The California Department of Health has issued a new All Facilities Letter (AFL) requiring COVID-19 vaccination for all healthcare personnel (HCP) who provide services or work in healthcare facilities or direct care settings. HCP must complete their vaccination series by September 30, 2021, for healthcare facilities and November 30, 2021, for direct care settings. Additionally, HCP must receive vaccine boosters by March 1, 2022, unless exempt. Exemptions may be granted for religious beliefs or qualifying medical reasons. The AFL also rescinds routine diagnostic screening COVID-19 testing requirements for unvaccinated exempt HCP and booster-eligible HCP who have not yet received their booster. Healthcare facilities and providers must maintain records of workers' vaccination or exemption status and may be subject to enforcement actions if they fail to comply. The department recommends updating policies and procedures to address vaccination and documentation requirements.

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