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. 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. We are able to assist public agencies and non-profit clients exercise their authority concerning the isolation or quarantine periods for covered employees. 517-451-4581. 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. 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. January 8, 2022 through February 1, 2022, CDPH is temporarily adjusting the return-to-work criteria. These recommendations supplement the California Department of Public Health (CDPH) All-Facilities Letters . CBAS Updates Webinar March 3rd, 2022 - CDPH All Facility Letter 20-34.5 hmo8 In 2021, the California Department of Public Health (CDPH) announced its plans to centralize and automate the program flexibility process for all facilities requesting program flexibility and for skilled-nursing facilities requestingworkforceshortagewaivers andpatientneedswaivers. Please note that this information has been superseded by a more recent item and is only retained here for reference. Espaol, - Please turn on JavaScript and try again. All correspondence regarding the application will be sent to the point of contact. 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 Bulletin Number Facility Type Affected Subject Release Date ; AFL 20-01 (PDF) Skilled Nursing Facilities: Reminder of Mandatory use of "Census and Direct Care Service Hours Per AFL 21-27.1 continues to require that unvaccinated health care workers receive a N95 respirator from their employer. 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. 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. 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]. Subject . access to only permitted visitors, as per latest California Department of Public Health (CDPH) All Facilities Letter (AFL), posted at: . 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. On Dec. 22, the California Department of Public Health (CDPH) issued a public health order that requires all eligible workers to receive their booster on or before Feb. 1. 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. 0 Read More 19 Dec 2022 CDPH Issues Updated Hospice Licensure Requirements To provide a smooth transition and mitigate delays in responding to requests, CHCQ has developed an implementation plan. endstream endobj startxref 201 College Ave. Britton, MI 48229. 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. 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 Plan, Domestic Violence/Intimate Partner Violence, Child Passenger Safety (CPS) In California, Drowning Prevention: Toddler Pool and Spa Safety, Nutrition Education and Obesity Prevention Branch, SNAP-Ed Guidance for Local Health Departments, Division of Environmental and Occupational Disease Control, Childhood Lead Poisoning Prevention Branch, Environmental Health Investigations Branch, Community Participation & Education Section, About the Environmental Health Laboratory, CDPH-Approved Cholinesterase Laboratories, Contact the Environmental Health Laboratory, Occupational Health Branch Programs and Activities, Occupational Health Branch Publications & Videos, What's New at the Occupational Health Branch, Work-Related Valley Fever (Coccidioidomycosis), Occupational Health Watch April 2017: Spotlight on Skylight Falls for Workers Memorial Day, Occupational Health Watch July 2016: August Is Valley Fever Awareness Month, Substance and Addiction Prevention Branch, FDLB Chemistry and Microbiology Client List, Abused Substances Analysis Section (ASAS), Division of Radiation Safety and Environmental Management, Radiologic Technology Certification Committee, Certificates, Licenses, Permits and Registrations, Genetic Disease Screening Program Publications, GDSP Notice Of Information And Privacy Practices, Partnership with Perinatal Quality Foundation, Education Resources for Individuals and Families, Maternal, Child and Adolescent Health Division, Program Consultants and Contract Liaisons, Stories from the Adolescent Family Life Program, Adolescent Sexual Health Education Program, Where We Are: Local BIH Sites and Coordinators, Evaluation of the California Black Infant Health Program, Program Evaluation: Intermediate Outcomes Among Prenatal Group Model Participants, Program Evaluation: Services Received and Services Provided During Prenatal Group, Program Evaluation: Participant Participant and Staff Perceptions about the Program, SisterStory: Stories from Black Infant Health, Program Evaluation: Contextual Conditions that Supported the Implementation of the Prenatal Group Model, Breastfeeding Sites and Local Coordinators, Guidelines and Resources for Community Partners, Breastfeeding Model Hospital Policy Recommendations, Lactation Accommodation: For Child Care Providers, Lactation Accommodation: For Community Partners, In-Hospital Breastfeeding Initiation Data, Lactation Accommodation Laws for Workplace, Jails and School, California Statewide Home Visiting Needs Assessment, Evidence-Based Home Visiting Models in California, California Personal Responsibility Education Program, CA PREP Questions and Answers for 2018 RFA, CA PREP Questions and Answers for 2021 RFA, CA-PREP RFA 2021: Public Notice of Intent to Award, CA-PREP RFA 2021: Public Notice of Final Award, Human Stem Cell Research Advisory Committee, Local Maternal, Child and Adolescent Health, Emergency Preparedness: Infant and Young Child Feeding, Healthy Weight for Healthy Birth and Beyond, Multiple Factors Affect Birthing Parents Weight, Healthy Weight for Healthy Birth and Beyond Toolkit, Healthy Weight for Healthy Birth and Beyond Data Brief, Perinatal Equity Initiative Public Awareness Campaigns, Regional Perinatal Programs of California, Where We Are: Local RPPC Sites and Coordinators, RPPC RFA 2022 Public Notice of Intent to Award, RPPC RFA 2022 Public Notice of Final Award, Sudden Infant Death Syndrome (SIDS) Program, SIDS/SUID Northern California Regional Council, SIDS/SUID Southern California Regional Council, MyStory: Stories from the California SIDS Program, Agreement Funding Applications (MCAH & BIH), Breastfeeding Resources for Health Care Providers, Monitoring Adherence to Healthcare Practices that Prevent Infection, Healthcare Personnel Influenza Vaccination Reporting In CA Hospitals, CA Campaign To Prevent BSI in Hemodialysis Patients, Central Line-associated Blood Stream Infection (CLABSI), Methicillin-Resistant Staphylococcus aureus Bloodstream Infection (MRSA BSI), Vancomycin-resistant Enterococci Bloodstream Infection (VRE BSI), Center for Health Statistics and Informatics, California Marriage License, Registration and Ceremony Information, Vital Records Obtaining Certified Copies of Death Records, Obtaining Vital Records From County Offices, Vital Records Issuance and Preservation Branch, California Marriage License General Information, Marriage Officiant Frequently Asked Questions, HIV/AIDS ADAP Health Insurance Premium Payment Assistance, HIV/AIDS ADAP Medicare Part D Premium Payment Assistance, About the Viral and Rickettsial Disease Lab, CDER Information for Health Professionals, Communicable Disease Emergency Response Program, DCDC Information for Local Health Departments, Sexually Transmitted Diseases Control Branch, VRDL Guidelines for Specimen Collection and Submission for Pathologic Testing, Office of Binational Border Health Publications, Office of Binational Border Health Advisory Group, About the Office of Binational Border Health, Contact the Office of Binational Border Health, Quarterly Binational Epidemiology Meetings, Border Infectious Disease Surveillance - Coccidioidomycosis, Border Infectious Disease Surveillance - Queso Fresco, Border Infectious Disease Surveillance - Mosquito-borne-diseases, Border Infetious Disease Surveillance - Rocky Mountain Spotted Fever, Border Infectious Disease Surveillance - Influenza and Other Respiratory Infections, Emergency and Evacuation Planning Guide for Schools, Tips for Communicating with Students During an Emergency, Know When and How to Shelter-in-Place for Schools, How to Help Students Cope and Deal with Stress, Pandemic Flu Preparedness For Schools - Home, Fusion Center (Strategic Development and External Relations), California Equitable Recovery Initiative (CERI) Q&A, AB 1726 Asian and Pacific Islander Data Disaggregation Brief, CDPH Lifts Rock Crab Health Advisory in Portions of San Mateo County - South of Pillar Point, CDPH Launches Mobile Website for WIC Participants, CDPH Reports Widespread Flu Activity that is More Severe than Last Year, CDPH Fines San Francisco County Facility in Death of Resident, CDPH Fines Los Angeles County Facility in Death of Resident, Lets Get Healthy California Announces Local Innovations to Improve Californias Health, Dungeness Crab Health Advisory Lifted for Remainder of California Coast, Dungeness Crab Health Advisory Lifted in Portions of Mendocino County South of Ten Mile River, CDPH Warns Consumers Not to Eat Sport-Harvested Bivalve Shellfish from San Luis Obispo County, Dungeness Crab Health Advisory Lifted in Portions of Sonoma, Mendocino, Humboldt Counties, CDPH Releases Reports on Healthcare-Associated Infections, Influenza Vaccination Rates Among Healthcare Personnel, CDPH Warns Consumers Not to Eat Sport-Harvested Bivalve Shellfish from Monterey County, CDPH Awarded Grant to Expand Child Safety-Seat Use, CDPH Awarded Grant to Study Motor-Vehicle Crash Injuries, Holiday Travelers Reminded 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, Centralization of Program Flexibility Application Process, Notice of Stakeholder Meeting for General Acute Care Hospital (GACH) Observation Service Regulations, en We provide the leadership, advocacy, training and tools that empower Californias hospitals and health systems to do their best work. 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 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.

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