Healthcare workers in hospitals or skilled nursing facilities (SNFs) should follow the isolation, testing, and work restriction guidance in AFL 21-08.9. Frequently Asked Questions Table of Contents Consistent with applicable privacy laws and regulations, the operator of the facility or employer must maintain records of workers' vaccination or exemption status. California Department of Public Health (CDPH) Center for Health Care Quality . Any visitor entering the facility,regardless of their vaccination status, must adhere to the following: COVID-19 symptoms and/or exposure within the prior 14 days to another person with COVID-19; if a visitor has COVID-19 symptoms or has been in close contact with a confirmed positive case, they must reschedule their visit, regardless of their vaccination status. Recordings, notes and slides for the Wednesday Webinars and Thursday calls can be accessed at the Health Services Advisory Group (HSAG) registration website: The California Department of Public Health (CDPH)with the California Association of Long Term Care Medicine (CALTCM), California Association of Health Facilities (CAHF), and Health Services Advisory Group (HSAG)hosts a bi-weekly (2nd and 4th Wednesdays) webinar on infection prevention for long term care facilities. All Facilities Letters - 2020 Licensing and certification Program All Facilities Letters - 2020 It is recommended to use Google Chrome, Microsoft Edge, or Firefox as your web browser when opening the AFL. The purpose of this memorandum is to address two Public Health Orders issued by the California Department of Public Health (CDPH): State and Local Correctional Facilities and Detention Centers Health Care Worker Vaccination Order, issued August 19, 2021; and Health Care Worker Protections in High-Risk Settings, issued July 26, 2021. MS 0500 General Acute Care Hospitals (GACH) Assembly Bill (AB) 1394 - Suicide Screening Requirement. Skilled Nursing Facilities Infection Prevention Call. On August 25, 2020, CMS published an interim final rule with comment period . These amendments were made to reflect recent CDC recommendations, the current science of the Omicron subvariants, the increases in community immunity from vaccination and infection, and increases in vaccine coverage of our healthcare workforce. AFC Skilled Nursing Facilities Infection Prevention Call December 1-2, 2021 . If personal protective equipment (PPE) is required for contact with the resident due to COVID-19 positive isolation status (including fully vaccinated visitors), it must be donned and doffed according to instruction by HCP. AFL 22-12 From the California Department of Public Health June 24, 2022 TO: All Facilities SUBJECT: Updated Regulatory References to Health Care Standards of Practice AUTHORITY: Health and Safety Code (HSC) section 1275 All Facilities Letter (AFL) Summary This AFL notifies all facilities of proposed updates to regulatory references in Title 22 of Internet Explorer may not work correctly. Email: ITServiceDesk@dhcs.ca.gov. Staff should provide monitoring for those who may have difficulty adhering to core principles, such as children. The California Highway Patrol and the Office of Traffic Safety will help parents and care Modified on February 23, 2023 CSV XLSX PrEP AP SITES 07122022 { {description}} Modified on February 21, 2023 HTML ArcGIS GeoServices REST API GeoJSON CSV KML ZIP DATE: August 26, 2020 REVISED 09/23/2022 . Regardless of vaccination status, the resident and visitor do not need to physically distance and can include physical contact (e.g., hugs, holding hands) but must wear a well-fitting face mask while in the resident's room unless eating or drinking. 37 MB, September 2022) EPA approved and compiled portions of Title 13 (Motor Vehicles),. Facilities and providers must provide such records to CDPH, the local or state Public Health Officer, or their designee immediately upon request or by no later than the next business day after receiving the request. Hospice Facilities (HOFA) Skilled Nursing Facilities (SNF) Intermediate Care Facilities (ICF) Assembly Bill (AB) 1852 - Automated Drug Dispensing Systems. CDPH All Facilities Letters Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs) Monday, February 7th, 2022Wednesday, March 2nd, 2022CANHR STAFF Learn more >. November 8, 2022 These FAQs have been updated to include information related to the ETS revisions that were adopted on April 21, 2022 and became effective and enforceable on May 6, 2022. Consequently, mandated testing of unvaccinated visitors is not effectively preventing disease transmission as with the original COVID-19 virus and prior variants earlier in the pandemic. All Facilities Letters are listed in ascending order by release date, with updated AFLs listed directly after their original version. CHP photo. Pursuant to All Facilities Letter (AFL) 20-26.13 from California Department of Public Health (CDPH), issued on June 30, 2022, stating that CDPH is temporarily waiving specified regulatory requirements until the end of the declared COVID-19 emergency. SUBJECT: Interim Final Rule (IFC), CMS-3401-IFC, Additional Policy and Regulatory . Additionally, facilities and providers must ensure the records are in compliance with CDPH Guidance for Vaccine Records Guidelines & Standards and contain the following information: If a contractor or vendor has entered into an agreement to verify and document HCP vaccination/exemption status, the agreement shall also require the contractor to maintain records and provide such records to CDPH, the local or state Public Health Officer, or their designee immediately upon request or by no later than the next business day after receiving the request. COVID-19 NOTICE: In response to the Governor's state of emergency declaration related to COVID-19, on March 20, 2020, the California Department of Public Health (CDPH) distributed All Facilities Letter (AFL) 20-26, temporarily waiving hospital licensing requirements and suspending regulatory enforcement requirements in Chapter 2 of Division 2 . . This AFL provides CDPH guidance for group activities and communal dining. Skilled Nursing Facilities ("SNFs") are required to use the California Standard Admission Agreement (SAA), located on the California Department of Public Health website. When providing outdoor visitation facilities should facilitate visits on the facility premises (e.g., visits on lawns, patios, and other outdoor areas, drive-by visits, or visit through a window) with physical distancing between visitor-resident groups, and staff monitoring of infection control guidelines. 9. For HCP who test positive, hospitals should follow AFL 21-08.9, "Guidance on Quarantine for Health Care Personnel (HCP) Exposed to SARS-CoV-2.". Hospitals are required to report outbreaks and unusual infectious disease occurrences to their local health department and CDPH Licensing and Certification District Office. 08 Jan 2022 CDPH Updates Quarantine Guidance - Again Gideon Baum Vice President, Policy The California Department of Public Health (CDPH) revised its quarantine and isolation guidelines for a second time in as many weeks through a new All Facilities Letter (AFL) that takes effect today. A state public health order went into effect today that essentially shut down visitation in long term care facilities in California. AFL 21-21 From the California Department of Public Health July 2, 2021 TO: All FacilitiesSUBJECT: Regulatory Update for Medical Information Breach Administrative Penalties and Reporting Requirements AUTHORITY: California Health and Safety Code (HSC) section 1208.15 All Facilities Letter (AFL) Summary This AFL informs health care facilities of adopted regulations, effective July 1, 2021. or telephone visitation. (916) 558-1784, COVID 19 Information Line: FROM: Director . In an ongoing effort to ensure patient safety and to minimize the spread of COVID-19 among vulnerable individuals, the California Department of Public Health (CDPH) is requiring COVID-19 vaccination for all HCP who provide services or work in healthcare facilities or direct care settings. The information contained in the AFL may include changes in requirements in healthcare, enforcement, new technologies, scope of practice, or general information that affects the health facility. HCP who have completed their primary vaccination series and provide proof of COVID-19 infection may defer booster administration for up 90 days from date of clinical diagnosis or first positive test, which in some situations, may extend the booster dose requirement beyond March 1st. All Facilities Letter 16-06 AFL 15-22 Centers for Medicare and Medicaid Services (CMS) AFL 15-22 Emergency Preparedness Checklist Revision AFL 13-13 Release Date. On April 6, 2022, the California Department of Public Health (CDPH) issued a letter to entities performing COVID-10 testing, explaining changes to reporting requirements in California. Friday, January 7th, 2022. Please turn on JavaScript and try again. Direct care workers include, but are not limited to, the following: HCP must have completed the vaccination series of either the first dose of a one-dose regimen or their second dose of a two-dose regimen by the following dates: In accordance with the Public Health Order Health Care Worker Vaccine Requirement issued February 22, 2022, CDPH is requiring HCP to be fully vaccinated and boosted by March 1, 2022, unless exempt. Two-dose vaccines: Pfizer-BioNTech, Moderna, or vaccine authorized by the World Health Organization. parameters identified in either the December 28, 2021 or January 14, 2022 memoranda (QSO-22-07-ALL and QSO 22-09-ALL). CBAS Updates Webinar March 3rd, 2022 - CDPH All Facility Letter 20-34.5 This is definitely a must-read for TX LTC providers as it addresses of the LTCR Form 3767, Nurse Aide Work Training and Work Experience. An All Facilities Letter (AFL) is a letter from the Center for Health Care Quality (CHCQ), Licensing and Certification (L&C) Program to health facilities that are licensed or certified by L&C. Order Today! The estimated base pay is $19 per hour. CDPH All Facility Letters by Topic Administration Communal Dining & Activities Infection Control and Prevention Isolation and Quarantine License Nursing Service - Staff Pharmaceutical Service PPE Reporting Required Services Social Excursions, Emergency Transfers and Hospital Readmissions Staffing Surveys Testing The California Department of Public Health (CDPH) has issued All Facilities Letter 21-53, which provides guidance on the implementation of a moratorium on hospice licensure, as established by Senate Bill 664. If they are visiting friends or family in their homes, they should follow the source control and physical distancing recommendations for visiting with others in private settings as described in CDC Guidance on Minimizing the Impact of COVID-19 on Communities. This revision clarifies that all HCP who provide services or work in health care facilities must be fully vaccinated and boosted for COVID-19, unless exempt. (1-833-422-4255). HCP subject to the vaccine requirement include all paid and unpaid individuals who work in indoor settings where care is provided to patients, or patients have access to for any purpose. This AFL notifies SNFs of updated California Department of Public Health (CDPH), Centers for Medicare and Medicaid Services (CMS), and Centers for Disease Control and Prevention (CDC) guidance for improving their infection control and prevention practices to prevent the transmission of COVID-19, including guidance for visitation. Espaol, - It looks like your browser does not have JavaScript enabled. Visitors who have tested positive for COVID-19 should not be permitted to visit or should be asked to leave if they are still within their isolation period (within 10 days of their positive test). All facilities must comply with state and federal resident's rights requirements pertaining to visitation. (1-833-422-4255). If you have any questions about this AFL, please contact the CDPH Healthcare-Associated Infections Program via email atHAIProgram@cdph.ca.gov. This AFL notifies all general acute care hospitals and other affected health care facilities of the chaptering of SB 311 (Chapter 384 . Indoor visits must be conducted with both the resident and visitor wearing a well-fitting face mask. Please turn on JavaScript and try again. All Facilities Letters Licensing and certification All Facilities Letters - Library An All Facilities Letter (AFL) is a letter from the Center for Health Care Quality (CHCQ), Licensing and Certification (L&C) Program to health facilities that are licensed or certified by L&C. Involve Child Life workers, parents, legal guardians, or authorized representatives in planning the facility visitation program and the most developmentally appropriate visitation program for each resident, including residents who may not have family who can visit. Residents who are not in isolation may eat in the same room without physical distancing, regardless of vaccination status. Non-essential personnel/contractors (e.g., barbers, manicurists/pedicurists), who comply with universal face mask requirements of the facility, may enter the facility and provide services to residents in appropriate spaces (outdoors, if feasible, or indoors in a well-ventilated area arranged to avoid crowding). Between December 15, 2021 and January 31, 2022, Facilities shall ensure that all Facility residents, employees, contracted healthcare professionals including consultants and . MS 0500 All unvaccinated, partially vaccinated, or booster-eligible but unboosted registry providers, contractors, and volunteers shall wear the appropriate mask at all . CDC recommends facilities post signs at entrances, and send emails to families and visitors with COVID-19 screening guidance. On Dec. 31, CDPH issued AFL 20-35.6, which informs all facilities and applicants that the temporary waiver of specified regulatory requirements for initial certification, renewal, and expired certification for certified nurse assistants have been extended until March 31, 2022, in compliance with Executive Order N-21-21. To get vaccinated, HCP can check with their healthcare provider, the Centers for Disease Control's Find Vaccines webpage, or California's My Turn webpage. California Department of Social Services PIN 22-04-ASC January 18, 2022 TO: ALL ADULT AND SENIOR CARE PROGRAM RESIDENTIAL LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: UPDATED STATEWIDE VISITATION WAIVER, AND TESTING AND VACCINATION VERIFICATION GUIDANCE FOR VISITORS RELATED to Default, California Conference of Local Health Officers, Communicable Disease Control And Prevention, Chronic Disease Injury Prevention Agenda 1-5-2017, Chronic Disease Injury Prevention Agenda 2-15-2017, Chronic Disease Injury Prevention Agenda 3-2-2017, Center for Chronic Disease Prevention and Health Promotion, Division of Chronic Disease and Injury Control, Tobacco Education and Research Oversight Committee, Preventive Medicine Public Health Residency Program, California Epidemiologic Investigation Service Fellowship Program, California Stroke Registry-California Coverdell Program, Guidelines, Resources, and Evidence-Based Best Practices 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Development & Engagement, Meet the Former Interns - Yesenia Posadas, Office of the State Public Health Laboratory Director, California Laboratory Animal Use Approval Program, Complaints Program - Laboratory Field Services, Clinical Laboratory Technology Advisory Committee (CLTAC), Clinical Laboratory Scientist Trainee License, Clinical Chemist Scientist Trainee License, Clinical Cytogeneticist Scientist Trainee License, Clinical Genetic Molecular Biologist Scientist Trainee License, Clinical Hematologist Scientist Trainee License, Clinical Histocompatibility Scientist Trainee License, Clinical Immunohematologist Scientist Trainee License, Clinical Microbiologist Scientist Trainee License, Clinical Toxicologist Scientist Trainee License, Clinical Laboratory Professional Licensing, Renewal of Clinical Laboratory Personnel Licenses & Certificates, State of CaliforniaHealth and Human Services Agency, en Submit the required $50 fee for application through reciprocity. 1-833-4CA4ALL HCP include, but are not limited to, the following: All HCP who provide services or work in health care facilities must be fully vaccinated and boosted for COVID-19, receiving all recommended doses of the primary series of vaccines and a vaccine booster dose pursuant to the following table. The California Department of Public Health (CDPH) is identifying the prevalence of circulating SARS-CoV-2 variants by analyzing CDPH Genomic Surveillance Data and CalREDIE,. 1-833-4CA4ALL SNF residents and health care personnel (HCP) must continue to follow current CDPH Masking Guidanceto protect themselves and others, including wearing a mask, avoiding crowds and poorly ventilated spaces, covering coughs and sneezes, washing hands often, and following guidance for personal protective equipment use and SARS-CoV-2 testing. Background Since the beginning of the Public Health Emergency, CMS and the Centers for Disease Control . CDPH Licensing in a Post-Pandemic World. 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for Healthy Birth and Beyond, Multiple Factors Affect Birthing Parents Weight, Healthy Weight for Healthy Birth and Beyond Toolkit, Healthy Weight for Healthy Birth and Beyond Data Brief, Perinatal Equity Initiative Public Awareness Campaigns, Regional Perinatal Programs of California, Where We Are: Local RPPC Sites and Coordinators, Resources for Hospital and Health Care Providers, CMQCC Improving Health Care Response to Maternal Venous Thromboembolism, CMQCC Improving Health Care Response to Cardiovascular Disease in Pregnancy and Postpartum, RPPC RFA 2022 Public Notice of Intent to Award, RPPC RFA 2022 Public Notice of Final Award, Sudden Infant Death Syndrome (SIDS) Program, SIDS/SUID Northern California Regional Council, SIDS/SUID Southern California Regional Council, MyStory: Stories from the California SIDS Program, Agreement Funding Applications (MCAH & BIH), Breastfeeding Resources for Health Care Providers, Monitoring Adherence to Healthcare Practices that Prevent Infection, 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Transmitted Diseases Control Branch, VRDL Guidelines for Specimen Collection and Submission for Pathologic Testing, Office of Binational Border Health Publications, Office of Binational Border Health Advisory Group, About the Office of Binational Border Health, Contact the Office of Binational Border Health, Quarterly Binational Epidemiology Meetings, Border Infectious Disease Surveillance - Coccidioidomycosis, Border Infectious Disease Surveillance - Queso Fresco, Border Infectious Disease Surveillance - Mosquito-borne-diseases, Border Infetious Disease Surveillance - Rocky Mountain Spotted Fever, Border Infectious Disease Surveillance - Influenza and Other Respiratory Infections, Emergency and Evacuation Planning Guide for Schools, Tips for Communicating with Students During an Emergency, Know When and How to Shelter-in-Place for Schools, How to Help Students Cope and Deal with Stress, Pandemic Flu Preparedness For Schools - Home, Fusion Center (Strategic Development and External Relations), California Equitable Recovery Initiative (CERI) Q&A, AB 1726 Asian and Pacific Islander Data Disaggregation Brief, CDPH Lifts Rock Crab Health Advisory in Portions of San Mateo County - South of Pillar Point, CDPH Launches Mobile Website for WIC Participants, CDPH Reports Widespread Flu Activity that is More Severe than Last Year, CDPH Fines San Francisco County Facility in Death of Resident, CDPH Fines Los Angeles County Facility in Death of Resident, Lets Get Healthy California Announces Local Innovations to Improve Californias Health, Dungeness Crab Health Advisory Lifted for Remainder of California Coast, Dungeness Crab Health Advisory Lifted in Portions of Mendocino County South of Ten Mile River, CDPH Warns Consumers Not to Eat Sport-Harvested Bivalve Shellfish from San Luis Obispo County, Dungeness Crab Health Advisory Lifted in Portions of Sonoma, Mendocino, Humboldt Counties, CDPH Releases Reports on Healthcare-Associated Infections, Influenza Vaccination Rates 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