The California Department of Health has issued an All Facilities Letter (AFL) updating healthcare facilities on the Centers for Disease Control and Prevention's (CDC) revised list of COVID-19 symptoms. The updated list includes a wider range of symptoms, from mild to severe, that may appear 2-14 days after exposure to the virus. Healthcare facilities are required to update their screening processes, policies, and procedures to reflect these changes. The new symptoms include cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, sore throat, and new loss of taste or smell. Emergency warning signs include trouble breathing, persistent pain or pressure in the chest, new confusion or inability to arouse, and bluish lips or face. Facilities should consult their medical provider for any other severe or concerning symptoms. Failure to comply with these updates may result in consequences for non-compliance.

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