The California Department of Health has issued a new All Facilities Letter (AFL) providing updated guidance for healthcare personnel (HCP) regarding quarantine and return-to-work policies amid the rise of COVID-19 cases due to the Omicron variant. The letter outlines exposure risk assessment and work restrictions for asymptomatic HCP exposed to the virus, as well as work restrictions for HCP diagnosed with COVID-19. The updated guidance aligns with the CDC's shortened isolation duration and testing considerations. Healthcare facilities are advised to plan for staffing shortages by adjusting staff schedules, hiring additional HCP, and developing regional plans for alternate care sites. The letter also details work restrictions for HCP based on vaccination status and facility staffing levels. Non-compliance may result in a skilled nursing facility's loss of annual Medi-Cal reimbursement rate increases. Facilities and local health departments have the option to implement more protective procedures if desired.

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