These materials may not be distributed further, except for "fair use," without permission of the copyright owner. These materials may not be distributed further, except for "fair use," without permission of the copyright owner. Such agencies are not authorized to allow personnel who test positive for COVID-19 to return to work without first satisfying the conditions set forth in the December 30 CDPH Guidance. NOTICE: In accordance with Title 17 U.S.C., section 107, some material is provided without permission from the copyright owner, only for purposes of criticism, comment, scholarship and research under the "fair use" provisions of federal copyright laws. Table of Contents . If you would like to receive email notifications of AFL releases, please submit your request to, Reset All Facilities Letter (AFL) 21-08.9 updates the earlier guidance on isolation and quarantine periods in the following areas: (1-833-422-4255). Pursuant to All Facilities Letter (AFL) 20-26.13 from California Department of Public Health (CDPH), issued on June 30, 2022, stating that CDPH is temporarily waiving specified regulatory requirements until the end of the declared COVID-19 emergency. Britton Deerfield Elementary and High School. Liebert Cassidy Whitmore is Californias premier labor, education, and employment law firm. View Website. CDPH issued AFL 20-34.5 on February 8, 2022 The AFL notifies ADHC licensees that: Flexibility of regulatory requirements for ADHC licensing in effect during the COVID-19 pandemic will end on March 31, 2022 EffectiveApril 1, 2022, all ADHC licensees (meaning All CBAS Providers) must again meet all ADHC licensing requirements specified Sacramento, CA 95899-7377, For General Public Information: California Department of Public Health (CDPH) or the California Department of Social Services (CDSS). As soon as possible after one (or more) COVID-19 positive individuals (resident or HCP) is identified in a facility, serial retesting of all 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. It looks like your browser does not have JavaScript enabled. 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, Notice of Testing Supply Availability and Distribution Process, Assembly Bill (AB) 1407 Nurses: Implicit Bias Courses, Senate Bill (SB) 311 Compassionate Access to Medical Cannabis Act, Senate Bill (SB) 353 Extension of Palliative Cw, Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW), Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs), Appeal Procedures for Direct Care Service Hours Per Patient Day Penalties, Coronavirus Disease 2019 (COVID-19) Vaccine and Booster Recommendations for Clinically Eligible Individuals, Health Impacts of the Infant Formula Shortage, Updated Regulatory References to Health Care Standards of Practice, Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF), Request for Interest in Serving as a Temporary Manager, Notice of Stakeholder Meeting for Hospice Regulations, Fiscal Year (FY) 2022-23 Health Care Facility License Fee Schedule, Coronavirus Disease 2019 (COVID-19) Treatment Resources for Skilled Nursing Facilities (SNFs), Skilled Nursing Facilities (SNF), and General Acute Care Hospitals(GACH) with a SNF Distinct Part (DP), Enhanced Standard Precautions for Skilled Nursing Facilities, 2022, Guidance for Response to Surge in Respiratory Viruses, Ebola Virus Disease Information and Preparedness, Facility Emergency Contact and All Facilities Letter Recipient Information, Assembly Bill (AB) 2673 Expansion of Hospice Agency Licensure Requirements, Oversight, and Enforcement, Movement of Patients/Residents in the Healthcare Continuum During Seasonal Surges and the Coronavirus Disease 2019 (COVID-19) Pandemic, Guidance for Response to Surge in Respiratory Viruses Among Adult Patients, Winter Weather Emergency Preparedness Advisory. GACHs, Assembly Bill (AB) 2145: Dental Services: Long-Term 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. continuum, the California Department of Public Health (CDPH) has released an All Facilities Letter that provides revised temporary isolation, quarantine, and return to work . Alternative return to work protocol may permit sufficient staffing in order for the employer to continue providing essential services while also reducing the health and medical risks to patients under their care and also their own legal exposure. Please turn on JavaScript and try again. During this time, this guidance will supersede the tables SACRAMENTO - The California Office of Youth and Community Restoration (OYCR) and Vera Institute of Justice (Vera) announced today the four counties selected via a competitive process to participate in the Ending Girls' Incarceration in California Action Network (the Action Network).Through their participation in the Action Network over the next year, Imperial, Los Angeles, Sacramento, and . [1] All Facilities Letter (AFL) 21-08.7. If you have questions related to a particular department, general information may be found on this website. This AFL provides the rollout schedule for centralization of the program flexibility process by district office and prioritization criteria for registering users for the online application. Facilities must report extreme heat conditions that compromise patient health and safety and/or require an evacuation, transfer, or discharge of patients. CDPH then expanded the scope of the AFLs quarantine guidance to cover emergency medical services personnel.[2]. Pursuant to the Governors Executive Order N-35-20 and Executive OrdersN-17-21(PDF)andN-21-21(PDF) related to COVID-19, the Director of the California Department of Public Health (CDPH) may waive any of the licensing and staffing requirements of Chapter 3.3 of Division 2 of the Health and Safety Code (HSC) and accompanying regulations with respect to any ADHC identified inHSC section 1575. Between December 15, 2021 and January 31, 2022, Facilities shall ensure that all Facility residents, employees, contracted healthcare professionals including consultants and . All Facilities Letter 16-06 AFL 15-22 Centers for Medicare and Medicaid Services (CMS) AFL 15-22 Emergency Preparedness Checklist Revision AFL 13-13 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. 201 College Ave. Britton, MI 48229. Updated Isolation and Quarantine Requirements for Health Care Personnel. (916) 558-1784, COVID 19 Information Line: Decrease, Reset All Facilities Letters Licensing and certification All Facilities Letters - Library 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. 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. California Department of Public Health Center for Health Care Quality . All Facilities Letters - Released 2018. 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. 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 . to Default, California Conference of Local Health Officers, Communicable Disease Control And Prevention, Chronic Disease Injury Prevention Agenda 1-5-2017, Chronic Disease Injury Prevention Agenda 2-15-2017, Chronic Disease Injury Prevention Agenda 3-2-2017, Center for Chronic Disease Prevention and Health Promotion, Division of Chronic Disease and Injury Control, Tobacco Education and Research Oversight Committee, Preventive Medicine Public Health Residency Program, California Epidemiologic Investigation Service Fellowship Program, California Stroke Registry-California Coverdell Program, Guidelines, Resources, and Evidence-Based Best Practices for Providers, Chronic Disease Surveillance and Research Branch, California Comprehensive Cancer Control Program, California's Comprehensive Cancer Control 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to Take Precautions to Prevent Zika, Local Transmission Confirmed in Ensenada, Mexico, Office of Health Equity - Health Equity Policy & Planning Unit, CDPH Climate Change and Health Equity (CCHE), Office of Health Equity Advisory Committee, Health Research and Statistics Unit (HRSU), CDPH Climate Change and Health Profile Reports, CDPH Climate Change and Health Equity - CalBRACE Project, CDPH Climate Change and Health Vulnerability Indicators, Office of Legislative and Governmental Affairs, Office of Professional Development & Engagement, Meet the Former Interns - Yesenia Posadas, Office of the State Public Health Laboratory Director, California Laboratory Animal Use Approval Program, Complaints Program - Laboratory Field Services, Clinical Laboratory Technology Advisory Committee (CLTAC), Clinical Laboratory Scientist Trainee License, Clinical Chemist Scientist Trainee License, Clinical Cytogeneticist Scientist Trainee License, Clinical Genetic Molecular Biologist Scientist Trainee License, Clinical Hematologist Scientist Trainee License, Clinical Histocompatibility Scientist Trainee License, Clinical Immunohematologist Scientist Trainee License, Clinical Microbiologist Scientist Trainee License, Clinical Toxicologist Scientist Trainee License, Clinical Laboratory Professional Licensing, Renewal of Clinical Laboratory Personnel Licenses & Certificates, en CDPH Provides Updated Guidance for SNFs The California Department of Public Health (CDPH) has issued several new and updated All Facilities Letters (AFLs) for skilled-nursing facilities (SNFs). January 8, 2022 through February 1, 2022, CDPH is temporarily adjusting the return-to-work criteria. 1-833-4CA4ALL 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. Read More 19 Dec 2022 CDPH Issues Updated Hospice Licensure Requirements CDPH will send out an email to the facility representative email addresses on file with a link to further instructions on registering for the RSS system. CANHR Alerts, News and Resources regarding the COVID-19 Crisis. [3] See CDPH, Guidance for Local Health Jurisdictions on Isolation and Quarantine of the General Public, providing that Emergency Medical Services personnel are permitted to follow the Guidance on Quarantine for Health Care Personnel in AFL 21-08.7, 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. 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. ZRR, IAfF All correspondence regarding the application will be sent to the point of contact. Health care workers shall not return to work, except in the situation of a contingency or crisis situation, until (see Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2 (CDC) and current CDPH All-Facility Letters): Prior Isolation and Quarantine Requirements. Center for Health Care Quality Licensing and Certification Program All Facilities Letters - 2022 licensing and certification All Facilities Letters - 2022 It is recommended to use Google Chrome, Microsoft Edge, or Firefox as your web browser when opening the AFL. We provide the leadership, advocacy, training and tools that empower Californias hospitals and health systems to do their best work. 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. For CNOs, compliance officers, government relations executives, CMS to Hold Webinar on Inpatient Psychiatric Facility Quality Reporting Program, CDPH and HCAI Commit to Quick Turnaround for Space Waiver Requests. All Facilities Letters (ca.gov) . To provide a smooth transition and mitigate delays in responding to requests, CHCQ has developed an implementation plan. That AFL. [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.). AFL 21-34.3 From the California Department of Public Health February 22, 2022 TO: All Facilities SUBJECT: Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP)(This AFL supersedes AFL 21-34.2) AUTHORITY: State Public Health Order Health Care Worker Vaccine Requirement State Public Health Order Adult Care Facilities and Direct Care Worker Vaccine Requirement All Facilities Letter (AFL) Summary This AFL notifies all facilities of the August 5, 2021Public Health Orderrelated to mandatory vaccination for healthcare workers in identified healthcare settings. 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. The California Department of Public Health (CDPH) Center for Health Care Quality (CHCQ) is centralizing and automating the program flexibility process for all facilities requesting program flexibility and for skilled nursing facilities (SNF) requesting Workforce Shortage Waivers (WSW) and Patient Needs Waivers (PNW). AFL 21-08.7 From the California Department of Public Health 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 21-08.6) 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.From January 8, 2022 until February 1, 2022, HCP who test positive for SARS-CoV-2 and are asymptomatic, may return to work immediately without isolation and without testing, and HCPs who have been exposed and are asymptomatic may return to work immediately without quarantine and without testing. We are able to assist public agencies and non-profit clients exercise their authority concerning the isolation or quarantine periods for covered employees. endstream endobj startxref 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 the California Code of Regulations which cite . On January 8, 2022, the California Department of Public Health ("CDPH") issued an updated All Facilities Letter ("AFL")[1] to hospitals and skilled nursing facilities ("SNFs") advising them of the temporary removal of the isolation and quarantine requirements for certain health care personnel following a COVID-19 diagnosis or close contact exposure. 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. Facilities will be invited to register based on the district office where the facility is located. AFL 21-08.7 From the California Department of Public Health 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 . AFL 22-34.5 From the California Department of Public Health February 8, 2022 TO: Adult Day Health Care Centers (ADHCs) SUBJECT: Suspension of Regulatory Enforcement of Specified ADHC Requirements (This AFL supersedes AFL 20-34.4) AUTHORITY: Executive OrderN-35-20(PDF),N-08-21(PDF),N-17-21(PDF), andN-21-21(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 revision extends the temporary waiver of specified regulatory requirements in this AFL until March 31, 2022. Therefore, prior to adopting such a policy, the employer must provide notice and an opportunity to bargain the change to the employee organizations that represents the employees affected by the decision.[4]. 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.
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