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 . As such, the employer must bargain the change in policy and practice with the employee organizations that represent such employees before the employer can adopt and implement the decision. 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. Finally,AFL 21-08.6, which addresses quarantine periods for workers who contract COVID-19 or experience a close contact with COVID-19, was updated to match recent Centers for Disease Control and Preventionguidance. 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 [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.). 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. The registration rollout for program flexibility is scheduled by district office. 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. AFL 21-27.1 continues to require that unvaccinated health care workers receive a N95 respirator from their employer. 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. MS 0500 Facility Type Affected . [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.
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