Change to Health Care Facility License Issuance

AFL 21-10 From the California Department of Public Health  February 22, 2021 TO: All Facilities SUBJECT: Change to Health Care Facility License Issuance All Facilities Letter (AFL) Summary This AFL notifies all facilities that effective March 1, 2021, the California Department of Public Health (CDPH), Centralized Applications Branch (CAB), will change the way it issues licenses to health care facilities.

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Suspension of Regulatory Enforcement of Hospital Requirements

AFL 20-26.6 From the California Department of Public Health February 1, 2021 TO: General Acute Care Hospitals SUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements (This AFL supersedes AFL 20-26.5) ​AUTHORITY:     Proclamation of Emergency, Executive Order N-27-20 and Executive Order N-39-20 All Facilities Letter (AFL) Summary This AFL notifies hospitals of a temporary waiver of specified regulatory requirements due to the state of emergency related to the Coronavirus Disease 2019 (COVID-19) outbreak.

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Additional Temporary Waivers Tied to the Hospital Surge Public Health Order

AFL 21-09 From the California Department of Public Health February 1, 2021 TO: General Acute Care Hospitals SUBJECT: Additional Temporary Waivers Tied to the Hospital Surge Public Health Order AUTHORITY:      ​Proclamation of Emergency (PDF), Executive Order N-27-20 (PDF), Executive Order N-39-20 (PDF), Hospital Surge Public Health Order All Facilities Letter (AFL) Summary This AFL notifies hospitals of a temporary waiver of specified regulatory requirements that will remain in place only for the duration of the Hospital Surge Public Health Order.

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Guidance on Quarantine for Health Care Personnel (HCP) Exposed to SARS-CoV-2

AFL 21-08 From the California Department of Public Health January 29, 2021 TO: General Acute Care Hospitals (GACHs) Acute Psychiatric Hospitals (APHs) Skilled Nursing Facilities (SNFs) SUBJECT: Guidance on Quarantine for Health Care Personnel (HCP) Exposed to SARS-CoV-2 ​All Facilities Letter (AFL) Summary The purpose of this AFL is to provide health care facilities with updated guidance on exposure risk assessment and the duration of quarantine for SARS-CoV-2 exposed HCP working in hospitals and SNFs and SNF residents.

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Suspension of Regulatory Enforcement of Hospital Requirements

AFL 20-26.5 From the California Department of Public Health January 24, 2021 TO: General Acute Care Hospitals SUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements (This AFL supersedes AFL 20-26.4) ​AUTHORITY:     Proclamation of Emergency, Executive Order N-27-20 and Executive Order N-39-20 All Facilities Letter (AFL) Summary This AFL notifies hospitals of a temporary waiver of specified regulatory requirements due to the state of emergency related to the Coronavirus Disease 2019 (COVID-19) outbreak.

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Maintain Efforts to Increase Staffing Levels

AFL 21-07 From the California Department of Public Health January 24, 2021 TO: Skilled Nursing FacilitiesGeneral Acute Care Hospitals SUBJECT: Maintain Efforts to Increase Staffing Levels AUTHORITY:     Proclamation of a State of Emergency (PDF) and Executive Orders N-27-20 (PDF) and N-39-20 (PDF) All Facilities Letter (AFL) Summary This AFL notifies skilled nursing facilities (SNFs) and general acute care hospitals (GACHs) that have a temporary waiver of staffing requirements that they must maintain efforts to increase staffing levels and return to the required staffing levels.

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Survey on the Use of Interdisciplinary Teams (IDT) for Unrepresented Residents

AFL 21-06 From the California Department of Public Health January 20, 2021 TO: Skilled Nursing Facilities (SNF) Intermediate Care Facilities (ICF) SUBJECT: Survey on the Use of Interdisciplinary Teams (IDT) for Unrepresented Residents AUTHORITY:     Health and Safety Code section 1418.8 ​All Facilities Letter (AFL) Summary This AFL requests SNFs participate in a survey about IDTs and the need for independent patient representatives.

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GACH Coronavirus Disease 2019 (COVID-19) Daily Reporting (This AFL supersedes AFL 20-31.2)

AFL 20-31.3 From the California Department of Public Health TO: General Acute Care Hospitals (GACHs) SUBJECT: GACH Coronavirus Disease 2019 (COVID-19) Daily Reporting (This AFL supersedes AFL 20-31.2) ​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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Process for Fit-testing Resource Requests

AFL 21-05 From the California Department of Public Health TO: Skilled Nursing Facilities SUBJECT: Process for Fit-testing Resource Requests ​All Facilities Letter (AFL) Summary This AFL informs Skilled Nursing Facilities (SNFs) of the process for requesting resources through Salesforce to assist in the fit-testing of respiratory protection for staff. Effective January 13, 2021, the State of California has introduced a new process for SNFs to request fit-testing assistance for staff respiratory protection.

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AB 2037 – Updated Notice Timelines for Hospital Closure, Reduction or Elimination of Emergency Medical Service, and Relocation or Elimination of Supplemental Services

AFL 21-04 From the California Department of Public Health TO: General Acute Care Hospitals Acute Psychiatric Hospitals SUBJECT: AB 2037 – Updated Notice Timelines for Hospital Closure, Reduction or Elimination of Emergency Medical Service, and Relocation or Elimination of Supplemental Services AUTHORITY:     Health and Safety Code sections 1255.1 and 1255.25 ​All Facilities Letter (AFL) Summary This AFL notifies all general acute care hospitals and acute psychiatric hospitals (hospitals) of the requirements of Assembly Bill (AB) 2037 (Chapter 95, Statutes of 2020), which increases existing timeframes for hospitals to provide advance notice of impending hospital closure, closure or reduction of emergency medical services, or relocation or elimination of supplemental services.AB 2037 also specifies required public notice methods.

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