RESIDENT COHORTING, ISOLATION AND QUARANTINE, STAFFING, AND USE OF PERSONAL PROTECTIVE EQUIPMENT BASED ON RESIDENT COVID-19 STATUS

California Department of Social Services PIN 22-15.1-ASC Primary Audience: ALL ADULT AND SENIOR CARE PROGRAM RESIDENTIAL LICENSEES Summary: PIN 22-15.1-ASC supersedes PIN 22-15-ASC, dated May 13, 2022, and updates the definition of close contact, the recommended timeframe to test after an exposure, and duration of resident quarantine. This PIN also provides guidance related to resident cohorting, isolation and quarantine, staffing considerations, and use of Personal Protective Equipment (PPE) based on the resident’s COVID-19 status.

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Updated Regulatory References to Health Care Standards of Practice

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 the California Code of Regulations which cite health care standards of practice adopted by a recognized state or national association.

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CORONAVIRUS DISEASE 2019 (COVID-19) VACCINE ADDITIONAL AND BOOSTER DOSES

California Department of Social Services PIN 22-20-ASC Primary Audience: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES Summary: PIN 22-20-ASC: CORONAVIRUS DISEASE 2019 (COVID-19) VACCINE ADDITIONAL AND BOOSTER DOSES supersedes PIN 22-06-ASC, dated February 3, 2022, and informs Adult and Senior Care (ASC) licensees about updated booster recommendations including the availability of a second booster dose of the COVID-19 vaccine and provides information on the latest vaccine resources.

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Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

AFL 22-13 From the California Department of Public Health TO: Skilled Nursing Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF) (This AFL supersedes AFL 20-53.6) All Facilities Letter (AFL) Summary This AFL incorporates updated recommendations from the California Department of Public Health (CDPH) for SNFs conducting diagnostic screening testing of SNF HCP and response testing of SNF residents and HCP to prevent spread of COVID-19 in the facility informed by CDC recommendations and Centers for Medicare and Medicaid Services requirements.This AFL includes updated CDC guidance related to quarantine and outbreak investigations.This AFL revision incorporates the January, 25 2022 amended Public Health Order requiring SNF HCP to receive boosters and complete their primary series and booster dose by March 1, 2022, unless exempt.

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ANNOUNCING THE COVID-19 TEST TO TREAT INITIATIVE

California Department of Social Services PIN 22-04-CCLD June 6, 2022 TO: ADULT AND SENIOR CARE LICENSEES CHILD CARE FACILITY LICENSEES CHILDREN’S RESIDENTIAL LICENSEES AND PROVIDERS FOSTER FAMILY AGENCY APPROVED OR CERTIFIED HOMES HOME CARE ORGANIZATION LICENSEES AND HOME CARE AIDES Original signed by Kevin Gaines FROM: KEVIN GAINES Deputy Director Community Care Licensing Division SUBJECT: ANNOUNCING THE COVID-19 TEST TO TREAT INITIATIVE Provider Information Notice (PIN) Summary PIN 22-04-CCLD provides information about assistance available through the Test to Treat initiative that gives individuals an important way to rapidly access free treatment for COVID-19 through nationwide pharmacy-based clinics, federally funded health centers, and long-term care facilities.

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INFECTION CONTROL PLAN COURTESY FORMS FOR ADULT AND SENIOR CARE FACILITIES

California Department of Social Services PIN 22-18-ASC June 3, 2022 TO: ALL ADULT AND SENIOR CARE PROVIDERS Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: INFECTION CONTROL PLAN COURTESY FORMS FOR ADULT AND SENIOR CARE FACILITIES Provider Information Notice (PIN) Summary PIN 22-1-ASC announces the release of the Infection Control Plan courtesy forms for Adult and Senior Care (ASC) facilities with the exception of Adult Residential Facilities for Persons with Special Health Care Needs (ARFPSHNs).

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Laguna Honda Residents Can Stay at Laguna Honda

The Current Situation Due to continued quality of care violations, Laguna Honda has been threatened with loss of its ability to get paid by Medicare and Medi-Cal. Most Laguna Honda residents have their care paid for by Medicare or Medi-Cal. But nothing is settled at this point. Laguna Honda announced that it is filing a new application to be paid by Medicare and Medi-Cal.

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UPDATED DIAGNOSTIC AND RESPONSE TESTING GUIDANCE FOR CORONAVIRUS DISEASE 2019 (COVID-19)

California Department of Social Services PIN 22-16-ASC May 16, 2022 Supersedes PIN 21-32.1-ASCSupersedes PIN 20-38-ASC in part Supersedes PIN 20-23-ASC in part TO: ALL ADULT AND SENIOR CARE PROGRAM RESIDENTIAL LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINES Deputy DirectorCommunity Care Licensing Division SUBJECT: UPDATED DIAGNOSTIC AND RESPONSE TESTING GUIDANCE FOR CORONAVIRUS DISEASE 2019 (COVID-19) Provider Information Notice (PIN) Summary PIN 22-16-ASC supersedes PIN 21-32.1-ASC, dated August 11, 2021, supersedes in part PIN 20-38-ASC, dated October 6, 2020, related to facility staff who fully recovered from COVID-19 infection and continue to test positive 90 days after infection, and supersedes in part PIN 20-23-ASC, dated June 26, 2020, related to testing of new or returning facility staff.

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Guidance for Contrast Media Shortage

AFL 22-10 From the California Department of Public Health May 16, 2022 TO: All Facilities SUBJECT: Guidance for Contrast Media Shortage  All Facilities Letter (AFL) Summary This AFL provides notice of supply chain issues related to availability of radiologic contrast media for imaging studies affecting all health facilities in the United States. It is expected that this shortage will impact health facility operations until late June 2022.This AFL provides helpful links to guidance developed for healthcare facilities on actions to consider in managing the current contrast media shortage.

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RESIDENT COHORTING, ISOLATION AND QUARANTINE, STAFFING, AND USE OF PERSONAL PROTECTIVE EQUIPMENT BASED ON RESIDENT CORONAVIRUS DISEASE 2019 (COVID-19) STATUS

California Department of Social Services PIN 22-15-ASC May 13, 2022 Supersedes PIN 21-12-ASC Supersedes PIN 21-17.2-ASC in part Superseded PIN 21-49-ASC in part Supersedes PIN 20-38-ASC in part TO: ALL ADULT AND SENIOR CARE PROGRAM RESIDENTIAL LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: RESIDENT COHORTING, ISOLATION AND QUARANTINE, STAFFING, AND USE OF PERSONAL PROTECTIVE EQUIPMENT BASED ON RESIDENT CORONAVIRUS DISEASE 2019 (COVID-19) STATUS Provider Information Notice (PIN) Summary PIN 22-15-ASC supersedes PIN 21-12-ASC, dated February 10, 2021, supersedes in part PIN 21-17.2-ASC, dated May 14, 2021, supersedes in part PIN 21-49-ASC, dated November 17, 2021 and supersedes in part PIN 20-38-ASC, dated October 6, 2020, and provides updated guidance related to resident cohorting, isolation and quarantine, staffing considerations, and use of Personal Protective Equipment (PPE) based on the resident’s COVID-19 status.

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