The California Department of Health has issued a new All Facilities Letter (AFL) temporarily waiving specified hospital licensing requirements and suspending regulatory enforcement due to the COVID-19 outbreak. The waiver is valid until March 1, 2021. The AFL clarifies waivers of nurse-to-patient ratios for various healthcare units and requires hospitals to submit a CDPH form 5000A and supporting documentation if seeking a waiver of minimum nurse-to-patient ratios. The letter also provides clarifying changes for downgrading, changing, or eliminating services and alternative measures for staffing waiver requests. Hospitals must continue to make efforts to meet required staffing ratios, comply with adverse event reporting, and follow infection control guidelines from the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC).
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