The California Department of Public Health (CDPH) has issued an updated All Facilities Letter (AFL) with new recommendations for skilled nursing facilities (SNFs) to prevent the spread of COVID-19. The AFL requires SNF healthcare personnel to receive COVID-19 vaccine boosters and be up-to-date with vaccinations by February 1, 2022, unless exempt. Unvaccinated exempt personnel and booster-eligible personnel who have not yet received their booster must undergo twice-weekly COVID-19 testing. Facilities must begin testing booster-eligible personnel who have not yet received their booster by December 27, 2021, and be in full compliance by January 7, 2022. The CDPH strongly recommends that all SNF personnel, including those fully vaccinated and boosted, undergo at least twice-weekly screening testing. The AFL also includes updated CDC guidance related to quarantine and outbreak investigations.

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