MS 0500 View Website. The following table includes the rollout schedule: Facilities with known program flexes scheduled to expire will be contacted 90 days prior to the expiration date separately via email to facilitate registration. The California Department of Public Health (CDPH) revised its quarantine and isolation guidelines for a second time in as many weeks through a new All Facilities Letter (AFL) that takes effect today. Webinar to Help Students Read by Third Grade (added 14-Mar-2023) Letter to County and District Superintendents and Charter School Administrators regarding the CDE webinar to help students read by third grade and to support the achievement of black students. Prior Isolation and Quarantine Requirements. AFL 21-27.1 continues to require that unvaccinated health care workers receive a N95 respirator from their employer. *All Facilities Letters are listed in ascending order by release date, with updated AFLs listed directly after their original version, Senate Bill (SB) 864 Fentanyl Screening in CDPH Weekly Call-in Information: Tuesday 8:00am All Facilities Calls: 844.721.7239; Access code: 7993227 Wednesday 3:00pm SNF Infection Prevention Webinars: Register at: https://www.hsag.com/cdph-ip-webinars Thursday 12:00pm SNF Infection Prevention Calls: 877.226.8163; Access code: 513711 The Wednesday Webinar covered the following topics: This AFL provides the rollout schedule for centralization of the program flexibility process by district office and prioritization criteria for registering users for the online application. 21.08.6, provided reduced isolation periods and testing considerations for COVID-19 positive health care professionals and provided for return to work requirements under both routine and critical staffing shortage scenarios. These materials may not be distributed further, except for "fair use," without permission of the copyright owner. (1-833-422-4255). 9bp The new online application tool is called Risk and Safety Solutions (RSS). CDPH believes the transition to an online platform as well as having the Centralized Program Flex Unit (CPFU), a centralized team, dedicated to this process will increase efficiency and consistency in the review process. Espaol, - 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 onInterim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2andStrategies to Mitigate Healthcare Personnel Staffing Shortages.Pursuant to Welfare and Institutions Code section 14126.033 a SNFs receipt of the annual increase in the weighted average Medi-Cal reimbursement rate may be conditioned on the facilitys 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. !`@&uA(Il8Hs8(1YI lb&V%3% 30>O(60r|D;l @ud``IU_ CDPH then expanded the scope of the AFLs quarantine guidance to cover emergency medical services personnel.[2]. (916) 558-1784, COVID 19 Information Line: January 8, 2022 through February 1, 2022, CDPH is temporarily adjusting the return-to-work criteria. Q U9N5@P/3V"':b3:=V+Xq*X=K8xOHp-Ix!e: ]. This instruction limits the scope of coverage under the AFL for such employees to those circumstances where an employee, such as a fire fighter, has a close contact exposure to a COVID-19 case, but not to those situations where the employee has actually been diagnosed with COVID-19. Release Date . Pursuant to the Governors Executive Order N-35-20 and Executive OrdersN-17-21(PDF)andN-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 inHSC section 1575. SNFs may already have an account to access RSS due to the mitigation survey platform available in RSS. To help hospitals comply with AB 1020, which takes effect on January 1, 2022, CHA has compiled the following details. %PDF-1.6 % AFL 22-07 From the California Department of Public Health February 7, 2022 TO: Skilled Nursing Facilities SUBJECT: Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)(This AFL supersedes AFL 20-22.9) 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 provides CDPH guidance for group activities and communal dining based upon vaccination status of residents.This AFL 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.This AFL updates restrictions on visitation and also removes outdated exemptions to visitation restrictions. Facilities will be invited to register based on the district office where the facility is located. Center for Health Care Quality Licensing and Certification Program All Facilities Letters - 2022 licensing and certification All Facilities Letters - 2022 It is recommended to use Google Chrome, Microsoft Edge, or Firefox as your web browser when opening the AFL. All Facilities Letters Licensing and certification All Facilities Letters - Library An All Facilities Letter (AFL) is a letter from the Center for Health Care Quality (CHCQ), Licensing and Certification (L&C) Program to health facilities that are licensed or certified by L&C. to Default, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, Centers for Disease Control and Prevention, Notice of Testing Supply Availability and Distribution Process, Assembly Bill (AB) 1407 Nurses: Implicit Bias Courses, Senate Bill (SB) 311 Compassionate Access to Medical Cannabis Act, Senate Bill (SB) 353 Extension of Palliative Cw, Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW), Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs), Appeal Procedures for Direct Care Service Hours Per Patient Day Penalties, Coronavirus Disease 2019 (COVID-19) Vaccine and Booster Recommendations for Clinically Eligible Individuals, Health Impacts of the Infant Formula Shortage, Updated Regulatory References to Health Care Standards of Practice, Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF), Request for Interest in Serving as a Temporary Manager, Notice of Stakeholder Meeting for Hospice Regulations, Fiscal Year (FY) 2022-23 Health Care Facility License Fee Schedule, Coronavirus Disease 2019 (COVID-19) Treatment Resources for Skilled Nursing Facilities (SNFs), Skilled Nursing Facilities (SNF), and General Acute Care Hospitals(GACH) with a SNF Distinct Part (DP), Enhanced Standard Precautions for Skilled Nursing Facilities, 2022, Guidance for Response to Surge in Respiratory Viruses, Ebola Virus Disease Information and Preparedness, Facility Emergency Contact and All Facilities Letter Recipient Information, Assembly Bill (AB) 2673 Expansion of Hospice Agency Licensure Requirements, Oversight, and Enforcement, Movement of Patients/Residents in the Healthcare Continuum During Seasonal Surges and the Coronavirus Disease 2019 (COVID-19) Pandemic, Guidance for Response to Surge in Respiratory Viruses Among Adult Patients, Winter Weather Emergency Preparedness Advisory. AFL 21-28.3 From the California Department of Public Health February 22, 2022 TO: Skilled Nursing FacilitiesSUBJECT: Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment (PPE) for Health Care Personnel (HCP) at Skilled Nursing Facilities (SNF)(This AFL supersedes AFL 21-28.2) All Facilities Letter (AFL) Summary This AFL requires SARS-CoV-2 . 1-833-4CA4ALL Espaol, - For more information go to:http://www.law.cornell.edu/uscode/17/107.shtml, CANHRs 10 Point Plan to Reform California Nursing Homes, California County Departments of Public Health, California Department of Public Health Covid Reporting, California Department of Social Services RCFE COVID-19 Data, Centers for Medicaid & Medicare Services COVID-19 Reporting, Suspension of Regulatory Enforcement of Hospital Requirements, Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19, Coronavirus Disease 2019 (COVID-19) Vaccine and Booster Recommendations for Clinically Eligible Individuals, Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment (PPE) for Health Care Personnel (HCP) at Skilled Nursing Facilities (SNF), Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP), Suspension of Regulatory Enforcement of Specified ADHC Requirements, Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs), Coronavirus Disease 2019 (COVID-19) Vaccine Recommendations for Eligible Individuals Prior to Discharge, Notice of Testing Supply Availability and Distribution Process, http://www.law.cornell.edu/uscode/17/107.shtml. GACHs, Assembly Bill (AB) 2145: Dental Services: Long-Term Please turn on JavaScript and try again. During this time, this guidance will supersede the tables The California Department of Public Health (CDPH) Center for Health Care Quality (CHCQ) is centralizing and automating the program flexibility process for all facilities requesting program flexibility and for skilled nursing facilities (SNF) requesting Workforce Shortage Waivers (WSW) and Patient Needs Waivers (PNW). If you would like to receive email notifications of AFL releases, please submit your request to, Reset hb```#, An All Facilities Letter (AFL) is a letter from the Center for Health Care Quality (CHCQ), Licensing and Certification (L&C) Program to health facilities that are licensed or certified by L&C. On January 8, 2022, the California Department of Public Health (CDPH) issued an updated All Facilities Letter (AFL)[1] to hospitals and skilled nursing facilities (SNFs) advising them of the temporary removal of the isolation and quarantine requirements for certain health care personnel following a COVID-19 diagnosis or close contact exposure. endstream endobj 968 0 obj <>/Metadata 81 0 R/OCProperties<>/OCGs[980 0 R]>>/Outlines 115 0 R/PageLayout/SinglePage/Pages 962 0 R/StructTreeRoot 156 0 R/Type/Catalog>> endobj 969 0 obj <>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 970 0 obj <>stream access to only permitted visitors, as per latest California Department of Public Health (CDPH) All Facilities Letter (AFL), posted at: . Certified Nurse Assistant training programs. Reset AFL 21-34.3 From the California Department of Public Health February 22, 2022 TO: All Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP)(This AFL supersedes AFL 21-34.2) 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, 2021Public Health Orderrelated to mandatory vaccination for healthcare workers in identified healthcare settings. January 14, 2022) California Department of Public Health (CDPH) CDPH All Facilities Letters (AFLs) CDPH COVID-19 Home CDPH Find All Guidance CDPH AFL 21- 35 Guidance for In-Center Services . , B7fZld;!WuA#ckC)^l8Nn.ogzdMi~*=OSYNt9edoxAHye2mi1sy0Pob@]7lN=i~J- }F,&z|6y! Updated Isolation and Quarantine Requirements for Health Care Personnel. All correspondence regarding the application will be sent to the point of contact. All Facilities Letters (ca.gov) . Bulletin Number Facility Type Affected Subject Release Date ; AFL 20-01 (PDF) Skilled Nursing Facilities: Reminder of Mandatory use of "Census and Direct Care Service Hours Per Once registered with a role assigned and after successfully submitting an online application, the system will send a confirmation e-mail with an identification number (tracking ID number) to the point of contact listed on the application. The updated AFL replaces the previously operative guidance and permits the employers of covered personnel to undertake the following steps necessary in order to maintain sufficient staffing and continue to provide essential services: The CDPH provides that, if such personnel continue to work, they must wear an N95 respirator in order to limit the further spread of the virus that causes COVID-19. For hospital systems, once registration opens in the first district office where a hospital is located, the entire system will be invited to register. Subject . Alternative return to work protocol may permit sufficient staffing in order for the employer to continue providing essential services while also reducing the health and medical risks to patients under their care and also their own legal exposure. On Dec. 22, the California Department of Public Health (CDPH) issued a public health order that requires all eligible workers to receive their booster on or before Feb. 1. If possible, the CDPH also recommends that such personnel be assigned to provide care to patients who are COVID-19 positive. continuum, the California Department of Public Health (CDPH) has released an All Facilities Letter that provides revised temporary isolation, quarantine, and return to work . We provide the leadership, advocacy, training and tools that empower Californias hospitals and health systems to do their best work. Employers of health care personnel who have had a close contact exposure and are asymptomatic may return such employees to work immediately and without testing. 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. On Jan.7, CDPH released All Facilities Letter 22-01 that provides the rollout schedule for centralization of the program flexibility process by district office and prioritization criteria for registering users for the online application. CDPH issued AFL 20-34.5 on February 8, 2022 The AFL notifies ADHC licensees that: Flexibility of regulatory requirements for ADHC licensing in effect during the COVID-19 pandemic will end on March 31, 2022 EffectiveApril 1, 2022, all ADHC licensees (meaning All CBAS Providers) must again meet all ADHC licensing requirements specified The circulation of more transmissible recent variants of the SARS-CoV-2 virus has led to surges in COVID-19 cases. Sacramento, CA 95899-7377, For General Public Information: The first step in implementation is registering for access to the application for SNFs preparing to submit PNW or WSW due to the timeframe requirements for those programs and all facilities with program flexes scheduled to expire during the transition. 0 To assist health facilities in implementing the Dec. 22 order, CDPH issued several All Facilities Letters(AFL)on Dec. 27:AFL 20-53.6(skilled-nursing facilities),AFL 21-27.1(generalacute care hospitals), andAFL 21-34.1(allhealth facilities). Please note that this information has been superseded by a more recent item and is only retained here for reference. AFL 22-12 From the California Department of Public Health June 24, 2022 TO: All Facilities SUBJECT: Updated Regulatory References to Health Care Standards of Practice AUTHORITY: Health and Safety Code (HSC) section 1275 All Facilities Letter (AFL) Summary This AFL notifies all facilities of proposed updates to regulatory references in Title 22 of the California Code of Regulations which cite . to Default, California Conference of Local Health Officers, Communicable Disease Control And Prevention, Chronic Disease Injury Prevention Agenda 1-5-2017, Chronic Disease Injury Prevention Agenda 2-15-2017, Chronic Disease Injury Prevention Agenda 3-2-2017, Center for Chronic Disease Prevention and Health Promotion, Division of Chronic Disease and Injury Control, Tobacco Education and Research Oversight Committee, Preventive Medicine Public Health Residency Program, California Epidemiologic Investigation Service Fellowship Program, California Stroke Registry-California Coverdell Program, 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