Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

AFL 22-13 From the California Department of Public Health 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 20-53.6) All Facilities Letter (AFL) Summary This AFL incorporates updated recommendations from the California Department of Public Health (CDPH) for SNFs conducting diagnostic screening testing of SNF HCP and response testing of SNF residents and HCP to prevent spread of COVID-19 in the facility informed by CDC recommendations and Centers for Medicare and Medicaid Services requirements.This AFL includes updated CDC guidance related to quarantine and outbreak investigations.This AFL revision incorporates the January, 25 2022 amended Public Health Order requiring SNF HCP to receive boosters and complete their primary series and booster dose by March 1, 2022, unless exempt.

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Guidance for Contrast Media Shortage

AFL 22-10 From the California Department of Public Health May 16, 2022 TO: All Facilities SUBJECT: Guidance for Contrast Media Shortage  All Facilities Letter (AFL) Summary This AFL provides notice of supply chain issues related to availability of radiologic contrast media for imaging studies affecting all health facilities in the United States. It is expected that this shortage will impact health facility operations until late June 2022.This AFL provides helpful links to guidance developed for healthcare facilities on actions to consider in managing the current contrast media shortage.

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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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