On Dec. 22, the California Department of Public Health (CDPH) issued apublichealthorderthat requires all eligible workers to receive their booster on or before Feb. 1. %%EOF All Facilities Letter 16-06 AFL 15-22 Centers for Medicare and Medicaid Services (CMS) AFL 15-22 Emergency Preparedness Checklist Revision AFL 13-13 Additionally, AFL 21-34.1 details the testing cadence for health care personnel who have not received a booster. Therefore, prior to adopting such a policy, the employer must provide notice and an opportunity to bargain the change to the employee organizations that represents the employees affected by the decision.[4]. Certified Nurse Assistant training programs. to Default, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, Centers for Disease Control and Prevention. The order also requires twice-weekly testing for workers who are unvaccinated or workers who are vaccinated, due for a booster, but not currently boosted. All Facilities Letter (AFL) 21-08.9 updates the earlier guidance on isolation and quarantine periods in the following areas: CDPH Weekly Call-in Information: Tuesday 8:00am All Facilities Calls: 844.721.7239; Access code: 7993227 Wednesday 3:00pm SNF Infection Prevention Webinars: Register at: https://www.hsag.com/cdph-ip-webinars Thursday 12:00pm SNF Infection Prevention Calls: 877.226.8163; Access code: 513711 The Wednesday Webinar covered the following topics: AFL 21-20.1 From the California Department of Public Health February 7, 2022 TO: General Acute Care Hospitals (GACHs)Acute Psychiatric Hospitals (APHs)SUBJECT: Coronavirus Disease 2019 (COVID-19) Vaccine Recommendations for Eligible Individuals Prior to Discharge(This AFL supersedes AFL 21-20) All Facilities Letter (AFL) Summary This AFL recommends GACHs and APHs offer COVID-19 vaccinations and booster doses to eligible individuals prior to discharge. For more information go to:http://www.law.cornell.edu/uscode/17/107.shtml, CANHRs 10 Point Plan to Reform California Nursing Homes, California County Departments of Public Health, California Department of Public Health Covid Reporting, California Department of Social Services RCFE COVID-19 Data, Centers for Medicaid & Medicare Services COVID-19 Reporting, Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs), Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19, http://www.law.cornell.edu/uscode/17/107.shtml, Fresno, Riverside, Chico, and San Francisco, Bakersfield, Sacramento, and San Bernardino, LA Region 2, LA Region 3, State Facilities, and LAAU. CDPH Licensing & Enforcement - California Hospital Association The online registration process is now available to SNFs. AFL-18-01. Liebert Cassidy Whitmore attorneys are well-versed in the requirements set forth in the AFL, the exclusion requirements that would otherwise apply to such employees, as well as the use of the emergency exception. AFL 21-26.12 From the California Department of Public Health March 16, 2022 TO: General Acute Care Hospitals SUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements(This AFL supersedes AFL 20-26.11) AUTHORITY: Proclamation of Emergency, Executive Orders:N-39-20(PDF),N-08-21(PDF),N-12-21(PDF),N-21-21(PDF),andN-04-22(PDF) 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.In accordance with the Executive OrderN-04-22(PDF), issued February 25, 2022, this AFL extends the temporary waiver related to space requirements until June 30, 2022. California Department of Public Health (CDPH) or the California Department of Social Services (CDSS). On January 8, 2022, the California Department of Public Health (CDPH) issued an updated All Facilities Letter (AFL)[1] to hospitals and skilled nursing facilities (SNFs) advising them of the temporary removal of the isolation and quarantine requirements for certain health care personnel following a COVID-19 diagnosis or close contact exposure. to Default, California Conference of Local Health Officers, Communicable Disease Control And Prevention, Chronic Disease Injury Prevention Agenda 1-5-2017, Chronic Disease Injury Prevention Agenda 2-15-2017, Chronic Disease Injury Prevention Agenda 3-2-2017, Center for Chronic Disease Prevention and Health Promotion, Division of Chronic Disease and Injury Control, Tobacco Education and Research Oversight Committee, Preventive Medicine Public Health Residency Program, California Epidemiologic Investigation Service Fellowship Program, California Stroke Registry-California Coverdell Program, Guidelines, Resources, and Evidence-Based Best Practices for Providers, Chronic Disease Surveillance and Research Branch, California Comprehensive Cancer Control Program, California's Comprehensive Cancer Control Plan, Domestic Violence/Intimate Partner Violence, Child Passenger Safety (CPS) In California, Drowning Prevention: Toddler Pool and Spa Safety, Nutrition Education and Obesity Prevention Branch, SNAP-Ed Guidance for Local Health Departments, Division of Environmental and Occupational Disease Control, Childhood Lead Poisoning Prevention Branch, Environmental Health Investigations Branch, Community Participation & Education Section, About the Environmental Health Laboratory, CDPH-Approved Cholinesterase Laboratories, Contact the Environmental Health Laboratory, Occupational Health Branch Programs and Activities, Occupational Health Branch Publications & Videos, What's New at the Occupational Health Branch, Work-Related Valley Fever (Coccidioidomycosis), Occupational Health Watch April 2017: Spotlight on Skylight Falls for Workers Memorial Day, Occupational Health Watch July 2016: August Is Valley Fever Awareness Month, Substance and Addiction Prevention Branch, FDLB Chemistry and Microbiology Client List, Abused Substances Analysis Section (ASAS), Division of Radiation Safety and Environmental Management, Radiologic Technology Certification Committee, Certificates, Licenses, Permits and Registrations, Genetic Disease Screening Program Publications, GDSP Notice Of Information And Privacy Practices, Partnership with Perinatal Quality Foundation, Education Resources for Individuals and Families, Maternal, Child and Adolescent Health Division, Program Consultants and Contract Liaisons, Stories from the Adolescent Family Life Program, Adolescent Sexual Health Education Program, Where We Are: Local BIH Sites and Coordinators, Evaluation of the California Black Infant Health Program, Program Evaluation: Intermediate Outcomes Among Prenatal Group Model Participants, Program Evaluation: Services Received and Services Provided During Prenatal Group, Program Evaluation: Participant Participant and Staff Perceptions about the Program, SisterStory: Stories from Black Infant Health, Program Evaluation: Contextual Conditions that Supported the Implementation of the Prenatal Group Model, Breastfeeding Sites and Local Coordinators, Guidelines and Resources for Community Partners, Breastfeeding Model Hospital Policy Recommendations, Lactation Accommodation: For Child Care Providers, Lactation Accommodation: For Community Partners, In-Hospital Breastfeeding Initiation Data, Lactation Accommodation Laws for Workplace, Jails and School, California Statewide Home Visiting Needs Assessment, Evidence-Based Home Visiting Models in California, California Personal Responsibility Education Program, CA PREP Questions and Answers for 2018 RFA, CA PREP Questions and Answers for 2021 RFA, CA-PREP RFA 2021: Public Notice of Intent to Award, CA-PREP RFA 2021: Public Notice of Final Award, Human Stem Cell Research Advisory Committee, Local Maternal, Child and Adolescent Health, Emergency Preparedness: Infant and Young Child Feeding, Healthy Weight for Healthy Birth and Beyond, Multiple Factors Affect Birthing Parents Weight, Healthy Weight for Healthy Birth and Beyond Toolkit, Healthy Weight for Healthy Birth and Beyond Data Brief, Perinatal Equity Initiative Public Awareness Campaigns, Regional Perinatal Programs of California, Where We Are: Local RPPC Sites and Coordinators, RPPC RFA 2022 Public Notice of Intent to Award, RPPC RFA 2022 Public Notice of Final Award, Sudden Infant Death Syndrome (SIDS) Program, SIDS/SUID Northern California Regional Council, SIDS/SUID Southern California Regional Council, MyStory: Stories from the California SIDS Program, Agreement Funding Applications (MCAH & BIH), Breastfeeding Resources for Health Care Providers, Monitoring Adherence to Healthcare Practices that Prevent Infection, Healthcare Personnel Influenza Vaccination Reporting In CA Hospitals, CA Campaign To Prevent BSI in Hemodialysis Patients, Central Line-associated Blood Stream Infection (CLABSI), Methicillin-Resistant Staphylococcus aureus Bloodstream Infection (MRSA BSI), Vancomycin-resistant Enterococci Bloodstream Infection (VRE BSI), Center for Health Statistics and Informatics, California Marriage License, Registration and Ceremony Information, Vital Records Obtaining Certified Copies of Death Records, Obtaining Vital Records From County Offices, Vital Records Issuance and Preservation Branch, California Marriage License General Information, Marriage Officiant Frequently Asked Questions, HIV/AIDS ADAP Health Insurance Premium Payment Assistance, HIV/AIDS ADAP Medicare Part D Premium Payment Assistance, About the Viral and Rickettsial Disease Lab, CDER Information for Health Professionals, Communicable Disease Emergency Response Program, DCDC Information for Local Health Departments, Sexually Transmitted Diseases Control Branch, VRDL Guidelines for Specimen Collection and Submission for Pathologic Testing, Office of Binational Border Health Publications, Office of Binational Border Health Advisory Group, About the Office of Binational Border Health, Contact the Office of Binational Border Health, Quarterly Binational Epidemiology Meetings, Border Infectious Disease Surveillance - Coccidioidomycosis, Border Infectious Disease Surveillance - Queso Fresco, Border Infectious Disease Surveillance - Mosquito-borne-diseases, Border Infetious Disease Surveillance - Rocky Mountain Spotted Fever, Border Infectious Disease Surveillance - Influenza and Other Respiratory Infections, Emergency and Evacuation Planning Guide for Schools, Tips for Communicating with Students During an Emergency, Know When and How to Shelter-in-Place for Schools, How to Help Students Cope and Deal with Stress, Pandemic Flu Preparedness For Schools - Home, Fusion Center (Strategic Development and External Relations), California Equitable Recovery Initiative (CERI) Q&A, AB 1726 Asian and Pacific Islander Data Disaggregation Brief, CDPH Lifts Rock Crab Health Advisory in Portions of San Mateo County - South of Pillar Point, CDPH Launches Mobile Website for WIC Participants, CDPH Reports Widespread Flu Activity that is More Severe than Last Year, CDPH Fines San Francisco County Facility in Death of Resident, CDPH Fines Los Angeles County Facility in Death of Resident, Lets Get Healthy California Announces Local Innovations to Improve Californias Health, Dungeness Crab Health Advisory Lifted for Remainder of California Coast, Dungeness Crab Health Advisory Lifted in Portions of Mendocino County South of Ten Mile River, CDPH Warns Consumers Not to Eat Sport-Harvested Bivalve Shellfish from San Luis Obispo County, Dungeness Crab Health Advisory Lifted in Portions of Sonoma, Mendocino, Humboldt Counties, CDPH Releases Reports on Healthcare-Associated Infections, Influenza Vaccination Rates Among Healthcare Personnel, CDPH Warns Consumers Not to Eat Sport-Harvested Bivalve Shellfish from Monterey County, CDPH Awarded Grant to Expand Child Safety-Seat Use, CDPH Awarded Grant to Study Motor-Vehicle Crash Injuries, Holiday Travelers Reminded to Take Precautions to Prevent Zika, Local Transmission Confirmed in Ensenada, Mexico, Office of Health Equity - Health Equity Policy & Planning Unit, CDPH Climate Change and Health Equity (CCHE), Office of Health Equity Advisory Committee, Health Research and Statistics Unit (HRSU), CDPH Climate Change and Health Profile Reports, CDPH Climate Change and Health Equity - CalBRACE Project, CDPH Climate Change and Health Vulnerability Indicators, Office of Legislative and Governmental Affairs, Office of Professional Development & Engagement, Meet the Former Interns - Yesenia Posadas, Office of the State Public Health Laboratory Director, California Laboratory Animal Use Approval Program, Complaints Program - Laboratory Field Services, Clinical Laboratory Technology Advisory Committee (CLTAC), Clinical Laboratory Scientist Trainee License, Clinical Chemist Scientist Trainee License, Clinical Cytogeneticist Scientist Trainee License, Clinical Genetic Molecular Biologist Scientist Trainee License, Clinical Hematologist Scientist Trainee License, Clinical Histocompatibility Scientist Trainee License, Clinical Immunohematologist Scientist Trainee License, Clinical Microbiologist Scientist Trainee License, Clinical Toxicologist Scientist Trainee License, Clinical Laboratory Professional Licensing, Renewal of Clinical Laboratory Personnel Licenses & Certificates, Centralization of Program Flexibility Application Process, Notice of Stakeholder Meeting for General Acute Care Hospital (GACH) Observation Service Regulations, en 967 0 obj <> endobj During this time, this guidance will supersede the tables For this reason, we continue to encourage signing up to directly receive CDPH all-facility letters and CDSS program instruction notices, respectively, by emailing LNCPolicy@cdph.ca.gov and/or visiting Espaol, - endstream endobj startxref 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 . PDF Prevention of COVID-19 Transmission in Skilled Nursing Facilities As such, the employer must bargain the change in policy and practice with the employee organizations that represent such employees before the employer can adopt and implement the decision. California Department of Public Health Center for Health Care Quality . ; 2023 Classified School Employees of the Year (added 07-Mar-2023) Letter to County and District Superintendents, Charter School . SNFs may already have an account to access RSS due to the mitigation survey platform available in RSS. The updated AFL replaces the previously operative guidance and permits the employers of covered personnel to undertake the following steps necessary in order to maintain sufficient staffing and continue to provide essential services: The CDPH provides that, if such personnel continue to work, they must wear an N95 respirator in order to limit the further spread of the virus that causes COVID-19. Hospitals should and SNFs must now resume using the table, below, to guide work restrictions for HCP with SARS-CoV-2 infection and for asymptomatic HCP with exposures based upon HCP vaccination status and facility staffing level. 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 onInterim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2andStrategies to Mitigate Healthcare Personnel Staffing Shortages.Pursuant to Welfare and Institutions Code section 14126.033 a SNFs receipt of the annual increase in the weighted average Medi-Cal reimbursement rate may be conditioned on the facilitys 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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