Licensing and certification Program

All Facilities Letters - 2021

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All Facilities Letters are listed in ascending order by release date, with updated AFLs listed directly after their original version.

Bulletin Number	Facility Type Affected	Subject	Release Date
AFL 21-01	Skilled Nursing Facilities	Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)	01/11/2021
AFL 21-02	General Acute Care Hospitals	Residential Alternate Care Site (R-ACS) Option to Increase Bed Capacity Due to Anticipated Surge in Coronavirus Disease 2019 (COVID-19)	01/12/2021
AFL 21-03	Primary Care Clinics (PCCs), Adult Day Health Centers (ADHCs), Home Health Agencies (HHAs)	Implementation of Assembly Bill (AB) 1128 – Program of All-Inclusive Care for the Elderly (PACE): Facility Licensing Exemption	01/12/2021
AFL 21-04	General Acute Care Hospitals, Acute Psychiatric Hospitals	AB 2037 - Updated Notice Timelines for Hospital Closure, Reduction or Elimination of Emergency Medical Service, and Relocation or Elimination of Supplemental Services	01/13/2021
AFL 21-05	Skilled Nursing Facilities	Process for Fit-testing Resource Requests	01/13/2021
AFL 21-06	Skilled Nursing Facilities (SNF), Intermediate Care Facilities (ICF)	Survey on the Use of Interdisciplinary Teams (IDT) for Unrepresented Residents	01/20/2021
AFL 21-07	Skilled Nursing Facilities, General Acute Care Hospitals	Maintain Efforts to Increase Staffing Levels	01/24/2021
AFL 21-08.9 - NEW (Supersedes AFL 21-08.8)	General Acute Care Hospitals, Acute Psychiatric Hospitals, Skilled Nursing Facilities	Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19	12/02/2022
AFL 21-09 (Rescinded)	General Acute Care Hospitals	Additional Temporary Waivers Tied to the Hospital Surge Public Health Order	02/01/2021
AFL 21-10	All Facilities	Change to Health Care Facility License Issuance	02/22/2021
AFL 21-11	Skilled Nursing Facilities (SNFs)	Guidelines for 3.5 Direct Care Service Hours Per Patient Day (DHPPD) Staffing Audits	03/17/2021
AFL 21-12	General Acute Care Hospitals	Temporary Waiver of Practitioner’s Order for Administration of the Coronavirus Disease 2019 (COVID-19) Vaccine	04/16/2021
AFL 21-13	Skilled Nursing Facilities (SNFs)	Personal Protective Equipment (PPE) Push Pack Distribution	04/30/2021
AFL 21-14.2 (Supersedes AFL 21-14.1)	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)	Visitation Guidance for ICF/DD-H-N-CN Facilities During the Coronavirus Disease-2019 (COVID-19) Pandemic	10/06/2022
AFL 21-15	All Facilities	Request for 30-day Sustainment Supply of the State’s Personal Protective Equipment (PPE) Inventory	05/13/2021
AFL 21-16	All Facilities	Hot Summer Weather Advisory	05/28/2021
AFL 21-17	Skilled Nursing Facilities	Expiration of Concentra Contract for Fit-Testing Services	06/03/2021
AFL 21-18	General Acute Care Hospitals (GACH)	GACH Reporting Requirements of Specified Health-Associated Infections (HAI)	06/08/2021
AFL 21-19	Skilled Nursing Facilities Nursing Facilities	Annual Notice of Grant Opportunity to Benefit Nursing Facility Residents and Update to Application Requirements	06/08/2021
AFL 21-20.1 (Supersedes AFL 21-20)	General Acute Care Hospitals (GACHs) Acute Psychiatric Hospitals (APHs)	Coronavirus Disease 2019 (COVID-19) Vaccine Recommendations for Eligible Individuals Prior to Discharge	02/07/2022
AFL 21-21	All Facilities	Regulatory Update for Medical Information Breach Administrative Penalties and Reporting Requirements	07/02/2021
AFL 21-22	All Facilities	Fiscal Year (FY) 2021-22 Health Care Facility License Fee Schedule	07/20/2021
AFL 21-23	Skilled Nursing Facilities (SNF) Nursing Facilities (NF) Swing Bed Hospitals	Ending of the Emergency Blanket Waiver of Minimum Data Set (MDS) Timeframe Requirements	07/22/2021
AFL 21-24 (Rescinded)	General Acute Care Hospitals Acute Psychiatric Hospitals	Call for Specimens from Hospitalized Coronavirus Disease 2019 (COVID-19) Patients	07/22/2021
AFL 21-25	General Acute Care Hospitals	Weekly Reporting Related to Patient Discharges with Coronavirus Disease 2019 (COVID-19)	07/23/2021
AFL 21-26	Adult Day Health Center, Congregate Living Health Facility, Intermediate Care Facility, Intermediate Care Facility/Developmentally Disabled, Intermediate Care Facility/Developmentally Disabled-Continuous Nursing, Intermediate Care Facility/Developmentally Disabled-Habilitative, Intermediate Care Facility/Developmentally Disabled-Nursing, Nursing Facility, Skilled Nursing Facility	Mandated Reporting Requirements of Potential Abuse, Neglect, Exploitation, or Mistreatment of Elders or Dependent Adults	07/26/2021
AFL 21-27.3 (Supersedes AFL 21-27.2)	General Acute Care Hospitals	Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment (PPE) for Health Care Personnel (HCP) at General Acute Care Hospitals (GACHs)	02/22/2022
AFL 21-28.3 (Supersedes AFL 21-28.2)	Skilled Nursing Facilities	Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Skilled Nursing Facilities (SNF)	02/22/2022
AFL 21-29.3 (Supersedes AFL 21-29.2)	All Clinics, Adult Day Health Care Centers, Acute Psychiatric Hospitals, Ambulatory Surgery Centers, Chemical Dependency Recovery Hospitals, Chronic Dialysis Clinics, Congregate Living Health Facilities, Comprehensive Outpatient Rehabilitation Facilities, Correctional Treatment Centers, End Stage Renal Disease Dialysis Facilities, Hospice Facilities, Pediatric Day Health & Respite Care Facilities, Rehabilitation Clinics	Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Health Care Facilities	02/22/2022
AFL 21-30.3 (Supersedes AFL 21-30.2)	Intermediate Care Facility (ICF), ICF/Developmentally Disabled, ICF/Developmentally Disabled – Continuous Nursing, ICF/Developmentally Disabled – Habilitative, ICF/Developmentally Disabled – Nursing	Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at the Various Types of Intermediate Care Facilities	02/22/2022
AFL 21-31.1 (Supersedes AFL 21-31)	General Acute Care Hospitals	Visitor Guidance at General Acute Care Hospitals (GACHs)	10/06/2022
AFL 21-32	All Facilities	Change to Distribution of Health Care Facility Certification Correspondence	08/12/2021
AFL 21-33	All Facilities	Facility Emergency Contact and All Facilities Letter Recipient Information	08/24/2021
AFL 21-34.4 (Supersedes AFL 21-34.3)	All Facilities	Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP)	10/05/2022
AFL 21-35	Adult Day Health Centers (ADHCs)	Guidance for In-Center Services and Operation of ADHCs during the Coronavirus Disease 2019 (COVID-19) Pandemic	09/17/2021
AFL 21-36.3 (Supersedes AFL 21-36.2)	Skilled Nursing Facilities	Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements	06/30/2022
AFL 21-37	All Facilities	BYD Field Action Notification	09/22/2021
AFL 21-38	General Acute Care Hospitals (GACHs)	Request for Stakeholder Input in Amending GACH Regulations Specific to the Coronary Care Service, Dental Service, Intensive Care Service, Distinct Part Intermediate Care Service, and Distinct Part Skilled Nursing Service	10/12/2021
AFL 21-39	Skilled Nursing Facilities and Other Interested Stakeholders	Notice of Stakeholder Meeting for the Quality and Accountability Supplemental Payment (QASP) Program	11/08/2021
AFL 21-40	General Acute Care Hospitals (GACHs) Acute Psychiatric Hospitals (APHs)	Regulatory Update for Adverse Events Reporting	11/12/2021
AFL 21-41	Certified Hemodialysis Technician Training Program Providers, Chronic Dialysis Clinics, End Stage Renal Disease Facilities	Notice of Stakeholder Meeting for Certified Hemodialysis Technician Training Program Regulations	11/12/2021
AFL 21-42	Skilled Nursing Facilities (SNF)	Coronavirus Disease 2019 (COVID-19) Vaccination and Booster Dose Guidance	11/12/2021
AFL 21-43	General Acute Care Hospitals (GACHs) Acute Psychiatric Facilities (APHs)	Assembly Bill (AB) 451 - Treatment of Psychiatric Emergency Medical Conditions	11/15/2021
AFL 21- 44	Skilled Nursing Facilities	Recommendations for the Prevention and Control of Influenza in California Skilled Nursing Facilities for the 2021-2022 season during the Coronavirus Disease 2019 (COVID-19) Pandemic	11/19/2021
AFL 21-45	Long-term Care Facilities (LTC)	Assembly Bill (AB) 323 - Citation Criteria and Civil Penalty Increases	11/19/2021
AFL 21-46	Skilled Nursing Facilities (SNFs)	Assembly Bill (AB) 749 - Medical Director Certification	11/19/2021
AFL 21-47	Skilled Nursing Facilities Intermediate Care Facilities	Assembly Bill (AB) 849 – Liability for Damages	11/19/2021
AFL 21-48	Hospices	Assembly Bill (AB) 1280 – Hospice Patient Recruiting and Referral	11/19/2021
AFL 21-49	Long-Term Care Facilities	Coronavirus Disease 2019 (COVID-19) Infection Control Recommendations during the 2021 Holiday Season	12/08/2021
AFL 21-50	Primary Care Clinics (PCC) General Acute Care Hospitals (GACH)	Assembly Bill (AB) 789 - Testing for Hepatitis B and Hepatitis C	12/08/2021
AFL 21-51	Skilled Nursing Facilities (SNFs)	Assembly Bill (AB) 1585 – Expansion of SNF Infection Preventionist (IP) Minimum Qualifications	12/13/2021
AFL 21-52	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)	Guidance for Residents/Clients to Safely Participate in Day Programs	12/13/2021
AFL 21-53	Hospice Providers	Senate Bill (SB) 664 - Hospice Licensure: Moratorium on New Licenses	12/17/2021
AFL 21-54	General Acute Care Hospitals (GACH)	Assembly Bill (AB) 532 and AB 1020 - Health Care Debt and Fair Billing Policies	12/23/2021
AFL 21-55	Skilled Nursing Facilities (SNFs)	Deployment of Risk and Safety Solutions (RSS) for Complaint/Facility Reported Incident (FRI) Investigations	12/23/2021

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All Facilities Letters - 2021