The California Department of Health issued a new All Facilities Letter (AFL) providing updated guidance for long-term care facilities to limit the transmission of COVID-19. The letter authorizes facilities to modify visitation policies following CDC and CMS guidelines, focusing on infection control and prevention practices. It also provides guidance for group activities and communal dining based on residents' vaccination status. Facilities must ensure visitation is person-centered, supports residents' well-being, and is conducted with privacy. All visitors must adhere to screening, mask-wearing, and physical distancing requirements. The letter emphasizes the importance of outdoor visitation and encourages alternative communication methods for residents and families. Facilities must comply with resident rights requirements and allow access for healthcare workers, surveyors, ombudsman, and students. Non-compliance with the guidance may result in citation and enforcement actions.

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