ANNOUNCING ORGANIZATIONAL CHANGES IN THE ADULT AND SENIOR CARE PROGRAM

California Department of Social Services PIN 22-03-ASC January 18, 2022 PIN 22-03-ASC TO: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: ANNOUNCING ORGANIZATIONAL CHANGES IN THE ADULT AND SENIOR CARE PROGRAM Provider Information Notice (PIN) Summary PIN 22-03-ASC announces new changes in the Adult and Senior Care Program.

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Notice of Testing Supply Availability and Distribution Process

AFL 22-02 From the California Department of Public Health  January 14, 2022 TO: Skilled Nursing Facilities SUBJECT: Notice of Testing Supply Availability and Distribution Process All Facilities Letter (AFL) Summary This AFL notifies skilled nursing facilities (SNFs) that the state is sending roughly 330,000 Clinical Laboratory Improvement Amendments (CLIA) waived BinaxNow antigen tests to SNFs for the purposes of testing visitors seeking indoor visitation.

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Statement by CMS Administrator Chiquita Brooks-LaSure On the U.S. Supreme Court’s Decision on Vaccine Requirements

“The Centers for Medicare & Medicaid Services (CMS) is extremely pleased the Supreme Court recognized CMS’ authority to set a consistent COVID-19 vaccination standard for workers in facilities that participate in Medicare and Medicaid. CMS’ vaccine rule will cover 10.4 million health care workers at 76,000 medical facilities. Giving patients assurance on the safety of their care is a critical responsibility of CMS and a key to combatting the pandemic.

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Families struggle to get COVID tests to visit loved ones in nursing and senior homes

Emily Alpert Reyes, Los Angeles Times, January 12 2022 Karen Klink sits next to a sign she used in a protest when it was hard to visit her mother in a memory care facility during a lockdown due to COVID-19 in late 2020. (Genaro Molina / Los Angeles Times) If Karen Klink wants to see her mother at the Redondo Beach memory care facility where she lives, she needs to hand over a negative test for the virus.

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

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 to Work for HCP with COVID-19(This AFL supersedes AFL 21-08.6) 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 on Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2 and Strategies to Mitigate Healthcare Personnel Staffing Shortages.Pursuant to Welfare and Institutions Code section 14126.033 a SNF’s receipt of the annual increase in the weighted average Medi-Cal reimbursement rate may be conditioned on the facility’s 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.From January 8, 2022 until February 1, 2022, HCP who test positive for SARS-CoV-2 and are asymptomatic, may return to work immediately without isolation and without testing, and HCPs who have been exposed and are asymptomatic may return to work immediately without quarantine and without testing.

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UPDATE REGARDING THE EMERGENCY AND DISASTER PLAN FORM (LIC 610D) FOR ADULT COMMUNITY CARE FACILITIES

California Department of Social Services PIN 22-01-ASC January 6, 2022 PIN 22-01-ASC TO: ALL ADULT CARE PROGRAM LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: UPDATE REGARDING THE EMERGENCY AND DISASTER PLAN FORM (LIC 610D) FOR ADULT COMMUNITY CARE FACILITIES Provider Information Notice (PIN) Summary PIN 22-01-ASC announces the release of an updated Emergency and Disaster Plan form for Adult Care Facilities.

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Centralization of Program Flexibility Application Process

AFL 22-01 From the California Department of Public Health  January 7, 2022 TO: All Facilities SUBJECT: Centralization of Program Flexibility Application Process All Facilities Letter (AFL) Summary 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.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.

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Visitation Shut-Down – What to Do

A state public health order went into effect today that essentially shut down visitation in long term care facilities in California.  The order requires all visitors to have a negative COVID test in the past 2 days (PCR tests) or 1 day (antigen tests) in order to visit.  Given the substantial challenges to test access, this is tantamount to a visitation lockout.

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Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs)

AFL 20-57.3 From the California Department of Public Health TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs)(This AFL supersedes AFL 20-57.2) AUTHORITY:      Proclamation of a State of Emergency (PDF)                                  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 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.This revision notifies all facilities that the temporary waiver of specified statutory and regulatory requirements is extended until March 31, 2022 in compliance with Executive Order N-21-21 (PDF).  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 20-49.4 From the California Department of Public Health TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Home Health Aides (HHAs)(This AFL supersedes AFL 20-49.3) AUTHORITY:      Proclamation of a State of Emergency (PDF),                                  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 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.This AFL notifies all facilities that the temporary waiver of specified statutory and regulatory requirements is extended until March 31, 2022, in compliance with Executive Order N-21-21 (PDF).  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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