Announces the permanent adoption of CCR T22 Div. 6 Infection Control Regulation, effective 7/1/23 for RCFEs at 87470 and all Adult and Senior Care program licenses except ARFPSHNs. SRF at 81095.5; ADP at 82095.5; ARF at 85095.5 and RCFCI at 87895.5. These updates also apply to CCH and EBSH.

Please post/keep this PIN in the community where all residents and staff as well as families and representatives of residents can easily access it and distribute the PIN to residents and/or, if applicable, their representatives.

Definitions and Terminology:

• Replaces the term “communicable” to “contagious” throughout all sections, as not all communicable diseases are contagious and may not need the disinfection required for contagious diseases.

• “Contagious disease” has been added to the definition sections of the regulations. It has been defined as an illness capable of being transmitted from one human to another human via direct or indirect contact.

• “Infectious” has been added to the definition section of the regulations. It has been defined as something (e.g. material, agent, person) that is capable of transmitting infection, and it includes something which contains an organism – such as bacteria, viruses, fungi or parasites, which can cause disorder or disease and specifies that some diseases can be passed from person to person.

• “other potentially infectious material” to align with Section E of CDC’s Environmental Infection Control Guidelines.

• Renames the Infection Control Preventionist title to Infection Control Lead. The duties of the position have not changed. Infection Control Practices:

Infection Control Practices

• Clarifies that hand hygiene includes hand washing with soap and water or using hand sanitizer as an alternative method of hand hygiene.

• Clarifies that disinfection will occur when surfaces are contaminated and visibly soiled with “blood or body fluids or other potentially infectious material.”

• Clarifies that gloves and personal protective equipment (PPE) should be discarded in between completing an interaction with one person in care and prior to interacting with another person in care.

• Specifies the licensee should consult with a medical professional, local health official, health department, or other research-based medical authority to determine the type of enhanced cleaning needed for the type of contagious disease within the facility.

· Amends the language related to the proper use and disposal of a needle and syringe to be in accordance with applicable regulations (CCR, Title 8, Section 5193) (Cal/OSHA)

Emergency Infection Control Plan

• Clarifies that any updates to the Emergency Infection Control Plan shall be sent to the Department within 15 calendar days.

• Requires the Emergency Infection Control Plan and any updates to be made available to staff, residents, and, if applicable, their authorized representative.

• Amends requirement related to how often the Emergency Infection Control Plan shall be reviewed and updated from “as necessary every 30 calendar days” to “as necessary or whenever new measures are recommended”, as specified.

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