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2.4 and 3.5 Preliminary County Shortage Areas

 

The information below represents a preliminary list of county shortage areas for purposes of meeting the skilled nursing facility 3.5 direct care service hours and the 2.4 CNA component requirements. These lists are draft and are subject to change. The lists are based on data from California’s Office of Statewide Health Planning and Development, the Employment Development Department, and the California Department of Public Health. This designation is one of many criterion that CDPH will consider in reviewing workforce shortage waiver applications. If a facility is in one of the counties listed, CDPH will not automatically grant a facility’s request for a waiver to the 3.5 or 2.4 requirements. And if a facility is not in one of the counties listed, CDPH will not automatically deny a facility’s request. For a full explanation of the workforce shortage waiver process please review All Facilities Letter 18-16: Guidelines for the workforce shortage waiver of the 3.5 direct care service hour requirement and/or the 2.4 hours per patient day performed by certified nurse assistants.

 

​2.4 Preliminary Shortage Counties3.5 Preliminary Shortage Counties​
AlpineAlpine
AmadorAmador
CalaverasCalaveras
ColusaColusa
Del NorteDel Norte
GlennGlenn
HumboldtHumboldt
ImperialInyo
InyoKern
KernLake
KingsLassen
LakeMadera
LassenMarin
MaderaMariposa
MarinMendocino
MariposaModoc
MendocinoMono
ModocMonterey
MonoNevada
MontereyPlumas
NapaSanta Cruz
NevadaSierra
PlacerSiskiyou
PlumasSutter
San FranciscoTehama
Santa CruzTrinity
ShastaTuolumne
SierraYolo
Siskiyou 
Sutter  
Tehama 
Trinity 
Tuolumne 
Yolo 
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