Suspension of Regulatory Enforcement of Hospital Requirements

AFL 20-26.10 From the California Department of Public Health September 3, 2021 TO: General Acute Care Hospitals SUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements(This AFL supersedes AFL 20-26.9) AUTHORITY:     Proclamation of Emergency, Executive Orders: N-39-20 (PDF), N-08-21 (PDF), and N-12-21 (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-12-21 (PDF), issued August 16, 2021, this AFL extends the temporary waiver related to space requirements until December 31, 2021.

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AFL 21-33 From the California Department of Public Health  August 24, 2021 TO: All Facilities SUBJECT: Facility Emergency Contact and All Facilities Letter Recipient Information All Facilities Letter (AFL) Summary The California Department of Public Health (CDPH) is requesting updated emergency contact information from all facilities.CDPH is also requesting updated AFL recipient information. CDPH responds to numerous public health situations including natural and man-made disasters and other emergencies such as wildfires, floods, earthquakes, mass casualty incidents, power outages, drinking water incidents, and infectious disease outbreaks, etc.

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Suspension of Regulatory Enforcement of Specified PCC and MHCU Requirements

AFL 20-30.5 From the California Department of Public Health  August 24, 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 20-30.4) AUTHORITY:     Executive Orders N-35-20 (PDF) and N-08-21 (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.For any clinics conducting COVID-19 vaccinations, treatment, and/or testing, the waiver is extended until September 30, 2021.

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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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Coronavirus Disease 2019 (COVID-19) Testing Recommendations for Patients and Health Care Personnel (HCP) at General Acute Care Hospitals (GACHs)

AFL 20-88.2 From the California Department of Public Health August 3, 2021 TO: General Acute Care Hospitals SUBJECT: Coronavirus Disease 2019 (COVID-19) Testing Recommendations for Patients and Health Care Personnel (HCP) at General Acute Care Hospitals (GACHs)(This AFL supersedes AFL 20-88.1) All Facilities Letter (AFL) Summary This AFL provides updated recommendations from the California Department of Public Health (CDPH) for weekly SARS-CoV-2 diagnostic screening testing for healthcare personnel (HCP) in hospitals, and recommendations for the testing of newly admitted patients.This revision adds reference to the July 26, 2021 Public Health Order requiring diagnostic screening testing of unvaccinated and incompletely vaccinated HCP.   Updated Testing Guidance Based Upon Progress with COVID-19 VaccinationHCP1 working in hospitals remain at potential risk for SARS-CoV-2 exposures both in the community and in their workplace.

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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 20-53.5 From the California Department of Public Health August 3, 2021 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 20-53.4) All Facilities Letter (AFL) Summary This AFL provides updated recommendations from the California Department of Public Health (CDPH) for SNFs conducting diagnostic screening testing of SNF health care personnel (HCP), and response-driven testing of SNF residents and HCP to prevent spread of COVID-19 in the facility informed by CDC recommendations and CMS requirements.This AFL updates and clarifies CDPH routine diagnostic screening testing guidance for SNF HCP based upon their individual COVID-19 vaccination status and the SNF’s percentage of residents and HCP that are fully vaccinated.This revision includes reference to the July 26, 2021 Public Health Order requiring SARS-CoV-2 diagnostic screening testing for SNF healthcare personnel (HCP) that are unvaccinated or incompletely vaccinated.  Updated Testing Guidance Based Upon Progress with COVID-19 Vaccination Routine SARS-CoV-2 diagnostic screening testing of SNF HCP, and response testing of SNF residents and HCP have been essential to protect the vulnerable SNF population.

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Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at the Various Types of Intermediate Care Facilities

AFL 21-30 From the California Department of Public Health August 3, 2021 TO: Intermediate Care Facility (ICF)ICF/Developmentally DisabledICF/Developmentally Disabled – Continuous NursingICF/Developmentally Disabled – HabilitativeICF/Developmentally Disabled – Nursing SUBJECT: Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at the Various Types of Intermediate Care Facilities All Facilities Letter (AFL) Summary The Public Health Order issued July 26, 2021 becomes effective August 9, 2021.

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