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

AFL 21-08.4 From the California Department of Public Health September 9, 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 21-08.3) All Facilities Letter (AFL) Summary The purpose of this AFL is to provide health care facilities with 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 guidance on return to work for HCP diagnosed with COVID-19, including strategies to mitigate HCP staffing shortages.

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UPDATED FACILITY STAFF TESTING AND MASKING GUIDANCE FOR CORONAVIRUS DISEASE 2019 (COVID-19)

California Department of Social Services PIN 21-32-ASC July 27, 2021 PIN 21-32-ASC (Supersedes PIN 21-28-ASC) TO: ALL ADULT AND SENIOR CARE PROGRAM RESIDENTIAL LICENSEES Original signed by Kevin Gaines FROM: KEVIN GAINESDeputy DirectorCommunity Care Licensing Division SUBJECT: UPDATED FACILITY STAFF TESTING AND MASKING GUIDANCE FOR CORONAVIRUS DISEASE 2019 (COVID-19) Provider Information Notice (PIN) Summary Effective August 9, 2021, PIN 21-32-ASC supersedes PIN 21-28-ASC, dated June 7, 2021, regarding routine diagnostic screening testing guidance for facility staff in Adult and Senior Care (ASC) residential facilities.

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Suspension of Regulatory Enforcement of Hospital Requirements

AFL 20-26.9 From the California Department of Public Health July 16, 2021 TO: General Acute Care Hospitals SUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements (This AFL supersedes AFL 20-26.8) ​AUTHORITY:     Proclamation of Emergency (PDF), Executive Orders: N-27-20 (PDF) and N-39-20 (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.Effective July 17, 2021, this AFL extends the temporary waiver related to space requirements until September 30, 2021.

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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 21-10-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 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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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 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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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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Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

AFL 20-53.4 From the California Department of Public Health June 7, 2021 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 20-53.3) All Facilities Letter (AFL) Summary This AFL provides updated recommendations from the California Department of Public Health (CDPH) for SNFs conducting diagnostic screening testing of SNF health care personnel (HCP), and response-driven testing of SNF residents and HCP to prevent spread of COVID-19 in the facility informed by CDC recommendations and CMS requirements.This revision updates and clarifies CDPH routine diagnostic screening testing guidance for SNF HCP based upon their individual COVID-19 vaccination status and the SNF’s percentage of residents and HCP that are fully vaccinated.  Updated Testing Guidance Based Upon Progress with COVID-19 VaccinationRoutine SARS-CoV-2 diagnostic screening testing of SNF HCP, and response testing of SNF residents and HCP have been essential to protect the vulnerable SNF population.

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