CDPH All Facility Letters by Topic



Title Facility Type Affected Subject Release Date

AFL 22-20

Skilled Nursing Facilities

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

09/12/2022

AFL 22-07

Skilled Nursing Facilities

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

02/07/2022

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

Title Facility Type Affected Subject Release Date

AFL 21-44

Skilled Nursing Facilities (SNFs)

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 20-84

​Skilled Nursing Facilities

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

11/4/2020

AFL 20-82

All Facilities

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

10/30/2020

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 20-50.1

Skilled Nursing Facilities

Skilled Nursing Facility Infection Prevention Meetings

06/22/2020

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 20-51

​All Facilities

​Updated Coronavirus Disease 2019 (COVID-19) Symptoms

05/09/2020

AFL 20-25.2

Skilled Nursing Facilities

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

04/15/2020

AFL-20-17

​All Facilities

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

03/03/2020

AFL-20-14

All Facilities

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

02/19/2020

AFL-20-11

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-20-10

All Facilities

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

01/27/2020

Title Facility Type Affected Subject Release Date

AFL 22-13

Skilled Nursing Facilities

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

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

03/07/2022

AFL 21-08.7 (Superseded)

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

01/08/2022

AFL 20-53.6

Skilled Nursing Facilities

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

12/27/2021

AFL 20-74.1

Skilled Nursing Facilities (SNF)

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

07/22/2021

AFL 20-61

​Skilled Nursing Facilities

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

07/21/2020

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-20-13

​All Facilities

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

02/10/2020

Title Facility Type Affected Subject Release Date

AFL 22-17

All Facilities

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

07/07/2022

AFL 22-01

All Facilities

Centralization of Program Flexibility Application Process

01/07/2022

AFL 21-55

Skilled Nursing Facilities (SNFs)

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

12/23/2021

Title Facility Type Affected Subject Release Date

AFL 22-08

Skilled Nursing Facilities

Appeal Procedures for Direct Care Service Hours Per Patient Day Penalties

02/07/2022

AFL 22-06

Skilled Nursing Facilities (SNF)

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

01/26/2022

AFL 21-51

Skilled Nursing Facilities (SNFs)

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

12/13/2021

Title Facility Type Affected Subject Release Date

AFL 22-04

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

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

01/26/2022

Title Facility Type Affected Subject Release Date

AFL 21-28.3

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 21-37

All Facilities

BYD Field Action Notification

09/22/2021

AFL 20-74.1

Skilled Nursing Facilities (SNF)

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

07/22/2021

AFL 21-13

Skilled Nursing Facilities (SNFs)

Personal Protective Equipment (PPE) Push Pack Distribution

04/30/2021

AFL 21-05

Skilled Nursing Facilities

Process for Fit-testing Resource Requests

01/13/2021

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 20-41

​All Facilities

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

04/16/2020

AFL 20-39

All Facilities

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

04/13/2020

Title Facility Type Affected Subject Release Date

AFL 22-13

Skilled Nursing Facilities

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

AFL 20-53.6

Skilled Nursing Facilities

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

12/27/2021

AFL 20-75.1

All Facilities

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

07/22/2021

AFL 20-60

Skilled Nursing Facilities

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

07/17/2020

AFL 20-55

​Skilled Nursing Facilities

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

06/02/2020

Title Facility Type Affected Subject Release Date

AFL 22-07

Skilled Nursing Facilities

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

02/07/2022

AFL 21-49

Long-Term Care Facilities

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

12/08/2021

AFL 20-87.1

Skilled Nursing FacilitiesGeneral 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 20-34.3

Adult Day Health Care Centers (ADHCs)

Suspension of Regulatory Enforcement of Specified ADHC Requirements

03/01/2021

AFL 20-48

All Facilities

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

12/7/2020

AFL 20-67

​Skilled Nursing Facilities

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

08/20/2020

AFL 20-33.2

Skilled Nursing Facilities

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

05/15/2020

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

Title Facility Type Affected Subject Release Date

AFL 20-35.8

All Facilities

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

07/05/2022

AFL 20-35.7 (Superseded)

All Facilities

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

03/16/2022

AFL 20-35.6 (Superseded)

All Facilities

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

12/31/2021

AFL 20-46.3

All Facilities

Requests for Urgent Staffing Resources for COVID-19

09/07/2021

AFL 20-74.1

Skilled Nursing Facilities (SNF)

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

07/22/2021

AFL 21-07

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

Maintain Efforts to Increase Staffing Levels

01/24/2021

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-20-13

​All Facilities

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

02/10/2020

Title Facility Type Affected Subject Release Date

AFL 20-69.1

All Facilities

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

03/01/2021

Title Facility Type Affected Subject Release Date

AFL 22-13

Skilled Nursing Facilities

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

AFL 21-28.3

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 22-07

Skilled Nursing Facilities

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

02/07/2022

AFL 22-02

Skilled Nursing Facilities

Notice of Testing Supply Availability and Distribution Process

01/14/2022

AFL 20-53.6

Skilled Nursing Facilities

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

12/27/2021

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 20-44.1

All Facilities

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

05/02/2020

Title Facility Type Affected Subject Release Date

AFL 22-20

Skilled Nursing Facilities

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

09/12/2022

AFL 22-07

Skilled Nursing Facilities

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

02/07/2022

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

Title Facility Type Affected Subject Release Date

AFL 22-09

All Facilities

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

02/24/2022

AFL 21-34.3

All Facilities

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

02/22/2022

AFL 21-28.3

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 21-42

Skilled Nursing Facilities (SNF)

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

11/12/2021

Title Facility Type Affected Subject Release Date

AFL 21-47

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

Assembly Bill (AB) 849 – Liability for Damages

11/19/2021

AFL 21-45

Long-term Care Facilities (LTC)

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

11/19/2021

Title Facility Type Affected Subject Release Date

AFL 22-07

Skilled Nursing Facilities

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

02/07/2022

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

Title Facility Type Affected Subject Release Date

AFL 21-36.3

Skilled Nursing Facilities

Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements

06/30/2022

AFL 21-36.2 (Superseded)

Skilled Nursing Facilities

Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements

03/16/2022

AFL 20-40.4

All Facilities Nurse Assistant Training Programs

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

03/16/2022

AFL 21-36.1 (Superseded)

Skilled Nursing Facilities

Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements

11/12/2021




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