The California Department of Health has issued an All Facilities Letter (AFL) outlining a new process for Skilled Nursing Facilities (SNFs) to request fit-testing assistance for staff respiratory protection. Effective January 13, 2021, SNFs can submit requests through Salesforce to their Medical Health Operational Area Coordinator (MHOAC) for fit-testing resources. The state has contracted with Concentra to provide training and fit-testing for SNF staff. Facilities will receive an authorization form to distribute to staff who require fit-testing. Staff are responsible for scheduling appointments with Concentra and providing necessary documentation. Concentra will verify fit-testing requirements, provide training on proper respirator usage, and document fit test results for each employee. This new process aims to ensure staff safety and compliance with Cal/OSHA respirator standards.

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