The California Department of Health has issued an All Facilities Letter (AFL) providing COVID-19 infection control recommendations for long-term care facilities during the 2021 holiday season. The letter outlines guidance for private gatherings, resident testing and placement after returning to the facility, and communal activities in facilities. Residents and families are advised to consider factors such as community levels of COVID-19, location and duration of gatherings, and vaccination status of attendees. Facilities are recommended to hold communal holiday activities and dining while adhering to COVID-19 infection prevention principles. For residents returning to facilities from holiday celebrations, screening for signs and symptoms of COVID-19 is required, with quarantine and testing procedures varying based on vaccination status and duration of time spent outside the facility.

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