The California Department of Health has issued a new All Facilities Letter (AFL) extending the temporary waiver of specified regulatory requirements for Adult Day Health Care Centers (ADHCs) until June 1, 2021, due to the COVID-19 emergency. The waiver allows ADHCs that have submitted an application to begin providing care before obtaining official approval and licensure. ADHCs are not required to provide all services at the center and have flexibility in how they provide basic services, which may include telehealth or other remote methods. The waiver also allows rural alternative ADHCs to be open fewer than three days per week. ADHCs must report any staffing or supply shortages, follow their disaster response plan, adhere to infection control guidelines, and comply with local public health directives. The waiver may be extended based on updated executive orders or guidance from the Centers for Medicare and Medicaid Services (CMS) or the Centers for Disease Control and Prevention (CDC).

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