick out of Facebook portal video chats.

Marco Silva: My family, co-workers, and support from my Director.

Maria R Lemus: Family, friends, and colleagues

Marisa Moraza: Creativity of staff and teams and Youth engagement and desire to influence the future of Fresno.

Susan Xiong : I get my inspiration from my significant other.

Laura Gothard: Great walks

Pete Weber: Family, family, family… and the Fresno family!

Tania Pacheco-Werner: My baby boy, my husband who braves the outside world for us running errands, and my parents who are essential workers.

Heather Brown: The employees at Fresno EOC who have showed up every single day to serve this community and my 79 and 75-year-old parents in Williamsburg, Virginia who are sheltering like bosses!

Meredith Wiley: the extent of the collaboration here in Fresno is just so moving. I have worked all over the country in the past and have never seen anything like the cooperation and professionalism that consistently exists here. COVIID brought it to a new level. I have a reason to get up every morning and know that I can work with others to make a difference.

Anna Hecker: Essential workers out doing the work through fear and risk, my high school and college-age children working hard in their schoolwork, and appreciating the safety of home.

Manuel Escandon: The kitchen.

Noelle James: puzzles and wine, spending time with my kids, and enjoying being home with my dogs- they love having me home full time!

Isidro Bruno: Family Child Care and Center Providers staying open, offering care, comfort, and support for all our essential families.

12

Susan Good: Taking more walks and really looking at all the different spring flowers I never really stopped to appreciate and spending more time with our dog.

Kelli Furtado: Finding inspiration and silver-linings in new daily routines, making best of time with kids, love Microsoft Team meetings with my talented co-workers. My new dress code when not in the office is wonderful. Inspired by focus on health and safety as we plan for next phase of expanding and innovating at Fresno Housing,

Nasreen Johnson: Artists and creatives, exercise, dog cuddles

Marianne Kast: Long walks in our community

Jeannie Neathery: Teachers! Especially grade school teachers, my family, and co-workers. We keep each other going!

Mary Renner: My young grandson's resilience and continued joyfulness despite 11 weeks of being sheltered at home with grandparents as his only physical contact.

Alicia Ferrer: agencies & staff like yours and those attending at this moment, I'm grateful I have a job, my staff and thankful on our efforts in reaching out to underserved people, and give them a glimpse of light.

Amber Jacobo-Roush: I have found inspiration in all the kind things people have done. I have seen so many examples of giving time, resources, little things to make people smile (markings on the sidewalk, a bear in the window for kids that are walking, a note and $20 from a random neighbor to congratulate my daughter's graduation)

Brandy Nikaido: UCSF Fresno physicians and all health care providers and front-line responders as well as essential workers for caring for our community and keeping our community going.

Nora Ceballos: Walking outdoors, more dinners with my family, appreciating the little things every day, helping others.

Candice Blair: our Girl Scouts are still meeting, learning, and making an impact on the community, even if it’s virtually!

Jasmin Delgado: cooking more at home and eating as a family

Jamie Gibson-Barrows: Strong Community

Lowell Ens: Fellow CBO direct-service leaders pivoting to meet the deep needs of our community.

May Ly: My family and all the dedicated frontline workers, essential and otherwise!

Don Eskes: My daily early morning devotional time and contacting friends weekly.

Christine Barker: The innovation of the staff and community at finding safer ways to do the work that matters most.

Sue Kincaid: Inspired by how all of you are stepping up to meet the needs of the community. This is a massive show of compassion and a credit to the Fresno region!

Michele Copher: All the creativity on full display by teachers, families, and leaders!

Chris Roup: Spending time outside beginning a love for hiking, soaking up sunshine and nature!

Veronica Renteria: More Family time, God, and house renovations

Judy Cortez-Garcia: My family, my faith, spending good quality and quantity time with my kids, enjoying the outdoors and exercising together!

Janay E Conley: In faith, meditation, zoom chats with family and friends, in gardening, the arts, music, but most importantly connection with friends sharing in vulnerability, love, and support.

Lori Bennett: All the students who stuck thru the semester and celebrated their graduations online this year.13

Jolene Telles: Watching my 8-year-old granddaughter joyfully learn Spanish with me as teacher one hour a day these last five weeks!

Mona Cummings: Planting trees at schools and in parks, riding my bike to work, helping my teenagers through this challenge, and reaching out to those who need friends.

Martha Perez: Seeing great teamwork in the agency to help those needing assistance and teachers going out of their way to work with the children at home. Although this is a crucial time, families are coming together, relationships are strengthened, lots of love going around!

Luis Santana: family, coworkers, and my 2 dogs

Jane Fortune: Gardening and seeing neighbors walking in the neighborhood

Davena Witcher: The commitment & resilience of so many people working together to help our community thrive during this unprecedented time.

Genoveva Islas: the resiliency of community members who despite limited resources and means continue to carry on.

Mai Yeng Xiong: It’s been amazing to see limited English speaking parents learning to communicate and engage thru zoom and Skype verse the traditional site visit.

Wendy Hernandez: Prayer! I am baking sourdough bread almost every day, kneading is the best therapy!! I also make sure to call people on the phone as often as possible rather than email to get the human connection:)

Bridget Fithian: Nature has been my inspiration. The wildflowers have been so beautiful this year and with more time at home I've been able to have more time being still and observing the birds, the breeze, the transitions of the season. All of this inspires and centers me.

Kiel Lopez-Schmidt: Inspired by my garden and gardens of others. It's a miracle of how food can grow in the smallest of spaces.

Margarita Rocha: Walking my puppies everyday has allowed my mind to have some time to breathe and just concentrate on the moment

Kaya Herron: Daily devotionals, walks outdoors, dinners with my family, FaceTime with my grandparents, and I’m embroidering again

Kim Majors: co-workers, the Bible, fellow church members and all the people I have connected with through these types of meetings

William Judson: the courage of our healthcare workers going to the front lines every day is commendable and inspiring

Wilma Hashimoto: Amazing CASA staff and Board that pivoted quickly, my family, church family, girlfriend tribe, and the unbelievable community that came together that is lifting everyone up.

14