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Licensing and certification Program

All Facilities Letters - 2020

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

Bulletin NumberFacility Type Affected Subject Release Date
AFL 20-01 (PDF)Skilled Nursing FacilitiesReminder 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 FacilitiesChanges to the Application Review Process01/06/2020
AFL 20-03 (PDF) Skilled Nursing FacilitiesAnnouncement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW)01/06/2020
AFL 20-04 (PDF)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 (PDF)
​All Facilities
​Health Update and Interim Guidance – 2019 Novel Coronavirus (nCoV)​01/23/2020
AFL 20-10 (PDF)
​All Facilities
​Healthcare Facility Resources for the 2019 Novel Coronavirus (2019-nCoV)​01/27/2020
AFL 20-11 (PDF)​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 (PDF)​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 (PDF)​All Facilities​Environmental Infection Control for the Coronavirus Disease 2019 (COVID-19)​02/19/2020
AFL 20-15 (PDF)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 FacilitiesNotice of Stakeholder Meeting for GACH Cardiac Catheterization Laboratory Service Regulations ​03/25/2020
​AFL 20-17 (PDF)​All Facilities​Guidance for Healthcare Facilities on Preparing for Coronavirus Disease 2019 (COVID-19) ​03/03/2020
​AFL 20-18 (PDF)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 20-21Hospitals and Critical Access Hospitals with Psychiatric or Rehabilitative Distinct Part UnitsNew Electronic Process for Hospitals to Report a Death Associated with Restraint or Seclusion​03/11/2020
AFL 20-22.1
AFL 20-22)
Long-Term Care Facilities​Guidance for Limiting the Transmission of COVID-19 in Long-Term Care Facilities​03/11/2020
​AFL 20-23​All FacilitiesCalifornia Coronavirus Disease 2019 (COVID-19) Health Care System Mitigation Playbook ​03/20/2020
​AFL 20-24​All Facilities​Guidance for Procedures and Transfer of Deceased Persons with Confirmed or Suspected Coronavirus Disease 2019 (COVID-19)0​3/16/2020
AFL 20-25.1 (Supersedes AFL 20-25)​Skilled Nursing Facilities​Preparing for Coronavirus Disease 2019 (COVID-19) in California Skilled Nursing Facilities​03/20/2020
AFL 20-26​General Acute Care Hospitals​Suspension of Regulatory Enforcement of Hospital Requirements​03/20/2020
AFL 20-27.1 (Supersedes AFL 20-27)​Adult Day Health Centers​Guidance for Limiting the Transmission of Coronavirus Disease 2019 (COVID-19) in Adult Day Health Centers


AFL 20-28​Skilled Nursing FacilitiesAnnouncement: 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

AFL 20-30​Primary Care Clinics (PCCs)

Mobile Health Care Units (MHCUs)

​Suspension of Regulatory Enforcement of Specified PCC and MHCU Requirements​03/26/2020
AFL 20-31General Acute Care Hospitals (GACHs)​Coronavirus Disease (COVID-19) Daily Reporting​03/28/2020​
AFL 20-32
​Skilled Nursing Facilities​Suspension of Regulatory Enforcement of Specified Skilled Nursing Facility Requirements​03/30/2020
AFL 20-33
​Skilled Nursing Facilities
​Interim Guidance for Transfer of Residents with Suspected or Confirmed Coronavirus Disease (COVID-19)

​AFL 20-34​Adult Day Health Care Centers (ADHCs) Suspension of Regulatory Enforcement of Specified ADHC Requirements​04/02/2020
​AFL 20-35​All Facilities​Suspension of Professional Certification Requirements for Certified Nurse Assistants (CNAs) ​04/05/2020
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