The California Department of Public Health (CDPH) has issued an All Facilities Letter outlining new procedures for auditing skilled nursing facilities' compliance with the 3.2 nursing hours per patient day requirement. The CDPH Licensing and Certification Program (L&C) will continue collecting staffing data to assess compliance with the mandated staffing ratio. Audits will cover the 12-month period from November 1, 2006, to October 31, 2007, and will be conducted unannounced. Facilities will be notified of a two to three week window during which they can expect a visit. During the audits, facilities must provide staff payroll records and patient census records. Non-compliant facilities will be issued a deficiency and must submit a plan of correction. Facilities exempt from the audits include continuing care retirement communities, distinct parts of licensed general acute care hospitals, and state-owned skilled nursing facilities.

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