Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

AFL 20-53.2 From the California Department of Public Health  July 31, 2020 TO: Skilled Nursing Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF) (This AFL supersedes AFL 20-53.1) All Facilities Letter (AFL) Summary This AFL provides recommendations from the California Department of Public Health (CDPH) for SNFs developing COVID-19 Mitigation Plans.

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Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

AFL 20-53.1 From the California Department of Public Health July 29, 2020 TO: Skilled Nursing Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)(This AFL supersedes AFL 20-53) All Facilities Letter (AFL) Summary This AFL provides recommendations from the California Department of Public Health (CDPH) for SNFs developing COVID-19 Mitigation Plans.

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Deployment of Online Survey Application for Coronavirus Disease 2019 (COVID-19) SNF Mitigation Surveys

AFL 20-63 From the California Department of Public Health July 28, 2020 TO: Skilled Nursing Facilities (SNFs) SUBJECT: Deployment of Online Survey Application for Coronavirus Disease 2019 (COVID-19) SNF Mitigation Surveys All Facilities Letter (AFL) Summary This AFL announces the California Department of Public Health (CDPH’s) phased launch of a new online application for conducting surveys and investigations.Beginning August 7, 2020, CDPH will use the Risk and Safety Solutions (RSS) Inspect to conduct COVID-19 Mitigation Surveys and submit Statements of Deficiencies to SNFs.

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Visitor Limitations Guidance

AFL 20-38.3 From the California Department of Public Health July 13, 2020 TO: All Facilities SUBJECT: Visitor Limitations Guidance (This AFL supersedes AFL 20-38.2) All Facilities Letter (AFL) Summary This AFL notifies all facilities of updated visitor guidelines for pediatric patients, patients in labor and delivery, neonatal intensive care unit (NICU) patients, pediatric intensive care unit patients (PICU) patients, and patients at end-of-life and patients with physical, intellectual, and/or developmental disabilities and patients with cognitive impairments.Health facilities may permit a support person to accompany a patient for whom a support person has been determined to be essential to the care of the patient (medically necessary), including patients with physical, intellectual, and/or developmental disabilities and patients with cognitive impairments.This AFL has been updated to clarify that long-term care facilities and hospitals may permit students obtaining their clinical experience as part of an approved nurse assistant, vocational nurse, or registered nurse training program into the facility if they meet the CDC guidelines for healthcare workers.

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Suspension of Regulatory Enforcement of Specified ADHC Requirements

AFL 20-34.1 From the California Department of Public Health June 26, 2020 TO:Adult Day Health Care Centers (ADHCs) SUBJECT: Suspension of Regulatory Enforcement of Specified ADHC Requirements (This AFL supersedes AFL 20-34) ​AUTHORITY:     Executive Order N-35-20 (PDF) ​All Facilities Letter (AFL) Summary This AFL notifies ADHCs 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 has been updated to extend the waiver until March 1, 2021.

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Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities

AFL 20-22.3 From the California Department of Public Health June 26, 2020 TO: Long-Term Care Facilities SUBJECT: Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities (This AFL supersedes guidance provided in AFL 20-22.2) All Facilities Letter (AFL) Summary This AFL notifies long-term care (LTC) facilities of 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 Coronavirus Disease 2019 (COVID-19), including revised guidance for visitation.This AFL authorizes LTC 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 residents, staff, and the public.This AFL updates visitation guidance in accordance with revised CMS guidance in order to safely reopen SNFs to visitors.

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Suspension of Regulatory Enforcement of Hospital Requirements

AFL 20-26.1 From the California Department of Public Health June 26, 2020 TO: General Acute Care Hospitals SUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements (This AFL supersedes AFL 20-26) ​AUTHORITY:     Executive Order N-27-20 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 has been updated to extend the waiver until March 1, 2021.

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Visitor Limitations Guidance

AFL 20-38.2 From the California Department of Public Health June 16, 2020 TO: All Facilities SUBJECT: Visitor Limitations Guidance (This AFL supersedes AFL 20-38.1) All Facilities Letter (AFL) Summary This AFL notifies all facilities of updated visitor guidelines for pediatric patients, patients in labor and delivery, and patients at end-of-life and patients with physical, intellectual, and/or developmental disabilities and patients with cognitive impairments.This AFL clarifies that health facilities may permit a support person to accompany a patient for whom a support person has been determined to be essential to the care of the patient (medically necessary), including patients with physical, intellectual, and/or developmental disabilities and patients with cognitive impairments.This AFL has been updated to include updated guidance for neonatal intensive care unit (NICU) and pediatric intensive care unit patients (PICU).

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Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities

AFL 20-22.2 From the California Department of Public Health June 1, 2020 TO: All Long-Term Care Facilities SUBJECT: Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities (This AFL supersedes guidance provided in AFL 20-22.1) All Facilities Letter (AFL) Summary This AFL notifies long-term care facilities of 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 revised guidance for visitation.

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Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

AFL 20-53 From the California Department of Public Health May 22, 2020 TO: Skilled Nursing Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF) All Facilities Letter (AFL) Summary This AFL provides recommendations from the California Department of Public Health (CDPH) for SNFs developing COVID-19 Mitigation Plans.

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