Skip Navigation LinksCOVID-19-AFLs

​licensing and certification

​Active COVID-19 A​FLs

​​Bulletin Number

​Facility Type Affected
​Subject
​Release Date
AFL 20-31.6
(Supersedes AFL 20-31.4)


​General Acute Care Hospitals (GACHs)​
​GACH Coronavirus Disease (COVID-19) Daily Reporting​
​05/12/2023
​​​AFL 20-42
​Acute Psychiatric Hospitals (APHs)
​Coronavirus Disease (COVID-19) APH Reporting
​04/17/2020
​AFL 20-43.4
(Supersedes AFL 20-46.2)

​Skilled Nursing Facilities (SNFs)

​SNF Coronavirus Disease 2019 (COVID-19) Daily Reporting

​05/11/2023
​AFL 20-50.1 
(Supersedes AFL 20-50) 

​​Skilled Nursing Facilities
​Skilled Nursing Facility Infection Prevention Meetings
​06/22/2020
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 20-73​​
​​​Skilled Nursing Facilities
​​Advance Care Planning, Physician’s Order for Life Sustaining Treatment (POLST) and Coronavirus Disease 2019 (COVID-19)

​09/22/2020

AFL 20-81

​​General Acute Care Hospitals
​GACH Coronavirus Disease 2019 (COVID-19) Vaccination Survey
​10/12/2020
AFL 21-08.9 
(Supersedes AFL 21-08.8)


​General Acute Care Hospitals,
Acute Psychiatric Hospitals,
Skilled Nursing Facilities
​Guidance on Quarantine and Isolation for Health Care Personnel (HCP) Exposed to SARS-CoV-2 and Return to Work for HCP with COVID-19
​12/02/2022
AFL 21-11​

​Skilled Nursing Facilities (SNFs)
​Guidelines for 3.5 Direct Care Service Hours Per Patient Day (DHPPD) Staffing Audits
​​03/17/2021
​​AFL 21-25

​General Acute Care Hospitals
​Weekly Reporting Related to Patient Discharges with Coronavirus Disease 2019 (COVID-19) 
​07/23/2021
(Supersedes AFL 22-23.1)
​All Facilities​
​Guidance for Response to Surge in Respiratory Viruses  ​
​06/14/2023

​​AFL 22-33​.1
(Supersedes AFL 22-33)

​​Acute Psychiatric Hospital (APH)
General Acute Care Hospital (GACH)​
​Guidance for Response to Surge in Respiratory Viruses Among Adult Patients
​​06/14/2023
AFL 23-08

​General Acute Care Hospitals (GACH) Skilled Nursing Facilities (SNF)​
​Requirements to Report Outbreaks and Unusual Infectious Disease Occurrences ​​
​01/18/2023
​AFL 23-09​

​All Facilities

​Coronavirus Disease 2019 (COVID-19) Outbreak Investigation and Reporting Thresholds​
01/18/2023
​AFL 23-10

​Skilled Nursing Facilities (SNF)
​Recommendations for the Prevention and Control of Influenza in California Skilled Nursing Facilities (SNFs) for the 2022-2023 Season during the Coronavirus Disease 2019 (COVID-19) Pandemic
​01/18/2023
​AFL 23-12 
(Supersedes AFL 20-74.1)
​Skilled Nursing Facilities (SNFs)
​Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities​
​01/24/2023
​​​AFL 23-13 

​​All Facilities 

​Notice of Expiration of Temporary Waivers Related to the Coronavirus Disease 2019 (COVID-19) Pandemic  
​02/07/2023
​​AFL 23-29 ​
(Supersedes AFL 22-20)

​Skilled Nursing Facilities
​Coronavirus Disease 2019 (COVID-19) Treatment Resources for Skilled Nursing Facilities (SNFs) ​

​09/26/2023
AFL 23-33
(Supersedes AFL 21-20.2)

​General Acute Care Hospitals (GACHs)
Acute Psychiatric Hospitals (APHs)
​Coronavirus Disease 2019 (COVID-19) Vaccine Recommendations for Eligible Individuals Prior to Discharge

​11/13/2023
​AFL 23-34​
(Supersedes AFL 22-09.1)
​All Facilities
​Coronavirus Disease 2019 (COVID-19) Vaccine Recommendations for Clinically Eligible Individuals
​11/13/2023


​Rescinded COVID-19 AFLs

​​Bulletin Number​

​Facility Type Affected
​Subject
​Release Date​
AFL 20-26.13 
(Rescinded)
General Acute Care Hospitals
​​Suspension of Regulatory Enforcement of Hospital Requirements
​​06/30/2022
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 20-34.7 
(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 20-40.5
(Rescinded)
​All Facilities
Nurse Assistant Training Programs
​Suspension of Specified Regulatory Requirements for Nurse Assistant Training Programs (NATPs)
​06/30/2022
AFL 20-47.2  
(Rescinded)
​Hospice Providers
​Suspension of Regulatory Enforcement of Hospice Requirements
​07/16/2021
AFL 20-49.6
(Rescinded)
​All Facilities
​Suspension of Professional Certification Requirements for Home Health Aides (HHAs)
​06/30/2022
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 20-60​
(Rescinded)
​Skilled Nursing Facilities
​SNF Weekly Reporting of Coronavirus Disease 2019 (COVID-19) Surveillance/Response-Driven Testing
07/17/2020​
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 20-67
(Rescinded)
​Skilled Nursing Facilities
​Emergency Resident Transfers during the Coronavirus Disease 2019 (COVID-19) Pandemic
​08/20/2020

AFL 20-72.1
(Rescinded)
​Home Health Agencies
​Suspension of Regulatory Enforcement of Home Health Agency Requirements
​07/16/2021
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
​12/30/2020
​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
​AFL 21-02
(Rescinded)​

​General Acute Care Hospitals
​​Residential Alternate Care Site (R-ACS) Option to Increase Bed Capacity Due to Anticipated Surge in Coronavirus Disease 2019 (COVID-19)
​01/12/2021
​​AFL 21-07
(Rescinded)
​Skilled Nursing Facilities,
General Acute Care Hospitals
​Maintain Efforts to Increase Staffing Levels
​​01/24/2021
​​AFL 21-09
(Rescinded)
​​General Acute Care Hospitals
​Additional Temporary Waivers Tied to the Hospital Surge Public Health Order
02/01/2021
​​AFL 21-12
(Rescinded)

General Acute Care Hospitals
Temporary Waiver of Practitioner’s Order for Administration of the Coronavirus Disease 2019 (COVID-19) Vaccine
​​04/16/2021
​AFL 21-24 
(Rescinded)
​General Acute Care Hospitals
Acute Psychiatric Hospitals
​Call for Specimens from Hospitalized Coronavirus Disease 2019 (COVID-19) Patients​
​07/22/2021
​​AFL 21-27.3 
(Rescinded)


​General Acute Care Hospitals
​Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment (PPE) for Health Care Personnel (HCP) at General Acute Care Hospitals (GACHs)
​​02/22/2022
​AFL 21-28.3 
(Rescinded)


​Skilled Nursing Facilities
​​Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Skilled Nursing Facilities (SNF)
​02/22/2022
​​AFL 21-29.3 
(Rescinded)​


​All Clinics,
Adult Day Health Care Centers,
Acute Psychiatric Hospitals,
Ambulatory Surgery Centers,
Chemical Dependency Recovery Hospitals,
Chronic Dialysis Clinics,
Congregate Living Health Facilities,
Comprehensive Outpatient Rehabilitation Facilities,
Correctional Treatment Centers,
End Stage Renal Disease Dialysis Facilities,
Hospice Facilities,
Pediatric Day Health & Respite Care Facilities,
Rehabilitation Clinics
​Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at Health Care Facilities
​02/22/2022
​AFL 21-30.3 
(Rescinded)


​​Intermediate Care Facility (ICF),
ICF/Developmentally Disabled,
ICF/Developmentally Disabled – Continuous Nursing,
ICF/Developmentally Disabled – Habilitative,
ICF/Developmentally Disabled – Nursing

​Coronavirus Disease 2019 (COVID-19) Testing, Vaccination Verification and Personal Protective Equipment for Health Care Personnel (HCP) at the Various Types of Intermediate Care Facilities
​02/22/2022
​AFL 21-34.5 
(Rescinded)
​All Facilities
​Coronavirus Disease 2019 (COVID-19) Vaccine Requirement for Healthcare Personnel (HCP)
​01/23/2023
​​AFL 21-36.3 
(Rescinded)



​Skilled Nursing Facilities​
​Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements
06/30/2022

Obsolete COVID-19 AFLs
​​Bulletin Number​

​Facility Type Affected
​Subject
​Release Date
AFL 20-09​
(Obsolete)
​All Facilities
​​Healthcare Facility Resources for the 2019 Novel Coronavirus (2019-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 20-13
(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 20-17
(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 20-23
(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)
​0​3/16/2020
AFL 20-25.2
(Obsolete)
​​Skilled Nursing Facilities
​Preparing for Coronavirus Disease 2019 (COVID-19) in California Skilled Nursing Facilities
​04/15/2020
AFL 20-27.1
(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 20-33.2
(Obsolete)


​Skilled Nursing Facilities
​Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19)
​05/15/2020
AFL 20-36.3
(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 20-44.1
(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 20-48.3
(Obsolete)

​​All Facilities

​Transfers to Low Acuity Alternate Care Sites During Coronavirus Disease 2019 (COVID-19) Pandemic

​12/16/2020
​​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 20-55​
(Obsolete)
​Skilled Nursing Facilities
​SNF Coronavirus Disease 2019 (COVID-19) Baseline Testing Reporting
​06/02/2020
AFL 20-61
(Obsolete)
​Skilled Nursing Facilities

​Dialysis Transportation for Coronavirus Disease 2019 (COVID-19) Positive Residents

​07/21/2020

​​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 20-78
(Obsolete)
​​Skilled Nursing Facilities
​November 3, 2020 Election: Voting During the COVID-19 Pandemic
​10/05/2020
AFL 20-82​
(Obsolete)
​All Facilities
​California Department of Public Health (CDPH) Influenza Vaccination and Masking Policy
​​10/30/2020​
AFL 20-86.1
(Obsolete)

​​Long-Term Care Facilities

​​Coronavirus Disease 2019 (COVID-19) Infection Control Recommendations during Holiday Celebrations

​​11/20/2020

​AFL 20-88.4 ​
(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 21-14.2 
(Obsolete)


​​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)
​Visitation Guidance for ICF/DD-H-N-CN Facilities During the Coronavirus Disease-2019 (COVID-19) Pandemic
​10/06/2022
AFL 21-31.2 
(Obsolete)

​General Acute Care Hospitals

​Visitor Guidance at General Acute Care Hospitals (GACHs)

​01/23/2023

​​AFL 21-35 
(Obsolete)

​Adult Day Health Centers (ADHCs)
​Guidance for In-Center Services and Operation of ADHCs during the Coronavirus Disease 2019 (COVID-19) Pandemic
​09/17/2021
AFL 21-42​
(Obsolete)
​Skilled Nursing Facilities (SNF)
​Coronavirus Disease 2019 (COVID-19) Vaccination and Booster Dose Guidance
​​11/12/2021
AFL 21-49 
(Obsolete)

​Long-Term Care Facilities
​​Coronavirus Disease 2019 (COVID-19) Infection Control Recommendations during the 2021 Holiday Season
​​12/08/2021
​​AFL 21-52 
(Obsolete)
​​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)
​Guidance for Residents/Clients to Safely Participate in Day Programs
​12/13/2021
​AFL 22-07.2 
(Obsolete)
​​Skilled Nursing Facilities
​Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs)
​​01/23/2023
​​AFL 22-13.1 
(Obsolete)


​​Skilled Nursing Facilities
​Coronavirus Disease 2019 (COVID-19) Mitigation Plan Recommendations for Testing of Health Care Personnel (HCP) and Residents at Skilled Nursing Facilities (SNF)
​​10/05/2022
AFL 22-31 
(Obsolete)

​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

​12/12/2022

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