PDF AFC Skilled Nursing Facilities Infection Prevention Call 21.08.6, provided reduced isolation periods and testing considerations for COVID-19 positive health care professionals and provided for return to work requirements under both routine and critical staffing shortage scenarios. The online registration process is now available to SNFs. Given that these employees will be providing medical care to individuals, some of whom may be immunocompromised or susceptible to a serious case of COVID-19, there are significant legal risks in discontinuing isolation and quarantine periods without first testing employees for COVID-19. On Jan.7,CDPH releasedAll Facilities Letter 22-01thatprovidesthe rollout schedule for centralization of the program flexibility process by district office and prioritization criteria for registering users for the online application. All Facilities Letters - Released 2018. (916) 558-1784, COVID 19 Information Line: CDPH All Facilities Letters Archives - CANHR COVID-19 News & Resources AFL by Topic | Clearpol Britton Deerfield Elementary and High School. If you need additional assistance, we . All Facilities Letter (AFL) Summary - CANHR COVID-19 News & Resources !`@&uA(Il8Hs8(1YI lb&V%3% 30>O(60r|D;l @ud``IU_ Please turn on JavaScript and try again. The California Department of Public Health (CDPH)with the California Association of Long Term Care Medicine (CALTCM), California Association of Health Facilities (CAHF), and Health Services Advisory Group (HSAG)hosts a monthly (4th Wednesday) webinar on infection prevention for long term care facilities to discuss any recent updates on AFL 22-07 From the California Department of Public Health February 7, 2022 TO: Skilled Nursing Facilities SUBJECT: Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)(This AFL supersedes AFL 20-22.9) All Facilities Letter (AFL) Summary This AFL notifies SNFs of updated CDPH, 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 guidance for visitation.This AFL provides CDPH guidance for group activities and communal dining based upon vaccination status of residents.This AFL requires SNFs to develop and implement processes for verifying the vaccination status of all visitors, and for obtaining and tracking documentation of SARS-CoV-2 diagnostic test of all visitors.This AFL updates restrictions on visitation and also removes outdated exemptions to visitation restrictions. All Facilities Letters - 2020 - public.staging.cdph.ca.gov Certified Nurse Assistant training programs. PDF Long Term Care Facilities COVID-19 Outbreak Recommendations For more information go to:http://www.law.cornell.edu/uscode/17/107.shtml, CANHRs 10 Point Plan to Reform California Nursing Homes, California County Departments of Public Health, California Department of Public Health Covid Reporting, California Department of Social Services RCFE COVID-19 Data, Centers for Medicaid & Medicare Services COVID-19 Reporting, Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs), Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19, http://www.law.cornell.edu/uscode/17/107.shtml, Fresno, Riverside, Chico, and San Francisco, Bakersfield, Sacramento, and San Bernardino, LA Region 2, LA Region 3, State Facilities, and LAAU. As a result, emergency medical service provider agencies, such as fire departments, only possess the authority to allow emergency medical service personnel who have had a close contact exposure and are asymptomatic to return to work immediately and without testing. Employers should evaluate the relative risks of such a decision and potentially consider other return to work protocols, such as returning employees to work after reduced isolations and quarantines periods, or, for health care personnel, allowing only employees who have had close contact exposures, but not a positive COVID-19 diagnosis, to return to work immediately. 967 0 obj <> endobj 1-833-4CA4ALL The changes in the AFL apply from January 8, 2022, to February 1, 2022, and remove the otherwise applicable exclusion requirements for covered personnel so long as such employees are asymptomatic. 1-833-4CA4ALL If you would like to receive email notifications of AFL releases, please submit your request to, Reset PDF CDPH AFL: Guidance on Quarantine and Isolation for Health Care to Default, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, Centers for Disease Control and Prevention, Certified Nurse Assistant training programs, Senate Bill 449 - CNA Training Program Requirement Changes, Assembly Bill 1014 - Diesel Backup Generator Testing, Senate Bill 294 - Palliative Care Expansion Pilot Program, Intermediate Care Facilities, Skilled Nursing Facilities, All Deemed General Acute Care Hospitals, Home Health Agencies, Ambulatory Surgical Centers, and Hospices, Referrals to Accreditation Organizations, All Deemed Ambulatory Surgical Centers, General Acute Care Hospitals, Home Health Agencies, and Hospices, Referrals to Accreditation Organizations (AO) Supersedes AFL 17-11 and revises AFL 18-05, Senate Bill 432: Changes to notification requirements to emergency prehospital medical care personnel of exposure to reportable communicable disease, Assembly Bill 1456: Professional Licensure, Congregate Living Health Facilities, Intermediate Care Facilities (ICF), ICF/Developmentally Disabled (DD), ICF/DD - Continuous Nursing, ICF/DD - Habilitative, ICF/DD - Nursing, Skilled Nursing Facilities, Influenza Outbreaks in Long-Term Care Facilities, Requesting Increased Patient Accommodations Including Medical Surge Tent Use, Assembly Bill 275 - LTC Facilities Closures, General Acute Care Hospitals, Acute Psychiatric Hospitals, Special Hospitals, Hospice Facilities, Assembly Bill 1102: Increase in Fines for Retaliation Against Whistleblowers, Senate Bill 97: Implementation of 3.5 Direct Care Hours and Assembly Bill 130: Quality and Accountability Supplemental Payments Eligibility Clarification, General Acute Care Hospitals, Acute Psychiatric Hospitals, Program Flexibility Pharmacy Technicians and Intern Pharmacists Senate Bill 1039, Senate Bill 798 - 805.01 Reports to the Medical Board of California, Hospice Data Reporting to the Office of Statewide Health Planning and Development (OSHPD), Guidelines for the Workforce Shortage Waiver of the 3.5 Direct Care Service Hour Requirement and/or the 2.4 Hours Per Patient Day Performed by Certified Nurse Assistants, Posting Schedule for the 3.5 Direct Care Hours - Patient Acuity Waiver, Online Licensing/Certification Application Process, New or Remodeled Pharmacy Clean Rooms and Use of Mobile Sterile Compounding Units (MSCU), Lesbian, Gay, Bisexual, and Transgender (LGBT) Training Requirements, Request for Stakeholder Input in Amending GACH Cardiovascular Surgery Service and Cardiac Catheterization Laboratory Service Regulations, Request for Stakeholder Input in Amending GACH Surgical Service Regulations, Request for Stakeholder Input in Amending GACH Anesthesia Service Regulations, Announcement of New Skilled Nursing Facility Direct Care Hours Regulations, Guidelines for 3.5 Direct Care Service Hours Per Patient Day (DHPPD) Staffing Audits Pursuant to the Authority Provided in Welfare and Institutions Code section 14126.022, Fiscal Year (FY) 2018-2019 Health Care Facility License Fee Schedule, Request for Stakeholder Input in Amending GACH Administration Regulations, Request for Stakeholder Input in Amending GACH Employee/Personnel Records and Requirements Regulations, Request for Stakeholder Input in Amending GACH License, Supplemental Service Approval, and Special Permit Regulations, Request for Stakeholder Input in Amending GACH Medical Records Regulations, Request for Stakeholder Input in Amending GACH Medical Service Regulations, Request for Stakeholder Input in Amending GACH Records and Reporting Regulations, Request for Stakeholder Input in Amending GACH Regulations Specific to Small and Rural Hospitals, Notice of Stakeholder Meeting for Certified Nurse Assistant/Home Health Aide Training Program Regulations, Intermediate Care Facilities (ICF)/Developmentally Disabled (DD), Implementation of the Federal Emergency Preparedness Regulation, Notice of Stakeholder Meeting for General Acute Care Hospital Infection Control and Physical Plant, Notice of Stakeholder Meeting for Unusual Occurrences Regulations, Notice of Stakeholder Meeting for Change of Ownership Regulations, California Department of Public Health Influenza Vaccine and Masking Policy, Name Change for the Center for Health Care Quality, Licensing and Certification (L&C), Centralized Applications Unit (CAU), Nursing Facilities, Skilled Nursing Facilities, Intermediate Care Facilities, and Swing Bed Hospitals, Minimum Data Set (MDS) Resident Assessment Instrument (RAI) 3.0 Users Manual v1.16, effective October 1, 2018, Announcement of 45-Day Public Comment Period for Skilled Nursing Facility Direct Care Hours Regulations, Notice of Stakeholder Meeting for Hospice Regulations, Public Safety Power Shutoff Power Outage Reporting, Assembly Bill (AB) 2679 Linen Laundry Processes, Certified Hemodialysis Technician Training Program Providers, End Stage Renal Disease Facilities, Notice of Stakeholder Meeting for Certified Hemodialysis Technician Training Program Regulations, Program waiver eligibility pursuant to Executive Order B-57-18, to expedite recovery efforts for health facilities affected by California wildfires, Assembly Bill (AB) 2798 Hospitals Licensing Timelines, Senate Bill (SB) 1138: Food Options: Plant-based Meals, Senate Bill (SB) 1280 - Extension of the Small House Skilled Nursing Facilities Pilot Program and Revision of Application Process, Assembly Bill (AB) 2983 (Arambula) - Health Care Facilities: Voluntary Psychiatric Care, Notice of Stakeholder Meeting for General Acute Care Hospital Infection Control and Physical Plant, Palliative Care Pilot Program Mandatory Annual Reporting. With this transition to an online platform, as well as havingacentralized team dedicated to this process, CDPH looks to increase efficiency and consistency in the review process. Every drop counts. Facilities must report extreme heat conditions that compromise patient health and safety and/or require an evacuation, transfer, or discharge of patients. If you have questions related to a particular department, general information may be found on this website. For human resources managers, legal counsel, supply chain & materials management executives, Suspension of Several Regulations to End when State of Emergency Expires, CDPH Publishes Resources for Hospital Response to Patient Surges, CDPH Issues Updated Visitor Guidance for Skilled-Nursing Facilities. ZRR, IAfF CDPH Adopts Shortened Isolation/Quarantine Periods with Unclear Application to Workplaces, CDPH Requires Workers at Health Care Facilities to Receive Vaccine Boosters, https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-on-Isolation-and-Quarantine-for-COVID-19-Contact-Tracing.aspx, CDPH Updates Isolation and Quarantine Recommendations. [2] On January 8, 2022, the California Department of Public Health (CDPH) extended the scope of the Guidance on Quarantine under the AFL 21-08.7 to cover emergency medical services personnel. (See CDPH, Guidance for Local Health Jurisdictions on Isolation and Quarantine of the General Public, available at the following web address: https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Guidance-on-Isolation-and-Quarantine-for-COVID-19-Contact-Tracing.aspx.). On Jan.7, CDPH released All Facilities Letter 22-01 that provides the rollout schedule for centralization of the program flexibility process by district office and prioritization criteria for registering users for the online application. Departments | Village of Britton User guides and training resources will be available at theCPFU website. An All Facilities Letter (AFL) is a letter from the Center for Health Care Quality (CHCQ), Licensing and Certification (L&C) Program to health facilities that are licensed or certified by L&C. CDPH All Facilities Letters Assembly Bill (AB) 1585 - Expansion of SNF Infection Preventionist (IP) Minimum Qualifications Monday, December 13th, 2021Thursday, December 30th, 2021CANHR STAFF 01/05/2018. AFL 22-02 From the California Department of Public Health January 14, 2022 TO: Skilled Nursing Facilities SUBJECT: Notice of Testing Supply Availability and Distribution Process All Facilities Letter (AFL) Summary This AFL notifies skilled nursing facilities(SNFs) that the state is sending roughly 330,000 Clinical Laboratory Improvement Amendments (CLIA) waived BinaxNow antigen tests to SNFs for the purposes of testing visitors seeking indoor visitation. CDPH All Facilities Letters 243 posts - CANHR COVID-19 News & Resources CDPH Removes Isolation and Quarantine Requirements for Certain Health The different departments of the Village of Britton work hard to take care of the community. Webinar to Help Students Read by Third Grade (added 14-Mar-2023) Letter to County and District Superintendents and Charter School Administrators regarding the CDE webinar to help students read by third grade and to support the achievement of black students. Bargaining Obligations for Employers with Represented Workforces, An employer that suspends isolation or quarantine requirements for its employees and requires that they remain at work is changing a term and condition of such employees employment. *All Facilities Letters are listed in ascending order by release date, with updated AFLs listed directly after their original version, Senate Bill (SB) 864 Fentanyl Screening in (1-833-422-4255). As per theordersFAQ, this testing regime must be fully implemented by Jan. 7. AFL 22-09 From the California Department of Public Health February 24, 2022 TO: All Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Vaccine and Booster Recommendations for Clinically Eligible Individuals All FacilitiesLetter (AFL) Summary The California Department of Public Health (CDPH) recommends facilities offer COVID-19 vaccinations and booster doses to clinically eligible individuals. L&C All Facilities Letters 2018 - California AFL 21-08.8 From the California Department of Public Health March 7, 2022 TO: General Acute Care Hospitals (GACHs)Acute Psychiatric Hospitals (APHs)Skilled Nursing Facilities (SNFs) SUBJECT: Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19(This AFL supersedes AFL 21-08.7) AUTHORITY:Proclamation of Emergency(PDF) All Facilities Letter (AFL) Summary The purpose of this AFL is to provide hospitals and SNF with updated guidance on:Exposure risk assessment and work restriction for asymptomatic HCP with SARS-CoV-2 exposures (quarantine)Work restrictions for HCP diagnosed with SARS-CoV-2 infection (isolation)This revision incorporates updated Centers for Disease Control and Prevention (CDC) guidance onInterim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2andStrategies to Mitigate Healthcare Personnel Staffing Shortages.Pursuant to Welfare and Institutions Code section 14126.033 a SNFs receipt of the annual increase in the weighted average Medi-Cal reimbursement rate may be conditioned on the facilitys good faith compliance with CDPH AFLs related to the COVID-19 Public Health Emergency, as a result the recommendations included in this AFL are requirements for SNFs.This AFL update supersedes and removes the temporarily adjusted return-to-work criteria in place from January 8, 2022 February 1, 2022, which was not renewed. CDPH Releases All Facilities Letter on Centralization of Program Centralization of Program Flexibility Application Process The purpose of this bulletin is to advise public agencies of the changes to the required exclusion periods for these employees, so that public agencies may revise their policies and protocol as circumstances demand in order to maintain staffing and continue to provide essential health care and emergency medical services. PDF Wednesday Webinar Frequently Asked Questions Document is Posted https to Default, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, Centers for Disease Control and Prevention. ?nzz Ir6AKtlwhH)YtE)KH|9p^u($Bm,J!M/or_ull6]1GqXVh2Hk6W>Z304Ntht.v[nxfl~Cu/ekvn0%86.wj}#+'pv)()\Z!$xVnXW-\0oxSm"8CL3H6{2MdSx-lj9}oZqNyJ"ilVUfzXwm)Rx}]n")MIc%+~s`YS uHzH2c=89\Qd$( jiF>C(FWY~&mM8m^7o4Dc"o0`,XO&10&RQ9J) Prior to the issuance of the updated CDPH AFL, health care and emergency medical services personnel were subject to the exclusion requirements set forth in an earlier AFL that aligned with then operative guidance from the Centers for Disease Control and Prevention (CDC). Schools | Village of Britton %PDF-1.6 % AFC Skilled Nursing Facilities Infection Prevention Call May 11, 2022 . CDPH is transitioning from Adobe Exchange Manager (AEM), the system used by SNFs for WSW and PNW applications. endstream endobj startxref (916) 558-1784, COVID 19 Information Line: (1-833-422-4255). Espaol, - AFL 21-20.1 From the California Department of Public Health February 7, 2022 TO: General Acute Care Hospitals (GACHs)Acute Psychiatric Hospitals (APHs)SUBJECT: Coronavirus Disease 2019 (COVID-19) Vaccine Recommendations for Eligible Individuals Prior to Discharge(This AFL supersedes AFL 21-20) All Facilities Letter (AFL) Summary This AFL recommends GACHs and APHs offer COVID-19 vaccinations and booster doses to eligible individuals prior to discharge. Beginning January 1, 2022, the SNFs will use the RSS online platform to submit PNW and WSW applications. All Facilities Letters (AFLs) - Emergency Preparedness January 14, 2022) California Department of Public Health (CDPH) CDPH All Facilities Letters (AFLs) CDPH COVID-19 Home CDPH Find All Guidance CDPH AFL 21- 35 Guidance for In-Center Services . During this time, this guidance will supersede the tables Before adopting the AFL standards in order to immediately return employees to the workplace who have COVID-19 or have had a close contact exposure, employers should assess the potential liability associated with such a decision. CDPH All Facilities Letters 243 posts - CANHR COVID-19 News & Resources Once registered with a role assigned and after successfully submitting an online application, the system will send a confirmation e-mail with an identification number (tracking ID number) to the point of contact listed on the application. Updated Quarantine Requirements for Emergency Service Personnel, In addition to covering health care personnel, the CDPH also provides that emergency medical services personnel are permitted to follow Guidance on Quarantine for Health Care Personnel in [the] AFL.[3]. To provide a smooth transition and mitigate delays in responding to requests, CHCQ has developed an implementation plan. The information contained in the AFL may include changes in requirements in healthcare, enforcement, new technologies, scope of practice, or general information that affects the health facility. CANHR Alerts, News and Resources regarding the COVID-19 Crisis. If possible, the CDPH also recommends that such personnel be assigned to provide care to patients who are COVID-19 positive. Bulletin Number. Sacramento, CA 95899-7377, For General Public Information: PDF San Francisco Public Library | Home | San Francisco Public Library California Department of Public Health Center for Health Care Quality . ?L`f J`BHQ$$X0 On Dec. 22, the California Department of Public Health (CDPH) issued apublichealthorderthat requires all eligible workers to receive their booster on or before Feb. 1. CDPH Infection Prevention Webinars - HSAG AFL 21-28.3 From the California Department of Public Health February 22, 2022 TO: Skilled Nursing FacilitiesSUBJECT: Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment (PPE) for Health Care Personnel (HCP) at Skilled Nursing Facilities (SNF)(This AFL supersedes AFL 21-28.2) All Facilities Letter (AFL) Summary This AFL requires SARS-CoV-2 diagnostic screening testing for HCP in SNFs. Facilities will be invited to register based on the district office where the facility is located. For SNF leaders, infection preventionists. Hospitals should and SNFs must now resume using the table, below, to guide work restrictions for HCP with SARS-CoV-2 infection and for asymptomatic HCP with exposures based upon HCP vaccination status and facility staffing level. This instruction limits the scope of coverage under the AFL for such employees to those circumstances where an employee, such as a fire fighter, has a close contact exposure to a COVID-19 case, but not to those situations where the employee has actually been diagnosed with COVID-19. 0 Employers of health care personnel who test positive for COVID-19 and are asymptomatic may return such employees to work immediately without isolation and without testing. CHA News 05 Dec 2022 CDPH Updates Quarantine Guidance The California Department of Public Health has revised its quarantine and isolation guidelines for health care employees. hb```#, AFL 22-12 From the California Department of Public Health June 24, 2022 TO: All Facilities SUBJECT: Updated Regulatory References to Health Care Standards of Practice AUTHORITY: Health and Safety Code (HSC) section 1275 All Facilities Letter (AFL) Summary This AFL notifies all facilities of proposed updates to regulatory references in Title 22 of Liebert Cassidy Whitmore attorneys are well-versed in the requirements set forth in the AFL, the exclusion requirements that would otherwise apply to such employees, as well as the use of the emergency exception. The following table includes the rollout schedule: Facilities with known program flexes scheduled to expire will be contacted 90 days prior to the expiration date separately via email to facilitate registration. All Facilities Letters - California Decrease, Reset For public employers, critical staffing shortages and the related threat to the continuity of essential medical services may satisfy the conditions necessary for the employer to invoke and use the emergency exception to the Meyers-Milias-Brown Act (MMBA).
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