The California Department of Health issued a new All Facilities Letter (AFL) outlining new statutory requirements for long-term care facilities mandated by SB 1312 chapter 895 statutes of 2006. Effective July 1, 2007, the Department of Public Health (DPH) is required to conduct unannounced periodic licensing inspections for all long-term care facilities licensed by the Licensing and Certification Program of DPH. The state licensing surveys will be conducted annually, with facilities that have not had a class AA, A, or B violation within 12 months of the last survey receiving an inspection every two years. Federal certification and state licensing surveys will be conducted concurrently, as long as the scheduling for mandated timeframes does not conflict. Facilities must comply with these new requirements to maintain their licenses and avoid potential penalties.

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