Across Washington state and the country, there have been outbreaks of COVID-19 in many settings. Some of the most difficult outbreaks to control and manage are those in congregate settings. Washington state and Spokane County have had their share of these outbreaks to manage. In Spokane County, the Spokane Regional Health District (SRHD) epidemiology team has managed outbreaks in homeless shelters, family shelters, drug treatment centers, behavioral health facilities, county correctional facilities, supported living facilities and group homes.