Watsonville City Manager Matt Huffaker Selected as Santa Cruz’s New City Manager

Five years ago, Matt Huffaker arrived in Watsonville as an unknown understudy to the city manager. Two years later he took over Santa Cruz County’s second-largest city, even as some of South County’s movers and shakers were asking for the municipality to open the search up to other candidates.

Now, after blazing a trail in Watsonville, Huffaker, 37, is moving on to the next challenge. On Oct. 28, it was announced that he’s been selected as the new city manager for Santa Cruz.

Santa Cruz City Councilmembers, in a press release, said they made a unanimous recommendation for Huffaker to take over as the city’s top official. They will vote on the appointment at the council’s Nov. 9 meeting. If approved, he would assume the position on Jan. 3, 2022.

The final details of his employment agreement will be released in advance of that meeting, according to city spokeswoman Elizabeth Smith.

Huffaker, in a press release, said that he was “humbled” and ready for the opportunity.

“I think my local experience and established regional partnerships will allow me to hit the ground running,” Huffaker said in the release. “I’m ready to get to work.”

Watsonville Mayor Jimmy Dutra says that while he’s saddened to hear that Huffaker is leaving, he is ultimately happy for the outgoing leader, despite the fact that he had received a five-year contract extension from the Watsonville City Council earlier this year.

“Matt is young, ambitious and he is in control of his own future,” Dutra says. “If this is his choice for his future, I’m happy for him.”

QUICK RISE

First hired as assistant city manager in 2016, Huffaker has been Watsonville’s lead official since being appointed to the position in 2018.

In that short amount of time, Huffaker has done a number of good things for the small agricultural hub, says Dutra. That includes increasing revenues and stabilizing the city’s finances, advocating for the funding of a $22 million renovation of Ramsay Park, starting and completing several long-term planning documents—the city is developing a downtown specific plan and an update to its general plan—and working to bring in funding to help Watsonville recover from the Covid-19 pandemic. He also helped the city pass a renewal of a half-cent sales tax in 2020 that annually brings in some $4 million to the police, fire and parks departments.

“A lot has happened since Matt has been here—his stamp is going to be on several aspects of the city,” Dutra says. “This makes me really sad, but I’m grateful for what he has done for our city.”

Santa Cruz Mayor Donna Meyers says Huffaker’s success in Watsonville was a big reason why they selected him over two other candidates. She says his ability to balance Watsonville’s finances—he helped double its general fund reserves—and his recent work with the Ad-Hoc Committee on Policing and Social Equity made him the clear choice to lead Santa Cruz through a slew of challenges in the near future.

“[The police committee] was something that really stuck out for us,” Meyers says. “One of the things our community tells us is that they really want a city manager that they can engage with and who is responsive. Matt seems really supportive of that idea of a city manager being involved in the community. We scored.”

Along with its issues in dealing with homelessness and affordable housing, Santa Cruz is also in the midst of hiring a new police chief and fire chief, as well as a new finance director that will try to help the city weave its way through the projected pandemic-related recession and the budget crisis.

The city is also planning to move to district elections, a change that could further alter leadership for the complex city with an annual general fund more than double the size of its southern counterpart.

“[Huffaker] was ready for a bigger challenge, and Santa Cruz is definitely a bigger challenge,” Meyers says.

If appointed, Huffaker would step into a position vacated by Martín Bernal, who announced his retirement in February. He officially left the position at the end of July after 24 years of service with the city of Santa Cruz and more than 30 years in public service.

Huffaker earned his bachelor’s degree in political science from Point Loma Nazarene University in San Diego and graduated with a master’s degree in public administration from California State University East Bay.

Before being hired in Watsonville, Huffaker, a native of Oakley in Northern California, said he had been involved in local government for 15 years and city administration for seven years.

CITY IN FLUX

Huffaker’s departure puts Watsonville’s leadership in flux heading into a year that could see mass turnover in its elected leaders. Four city council members will either be up for reelection or will have to vacate their seats because they will term out, and another seat will be determined in a special election on Dec. 7.

In addition, the 4th District Supervisorial seat currently held by Greg Caput will head to the polls next year.

Watsonville is also actively looking for a police chief after the retirement of David Honda earlier this year.

The Watsonville City Council will meet Wednesday, Nov. 3 at 5:30pm to discuss transition plans in a closed session meeting.

Dutra and other council members say that they received several phone calls and emails throughout the day on Oct. 29 sharing concerns about the process the city would use to find a replacement city manager.

“We are taking this replacement seriously, and a decision will be made soon with the direction the council will take with this appointment,” Dutra says. “I will make sure this process is transparent with the staff and our community.”

Looking back at Huffaker’s time with the city, Watsonville City Councilman Francisco “Paco” Estrada says that he appreciated Huffaker’s ability to work with the community to address tough issues. He highlighted Huffaker’s decision to create the policing committee, his work investing in the arts and parks and the city’s response to the pandemic that helped vaccination rates there lead the county.

When asked what qualities he would like to see in Huffaker’s replacement, Estrada says he wants someone who, like Huffaker, will try to ingrain themselves in the community. It wasn’t out of the ordinary, Estrada says, to see Huffaker show up to community events with his three children and wife Jocelyn.

“He really tried to be a part of the community. I know we want someone who is going to do that, someone who wants to connect with our community, someone who is willing to put in the work,” says Estrada, who also wants the next city manager to continue Huffaker’s legacy of reinvesting back into the community.

“I don’t want that to end,” he says.

Local Medical Professionals, Nonprofit Leaders Aim to Establish Healthcare District

If a group of local medical professionals and nonprofit leaders has its way, a newly established healthcare district will one day own and operate Watsonville Community Hospital (WCH).

If those efforts are successful, it will likely come as a relief for South County residents who have seen their hospital managed by out-of-state corporate entities for years.

But first, organizers from the County of Santa Cruz, the city of Watsonville, Community Health Trust of Pajaro Valley and Salud Para La Gente will form the Pajaro Valley Healthcare District Project (PVHDP).

PVHDP’s mission is “to ensure the communities we serve have the high quality and sustainable healthcare services they need by placing local healthcare resources in the hands of the people,” the nonprofit stated in a press release. 

Healthcare districts are local government entities that are legally separate from counties and cities and are governed by locally elected five-member boards. 

Organizers say that a Healthcare District would have access to financial opportunities not available to most hospitals. A total of 43 of the state’s 73 healthcare districts operate hospitals, mostly in rural areas.

Mimi Hall, chair of the PVHDP Board of Directors—who will remain on the board after her departure as the County Health Services Agency director—says that organizers recently met with WCH management to discuss the possibility of local governance and ownership.

Both entities, she says, share the same overarching mission.

“At the end of the day, it’s that, for the foreseeable future, the residents of our community have access to high-quality care that’s responsive to their needs,” she says. “It was easy for all of us to agree on that shared north star.”

It’s not clear whether the new management, Los Angeles-based Prospect Medical Holdings—which took over operations last year after Halsen Healthcare was ousted—would be willing to cede control.

In an emailed statement, that company said it plans on continuing discussions with PVHDP.

“It is important to stress that these discussions are very preliminary, and we do not have any details at this point,” the statement says.

Making the situation somewhat more complicated is the fact that Halsen in 2019 sold the grounds and building to Alabama-based Medical Properties Trust (MPT), and then leased it from them in a so-called sale/leaseback. 

The agreement netted roughly $39 million, which Halsen officials said they planned to use to run the hospital. 

“We still have a lot more work to do, but we have been preparing to go work with our community stakeholders and the folks who helped found this nonprofit organization to find a way to give this hospital back to the community,” Hall says.

Hall says that she hopes to begin the process to officially form PVHDP soon, which would happen one of two ways.

Organizers could turn to the Monterey Bay Local Agency Formation Commission—a process that, among other things, would require getting signatures from 12% of the registered voters in Santa Cruz County.

They could also go through the state’s legislative process, where the request would face the same road that hundreds of proposed bills face every year.

“We’re at the beginning stages, but what we know is that there is enough in place for us to want to be able to pursue this,” Hall says.

The news comes roughly a week after dozens of WCH nurses for the third time during the pandemic picketed outside of the hospital. This time, says Rosanne Farris, a registered nurse (RN) in the critical care unit, they were picketing because of staffing levels and mandatory overtime shifts that they say put patients and them in danger. 

Under Prospect’s management, chronic understaffing has worsened, Farris says, forcing critically ill patients to be held in the emergency and telemetry units for sometimes hours at a time because there aren’t enough intensive care unit RNs to care for them.

Farris says that health agencies across the nation are dealing with a shortage in nurses, as many have retired or gone on medical leaves of absence after battling Covid-19 over the past 19 months. But, she adds, Prospect has exacerbated this dearth of nurses by not keeping the traveling nurses that it brought in thanks to state funding or contracting new ones.

“I just don’t see how this for-profit health system will ever give this community the hospital and care it deserves,” Farris says.

Cal Fire CZU Chief and Watsonville Native Ian Larkin Announces Retirement

Ian Larkin, who has headed up Cal Fire’s San Mateo Santa Cruz Unit since May 2016, has announced his retirement, capping off a career that spanned three decades.

Born and raised in Watsonville, Larkin now lives in Scotts Valley with his wife and two daughters.

Larkin says he did not initially set out to become a firefighter. Instead, he was studying to become a mechanical engineer when a friend convinced him to be a volunteer firefighter, a decision that changed the course of his life.

“I went on my first call and I was hooked,” he said in a video statement on Facebook.

Larkin began his career with Cal Fire in 1990, and joined the Aromas Tri-County Fire Protection District the next year. He went to work for the San Benito Monterey Unit in 1993. He has also worked with the Peninsula Battalion at the Pebble Beach and Carmel Hill Fire Stations. He has also served in several other administrative roles.

That experience came into play in August 2020, when thousands of lightning strikes in the Santa Cruz Mountains caused 585 fires, 24 of which became major fire events that collectively became known as the CZU Lightning Complex. That blaze burned more than 86,000 acres in Santa Cruz and San Mateo counties and destroyed nearly 1,500 structures. Firefighters from throughout the state came to assist with the fire.

During the following month, Larkin faced, among other things, a lack of resources he needed to battle the blazes.

“It was almost mind-boggling,” he said. “It doesn’t matter how many resources we order, we were still only getting these limited amounts coming in each day to support our catastrophic event.”

Larkin says both Santa Cruz and San Mateo counties are 100 years behind in fuels management efforts—that is, reducing the brush and other burnable material that can fuel devastating fires.

“If we don’t start reducing the fuels around our communities and protecting them, it’s only a matter of time before we have another catastrophic event,” he said. 

Larkin, along with Santa Cruz County Deputy Chief Chris Clark—who worked together to manage the fire efforts here—were named the 2020 persons of the year by the Santa Cruz County Chamber of Commerce.

In his retirement, Larkin says he is looking forward to spending time with his family.

“When you do something this long and take as much pride in it, it’s with mixed emotions,” he said. “But I’m excited to start the next chapter in my life.”

Rob Brezsny’s Astrology: Nov. 3-9

Free will astrology for the week of Nov. 3

ARIES (March 21-April 19): Are you still hoping to heal from psychological wounds that you rarely speak about? May I suggest that you consider speaking about them in the coming weeks? Not to just anyone and everyone, of course, but rather to allies who might be able to help you generate at least a partial remedy. The moment is ripe, in my opinion. Now is a favorable time for you to become actively involved in seeking cures, fixes, and solace. Life will be more responsive than usual to such efforts.

TAURUS (April 20-May 20): “The delights of self-discovery are always available,” writes author Gail Sheehy. I will add that those delights will be extra accessible for you in the coming weeks. In my view, you’re in a phase of super-learning about yourself. You will attract help and support if you passionately explore mysteries and riddles that have eluded your understanding. Have fun surprising and entertaining yourself, Taurus. Make it your goal to catch a new glimpse of your hidden depths every day.

GEMINI (May 21-June 20): Gemini novelist and philosopher Muriel Barbery says, “I find this a fascinating phenomenon: the ability we have to manipulate ourselves so that the foundation of our beliefs is never shaken.” In the coming weeks, I hope you will overcome any tendency you might have to manipulate yourself in such a way. In my view, it’s crucial for your mental and spiritual health that you at least question your belief system‚ and perhaps even risk shaking its foundation. Don’t worry: Even if doing so ushers in a period of uncertainty, you’ll be much stronger for it in the long run. More robust and complete beliefs will be available for you to embrace.

CANCER (June 21-July 22): In her book Mathilda, novelist Mary Shelley (1797-1851) has the main character ask, “What had I to love?” And the answer? “Oh, many things: there was the moonshine, and the bright stars; the breezes and the refreshing rains; there was the whole earth and the sky that covers it.” I bring this to your attention in the hope of inspiring you to make your own tally of all the wonders you love. I trust your inventory will be at least ten times as long as Mathilda’s. Now is a favorable time for you to gather all the healing that can come from feeling waves of gratitude, even adoration, for the people, animals, experiences, situations, and places that rouse your interest and affection and devotion.

LEO (July 23-Aug. 22): Our memories are always changing. Whenever we call up a specific remembrance, it’s different from the last time we visited that same remembrance‚ colored by all the new memories we have accumulated in the meantime. Over time, an event we recall from when we were nine years old has gone through a great deal of shape-shifting in our memory so much so that it may have little resemblance to the first time we remembered it. Is this a thing to be mourned or celebrated? Maybe some of both. Right now, though, it’s to be celebrated. You have extra power to declare your independence from any memories that don’t make you feel good. Why hold onto them if you can’t even be sure they’re accurate?

VIRGO (Aug. 23-Sept. 22): In 1962, astronaut John Glenn became the first American to orbit the Earth in a spacecraft. His flight marked the first time that NASA, the agency in charge of spaceflight, had ever used electronic computers. Glenn, who was also an engineer, wanted the very best person to verify the calculations, and that was Virgo mathematician Katherine Johnson. In fact, Glenn said he wouldn’t fly without her involvement. I bring this to your attention, Virgo, because I believe the coming months will be a favorable time for you to garner the kind of respect and recognition that Katherine Johnson got from John Glenn. Make sure everyone who needs to know does indeed know about your aptitudes and skills.

LIBRA (Sept. 23-Oct. 22): According to an Apache proverb, “It is better to have less thunder in the mouth and more lightning in the hand.” If you act on that counsel in the coming weeks, you will succeed in doing what needs to be done. There is only one potential downfall you could be susceptible to, in my view, and that is talking and thinking too much about the matter you want to accomplish before you actually take action to accomplish it. All the power you need will arise as you resolutely wield the lightning in your hands.

SCORPIO (Oct. 23-Nov. 21): To encourage young people to come to its shows, the English National Opera has offered a lot of cheap tickets. Here’s another incentive: Actors sing in English, not Italian or French or German. Maybe most enticing for audiences is that they are encouraged to boo the villains. The intention is to make attendees feel relaxed and free to express themselves. I’m pleased to give you Scorpios permission to boo the bad guys in your life during the coming weeks. In fact, I will love it if you are extra eloquent and energetic about articulating all your true feelings. In my view, now is prime time for you to show the world exactly who you are.

SAGITTARIUS (Nov. 22-Dec. 21): “If we’re not careful, we are apt to grant ultimate value to something we’ve just made up in our heads,” said Zen priest Kosho Uchiyama. In my view, that’s a problem all of us should always be alert for. As I survey my own past, I’m embarrassed and amused as I remember the countless times I committed this faux pas. For instance, during one eight-month period, I inexplicably devoted myself to courting a woman who had zero interest in a romantic relationship with me. I bring this to your attention, Sagittarius, because I’m concerned that right now, you’re more susceptible than usual to making this mistake. But since I’ve warned you, maybe you’ll avoid it. I hope so!

CAPRICORN (Dec. 22-Jan. 19): Capricorn author Asha Sanaker writes, “There is a running joke about us Capricorns that we age backwards. Having been born as burdened, cranky old people, we become lighter and more joyful as we age because we have gained so much practice in wielding responsibility. And in this way we learn, over time, about what are our proper burdens to carry and what are not. We develop clear boundaries around how to hold our obligations with grace.” Sanaker’s thoughts will serve as an excellent meditation for you in the coming weeks. You’re in a phase when you can make dramatic progress in embodying the skills she articulates.

AQUARIUS (Jan. 20-Feb. 18): As author Denise Linn reminded us, “The way you treat yourself sends a very clear message to others about how they should treat you.” With that advice as your inspiration, I will ask you to deepen your devotion to self-care in the coming weeks. I will encourage you to shower yourself with more tenderness and generosity than you have ever done in your life. I will also urge you to make sure these efforts are apparent to everyone in your life. I am hoping for you to accomplish a permanent upgrade in your love for yourself, which should lead to a similar upgrade in the kindness you receive from others.

PISCES (Feb. 19-March 20): You have at your disposal a prodigiously potent creative tool: your imagination. If there’s a specific experience or object you want to bring into your world, the first thing you do is visualize it. The practical actions you take to live the life you want to live always refer back to the scenes in your mind’s eye. And so every goal you fulfill, every quest you carry out, every liberation you achieve, begins as an inner vision. Your imagination is the engine of your destiny. It’s the catalyst with which you design your future. I bring these ideas to your attention, dear Pisces, because November is Celebrate Your Imagination Month.

Homework: Describe what actions you’ll take in the next six months to make your world a funner, holier place. Newsletter.FreeWillAstrology.com

Aptos Vineyard’s 2019 Syrah Boasts Flavors of Sweet Tobacco, Plum and Licorice

Santa Cruz Cancer Benefit Group’s annual Gourmet Grazing on the Green fundraiser is a wonderful opportunity to taste superb local wines and delicious food from local vendors and restaurants while raising money for a worthy cause. This year’s Oct. 9 event was a huge success.

One of the wines I tasted was Aptos Vineyard’s 2019 Santa Cruz Mountains Syrah ($36). This superb Syrah has three exciting things going for it: It’s produced and bottled by Aptos Vineyard, the grapes are from the esteemed Lester Estate and John Benedetti is the winemaker.

Benedetti, who also makes wine under his Sante Arcangeli label, is one of the best local winemakers. I can’t say enough about his expertise when it comes to turning grapes into wine.

“This wine is an aromatic, smooth delight,” the folks at Aptos Vineyard say. “This big-bodied Syrah boasts complex, true-to-varietal flavors from start to finish.” Swirling the wine invites long, lean legs, with aromas of herbs, eucalyptus, sage, smoked meats and graphite. Full-bodied black fruit and sweet tobacco along with plum, licorice and açaí berry add a wealth of lush flavors. Aptos Vineyard was started in the ’70s by the late Judge John Marlo, so the present-day wines are given judicial names. The 2019 Syrah is called Amicus Curiae.

A pop-up release of this Syrah will be held in the Sante Arcangeli tasting room in Aptos Village 1-4pm on Sunday, Nov. 7. Alexandra Baker, family member and manager of the newly revived Aptos Vineyard (now co-owned by James Baker and Tina Cacace), says that Aptos Vineyard will be pouring flights or by the glass at Sante Arcangeli’s tasting room.

“The idea behind the pop-up,” Baker says, “is that guests are encouraged to come and go, taste our wine and also enjoy Sante Arcangeli’s wine as well.”

Sante Arcangeli’s tasting room is at 154 Aptos Village Way Unit C1, Aptos. Santewinery.com. For more info, visit aptosvineyard.com or call 831-706-6090.

Downtown Santa Cruz’s Café Gratitude Offers a 100% Vegan Menu

Manager/server Adam Lanfear had worked at a popular restaurant on the wharf, but was laid off during the pandemic. After a few months, Lanfear ended up at Café Gratitude. The downtown spot—100% vegan with an entirely plant-based menu made up of primarily local organic ingredients—is filled with cool art and laid-back vibes that pair well with the friendly service. Lanfear explains that the names of the dishes on Gratitude’s menu are as thoughtful as the food itself, such as the buffalo-sauce-tossed “Daring Cauliflower Wings” and the fried “Magical Mushrooms.” His personal favorite is the “Amore,” a Caprese-loaded sandwich. And the desserts, beginning with fresh vegan cheesecake available in different flavors, don’t disappoint. Café Gratitude is open every day, 11am-9pm, for indoor and outdoor dining and takeout. After the pandemic layoff, Lanfear feels like there isn’t a better name for the restaurant where he landed. He recently spoke to GT about his appreciation for Gratitude and why he opts for a plant-based diet.

Why did you choose to switch to a plant-based diet?

ADAM LANFEAR: I used to eat a lot of meat; I grew up in New York and worked at a lot of pizza places and ate a lot of fried, delicious and greasy food. When I came out to California to attend college, I started becoming aware of all the environmental detriments of eating meat. I slowly, over the next six years, started phasing out meats and cheeses and have now been plant-based for three years. It relieved a lot of my eco-guilt, and it’s helped me feel a lot better physically and sharper mentally.

Why are you grateful to work at Café Gratitude?

My grocery bill has gone down because I can eat everything on the menu, which I really appreciate. And also, as a queer person, I’m grateful to work at such a safe space that’s so comfortable and accepting of the LGBTQIA+ community. I find these spaces very valuable in Santa Cruz, and it’s not often that you find a place that also has such great food. I’m also happy that things are slowly returning to normal after the pandemic, or whatever normal is these days.

103 Lincoln St., Santa Cruz, 831-427-9583; cafegsc.com.

11th Hour Coffee Takes Over Former Kelly’s Space on Westside

Like many of you, I still miss Kelly’s French Bakery. It has been a beacon at the corner of Swift and Ingalls that paved the way for Westside coffee, post-yoga lunches, pastry treats and later as a platform for food trucks, wine tastings and a gateway hub for umpteen spinoff eating and drinking emporia.

Then there was the pandemic. And now, even in the midst of popular coffee and pastry depots, there’s always room for more. The Kelly’s location is now 11th Hour Coffee, which opened on Halloween with a full barrage of breakfast specialties, panini, coffees, plus local beer and wine. The area’s newest coffee center is brought to the Westside by owners/brothers Joel and Brayden Estby, who’ve won fans over for their fresh-roasted beans at the Food Lounge in downtown Santa Cruz. Be prepared to be amazed! The former Kelly’s interior has been completely and handsomely transformed—and so has the outside patio, lavish with sleek built-in wooden booths, benches and tables. Plus, plenty of tall heat lamps. Seriously, it’s a whole new planet on which to consume your Nitro coffee and avocado toast. Business hours for the attractive coffeehouse expansion are 7am-4pm Mon-Wed, until 7pm Thurs-Sun. 11thhourcoffee.com.

Will Walk for Wine

Of course you will, since it’s time once more for the oenophile’s version of a pub crawl, the Downtown Santa Cruz Fall 2021 Wine Walk, on Sunday, Nov. 14, from 2pm to 5pm.

What you do is head on over to Soif on Walnut, get your $35/$40 ticket, your glass, and your map, and then head on out to lots of different venues (the map shows you), where you’ll be able to taste pours from Assiduous, Bargetto, Birichino, Muns, Pelican Ranch, Random Ridge, Roudon-Smith, Cruz and Wrights Station. You’ll essentially be tasting your way through boutiques, retail hot spots, various salons and mercantile. Outdoor tasting? Yes! Remember: you must be 21 or older with valid ID and show proof of Covid vaccination. For tickets and info, go to eventbrite.com.

A Night at GabriellaA packed house, inside and out, greeted us last week at Gabriella Cafe—a memorable dinner. It felt like dining at the house of a good friend—as it always does, thanks to the laid-back vigilance of owner/host Paul Cocking. Great service and a relentlessly excellent kitchen served us dish after dish of distinctive flavors, including a pan-seared local coho salmon ($42) atop a bed of broccoli, baby carrots and rich, creamy polenta. On top of the moist seafood lay a thick glaze of chimichurri sauce, which I consider an excuse to visit Gabriella all by itself. Our poet companion managed to consume half the tender lamb shank on his generous entree ($42) while saving room to taste other dishes. We all three feasted on a starter of roast beets, arugula and chevre with an intriguing pistachio and candied citrus puree ($12). Outstanding. Also, a plate of perfect late-harvest tomatoes from Live Earth Farms, layered with fresh basil and slices of buffalo mozzarella—a truly satisfying Caprese ($12).
A simple dish, simple elements, but a complex whole greater than the sum of its parts. Most unexpected was an evening special of watermelon gazpacho gorgeously presented—long, crisp ribbons of tortilla, transparent slices of cucumber, radish, onion and cubes of fresh watermelon, arrayed in a wide bowl of cool crimson soup, and bites of ripe avocado in each spoonful ($11). We were all three blown away by this example of chef Gema Cruz’s ability to reinvent familiar dishes. Kudos to one of the sweetest dining spots in this or any region. Gabriella Cafe – Tues-Fri, lunch 11am; dinner 5pm. Sat/Sun brunch 10am. 910 Cedar St., gabriellacafe.com.

Home Care Is Broken. Can Congress Fix It?

By Reed Abelson, The New York Times

Spinal surgery four years ago left Alene Shaheed in a wheelchair and dependent on short daily visits from home health aides to help her get around.

But her support system fell apart this year during the prolonged coronavirus pandemic, and her routine care became unpredictable. Four agencies serving her hometown, Jacksonville, Florida, failed to provide aides regularly, due to severe shortages of the low-wage workers.

“If no one comes for three days, I don’t get a bath for three days,” said the 76-year-old. “I don’t have anyone to fix meals, so I’m eating ramen noodles until someone gets there.”

About 800,000 people are on waiting lists to receive subsidized home care. For millions of Americans, finding reliable and affordable assistance to stay at home — instead of moving into a nursing home, where COVID-19 killed tens of thousands of people — has never seemed more urgent.

Expanding home and community-based services is part of the legislative package that President Joe Biden and Democrats have proposed. At this stage of negotiations in Congress, the amount for such programs under Medicaid — partly to increase the historically low wages of home care workers — has been reduced to $150 billion from $400 billion over eight years.

“We’re going to expand services for seniors so families can get help from well-trained, well-paid professionals to help them take care of their parents at home — to cook a meal for them, to get their groceries for them, to help them get around, to help them live in their own home with the dignity they deserve to be afforded,” Biden said Thursday.

Will the amount in the current plan be enough? Supporters say the new health care money would shift Medicaid’s decadeslong bias away from nursing home care. Many experts doubt promises that this round of funding can fix a system as broken as home care, especially as the growing retirement of the boomer generation requires more assistance to stay independent and strains health care funding.

“You have to be very realistic about the amount of need you have in the system right now,” said David Grabowski, a professor of health care policy at Harvard Medical School. The $150 billion does represent a significant influx of funds, but there are limits, he said: “Once you start to do the math, the dollars don’t go as far as you’d like.”

States are required to use Medicaid funds to cover nursing home care, but states have considerable leeway under federal regulations to decide how much should be allocated to provide home and community-based services.

People who need help with tasks like feeding themselves, getting dressed or taking medication must often qualify for a Medicaid waiver to get home care. Medicaid, a federal-state program that is the primary source of coverage for long-term care, spends about $114 billion a year on these home and community-based services, representing well over half of the overall spending on long-term care. About 2.5 million people received waivers in 2018, according to the latest data available in a report by the Kaiser Family Foundation.

Medicare, the federal insurance program for older and disabled adults, does not cover long-term care, and it limits the kind of home care people can receive.

It’s well known that demand far outstrips supply for home care for those who want to live independently. Some people may have private insurance or pay for the care themselves.

Under Medicaid, the waiting lists for older and disabled Americans wanting home care keep growing because states cap enrollment. Most people on the lists live in states that did not expand Medicaid, according to a Kaiser analysis.

Benefits for home care also vary widely from state to state. For example, someone in Pennsylvania is eligible for about $50,000 a year under Medicaid for home or community services, while someone in Iowa may get only $21,000.

The lack of funding “really forces older adults into institutions,” said Amber Christ, an attorney with Justice in Aging, a nonprofit group. The new congressional package, she said, means that “we have an opportunity to flip the script.”

She and other advocates plan to push for additional money. “We’re going to keep working to increase funding because more is needed to ensure all aging adults and people with disabilities have the option to receive the care they need at home,” she said in an email.

Increasing wages for home health workers has been a contentious provision for Republicans, who see it as a giveaway to unions and would limit states’ flexibility in spending new funds.

Without detailed legislative language, calculating how the proposed $150 billion in the Democrats’ proposal will be spent is still guesswork.

Jonathan Gruber, a health economist at Massachusetts Institute of Technology, said the lower figure would provide home services for perhaps 1 million more people and create about 400,000 new jobs. That could include jobs for caretakers like family members who are unpaid but unable to go to work.

But if the amount gets cut further — and negotiations on the bill are far from over — supporters warn that states may be less willing to expand services.

“We need a big investment,” said Nicole T. Jorwic, senior director of public policy at The Arc, an advocacy group for people with physical and developmental disabilities. The bill has to provide at least $150 billion so “states will see the value and worth of taking it up,” she said.

Even that level of funding might not eliminate the waiting lists, but “it will help take people off,” she said.

Under the American Rescue Plan Act passed by Congress this year, all states made use of temporary funds allocated to shore up home and community-based services, Jorwic said.

Still, the issue of wages in a pandemic economy in which people are shunning lower-rung jobs bodes ill for the home health industry, whose workers have long been paid far less than others in service industries. Some businesses now pay $15 an hour or more, luring away those in underpaying jobs and leaving the vulnerable without reliable help.

About 70% of long-term care workers earn less than $30,000 a year, according to Kaiser, and they are more likely to live in poverty. “It’s the same person who is aging into poverty and who is going to get pushed into a nursing home,” said Christ of Justice in Aging.

While details are sparse, the proposed legislation would require states to prove that the funds were funneled toward higher wages. “This would be the first time that there was a large federal investment to increase wages,” Jorwic said.

Higher wages are critical to finding more aides for those like Shaheed in Florida. “They’re no longer able to find anyone willing to come in for the low wages they are paying,” she said. “Nobody is going to come and help me for $10 an hour.”

For those who have had to wait to qualify for financial aid for home care, the difference is palpable.

People like Stephen Grammer, who has cerebral palsy, were warned since childhood that they faced institutionalization if home care could not be routinely provided.

In his 20s, Grammer spent nearly a decade in a nursing home after his mother became ill. He chafed at the restrictions imposed on him while he was living with older adults with Alzheimer’s. If he left the premises, he had to be back by midnight or it would count against the 18 nights a year he was allowed to be outside.

“When I had to use the restroom, I would press the call button, and many times the workers would come and turn off my call light and would walk away even though I had to go to the bathroom,” he said by email.

Grammer, who uses an electric wheelchair and advocates for disabled individuals these days, eventually qualified for a Medicaid waiver and another state program that provides housing. Now at 41, he lives on his own in Roanoke, Virginia, and someone comes in 16 hours a day, from 6 a.m. to 2 p.m. and from 4 p.m. to midnight.

“I have the freedom to come and go as I please,” Grammer said.

This article originally appeared in The New York Times.

City Looks to Contract Out Recreation Services

While the majority of public recreation programs aren’t expected to return until late spring or early summer next year, the city of Scotts Valley is looking at how it could provide these community services as efficiently as possible.

At a special joint study session with the City Council and the Scotts Valley Parks & Recreation Commission, the idea of contracting out some of the programs the City used to operate in-house took center stage.

After the novel coronavirus struck, Scotts Valley laid off its entire Recreation Division (except for the recreation manager), since it was clear it wouldn’t be making any money off program fees anytime soon. But now, with most of the population vaccinated, and Skypark having just received a new carpet of grass, City planners have been looking towards a rebirth for parks and rec.

The review of a report prepared by Management Partners, held Sept. 29, took aim at the pre-pandemic average of $250,000 Scotts Valley had been investing in recreation programming. It identified opportunities to partner with neighboring municipalities for some activities, and to hand over the day-to-day provision of others to private parties.

The local government consulting firm recommended the City continue to handle facility rentals, including sport field uses and special events programming, but said it should consider contracting Siltanen Swimming Pool aquatics programs to Santa Cruz County, Boulder Creek Recreation and Park District, or the Boys and Girls Club of Santa Cruz County.

The Management Partners’ report, titled the “Recreation Services Assessment and Restoration Plan,” recommended collaborating with Capitola or Santa Cruz for classes and adult sports programs, and encouraged the creation of a separate nonprofit board to oversee the Scotts Valley Senior Center.

And how many full-time staffers should work in the Recreation Division? According to Management Partners, the answer is three—a manager, a coordinator and an administrative assistant.

Before the pandemic, the division was staffed with two senior directors, a coordinator, a secretary and a manager, who also assisted with the child care program when its staff were away.

“As a result, she spent much of her time directly involved with day-to-day programs which took time away from managing the division,” according to the consultant report.

And the City should conduct a facility fee study, Management Partners also recommended.

Interim City Manager Brian Haddix characterized the direction Scotts Valley is heading not as “privatization” but as a way for the City to serve its citizens more proficiently through a series of agreements that would cut down on overhead.

“Privatization is when you lose control—you turn over the activities to someone else entirely,” he said. “Contracting-out is when you contract with another party to do the activity, but you still have control over it.”

Public Works Director Chris Lamm said many existing recreation programs are already managed by other parties, such as little league, soccer and girls softball.

“All of those are programs that are much-beloved by the community, and utilize City facilities, but they’re not City-run programs necessarily,” he said. “As we look forward to bringing those programs that were cut back online, we’re looking at what’s the best model to do that.”

Management Partners recommended Scotts Valley “transfer responsibility” of organizing sports leagues, for both adults and youth, to local groups.

According to Lamm, for the programs that have traditionally been run by the City, Scotts Valley officials would still take “the lead” in a service restart.

“The one thing we’re looking at is whether or not it makes sense for the City to hire staff to physically run those programs directly, or, can we have the best quality of service and user experience met with a better business model to provide that service,” he said.

The Management Partners report noted that staff is dedicated to its programs and takes a hands-on approach.

“However, due to this heavy daily involvement, many of the administrative duties were difficult to complete,” it reads. “These include lack of data collection, use of technology, marketing, fee studies and cost recovery goals, training, networking within the parks and recreation profession, and use of best practices.”

It also states that the amount of time required for staff to handle work related to commissions, committees and special events was “not recognized by many City leaders.”

Haddix says contracting out could allow Scotts Valley to get high-quality programming from a provider that covers its own administrative costs by working with a variety of clients.

“By spreading those fixed costs out we pay less,” he said. “That means the savings that we get, we can apply to additional services. So, the community benefits from professional services, and the City gets a savings, allowing it to turn around and enhance the overall recreation picture it presents to the community.”

In his prior job, as assistant public works director in Menlo Park, Lamm helped manage land development, utilities and capital improvements, but recreation was in a separate department.

However, he told the Press Banner he’s seen how contracting out for professional engineering services—particularly in the design stage—could be a helpful tool for a community.

In the report, Management Partners said its recommendations “can realistically be implemented in the next six months to allow recreation services to be fully restored” in Scotts Valley.

The company said Scotts Valley should evaluate the current child care program at Brook Knoll Elementary School and consider long-term agreements with both Scotts Valley Unified School District and the Boys and Girls Club of Santa Cruz County, to allow this type of arrangement to continue.

Child Care in California hasn’t Rebounded; Why Many Workers aren’t Returning

By Grace Gedye, CalMatters

For Tonya Muhammad, who runs Lil Critters Family Daycare in Hawthorne, spring of 2020 was, in a word, “horrible.” The early rush on cleaning supplies meant that she and her husband had to criss-cross Los Angeles to find disinfectant, sourcing bottles of Lysol from a dental supply company and aloe vera from a local nursery to make homemade hand sanitizer.  

But that wasn’t the worst of it. Muhammad’s assistant left, fearing for the health of her grandmother, whom she lived with. That was in March of 2020, and Muhammad hasn’t been able to find a replacement since, despite posting the job on Indeed, Facebook Jobs and at a nearby community college. “I’ve even paid for fingerprints for a couple (of applicants) and then there’s just no follow up,” said Muhammad.

Without the watchful eyes of a second adult, she’s had to reduce the number of kids she looks after from 14 to 6, and has gone from being a 24-hour day care to operating from 6 a.m. to 5:30 p.m. She estimates that her income from the day care has fallen by more than half.

California lost about 27,800 child care workers between February and April of 2020 — or roughly a third of its workforce — according to data from the Bureau of Labor Statistics. From then through September of 2021, about 19,600 have come back. Still, the workforce is about 10% smaller than it was pre-pandemic. 

Even before the pandemic, however, there wasn’t enough child care available in California to meet families’ needs. Labor issues that long bubbled below the surface are now driving acute staffing shortages: low pay, long hours and limited benefits. That makes it hard to earn a living in the industry that supports the rest of the economy.

Child care providers find themselves stretching across a gap between what parents are able to afford and the wages they need to offer in order to attract and retain staff.

The state of California plays a role here: It reimburses some child care providers who care for low and moderate income families, at rates advocates argue have long been too low. In June, a new union representing home child care providers who work with families receiving state subsidies won workers a 15% raise from the state.  

Still most Californian child care is provided through the private market. And that system has failed miserably, says Elena Montoya, a senior research and policy associate at UC Berkeley’s Center for the Study of Child Care Employment. “The current (labor) shortage is a result of placing the burden of paying for child care on parents, rather than acknowledging that child care is a public good.”

A pandemic was the last thing child care providers needed. Day care centers weren’t sure what the COVID-19 rules would be for them and were struggling to secure protective gear, said Cecilia Rojas, resource and referral manager at Crystal Stairs Inc., a Los Angeles-based organization that helps families find child care. Some child care workers quit to take care of their own school-aged children, who were suddenly stuck at home. Others left because they were worried about being exposed to the virus. Parents pulled their kids out of day care, leading to budget shortfalls and closures.

Federal and state relief funds did help keep child care facilities open. A survey of early childhood educators conducted by the National Association for the Education of Young Children in early summer found that nearly half of the 1,200 respondents in California said they would have had to close were it not for the aid. 

But the federal funds, said Montoya, “as important and terrific as they are, they really are a short-term stopgap to avoid the total collapse of the system.” 

California did make a large investment in transitional kindergarten in July, committing $2.7 billion to expand free transitional kindergarten to all 4-year-olds across the state by the school year that starts in 2025.  Proponents consider that a game-changer; some child care operators fear it could undercut their business model as they lose 4-year-olds whose tuition helps cover the higher cost of caring for infants. 

In the meantime, lots of child care facilities can’t fill their job openings. “Programs are actually having to close for the day or for the week, and it’s not because they don’t have children to serve,” said Nina Buthee, executive director of Every Child California, an organization that supports early childhood educators. It’s because they’re short staffed. Buthee says it’s the first time she’s heard of that happening in the 20 years she’s been working on child care issues.

Child care workers earn lower wages than pre-K teachers, who in turn make less than kindergarten teachers, according to data from the Center for the Study of Child Care Employment at Berkeley. There are several factors driving the pay gap. 

One is that kindergarten teachers are required to have bachelor’s degrees, whereas child care providers typically are not. But there are less quantifiable factors too. 

“We’ve undervalued and underpaid caregiving” said Kristin Schumacher, a senior analyst at the California Budget and Policy Center, “for as long as it’s been a career choice, and this has sexist and racist roots that can be traced back to slavery.”

The lower pay for child care workers also creates a racial pay disparity among early childhood educators, since Black and Latino women are more likely to work with infants and toddlers than their white peers, says Montoya. Researchers at the Berkeley center calculated that nationally, Black early educators are paid on average $0.78 less per hour than their white counterparts.

The wages are so low that many child care workers have side gigs or second jobs to make ends meet. Muhammad wrote a book about child care and also works as a consultant, advising other providers. She now makes about half of her income from those other endeavors.

Tonia McMillian, who owns a family child care business in Bellflower and was active in the effort to unionize child care workers, also teaches CPR classes and runs a catering business. At one point, she said, she was paying her staff minimum wage but only making $4.15 per hour herself, after covering all the costs of running the business. “Something (is) wrong with that picture,” she said.

The low wages also mean that child care workers end up on public assistance. In 2018, the Berkeley center found that 58% of child care workers families’ in California are on one or more public assistance programs, like CalFresh.

One way or the other, there’s public money going to child care workers, says Gemma DiMatteo, research director for California Child Care Resource and Referral Network. “It’s through these social support services, or you could just fund the child care and make sure that the staff is getting paid adequately.”

One factor holding down child care providers’ low wages: the state reimbursement rate for care to low and moderate income families. The state uses two rates, depending on the subsidy program. One, known as the regional market rate, is used to subsidize care for parents who have lower incomes and are working or seeking employment. That rate isn’t based on what it costs to provide high quality child care and pay staff well — it’s based on a state study of what child care providers in different regions charge families. But the market rate isn’t necessarily representative of how much child care providers actually need; it reflects what they think they can reasonably charge parents who are already, in many cases, paying more than they can afford

The regional market rate also is often out-of-date. The state conducts the market analysis every couple of years; right now, California is reimbursing some child care providers based on numbers from 2018. 

Muhammad said that for her, even that 15% increase the home-based child care providers union negotiated won’t make a meaningful difference.

Child care has been underfunded for so long, said Buthee, director of Every Child California, that rate increases need to be huge to make a difference. Making the system whole in California would cost about a billion dollars, she continued. “When you look at the budget it’s like ‘whoa whoa whoa, that’s too much money’” she said, but “that’s just how much it costs to catch up.”

Harmit Pabla, who owns Genius Kids, a child care center in Sacramento County that serves more than 100 kids, has had six of his staff of 16 leave over the last year. Three left for reasons directly related to the pandemic and three found different jobs, including at Amazon and Walmart distribution centers. Those companies offered slightly better benefits, said Pabla. As large corporations, they have more buying power to negotiate lower rates with insurance companies. “We can’t compete with the big boys,” Pabla said. 

He’s getting inquiries from parents about openings, but he said he’s not accepting more children because he can’t find staff.

Across California, 77% of early childhood educators surveyed identify wages as the main recruitment challenge. But unlike other industries, where business owners can cover increasing wages by raising prices, lots of child care owners know their customers — parents — can’t afford to pay more. 

While kids are heading back to in-person school and the coronavirus delta variant appears to be in decline, California’s child care system is not in the clear. The survey by the National Association for the Education of Young Children found that 47% of respondents in California were considering leaving their program or closing their home child care location within the next year. 

That may be especially true for workers who had just gotten their start before the virus made the job more risky and complicated. 

“Will we lose those excited new educators who could have gone on to become really seasoned, amazing contributors to the field?” asked Krista Olson, a research and policy associate at the Berkeley Center for the Study of Child Care Employment. 

McMillian, who is 62, hopes to retire from child care soon. “It’s extremely hard to walk away, especially if you don’t have a nest egg,” she said. She’s started working as a child care consultant, and just signed a lease on space to open a sports bar. 

Muhammad is planning her exit too. Once she winds down her child care business, she’ll be relying on her other gigs—her consulting, a child care course and book she wrote, a hotline she runs to answer providers’ questions, speaking gigs and more. It will take some time to make sure those projects bring in enough steady income. “I wish it was yesterday,” she said, “but I’m giving myself a year.”

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Plant-based dishes like the fried ‘Magical Mushrooms’ have built a dedicated fanbase

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The new Westside spot serves tasty fresh-roasted coffee, breakfast paninis and local beer and wine

Home Care Is Broken. Can Congress Fix It?

Medicare, the federal insurance program for older and disabled adults, does not cover long-term care, and it limits the kind of home care people can receive

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Child Care in California hasn’t Rebounded; Why Many Workers aren’t Returning

The California workforce is about 10% smaller than it was pre-pandemic
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