The California Department of Health issued an All Facilities Letter (AFL) on February 22, 2022, requiring healthcare personnel (HCP) at various types of intermediate care facilities to be up-to-date with COVID-19 vaccinations and receive boosters by March 1, 2022, unless exempt. The letter also allows HCP who have completed their primary vaccination series and provide proof of subsequent COVID-19 infection to defer booster administration for up to 90 days from the date of clinical diagnosis or first positive test. The AFL updates testing requirements, mandating at least twice-weekly COVID-19 testing for unvaccinated exempt HCP and booster-eligible HCP who have not yet received their booster. Facilities must begin testing booster-eligible workers who have not yet received their booster by December 27, 2021, and be in full compliance by January 7, 2022. The letter also outlines guidelines for verifying vaccination status, providing proof of vaccination, and implementing additional personal protective equipment and masking for unvaccinated HCP.

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