AFL 21-15 From the California Department of Public Health May 13, 2021 TO: All FacilitiesSUBJECT: Request for 30-day Sustainment Supply of the State’s Personal Protective Equipment (PPE) Inventory All Facilities Letter (AFL) Summary This AFL informs facilities that the Statewide Logistics Task Force has authorized all healthcare providers and Emergency Medical Services (EMS) responders to use the state inventory of PPE to request a 30-day sustainment supply of PPE.

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Visitation Guidance for ICF/DD-H-N-CN Facilities During the Coronavirus Disease-2019 (COVID-19) Pandemic

AFL 21-14 From the California Department of Public Health May 13, 2021 TO: 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: Visitation Guidance for ICF/DD-H-N-CN Facilities During the Coronavirus Disease-2019 (COVID-19) Pandemic All Facilities Letter (AFL) Summary This All Facilities Letters (AFL) notifies all ICF/DD-H-N-CN facilities of the Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) guidance for improving their infection control and prevention practices to prevent the transmission of COVID-19, including guidance for visitation.This AFL authorizes all ICF/DD-H-N-CN facilities to temporarily modify their facility’s visitation policies in accordance with CMS and CDC COVID-19 guidance when necessary to protect the health and safety of clients/residents, staff, and the public.This AFL provides visitation guidance in accordance with CMS Quality, Safety and Oversight Group (QSO) 21-14 (PDF), including guidance for safely facilitating in-person visitation in indoor and outdoor facility settings.  Background This AFL provides California Department of Public Health’s (CDPH’s) visitation guidance and recommendations for the above-named facilities, to permit in-person visitation while reducing the risk of COVID-19 transmission.

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‘I feel freer.’ How California program helps seniors ‘age at home’ during pandemic

By Jesse Bedayn, The Sacramento Bee, May 09 2021 Loretta McNamara moved from a nursing home to this assisted living facility in Pasadena with the help of PACE, a program that allows participants to leave their homes a few times a month for recreation, checkups, treatments, and physical or occupational therapy. JESSE BEDAYN The coronavirus pandemic and an infusion of new federal money could accelerate California’s expansion of programs that help people age at home.

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Doing ‘The Washing Machine’ With My 84-Year-Old Mother

How a ridiculous dance — several, actually — kept us connected through Covid. Essay by Erika Shimahara, New York Times, May 7 2021 Brian Rea When I see my mother on the screen holding her hot-pink, one-pound dumbbells, I start playing “Circle of Life” by the singer she calls “Elton Johns.” We begin with shoulder rolls followed by arm circles, basic side steps and — her favorite — forward punches.

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Covid Forces Families to Rethink Nursing Home Care

By Reed Abelson, New York Times, May 6 2021 Even with vaccines, many older people and their relatives are weighing how to manage at-home care for those who can no longer live independently. Diane Nixon, 86, lives in an efficiency apartment in her daughter Heidi Dolan’s house in suburban Pittsburgh. Kristian Thacker for The New York Times At 86, Diane Nixon, living in an apartment at the back of a daughter’s house, no longer drives and has trouble getting around.

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ANNUAL INSPECTIONS UTILIZING THE INFECTION CONTROL DOMAIN

California Department of Social Services PIN 21-25-ASC  May 3, 2021 TO: ALL ADULT AND SENIOR CARE PROGRAM LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: ANNUAL INSPECTIONS UTILIZING THE INFECTION CONTROL DOMAIN Provider Information Notice (PIN) Summary PIN 21-25-ASC announces the resumption of onsite inspections during the COVID-19 state of emergency pursuant to Governor Newsom’s Proclamation of a State ofEmergency.

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LA County’s nursing home complaint backlog won’t end soon

By Brenda Gazzar, Los Angeles Daily News, May 3 2021 About a quarter of “significantly backlogged complaints” that involve these facilities and are about three years old are expected to still be pending in October, according to the Los Angeles County Department of Public Health. A rise in complaints and the coronavirus pandemic are delaying resolution of a backlog of complaints involving nursing homes and other health care facilities in L.A.

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Personal Protective Equipment (PPE) Push Pack Distribution

AFL 21-13 From the California Department of Public Health April 30, 2021 TO: Skilled Nursing Facilities (SNFs) SUBJECT: Personal Protective Equipment (PPE) Push Pack Distribution All Facilities Letter (AFL) Summary This AFL informs SNFs that the California Governor’s Office of Emergency Services (Cal OES) will be distributing PPE push packs to SNFs beginning May 3, 2021.  PPE push pack distribution is part of California’s continued effort to provide necessary supplies, prevent the spread of COVID-19, and help ensure the health and safety of SNF residents and staff.

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Suspension of Regulatory Enforcement of Hospital Requirements

AFL 20-26.7 From the California Department of Public Health April 28, 2021 TO: General Acute Care Hospitals SUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements(This AFL supersedes AFL 20-26.6) ​AUTHORITY:     Proclamation of Emergency (PDF), 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.This AFL clarifies approval is needed if a hospital is seeking a waiver of minimum nurse-to-patient ratios.

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