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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SNF Coronavirus Disease 2019 (COVID-19) Daily Reporting

AFL 20-43.2 From the California Department of Public Health May 13, 2020 TO: Skilled Nursing Facilities (SNFs) SUBJECT: SNF Coronavirus Disease 2019 (COVID-19) Daily Reporting(This AFL supersedes AFL 20-43.1) ​AUTHORITY:      Title 42 Code of Federal Regulations (CFR) section 483.80                                 Proclamation of Emergency (PDF) All Facilities Letter (AFL) Summary This AFL requires all SNFs to report daily COVID-19 facility data to the California Department of Public Health (CDPH) via an online survey.

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Guidance for Decontamination and Reuse of N95 Filtering Facepiece Respirators

AFL 20-36.2 From the California Department of Public Health May 7, 2020 TO: General Acute Care Hospitals Skilled Nursing Facilities SUBJECT: Guidance for Decontamination and Reuse of N95 Filtering Facepiece Respirators(This AFL supersedes AFL 20-36.1) All Facilities Letter (AFL) Summary This AFL provides guidance for the handling of used N95 FFRs so they can be decontaminated and reused as respirator supplies are depleted during the Coronavirus Disease 2019 (COVID-19) pandemic.This AFL updates instructions on how to sign-up for the Battelle CCDS Critical Care Decontamination SystemTM and how to collect, properly package, and ship the used N95 FFRs to Battelle for decontamination.

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Visitor Limitations Guidance

AFL 20-38.1 From the California Department of Public Health May 2, 2020 TO: All Facilities SUBJECT: Visitor Limitations Guidance (This AFL supersedes AFL 20-38) All Facilities Letter (AFL) Summary This AFL notifies all facilities of new visitor limitation guidelines for pediatric patients, patients in labor and delivery, and patients at end-of-life.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.

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Skilled Nursing Facility Infection Prevention Calls

AFL 20-50 From the California Department of Public Health April 30, 2020 TO: Skilled Nursing Facilities SUBJECT: Skilled Nursing Facility Infection Prevention Calls ​All Facilities Letter (AFL) Summary This AFL notifies skilled nursing facilities (SNFs) that the California Department of Public Health (CDPH) is hosting weekly SNF Infection Prevention Calls, beginning May 7, 2020. The weekly calls will be held to discuss any recent updates on the Coronavirus Disease 2019 (COVID-19).

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

AFL 20-49 From the California Department of Public Health April 24, 2020 TO: All Facilities SUBJECT: Suspension of Professional Certification Requirements for Home Health Aides (HHAs) 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.

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

California Department of Health Care Services DATE: APRIL 24, 2020 ALL PLAN LETTER 20-011 TO: ALL MEDI-CAL MANAGED CARE HEALTH PLANS SUBJECT: GOVERNOR’S EXECUTIVE ORDER N-55-20 IN RESPONSE TOCOVID-19 PURPOSE: The purpose of this All Plan Letter (APL) is to provide information to Medi-Cal managed care health plans (MCPs) on temporary changes to requirements in state law as a result of the ongoing global Novel Coronavirus Disease (COVID-19) pandemic.

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SNF Coronavirus Disease 2019 (COVID-19) Daily Reporting

AFL 20-43.1 From the California Department of Public Health April 24, 2020 TO: Skilled Nursing Facilities (SNFs) SUBJECT: SNF Coronavirus Disease 2019 (COVID-19) Daily Reporting ​AUTHORITY:      Proclamation of Emergency (PDF); QSO 20-26 (PDF) All Facilities Letter (AFL) Summary This AFL requires all SNFs to report daily updates regarding current staffing levels, the number of COVID-19 patients, and equipment availability to the California Department of Public Health (CDPH) via an online survey.

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