The California Department of Health has issued an All Facilities Letter (AFL) outlining the Small House Skilled Nursing Facilities Pilot Program (SHSNF PP) standards, as authorized by Senate Bill 1228. These standards apply to all facilities selected to participate in the SHSNF PP and are in addition to all applicable federal statutes and regulations. Pilot facilities must follow all state statutes and regulations unless the pilot program standards vary from them. Healthcare facilities should refer to AFL 17-29 for application procedures and submittal deadlines for admission to the pilot program. Any questions regarding the AFL should be emailed to SHSNFPilotProgram@cdph.ca.gov. Compliance with these standards is essential for participating facilities, as non-compliance may result in penalties or exclusion from the pilot program.

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