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.

Read More

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.

Read More

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.

Read More

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.

Read More

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.

Read More

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

AFL 20-35.4 From the California Department of Public Health July 19, 2021 TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs) (This AFL supersedes AFL 20-35.3) ​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 notifies all facilities that the temporary waiver of specified regulatory requirements contained in this AFL will expire September 30, 2021. This AFL informs applicants and certificate holders how to obtain/maintain an active/employable status after the expiration of the listed waivers on September 30, 2021.

Read More

Suspension of Regulatory Enforcement of Home Health Agency Requirements

AFL 20-72.1 From the California Department of Public Health July 16, 2021 TO: Home Health Agencies SUBJECT: Suspension of Regulatory Enforcement of Home Health Agency Requirements (This AFL supersedes AFL 20-72) ​AUTHORITY:     Executive Order N-75-20 (PDF) All Facilities Letter (AFL) Summary This AFL notifies home health agencies of a temporary waiver of specified regulatory requirements due to the state of emergency related to the Coronavirus Disease 2019 (COVID-19) outbreak.Effective July 17, 2021, waivers permitting a home health agency to provide care prior to obtaining approval from CDPH will expire.

Read More

Suspension of Regulatory Enforcement of Hospice Requirements

AFL 20-47.2 From the California Department of Public Health July 16, 2021 TO: Hospice Providers SUBJECT: Suspension of Regulatory Enforcement of Hospice Requirements (This AFL supersedes AFL 20-47.1) ​AUTHORITY:     Executive Order N-35-20 (PDF) All Facilities Letter (AFL) Summary This AFL notifies hospice providers of a temporary waiver of specified regulatory requirements due to the state of emergency related to the Coronavirus Disease 2019 (COVID-19) outbreak.Effective July 17, 2021, waivers permitting a hospice provider to provide care prior to obtaining license renewal or reinstatement or to add a location or service will expire.

Read More

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.

Read More

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.

Read More