INFECTION CONTROL PLAN COURTESY FORMS FOR ADULT AND SENIOR CARE FACILITIES

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California Department of Social Services PIN 22-18-ASC

June 3, 2022

TO: ALL ADULT AND SENIOR CARE PROVIDERS

Original signed by Kevin Gaines

FROM: KEVIN GAINES
Deputy Director
Community Care Licensing Division

SUBJECT: INFECTION CONTROL PLAN COURTESY FORMS FOR ADULT AND SENIOR CARE FACILITIES

Provider Information Notice (PIN) Summary

PIN 22-1-ASC announces the release of the Infection Control Plan courtesy forms for Adult and Senior Care (ASC) facilities with the exception of Adult Residential Facilities for Persons with Special Health Care Needs (ARFPSHNs). These courtesy forms include a section for the Infection Control Plan and the Emergency Infection Control Plan.

Please post/keep this PIN in the facility where persons in care can easily access it.

Download PDF HERE