GOVERNOR’S EXECUTIVE ORDER N-55-20 IN RESPONSE TO COVID-19

California Department of Health Care Services DATE: July 8, 2021 ALL PLAN LETTER 20-011 (REVISED) TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT: GOVERNOR’S EXECUTIVE ORDER N-55-20 IN RESPONSE TO COVID-19PURPOSE:The purpose of this All Plan Letter (APL) is to provide information to Medi-Cal managed care health plans (MCPs) regarding the termination of temporary flexibilities that were issued by the Department of Health Care Services (DHCS) pursuant to Executive Order (EO) authority in response to the COVID-19 public health emergency (PHE).

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UPDATED STATEWIDE WAIVER AND GUIDANCE FOR ADMINISTRATOR CERTIFICATION PROGRAM DUE TO CORONAVIRUS DISEASE 2019 (COVID-19).

California Department of Social Services PIN 21-09-CCLD July 8, 2021 (Supersedes in part PIN 20-28-CCLD) TO: CERTIFIED ADMINISTRATORS (PROSPECTIVE AND CURRENT) ADMINISTRATOR CERTIFICATION PROGRAM TRAINING VENDORS Original signed by Kevin Gaines FROM: KEVIN GAINES Deputy Director Community Care Licensing Division SUBJECT: UPDATED STATEWIDE WAIVER AND GUIDANCE FOR ADMINISTRATOR CERTIFICATION PROGRAM DUE TO CORONAVIRUS DISEASE 2019 (COVID-19) Provider Information Notice (PIN) Summary PIN 21-10-CCLD supersedes PIN 20-28-CCLD dated December 15, 2020, in part as it relates to the Administrator Certification Examination waiver and the ability to apply for a Conditional Administrator Certificate, updates the statewide waivers for the Administrator Certification Program, and provides updated guidance to Prospective and Current Certified Administrators of Adult Residential Facilities, Group Homes, Residential Care Facilities for the Elderly, and Short-Term Residential Therapeutic Programs and Administrator Certification Program Training Vendors.

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Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs)

AFL 20-57.1 From the California Department of Public Health July 8, 2021 TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs) (This AFL supersedes AFL 20-57) AUTHORITY:      Proclamation of a State of Emergency (PDF), Executive Orders  N-39-20 (PDF) and N-08-21 (PDF) All Facilities Letter (AFL) Summary This AFL notifies all HHA Training Programs of a temporary waiver of specified statutory and regulatory requirements for HHA Training Programs due to the state of emergency related to the COVID-19 outbreak.This AFL notifies all facilities that the temporary waiver of specified statutory and regulatory requirements is expiring September 30, 2021.  Pursuant to the Governor’s Executive Order N-39-20 (PDF) related to the COVID-19 state of emergency, the Director of the California Department of Public Health (CDPH) may waive any of the professional certification requirements and amend scopes of practice of Chapter 8 of Division 2 of the Health and Safety Code (HSC) and accompanying regulations with respect to home health aides.

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Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs)

AFL 20-35.3 From the California Department of Public Health July 8, 2021 TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs) (This AFL supersedes AFL 20-35.2) ​AUTHORITY:      Proclamation of a State of Emergency (PDF), Executive OrderN-39-20 (PDF), and Executive Order N-08-21 (PDF)  All Facilities Letter (AFL) Summary This AFL notifies all facilities of a temporary waiver of specified statutory and regulatory requirements for CNAs due to the state of emergency related to the COVID-19 outbreak.This AFL allows a CNA who remains in an “employable during state of emergency” status to complete in-service or continuing education units and count them towards certificate renewal.This revision:Adds specific instructions for applicants submitting reciprocity applications.Notifies facilities who hired CNAs under the “Reciprocity” section of this AFL that they must retain a copy of the applicant’s verification form for a period of four years.This AFL notifies all facilities that the temporary waiver of specified regulatory requirements contained in this AFL will expire September 30, 2021.

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Suspension of Specified Regulatory Requirements for Nurse Assistant Training Programs (NATPs)

AFL 20-40.1 From the California Department of Public Health July 8, 2021 TO: All Facilities Nurse Assistant Training Programs SUBJECT: Suspension of Specified Regulatory Requirements for Nurse Assistant Training Programs (NATPs) (This AFL supersedes AFL 20-40) ​AUTHORITY:     Proclamation of a State of Emergency (PDF) and Executive OrdersN-39-20 (PDF), and Executive Order N-08-21 (PDF) All Facilities Letter (AFL) Summary This AFL notifies all facilities of a temporary waiver of specified statutory and regulatory requirements for NATPs and nursing facilities due to the state of emergency related to the COVID-19 outbreak. This revision notifies all facilities the temporary waiver of specified regulatory requirements contained in this AFL will expire September 30, 2021.

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Suspension of Professional Certification Requirements for Home Health Aides (HHAs)

AFL 20-49.2 From the California Department of Public Health July 8, 2021 TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Home Health Aides (HHAs) (This AFL supersedes AFL 20-49.1) ​AUTHORITY:        Proclamation of a State of Emergency (PDF), Executive Orders N-39-20 (PDF) and N-08-21 (PDF) All Facilities Letter (AFL) Summary This AFL notifies all facilities of a temporary waiver of specified statutory and regulatory requirements for HHAs due to the state of emergency related to the COVID-19 outbreak.This AFL notifies all facilities that the temporary waiver of specified statutory and regulatory requirements is expiring September 30, 2021.  Pursuant to the Governor’s Executive Order N-39-20 (PDF) related to the COVID-19 state of emergency, the Director of the California Department of Public Health (CDPH) may waive any of the professional certification requirements and amend scopes of practice of Chapter 8 of Division 2 of the Health and Safety Code (HSC) and accompanying regulations with respect to HHAs.

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Hopes, fears and tears: Staff, relatives of residents at Pacific Coast Manor tell their stories

By Melissa Hartman, Santa Cruz Sentinel, July 6 2021 Two families stand (and lay) right outside of Pacific Coast Manor in Capitola. Eddie, Vanessa and Karina Martinez (back center) hold photographs of their late mother, former facility resident Maria Martinez. Elizabeth Hidalgo (left, holding her dog) and Osa “Bear” Hidalgo de la Riva (far right) pose near their mother Angela “Lola” dela Riva, who they wheeled through the property and down to the sidewalk so she could be included in the photoshoot.

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Regulatory Update for Medical Information Breach Administrative Penalties and Reporting Requirements

AFL 21-21 From the California Department of Public Health July 2, 2021 TO: All FacilitiesSUBJECT: Regulatory Update for Medical Information Breach Administrative Penalties and Reporting Requirements ​AUTHORITY: California Health and Safety Code (HSC) section 1208.15  All Facilities Letter (AFL) Summary This AFL informs health care facilities of adopted regulations, effective July 1, 2021. The regulations are available at the Office of Regulations website.The regulations clarify how administrative penalties for violations of medical information breach will be assessed.The regulations also specify reporting requirements and procedures that health care facilities must follow for medical information breaches.

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Avoid Long Term Care Facilities with Restrictive Visitation Policies

Despite plummeting rates of COVID infections and deaths in nursing homes and the lifting of public health-oriented restrictions, long term care facilities throughout the state are still limiting visits from families and friends to a measly 30 minutes per week.  Other facilities, in stark contrast, are permitting extensive daily visitation.  The wide range of visitation policies among facilities has been enabled by the State’s continued waiver of laws that normally require broad visitation access for residents.  Potential residents and their loved ones are strongly encouraged to speak with the managers of facilities they are considering and ask for written copies of their visitation policies.

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

AFL 21-08.3 From the California Department of Public Health June 28, 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 (This AFL supersedes AFL 21-08.2) 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.This revision includes updated risk assessment and quarantine guidance from the Centers for Disease Control and Prevention (CDC) for HCP working in hospitals and SNFs and SNF residents who have been fully vaccinated against SARS-CoV-2.

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