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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ANNOUNCING THE COVID-19 TEST TO TREAT INITIATIVE

California Department of Social Services PIN 22-04-CCLD June 6, 2022 TO: ADULT AND SENIOR CARE LICENSEES CHILD CARE FACILITY LICENSEES CHILDREN’S RESIDENTIAL LICENSEES AND PROVIDERS FOSTER FAMILY AGENCY APPROVED OR CERTIFIED HOMES HOME CARE ORGANIZATION LICENSEES AND HOME CARE AIDES Original signed by Kevin Gaines FROM: KEVIN GAINES Deputy Director Community Care Licensing Division SUBJECT: ANNOUNCING THE COVID-19 TEST TO TREAT INITIATIVE Provider Information Notice (PIN) Summary PIN 22-04-CCLD provides information about assistance available through the Test to Treat initiative that gives individuals an important way to rapidly access free treatment for COVID-19 through nationwide pharmacy-based clinics, federally funded health centers, and long-term care facilities.

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INFECTION CONTROL PLAN COURTESY FORMS FOR ADULT AND SENIOR CARE FACILITIES

California Department of Social Services PIN 22-18-ASC June 3, 2022 TO: ALL ADULT AND SENIOR CARE PROVIDERS Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: INFECTION CONTROL PLAN COURTESY FORMS FOR ADULT AND SENIOR CARE FACILITIES Provider Information Notice (PIN) Summary PIN 22-1-ASC announces the release of the Infection Control Plan courtesy forms for Adult and Senior Care (ASC) facilities with the exception of Adult Residential Facilities for Persons with Special Health Care Needs (ARFPSHNs).

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Laguna Honda Residents Can Stay at Laguna Honda

The Current Situation Due to continued quality of care violations, Laguna Honda has been threatened with loss of its ability to get paid by Medicare and Medi-Cal. Most Laguna Honda residents have their care paid for by Medicare or Medi-Cal. But nothing is settled at this point. Laguna Honda announced that it is filing a new application to be paid by Medicare and Medi-Cal.

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UPDATED DIAGNOSTIC AND RESPONSE TESTING GUIDANCE FOR CORONAVIRUS DISEASE 2019 (COVID-19)

California Department of Social Services PIN 22-16-ASC May 16, 2022 Supersedes PIN 21-32.1-ASCSupersedes PIN 20-38-ASC in part Supersedes PIN 20-23-ASC in part TO: ALL ADULT AND SENIOR CARE PROGRAM RESIDENTIAL LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINES Deputy DirectorCommunity Care Licensing Division SUBJECT: UPDATED DIAGNOSTIC AND RESPONSE TESTING GUIDANCE FOR CORONAVIRUS DISEASE 2019 (COVID-19) Provider Information Notice (PIN) Summary PIN 22-16-ASC supersedes PIN 21-32.1-ASC, dated August 11, 2021, supersedes in part PIN 20-38-ASC, dated October 6, 2020, related to facility staff who fully recovered from COVID-19 infection and continue to test positive 90 days after infection, and supersedes in part PIN 20-23-ASC, dated June 26, 2020, related to testing of new or returning facility staff.

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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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RESIDENT COHORTING, ISOLATION AND QUARANTINE, STAFFING, AND USE OF PERSONAL PROTECTIVE EQUIPMENT BASED ON RESIDENT CORONAVIRUS DISEASE 2019 (COVID-19) STATUS

California Department of Social Services PIN 22-15-ASC May 13, 2022 Supersedes PIN 21-12-ASC Supersedes PIN 21-17.2-ASC in part Superseded PIN 21-49-ASC in part Supersedes PIN 20-38-ASC in part TO: ALL ADULT AND SENIOR CARE PROGRAM RESIDENTIAL LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: RESIDENT COHORTING, ISOLATION AND QUARANTINE, STAFFING, AND USE OF PERSONAL PROTECTIVE EQUIPMENT BASED ON RESIDENT CORONAVIRUS DISEASE 2019 (COVID-19) STATUS Provider Information Notice (PIN) Summary PIN 22-15-ASC supersedes PIN 21-12-ASC, dated February 10, 2021, supersedes in part PIN 21-17.2-ASC, dated May 14, 2021, supersedes in part PIN 21-49-ASC, dated November 17, 2021 and supersedes in part PIN 20-38-ASC, dated October 6, 2020, and provides updated guidance related to resident cohorting, isolation and quarantine, staffing considerations, and use of Personal Protective Equipment (PPE) based on the resident’s COVID-19 status.

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National Academy of Science Calls for Bold Reform of Nursing Home Care

On April 6, 2022, the National Academy of Sciences, Engineering and Medicine’s Committee on the Quality of Care in Nursing Homes released a 605 page report – The National Imperative to Improve Nursing Home Quality; Honoring Our Commitment to Residents, Families and Staff – that is meant to be a blueprint for desperately needed reform of nursing home care.

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ADULT AND SENIOR CARE (ASC)- UPDATED REGULATIONS FOR INFECTION CONTROL REQUIREMENTS

California Department of Social Services PIN 22-13-ASC April 4, 2022 TO: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES (EXCEPT FOR ADULT RESIDENTIAL FACILITIES FOR PERSONS WITH SPECIAL HEALTH CARE NEEDS) Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: ADULT AND SENIOR CARE (ASC)- UPDATED REGULATIONS FOR INFECTION CONTROL REQUIREMENTS Provider Information Notice (PIN) Summary PIN 22-13-ASC updates California Code of Regulations (CCR), Title 22, Division 6.

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GOVERNOR’S EXECUTIVE ORDER N-04-22 REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) AND THE EXPIRATION OF COVID-19 WAIVERS

California Department of Social Services PIN 22-12-ASC March 29, 2022 (Supersedes PIN 21-39.1-ASC) TO: ALL ADULT AND SENIOR CARE LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: GOVERNOR’S EXECUTIVE ORDER N-04-22 REGARDING CORONAVIRUS DISEASE 2019 (COVID-19) AND THE EXPIRATION OF COVID-19 WAIVERS Provider Information Notice (PIN) Summary PIN 22-12-ASC supersedes PIN 21-39.1-ASC, dated December 20, 2021, and notifies Adult and Senior Care (ASC) licensees and Continuing Care Retirement Community providers that pursuant to the Governor’s Executive Order N-04-22, dated February 25, 2022, facilities operating under existing California Department of Social Services (CDSS) COVID-19 waivers are permitted to continue operating pursuant to such waivers through the expiration date set forth by CDSS, or June 30, 2022, whichever occurs first (unless extended by the Governor).

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