Hot Summer Weather Advisory

AFL 20-54 From the California Department of Public Health  May 27, 2020 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.

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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 From the California Department of Public Health May 22, 2020 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) All Facilities Letter (AFL) Summary This AFL provides recommendations from the California Department of Public Health (CDPH) for SNFs developing COVID-19 Mitigation Plans.

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Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19)

AFL 20-33.2 From the California Department of Public Health May 15, 2020 TO: Skilled Nursing Facilities SUBJECT:Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19) (This AFL supersedes AFL 20-33.1) All Facilities Letter (AFL) Summary This AFL clarifies California Department of Public Health (CDPH) expectations and provides interim guidance for skilled nursing facilities (SNF) for transfer and continuity of care of residents with suspected or confirmed COVID-19 infection, including admission of COVID-19 positive residents following hospitalization who still require transmission-based precautions.This AFL clarifies that the guidance applies when residents are transferred from an alternate care site and that SNFs must accept the return of a resident from a hospital or alternate care site.This AFL also informs SNFs that residents may be transferred between facilities for the purposes of cohorting COVID-19 patients.

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SNF Coronavirus Disease 2019 (COVID-19) Daily Reporting (This AFL supersedes AFL 20-43.1)

AFL 20-43.2 From the California Department of Public Health May 13, 2020 TO: Skilled Nursing Facilities (SNFs) SUBJECT: SNF Coronavirus Disease 2019 (COVID-19) Daily Reporting(This AFL supersedes AFL 20-43.1) ​AUTHORITY:      Title 42 Code of Federal Regulations (CFR) section 483.80                                 Proclamation of Emergency (PDF) All Facilities Letter (AFL) Summary This AFL requires all SNFs to report daily COVID-19 facility data to the California Department of Public Health (CDPH) via an online survey.

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Coronavirus Disease 2019 (COVID-19) Mitigation Plan Implementation and Submission Requirements for Skilled Nursing Facilities (SNF) and Infection Control Guidance for Health Care Personnel (HCP)

AFL 20-51 From the California Department of Public Health May 11, 2020 TO: Skilled Nursing Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Mitigation Plan Implementation and Submission Requirements for Skilled Nursing Facilities (SNF) and Infection Control Guidance for Health Care Personnel (HCP) ​AUTHORITY: Title 22 of the California Code of Regulations section 72573 (c) ​All Facilities Letter (AFL) Summary This AFL advises SNFs of the requirement to submit a facility specific COVID-19 mitigation plan with specified elements to the California Department of Public Health (CDPH) within 21 calendar days and provides updated infection control guidance for HCP.

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Updated Coronavirus Disease 2019 (COVID-19) Symptoms

AFL 20-51 From the California Department of Public Health May 9, 2020 TO: All Facilities SUBJECT: Updated Coronavirus Disease 2019 (COVID-19) Symptoms All Facilities Letter (AFL) Summary This AFL notifies health facilities of the Centers for Disease Control and Prevention’s (CDC’s) update on COVID-19 symptoms. Health facilities should ensure their screening process and policies and procedures reflect the updated symptoms.

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Guidance for Decontamination and Reuse of N95 Filtering Facepiece Respirators

AFL 20-36.2 From the California Department of Public Health May 7, 2020 TO: General Acute Care Hospitals Skilled Nursing Facilities SUBJECT: Guidance for Decontamination and Reuse of N95 Filtering Facepiece Respirators(This AFL supersedes AFL 20-36.1) All Facilities Letter (AFL) Summary This AFL provides guidance for the handling of used N95 FFRs so they can be decontaminated and reused as respirator supplies are depleted during the Coronavirus Disease 2019 (COVID-19) pandemic.This AFL updates instructions on how to sign-up for the Battelle CCDS Critical Care Decontamination SystemTM and how to collect, properly package, and ship the used N95 FFRs to Battelle for decontamination.

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Expanding Access to Testing: Updated Interim Guidance on Prioritization for Coronavirus Disease 2019 (COVID-19) Laboratory Testing

AFL 20-44.1 From the California Department of Public Health May 2, 2020 TO: All Facilities SUBJECT: Expanding Access to Testing: Updated Interim Guidance on Prioritization for Coronavirus Disease 2019 (COVID-19) Laboratory Testing (This AFL supersedes guidance provided in AFL 20-44) All Facilities Letter (AFL) Summary This AFL informs health facilities of the availability of both Polymerase Chain Reaction (PCR) and serology testing for COVID-19 across California hospital, academic, commercial, and public health laboratories.This interim guidance supports the local public health department, health care providers, and laboratories in determining prioritization of specific groups for PCR molecular testingThis AFL modifies the guidance provided in AFL 20-44, changing the four priority levels to two tiers and provides guidance for quarantine/Isolation.

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Visitor Limitations Guidance

AFL 20-38.1 From the California Department of Public Health May 2, 2020 TO: All Facilities SUBJECT: Visitor Limitations Guidance (This AFL supersedes AFL 20-38) All Facilities Letter (AFL) Summary This AFL notifies all facilities of new visitor limitation guidelines for pediatric patients, patients in labor and delivery, and patients at end-of-life.This AFL clarifies that health facilities may permit a support person to accompany a patient for whom a support person has been determined to be essential to the care of the patient (medically necessary), including patients with physical, intellectual, and/or developmental disabilities and patients with cognitive impairments.

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Skilled Nursing Facility Infection Prevention Calls

AFL 20-50 From the California Department of Public Health April 30, 2020 TO: Skilled Nursing Facilities SUBJECT: Skilled Nursing Facility Infection Prevention Calls ​All Facilities Letter (AFL) Summary This AFL notifies skilled nursing facilities (SNFs) that the California Department of Public Health (CDPH) is hosting weekly SNF Infection Prevention Calls, beginning May 7, 2020. The weekly calls will be held to discuss any recent updates on the Coronavirus Disease 2019 (COVID-19).

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