Grand Guide to understanding COVID-19, Colorado’s Stay-at-Home order, and Local Resources

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Photo by Kim Cameron | West Grand staffulty joined together to feed approximately 100 lunches to students under the age of 18. Lunch stops were conveniently planned around bus stops and were also given under the high school portico.Lunches are provided on Monday and Wednesday from 11 a.m. to 1 p.m.
Photo by Kim Cameron | West Grand staffulty joined together to feed approximately 100 lunches to students under the age of 18. Lunch stops were conveniently planned around bus stops and were also given under the high school portico.Lunches are provided on Monday and Wednesday from 11 a.m. to 1 p.m.

On Wednesday, March 25, Governor Polis issued Executive Order D2020-017 ordering Coloradans to stay in place due to the presence of coronavirus disease 2019 (COVID-19) in the state. Colorado Department of Public Health and Environment’s (CDPHE) issued a public health order defining critical emergency personnel, infrastructure, government functions, and other activities that are exempt from the directives in this Executive Order. For more information on what this order means for you, please see below.

About the Order

When does the order take effect?
The order will take effect Thursday, March 26 at 6:00 a.m.

When does the order end?
The order is set to last through Saturday, April 11, 2020 unless rescinded or modified by further Executive Order

Why is the Order necessary?
On March 5, 2020, CDPHE’s public health laboratory confirmed the first presumptive positive COVID-19 test result in Colorado. Since then, the number of confirmed cases hascontinued to climb. We all need to take these precautions for the preservation of public health and safety throughout the entire State and to ensure our healthcare delivery system can serve those who are sick.

The Polis administration, along with other state, local, and federal authorities, has taken a wide array of actions to mitigate the effects of the pandemic, prevent further spread, and protect against overwhelming our health care resources.

The economic impacts of COVID-19 are significant, and threaten to undermine the economic stability of many Coloradans and local businesses. The period of the economic disruption must be minimized by minimizing the spread of the virus. We must take action to shore up economic security, employment, community cohesion, and community recovery.

Where does the “Stay in Place” order apply?
The Governor’s executive order includes the entire state except areas in which a county health authority obtains approval from CDPHE to modify the order. Unless you work for a critical business or are doing an essential activity, you should stay home. Work from home is permitted and encouraged where possible. Although this order does not apply to critical business, social distancing will be mandated for those businesses that remain open.

What is the difference between the stay in place order and social distancing?
Stay in Place makes it very clear that Coloradans should take extreme steps to avoid contact with anybody outside their household and minimize contact in public places that could be contaminated with the COVID-19 virus.

Social distancing is an important first step in preventing the spread of a disease like COVID-19 that allows people to go about their daily activities while taking extra health and safety precautions. The Stay in Place order requires people to remain in their homes unless they are going to or from work or doing an essential task like going to the grocery store or walking a pet.

Is this mandatory or just guidance?
This order is mandatory.

What does the Stay in Place order do?
For Businesses:
• Critical businesses exemp from this Executive Order.
• Critical businesses must take all steps possible to comply with social distancing requirements.
For Coloradoans:
• To remain at home, only leave their home to engage in activities or perform tasks critical to their health and safety, or to the health and safety of their family or household members or to go to or return from critical work.
They can leave their home to:
• Obtain food and other household necessities for themselves and their family or household members.
• Deliver those services or supplies to others, such as, food, pet supply, other household consumer products, and products or equipment necessary to maintain the safety, sanitation, and critical operation of a residence.
• To engage in outdoor activity, such as, walking, hiking, nordic skiing, snowshoeing, biking or running. For purposes of outdoor activity, State parks will remain open to the public to engage in walking, hiking, biking, running, and similar outdoor activities but all playgrounds, picnic areas, other similar areas conducive to public gathering, and attended areas shall be closed.
• To perform work for critical industries.
• To care for a family member, a vulnerable person, or pet in another household, or to care for livestock kept at a location other than an individual’s home.
• Individuals experiencing symptoms of COVID-19 must self-isolate until their symptoms cease or until they have a negative test result.

About Enforcement

How will this order be enforced?
This order is an executive order, which means it’s the law of Colorado. It’s illegal to break the law.

Will the Colorado National Guard be enforcing this order?
No. The Colorado National Guard will be supporting logistics, transportation, and medical response efforts. The Guard will not be enforcing this order.

Residents who suspect that someone is violating the order should first contact their local public health agency to report any concerns. Residents may also file a report with the Attorney General’s Office at [email protected] if local law enforcement or a local public health agency is unresponsive.

How does this impact local municipalities that have already taken steps to enact stay at home orders?
• Any local jurisdiction can put in requirements that are more restrictive and anything that was in place stays in place.

About Critical Business

What is a Critical Business or Operation Under the Order?
These are the businesses that will be open:

Healthcare Operations, Including:
• hospitals, clinics, and walk-in health facilities.
• medical and dental care, including ambulatory providers.
● research and laboratory services.
● medical wholesale and distribution.
● home health care companies, workers and aides.
● pharmacies.
● pharmaceutical and biotechnology companies.
● behavioral health care providers.
● veterinary care and livestock services.
● nursing homes, residential health care, or congregate care facilities
● medical supplies and equipment manufacturers and providers, including durable medical equipment technicians and suppliers.
● This does NOT include health clubs as defined in C.R.S. § 6-1-102(4.6), fitness and exercise gyms, and similar facilities.

All medical, dental and veterinary care provided pursuant to this Order must comply with the directives set forth in Executive Order D 2020 009.

Critical Infrastructure, Including:
● utilities including power generation, fuel supply and transmission.
● oil and gas production field operations.
● public water and wastewater.
● telecommunications and data centers.
● transportation and infrastructure necessary to support authorized businesses.
● hotels, and places of accommodation.
● businesses and organizations that provide food, shelter, social services, and other necessities of life for economically disadvantaged, persons with access and functional needs, or otherwise needy individuals.
● food and plant cultivation, including farming crops, livestock, food processing and manufacturing, animal feed and feed products, rendering, commodity sales, and any other work critical to the operation of any component of the food supply chain.

Critical Manufacturing, Including:
● food processing, manufacturing agents, including all foods and beverages.
● chemicals.
● medical equipment supplies or instruments.
● pharmaceuticals.
● sanitary products.
● telecommunications.
● microelectronics/semiconductor.
● agriculture/farms.
● household paper products.
● any business that produces products critical or incidental to the processing, functioning, development, manufacture, or delivery of any of the categories of products included in this part on manufacturing.

Critical Retail, Including:
● grocery stores including all food and beverage stores.
● farm and produce stands.
● gas stations and convenience stores.
● restaurants/bars (for take-out/delivery only as previously defined.
● marijuana dispensary.
● firearms stores.
● hardware, farm supply, and building material stores.
● establishments engaged in the retail sale of food and any other household
consumer products (such as cleaning and personal care products)
● Pet stores and gun stores.
● Liquor and marijuana

Critical Services, Including:
● trash and recycling collection, processing and disposal.
● mail and shipping services, and locations that offer PO boxes.
● laundromats and drycleaning services.
● building cleaning and maintenance.
● child care services (following the requirements outlined in exemptions
below).
● auto supply and repair (including retail dealerships that include repair and maintenance, provided that retail activity ceases).
●warehouse/distribution and fulfillment.
● funeral homes, crematoriums, and cemeteries.
● in-person pastoral services for individuals who are in crisis or in need of end of life services provided social distancing is observed to the greatest extent possible.
● storage for critical businesses.
● animal shelters, animal rescues, zoological facilities, animal sanctuaries,
and other related facilities.

News Media
● newspapers.
● television.
● radio.
● other media services.

Financial Institutions, Including:
● Banks and credit institutions.
● Insurance, payroll, and accounting services.
● services related to financial markets.

Providers of Basic Necessities to Economically Disadvantaged Populations, Including:
● homeless shelters and congregate care facilities.
● food banks.
● human services providers whose function includes the direct care of patients instate-licensed or funded voluntary programs; the care, protection, custody and oversight of individuals both in the community and in state-licensed residential facilities; those operating community shelters and other critical human services agencies providing direct care or support.

Construction, Including:
● especially for housing and housing for low-income and vulnerable people.
● skilled trades such as electricians, plumbers.
● other related firms and professionals for who provide services necessary t maintain the safety, sanitation, and critical operation of residences.

Defense
● defense and security-related operations supporting the State of Colorado, local government, the U.S. Government or a contractor to either or all.

Critical Services Necessary to Maintain the Safety, Sanitation and critical Operations of Residences or Other critical Businesses, Including:
● law enforcement.
● fire prevention and response.
● building code enforcement.
● security.
● emergency management and response.
● building cleaners or janitors.
●general maintenance whether employed by the entity directly or a vendor.
● automotive repair.
● Disinfection.
● Snow removal.

Vendors that Provide Critical Services or Products, Including
Logistics and Technology Support, Child Care and Services:

● logistics.
● technology support for online and telephone services.
● child care programs and services.
● government owned or leased buildings.
● critical government services.

“Critical Government Functions” means providing, operating, and supporting:
Critical services, including:

i. public safety (police stations, fire and rescue stations, correctional institutions, emergency vehicle and equipment storage, and, emergency operation centers);
ii. emergency response;
iii. judicial branch operations
iv. emergency medical (hospitals, ambulance service centers, urgent care centers having emergency treatment functions, and non-ambulatory surgical structures but excluding clinics, doctors offices, and non-urgent care medical structures that do not provide these functions);
v. designated emergency shelters;
vi. communications (main hubs for telephone, broadcasting equipment for cable systems, satellite dish systems, cellular systems, television, radio, and other emergency warning systems, but excluding towers, poles, lines, cables,
and conduits);
vii. Public utility plant facilities for generation and distribution (hubs, treatment plants, substations and pumping stations for water, power and gas, but not including towers, poles, power lines, buried pipelines, transmission lines, distribution lines, and service lines); and
viii. transportation lifelines (public transportation, transportation infrastructure, airports (municipal and larger), helicopter pads and structures serving emergency functions, and associated infrastructure (aviation control towers, air traffic control centers, and emergency equipment aircraft hangars);
ix. hazardous material safety;
x. services to at-risk populations and Vulnerable Individuals;
xi. any government service required for the public health and safety, government functionality, or vital to restoring normal services.

What’s Open?
What will be open during the duration of the order?
Will grocery stores be open?
Yes, essential services will still be operational including, but not limited to:
● Grocery stores.
● Gas stations.
● Pharmacies.
● Police stations.
● Fire stations.
● Hospitals, clinics and healthcare operations
● Garbage/sanitation.
● Public transportation.
● Public benefits (i.e. SNAP, Medicaid) hotlines.

Can I order food/groceries?
Yes, grocery delivery will be available as well as meal-delivery, drive through, and take-out options.

Will liquor and cannabis stores be open?
Yes. Items will on be for sale only for off-site consumption and while purchasing social distancing should be practiced.

About Healthcare
How can I get medical care if I need it?
If you are feeling sick, call your doctor, a nurse hotline, any telehealth hotline set up specifically for COVID-19 (check with your insurance company) or an urgent care center. If you are experiencing symptoms or are currently in isolation, you should stay at home and follow the guidelines provided by your physician. Do not go to an emergency room unless necessary. Nonessential medical care like eye exams and teeth-cleaning should be postponed. When possible, healthcare visits should be done remotely. Contact your healthcare provider to see what tele-health services they provide.

Can I get a prescription filled or other healthcare needs?
Yes. Pharmacies and other medical services will remain open. You should request for your prescriptions to be delivered to your home if that is possible.

About Transportation

Will public transportation and ridesharing be available?
Public transportation and ridesharing should be used for essential travel only. When possible, walk or drive yourself.

Will roads in Colorado be closed?
No, the roads will not be closed in Colorado. You should only travel if it is essential to your work or health.

Can I take a flight out of state?
Planes and any other form of travel should only be used if absolutely necessary.

About Safety & Vulnerable Persons

What if my home is not a safe environment?
If it is not safe for you to remain home, you are able and urged to find another safe place to stay during this order. Please reach out so we can help. You may call the domestic violence hotline at 1-800-799-7233 or contact your local law enforcement.

What About Vulnerable and Children Populations?
What about homeless people who can’t stay at home?
The administration wants to protect the health and safety of all Coloradans, regardless of where they live. State agencies are partnering with community organizations to provide funding and resources to ensure our homeless population has safe shelter.

The Department of Local Affairs is working on getting a list of Cold Weather Shelters in the Balance of State Continuum of Care with; Contact info, Locations, Bed counts, Closing Dates.

In addition DOLA is working with state and local partners who provide services to our unhoused Coloradans through a statewide homeless taskforce. The first meeting is Monday, March 23, 2020 1-2pm.

HUD has also developed an Infectious Disease Toolkit for Continuums of Care (CoC) to prepare for and manage the spread of infectious disease in shelters.

Finally, DOLA, CDPHE and other partner agencies have created guidance for homeless care providers that is posted on the COVID-19 website.

Can I leave home to take care of an elderly or sick family member or friend?
Yes. Please be sure to practice social distancing and wash your hands frequently. Elderly people and people with suppressed immune systems are at heightened risk for contracting COVID-19.

Does the Stay in Place order mean I can’t take my kids to the park?
State parks will be open during the Stay in Place order. Families will still be able to go outside, including to local parks and outdoor spaces that remain open, and take a walk, run, or bike ride but should continue to practice social distancing by remaining 6 feet away from other people. Municipalities are encouraged to extend hours of parks to encourage spacing, and to close parks in which visitors are seen to be routinely violating spacing guidelines. Playgrounds are closed because they pose a high risk of increasing transmission.

Is child care open?
Licensed child care remains open under specific guidance from public health. We are working to ensure all essential workers have access to childcare services so are licensing new centers and those that may have closed, on an emergency basis, to ensure there are enough spots for the children of essential workers. For urgent child care needs, contact 2-1-1.

Can I pick up meals being provided by my child’s school?
Yes. Schools that provide free food services to students will continue on a pick-up and take-home basis.

About Pets
What about my pet?
Pet supply stores and veterinary services will remain open. You are allowed to walk your dog and seek medical care for your pet should they require it. Be sure to practice social distancing while out on walks, maintaining at least 6 feet from other neighbors and their pets.

Grand County Resources

In extraordinary times such as these, there is a lot of information floating around about the COVID-19 Pandemic. In the following pages, you will find a number of verified local resources that can help you navigate through the coming weeks and months. Much of the information has been gathered by the team at Grand County Rural Health Network. We appreciate their continued efforts to keep the people of our community informed on what is necessary, helpful and valuable. For the latest updates on resources, visit healthygrandcounty. org.
COVID-19

To get the current facts about about the the novel coronavirus, visit the Grand County Department of Health website at co.grand.co.us/220/Public-Health, Colorado Department of Public Health & Environment: covid19.colorado.gov or, Centers for Disease Control: cdc.gov.

Grand County also has an active COVID-19 information hotline to call for updates: (970) 725-3755. Sign up for email or text updates via Notify Me at: co.grand.co.us/COVID19NOTIFY. Please! If you are concerned about your symptoms, call your primary care provider or the nearest healthcare facility for guidance. Health care professionals work with county and state public health departments and the CDC to determine necessity for COVID-19 testing.

Health Care Providers
Medical:
Middle Park Health – Emergency and Family Medicine, Surgical Center Kremmling (970) 724-3442 | Granby (970) 887-5800

Pharmacy:
City Market, Granby: (970) 887-7150

Mercantile Kremmling: (970) 726-6920

Dental:
Granby Dental, Granby: (970) 887-3832

Vision:
Winter Park Optical, Fraser (970) 726-5652

Heath Care Support :
Grand County Rural Health Network – Office closed – Available via phone only (970) 725-3477.

Provides support for vulnerable populations, including: anyone over the age of 60; immunocompromised; people with chronic diseases such as heart and lung disease or diabetes; pregnant women. Offers care coordination services to help ensure navigating healthcare system, receiving care they need, etc.; ACHES & PAINS financial assistance for acute medical, dental, behavioral health, pharmaceutical, and medical support needs; Health Coverage Guide to help enroll in health insurance, Medicaid, SNAP, LEAP, etc.; assists with medical questions, prescription assistance, prescription delivery, etc.

Northwest Colorado Health -24/7 on-call nurse. Office hours M-F, 8am-5pm (970) 871-7629.
Provides hospice and end of life care. Home health services to assist individuals recovering from illness and assistance managing long term chronic illness in the home. (RN, CNA, PT, OT, MSW); essential medical services being delivered face to face; supportive services via phone and then triaged based on need.

Food Assistance
Mountain Family Center 480 E Agate Ave, Granby (970)-557-318 |mountainfamilycenter.org Offers food pantry pick up at doors or curbside: Kremmling: Monday thru Friday, 10am-2 pm; Walden: Wednesdays (for now) from 1- 4 pm ; Granby: Monday thru Friday, 9am-3pm

Grand Seniors
Office closed – Available by phone only (970) 887-3222
Delivery services of groceries (pharmacy pick up if possible) for seniors or disabled populations, or other high need household, as identified.

West Grand School District Grab and go meals are free to all students who live in the West Grand School District during the school closures. It does not matter what school a student attends, they may pick up a grab and go meal each day at any location. Drop-offs follow the school bus routes and schedules can be found at wgsd.us.

Outbreak of Kindness
If you are a member of vulnerable populations (age 60 and over; chronic disease including heart, lung, or diabetes; immunocompromised; or are pregnant), volunteers will deliver (in a safe manner) food, medications, supplies, etc.
To sign up, go to: https://forms. gle/zWMzQ32BMt49rZ18A or call Church of the Eternal Hills at (970) 887-3603.

Grand County Senior Nutrition
(970) 725-3288 Services provided via phone and referral. Meals provided for donation only to Resident Seniors over the age of 60. Providing three meal options via delivery to client’s home once per week,on Mondays.

SNAP (Supplemental Nutritional Assistance Program)
To see if you qualify, please go to: colorado.gov/pacific/cdhs/supplemental-nutrition- assistance-program-snap. If you need assistance completing the application, please CALL one of these agencies: Mountain Family Center at (970) 557-3186, Grand County Rural Health Network at (970) 725-3477, or Grand County Department of Human Services at (970) 725-3331.

Grand County Human Services Offices
Closed in-person. Available via phone, email, fax, M-F 8:30am-5pm (970) 725-3331 Staff is working and available by phone, email and fax. Processing Food Assistance, Medicaid and all other services.

Housing and Utilities

Mountain Family Center Available by phone appointment only. (970) 557-3186

Rental and Utility/Energy Assistance by phone or at the door. Mountain Family Center is also accepting and administering all applications for the Grand County Emergency Assistance Fund rental/mortgage/utility assistance, food insecurities and grocery access.

LEAP (Low Income Energy Assistance Program) – Emergency Assistance available. Please go to: colorado.gov/LEAP
If you need assistance in completing the application, contact one of the following agencies: Mountain Family Center (970) 557-3186, Grand County Rural Health Network (970) 725-3477, Northwest Colorado Center for Independence [email protected], or Grand County Department of Human Services (970) 725-3331

Transportation

Grand Seniors
Office Closed – Available via appointment only (970) 887-3222
Local medical (non-emergent) transportation to appointments in-County only.

Grand County Rural Health Network
Office Closed – Available via phone only (970) 725-3477 – Vouchers for transportation for medical appointments.

Alpine Area Agency on Aging
Office Closed – Available via phone or email during normal business hours M-F 8:30am-5:00pm. (970) 468-0295 – Transportation vouchers available.

Mental Health
Mind Springs Health
Currently still open to provide face-to-face services in outpatient (therapy, case management, and medication management) and crisis services. Office hours are M-F, 8am-5pm M-F. (970) 887-2179. Phone services are available and will have telehealth services available for clients unable to come into the office. Will have remote access for crisis services as well.

Behavioral Health Navigation Services
Offered via phone or in person by request. M-Th by appointment only.
Sue Johnson (970) 531-4669 Services for those struggling with mental illness or substance abuse issues. Short term therapy provided at no cost, referrals to long term therapy and psychiatry and community resources. Removing barriers to accessing treatment.

Narcotics Anonymous
Regular meetings at Mind Spring Health are cancelled until further notice. Online resources and forums available: na-recovery.org and aa.org

People with Disabilities
Northwest CO Center for Independence
Services delivered by phone and referral, may deliver “drive by” supplies as needed (without physical contact). Contact Joy McCoy at [email protected]

Independent Living Skills/Life training, family services, into. and referral, mobility training, options counseling, personal assistance and communication services, assistive technology, physical restoration services, benefits access and planning.

Pregnant Women and Families with Young Children
Pregnancy Resource Connection Pick up by appointment; please call (970) 887-3617, 3 Ten Mile Drive, Granby Hours: 12-6pm, M&W; 9am-3pm T&Th; 9am-1pm F. Diapers, wipes, and formula available

Grand Beginnings
All services are being delivered via Zoom or phone 9am-4pm (970) 725-3391
Referrals to licensed child care, tuition assistance for licensed child care programs (operated through the programs), early childhood mental health services, and working with local child care programs.

Veterans
Grand County Veterans Services Office Hours: 24/7 Contact Duane Dailey (970) 509-9024 [email protected] co.grand.co.us

If unavailable, contact: Colorado Division of Veterans Affairs; east (303) 284-6077, or CDVA west (970) 257-3761

Medical questions: VA Health main line, Rocky Mountain Regional Medical Center (Aurora) (303) 399-8020.

Services Provided – Enrollment of eligible veterans and dependents in VA Benefits, VA Health, VA Burial, Education & Training, Vocational Rehabilitation & Employment, Home Loans, and much more. Helps with Colorado State Benefits

Grand County CVSO additional services: Access to VTF & VAG grants for vets in need, Transportation to health care on first come first served if available. Headstone bases. Anything veteran-related.

Domestic Violence
Grand County Advocates Via phone, unless is a severe detriment to client. Then will screen for a face-to-face Office: (970) 725-3442 | 24/7 Line: (970) 725-3412

Services for victims of domestic and sexual violence- 24/7 crisis line, safe housing, legal advocacy, medical advocacy, referrals Internet Comcast is offering their Internet Essential Package free to low-income customers for 60 days https://www. internetessentials.com/

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