National Academy of Science Calls for Bold Reform of Nursing Home Care

On April 6, 2022, the National Academy of Sciences, Engineering and Medicine’s Committee on the Quality of Care in Nursing Homes released a 605 page report – The National Imperative to Improve Nursing Home Quality; Honoring Our Commitment to Residents, Families and Staff – that is meant to be a blueprint for desperately needed reform of nursing home care.

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ADULT AND SENIOR CARE (ASC)- UPDATED REGULATIONS FOR INFECTION CONTROL REQUIREMENTS

California Department of Social Services PIN 22-13-ASC April 4, 2022 TO: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES (EXCEPT FOR ADULT RESIDENTIAL FACILITIES FOR PERSONS WITH SPECIAL HEALTH CARE NEEDS) Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: ADULT AND SENIOR CARE (ASC)- UPDATED REGULATIONS FOR INFECTION CONTROL REQUIREMENTS Provider Information Notice (PIN) Summary PIN 22-13-ASC updates California Code of Regulations (CCR), Title 22, Division 6.

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GOVERNOR’S EXECUTIVE ORDER N-04-22 REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) AND THE EXPIRATION OF COVID-19 WAIVERS

California Department of Social Services PIN 22-12-ASC March 29, 2022 (Supersedes PIN 21-39.1-ASC) TO: ALL ADULT AND SENIOR CARE LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: GOVERNOR’S EXECUTIVE ORDER N-04-22 REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) AND THE EXPIRATION OF COVID-19 WAIVERS Provider Information Notice (PIN) Summary PIN 22-12-ASC supersedes PIN 21-39.1-ASC, dated December 20, 2021, and notifies Adult and Senior Care (ASC) licensees and Continuing Care Retirement Community providers that pursuant to the Governor’s Executive Order N-04-22, dated February 25, 2022, facilities operating under existing California Department of Social Services (CDSS) COVID-19 waivers are permitted to continue operating pursuant to such waivers through the expiration date set forth by CDSS, or June 30, 2022, whichever occurs first (unless extended by the Governor).

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ADULT AND SENIOR CARE FACILITY WORKER CORONAVIRUS DISEASE 2019 (COVID-19) VACCINATION AND BOOSTER REQUIREMENTS

California Department of Social Services PIN 22-05.1-ASC TO: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy Director Community Care Licensing Division SUBJECT: ADULT AND SENIOR CARE FACILITY WORKER CORONAVIRUS DISEASE 2019 (COVID-19) VACCINATION AND BOOSTER REQUIREMENTS Provider Information Notice (PIN) Summary PIN 22-05.1-ASC notifies all Adult and Senior Care (ASC) licensees of updated COVID19 vaccination and booster requirements for all workers of ASC facilities, pursuant to the State Public Health Officer Order of February 22, 2022.

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Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements

AFL 21-36.2 From the California Department of Public Health March 16, 2022 TO: Skilled Nursing Facilities SUBJECT: Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements(This AFL supersedes AFL 21-36.1) AUTHORITY:     Proclamation of a State of Emergency (PDF)                                Executive Orders N-39-20 (PDF), N-08-21 (PDF), N-12-21,  N-21-21 (PDF), and N-04-22 (PDF) All Facilities Letter (AFL) Summary This AFL notifies skilled nursing facilities (SNFs) of a temporary waiver of specified regulatory requirements due to the state of emergency related to the Coronavirus Disease 2019 (COVID-19) outbreak.In accordance with Executive Order N-04-22 (PDF), issued February 25, 2022, this AFL extends the temporary waiver of specified space conversion requirements until June 30, 2022.

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Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs)

AFL 20-57.4 From the California Department of Public Health March 16, 2022 TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs)(This AFL supersedes AFL 20-57.3) AUTHORITY:      Proclamation of a State of Emergency (PDF)                                  Executive Orders N-39-20 (PDF), N-08-21 (PDF), N-12-21 (PDF), N-21-21 (PDF), and N-04-22 (PDF) All Facilities Letter (AFL) Summary This AFL notifies all HHA Training Programs of a temporary waiver of specified statutory and regulatory requirements for HHA Training Programs due to the state of emergency related to the COVID-19 outbreak.In accordance with Executive Order N-04-22 (PDF) issued February 25, 2022, this AFL notifies all facilities that the temporary waiver of specified statutory and regulatory requirements is extended until June 30, 2022.  Background Pursuant to the Governor’s Executive Order N-39-20 (PDF) related to the COVID-19 state of emergency, the Director of the California Department of Public Health (CDPH) may waive any of the professional certification requirements and amend scopes of practice of Chapter 8 of Division 2 of the Health and Safety Code (HSC) and accompanying regulations with respect to home health aides.

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Suspension of Professional Certification Requirements for Home Health Aides (HHAs)

AFL 20-49.5 From the California Department of Public Health March 16, 2022 TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Home Health Aides (HHAs)(This AFL supersedes AFL 20-49.4) AUTHORITY:      Proclamation of a State of Emergency (PDF),                                  Executive Orders N-39-20 (PDF), N-08-21 (PDF), N-12-21 (PDF), N-21-21 (PDF), and N-04-22 (PDF All Facilities Letter (AFL) Summary This AFL notifies all facilities of a temporary waiver of specified statutory and regulatory requirements for HHAs due to the state of emergency related to the COVID-19 outbreak.In accordance with Executive Order N-04-22 (PDF), issued February 25, 2022, this AFL notifies all facilities that the temporary waiver of specified statutory and regulatory requirements is extended until June 30, 2022.  Background Pursuant to the Governor’s Executive Order N-39-20 (PDF) related to the COVID-19 state of emergency, the Director of the California Department of Public Health (CDPH) may waive any of the professional certification requirements and amend scopes of practice of Chapter 8 of Division 2 of the Health and Safety Code (HSC) and accompanying regulations with respect to HHAs.

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Suspension of Specified Regulatory Requirements for Nurse Assistant Training Programs (NATPs)

AFL 20-40.4 From the California Department of Public Health  March 16, 2022 TO: All FacilitiesNurse Assistant Training Programs SUBJECT: Suspension of Specified Regulatory Requirements for Nurse Assistant Training Programs (NATPs)(This AFL supersedes AFL 20-40.3) AUTHORITY:      Proclamation of a State of Emergency (PDF)                                  Executive Orders N-39-20 (PDF), N-08-21 (PDF), N-12-21 (PDF), N-21-21 (PDF), and N-04-22 (PDF)  All Facilities Letter (AFL) Summary This AFL notifies all facilities of a temporary waiver of specified statutory and regulatory requirements for NATPs and nursing facilities due to the state of emergency related to the COVID-19 outbreak.In accordance with Executive Order N-04-22 (PDF), issued February 25, 2022, this AFL extends the temporary waiver of specified regulatory requirements contained in this AFL until June 30, 2022.  Background Pursuant to the Governor’s Executive Order N-39-20 (PDF) related to the COVID-19 state of emergency, the Director of the California Department of Public Health (CDPH) may waive any of the professional certification requirements and amend scopes of practice of Chapter 2 of Division 2 of the Health and Safety Code (HSC) and accompanying regulations with respect to certified nurse assistants (CNAs).

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Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs)

AFL 20-35.7 From the California Department of Public Health March 16, 2022 TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs)(This AFL supersedes AFL 20-35.6) ​AUTHORITY:      Proclamation of a State of Emergency (PDF)                                   Executive Orders N-39-20 (PDF), N-08-21 (PDF), N-12-21 (PDF), N-21-21 (PDF), and N-04-22 (PDF) All Facilities Letter (AFL) Summary This AFL notifies all facilities of a temporary waiver of specified statutory and regulatory requirements for CNAs due to the state of emergency related to the COVID-19 outbreak.This AFL revision informs all facilities and applicants that the temporary waiver of specified regulatory requirements for initial certification, renewal, and expired certification have been extended until June 30, 2022, in accordance with Executive Order N-04-22 (PDF), issued February 25, 2022 .This AFL informs applicants and certificate holders how to obtain/maintain an active/employable status after the expiration of the listed waivers.

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Suspension of Regulatory Enforcement of Specified ADHC Requirements

AFL 20-34.6 From the California Department of Public Health March 16, 2022 TO: Adult Day Health Care Centers (ADHCs) SUBJECT: Suspension of Regulatory Enforcement of Specified ADHC Requirements(This AFL supersedes AFL 20-34.5) ​AUTHORITY:     Executive Order N-35-20 (PDF), N-08-21 (PDF), N-17-21 (PDF), N-21-21 (PDF), and N-04-22 (PDF) All Facilities Letter (AFL) Summary This AFL notifies ADHCs of a temporary waiver of specified regulatory requirements due to the state of emergency related to the Coronavirus Disease 2019 (COVID-19) outbreak.In accordance with Executive Order N-04-22 (PDF), issued February 25, 2022, this AFL extends the temporary waiver of specified regulatory requirements until June 30, 2022.  Pursuant to the Governor’s Executive Orders N-35-20 (PDF), N-17-21 (PDF), and N-21-21 (PDF) related to COVID-19, the Director of the California Department of Public Health (CDPH) may waive any of the licensing and staffing requirements of Chapter 3.3 of Division 2 of the Health and Safety Code (HSC) and accompanying regulations with respect to any ADHC identified in HSC section 1575.

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