YOUTREACH BU 18 employees accept first doses of the newly released - COVID-19 vaccines Page 10 - CAPT

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YOUTREACH BU 18 employees accept first doses of the newly released - COVID-19 vaccines Page 10 - CAPT
OUTREACH
January/February

                                                                 2021
                   BU 18 employees
                   accept first doses
                   of the newly released
                   COVID-19 vaccines Page 10

                                               State’s revenue forecast
                                               brighter than previously
                                               anticipated Page 12

                                                              psychtechs.net

California Association of Psychiatric Technicians
YOUTREACH BU 18 employees accept first doses of the newly released - COVID-19 vaccines Page 10 - CAPT
Volume 38, Issue 1

                                           &
                                                                                                   January / February 2021

                                                                                        Christine Caro, Editor and Layout Designer
                                                                                            Carol Wiesmann, Managing Editor

    Reminders                                                                                    CAPT is represented by
                                                                                      Lyles, Wiesmann, Pizzotti and Associates, Inc.

                IMPORTANT INFO                                                                Imagesetting and Printing by
                                                                                            CPS Publications and Mail Services
2021 CAPT Board Meetings                                                                            Sacramento, CA

CAPT’s policies require publication of the dates and locations of the                  Outreach is the official publication of
quarterly meetings of the statewide Board of Directors. The meeting                    the California Association of Psychiatric
dates for the 2021 statewide quarterly meetings are provided below:                    Technicians and is printed at least six times
                                                                                       each year.
March 19-10      May 18-19         August 10-11      December 7-8		                    Outreach is published by:
Mid-state CA     Sacramento        Southern CA       Sacramento                               CAPT Headquarters
                                                                                              1220 ‘S’ Street, Ste 100
Due to the COVID-19 pandemic, the meetings will be held via video                             Sacramento, CA 95811-7138
conference until further notice. For more information, please contact                  Phone: Toll Free (800) 677-CAPT (2278)
State President Eric Soto at eric.soto@psychtechs.net. In addition to                         or locally at (916) 329-9140
regular meetings, special meetings are called if necessary. Board meetings             CAPT is a non-profit corporation serving as
are open to all members.                                                               the exclusive representative of all employees
                                                                                       in Psychiatric Technician Bargaining Unit 18
It’s tax time again!                                                                   in California State Civil Service.

                                                                                       CAPT is also the professional association for
Did you know that a portion of your dues are tax-deductible? Read our                  all California Psychiatric Technicians.
story on page 23 to determine how much you can deduct for 2020!

Planning to retire soon?
                                                             How to reach us ...
Don’t forget that CAPT offers its retired members in-
surance benefits similar to what it provides its active                CAPT Sacramento Headquarters
members. As a retired member, CAPT will continue to                       Toll Free (800) 677-CAPT (2278)
provide -- $5,000 in Accidental Death and Dismember-                              or (916) 329-9140
ment coverage and $5,000 in Life Insurance -- without                            (916) 329-9145 (Fax)
any age term.
                                                             You may contact your state and chapter officers directly. Their contact
                                                             information is listed on the following page. If a voicemail is left on their
IMPORTANT: For your insurance to continue after              cell or if you send an e-mail or text, be sure to leave your name, work
your retirement -- for only $5 per month -- you must         location, and phone number, as well as a short explanation of your issue.
contact CAPT Headquarters at (800) 677-2278 within
31 days of the last day in the month in which you                       Going mobile? Take CAPT with you!
retired. If you fail to do so, your policy will lapse and
                                                                          CAPT’s popular www.psychtechs.net website – and all of
cannot be reinstated.                                                     its professional and union information – is here for you when
                                                                          you’re on the go! Our site automatically optimizes to suit
psychtechs.net                                                            your mobile device, and you can download our “CAPTApp”
                                                                          for your mobile device as well. Check these helpful tools out
                                                                          today!
Check out our catastrophic leave list on our website.
Keep abreast of what’s happening! CAPT updates
                                                                            us at: twitter.com/psychtechs
its website frequently, making sure you have current
information on state, department, and CAPT news,                                    and follow some of our chapters on
at your facility and statewide.

 2 - January / February 2021
YOUTREACH BU 18 employees accept first doses of the newly released - COVID-19 vaccines Page 10 - CAPT
Volume 38, Issue 1

                                           &
                                                                                                   January / February 2021

                                                                                        Christine Caro, Editor and Layout Designer
                                                                                            Carol Wiesmann, Managing Editor

    Reminders                                                                                    CAPT is represented by
                                                                                      Lyles, Wiesmann, Pizzotti and Associates, Inc.

                IMPORTANT INFO                                                                Imagesetting and Printing by
                                                                                            CPS Publications and Mail Services
2021 CAPT Board Meetings                                                                            Sacramento, CA

CAPT’s policies require publication of the dates and locations of the                  Outreach is the official publication of
quarterly meetings of the statewide Board of Directors. The meeting                    the California Association of Psychiatric
dates for the 2021 statewide quarterly meetings are provided below:                    Technicians and is printed at least six times
                                                                                       each year.
March 19-10      May 18-19         August 10-11      December 7-8		                    Outreach is published by:
Mid-state CA     Sacramento        Southern CA       Sacramento                               CAPT Headquarters
                                                                                              1220 ‘S’ Street, Ste 100
Due to the COVID-19 pandemic, the meetings will be held via video                             Sacramento, CA 95811-7138
conference until further notice. For more information, please contact                  Phone: Toll Free (800) 677-CAPT (2278)
State President Eric Soto at eric.soto@psychtechs.net. In addition to                         or locally at (916) 329-9140
regular meetings, special meetings are called if necessary. Board meetings             CAPT is a non-profit corporation serving as
are open to all members.                                                               the exclusive representative of all employees
                                                                                       in Psychiatric Technician Bargaining Unit 18
It’s tax time again!                                                                   in California State Civil Service.

                                                                                       CAPT is also the professional association for
Did you know that a portion of your dues are tax-deductible? Read our                  all California Psychiatric Technicians.
story on page 23 to determine how much you can deduct for 2020!

Planning to retire soon?
                                                             How to reach us ...
Don’t forget that CAPT offers its retired members in-
surance benefits similar to what it provides its active                CAPT Sacramento Headquarters
members. As a retired member, CAPT will continue to                       Toll Free (800) 677-CAPT (2278)
provide -- $5,000 in Accidental Death and Dismember-                              or (916) 329-9140
ment coverage and $5,000 in Life Insurance -- without                            (916) 329-9145 (Fax)
any age term.
                                                             You may contact your state and chapter officers directly. Their contact
                                                             information is listed on the following page. If a voicemail is left on their
IMPORTANT: For your insurance to continue after              cell or if you send an e-mail or text, be sure to leave your name, work
your retirement -- for only $5 per month -- you must         location, and phone number, as well as a short explanation of your issue.
contact CAPT Headquarters at (800) 677-2278 within
31 days of the last day in the month in which you                       Going mobile? Take CAPT with you!
retired. If you fail to do so, your policy will lapse and
                                                                          CAPT’s popular www.psychtechs.net website – and all of
cannot be reinstated.                                                     its professional and union information – is here for you when
                                                                          you’re on the go! Our site automatically optimizes to suit
psychtechs.net                                                            your mobile device, and you can download our “CAPTApp”
                                                                          for your mobile device as well. Check these helpful tools out
                                                                          today!
Check out our catastrophic leave list on our website.
Keep abreast of what’s happening! CAPT updates
                                                                            us at: twitter.com/psychtechs
its website frequently, making sure you have current
information on state, department, and CAPT news,                                    and follow some of our chapters on
at your facility and statewide.

 2 - January / February 2021
YOUTREACH BU 18 employees accept first doses of the newly released - COVID-19 vaccines Page 10 - CAPT
o
          State President Eric Soto
CAPT BOARD OF DIRECTORS
          CAPT Southern Regional Office/Training Center
          13085 Central Ave., #7, Chino, CA 91710
          Mail to: 1220 S Street, Suite 100
          Sacramento, CA 95811-7138
          (909) 364-2486 / (909) 214-4298 (Cell) / eric.soto@psychtechs.net

          State Vice President: Paul Hannula (see Atascadero listing)
          State Secretary-Treasurer: Jaime Garcia (see Coalinga listing)

          CHAPTER PRESIDENTS

          Atascadero: Paul Hannula
          4401 El Camino Real, Ste. K

                                                                              Index
          Atascadero, CA 93422-2708
          (805) 235-7832 (Cell) / captashpts@gmail.com
          (805) 460-6131 (Office) / (805) 861-2390 (Fax)

          Coalinga: Jaime Garcia
          578 E. Elm St., Coalinga CA 93210
          Mail to: PO Box 933, Coalinga, CA 93210-0933
          (559) 978-1582 (Cell) / captcoalingachapter@gmail.com               COVER: As essential front-line healthcare workers, BU 18
          (559) 961-4467 (Fax)
                                                                              employees take the proactive step to stop the spread and
          Community Facilities: Donald Cofer                                  save lives by receiving their priority COVID-19 vaccine. At
          Mail to: c/o CAPT                                                   press-time, CDCR reported 49,035 total confirmed inmate
          1220 S St., Ste. 100
          Sacramento, CA 95811-7138                                           patient cases of COVID-19 with 210 deaths and 15,706 staff
          (909) 583-7786 (Cell) / dcofer37@yahoo.com                          cases with 25 deaths. DSH reported 1,861 confirmed patient
                                                                              cases with approximately 72 deaths and approximately 1,933
          Northern Corrections: Kim Souza
          Mail to: 1000 Lincoln Road STE H. PMB 207                           staff cases. Staff deaths were not reported.
          Yuba City, CA. 95991
          (916) 955-4807 (Cell) / Kim@kimsouza.com                            4       State President's View: The Labor Movement, our
                                                                                      history and the power of solidarity
          Southern Corrections: Walter Lewis                                  5       2021 Contract Enhancements
          Mail to: P.O. Box 917
          Fullerton, CA 92836                                                 6       BVNPT EO welcomes 2021, discusses changes and
          (760) 520-5159 (Cell) / waltlewissocalprez@yahoo.com                        gives important reminders
          Fairview-STAR (North/South): Randy Tyer                             7       Under our Scope: The law says Psych Techs
          Office in Employee Org. Rm.                                                 practice under direction, but...
          PO Box 2796, Costa Mesa, CA 92628-2796
          (714) 612-4072 (Cell) / randy_tyer@hotmail.com                      8       COVID-19 related ATO expired 12/31/20
          (714) 957-5332 (Office)
                                                                              9       Pandemic-driven recession and new labor stats
          Metropolitan: Carlos (Chuck) Garcia                                         highlight union efficacy
          Metropolitan State Hospital, 11401 Bloomfield Ave., Norwalk, CA
          Mail to: PO Box 59569, Norwalk, CA 90652-0569                       10-11   Stopping the spread and saving lives one vaccine at
          (626) 644-8030 (Cell) / captmetrochapter@gmail.com                          a time
          (562) 286-8007 (Fax)
                                                                              12-14   State Budget Highlights
          Napa: Chris Cullen
                      Cullen
          PO Box 10906, Napa, CA 94581-2906                                   15      Contract Highlight: Survivors’ benefits
          (707) 363-2667 (Cell) / captnsh@gmail.com
          (707) 736-7022 (Fax)                                                16      BVNPT updates licensee guidance on COVID-19
                                                                                      vaccine complaints and discipline
          Patton: Sylvia Hernandez
          2544 E. Highland Ave., Highland, CA 92346                           17      State has duty to keep workers safe; Facial hair
          Mail to: PO Box 680, Patton, CA 92369-0680                                  compromises protective seal on respiratory masks
          (909) 709-8633 (Cell) / pattonchapter@gmail.com
          (909) 864-1610 (Office) / (909) 864-1695 (Fax)                      18-21   Studies and Research: OSHA Let Employers
                                                                                      Decide Whether to Report Health Care Worker
          Porterville: Kara Johnson                                                   Deaths. Many Didn’t
          376 North D Street, Porterville, CA 93257-3665
          Mail to: PO Box 8703, Porterville, CA 93258-8703                    22      Family and Medical Leave
          (559) 359-7857 (Cell) / kjohnsonspt@gmail.com
          (559) 781-2278 (Office) / (559) 781-4440 (Fax)                      22      Expedited Licensure for Refugees, Asylum
                                                                                      Seekers, and Holders of Special Immigrant Visas
          Stockton: Toni King
          Stockton Metropolitan Airport                                       23      Publication corrections to the Nov/Dec 2020
          5000 South Airport Way, Suite 207                                           Outreach
          Stockton, CA 95206
          (916) 914-4818 (Cell) / tonikingcapt@gmail.com                      23      CAPT members, did you know a portion of
                                                                                      your 2020 union dues is tax deductible?

                                                                                                 2021 January / February - 3
YOUTREACH BU 18 employees accept first doses of the newly released - COVID-19 vaccines Page 10 - CAPT
The President’s View
                          The Labor Movement, our history
                          and the power of solidarity
    CAPT Brothers and Sisters,

     Each year as the calendar shifts to February and       human rights, people of color, women, immigrants
 March (Black History and Women's History month,            and the LGBTQ communities still faced exclusion,
 respectively), I often reflect on the unions' role, the    segregation, and discrimination. It wasn't until the
 labor movement, and the struggle for working men and       21st century (although within the labor movement,
 women.                                                     those with more radical/progressive views had always
                                                            advocated for more inclusion) that the labor movement
     A union is an organization (collective) of workers     (spurred in large part by the activism of these individual
 dedicated to advocating for their fellow workers.          groups) began fully championing the causes of anti-
 Unions struggle to improve wages and working               discrimination and civil rights, marriage equality as well
 conditions at their workplace. The union engages the       as immigration reform.
 employer on behalf of the worker through Collective
 Bargaining. The workers themselves chose their Union           The positive impact of unions is evident in viewing
 leadership through democratically held elections. As an    what is known as the "union advantage." The Union
 independent agent, a worker wields little to no power      Advantage is the observation that union members tend
 in the employer/employee relationship; however, when       to earn higher pay, better benefits, employer healthcare,
 many workers band together in solidarity and common        retirement/pensions, and other advantages as opposed
 cause, they multiply their voice, energy, and influence.   to non-unionized workers. For example, only 14% of
                                                            non-union workers have pensions as opposed to 68% of
     Throughout the history of labor unions, there have     union workers having pensions.
 often been opposing forces within the movement
 regarding racial and gender inclusion. During the 19th         The Union Advantage for women is demonstrated by
 century, labor unions often excluded workers of color      women in union jobs earning on average 30-33% more
 and women from their ranks, not to mention immigrants      than non-union women workers, and union women are
 and unskilled workers. Much of this was caused by          more likely to have healthcare than non-union women
 pre-existing racial prejudices and cultural views. The     (76.7% vs. 51.4%). Among Latino workers, unionization
 employing class certainly took advantage by amplifying     increases the wages of typical low-wage Latino workers
 these views, which encouraged continued division           by 20%. Latinas have a yearly differential of $12,844 vs.
 amongst the working class.                                 Latinas in non-unionized workplaces. Among African
                                                            American workers, the union advantage is evident by
    According to the article "For Liberty, Justice, and     black workers earning 27% higher than non-unionized
 Equality: Unions Making History in America," by the        black workers. Unionized Asian and Pacific Islander
 end of the 20th century, after the labor movement          workers (AAPI) earn 14.3% more than non-union AAPI
 had championed economic equality, religious freedom,       workers. Unionized AAPI workers are 16% more likely
 the environmental movement, and for international          to have health insurance and 22% more likely to have

4 - January / February 2021
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2021
                                        CONTRACT
                                        Enhancements
                                        Scheduled improvements
                                        outlined below

a retirement benefit than their non-
union counterparts.

    The Labor Movement has a            With the New Year comes new contract
varied history that we must come        improvements, some of which are already
to acknowledge and learn from. The      in force, and a new weekend differential
movement allowed racial prejudices,     beginning July 1, 2021. Provided below are the
cultural intolerance, and gender bias   contract provisions activated this year. If you
(spurred on and encouraged by the       have any questions about these new benefits
employing class) to keep us divided,    or any other contract-related questions, do
which led to the detriment of           not hesitate to contact your local chapter for
working-class interests. My sincere     assistance.
hope is that we can all reflect on
and learn from the past struggles of    Effective immediately, except in emergency
those that came before us. We must      cases, the Mandated Overtime limits in Article
strive to build a better tomorrow
                                        5.1 were reduced from five to four times per
through the unbreakable bonds of
solidarity with all our brothers and
                                        month (Excluding DDS STAR Homes).
sisters.
                                        Additionally and effective immediately,
   Solidarity Forever                   mandated employees who find a volunteer
                                        shall be rotated to the bottom of the overtime
                                        list regardless of how long they work. This 5.1
                                        language was negotiated in a side letter and is
                                        effective from Jan. 1, 2021, through June 30,
                                        2022.
   Eric Soto
   CAPT State President
   (909) 214-4298                       Effective July 1, 2021, under Article 4.14,
   eric.soto@psychtechs.net             employees who work a regularly scheduled
                                        weekend shift will receive an additional fifty-
                Friend Eric on          cents per hour starting with the PM/3rd Watch
                Facebook at             shift on Fridays through the NOC/1st Watch
                www.facebook.com/       ending on Mondays.
                statepres.soto

                                                             2021 January / February - 5
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BVNPT EO welcomes 2021,
                                                          discusses changes and
                                                          gives important reminders

    With the increased work that our LVNs and PTs are seeing         Work with the Board
with the pandemic, I wanted to reach out to everyone.                We are currently recruiting LVNs and
    First, thank you for the hard work you do every day.         PTs for our Expert Witness Program. An
The team at BVNPT appreciates the LVNs and PTs who use           expert consultant is a licensed practitioner
their licenses to help others.                                   who possesses technical and professional
    Due to the hectic pace of this year, I want to also remind   knowledge gained through advanced
everyone of a few things to ensure no one has late fees or       education and extensive work experience
allows their licenses to lapse. Please take a moment to:         that enables the individual to form a definitive
                                                                 professional opinion regarding the standard
                                                                 of care under investigation.
   •   Ensure your contact information is updated,                   We are currently recruiting PTs to assist
       including a correct mailing address and an email.         with the development of the California
       We want to keep you informed of the latest news           Psychiatric Technician Licensure Exam. We
       and issues, and with your email we can reach you          are looking for PTs with various levels of
       much faster than having to mail a letter. Please          experience and from diverse practice settings
       remember that BVNPT can and will issue a citation         to serve as subject matter experts.
       if you do not keep your mailing address up to date.
                                                                     Board Member Updates
   •   Ensure you have an understanding of your scope                Congratulations to PT Abraham Hill and
       of practice and call us if you have any questions.        LVN Tara Rooks who were recently appointed
       The Board recently posted a precedential decision         to the Board. Congratulations to Carel
       on our website about an LVN’s scope of practice           Mountain, LVN/Education Member, Aleta
       concerning her conduct in relation to her operation       Carpenter, Public Member, and Ken Maxey,
       and performance of treatments at a skin care salon        Public Member, for their reappointment to
       and related medical spa. The LVN administered             the Board.
       Botox, Juvederm, and Kybella injections; performed            Best wishes for a wonderful 2021, and
       platelet rich plasma therapy and vitamin drips            please stay safe out there!
       when she was not certified; performed skin growth
       removal procedures; and injected glutathione: all         Sincerely,
       procedures which were beyond her scope of practice.       Elaine Yamaguchi
                                                                 Executive Officer, Board of Vocational Nursing
   •   Ensure that you do not let your Continuing                and Psychiatric Technicians
       Education (CE) lapse during this pandemic. There
       are many online ways to take trainings that count
       toward your required CEs.

6 - January / February 2021
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Under our scope
             The law says
                                                          ► Direct responsibility for the application
                                                          of interpersonal and technical skills in the
                                                          observation and recognition of symptoms and
                                                          reactions of recipients or patients, for the accurate

               Psych Techs
                                                          recording of such symptoms and reactions,
                                                          and for the carrying out of treatments and
                                                          medications as prescribed by a licensed physician
                                                          and surgeon or a psychiatrist. [Emphasis added.]

            practice under                                So if an order is put forward by a supervisor
                                                          that seems odd, new, unusual or questionable,
                                                          we also are directly responsible for verifying the

                  direction,
                                                          information and directions, such as by double-
                                                          checking charts, treatment plans or doctor’s
                                                          orders. Blame won’t all fall on supervisors and
                                                          their licenses if we don’t act: If supervisors are

                      but...
                                                          mistaken or flat-out wrong about something,
                                                          that’s on their license if trouble ensues; but
                                                          if we don’t make a reasonable effort to verify
                                                          such things as sudden and unusual changes in
                                                          treatments or procedures that they tell us about,
                                                          that’s on our license.
As stated in California Business and Professions Code
Section 4502, “The Psychiatric Technician in the          If you do as your license requires – and as
performance of such procedures and techniques is          patients’ safety depends upon – and double-
responsible to the director of the service in which his   check changes in treatments or programs, only
duties are performed.”                                    to meet with hostility or retaliation, contact your
                                                          chapter office immediately for assistance.
However, as the California Board of Vocational
nursing and Psychiatric Technicians reminds us, while
Psych Techs do operate under the direction and
responsibility of another professional, that chain of     For questions on Psychiatric Technician scope-
command doesn’t alleviate us from our professional        of-practice issues, contact the BVNPT’s scope
responsibility to question, follow-up, find out more      of practice office via email at bvnpt.sop@dca.
and check on issues put forward by supervisors that       ca.gov or contact CAPT Headquarters at (800)
we feel merit further investigation.                      677-2278.

Our licensure law also states that Psychiatric
Technicians have:

► Direct responsibility for administering or
implementing specific therapeutic procedures,
techniques, treatments, or medications with the aim
of enabling recipients or patients to make optimal use
of their therapeutic regime, their social and personal
resources, and their residential care.

                                                                                2021 January / February - 7
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COVID-19 related ATO
    expired 12/31/20                                            As you may already know, the COVID-19

    What options do I have?                                     related leave provisions afforded to
                                                                employees through the Families First
                                                                Coronavirus Response Act (FFCRA) expired
                                                                December 31, 2020. Although California
                                                                moved to exempt Psych Techs and other
                                                                essential healthcare personnel from the leave
                                                                benefit, CAPT was successful in convincing the
                                                                state to deliver an alternative extended paid
                                                                leave benefit in the form of Administrative
                                                                Time Off for BU 18 employees. As a result,
                                                                Psych Techs were eligible to receive up to 14
                                                                calendar days of ATO if they could not work
                                                                due to a COVID-19 related quarantine. The
                                                                leave program’s duration was tied to the
  expiration of the FFCRA and is, therefore, no longer active. Neither CalHR nor the Governor’s Office has
  offered to extend the program.

  CAPT has learned through our leave specialist’s diligent work, Tessa Hannula, that the departments have
  since approved some members’ ATO applications. This suggests the departments may be utilizing some
  discretion on a case-by-case basis to approve ATO.

  Given this information, CAPT encourages you to apply for ATO for your COVID-19
  related illness/quarantine. If your ATO is denied, you may still apply for workers’
  compensation if your illness was contracted as a result of your work. In any case, CAPT
  encourages members to utilize CAPT for assistance in any COVID-19 related matter.
  Contact your local chapter or Tessa directly by email at tessa.fmla@yahoo.com.

8 - January / February 2021
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Pandemic-driven recession
and new labor stats
highlight union efficacy
    For the first time in over a decade, the     among industries and sectors that employ non-
U.S. Bureau of Labor Statistics (BLS) reported   unionized staff. The decline in total employment
overall growth in union membership from          was 9.6 million – or 6.7 percent of the workforce.
2019 to 2020. 10.8 percent of the workforce      The decline in employment was disproportionately
were members of a union in 2020, up from         weighted against non-union jobs, resulting in an
10.3 percent in 2019. The BLS Jan. 22, 2020      overall increase in union jobs.
report reads in part:                                 The data reveals that unionized workers had
    "In 2020, the percent of wage and salary     a greater advantage against suffering a job loss
workers who were members of unions—              during the coronavirus recession. Currently, union
the union membership rate—was 10.8               workers take up a proportionately larger part
percent, up by 0.5 percentage point from         of the remaining workforce, representing the
2019, the U.S. Bureau of Labor Statistics        first percentage increase in unionized workers'
reported today. The number of wage and           proportion since 2008 or after the housing bubble
salary workers belonging to unions, at 14.3      recession.
million in 2020, was down by 321,000, or 2.2          The job losses experienced in 2020 due to the
percent, from 2019. However, the decline in      pandemic may have given rise to a new renaissance-
total wage and salary employment was 9.6         like era in union growth. Job insecurities, stress,
million (mostly among non-union workers),        and healthcare fears, as well as our new-found
or 6.7 percent. The disproportionately large     appreciation and reliance on the essential
decline in total wage and salary employment      workforce, has increased the favorability of unions
compared with the decline in the number          and their efficacy in the workplace—that being to
of union members led to an increase in the       promote job security, increase wages and benefits,
union membership rate. In 1983, the first        foster dignity and respect, and provide safe working
year for which comparable union data are         conditions. This new worker-friendly climate and
available, the union membership rate was         concern for low-wage earners have set a stage
20.1 percent, and there were 17.7 million        for union relevancy and growth that, if fostered
union workers."                                  correctly, can produce a larger, more durable middle
    The data shows that the 2020 gains in        class.
union membership were not generated by
an increase in the total number of unionized
staff. The number of unionized staff
actually decreased by 2.2 percent in 2020.
The gains in union membership resulted
from scores of pandemic-driven job losses

                                                                       2021 January / February - 9
Shown above from right: Fairview-Star Chapter President Randy Tyer, State
         President Eric Soto, State Vice President Paul Hannula, and Napa Chapter
         President Chris Cullen

              The state began administering the life-saving           cost. While he experienced some nausea due to his
         COVID-19 vaccine to BU 18 employees on Dec. 22,              first shot, he did not experience any side effects after
         2020. Initially, the vaccine supply was limited and          receiving the booster.
         prioritized for distribution at the skilled nursing               "I felt fine after receiving my second shot," said
         facilities. As more vaccines became available,               Chris. "I was able to go for a jog just a couple of
         distribution throughout our state prisons, hospitals,        hours later!"
         and developmental centers opened the opportunity                  Chris was fortunate. Many people report signs of
         for every willing BU 18 employee to get vaccinated.          illness for 12 if not 24 hours after vaccination. Even
              Numerous BU 18 employees and their CAPT                 so, a day of discomfort is a small price to pay and
         representatives took the proactive step to receive           is the assurance that your body's immune system is
         their priority vaccine. The testimonials from our CAPT       responding well.
         brothers and sisters who have completed vaccination               As essential healthcare personnel, Psych Techs
         are hopeful and encouraging. Many report less anxiety,       are among the few who were offered the first doses
         stress, and exhaustion due to the peace of mind that         of the COVID-19 vaccine. Healthcare personnel is
         comes with knowing they are now protected from               at a higher risk of infection due to a higher risk of
         contracting a severe illness. Napa Chapter President         virus exposure. It is critically important to vaccinate
         Chris Cullen said his peace of mind came at a minimal        front-line healthcare workers to keep the healthcare

10 - January / February 2021
Stopping the
      spread and
   saving lives one
   vaccine at a time
    Frontline PTs from BU 18 receive
       priority COVID-19 vaccine.

Shown above from top: Southern Corrections Chapter President Walter Lewis and
Community Facilities Chapter President Donald Cofer

system operational and intact during this              control the spread of a virus that has killed
pandemic.                                              countless individuals, including two of our CAPT
     "My primary message to healthcare                 brothers, Coalinga State Hospital PT Fortune
professionals is to please get vaccinated," said       Njoku and Porterville Developmental Center PTA
Dr. Anthony Fauci, Director of the National            Phouvanh Inthasone.
Institute of Allergy and Infectious Diseases. "It          A recent study conducted by the California
is important to protect yourselves, to protect         Health Care Foundation found that 23% of
your family, but as important symbolically, as         Californians know somebody who has died of
healthcare providers, to show confidence in            COVID-19. The same study reported that 71%
the vaccine so that other people in this country       of Californians said they would get the vaccine
follow suit and get vaccinated."                       once made available.
     BU 18 employees have witnessed                        On Feb. 10, the CDC, released new guidance
firsthand the devastation caused by COVID              that fully vaccinated individuals exposed to
as it spread throughout our facilities, causing        someone infected with the virus can skip
rampant illness, death, unsafe working                 quarantine. If you have not yet received your
conditions, staffing shortages, and mandates.          priority vaccine, CAPT urges you to schedule
The COVID-19 vaccine is an effective tool to           your vaccine right away!

                                                                                      2021 January / February - 11
STATE BUDGET
Proposed Budget Highlights for employee compensation and bargaining, DSH, CDCR and DDS

     On January 8, Governor Gavin Newsom released the            Department of Human Resources anticipates inviting
2021-22 State Budget proposal. The Budget will be revised        the bargaining units back to the table to renegotiate and
in May when the governor receives an updated revenue             modify the side letter agreements that extended the 2020
forecast. The $227.2 billion budget plan includes a $15          PLP program through the 2021-22 fiscal year. The budget
billion surplus generated from an unforeseen surging stock       proposal made no mention of our suspended raises, only
market that benefited the state's wealthiest residents.          modifications to the extended PLP program, which would
     "Californians made a record $185 billion in capital gains   begin on July 1, 2021.
income — money earned from the sale of assets like stocks,
land or a business — resulting in $18.5 billion in tax revenue
for the state," reported the Associated Press.                             DEPARTMENT OF STATE
     Newsom's budget proposal highlights vaccine
distribution and administration, various coronavirus-related                    HOSPITALS
economic relief programs for families and small businesses,
and the safe reopening of schools.
                                                                 COVID-19 IMPACTS
     At this time last year (pre-pandemic), Newsom proposed
                                                                     The Budget includes $51.9 million one-time General
Budget projected a $5.6 billion surplus. The projected surplus
                                                                 Fund in 2021-22 to address the impacts of COVID-19,
quickly changed after the COVID-19 pandemic reached our
                                                                 including, but not limited to, isolation and testing capacity
shores, necessitating unprecedented lockdown measures.
                                                                 at state hospitals, outside medical invoicing, and other
The pandemic brought fiscal uncertainty and projections of
                                                                 supports for patients and employees. As an additional
declining state revenue. Newsom's 2020 May Revise cut the
                                                                 safeguard and to provide for increased surge capacity, DSH
budget significantly as the surplus was quickly eclipsed by an
                                                                 has contractually secured a portion of the Norwalk facility to
estimated $54 billion deficit.
                                                                 use as an alternate care site. Due to the recent increase in
     The state's gloomy economic forecast led to a non-
                                                                 COVID-19 cases, this facility was activated in mid-December
negotiable ten percent compensation reduction plan for state
                                                                 to provide additional isolation space at DSH-Patton hospital.
workers achieved through the collective bargaining process.
The necessary reductions were attained through temporary
suspensions of raises, as well as a Personal Leave Program.      FELONY INCOMPETENT TO STAND TRIAL
     CAPT monitors the state budget process closely to see       POPULATION
how funding will impact our departments and our jobs.                The growth in the number of incompetent to stand trial
Provided below are the budget highlights for the three           (IST) commitments who are referred from trial courts and
departments in which we work, beginning with our ten             are awaiting admission to a state hospital continues to grow
percent compensation reduction side letter agreement. If         and has been exacerbated by the COVID-19 pandemic. The
you have any questions about the state budget or want to         number of ISTs pending placement stood at approximately
learn more, contact Coby Pizzotti at 1-800-677-2278.             1,428 as of December 2020.
                                                                     The Budget includes funding proposals to accommodate
                                                                 the IST population's overflow through local treatment,
 EMPLOYEE COMPENSATION AND                                       housing, and other community support systems. The
                                                                 expansion or creation of community or jail-based treatment
   COLLECTIVE BARGAINING                                         options could reduce the number or category of ISTs
                                                                 admitted into the state hospital system. The state's response
    Although fiscal risk remains high, the initial revenue       to mitigate the IST waitlist through local programs could, if
projections indicate that the employee compensation              successful, be the beginning of a new model that outsources
reductions may not be necessary during the 2021-22 fiscal        to the community the treatment of a portion of the state's
year. Immediately following the May Revision, the California     IST population. CAPT is concerned that, if this model

   12 - January / February 2021
advances, the patient population relegated to the state
hospital system will be those who exhibit more violent and
aggressive behaviors, making the facilities more dangerous
and making it harder to recruit and retain quality staff.
    Provided below are the budgetary proposals to address
the number of ISTs awaiting placement:
    ► Community Care Demonstration Project for Felony
IST (CCDP-IST)—The Budget includes $233.2 million General
Fund in 2021-22 and $136.4 million General Fund in 2022-
23 and ongoing to contract with three counties to provide a
continuum of services to felony ISTs in the county as opposed
to state hospitals. This proposal seeks to demonstrate the
effectiveness of streamlining services to drive improved
outcomes for individuals with serious mental illness. This
proposal is projected to serve up to 1,252 ISTs in the county
continuum of care settings in 2021-22.
    ► Expansion of Community Based Restoration (CBR)—
The Budget includes $9.8 million General Fund in 2020-
21, $4.5 million General Fund in 2021-22, and $5 million
General Fund in 2022 23 and ongoing to expand the current
Los Angeles County CBR program beginning in 2020-21 and
establish new CBR programs in additional counties in 2021-
22. This proposal is projected to increase capacity by up to
250 beds in 2021-22.
    ► Reappropriation and Expansion of the IST Diversion
Program—The Budget includes $46.4 million one-time
General Fund, available over three years, to expand the
current IST Diversion program in both current and new
counties. Additionally, the Budget includes five-year limited-
                                                                      ► CONREP Continuum of Care Expansion—The Budget
term funding of $1.2 million General Fund annually to support
                                                                 includes $3.2 million General Fund in 2020-21 and $7.3
research and administration for the program. Further, the
                                                                 million General Fund in 2021-22 and ongoing to increase the
Budget authorizes the reappropriation of existing program
                                                                 step-down capacity in the community in order to transition
funds set to expire in 2020-21.
                                                                 more stable non-IST patients out of state hospital beds and
    ► Expansion of the Jail-Based Competency Treatment
                                                                 backfill state hospital beds with IST patients. This expansion
Program—The Budget includes $785,000 General Fund
                                                                 is estimated to increase capacity by up to 40 beds in 2021-22.
in 2020-21 and $6.3 million General Fund in 2021 22 and
ongoing to expand the Jail-Based Competency Treatment
program to seven additional counties. This expansion is
estimated to increase capacity by up to 31 beds in 2021-22.
                                                                   DEPARTMENT OF CORRECTIONS
    ► Forensic Conditional Release Program (CONREP)                    AND REHABILITATION
Mobile Forensic Assertive Community Treatment (FACT)
Team—The Budget includes $5.6 million General Fund in
2021-22, $8 million General Fund in 2022-23 and 2023-24,         PRISON INMATE POPULATION
and $8.2 million General Fund in 2024-25 and ongoing to              As a result of virus mitigation, the Budget proposal
implement a FACT team model within CONREP, in lieu of            reports a sharp decline in the prison inmate population
the typical centralized outpatient clinic model, to expand       statewide, including population projections. The 2020
community-based treatment options for both ISTs and non-         Budget Act projected an overall adult inmate average daily
ISTs in counties and backfill State Hospital beds with IST       population of 122,536 in 2020-21. The average daily adult
patients. This expansion is estimated to increase capacity by    inmate population for 2020-21 is now projected to be
up to 100 beds in 2021-22.                                       97,950, a decrease of 20 percent from spring projections.

                                                                                                    ▀ Continued, next page

                                                                                      2021 January / February - 13
▀ Continued, previous page

   Current projections show that the adult inmate
population is trending downward and is expected to
decrease by 2,626 offenders between 2020-21 and 2021-22.
                                                                               DEPARTMENT OF
SUSPENSION OF INTAKE TO STATE PRISONS                                      DEVELOPMENTAL SERVICES
    As public health conditions allow, CDCR plans to resume
the intake of inmates with continued precautions, including             The State of California is the only state that funds
offering to test all inmates upon intake and instituting a          services to the developmentally disabled as an entitlement.
mandatory 14-day quarantine period in its reception centers.        The Budget includes $10.5 billion ($6.5 billion General Fund)
PRISON CAPACITY AND CLOSURES                                        and estimates that approximately 386,753 individuals will
     CDCR's reliance on contract prison capacity has                receive developmental services by the end of 2021-22.
significantly reduced over the years. CDCR plans to terminate       COVID-19 IMPACTS
its last and final in-state contract correctional facility by May       The Budget provides $211.7 million ($150.4 million
2021.                                                               General Fund) to address COVID-19 impacts on the
     Consistent with the 2020 Budget Act, the Department            developmental services system. Funding supports utilization
plans to close Deuel Vocational Institution by September            increases for purchase of services above base funding levels
2021, achieving savings of $113.5 million General Fund in           and direct response expenditures for surge capacity at the
2021-22, and $150.6 million General Fund beginning in               Fairview and Porterville Developmental Centers and other
2022-23. The Administration plans to close a second state-          operating costs in state-operated facilities.
operated prison in 2022-23.
                                                                    REGIONAL CENTER EMERGENCY RESPONSE
INMATE MEDICAL CARE AND MENTAL HEALTH                                   The Budget includes $2 million ($1.4 million General
SERVICES                                                            Fund) ongoing for regional center emergency coordinators
    The Budget continues to adequately fund ($3.4 billion)          to respond various emergencies and disasters, including
the delivery of healthcare services and programs to inmates,        wildfires, earthquakes, and public safety power shutoffs.
including access to mental health, medical, and dental              Each regional center will receive a dedicated position
care consistent with the standards and scope of services            to coordinate emergency preparedness, response, and
appropriate within a custodial environment.                         recovery activities for DDS consumers.
DIVISION OF JUVENILE JUSTICE REALIGNMENT
    Consistent with Chapter 337, Statutes of 2020 (SB 823),
the Budget transfers responsibility for managing all youthful
offenders from the State to local jurisdictions. The Division
of Juvenile Justice will stop the intake of wards on June 30,
2021, and the DJJ is expected to close on June 30, 2023.

        Pandemic                                          According to CalPERS data, state employee retirement figures
                                                          increased 15 percent in 2020. CalPERS processed 3,315

        brings 2020                                       retirements just in December, a 17 percent increase from the
                                                          prior year. The retirement data is no surprise, given the events
                                                          of 2020. The COVID-19 pandemic created dangerous working
        retirement                                        conditions, and the economic uncertainty led to state-imposed
                                                          pay cuts and furloughs. During the Great Recession, when Gov.
        surge to state                                    Schwarzenegger imposed state-worker furloughs in the summer
                                                          of 2009, public service retirements increased by 16 percent
        workforce                                         from the previous year.

    14 - January / February 2021
Contract                                       Highlight
                                                                                    Survivors’ benefits
                                                                                   A loved one’s death is always    3. the member in a parent-child relationship)
                                                                                   a difficult time for those          is eligible for benefits while under age 22.
                                                                                   left behind. Our contract           An unmarried child incapacitated because
                                                                                   outlines a program that can         of a disability which began before attaining
                                                                                   help ease family members’           age 22 may be entitled to the benefit until
                                                                                   financial concerns.                 the disability ends. If a child is in the care of
                                                                                                                       the guardian, or is living on their own, the
                                                                                     State Bargaining Unit 18          child’s portion of the benefit is payable to
                                                               members are covered under the Fifth Level of            the guardian or to the child directly, rather
                                                               the 1959 Survivors’ Benefit, which provides a           than to the surviving spouse or registered
                                                               monthly payment to BU 18 members’ families if           domestic partner.
                                                               the non-Social-Security-covered state employee       4. Parents – A parent may be eligible if there
                                                               dies prior to retirement. These monthly payments        is no surviving spouse, registered domestic
                                                               to eligible family members are made possible by         partner or eligible children, and the parent(s)
                                                               the employees’ small paycheck contributions             was dependent on the member for at least
                                                               toward the program.                                     half of their financial support at the time of
                                                                                                                       the member’s death.
                                                               The 1959 Survivors’ Benefit is paid in addition
                                                               to any other pre-retirement death benefit paid       MONTHLY ALLOWANCE LEVELS
                                                               by CalPERS, with the possible exception of the       Eligible survivors may receive one of the following
                                                               Special Death Benefit. If the 1959 Survivors’        monthly allowances:
                                                               Benefit is greater than the Special Death Benefit,
                                                               then the difference is paid as the 1959 Survivors’   A spouse who has care of two or more eligible
                                                               Benefit.                                             children, or three or more eligible children not in
 Information on these contract provisions are located in the

                                                                                                                    the care of the spouse -- $1,800.
                                                               ELIGIBLE SURVIVORS
                                                               1. Spouse or registered domestic partner – A         A spouse with one eligible child, or two eligible
                                                                  surviving spouse or registered domestic           children not in the care of the spouse -- $1,500.
                                                                  partner is a person who was legally married,
                                                                  or in a registered domestic partnership, with     Upon reaching age 62, a spouse who had no
                                                                  the member either one year prior to the           eligible children at the time of the employee's
                                                                  member’s death, or before the occurrence          death, or one eligible child not in the care of the
                                                                  of the injury or onset of illness that resulted   spouse -- $750.
                                                                  in the member’s death. A surviving spouse is
 2019-2022 CAPT Contract

                                                                  entitled to the 1959 Survivor Benefit as long     For more information on the 1959 Survivors’
                                                                  as they have care of an eligible unmarried        Benefit, including your specific family members’
                                                                  child or are at least age 60. A surviving         eligibility, as well as other similar benefits,
 Article 8.3, Page 75

                                                                  spouse can remarry and continue to receive        contact CalPERS at 888-225-7377.
                                                                  the allowance.
                                                               2. Children – An unmarried biological or             For questions about our contract and our related
                                                                  adopted child of the member or an unmarried       rights, contact your chapter office.
                                                                  stepchild (if the child was living with

                                                                                                                                     2021 January / February - 15
BVNPT updates licensee guidance on COVID-19
vaccine complaints and discipline
On December 31, 2020, the Board of Vocational Nursing and Psychiatric Technicians released a guidance communication to
the current federal and state prioritization standards for allocating and administering COVID-19 vaccines in phases. In that
communication, the BVNPT warned licensees that distribution or administration of vaccine doses contrary to the phase structure
identified in the federal and state guidelines may subject licensees to discipline, up to and including revocation of licensure.

On January 7, 2021, the California Department of Public health released new guidance on vaccine prioritization to better
account for vaccine spoilage and community immunity. In response to the new direction, the BVNPT released the following
communication updating its guidance to licensees on vaccine distribution and administration:

    On January 7, 2021, the California Department of Public        structure as they administer the COVID-19 vaccine.
    Health (https://www.cdph.ca.gov/Programs/CID/DCDC/             The BVNPT is incorporating this new guidance and any
    Pages/COVID-19/Vaccine-Prioritization.aspx) released           future guidance issued into its review and evaluation of
    new guidance on vaccine prioritization. The guidance           complaints that could result in disciplinary actions against
    recognized the need to balance the prioritization of scarce    licensees involved in COVID-19 administration.
    vaccine resources with the goal of achieving community
    immunity for all Californians. Additionally, the guidance      With respect to vaccine prioritization, the BVNPT
    noted situations in which the health departments and           prioritizes the investigation of complaints against
    providers may offer doses promptly to people in lower          licensees who engage in the diversion of COVID-19
    priority groups, including provider flexibility to eliminate   vaccine or vaccine administration supplies provided by
    vaccine spoilage.                                              the federal government that is undertaken for financial
                                                                   gain in violation of applicable federal and state guidance.
    The Board of Vocational Nursing and Psychiatric
    Technicians (BVNPT) previously provided licensees with         This guidance updates the guidance released on
    information on their role in maintaining COVID-19 phase        12/31/2020.

    16 - January / February 2021
State has duty to keep
                                                              workers safe; Facial
                                                              hair compromises
                                                              protective seal on
                                                              respiratory masks

Yes, our employer has the legal duty and                shown that even a day or two of stubble can
obligation to require essential staff to wear           begin to reduce protection. Research tells
a securely fitted surgical N95 mask for our             us that the presence of facial hair under the
safety and protection and for those around              sealing surface causes 20 to 1000 times more
us. A tight face-to-respirator seal provides            leakage compared to clean-shaven individuals.
greater protection from airborne hazards,
in this case, the coronavirus. Studies have             The Occupational Safety and Health
shown that any amount of facial hair within             Administration strongly advises employees to
the seal area can compromise the seal.                  be clean-shaven (within eight hours) in the
                                                        area of the seal before they begin their shift.
From the Centers for Disease Control and
Prevention: Gases, vapors, and particles in the         ACCOMMODATIONS
air will take the path of least resistance and          If you have a religious reason or a documented
bypass the part of the respirator that captures         medical condition, such as a heart condition,
or filters hazards out. So then, why can’t facial       lung disease, or a psychological condition
hair act as a crude filter to capture particles         like claustrophobia, you can make an
that pass between the respirator sealing area           accommodation request. Requests for
and the skin? While human hair appears to be            religious and disability accommodations are
very thin to the naked eye, hair is much larger         typically made to the Equal Employment
in size than the particles inhaled. Facial hair is      Opportunity coordinator at a facility. If there
just not dense enough, and the individual hairs         is a different process at your facility, contact
are too large to capture particles like an air filter   Human Resources, and inquire what the
does; nor will a beard trap gases and vapors            procedure is for accommodations. If you have
like the carbon bed in a respirator cartridge.          questions or are not sure about the local
Therefore, the vast majority of particles,              procedures, contact your
gases, and vapors follow the air stream right           local union representatives
through the facial hair and into the respiratory        for assistance.
tract of the wearer. In fact, some studies have

                                                                            2021 January / February - 17
Studies
      Research &
      OSHA Let Employers Decide Whether to Report
      Health Care Worker Deaths. Many Didn’t
      By Aneri Pattani and Robert Lewis and Christina Jewett
      NOVEMBER 30, 2020
      Kaiser Health News

           As Walter Veal cared for residents at the Ludeman              to a KHN review of hundreds of worker deaths detailed by
      Developmental Center in suburban Chicago, he saw the                family members, colleagues and local, state and federal
      potential future of his grandson, who has autism.                   records.
           So he took it on himself not just to bathe and feed the             Workplace safety regulators have taken a lenient stance
      residents, which was part of the job, but also to cut their         toward employers during the pandemic, giving them broad
      hair, run to the store to buy their favorite body wash and          discretion to decide internally whether to report worker
      barbecue for them on holidays.                                      deaths. As a result, scores of deaths were not reported to
           “They were his second family,” said his wife, Carlene          occupational safety officials from the earliest days of the
      Veal.                                                               pandemic through late October.
           Even after COVID-19 struck in mid-March and cases                   KHN examined more than 240 deaths of health care
      began spreading through the government-run facility, which          workers profiled for the Lost on the Frontline project and
      serves nearly 350 adults with developmental disabilities,           found that employers did not report more than one-third
      Walter was determined to go to work, Carlene said.                  of them to a state or federal OSHA office, many based on
           Staff members were struggling to acquire masks and             internal decisions that the deaths were not work-related —
      other personal protective equipment at the time, many               conclusions that were not independently reviewed.
      asking family members for donations and wearing rain                     Work-safety advocates say OSHA investigations into
      ponchos sent by professional baseball teams.                        staff deaths can help officials pinpoint problems before they
           All Walter had was a pair of gloves, Carlene said.             endanger other employees as well as patients or residents.
           By mid-May, rumors of some sick residents and staffers         Yet, throughout the pandemic, health care staff deaths
      had turned into 274 confirmed positive COVID tests,                 have steadily climbed. Thorough reviews could have also
      according to the Illinois Department of Human Services              prompted the Department of Labor, which oversees OSHA,
      COVID tracking site. On May 16, Walter, 53, died of the virus.      to urge the White House to address chronic protective gear
      Three of his colleagues had already passed, according to            shortages or sharpen guidance to help keep workers safe.
      interviews with Ludeman workers, the deceased employees’                 Since no public agency releases the names of health
      families and union officials.                                       care workers who die of COVID-19, a team of reporters
           State and federal laws say facilities like Ludeman             building the Lost on the Frontline database has scoured
      are required to alert Occupational Safety and Health                local news stories, GoFundMe campaigns, and obituary and
      Administration officials about work-related employee deaths         social media sites to identify nearly 1,400 possible cases.
      within eight hours. But facility officials did not deem the first   More than 260 fatalities have been vetted with families,
      staff death on April 13 work-related, so they did not report        employers and public records.
      it. They made the same decision about the second and third               For this investigation, journalists examined worker
      deaths. And Walter’s.                                               deaths at more than 100 health care facilities where OSHA
           It’s a pattern that’s emerged across the nation, according     records showed no fatality investigation was underway.

18 - January / February 2021
Carlene Veal and her family pose with the ashes of Walter Veal outside his home in University Park, Illinois. (From left) Jordan Veal, Devohnte
Harper Jr., Doreal Veal, Carlene Veal, Whitney Green and Carrice High. (TAYLOR GLASCOCK FOR KHN)

      At Ludeman, the circumstances surrounding the April 13              on-site, even in workplaces that reported a COVID outbreak.
worker death might have shed light on the hazards facing Veal.            Others cited privacy concerns and gave no explanation. Still others
But no state work safety officials showed up to inspect — because         ignored requests for comment or simply said they had followed
the Department of Human Services, which operates Ludeman and              government policies.
employs the staff, said it did not report any of the four deaths there         “It is so disrespectful of the agencies and the employers to shunt
to Illinois OSHA.                                                         these cases aside and not do everything possible to investigate the
      The department said “it could not determine the employees           exposures,” said Peg Seminario, a retired union health and safety
contracted COVID-19 at the workplace” — despite its being the             director who co-authored a study on OSHA oversight with scholars
site of one of the largest U.S. outbreaks. Since Veal’s death in May,     from Harvard’s T.H. Chan School of Public Health.
dozens more workers have tested positive for COVID-19, according               A Department of Labor spokesperson said in a statement that
to DHS’ COVID tracking site.                                              an employer must report a fatality within eight hours of knowing
      OSHA inspectors monitor local news media and sometimes              the employee died and after determining the cause of death was a
will open investigations even without an employer’s fatality report.      work-related case of COVID-19.
Through Nov. 5, federal OSHA offices issued 63 citations to facilities         The department said employers also are bound to report a
for failing to report a death. And when inspectors do show up, they       COVID death if it comes within 30 days of a workplace incident —
often force improvements — requiring more protective equipment            meaning exposure to COVID-19.
for workers and better training on how to use it, files reviewed by            Yet pinpointing exposure to an invisible virus can be difficult,
KHN show.                                                                 with high rates of pre-symptomatic and asymptomatic transmission
      Still, many deaths receive little or no scrutiny from work-safety   and spread of the virus just as prevalent inside a hospital COVID
authorities. In California, public health officials have documented       unit as out.
about 200 health care worker deaths. Yet the state’s OSHA office               Those challenges, plus May guidance from OSHA, gave
received only 75 fatality reports at health care facilities through       employers latitude to decide behind closed doors whether to
Oct. 26, Cal/OSHA records show.                                           report a case. So it’s no surprise that cases are going unreported,
      Nursing homes, which are under strict Medicare requirements,        said Eric Frumin, who has testified to Congress on worker safety
reported more than 1,000 staff deaths through mid-October, but            and is health and safety director for Change to Win, a partnership
only about 350 deaths of long-term care facility workers appear to        of seven unions.
have been reported to OSHA, agency records show.                               “Why would an employer report unless they feel for some
      Workers whose deaths went unreported include some who took          reason they’re socially responsible?” Frumin said. “Nobody’s
painstaking precautions to avoid getting sick and passing the virus       holding them to account.”
to family members: One California lab technician stayed in a hotel             Downside of Discretion
during the workweek. An Arizona nursing home worker wore a mask                OSHA’s guidance to employers offered pointers on how to
for family movie nights. A Nevada nurse told his brother he didn’t        decide whether a COVID death is work-related. It would be if a
have adequate PPE. Nevada OSHA confirmed to KHN that his death            cluster of infections arose at one site where employees work closely
was not reported to the agency and that officials would investigate.      together “and there is no alternative explanation.” If a worker had
      KHN asked health care employers why they chose not to report        close contact with someone outside of work infected with the virus,
fatalities. Some cited the lack of proof that a worker was exposed        it might not have been work-related, the guidance says.
                                                                                                                   ▀ Continued, next page

                                                                                                    2021 January / February - 19
▀ Continued, previous page                       that if he got the virus, “he wouldn’t make         health workers early this year at Central
                                                 it,” Daugherty said.                                State Hospital in Georgia — a state-run
     Ultimately, the memo says, if an                  Mark Daugherty, a father of five,             psychiatric facility in a state without its own
employer can’t determine that a worker           confided in his youngest son when he fell ill       worker-safety agency.
“more likely than not” got sick on the job,      in May that he believed he contracted the                On March 24, a manager at the facility
“the employer does not need to record            coronavirus at work, his daughter said in a         had warned staff they “must not wear
that.”                                           message to KHN.                                     articles of clothing, including Personal
     In mid-March, the union that                      Early in June, the facility filed its first   Protective Equipment” that violate the
represented Paul Odighizuwa, a food              public report on COVID cases to Medicare            dress code, according to an email KHN
service worker at Oregon Health & Science        authorities: Twenty-three residents and             obtained through a public records request.
University, raised concerns with university      eight staff members had fallen ill. It was               Three days later, what had started
management about the virus possibly              one of the largest outbreaks in the state.          as a low-grade illness for Mark DeLong, a
spreading through the Food and Nutrition         (Medicare requires nursing homes to                 licensed practical nurse at the facility, got
Services Department.                             report staff deaths each week in a process          serious. His cough was so severe late on
     Workers there — those taking meal           unrelated to OSHA.)                                 March 27 that he called 911 — and handed
orders, preparing food, picking up trays               By then, Daugherty, 60, was fighting          the phone to his wife, Jan, because he could
for patient rooms and washing dishes —           for his life, his absence felt by the residents     barely speak, she said.
were unable to keep their distance from          who enjoyed his banjo, accordion and                     She went to visit him in the hospital
one another, said Michael Stewart, vice          piano performances. But the country’s               the next day, fully expecting a pleasant visit
president of the American Federation of          occupational safety watchdog wasn’t called          with her karaoke partner. “By the time I got
State, County and Municipal Employees            in to figure out whether Daugherty, who             there it was too late,” she said. DeLong, 53
Local 328, which represents about 7,000          died June 19, was exposed to the virus at           “had passed.”
workers at OHSU. Stewart said the                work. His employer did not report his death              She learned after his death that he’d
union warned administrators they were            to OSHA.                                            had COVID-19.
endangering people’s lives.                            “We don’t know where Mark might                    Back at the hospital, workers had been
     Soon the virus tore through the             have contracted COVID 19 from, since                frustrated with the early directive that
department, Stewart said. At least 11            the virus was widespread throughout the             employees should not wear their own PPE.
workers in food service got the virus, the       community at that time. Therefore there                  Bruce Davis had asked his supervisors
union said. Odighizuwa, 61, a pillar of the      was no need to report to OSHA or any                if he could wear his own mask but was told
local Nigerian community, died on May 12.        other regulatory agencies,” Oasis Pavilion’s        no because it wasn’t part of the approved
     OHSU did not report the death to the        administrator, Kenneth Opara, wrote in an           uniform, according to his wife, Gwendolyn
state’s OSHA and defended the decision,          email to KHN.                                       Davis. “He told me ‘They don’t care,’” she
saying it “was determined not to be work-              Since then, 15 additional staffers have       said.
related,” according to a statement from          tested positive and the facility suspects a              Two days after DeLong’s death, the
Tamara Hargens-Bradley, OHSU’s interim           dozen more have had the virus, according            directive was walked back and employees
senior director of strategic communications.     to Medicare records.                                and contractors were informed they could
     She said the determination was made               Gaps in the Law                               “continue and are authorized to wear
“[b]ased on the information gathered by                If Oasis Pavilion needed another reason       Personal Protective Gear,” according to a
OHSU’s Occupational Health team,” but she        not to report Daugherty’s death, it might           March 30 email from administrators. But
declined to provide details, citing privacy      have had one. OSHA requires notice of a             Davis, a Pentecostal pastor and nursing
issues.                                          death only within 30 days of a work-related         assistant supervisor, was already sick. Davis
     Stewart blasted OHSU’s response.            incident. Daugherty, like many others, clung        worked at the hospital for 27 years and
When there’s an outbreak in a department,        to life for weeks before he died.                   saw little distinction between the love he
he said, it should be presumed that’s where            That is one loophole — among others           preached at the altar and his service to the
a worker caught the virus.                       — in work-safety laws that experts say could        patients he bathed, fed and cared for, his
     “We have to do better going forward,”       use a second look in the time of COVID-19.          wife said.
Stewart said. “We have to learn from this.”            In addition, federal OSHA rules don’t              Sick with the virus, Davis died April 11.
Without an investigation from an outside         apply to about 8 million public employees.               At the time, 24 of Central State’s
regulator like OSHA, he doubts that will         Only government workers in states with              staffers had tested positive, according to
happen.                                          their own state OSHA agency are covered.            the Georgia Department of Behavioral
     Stacy Daugherty heard that Oasis            In other words, in about half the country           Health and Developmental Disabilities,
Pavilion Nursing and Rehabilitation Center       if a government employee dies on the job            which runs the facility. To date, nearly 100
in Casa Grande, Arizona, was taking strict       — such as a nurse at a public hospital in           staffers and 33 patients at Central State
precautions as COVID-19 surged in the            Florida, or a paramedic at a fire department        have gotten the virus, according to figures
facility and in Pinal County, almost halfway     in Texas — there’s no requirement to report         from the state agency.
between Phoenix and Tucson.                      it and no one to look into it.                           “I don’t think they knew what was going
     Her father, a certified nursing assistant         So there was little chance anyone from        on either,” Jan DeLong said. “Somebody
there, was also extra cautious: He believed      OSHA would investigate the deaths of two            needs to check into it.”

    20 - January / February 2021
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