Licensing by clerical error: How the state’s mistake decided the course of two nursing homes

By Jocelyn Wiener, CalMatters, August 19 2021 Illustration by Anne Wernikoff, CalMatters; iStock California Department of Public Health officials say they cannot fix their mistake, amid cries the licensing system for nursing homes is “broken and ineffective.” The state’s nursing home licensing system has long raised the ire of elder-care advocates.  Now, another misstep has sparked new frustration among both nursing home watchdogs and state lawmakers.  By its own admission, the California Department of Public Health incorrectly listed a controversial nursing home operator as holding permanent licenses for two Los Angeles-area nursing homes.

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UPDATED GUIDANCE FOR THE USE OF FACE MASKS, SURGICAL MASKS, AND RESPIRATORS RELATED TO CORONAVIRUS DISEASE 2019 (COVID-19)

California Department of Social Services PIN 21-38-ASC August 19, 2021 (Supersedes PIN 21-12-ASC in part)(Supersedes PIN 21-17.2-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 GUIDANCE FOR THE USE OF FACE MASKS, SURGICAL MASKS, AND RESPIRATORS RELATED TO CORONAVIRUS DISEASE 2019 (COVID-19) Provider Information Notice (PIN) Summary PIN 21-38-ASC supersedes PIN 21-12-ASC, dated February 10, 2021, and PIN 21-17.2-ASC, dated May 14, 2021, in part and provides updated guidance to Adult and Senior Care (ASC) residential licensees related to face masks, surgical masks, and N95 respirators for facility staff, residents, and visitors.

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Opinion: My father’s nursing home didn’t require vaccinations for its workers. It was a deadly decision.

Opinion by Louise Dubin, The Washington Post, August 16 2021 A nursing student administers the Moderna coronavirus vaccine in Las Vegas on April 26. (John Locher/AP) Louise Dubin is a cellist and writer based in New Jersey. Most of the residents at my father’s nursing home are fully vaccinated against the coronavirus. But many of the staff members there — as at many other facilities across the United States — refuse vaccines.

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KIDDE TRUSENSE SMOKE & COMBINATION SMOKE/CARBON MONOXIDE ALARMS RECALL

California Department of Social Services PIN 21-15-CCLD August 13, 2021 PIN 21-15-CCLD TO: ALL COMMUNITY CARE LICENSING LICENSEES AND PROVIDERS Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: KIDDE TRUSENSE SMOKE & COMBINATION SMOKE/CARBON MONOXIDE ALARMS RECALL Provider Information Notice (PIN) Summary PIN 21-15-CCLD informs all providers and licensees of the recent recall of the Kidde TruSense Smoke and Combination Smoke/Carbon Monoxide Alarms.

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INFORMATIONAL CALL REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) INFECTION PREVENTION: UPDATED GUIDANCE FOR RESIDENTIAL FACILITIES

California Department of Social Services PIN 21-37-ASC August 12, 2021 PIN 21-37-ASC TO: ALL ADULT AND SENIOR PROGRAM LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: INFORMATIONAL CALL REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) INFECTION PREVENTION: UPDATED GUIDANCE FOR RESIDENTIAL FACILITIES Provider Information Notice (PIN) Summary PIN 21-37-ASC announces an upcoming informational call with Adult and Senior Care (ASC) licensees and their staff on August 18, 2021 to provide information on the Delta variant of COVID-19 and review new infection control guidance.

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Change to Distribution of Health Care Facility Certification Correspondence

AFL 21-32 From the California Department of Public Health August 12, 2021 TO: All Facilities SUBJECT: Change to Distribution of Health Care Facility Certification Correspondence All Facilities Letter (AFL) Summary This AFL notifies all facilities that effective August 16, 2021, the California Department of Public Health (CDPH), Centralized Applications Branch (CAB), will change the way it distributes certification correspondence to health care facilities.

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Visitor Limitation Guidance at General Acute Care Hospitals (GACHs)

AFL 21-31 From the California Department of Public Health August 12, 2021 TO: General Acute Care Hospitals SUBJECT: Visitor Limitation Guidance at General Acute Care Hospitals (GACHs) All Facilities Letter (AFL) Summary This AFL consolidates the California Department of Public Health’s (CDPH’s) visitation guidance into a single set of recommendations for GACHs.This AFL also provides updated visitation guidance based upon CDC’s updated healthcare infection prevention and control recommendations in response to COVID-19 vaccination for non-long-term care facilities (e.g., General Acute Care Hospitals, Acute Psychiatric Hospitals).The Public Health Order related to visitors in the acute health care setting issued August 5, 2021 becomes effective August 11, 2021.

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Visitation Guidance for ICF/DD-H-N-CN Facilities During the Coronavirus Disease-2019 (COVID-19) Pandemic

AFL 21-14.1 From the California Department of Public Health August 12, 2021 TO: Intermediate Care Facilities/Developmentally Disabled (ICF/DD)Intermediate Care Facilities/Developmentally Disabled – Habilitative (ICF/DD-H)Intermediate Care Facilities/Developmentally Disabled – Nursing (ICF/DD-N)Intermediate Care Facilities/Developmentally Disabled – Continuous Nursing (ICF/DD-CN) SUBJECT: Visitation Guidance for ICF/DD-H-N-CN Facilities During the Coronavirus Disease-2019 (COVID-19) Pandemic(This AFL supersedes AFL 21-14) All Facilities Letter (AFL) Summary This AFL notifies all ICF/DD-H-N-CN facilities of the 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 all ICF/DD-H-N-CN 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 clients/residents, staff, and the public.This AFL provides visitation guidance in accordance with CMS Quality, Safety and Oversight Group (QSO) 21-14 (PDF), including guidance for safely facilitating in-person visitation in indoor and outdoor facility settings.This AFL requires ICF/DD-H-N-CN facilities to develop and implement processes for verifying the vaccination status of all visitors, and for obtaining and tracking documentation of SARS-CoV-2 diagnostic test of all visitors who are unvaccinated and incompletely vaccinated to have an indoor visit.

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Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)

AFL 20-22.9 From the California Department of Public Health  August 12, 2021 TO: Skilled Nursing Facilities SUBJECT: Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)(This AFL supersedes AFL 20-22.8) All Facilities Letter (AFL) Summary This AFL notifies SNFs 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 SNFs 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 CDPH guidance for group activities and communal dining based upon vaccination status of residents.This revision requires SNFs to develop and implement processes for verifying the vaccination status of all visitors, and for obtaining and tracking documentation of SARS-CoV-2 diagnostic test of all visitors who are unvaccinated and incompletely vaccinated to have an indoor visit.

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

California Department of Social Services PIN 21-32.1-ASC August 11, 2021 PIN 21-32.1-ASC(Supersedes PIN 21-32-ASC) 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 AND MASKING GUIDANCE FOR CORONAVIRUS DISEASE 2019 (COVID-19) Provider Information Notice (PIN) Summary PIN 21-32.1-ASC supersedes PIN 21-32-ASC, dated July 27, 2021.

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