licensing and certification

Active COVID-19 AFLs

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
AFL 22-23.2 (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 23-10	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)

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 20-27.1

(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

AFL 23-09
(Obsolete)

All Facilities

Coronavirus Disease 2019 (COVID-19) Outbreak Investigation and Reporting Thresholds

01/18/2023

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Active COVID-19 AFLs

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