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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Suspension of Regulatory Enforcement of Specified PCC and MHCU Requirements

AFL 20-30.8 From the California Department of Public Health March 16, 2022 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 20-30.7) AUTHORITY:    Executive Orders 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 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.In accordance with Executive Order N-04-22 (PDF), issued February 25, 2022, this AFL extends the temporary waiver for any clinics conducting COVID-19 vaccinations, treatment, and/or testing, until June 30, 2022.

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Suspension of Regulatory Enforcement of Hospital Requirements

AFL 21-26.12 From the California Department of Public Health March 16, 2022 TO: General Acute Care Hospitals SUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements(This AFL supersedes AFL 20-26.11) AUTHORITY:     Proclamation of Emergency, 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 hospitals 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 the Executive Order N-04-22 (PDF), issued February 25, 2022, this AFL extends the temporary waiver related to space requirements until June 30, 2022.

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Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19

AFL 21-08.8 From the California Department of Public Health March 7, 2022 TO: General Acute Care Hospitals (GACHs)Acute Psychiatric Hospitals (APHs)Skilled Nursing Facilities (SNFs) SUBJECT: Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19(This AFL supersedes AFL 21-08.7) ​AUTHORITY:     Proclamation of Emergency (PDF) All Facilities Letter (AFL) Summary The purpose of this AFL is to provide hospitals and SNF with updated guidance on:Exposure risk assessment and work restriction for asymptomatic HCP with SARS-CoV-2 exposures (quarantine)Work restrictions for HCP diagnosed with SARS-CoV-2 infection (isolation)This revision incorporates updated Centers for Disease Control and Prevention (CDC) guidance on Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2 and Strategies to Mitigate Healthcare Personnel Staffing Shortages.Pursuant to Welfare and Institutions Code section 14126.033 a SNF’s receipt of the annual increase in the weighted average Medi-Cal reimbursement rate may be conditioned on the facility’s good faith compliance with CDPH AFLs related to the COVID-19 Public Health Emergency, as a result the recommendations included in this AFL are requirements for SNFs.This AFL update supersedes and removes the temporarily adjusted return-to-work criteria in place from January 8, 2022 – February 1, 2022, which was not renewed. Hospitals should and SNFs must now resume using the table, below, to guide work restrictions for HCP with SARS-CoV-2 infection and for asymptomatic HCP with exposures based upon HCP vaccination status and facility staffing level.

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