Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

AFL 20-53.2 From the California Department of Public Health  July 31, 2020 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 20-53.1) All Facilities Letter (AFL) Summary This AFL provides recommendations from the California Department of Public Health (CDPH) for SNFs developing COVID-19 Mitigation Plans.

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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 20-53.1 From the California Department of Public Health July 29, 2020 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) All Facilities Letter (AFL) Summary This AFL provides recommendations from the California Department of Public Health (CDPH) for SNFs developing COVID-19 Mitigation Plans.

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Deployment of Online Survey Application for Coronavirus Disease 2019 (COVID-19) SNF Mitigation Surveys

AFL 20-63 From the California Department of Public Health July 28, 2020 TO: Skilled Nursing Facilities (SNFs) SUBJECT: Deployment of Online Survey Application for Coronavirus Disease 2019 (COVID-19) SNF Mitigation Surveys All Facilities Letter (AFL) Summary This AFL announces the California Department of Public Health (CDPH’s) phased launch of a new online application for conducting surveys and investigations.Beginning August 7, 2020, CDPH will use the Risk and Safety Solutions (RSS) Inspect to conduct COVID-19 Mitigation Surveys and submit Statements of Deficiencies to SNFs.

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ICF Coronavirus Disease 2019 (COVID-19) Daily Reporting

AFL 20-62 From the California Department of Public Health July 25, 2020 TO: Intermediate Care Facilities (ICF) Intermediate Care Facilities/Developmentally Disabled (ICF/DD) Intermediate Care Facilities/Developmentally Disabled – Habilitative (ICF/DD-H) Intermediate Care Facilities/Developmentally Disabled – Nursing (ICF/DD-N) Intermediate Care Facilities/Developmentally Disabled – Continuous Nursing (ICF/DD-CN) SUBJECT: ICF Coronavirus Disease 2019 (COVID-19) Daily Reporting AUTHORITY:     Proclamation of Emergency (PDF)                             Title 42 Code of Federal Regulations (CFR) section 483.420                            Title 22 of the California Code of Regulations sections 73539, 76551 and 76923 All Facilities Letter (AFL) Summary This AFL requests all ICFs, ICF/DDs, ICF/DD-Hs, ICF/DD-Ns, and ICF/DD-CNs (facilities) report COVID-19 facility data daily to the California Department of Public Health (CDPH) via an online survey.

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Dialysis Transportation for Coronavirus Disease 2019 (COVID-19) Positive Residents

AFL 20-61 From the California Department of Public Health July 21, 2020 TO: Skilled Nursing Facilities SUBJECT: Dialysis Transportation for Coronavirus Disease 2019 (COVID-19) Positive Residents ​All Facilities Letter (AFL) Summary This AFL provides recommendations to skilled nursing facilities (SNFs) for transporting COVID-19 positive residents to dialysis clinics for treatment. Access to dialysis services is essential to the overall health and safety of dialysis patients.

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GACH Coronavirus Disease 2019 (COVID-19) Daily Reporting

AFL 20-31.2 From the California Department of Public Health July 17, 2020 TO: General Acute Care Hospitals (GACHs) SUBJECT: GACH Coronavirus Disease 2019 (COVID-19) Daily Reporting (This AFL supersedes AFL 20-31.1) ​AUTHORITY:      Proclamation of Emergency (PDF) All Facilities Letter (AFL) Summary This AFL requires GACHs to report COVID-19 data daily to the California Department of Public Health (CDPH).

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SNF Weekly Reporting of Coronavirus Disease 2019 (COVID-19) Surveillance/Response-Driven Testing

AFL 20-60 From the California Department of Public Health July 17, 2020 TO: Skilled Nursing Facilities (SNFs) SUBJECT: SNF Weekly Reporting of Coronavirus Disease 2019 (COVID-19) Surveillance/Response-Driven Testing ​AUTHORITY:     Title 22 California Regulations (CCR) section 72537                             Title 17 CCR section 2500 All Facilities Letter (AFL) Summary This AFL requires SNFs to report COVID-19 surveillance/response-driven testing data to the California Department of Public Health (CDPH) weekly via an online survey in the COVID-19 SNF Survey Hub.

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Visitor Limitations Guidance

AFL 20-38.3 From the California Department of Public Health July 13, 2020 TO: All Facilities SUBJECT: Visitor Limitations Guidance (This AFL supersedes AFL 20-38.2) All Facilities Letter (AFL) Summary This AFL notifies all facilities of updated visitor guidelines for pediatric patients, patients in labor and delivery, neonatal intensive care unit (NICU) patients, pediatric intensive care unit patients (PICU) patients, and patients at end-of-life and patients with physical, intellectual, and/or developmental disabilities and patients with cognitive impairments.Health facilities may permit a support person to accompany a patient for whom a support person has been determined to be essential to the care of the patient (medically necessary), including patients with physical, intellectual, and/or developmental disabilities and patients with cognitive impairments.This AFL has been updated to clarify that long-term care facilities and hospitals may permit students obtaining their clinical experience as part of an approved nurse assistant, vocational nurse, or registered nurse training program into the facility if they meet the CDC guidelines for healthcare workers.

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Public Safety Power Shutoff Power Outage Reporting

AFL 20-59 From the California Department of Public Health July 13, 2020 TO: All Facilities SUBJECT: Public Safety Power Shutoff Power Outage Reporting All Facilities Letter (AFL) Summary This AFL notifies health care facilities that California energy companies may proactively turn off electric power to any electric customer in California as a part of a Public Safety Power Shutoff (PSPS) event.Facilities should ensure their local energy company is provided with the most up-to-date contact information to receive outage alerts.PSPS events, when used, are regarded as an unusual occurrence.

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Suspension of Regulatory Enforcement of Specified ADHC Requirements

AFL 20-34.2 From the California Department of Public Health July 10, 2020 TO: Adult Day Health Care Centers (ADHCs) SUBJECT: Suspension of Regulatory Enforcement of Specified ADHC Requirements (This AFL supersedes AFL 20-34.1) ​AUTHORITY:     Executive Order N-35-20 (PDF) ​All Facilities Letter (AFL) Summary This AFL notifies ADHCs 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 has been updated to extend the waiver until March 1, 2021.This AFL has been updated to provide a deadline for ADHCs to complete Live Scan submission requirements following the resumption of Live Scan services.

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