AFL by Topic | Clearpol

CDPH All Facility Letters by Topic



Title Subject Release Date Facility Type Affected
AFL 23-16

Clarification on Family Council Requirements

04/12/2023

Skilled Nursing Facilities (SNFs)

AFL 23-01

Assembly Bill (AB) 895: Notice to Prospective Residents

01/18/2023

Skilled Nursing Facilities (SNF),Intermediate Care Facilities (ICF)

AFL 22-34

Winter Weather Emergency Preparedness Advisory

12/15/2022

All Facilities

AFL 22-32

Guidelines for Dialysis Care

12/12/2022

Skilled Nursing Facilities (SNFs)Chronic Dialysis Clinics (CDCs)End Stage Renal Disease Dialysis Facilities (ESRDs)

AFL 22-29

Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)

12/01/2022

Skilled Nursing Facilities

AFL 22-27

Facility Emergency Contact and All Facilities Letter Recipient Information

11/29/2022

All Facilities

AFL 22-19

Tropical Storm Kay Alert

09/08/2022

All Facilities

AFL 22-18

Level II Extreme Heat Alert

09/01/2022

All Facilities

AFL 20-83.2

Interdisciplinary Team (IDT) Authorized Medical Interventions for Residents Unable to Provide Informed Consent and Without a Health Care Decision Maker

08/31/2022

Skilled Nursing Facilities Intermediate Care Facilities

AFL 22-14

Request for Interest in Serving as a Temporary Manager

06/13/2022

All Facilities

AFL 21-39

Notice of Stakeholder Meeting for the Quality and Accountability Supplemental Payment (QASP) Program

11/08/2021

Skilled Nursing Facilities and Other Interested Stakeholders

Title Subject Release Date Facility Type Affected
AFL 22-07.1 (Superseded)

Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)

10/06/2022

Skilled Nursing Facilities

AFL 22-20

Coronavirus Disease 2019 (COVID-19) Treatment Resources for Skilled Nursing Facilities (SNFs)

09/12/2022

Skilled Nursing Facilities

AFL 22-07 (Superseded)

Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)

02/07/2022

Skilled Nursing Facilities

AFL 20-73

Advance Care Planning, Physician’s Order for Life Sustaining Treatment (POLST) and Coronavirus Disease 2019 (COVID-19)

09/22/2020

Skilled Nursing Facilities

Title Subject Release Date Facility Type Affected
AFL 23-10

Recommendations for the Prevention and Control of Influenza in California Skilled Nursing Facilities (SNFs) for the 2022-2023 Season during the Coronavirus Disease 2019 (COVID-19) Pandemic

01/18/2023

Skilled Nursing Facilities

AFL 22-23

Guidance for Response to Surge in Respiratory Viruses among Pediatric Patients

11/11/2022

All Health Care Facilities

AFL 22-21

Enhanced Standard Precautions for Skilled Nursing Facilities, 2022

10/05/2022

Skilled Nursing Facilities (SNF), and General Acute Care Hospitals (GACH) with a SNF Distinct Part (DP)

AFL 21-44

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

Skilled Nursing Facilities (SNFs)

AFL 20-84

​Infection Prevention Recommendations and Incorporation into the Quality and Accountability Supplemental Payment (QASP) Program

11/4/2020

​Skilled Nursing Facilities

AFL 20-82

​California Department of Public Health (CDPH) Influenza Vaccination and Masking Policy

10/30/2020

All Facilities

AFL 20-68

​Health Services Advisory Group (HSAG) Centers for Medicare and Medicaid Services (CMS) Initiatives to Support Nursing Home Quality Improvement

09/03/2020

​Nursing Homes

AFL 20-50.1

Skilled Nursing Facility Infection Prevention Meetings

06/22/2020

Skilled Nursing Facilities

AFL 20-52

​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

​Skilled Nursing Facilities

AFL 20-51

​Updated Coronavirus Disease 2019 (COVID-19) Symptoms

05/09/2020

​All Facilities

AFL 20-25.2

Preparing for Coronavirus Disease 2019 (COVID-19) in California Skilled Nursing Facilities

04/15/2020

Skilled Nursing Facilities

AFL-20-17

Guidance for Healthcare Facilities on Preparing for Coronavirus Disease 2019 (COVID-19)

03/03/2020

​All Facilities

AFL-20-14

​Environmental Infection Control for the Coronavirus Disease 2019 (COVID-19)

02/19/2020

All Facilities

AFL-20-11

​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

All Facilities

AFL-20-10

Healthcare Facility Resources for the 2019 Novel Coronavirus (2019-nCoV)

01/27/2020

All Facilities

Title Subject Release Date Facility Type Affected
AFL 23-12

Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities

01/24/2023

Skilled Nursing Facilities (SNFs)

AFL 22-31

Movement of Patients/Residents in the Healthcare Continuum During Seasonal Surges and the Coronavirus Disease 2019 (COVID-19) Pandemic

12/12/2022

Skilled Nursing FacilitiesGeneral Acute Care Hospitals

AFL 21-08.9

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

General Acute Care Hospitals, Acute Psychiatric Hospitals, Skilled Nursing Facilities

AFL 22-13.1

Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

10/05/2022

Skilled Nursing Facilities

AFL 22-13 (Superseded)

Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

06/09/2022

Skilled Nursing Facilities

AFL 21-08.8 (Superseded)

Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19

03/07/2022

General Acute Care Hospitals, Acute Psychiatric Hospitals, Skilled Nursing Facilities

AFL 21-08.7 (Superseded)

Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19

01/08/2022

General Acute Care Hospitals, Acute Psychiatric Hospitals, Skilled Nursing Facilities

AFL 20-53.6

COVID-19 Mitigation Plan Recommendations for Testing of HCP and Residents at SNF

12/27/2021

Skilled Nursing Facilities

AFL 20-74.1

Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE),

07/22/2021

Skilled Nursing Facilities (SNF)

AFL 20-61

​Dialysis Transportation for Coronavirus Disease 2019 (COVID-19) Positive Residents

07/21/2020

​Skilled Nursing Facilities

AFL 20-24

​Guidance for Procedures and Transfer of Deceased Persons with Confirmed or Suspected Coronavirus Disease 2019 (COVID-19)

03/16/2020

​All Facilities

AFL-20-13

​2019 Novel Coronavirus Interim Guidance for Risk Assessment and Health Management of Healthcare Personnel with Potential Exposure

02/10/2020

​All Facilities

Title Subject Release Date Facility Type Affected
AFL 23-04

Assembly Bill (AB) 1907 – Frequency of Inspections

01/18/2023

Skilled Nursing Facilities (SNFs)

AFL 22-17

Fiscal Year (FY) 2022-23 Health Care Facility License Fee Schedule

07/07/2022

All Facilities

AFL 22-01

Centralization of Program Flexibility Application Process

01/07/2022

All Facilities

AFL 21-55

Deployment of Risk and Safety Solutions (RSS) for Complaint/Facility Reported Incident (FRI) Investigations

12/23/2021

Skilled Nursing Facilities (SNFs)

Title Subject Release Date Facility Type Affected
AFL 22-08

Appeal Procedures for Direct Care Service Hours Per Patient Day Penalties

02/07/2022

Skilled Nursing Facilities

AFL 22-06

Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)

01/26/2022

Skilled Nursing Facilities (SNF)

AFL 21-51

Assembly Bill (AB) 1585 – Expansion of SNF Infection Preventionist (IP) Minimum Qualifications

12/13/2021

Skilled Nursing Facilities (SNFs)

Title Subject Release Date Facility Type Affected
AFL 23-07

Senate Bill (SB) 988 – Compassionate Access to Medical Cannabis Act

01/18/2023

General Acute Care Hospitals (GACH),Special Hospitals (SH),Skilled Nursing Facilities (SNF),Congregate Living Health Facilities (CLHF),Hospice Facilities (HOFA)

AFL 23-03

Assembly Bill (AB) 1852 – Automated Drug Dispensing Systems

01/18/2023

Hospice Facilities (HOFA),Skilled Nursing Facilities (SNF),Intermediate Care Facilities (ICF)

AFL 22-04

Senate Bill (SB) 311 – Compassionate Access to Medical Cannabis Act

01/26/2022

General Acute Care Hospitals (GACH)Special Hospitals (SH)Skilled Nursing Facilities (SNF)Congregate Living Health Facilities (CHLF)Hospice Facilities (HOFA)

Title Subject Release Date Facility Type Affected
AFL 23-12

Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities

01/24/2023

Skilled Nursing Facilities (SNFs)

AFL 21-28.3

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

Skilled Nursing Facilities

AFL 21-37

BYD Field Action Notification

09/22/2021

All Facilities

AFL 20-74.1

Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE),

07/22/2021

Skilled Nursing Facilities (SNF)

AFL 21-13

Personal Protective Equipment (PPE) Push Pack Distribution

04/30/2021

Skilled Nursing Facilities (SNFs)

AFL 21-05

Process for Fit-testing Resource Requests

01/13/2021

Skilled Nursing Facilities

AFL 20-52

​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

​Skilled Nursing Facilities

AFL 20-41

​Prohibition on charging for federally supplied assets or pharmaceuticals from the Strategic National Stockpile (SNS)

04/16/2020

​All Facilities

AFL 20-39

​Coronavirus Disease 2019 (COVID-19) Optimizing the Use of Personal Protective Equipment (PPE)

04/13/2020

All Facilities

Title Subject Release Date Facility Type Affected
AFL 23-09

Coronavirus Disease 2019 (COVID-19) Outbreak Investigation and Reporting Thresholds

01/18/2023

All Facilities

AFL 23-08

Requirements to Report Outbreaks and Unusual Infectious Disease Occurrences

01/18/2023

General Acute Care Hospitals (GACH),Skilled Nursing Facilities (SNF)

AFL 22-13.1

Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

10/05/2022

Skilled Nursing Facilities

AFL 22-13 (Superseded)

Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

06/09/2022

Skilled Nursing Facilities

AFL 20-53.6

COVID-19 Mitigation Plan Recommendations for Testing of HCP and Residents at SNF

12/27/2021

Skilled Nursing Facilities

AFL 20-75.1

Coronavirus Disease 2019 (COVID-19) Outbreak Investigation and Reporting Thresholds

07/22/2021

All Facilities

AFL 20-60

​SNF Weekly Reporting of Coronavirus Disease 2019 (COVID-19) Surveillance/Response-Driven Testing

07/17/2020

Skilled Nursing Facilities

AFL 20-55

​SNF Coronavirus Disease 2019 (COVID-19) Baseline Testing Reporting

06/02/2020

​Skilled Nursing Facilities

Title Subject Release Date Facility Type Affected
AFL 22-26

Assembly Bill (AB) 2145: Dental Services: Long-Term Care

11/29/2022

Skilled Nursing Facilities (SNF)Intermediate Care Facilities (ICF)ICF/Developmentally Disabled (ICF/DD)ICF/DD Habilitative (ICF/DD-H)ICF/DD Nursing (ICF/DD-N)ICF/DD Continuous Nursing (ICF/DD-CN)Congregate Living Health Facilities (CLHF)Pediatric Day Health and Respite Care Facilities (PDHRC)

AFL 21-46

Assembly Bill (AB) 749 - Medical Director Certification

11/19/2021

Skilled Nursing Facilities (SNFs)

Title Subject Release Date Facility Type Affected
AFL 22-07 (Superseded)

Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)

02/07/2022

Skilled Nursing Facilities

AFL 21-49

Coronavirus Disease 2019 (COVID-19) Infection Control Recommendations during the 2021 Holiday Season

12/08/2021

Long-Term Care Facilities

AFL 20-87.1

Movement of Patients/Residents in the Healthcare Continuum During Seasonal Surges and the Coronavirus Disease 2019 (COVID-19) Pandemic

11/15/2021

Skilled Nursing FacilitiesGeneral Acute Care Hospitals

AFL 20-34.3

Suspension of Regulatory Enforcement of Specified ADHC Requirements

03/01/2021

Adult Day Health Care Centers (ADHCs)

AFL 20-48

Transfers to Low Acuity Alternate Care Sites During Coronavirus Disease 2019 (COVID-19) Pandemic (This AFL supersedes AFL 20-48.1)

12/7/2020

All Facilities

AFL 20-67

Emergency Resident Transfers during the Coronavirus Disease 2019 (COVID-19) Pandemic

08/20/2020

​Skilled Nursing Facilities

AFL 20-33.2

​Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19)

05/15/2020

Skilled Nursing Facilities

AFL 20-52

​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

​Skilled Nursing Facilities

Title Subject Release Date Facility Type Affected
AFL 22-32

Guidelines for Dialysis Care

12/12/2022

Skilled Nursing Facilities (SNFs)Chronic Dialysis Clinics (CDCs)End Stage Renal Disease Dialysis Facilities (ESRDs)

AFL 22-30

Notice of Expiration of Temporary Waivers for Professional Certification Requirements for Certified Nurse Assistants (CNAs)

12/06/2022

All Facilities

AFL 22-29

Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)

12/01/2022

Skilled Nursing Facilities

AFL 20-35.8

Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs)

07/05/2022

All Facilities

AFL 20-35.7 (Superseded)

Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs)

03/16/2022

All Facilities

AFL 20-35.6 (Superseded)

Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs)

12/31/2021

All Facilities

AFL 20-46.3

Requests for Urgent Staffing Resources for COVID-19

09/07/2021

All Facilities

AFL 20-74.1

Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE),

07/22/2021

Skilled Nursing Facilities (SNF)

AFL 21-07

Maintain Efforts to Increase Staffing Levels

01/24/2021

Acute Psychiatric Hospitals-General Acute Care Hospitals-Skilled Nursing Facilities

AFL 20-52

​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

​Skilled Nursing Facilities

AFL-20-13

​2019 Novel Coronavirus Interim Guidance for Risk Assessment and Health Management of Healthcare Personnel with Potential Exposure

02/10/2020

​All Facilities

Title Subject Release Date Facility Type Affected
AFL 20-69.1

Survey Priorities during the Coronavirus Disease 2019 (COVID-19) Pandemic

03/01/2021

All Facilities

Title Subject Release Date Facility Type Affected
AFL 22-13.1

Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

10/05/2022

Skilled Nursing Facilities

AFL 22-13 (Superseded)

Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)

06/09/2022

Skilled Nursing Facilities

AFL 21-28.3

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

Skilled Nursing Facilities

AFL 22-07 (Superseded)

Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)

02/07/2022

Skilled Nursing Facilities

AFL 22-02

Notice of Testing Supply Availability and Distribution Process

01/14/2022

Skilled Nursing Facilities

AFL 20-53.6

COVID-19 Mitigation Plan Recommendations for Testing of HCP and Residents at SNF

12/27/2021

Skilled Nursing Facilities

AFL 20-52

​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

​Skilled Nursing Facilities

AFL 20-44.1

​Expanding Access to Testing: Updated Interim Guidance on Prioritization for Coronavirus Disease 2019 (COVID-19) Laboratory Testing

05/02/2020

All Facilities

Title Subject Release Date Facility Type Affected
AFL 22-20

Coronavirus Disease 2019 (COVID-19) Treatment Resources for Skilled Nursing Facilities (SNFs)

09/12/2022

Skilled Nursing Facilities

AFL 22-07 (Superseded)

Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)

02/07/2022

Skilled Nursing Facilities

AFL 20-73

Advance Care Planning, Physician’s Order for Life Sustaining Treatment (POLST) and Coronavirus Disease 2019 (COVID-19)

09/22/2020

Skilled Nursing Facilities

Title Subject Release Date Facility Type Affected
AFL 21-34.5

Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP)

01/23/2023

All Facilities

AFL 21-34.4 (Superseded)

Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP)

10/05/2022

All Facilities

AFL 22-09

Coronavirus Disease 2019 (COVID-19) Vaccine and Booster Recommendations for Clinically Eligible Individuals

02/24/2022

All Facilities

AFL 21-34.3 (Superseded)

Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP)

02/22/2022

All Facilities

AFL 21-28.3

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

Skilled Nursing Facilities

AFL 21-42

Coronavirus Disease 2019 (COVID-19) Vaccination and Booster Dose Guidance

11/12/2021

Skilled Nursing Facilities (SNF)

Title Subject Release Date Facility Type Affected
AFL 21-47

Assembly Bill (AB) 849 – Liability for Damages

11/19/2021

Skilled Nursing Facilities (SNFs) , Intermediate Care Facilities (ICFs)

AFL 21-45

Assembly Bill (AB) 323 - Citation Criteria and Civil Penalty Increases

11/19/2021

Long-term Care Facilities (LTC)

Title Subject Release Date Facility Type Affected
AFL 22-07.2

Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)

01/23/2023

Skilled Nursing Facilities

AFL 22-07.1 (Superseded)

Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)

10/06/2022

Skilled Nursing Facilities

AFL 22-07 (Superseded)

Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)

02/07/2022

Skilled Nursing Facilities

AFL 20-77

​Notice of Grant Opportunity to Benefit Nursing Facility Residents to Support In-Person Visitation

10/02/2020

Skilled Nursing Facilities Nursing Facilities

Title Subject Release Date Facility Type Affected
AFL 23-13

Notice of Expiration of Temporary Waivers Related to the Coronavirus Disease 2019 (COVID-19) Pandemic

02/07/2023

All Facilities

AFL 23-11

Availability of Waivers to Continue Operations During the Series of Atmospheric River Systems

01/19/2023

All Facilities

AFL 21-36.3

Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements

06/30/2022

Skilled Nursing Facilities

AFL 21-36.2 (Superseded)

Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements

03/16/2022

Skilled Nursing Facilities

AFL 20-40.4

Suspension of Specified Regulatory Requirements for Nurse Assistant Training Programs (NATPs)

03/16/2022

All Facilities Nurse Assistant Training Programs

AFL 21-36.1 (Superseded)

Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements

11/12/2021

Skilled Nursing Facilities




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