Licensing and certification Program

All Facilities Letters - 2020

It is recommended to use Google Chrome, Microsoft Edge, or Firefox as your web browser when opening the AFL. Internet Explorer may not work correctly.

*All Facilities Letters are listed in ascending order by release date, with updated AFLs listed directly after their original version

Bulletin Number	Facility Type Affected	Subject	Release Date
AFL 20-01 (PDF)	Skilled Nursing Facilities	Reminder of Mandatory use of “Census and Direct Care Service Hours Per Patient Day (DHPPD)” (CDPH Form 612) and “Nursing Staffing Assignment and Sign-in Sheet (DHPPD Salaried/Dual Role/Nurse Assistant)” (CDPH Form 530)	01/06/2020
AFL 20-02 (PDF)	All Facilities	Changes to the Application Review Process	01/06/2020
AFL 20-03 (PDF)	Skilled Nursing Facilities	Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)	01/06/2020
AFL 20-04 (Superseded - see AFL 23-27)	General Acute Care Hospitals	Notice of New Penalties for Violating Nurse to Patient Staffing Ratios	01/16/2020
AFL 20-05 (PDF)	General Acute Care Hospitals	Medical Evidentiary Examinations and Reporting	01/17/2020
AFL 20-06 (PDF)	General Acute Care Hospitals , Acute Psychiatric Hospitals, Special Hospitals, Hospice Facilities	Senate Bill (SB) 322: Health Facilities: Inspections: Employee Reporting	01/17/2020
AFL 20-07 (PDF)	General Acute Care Hospitals, Alternative Birth Centers, Primary Care Clinics	California Dignity in Pregnancy and Childbirth Act	01/17/2020
AFL 20-08 (PDF)	General Acute Care Hospitals	Notice of Stakeholder Meeting for GACH Administration, Licensure, Medical Services, and Records and Reporting Regulations (GACH Administration)	01/17/2020
AFL 20-09 (Obsolete)	All Facilities	Health Update and Interim Guidance – 2019 Novel Coronavirus (nCoV)	01/23/2020
AFL 20-10 (Obsolete)	All Facilities	Healthcare Facility Resources for the 2019 Novel Coronavirus (2019-nCoV)	01/27/2020
AFL 20-11 (Obsolete)	All Facilities	Updated 2019 Novel Coronavirus Information (2019-nCoV), Including Patient Under Investigation (PUI) Guidance from the Centers for Disease Control and Prevention (CDC)	01/31/2020
AFL 20-12 (PDF)	All Facilities	Change of Ownership Procedural Requirements	02/03/2020
AFL 20-13 (Obsolete)	All Facilities	2019 Novel Coronavirus Interim Guidance for Risk Assessment and Health Management of Healthcare Personnel with Potential Exposure	02/10/2020
AFL 20-14 (Obsolete)	All Facilities	Environmental Infection Control for the Coronavirus Disease 2019 (COVID-19)	02/19/2020
AFL 20-15.1 (Obsolete)	All Facilities	Infection Control Recommendations for Facilities with Suspect Coronavirus (COVID-19) Patients	02/28/2020
AFL 20-16.1 (Supersedes AFL 20-16)	All Facilities	Notice of Stakeholder Meeting for GACH Cardiac Catheterization Laboratory Service Regulations	03/25/2020
AFL 20-17 (Obsolete)	All Facilities	Guidance for Healthcare Facilities on Preparing for Coronavirus Disease 2019 (COVID-19)	03/03/2020
AFL 20-18 (Obsolete)	Hospitals	Hospital Resources Survey to Assess Surge Capacity Regarding Coronavirus Disease 2019 (COVID-19)	03/08/2020
AFL 20-20	All Facilities	2020 Census Workers: Group Quarters Enumeration	03/11/2020
AFL 20-21	Hospitals and Critical Access Hospitals with Psychiatric or Rehabilitative Distinct Part Units	New Electronic Process for Hospitals to Report a Death Associated with Restraint or Seclusion	03/11/2020
AFL 20-22.9 (Superseded - see AFL 22-07)	Skilled Nursing Facilities	Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities	08/12/2021
AFL 20-23 (Obsolete)	All Facilities	California Coronavirus Disease 2019 (COVID-19) Health Care System Mitigation Playbook	03/20/2020
AFL 20-24 (Obsolete)	All Facilities	Guidance for Procedures and Transfer of Deceased Persons with Confirmed or Suspected Coronavirus Disease 2019 (COVID-19)	03/16/2020
AFL 20-25.2 (Obsolete)	Skilled Nursing Facilities	Preparing for Coronavirus Disease 2019 (COVID-19) in California Skilled Nursing Facilities	04/15/2020
AFL 20-26.13 (Rescinded)	General Acute Care Hospitals	Suspension of Regulatory Enforcement of Hospital Requirements	06/30/2022
AFL 20-27.1 (Obsolete)	Adult Day Health Centers	Guidance for Limiting the Transmission of Coronavirus Disease 2019 (COVID-19) in Adult Day Health Centers	03/23/2020
AFL 20-28	Skilled Nursing Facilities	Announcement: Extension of the Deadline to Apply for Patient Needs and Workforce Shortage Waivers	03/23/2020
AFL 20-29	Adult Day Health Centers (ADHC) Home Health Agencies (HHA) Intermediate Care Facilities (ICF) ICF/Developmentally Disabled (ICF/DD) Referral Agencies	Regulatory Update for Social Worker Definition and Services	03/26/2020
AFL 20-30.9 (Rescinded)	Primary Care Clinics (PCCs) Mobile Health Care Units (MHCUs)	Suspension of Regulatory Enforcement of Specified PCC and MHCU Requirements	06/30/2022
AFL 20-31.6 (Rescinded)	General Acute Care Hospitals (GACHs)	GACH Coronavirus Disease (COVID-19) Daily Reporting	05/12/2023
AFL 20-32.3 (Superseded - see AFL 21-36)	Skilled Nursing Facilities	Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements	06/02/2021
AFL 20-33.2 (Obsolete)	Skilled Nursing Facilities	Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19)	05/15/2020
AFL 20-34.7 (Rescinded)	Adult Day Health Care Centers (ADHCs)	Suspension of Regulatory Enforcement of Specified ADHC Requirements	06/30/2022
AFL 20-35.8 (Rescinded)	All Facilities	Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs)	07/05/2022
AFL 20-36.3 (Obsolete)	General Acute Care Hospitals Skilled Nursing Facilities	Guidance for Decontamination and Reuse of N95 Filtering Facepiece Respirators	06/16/2020
AFL 20-37 (Obsolete)	Ambulatory Surgery Centers (ASCs)	ASC Ventilator Inventory Survey	04/08/2020
AFL 20-38.7 (Obsolete)	All Facilities	Visitor Limitations Guidance	06/16/2021
AFL 20-39 (Obsolete)	All Facilities	Coronavirus Disease 2019 (COVID-19) Optimizing the Use of Personal Protective Equipment (PPE)	04/13/2020
AFL 20-40.5 (Rescinded)	All Facilities Nurse Assistant Training Programs	Suspension of Specified Regulatory Requirements for Nurse Assistant Training Programs (NATPs)	06/30/2022
AFL 20-41	All Facilities	Prohibition on charging for federally supplied assets or pharmaceuticals from the Strategic National Stockpile (SNS)	04/16/2020
AFL 20-42 (Rescinded)	Acute Psychiatric Hospitals (APHs)	Coronavirus Disease (COVID-19) APH Reporting	04/17/2020
AFL 20-43.4 (Supersedes AFL 20-43.3)	Skilled Nursing Facilities (SNFs)	SNF Coronavirus Disease 2019 (COVID-19) Daily Reporting	05/11/2023
AFL 20-44.1 (Obsolete)	All Facilities	Expanding Access to Testing: Updated Interim Guidance on Prioritization for Coronavirus Disease 2019 (COVID-19) Laboratory Testing	05/02/2020
AFL 20-45 (Obsolete)	All Facilities	Hotels for Healthcare Workers	04/20/2020
AFL 20-46 .3 (Rescinded)	All Facilities	Requests for Urgent Staffing Resources for COVID-19	09/07/2021
AFL 20-47.2 (Rescinded)	Hospice Providers	Suspension of Regulatory Enforcement of Hospice Requirements	07/16/2021
AFL 20-48.3 (Obsolete)	All Facilities	Transfers to Low Acuity Alternate Care Sites During Coronavirus Disease 2019 (COVID-19) Pandemic	12/16/2020
AFL 20-49.6 (Rescinded)	All Facilities	Suspension of Professional Certification Requirements for Home Health Aides (HHAs)	06/30/2022
AFL 20-50.1 (Supersedes AFL 20-50)	Skilled Nursing Facilities	Skilled Nursing Facility Infection Prevention Meetings	06/22/2020
AFL 20-51 (Obsolete)	All Facilities	Updated Coronavirus Disease 2019 (COVID-19) Symptoms	05/09/2020
AFL 20-52 (Obsolete)	Skilled Nursing Facilities	Coronavirus Disease 2019 (COVID-19) Mitigation Plan Implementation and Submission Requirements for Skilled Nursing Facilities (SNF) and Infection Control Guidance for Health Care Personnel (HCP)	05/11/2020
AFL 20-53.6 (Superseded - see AFL 22-13)	Skilled Nursing Facilities	COVID-19 Mitigation Plan Recommendations for Testing of HCP and Residents at SNF	12/27/2021
AFL 20-54	All Facilities	Hot Summer Weather Advisory	05/27/2020
AFL 20-55 (Obsolete)	Skilled Nursing Facilities	SNF Coronavirus Disease 2019 (COVID-19) Baseline Testing Reporting	06/02/2020
AFL 20-56	All Facilities	Request for Interest in Serving as a Temporary Manager	06/12/2020
AFL 20-57.5 (Rescinded)	All Facilities	Suspension of Professional Certification Requirements for Home Health Aide Training Programs (HHA Training Programs)	06/30/2022
AFL 20-58	All Facilities	Fiscal Year (FY) 2020-21 Health Care Facility License Fee Schedule	07/07/2020
AFL 20-59	All Facilities	Public Safety Power Shutoff Power Outage Reporting	07/13/2020
AFL 20-60 (Rescinded)	Skilled Nursing Facilities	SNF Weekly Reporting of Coronavirus Disease 2019 (COVID-19) Surveillance/Response-Driven Testing	07/17/2020
AFL 20-61 (Obsolete)	Skilled Nursing Facilities	Dialysis Transportation for Coronavirus Disease 2019 (COVID-19) Positive Residents	07/21/2020
AFL 20-62 (Rescinded)	Intermediate Care Facilities (ICF), Intermediate Care Facilities/Developmentally Disabled (ICF/DD), Intermediate Care Facilities/Developmentally Disabled – Habilitative (ICF/DD-H), Intermediate Care Facilities/Developmentally Disabled – Nursing (ICF/DD-N), Intermediate Care Facilities/Developmentally Disabled – Continuous Nursing (ICF/DD-CN)	ICF Coronavirus Disease 2019 (COVID-19) Daily Reporting	07/25/2020
AFL 20-63.1 (Supersedes AFL 20-63)	Skilled Nursing Facilities	Deployment of Online Survey Application for Coronavirus Disease 2019 (COVID-19) SNF Mitigation Surveys	08/07/2020
AFL 20-64	Skilled Nursing Facilities	Staffing Data Submission through the Payroll-Based Journal (PBJ) System	08/13/2020
AFL 20-65	All Facilities	Level II Extreme Heat Alert	08/13/2020
AFL 20-66.1 (Supersedes AFL 20-66)	Skilled Nursing Facilities, Distinct Part Skilled Nursing Facilities, End Stage Renal Disease Dialysis Facilities, Chronic Dialysis Clinics	Updated Guidance for Provision of Home Dialysis Services in a Skilled Nursing Facility	03/08/2021
AFL 20-67 (Rescinded)	Skilled Nursing Facilities	Emergency Resident Transfers during the Coronavirus Disease 2019 (COVID-19) Pandemic	08/20/2020
AFL 20-68	Nursing Homes	Health Services Advisory Group (HSAG) Centers for Medicare and Medicaid Services (CMS) Initiatives to Support Nursing Home Quality Improvement	09/03/2020
AFL 20-69.1 (Obsolete)	All Facilities	Survey Priorities during the Coronavirus Disease 2019 (COVID-19) Pandemic	03/01/2021
AFL 20-70 (Obsolete)	Skilled Nursing Facilities	Non-Emergency Transportation during the Coronavirus Disease 2019 (COVID-19) Pandemic	09/14/2020
AFL 20-71	All Facilities	Recall Notice of Advoque Safeguard N95 Particulate Filtering Respirator	09/14/2020
AFL 20-72.1 (Rescinded)	Home Health Agencies	Suspension of Regulatory Enforcement of Home Health Agency Requirements (See Frequently Asked Questions for additional guidance)	07/16/2021
AFL 20-73	Skilled Nursing Facilities	Advance Care Planning, Physician’s Order for Life Sustaining Treatment (POLST) and Coronavirus Disease 2019 (COVID-19)	09/22/2020
AFL 20-74.1 (Superseded - See AFL 23-12)	Skilled Nursing Facilities	Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities	07/22/2021
AFL 20-75.1 (Superseded - See AFL 23-09)	All Facilities	Coronavirus Disease 2019 (COVID-19) Outbreak Investigation and Reporting Thresholds	07/22/2021
AFL 20-76 (Superseded - See AFL 23-32)	Skilled Nursing Facilities (SNF) Nursing Facilities (NF) Intermediate Care Facilities Swing Bed Hospitals	Changes on the Minimum Data Set (MDS) 3.0 v1.17.2	09/29/2020
AFL 20-77	Skilled Nursing Facilities Nursing Facilities	Notice of Grant Opportunity to Benefit Nursing Facility Residents to Support In-Person Visitation	10/02/2020
AFL 20-78 (Obsolete)	Skilled Nursing Facilities	November 3, 2020 Election: Voting During the COVID-19 Pandemic	10/05/2020
AFL 20-79	General Acute Care Hospitals	Access to Salesforce for Resource Requests	10/09/2020
AFL 20-80 (Superseded - See AFL 21-44)	Skilled Nursing Facilities	Recommendations for the Prevention and Control of Influenza during the Coronavirus Disease 2019 (COVID-19) Pandemic	10/12/2020
AFL 20-81	General Acute Care Hospitals	GACH Coronavirus Disease 2019 (COVID-19) Vaccination Survey	10/12/2020
AFL 20-82 (Obsolete)	All Facilities	California Department of Public Health (CDPH) Influenza Vaccination and Masking Policy	10/30/2020
AFL 20-83.2 (Supersedes AFL 20-83.1)	Skilled Nursing Facilities Intermediate Care Facilities	Interdisciplinary Team (IDT) Authorized Medical Interventions for Residents Unable to Provide Informed Consent and Without a Health Care Decision Maker	08/31/2022
AFL 20-84	Skilled Nursing Facilities	Infection Prevention Recommendations and Incorporation into the Quality and Accountability Supplemental Payment (QASP) Program	11/04/2020
AFL 20-85	Skilled Nursing Facilities	Assembly Bill (AB) 2644 – Skilled Nursing Facilities: Infection Preventionists and Communicable Disease Reporting	11/09/2020
AFL 20-86.1 (Obsolete)	Long-Term Care Facilities	Coronavirus Disease 2019 (COVID-19) Infection Control Recommendations during Holiday Celebrations	11/20/2020
AFL 20-87.1 (Superseded - see AFL 22-31)	Skilled Nursing Facilities General Acute Care Hospitals	Movement of Patients/Residents in the Healthcare Continuum During Seasonal Surges and the Coronavirus Disease 2019 (COVID-19) Pandemic	11/15/2021
AFL 20-88.4 (Obsolete)	General Acute Care Hospitals	Coronavirus Disease 2019 (COVID-19) Testing Recommendations for Patients and Health Care Personnel (HCP) at General Acute Care Hospitals (GACHs)	01/23/2023
AFL 20-89.1 (Supersedes AFL 20-89)	Skilled Nursing Facilities Intermediate Care Facilities Educational Institutions	Requirements for Application Submission for Online or Distance Learning Nurse Assistant Training Programs (NATPs)	06/07/2021
AFL 20-90 (Rescinded)	General Acute Care Hospitals	Program Flexibility Requirement for General Acute Care Hospitals (GACH) Before Providing Acute Hospital Care at Home Services	12/23/2020
AFL 20-91 (Rescinded)	General Acute Care Hospitals	California Crisis Care Continuum Guidelines: Implementing During the Surge of Coronavirus Disease 2019 (COVID-19) Cases	12/28/2020

Page Last Updated :

To Top

What’s New

Administrative

Diseases and Conditions

Family Health

Health and Safety

Health Facilities

Personal Health and Prevention

Licensing, Certification and Other Credentials

Person Interested In

Licensing and certification Program

All Facilities Letters - 2020