UPDATED FACILITY STAFF TESTING GUIDANCE FOR CORONAVIRUS DISEASE 2019 (COVID-19)

California Department of Social Services PIN 21-28-ASC June 7, 2021 (Supersedes PIN 20-38-ASC and PIN 20-23-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: UPDATED FACILITY STAFF TESTING GUIDANCE FOR CORONAVIRUS DISEASE 2019 (COVID-19) Provider Information Notice (PIN) Summary PIN 21-28-ASC supersedes PIN 20-38-ASC, dated October 6, 2020, regarding routine diagnostic screening testing guidance for facility staff in Adult and Senior Care (ASC) residential facilities, supersedes response testing guidance for residents and facility staff in PIN 20-23-ASC, dated June 26, 2020, and reminds licensees about health insurance coverage for COVID-19 testing.

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Expiration of Concentra Contract for Fit-Testing Services

AFL 21-17 From the California Department of Public Health June 3, 2021 TO: Skilled Nursing Facilities SUBJECT: Expiration of Concentra Contract for Fit-Testing Services ​All Facilities Letter (AFL) Summary This AFL notifies skilled nursing facilities (SNFs) that the Concentra contract, used to request fit-testing resources, will expire June 30, 2021. All fit-testing services provided by Concentra must be completed by that date.  Background On January 13, 2021, CDPH issued AFL 21-05 which introduced a process for SNFs to request fit-testing assistance for staff respiratory protection.

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MANDATED REPORTING REQUIREMENTS, EMPLOYEE STATEMENT, AND TRAINING UNDER THE ELDER ABUSE AND DEPENDENT ADULT ABUSE CIVIL PROTECTION ACT

California Department of Social Services PIN 21-27-ASC June 2, 2021 TO: ALL ADULT AND SENIOR CARE FACILITY LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: MANDATED REPORTING REQUIREMENTS, EMPLOYEE STATEMENT, AND TRAINING UNDER THE ELDER ABUSE AND DEPENDENT ADULT ABUSE CIVIL PROTECTION ACT Provider Information Notice (PIN) Summary PIN 21-27-ASC reminds Adult and Senior Care (ASC) licensees of mandated reporter requirements under the Elder Abuse and Dependent Adult Civil Protection Act.

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Suspension of Regulatory Enforcement of Specified ADHC Requirements

AFL 20-34.4 From the California Department of Public Health June 2, 2021 TO: Adult Day Health Care Centers (ADHCs) SUBJECT: Suspension of Regulatory Enforcement of Specified ADHC Requirements(This AFL supersedes AFL 20-34.3) ​AUTHORITY:     Executive Order N-35-20 (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.This revision notifies ADHCs that the waiver allowing ADHCs to provide services using alternate methods including remote services contained in this AFL is valid until the end of the public health emergency.

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Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements

AFL 20-32.3 From the California Department of Public Health June 2, 2021 TO: Skilled Nursing Facilities  SUBJECT: Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements(This AFL supersedes AFL 20-32.2) ​AUTHORITY:     Proclamation of a State of Emergency (PDF) and Executive Orders N-27-20 (PDF) and N-39-20 (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 COVID-19 outbreak.This AFL is providing advance notice that effective July 17, 2021, the temporary waiver of specified regulatory requirements in this AFL will expire and this AFL will be rescinded.  Pursuant to the Governor’s Executive Order N-39-20 (PDF) related to COVID-19 state of emergency, the Director of the California Department of Public Health (CDPH) may waive any of the licensing and staffing requirements of Chapter 2 and Chapter 2.4 of Division 2 of the Health and Safety Code and accompanying regulations with respect to any hospital or health facility identified in Health and Safety Code section 1250.

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Suspension of Regulatory Enforcement of Specified PCC and MHCU Requirements

AFL 20-30.4 From the California Department of Public Health June 2, 2021 TO: Primary Care Clinics (PCCs)Mobile Health Care Units (MHCUs) SUBJECT: Suspension of Regulatory Enforcement of Specified PCC and MHCU Requirements(This AFL supersedes AFL 20-30.3) ​AUTHORITY:     Executive Order N-35-20 All Facilities Letter (AFL) Summary This AFL notifies PCCs and MHCUs of a temporary waiver of specified regulatory requirements due to the state of emergency related to the Coronavirus Disease 2019 (COVID-19) outbreak.For any clinics conducting COVID-19 vaccinations, treatment, and/or testing, the waiver is extended until August 30, 2021.

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Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities

AFL 20-22.8 From the California Department of Public Health June 2, 2021 TO: Long-Term Care Facilities SUBJECT: Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities(This AFL supersedes guidance provided in AFL 20-22.7) All Facilities Letter (AFL) Summary This AFL notifies long-term care (LTC) facilities of updated 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.This AFL authorizes LTC facilities to temporarily modify their facility’s visitation policies in accordance with CMS and CDC COVID-19 guidance when necessary to protect the health and safety of residents, staff, and the public.This AFL provides additional CDPH guidance for group activities and communal dining based upon vaccination status of residents.

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NEW FORMS FOR COMPLAINANT INTAKE AND REPORTING NOTIFICATIONS

California Department of Social Services PIN 21-06-CCLD June 1, 2021 (Supersedes PIN 19-01-CCLD) TO: ALL LICENSED PROVIDERS Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: NEW FORMS FOR COMPLAINANT INTAKE AND REPORTING NOTIFICATIONS Provider Information Notice (PIN) Summary PIN 21-06-CCLD announces a new form for communicating with the complainant about complaint intake, and three new forms for communicating the investigationdetermination, all of which replace the Complaint Response (LIC 856) form.

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Hot Summer Weather Advisory

AFL 21-16 From the California Department of Public Health May 28, 2021 TO: All Facilities SUBJECT: Hot Summer Weather Advisory ​All Facilities Letter (AFL) Summary This AFL reminds health care facilities to implement recommended precautionary measures to keep individuals safe and comfortable during extremely hot weather.Facilities must have contingency plans in place to deal with the loss of air conditioning, or in the case when no air conditioning is available, take measures to ensure patients and residents are free of adverse conditions that may cause heat-related health complications.Facilities must report extreme heat conditions that compromise patient health and safety and/or require an evacuation, transfer, or discharge of patients.

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OVERSIGHT ROLE AND RESUMPTION OF ON-SITE INSPECTIONS

California Department of Social Services PIN 21-08-CCLD May 27, 2021 TO: ALL CHILDREN’S RESIDENTIAL AND CHILD CARE PROVIDERS Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: OVERSIGHT ROLE AND RESUMPTION OF ON-SITE INSPECTIONS Provider Information Notice (PIN) Summary PIN 21-08-CCLD announces the resumption of on-site mandated regular inspections, also known as “annual inspections,” for children’s residential and child care licensees and providers.

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