California Department of Social Services PIN 21-44-ASC
September 28, 2021
TO: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES
Original signed by Kevin Gaines
FROM: KEVIN GAINES
Community Care Licensing Division
SUBJECT: ADULT AND SENIOR CARE FACILITY WORKER CORONAVIRUS DISEASE 2019 (COVID-19) VACCINATION REQUIREMENT
Provider Information Notice (PIN) Summary
PIN 21-44-ASC notifies all Adult and Senior Care (ASC) licensees of the COVID-19 vaccination requirement for all workers of ASC facilities, pursuant to the State Public. Health Officer Order of September 28, 2021. This PIN also provides guidance related to exemptions from the vaccination requirement and recordkeeping requirements of worker vaccination status and exemption status.
Please post/keep this PIN in the facility where persons in care can easily access it and distribute the PIN Summary for Persons in Care (located at the end of this
PIN) to persons in care and, if applicable, their representatives.
Download PDF HERE