LODI (CBS SF/AP) — The number of available intensive care unit beds in California’s San Joaquin Valley plummeted to zero for the first time Saturday, state officials announced as ICU units fill up statewide amid spiking COVID-19 cases.

Just a day earlier, the region’s ICU capacity was at 4.5%, according to the California Department of Public Health.

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The region comprised of 12 counties in central California, along with the enormous Southern California region, contain more than 60% of the state’s 40 million residents. Last week, the two regions were ordered to follow the strictest anti-COVID-19 rules under a new state stay-at-home order that aims to keep hospitals from being overwhelmed by restricting infectious contacts.

The 0% calculated by the state doesn’t mean all hospitals have run out of intensive care unit beds, and in Stanislaus County 3.6% of ICU beds were available as of Saturday, said Kamlesh Kaur, a spokeswoman for the county’s public health department.

“From what we understand, the state is looking at the percentage of available, staffed ICU beds and makes adjustments based on the percentage of COVID-positive patients admitted to hospitals,” Kaur said.

She said the county has activated a surge plan, which allows hospitals to transfer non-COVID-19 patients to a facility opened by the state in Sacramento to provide relief for local hospital workers.

Like communities across California, Lodi residents are wrestling with the surge of cases that are overwhelming hospitals throughout the San Joaquin Valley.

A new stay-at-home order was imposed this week but it’s anybody’s guess whether it will have the intended consequence of finally changing enough people’s behavior to slow infections as a vaccine is rolled out.

“It’s been frustrating,” said Chuck Davis, CEO of data science company Bayesiant that tracks virus numbers for the county. “It’s like we see the train coming down the track and we’re telling people, and some people listen and get off the track and other people get on the track and start dancing.”

The virus has found a foothold in Lodi, a city of 68,000 on the county’s northern rim. The birthplace of A&W Root Beer, Lodi is surrounded by vineyards that rely on Latinx farmworkers.

On School Street, the city’s picturesque retail and restaurant hub, sycamore leaves as big as your hand littered the sidewalk. In normal times, volunteers clear the leaves. But that stopped during the pandemic, and the leaves piled up, a subtle reminder of how things have changed.

More stark reminders are at the local hospital, where a second intensive care unit was created to handle patients. A team of 17 nurses arrives Monday so the hospital can begin accepting patients from some of the county’s six other hospitals, all of which are at 100% capacity or more in ICU units.

Dr. Patricia Iris, medical officer for Adventist Health Lodi Memorial, said during the first surge of cases this year 75% of patients were Latino. The hospital interviewed 30 Latino families to find out why, discovering they didn’t trust the hospital.

Things improved after Adventist partnered with Spanish-language TV and radio stations to educate people about wearing masks and social distancing.

But across the city, many residents still don’t follow the rules, Iris said.

“People can’t help themselves. They want to be near family,” she said. “We don’t have the same culture and the rigidity around following the guidance here than, for example, San Francisco. We need to educate, educate, as much as we can so we can get some relief.”

Last week, Gov. Gavin Newsom imposed a three-week stay-at-home order for the San Joaquin Valley. The order forced restaurants to only offer takeout and delivery, shuttered hair and nail salons, movie theaters and other businesses, and limited retailers to 20% capacity.

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Pat Patrick, president and CEO of the Lodi Chamber of Commerce, signed a letter to Newsom, urging him to let businesses stay open.

“There’s just no rhyme or reason to some of these things and certainly no data,” he said.

Lodi Junction, a sprawling thrift store, is following the rules, only allowing a maximum of 30 customers and requiring masks and distancing. More than a dozen people were sampling the wares on Wednesday — a box set of Anthony Robbins self-help books, a $150 flat screen TV with no remote — as Bruce Hornsby sang “that’s just the way it is” over the speakers.

Roman Winter was browsing some shirts while wearing a mask. He’s a doctor of internal medicine at a Southern California hospital, but once worked in San Joaquin County and still has a house in Lodi. He was visiting for the first time in six months and thinks not much has changed.

“It’s busier out there now than it was before the whole thing started,” he said. “It doesn’t seem that anybody cares.”

Calling it a COVID date, Ryan Breakfield and his girlfriend Erica Everett have lunch in the bed of a pickup after they were unable to eat inside a restaurant in Lodi, Calif., Dec. 9, 2020. (AP Photo/Rich Pedroncelli)

But some things have changed on School Street, where most of the restaurants have closed their seating. Unable to eat inside, Ryan Breakfield and his girlfriend Erica Everett ate takeout in the bed of a pickup truck, calling it a “COVID date.”

“It’s just really weird. That’s the best way to put it,” he said.

Tucked between four restaurants is the Rocky Mountain Chocolate Factory, where owner Jeanne Bria’s business model relies on diners walking past her temptations. But people aren’t thinking about dessert now when they walk to their cars with Styrofoam takeout containers. Bria said her business is down 60%.

She wears a mask and only allows one person or party in her store at a time. She said most people follow the rules, but added: “I would say 95% of the people that come in want to complain about it.”

“My problem is I don’t know who to believe,” she said. “You hear from different sources different information. And I almost think that the mental health and the frustration damage that’s being done is almost worse.”

Across town, Denis Xenos knows exactly who he believes — and it isn’t Newsom. The owner of Denis’ Country Kitchen has kept his restaurant open for dine-in customers despite the mandate, posting on Facebook that he has converted into a “private club.” The membership fee is $1 per family.

The stunt attracted the attention of the county public health department, which called Xenos and told him the district attorney has been notified. Xenos said nothing has happened yet, and he is “just trusting the Lord.”

“I’m standing up for what our forefathers have died to give me,” Xenos said, adding he is not requiring masks. “We’re open, letting everybody choose what they want.”

Others have accepted the rules as necessary. Tom Hoffman, owner of Heritage Oak Winery, canceled his wine tastings and other events for the next three weeks, even though the holiday season is when he makes the most money.

Hoffman said he expects to survive the shutdown. But his business won’t be the same.

“I don’t really look forward to standing in the tasting room with 14 people in there all breathing the same air. That doesn’t appeal to me anymore,” he said.

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