ADULT AND SENIOR CARE FACILITY WORKER CORONAVIRUS DISEASE 2019 (COVID-19) VACCINATION AND BOOSTER REQUIREMENTS

California Department of Social Services PIN 21-53-ASC December 28, 2021 Supersedes PIN 21-44-ASC TO: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity 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 21-53-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 December 22, 2021 which supersedes the September 28, 2021 Adult Care Facilities and Direct Care Worker Vaccine Requirement.

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Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP)

AFL 21-34.1 From the California Department of Public Health TO: All FacilitiesSUBJECT: Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP)(This AFL supersedes AFL 21-34) ​AUTHORITY:     State Public Health Order – Health Care Worker Vaccine Requirement                                State Public Health Order – Adult Care Facilities and Direct Care Worker Vaccine Requirement All Facilities Letter (AFL) Summary This AFL notifies all facilities of the August 5, 2021 Public Health Order related to mandatory vaccination for healthcare workers in identified healthcare settings.

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Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Skilled Nursing Facilities (SNF)

AFL 21-28.1 From the California Department of Public Health TO: Skilled Nursing FacilitiesSUBJECT: Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Skilled Nursing Facilities (SNF)(This AFL supersedes AFL 21-28) All Facilities Letter (AFL) Summary This AFL requires SARS-CoV-2 diagnostic screening testing for healthcare personnel (HCP) in SNFs.

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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 20-53.6 From the California Department of Public Health TO:Skilled Nursing FacilitiesSUBJECT: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 20-53.5) 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 HCP and response-driven 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 notifies SNFs of the December 22, 2021 Public Health Order and requires SNF HCP to receive boosters and be up to date with vaccinations by February 1, 2022, unless exempt.

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GOVERNOR’S EXECUTIVE ORDER N-21-21 REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) AND THE EXPIRATION OF COVID-19 WAIVERS

California Department of Social Services PIN 21-39.1-ASC December 20, 2021 TO: ALL ADULT AND SENIOR CARE LICENSEESALL CONTINUING CARE RETIREMENT COMMUNITY PROVIDERS Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: GOVERNOR’S EXECUTIVE ORDER N-21-21 REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) AND THE EXPIRATION OF COVID-19 WAIVERS Provider Information Notice (PIN) Summary PIN 21-39.1-ASC supersedes PIN 21-39-ASC, dated August 25, 2021, and notifies Adult and Senior Care (ASC) licensees and Continuing Care Retirement Community providers that pursuant to the Governor’s Executive Order N-21-21, dated November 10, 2021, authority for COVID-19 related waivers was extended and the waivers will expire no later than March 31, 2022, or earlier as determined by California Department of Social Services (CDSS).

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CORONAVIRUS DISEASE 2019 (COVID-19) VACCINE ADDITIONAL AND BOOSTER DOSES

California Department of Social Services PIN 21-51-ASC December 15, 2021 TO: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: CORONAVIRUS DISEASE 2019 (COVID-19) VACCINE ADDITIONAL AND BOOSTER DOSES Provider Information Notice (PIN) Summary PIN 21-51-ASC informs Adult and Senior Care (ASC) licensees about the availability of both the third (additional) dose and booster dose of COVID-19 vaccines.

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Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements

AFL 21-36.1 From the California Department of Public Health November 12, 2021 TO: Skilled Nursing FacilitiesSUBJECT: Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements(This AFL supersedes AFL 21-36) AUTHORITY:     Proclamation of a State of Emergency (PDF)                                Executive Orders N-39-20 (PDF), N-08-21 (PDF), N-12-21 and N-21-21 (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.This AFL temporarily waives specified space conversion requirements until March 31, 2022.

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Suspension of Regulatory Enforcement of Hospital Requirements

AFL 21-26.11 From the California Department of Public Health November 12, 2021 TO: General Acute Care HospitalsSUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements(This AFL supersedes AFL 20-26.10) AUTHORITY:     Proclamation of Emergency, Executive Orders: N-39-20 (PDF), N-08-21 (PDF), N-12-21 (PDF), and N-21-21 (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-21-21 (PDF), issued November 10, 2021, this AFL extends the temporary waiver related to space requirements until March 31, 2022.

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

AFL 21-08.5 From the California Department of Public Health  October 11, 2021 TO: General Acute Care Hospitals (GACHs)Acute Psychiatric Hospitals (APHs)Skilled Nursing Facilities (SNFs) SUBJECT: Guidance on Quarantine for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19(This AFL supersedes AFL 21-08.4) All Facilities Letter (AFL) Summary The purpose of this AFL is to provide health care facilities with guidance on exposure risk assessment and the duration of quarantine for SARS-CoV-2 exposed HCP working in hospitals and SNFs.

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ADULT AND SENIOR CARE FACILITY WORKER CORONAVIRUS DISEASE 2019 (COVID-19) VACCINATION REQUIREMENT

California Department of Social Services PIN 21-44-ASC September 28, 2021 PIN 21-44-ASC TO: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: ADULT AND SENIOR CARE FACILITY WORKER CORONAVIRUS DISEASE 2019 (COVID-19) VACCINATION REQUIREMENT Provider Information Notice (PIN) Summary PIN 21-44-ASC notifies all Adult and Senior Care (ASC) licensees of the COVID-19 vaccination requirement for all workers of ASC facilities, pursuant to the State Public.

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