CDPH Weekly Call-in Information: Tuesday 8:00am All Facilities Calls: 844.721.7239; Access code: 7993227 Wednesday 3:00pm SNF Infection Prevention Webinars: Register at: https://www.hsag.com/cdph-ip-webinars Thursday 12:00pm SNF Infection Prevention Calls: 877.226.8163; Access code: 513711 The Wednesday Webinar covered the following topics: Updated Isolation and Quarantine Requirements for Health Care Personnel. hbbd``b`~ $ & Dv "HJn@B,H,Hu0012Y K To provide a smooth transition and mitigate delays in responding to requests, CHCQ has developed an implementation plan. 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of SARS-CoV-2 diagnostic test of all visitors.This AFL updates restrictions on visitation and also removes outdated exemptions to visitation restrictions. (1-833-422-4255). The order also requires twice-weekly testing for workers who are unvaccinated or workers who are vaccinated, due for a booster, but not currently boosted. Every drop counts. Sacramento, CA 95899-7377, For General Public Information: 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 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]. AFL 21-26.12 From the California Department of Public Health March 16, 2022 TO: General Acute Care Hospitals SUBJECT: Suspension of Regulatory Enforcement of Hospital Requirements(This AFL supersedes AFL 20-26.11) AUTHORITY: Proclamation of Emergency, Executive Orders:N-39-20(PDF),N-08-21(PDF),N-12-21(PDF),N-21-21(PDF),andN-04-22(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.In accordance with the Executive OrderN-04-22(PDF), issued February 25, 2022, this AFL extends the temporary waiver related to space requirements until June 30, 2022. 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. [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.). Release Date . !`@&uA(Il8Hs8(1YI lb&V%3% 30>O(60r|D;l @ud``IU_ Senate Bill 449 - CNA Training Program Requirement Changes . If possible, the CDPH also recommends that such personnel be assigned to provide care to patients who are COVID-19 positive. Internet Explorer may not work correctly. We provide the leadership, advocacy, training and tools that empower Californias hospitals and health systems to do their best work. All Facilities Letters (ca.gov) . 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. If you would like to receive email notifications of AFL releases, please submit your request to, Reset 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 , B7fZld;!WuA#ckC)^l8Nn.ogzdMi~*=OSYNt9edoxAHye2mi1sy0Pob@]7lN=i~J- }F,&z|6y! CDPH is transitioning from Adobe Exchange Manager (AEM), the system used by SNFs for WSW and PNW applications. The registration rollout for program flexibility is scheduled by district office. ?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) Decrease, Reset 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. This AFL announces the new online application for Program Flexibility and Patient Needs Waiver and Workforce Shortage Waiver Applications and provides information on how to register as a user. To help hospitals comply with AB 1020, which takes effect on January 1, 2022, CHA has compiled the following details. (1-833-422-4255). We provide training, education, and legal representation to hundreds of public agencies, educational institutions and nonprofit organizations across the state of California. 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. Facility Type Affected . 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). 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. The new online application tool is called Risk and Safety Solutions (RSS). We are able to assist public agencies and non-profit clients exercise their authority concerning the isolation or quarantine periods for covered employees. 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. The California Department of Public Health (CDPH) revised its quarantine and isolation guidelines for a second time in as many weeks through a new All Facilities Letter (AFL) that takes effect today. 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 . On December 23, the California Department of Public Health (CDPH) released All Facilities Letter 21-54, which announces the chaptering of AB 1020 (Statutes of 2021, Chapter 473). 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]. Subject . January 8, 2022 through February 1, 2022, CDPH is temporarily adjusting the return-to-work criteria. However, beginning April 3, 2023, the state of California will no longer require vaccination and boosters for HCP. 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. 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. Espaol, - Refer to response testing guidance in CDPH AFL 20-53.6. Liebert Cassidy Whitmore is Californias premier labor, education, and employment law firm. Congregate Living Health Facilities (CLHF), Pediatric Day Health and Respite Care Facilities (PDHRC), Notice of Expiration of Temporary Waivers for Professional Certification Requirements for Certified Nurse Assistants (CNAs), End Stage Renal Disease Dialysis Facilities (ESRDs), Reset Weekly Call-in Information: Tuesday 8:00am All Facilities Calls:844.721.7239; Access code: 7993227 Wednesday 3:00pm SNF Infection Prevention Webinars: It's our most precious natural resource. The different departments of the Village of Britton work hard to take care of the community. 517-451-4581. 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). Reset Employers of health care personnel who have had a close contact exposure and are asymptomatic may return such employees to work immediately and without testing. 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. (916) 558-1784, COVID 19 Information Line: The updated AFL replaces the previously operative guidance and permits the employers of covered personnel to undertake the following steps necessary in order to maintain sufficient staffing and continue to provide essential services: The CDPH provides that, if such personnel continue to work, they must wear an N95 respirator in order to limit the further spread of the virus that causes COVID-19. Britton Deerfield Elementary and High School. These materials may not be distributed further, except for "fair use," without permission of the copyright owner. MS 0500 Please turn on JavaScript and try again. 979 0 obj <>/Filter/FlateDecode/ID[<3280D27889774749A507974C7D7E24D8><802F7088243624459403034C5F3CBC8F>]/Index[967 22]/Info 966 0 R/Length 71/Prev 279687/Root 968 0 R/Size 989/Type/XRef/W[1 2 1]>>stream Before an employer invokes the emergency exception to the MMBA in order to adopt such a policy, the employer should consult with counsel in order to prepare for a possible challenge to the employers authority to invoke the emergency exception and require employees to remain at work. 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. Between December 15, 2021 and January 31, 2022, Facilities shall ensure that all Facility residents, employees, contracted healthcare professionals including consultants and . 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. 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. 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. 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 . 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. 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. %%EOF 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 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