The California Department of Health has issued an All Facilities Letter (AFL) providing updated guidance on quarantine and isolation for healthcare personnel (HCP) exposed to COVID-19. From January 8 to February 1, 2022, asymptomatic HCP who test positive for COVID-19 may return to work immediately without isolation or testing, and asymptomatic HCP who have been exposed may also return to work without quarantine or testing. These HCP must wear an N95 respirator for source control. The AFL also offers guidance on exposure risk assessment and work restrictions for asymptomatic HCP with SARS-CoV-2 exposures. Compliance with the AFL is a requirement for skilled nursing facilities (SNFs) to receive the annual increase in Medi-Cal reimbursement rates. The updated guidance aims to address staffing shortages due to the rise in COVID-19 cases from the Omicron variant.

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