| AFL 20-01 (PDF) | Skilled Nursing Facilities | Reminder of Mandatory use of “Census and Direct Care Service Hours Per Patient Day (DHPPD)” (CDPH Form 612) and “Nursing Staffing Assignment and Sign-in Sheet (DHPPD Salaried/Dual Role/Nurse Assistant)” (CDPH Form 530) | 01/06/2020 |
| AFL 20-02 (PDF) | All Facilities | Changes to the Application Review Process | 01/06/2020 |
| AFL 20-03 (PDF) | Skilled Nursing Facilities | Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW) | 01/06/2020 |
| AFL 20-04 (PDF) | General Acute Care Hospitals | Notice of New Penalties for Violating Nurse to Patient Staffing Ratios | 01/16/2020 |
| AFL 20-05 (PDF) | General Acute Care Hospitals | Medical Evidentiary Examinations and Reporting | 01/17/2020 |
| AFL 20-06 (PDF) | General Acute Care Hospitals ,
Acute Psychiatric Hospitals,
Special Hospitals,
Hospice Facilities | Senate Bill (SB) 322: Health Facilities: Inspections: Employee Reporting | 01/17/2020 |
| AFL 20-07 (PDF) | General Acute Care Hospitals,
Alternative Birth Centers,
Primary Care Clinics | California Dignity in Pregnancy and Childbirth Act | 01/17/2020 |
AFL 20-08 (PDF)
| General Acute Care Hospitals | Notice of Stakeholder Meeting for GACH Administration, Licensure, Medical Services, and Records and Reporting Regulations (GACH Administration) | 01/17/2020 |
AFL 20-09 (PDF)
| All Facilities
| Health Update and Interim Guidance – 2019 Novel Coronavirus (nCoV) | 01/23/2020
|
AFL 20-10 (PDF)
| All Facilities
| Healthcare Facility Resources for the 2019 Novel Coronavirus (2019-nCoV) | 01/27/2020
|
| AFL 20-11 (PDF) | All Facilities | Updated 2019 Novel Coronavirus Information (2019-nCoV), Including Patient Under Investigation (PUI) Guidance from the Centers for Disease Control and Prevention (CDC) | 01/31/2020 |
| AFL 20-12 (PDF) | All Facilities | Change of Ownership Procedural Requirements | 02/03/2020 |
| AFL 20-13 (PDF) | All Facilities | 2019 Novel Coronavirus Interim Guidance for Risk Assessment and Health Management of Healthcare Personnel with Potential Exposure | 02/10/2020 |
| AFL 20-14 (PDF) | All Facilities | Environmental Infection Control for the Coronavirus Disease 2019 (COVID-19) | 02/19/2020 |
AFL 20-15.1
(Supersedes AFL 20-15) | All Facilities | Infection Control Recommendations for Facilities with Suspect Coronavirus (COVID-19) Patients | 02/28/2020 |
AFL 20-16.1
(Supersedes AFL 20-16) | All Facilities | Notice of Stakeholder Meeting for GACH Cardiac Catheterization Laboratory Service Regulations | 03/25/2020 |
| AFL 20-17 (PDF) | All Facilities | Guidance for Healthcare Facilities on Preparing for Coronavirus Disease 2019 (COVID-19) | 03/03/2020 |
| AFL 20-18 (PDF) | Hospitals | Hospital Resources Survey to Assess Surge Capacity Regarding Coronavirus Disease 2019 (COVID-19) | 03/08/2020 |
| AFL 20-20 | All Facilities | 2020 Census Workers: Group Quarters Enumeration | 03/11/2020 |
| AFL 20-21 | Hospitals and Critical Access Hospitals with Psychiatric or Rehabilitative Distinct Part Units | New Electronic Process for Hospitals to Report a Death Associated with Restraint or Seclusion | 03/11/2020 |
AFL 20-22.9
(Superseded - see
AFL 22-07) | Skilled Nursing Facilities
| Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities
| 08/12/2021
|
| AFL 20-23 | All Facilities | California Coronavirus Disease 2019 (COVID-19) Health Care System Mitigation Playbook | 03/20/2020 |
| AFL 20-24 | All Facilities | Guidance for Procedures and Transfer of Deceased Persons with Confirmed or Suspected Coronavirus Disease 2019 (COVID-19) | 03/16/2020 |
AFL 20-25.2
(Supersedes AFL 20-25.1) | Skilled Nursing Facilities
| Preparing for Coronavirus Disease 2019 (COVID-19) in California Skilled Nursing Facilities | 04/15/2020 |
AFL 20-26.13
(Supersedes AFL 20-26.12)
| General Acute Care Hospitals | Suspension of Regulatory Enforcement of Hospital Requirements
| 06/30/2022
|
| AFL 20-27.1 (Supersedes AFL 20-27) | Adult Day Health Centers
| Guidance for Limiting the Transmission of Coronavirus Disease 2019 (COVID-19) in Adult Day Health Centers | 03/23/2020 |
| AFL 20-28 | Skilled Nursing Facilities | Announcement: Extension of the Deadline to Apply for Patient Needs and Workforce Shortage Waivers | 03/23/2020 |
| AFL 20-29 | Adult Day Health Centers (ADHC)
Home Health Agencies (HHA)
Intermediate Care Facilities (ICF)
ICF/Developmentally Disabled (ICF/DD)
Referral Agencies | Regulatory Update for Social Worker Definition
and Services | 03/26/2020 |
AFL 20-30.9
(Supersedes AFL 20-30.8) | Primary Care Clinics (PCCs) Mobile Health Care Units (MHCUs) | Suspension of Regulatory Enforcement of Specified PCC and MHCU Requirements | 06/30/2022
|
AFL 20-31.4
(Supersedes AFL 20-31.3) | General Acute Care Hospitals (GACHs) | GACH Coronavirus Disease (COVID-19) Daily Reporting
| 11/23/2021
|
AFL 20-32.3
(Superseded - see AFL 21-36) | Skilled Nursing Facilities | Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements | 06/02/2021
|
AFL 20-33.2
(Supersedes AFL 20-33.1)
| Skilled Nursing Facilities
| Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19)
| 05/15/2020
|
AFL 20-34.7
(Supersedes AFL 20-34.6)
| Adult Day Health Care Centers (ADHCs) | Suspension of Regulatory Enforcement of Specified ADHC Requirements
| 06/30/2022
|
AFL 20-35.8
(Supersedes AFL 20-35.7) | All Facilities | Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs) | 07/05/2022
|
AFL 20-36.3
(Supersedes AFL 20-36.2) | General Acute Care Hospitals
Skilled Nursing Facilities | Guidance for Decontamination and Reuse of N95 Filtering Facepiece Respirators | 06/16/2020 |
| AFL 20-37 | Ambulatory Surgery Centers (ASCs) | ASC Ventilator Inventory Survey | 04/08/2020 |
AFL 20-38.7
(Supersedes AFL 20-38.6)
| All Facilities
| Visitor Limitations Guidance
| 06/16/2021
|
| AFL 20-39 | All Facilities | Coronavirus Disease 2019 (COVID-19) Optimizing the Use of Personal Protective Equipment (PPE) | 04/13/2020 |
AFL 20-40.5
(Supersedes AFL 20-40.4)
| All Facilities
Nurse Assistant Training Programs | Suspension of Specified Regulatory Requirements for Nurse Assistant Training Programs (NATPs) | 06/30/2022
|
| AFL 20-41 | All Facilities | Prohibition on charging for federally supplied assets or pharmaceuticals from the Strategic National Stockpile (SNS) | 04/16/2020 |
| AFL 20-42 | Acute Psychiatric Hospitals (APHs) | Coronavirus Disease (COVID-19) APH Reporting | 04/17/2020 |
AFL 20-43.3
(Supersedes AFL 20-46.2)
| Skilled Nursing Facilities (SNFs) | SNF Coronavirus Disease 2019 (COVID-19) Daily Reporting | 06/19/2020 |
AFL 20-44.1
(Supersedes AFL 20-44) | All Facilities | Expanding Access to Testing: Updated Interim Guidance on Prioritization for Coronavirus Disease 2019 (COVID-19) Laboratory Testing | 05/02/2020 |
| AFL 20-45 | All Facilities | Hotels for Healthcare Workers | 04/20/2020 |
AFL 20-46.3
(Supersedes AFL 20-46.2) | All Facilities | Requests for Urgent Staffing Resources for COVID-19 | 09/07/2021 |
AFL 20-47.2
(Supersedes AFL 20-47.1) | Hospice Providers | Suspension of Regulatory Enforcement of Hospice Requirements | 07/16/2021
|
AFL 20-48.3
(Supersedes AFL 20-48.1) | All Facilities | Transfers to Low Acuity Alternate Care Sites During Coronavirus Disease 2019 (COVID-19) Pandemic | 12/16/2020 |
AFL 20-49.6
(Supersedes AFL 20-49.5)
| All Facilities | Suspension of Professional Certification Requirements for Home Health Aides (HHAs) | 06/30/2022
|
AFL 20-50.1
(Supersedes AFL 20-50) | Skilled Nursing Facilities | Skilled Nursing Facility Infection Prevention Meetings | 06/22/2020 |
| AFL 20-51 | All Facilities | Updated Coronavirus Disease 2019 (COVID-19) Symptoms | 05/09/2020 |
AFL 20-52
| Skilled Nursing Facilities | Coronavirus Disease 2019 (COVID-19) Mitigation Plan Implementation and Submission Requirements for Skilled Nursing Facilities (SNF) and Infection Control Guidance for Health Care Personnel (HCP) | 05/11/2020 |
AFL 20-53.6
(Superseded - see AFL 22-13)
| Skilled Nursing Facilities
| COVID-19 Mitigation Plan Recommendations for Testing of HCP and Residents at SNF | 12/27/2021
|
| AFL 20-54 | All Facilities | Hot Summer Weather Advisory | 05/27/2020 |
| AFL 20-55 | Skilled Nursing Facilities | SNF Coronavirus Disease 2019 (COVID-19) Baseline Testing Reporting | 06/02/2020 |
| AFL 20-56 | All Facilities | Request for Interest in Serving as a Temporary Manager | 06/12/2020 |
AFL 20-57.5
(Supersedes AFL 20-57.4)
| All Facilities
| Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs) | 06/30/2022
|
| AFL 20-58 | All Facilities | Fiscal Year (FY) 2020-21 Health Care Facility License Fee Schedule | 07/07/2020 |
| AFL 20-59 | All Facilities | Public Safety Power Shutoff Power Outage Reporting | 07/13/2020 |
| AFL 20-60 | Skilled Nursing Facilities | SNF Weekly Reporting of Coronavirus Disease 2019 (COVID-19) Surveillance/Response-Driven Testing | 07/17/2020 |
| AFL 20-61 | Skilled Nursing Facilities | Dialysis Transportation for Coronavirus Disease 2019 (COVID-19) Positive Residents | 07/21/2020 |
| AFL 20-62 | Intermediate Care Facilities (ICF), Intermediate Care Facilities/Developmentally Disabled (ICF/DD), Intermediate Care Facilities/Developmentally Disabled – Habilitative (ICF/DD-H), Intermediate Care Facilities/Developmentally Disabled – Nursing (ICF/DD-N), Intermediate Care Facilities/Developmentally Disabled – Continuous Nursing (ICF/DD-CN) | ICF Coronavirus Disease 2019 (COVID-19) Daily Reporting | 07/25/2020 |
AFL 20-63.1
(Supersedes AFL 20-63)
| Skilled Nursing Facilities | Deployment of Online Survey Application for Coronavirus Disease 2019 (COVID-19) SNF Mitigation Surveys | 08/07/2020 |
| AFL 20-64 | Skilled Nursing Facilities | Staffing Data Submission through the Payroll-Based Journal (PBJ) System | 08/13/2020 |
| AFL 20-65 | All Facilities | Level II Extreme Heat Alert | 08/13/2020 |
AFL 20-66.1
(Supersedes AFL 20-66)
| Skilled Nursing Facilities,
Distinct Part Skilled Nursing Facilities,
End Stage Renal Disease Dialysis Facilities,
Chronic Dialysis Clinics | Updated Guidance for Provision of Home Dialysis Services in a Skilled Nursing Facility | 03/08/2021
|
| AFL 20-67 | Skilled Nursing Facilities | Emergency Resident Transfers during the Coronavirus Disease 2019 (COVID-19) Pandemic | 08/20/2020 |
| AFL 20-68 | Nursing Homes | Health Services Advisory Group (HSAG) Centers for Medicare and Medicaid Services (CMS) Initiatives to Support Nursing Home Quality Improvement | 09/03/2020 |
AFL 20-69.1
(Supersedes AFL 20-69)
| All Facilities | Survey Priorities during the Coronavirus Disease 2019 (COVID-19) Pandemic | 03/01/2021 |
| AFL 20-70 | Skilled Nursing Facilities | Non-Emergency Transportation during the Coronavirus Disease 2019 (COVID-19) Pandemic | 09/14/2020 |
| AFL 20-71 | All Facilities | Recall Notice of Advoque Safeguard N95 Particulate Filtering Respirator | 09/14/2020 |
AFL 20-72.1
(Supersedes AFL 20-72)
| Home Health Agencies | Suspension of Regulatory Enforcement of Home Health Agency Requirements
(See Frequently Asked Questions for additional guidance)
| 07/16/2021
|
| AFL 20-73 | Skilled Nursing Facilities | Advance Care Planning, Physician’s Order for Life Sustaining Treatment (POLST) and Coronavirus Disease 2019 (COVID-19) | 09/22/2020 |
AFL 20-74.1
(Supersedes AFL 20-74)
| Skilled Nursing Facilities | Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities | 07/22/2021
|
AFL 20-75.1
(Supersedes AFL 20-75)
| All Facilities | Coronavirus Disease 2019 (COVID-19) Outbreak Investigation and Reporting Thresholds | 07/22/2021 |
| AFL 20-76 | Skilled Nursing Facilities (SNF)
Nursing Facilities (NF)
Intermediate Care Facilities
Swing Bed Hospitals | Changes on the Minimum Data Set (MDS) 3.0 v1.17.2 | 09/29/2020 |
| AFL 20-77 | Skilled Nursing Facilities
Nursing Facilities | Notice of Grant Opportunity to Benefit Nursing Facility Residents to Support In-Person Visitation | 10/02/2020 |
| AFL 20-78 | Skilled Nursing Facilities | November 3, 2020 Election: Voting During the COVID-19 Pandemic | 10/05/2020 |
| AFL 20-79 | General Acute Care Hospitals | Access to Salesforce for Resource Requests | 10/09/2020
|
AFL 20-80
| Skilled Nursing Facilities
| Recommendations for the Prevention and Control of Influenza during the Coronavirus Disease 2019 (COVID-19) Pandemic | 10/12/2020
|
AFL 20-81
| General Acute Care Hospitals
| GACH Coronavirus Disease 2019 (COVID-19) Vaccination Survey | 10/12/2020
|
AFL 20-82
| All Facilities | California Department of Public Health (CDPH) Influenza Vaccination and Masking Policy | 10/30/2020 |
AFL 20-83.2
(Supersedes AFL 20-53)
| Skilled Nursing Facilities
Intermediate Care Facilities | Interdisciplinary Team (IDT) Authorized Medical Interventions for Residents Unable to Provide Informed Consent and Without a Health Care Decision Maker | 08/31/2022
|
| AFL 20-84 | Skilled Nursing Facilities | Infection Prevention Recommendations and Incorporation into the Quality and Accountability Supplemental Payment (QASP) Program | 11/04/2020 |
| AFL 20-85 | Skilled Nursing Facilities
| Assembly Bill (AB) 2644 – Skilled Nursing Facilities: Infection Preventionists and Communicable Disease Reporting | 11/09/2020 |
| AFL 20-86.1 | Long-Term Care Facilities | Coronavirus Disease 2019 (COVID-19) Infection Control Recommendations during Holiday Celebrations
| 11/20/2020 |
AFL 20-87.1
(Superseded - see AFL 22-31)
| Skilled Nursing Facilities
General Acute Care Hospitals
| Movement of Patients/Residents in the Healthcare Continuum During Seasonal Surges and the Coronavirus Disease 2019 (COVID-19) Pandemic | 11/15/2021
|
AFL 20-88.3
(Supersedes AFL 20-88.2)
| General Acute Care Hospitals
| Coronavirus Disease 2019 (COVID-19) Testing Recommendations for Patients and Health Care Personnel (HCP) at General Acute Care Hospitals (GACHs)
| 10/05/2022
|
AFL 20-89.1
(Supersedes AFL 20-89)
| Skilled Nursing Facilities
Intermediate Care Facilities
Educational Institutions | Requirements for Application Submission for Online or Distance Learning Nurse Assistant Training Programs (NATPs) | 06/07/2021
|
| AFL 20-90 | General Acute Care Hospitals | Program Flexibility Requirement for General Acute Care Hospitals (GACH) Before Providing Acute Hospital Care at Home Services | 12/23/2020 |
| AFL 20-91 | General Acute Care Hospitals | California Crisis Care Continuum Guidelines: Implementing During the Surge of Coronavirus Disease 2019 (COVID-19) Cases | 12/28/2020 |