Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Health Care Facilities

AFL 21-29 From the California Department of Public Health August 3, 2021 TO: All ClinicsAdult Day Health Care CentersAcute Psychiatric HospitalsAmbulatory Surgery CentersChemical Dependency Recovery HospitalsChronic Dialysis ClinicsCongregate Living Health FacilitiesComprehensive Outpatient Rehabilitation FacilitiesCorrectional Treatment CentersEnd Stage Renal Disease Dialysis FacilitiesHospice FacilitiesPediatric Day Health & Respite Care FacilitiesRehabilitation Clinics SUBJECT: Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Health Care Facilities All Facilities Letter (AFL) Summary The Public Health Order issued July 26, 2021, becomes effective August 9, 2021.

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Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Skilled Nursing Facilities (SNF)

AFL 21-28 From the California Department of Public Health August 3, 2021 TO: Skilled Nursing Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Skilled Nursing Facilities (SNF) All Facilities Letter (AFL) Summary This AFL requires SARS-CoV-2 diagnostic screening testing for healthcare personnel (HCP) in SNFs.

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Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment (PPE) for Health Care Personnel (HCP) at General Acute Care Hospitals (GACHs)

AFL 21-27 From the California Department of Public Health August 3, 2021 TO: General Acute Care Hospitals SUBJECT: Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment (PPE) for Health Care Personnel (HCP) at General Acute Care Hospitals (GACHs) All Facilities Letter (AFL) Summary This AFL requires SARS-CoV-2 diagnostic screening testing for healthcare personnel (HCP) in hospitals.

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Mandated Reporting Requirements of Potential Abuse, Neglect, Exploitation, or Mistreatment of Elders or Dependent Adults

AFL 21-26 From the California Department of Public Health July 26, 2021 TO: Adult Day Health Center Congregate Living Health Facility Intermediate Care Facility Intermediate Care Facility/Developmentally Disabled Intermediate Care Facility/Developmentally Disabled-Continuous Nursing Intermediate Care Facility/Developmentally Disabled-Habilitative Intermediate Care Facility/Developmentally Disabled-Nursing Nursing Facility Skilled Nursing Facility SUBJECT:Mandated Reporting Requirements of Potential Abuse, Neglect, Exploitation, or Mistreatment of Elders or Dependent Adults AUTHORITY:     Title 42 Code of Federal Regulations (CFR) section 483.12(c)(1)                             Welfare and Institutions Code (WIC) section 15630                             Health and Safety Code (HSC) section 1418.91(a)(b) All Facilities Letter (AFL) Summary This AFL reminds facilities of mandated reporting requirements of abuse, neglect, exploitation, and/or mistreatment of residents, particularly elders or dependent adults.Pursuant to Title 42 CFR section 483.12(c)(1) and WIC section 15630, facilities must report suspected or known abuse to their local law enforcement agency, long term care (LTC) ombudsman, and district office (DO).  Background Reporting of elder or dependent adult mistreatment is vital in protecting the health and welfare of one of California’s most vulnerable populations.

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Weekly Reporting Related to Patient Discharges with Coronavirus Disease 2019 (COVID-19)

AFL 21-25 From the California Department of Public Health July 23, 2021 TO: General Acute Care Hospitals SUBJECT: Weekly Reporting Related to Patient Discharges with Coronavirus Disease 2019 (COVID-19)  AUTHORITY:      Title 17 California Code of Regulations (CCR) section 2500 Title 22 CCR section 70737(a) Title 22 CCR section 70751 All Facilities Letter (AFL) Summary This AFL requires that California hospitals report specified patient level information for each hospitalized person who tests positive for COVID-19 to assist the California Department of Public Health (CDPH) to monitor the effectiveness of vaccines and assess the impact of COVID-19 on the health care system.

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Call for Specimens from Hospitalized Coronavirus Disease 2019 (COVID-19) Patients

AFL 21-24 From the California Department of Public Health July 22, 2021 TO: General Acute Care Hospitals Acute Psychiatric Hospitals SUBJECT:Call for Specimens from Hospitalized Coronavirus Disease 2019 (COVID-19) Patients All Facilities Letter (AFL) Summary This AFL announces a request that facilities submit respiratory and/or serum specimens from hospitalized COVID-19 patients to assist the state in tracking COVID-19 variants.

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Ending of the Emergency Blanket Waiver of Minimum Data Set (MDS) Timeframe Requirements

AFL 21-23 From the California Department of Public Health July 22, 2021 TO: Skilled Nursing Facilities (SNF) Nursing Facilities (NF) Swing Bed Hospitals SUBJECT: Ending of the Emergency Blanket Waiver of Minimum Data Set (MDS) Timeframe Requirements ​AUTHORITY:     Title 42 Code of Federal Regulations (CFR) section 483.20 All Facilities Letter (AFL) Summary This AFL informs SNFs that the Centers for Medicare and Medicaid Services (CMS) ended the emergency blanket waiver for Title 42 CFR section 483.20, effective May 10, 2021.All SNFs are now required to complete and transmit MDS assessments timely, as required at Title 42 CFR section 483.20.  As part of the Coronavirus Disease 2019 (COVID-19) Public Health Emergency (PHE) response, CMS waived the MDS timeframe requirements for Title 42 CFR section 483.20 for assessments to allow providers flexibility in completing and transmitting assessments.

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Coronavirus Disease 2019 (COVID-19) Outbreak Investigation and Reporting Thresholds

AFL 20-75.1 From the California Department of Public Health July 22, 2021 TO: All Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Outbreak Investigation and Reporting Thresholds (This AFL supersedes AFL 20-75) ​AUTHORITY:     Title 17 California Code of Regulations (CCR) sections 2500, 2501, and 2502; Title 22 CCR sections 70737, 70739, 72523, 72539, and 72541 All Facilities Letter (AFL) Summary This AFL reminds licensed health facilities of requirements to report outbreaks and unusual infectious disease occurrences to their local health department (LHD) and Licensing and Certification District Office and provides investigation and reporting thresholds for reporting for COVID-19. This AFL notifies all facilities that the webpage for county COVID-19 case rates has changed.

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Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities

AFL 20-74.1 From the California Department of Public Health July 22, 2021 TO: Skilled Nursing Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities (This AFL supersedes AFL 20-74) All Facilities Letter (AFL) Summary This AFL provides recommendations for PPE, resident placement/movement, and staffing based on the residents’ COVID-19 status.This revision updates the chart of recommendations to clarify when eye protections must be used and to align with the latest CalOSHA requirements no longer allowing extended use and reuse of respirators.

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Fiscal Year (FY) 2021-22 Health Care Facility License Fee Schedule

AFL 21-22 From the California Department of Public Health July 20, 2021 TO: All Health FacilitiesSUBJECT: Fiscal Year (FY) 2021-22 Health Care Facility License Fee Schedule  ​AUTHORITY:    Health and Safety Code (HSC) section 1266 All Facilities Letter (AFL) Summary This AFL informs licensees of FY 2021-22 license renewal fees as approved by the Governor and effective on July 1, 2021.

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