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Licensing and certification Program

All Facilities Letters - 2021

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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 21-01​Skilled Nursing Facilities​Annual Announcement: Online Application Period for Patient Needs Waiver (PNW) and Workforce Shortage Waiver (WSW) 01/11/2021
​AFL 21-02​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 21-03​Primary Care Clinics (PCCs),
Adult Day Health Centers (ADHCs),
Home Health Agencies (HHAs)
​Implementation of Assembly Bill (AB) 1128 – Program of All-Inclusive Care for the Elderly (PACE): Facility Licensing Exemption​01/12/2021
AFL 21-04

General Acute Care Hospitals,
Acute Psychiatric Hospitals

​AB 2037 - Updated Notice Timelines for Hospital Closure, Reduction or Elimination of Emergency Medical Service, and Relocation or Elimination of Supplemental Services​01/13/2021
AFL 21-05​Skilled Nursing Facilities ​Process for Fit-testing Resource Requests​01/13/2021
​AFL 21-06​Skilled Nursing Facilities (SNF),
Intermediate Care Facilities (ICF)
​Survey on the Use of Interdisciplinary Teams (IDT) for Unrepresented Residents​01/20/2021
AFL 21-07​Skilled Nursing Facilities,
General Acute Care Hospitals
​ Maintain Efforts to Increase Staffing Levels ​01/24/2021
AFL 21-08.2
​General Acute Care Hospitals,
Acute Psychiatric Hospitals,
Skilled Nursing Facilities
​Guidance on Quarantine for Health Care Personnel (HCP) Exposed to SARS-CoV-2​03/23/2021
​AFL 21-09
​General Acute Care Hospitals
​Additional Temporary Waivers Tied to the Hospital Surge Public Health Order
​AFL 21-10
​All Facilities
​Change to Health Care Facility License Issuance
​AFL 21-11
​Skilled Nursing Facilities (SNF)
​Guidelines for 3.5 Direct Care Service Hours Per Patient Day (DHPPD) Staffing Audits
​AFL 21-12
​General Acute Care Hospitals
​Temporary Waiver of Practitioner’s Order for Administration of the Coronavirus Disease 2019 (COVID-19) Vaccine
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