The California Department of Health has issued a new All Facilities Letter (AFL) requiring healthcare personnel (HCP) to receive COVID-19 vaccinations by September 30, 2021. Facilities must document HCP vaccination or exemption status to be in full compliance. HCP includes all paid and unpaid individuals working in indoor settings where care is provided to patients, including nurses, physicians, technicians, therapists, and administrative staff. Exemptions are allowed for religious beliefs or qualifying medical reasons. Unvaccinated exempt workers must undergo regular COVID-19 testing and wear a surgical mask or higher-level respirator while in the facility. Facilities must maintain records of workers' vaccination or exemption status and provide them to the California Department of Public Health upon request. Non-compliance may result in enforcement actions by the department.

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