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of SARS-CoV-2 diagnostic test of all visitors.This AFL updates restrictions on visitation and also removes outdated exemptions to visitation restrictions. CDPH Updates Quarantine Guidance - California Hospital Association Please turn on JavaScript and try again. PDF ORDER OF THE HEALTH OFFICER (Isolation of All Persons with or Likely to In 2021, the California Department of Public Health (CDPH) announced its plans to centralize and automate the program flexibility process for all facilities requesting program flexibility and for skilled-nursing facilities requestingworkforceshortagewaivers andpatientneedswaivers. CDPH All Facilities Letters Assembly Bill (AB) 1585 - Expansion of SNF Infection Preventionist (IP) Minimum Qualifications Monday, December 13th, 2021Thursday, December 30th, 2021CANHR STAFF CDPH Licensing & Enforcement - California Hospital Association 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). endstream endobj startxref For this reason, we continue to encourage signing up to directly receive CDPH all-facility letters and CDSS program instruction notices, respectively, by emailing LNCPolicy@cdph.ca.gov and/or visiting Addressing the Fentanyl Crisis Among CA Youth - Letters (CA Dept of 01/05/2018. MS 0500 All Facilities Letters - California Espaol, - If you would like to receive email notifications of AFL releases, please submit your request to, Reset The different departments of the Village of Britton work hard to take care of the community. The online registration process is now available to SNFs. (916) 558-1784, COVID 19 Information Line: A: CDPH continues to strongly recommend that all HCP and high-risk individuals remain up to date on COVID-19, influenza, and other recommended vaccines. 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. If you need additional assistance, we . For human resources managers, legal counsel, supply chain & materials management executives, Suspension of Several Regulations to End when State of Emergency Expires, CDPH Publishes Resources for Hospital Response to Patient Surges, CDPH Issues Updated Visitor Guidance for Skilled-Nursing Facilities. The changes in the AFL apply from January 8, 2022, to February 1, 2022, and remove the otherwise applicable exclusion requirements for covered personnel so long as such employees are asymptomatic. 1-833-4CA4ALL Sacramento, CA 95899-7377, For General Public Information: 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). Bargaining Obligations for Employers with Represented Workforces, An employer that suspends isolation or quarantine requirements for its employees and requires that they remain at work is changing a term and condition of such employees employment. Read More 19 Dec 2022 CDPH Issues Updated Hospice Licensure Requirements !`@&uA(Il8Hs8(1YI lb&V%3% 30>O(60r|D;l @ud``IU_ Schools | Village of Britton 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. 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 diagnostic screening testing for HCP in SNFs. Please turn on JavaScript and try again. PDF **NEW** Wednesday Webinar Frequently Asked Questions Document is Posted The information contained in the AFL may include changes in requirements in healthcare, enforcement, new technologies, scope of practice, or general information that affects the health facility. %PDF-1.6 % SNFs may already have an account to access RSS due to the mitigation survey platform available in RSS. With this transition to an online platform, as well as havingacentralized team dedicated to this process, CDPH looks to increase efficiency and consistency in the review process. [1] All Facilities Letter (AFL) 21-08.7. All Facilities Letter (AFL) Summary - CANHR COVID-19 News & Resources L&C All Facilities Letters 2018 - California CDPH Adopts Shortened Isolation/Quarantine Periods with Unclear Application to Workplaces, CDPH Requires Workers at Health Care Facilities to Receive Vaccine Boosters, https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-on-Isolation-and-Quarantine-for-COVID-19-Contact-Tracing.aspx, CDPH Updates Isolation and Quarantine Recommendations. Britton Deerfield Elementary and High School. It looks like your browser does not have JavaScript enabled. MS 0500 PDF Long Term Care Facilities COVID-19 Outbreak Recommendations [5] While this theory is untested and unsettled in the current context, successful application of the emergency exception as determined by the Public Employment Relations Board (PERB) would allow such an employer to adopt the policy and implement the return to work requirements without first negotiating the decision or its effects. Internet Explorer may not work correctly. Employers of health care personnel who test positive for COVID-19 and are asymptomatic may return such employees to work immediately without isolation and without testing. January 8, 2022 through February 1, 2022, CDPH is temporarily adjusting the return-to-work criteria. The registration rollout for program flexibility is scheduled by district office. However, beginning April 3, 2023, the state of California will no longer require vaccination and boosters for HCP. 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 Pursuant to All Facilities Letter (AFL) 20-26.13 from California Department of Public Health (CDPH), issued on June 30, 2022, stating that CDPH is temporarily waiving specified regulatory requirements until the end of the declared COVID-19 emergency. [2] On January 8, 2022, the California Department of Public Health (CDPH) extended the scope of the Guidance on Quarantine under the AFL 21-08.7 to cover emergency medical services personnel. (See CDPH, Guidance for Local Health Jurisdictions on Isolation and Quarantine of the General Public, available at the following web address: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-on-Isolation-and-Quarantine-for-COVID-19-Contact-Tracing.aspx.). 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. Certified Nurse Assistant training programs. The order also requires twice-weekly testing for workers who are unvaccinated or workers who are vaccinated, due for a booster, but not currently boosted. (1-833-422-4255). (1-833-422-4255). This AFL announces the new online application for Program Flexibility and Patient Needs Waiver and Workforce Shortage Waiver Applications and provides information on how to register as a user. 9bp It looks like your browser does not have JavaScript enabled. PDF San Francisco Public Library | Home | San Francisco Public Library All Facilities Letters (ca.gov) . CDPH All Facility Letters by Topic Administration Communal Dining & Activities Infection Control and Prevention Isolation and Quarantine License Nursing Service - Staff Pharmaceutical Service PPE Reporting Required Services Social Excursions, Emergency Transfers and Hospital Readmissions Staffing Surveys Testing AFL by Topic | Clearpol 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. PDF AFC Skilled Nursing Facilities Infection Prevention Call - HSAG 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. PDF Assembly Bill (AB) 1020: Health Care Debt and Fair Billing What CDPH All Facilities Letters 243 posts - CANHR COVID-19 News & Resources Bulletin Number. %%EOF All Facilities Letters (AFLs) - Emergency Preparedness Please turn on JavaScript and try again. [3] See CDPH, Guidance for Local Health Jurisdictions on Isolation and Quarantine of the General Public, providing that Emergency Medical Services personnel are permitted to follow the Guidance on Quarantine for Health Care Personnel in AFL 21-08.7, available at the following web address: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-on-Isolation-and-Quarantine-for-COVID-19-Contact-Tracing.aspx. 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. AFL 21-08.7 From the California Department of Public Health 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 . Updated Quarantine Requirements for Emergency Service Personnel, In addition to covering health care personnel, the CDPH also provides that emergency medical services personnel are permitted to follow Guidance on Quarantine for Health Care Personnel in [the] AFL.[3]. Reset Employers should evaluate the relative risks of such a decision and potentially consider other return to work protocols, such as returning employees to work after reduced isolations and quarantines periods, or, for health care personnel, allowing only employees who have had close contact exposures, but not a positive COVID-19 diagnosis, to return to work immediately. The circulation of more transmissible recent variants of the SARS-CoV-2 virus has led to surges in COVID-19 cases. 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