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LICENSING AND CERTIFICATION

All Facilities Letters - 2023

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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 NumberFacility Type AffectedSubjectRelease Date
AFL 23-01 
Skilled Nursing Facilities (SNF)
Intermediate Care Facilities (ICF)
Assembly Bill (AB) 895: Notice to Prospective Residents
01/18/2023
AFL 23-02 
General Acute Care Hospitals (GACH)
Assembly Bill (AB) 1394 ā€“ Suicide Screening Requirement
01/18/2023
AFL 23-03 
Hospice Facilities (HOFA)
Skilled Nursing Facilities (SNF)
Intermediate Care Facilities (ICF)
Assembly Bill (AB) 1852 ā€“ Automated Drug Dispensing Systems
01/18/2023
AFL 23-04 
Skilled Nursing Facilities (SNFs)
Assembly Bill (AB) 1907 ā€“ Frequency of Inspections
01/18/2023
ā€‹AFL 23-05 
ā€‹General Acute Care Hospitals (GACH)
Acute Psychiatric Hospitals (APH)
Chemical Dependency Recovery Hospitals (CDRH)
ā€‹Assembly Bill (AB) 2096 ā€“ Revision and Expansion of Permitted Licensure of Chemical Dependency Recovery (CDR) Services

ā€‹01/18/2023
ā€‹AFL 23-06 
ā€‹Skilled Nursing Facilities (SNFs)
ā€‹Assembly Bill (AB) 2511 ā€“ Skilled Nursing Facilities: Backup Power Source
ā€‹01/18/2023
ā€‹AFL 23-07 
ā€‹General Acute Care Hospitals (GACH)
Special Hospitals (SH)
Skilled Nursing Facilities (SNF)
Congregate Living Health Facilities (CLHF)
Hospice Facilities (HOFA)
ā€‹Senate Bill (SB) 988 ā€“ Compassionate Access to Medical Cannabis Act
ā€‹01/18/2023
ā€‹AFL 23-08 
(Supersedes AFL 19-18)

General Acute Care Hospitals (GACH) Skilled Nursing Facilities (SNF)

ā€‹Requirements to Report Outbreaks and Unusual Infectious Disease Occurrences 

ā€‹01/18/2023
ā€‹AFL 23-09 
(Obsolete)

ā€‹All Facilities

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

ā€‹01/18/2023
ā€‹AFL 23-10 
ā€‹Skilled Nursing Facilities (SNF)
ā€‹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
ā€‹01/18/2023
ā€‹AFL 23-11 
ā€‹All Facilities

ā€‹Availability of Waivers to Continue Operations During the Series of Atmospheric River Systems
ā€‹01/19/2023
ā€‹AFL 23-12 
(Supersedes AFL 20-74.1)

ā€‹Skilled Nursing Facilities (SNFs)
ā€‹Coronavirus Disease 2019 (COVID-19) Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities
ā€‹01/24/2023
ā€‹ā€‹AFL 23-13 

ā€‹All Facilities 
ā€‹Notice of Expiration of Temporary Waivers Related to the Coronavirus Disease 2019 (COVID-19) Pandemic   
ā€‹02/07/2023
ā€‹ā€‹AFL 23-14ā€‹ 

ā€‹Hospice Agencies

Hospice Facilities

ā€‹Notice of Stakeholder Meeting for Hospice Regulationsā€‹
ā€‹02/13/2023
ā€‹AFL 23-15ā€‹ 

ā€‹Skilled Nursing Facilities (SNFs)

ā€‹Notice of Stakeholder Meeting for Modifying SNF Application Fees
ā€‹03/10/2023
ā€‹ā€‹AFL 23-16ā€‹ 

ā€‹Skilled Nursing Facilities (SNFs)ā€‹
ā€‹Clarification on Family Council Requirements
ā€‹04/12/2023
ā€‹AFL 23-17ā€‹ 


ā€‹Skilled Nursing Facilities (SNFs)
Intermediate Care Facilities (ICFs)
ā€‹Assembly Bill (AB) 1502 ā€“ Change of Ownership and Change of Management Requirements 
ā€‹06/12/2023
ā€‹AFL 23-18 

ā€‹Skilled Nursing Facilities (SNFs)
Intermediate Care Facilities (ICFs)

ā€‹Interdisciplinary Team (IDT) Authorized Medical Interventions for Residents Unable to Provide Informed Consent and Without a Health Care Decision Makerā€‹

ā€‹06/14/2023
ā€‹AFL 23-19ā€‹ 

ā€‹Skilled Nursing Facilities (SNFs)
ā€‹Appeal Procedures for Direct Care Service Hours Per Patient Day Penalties
ā€‹06/15/2023
ā€‹AFL 23-20ā€‹ 

ā€‹All Facilities
ā€‹Hot Summer Weather Advisory
ā€‹06/28/2023
ā€‹AFL 23-21 

ā€‹General Acute Care Hospitals
ā€‹General Acute Care Hospital (GACH) Water Rationing Plan and Storage Requirements
ā€‹06/30/2023
ā€‹AFL 23-22ā€‹ 

ā€‹All Health Facilities
ā€‹Fiscal Year (FY) 2023-24 Health Care Facility License Fee Schedule
ā€‹06/30/2023
ā€‹AFL 23-23 


ā€‹General Acute Care Hospitals (GACHs)
Acute Psychiatric Hospitals (APHs)
Skilled Nursing Facilities (SNFs)
ā€‹California Health and Human Services (CalHHS) Data Exchange Framework (DxF)

ā€‹06/30/2023
ā€‹ā€‹AFL 23-24 

ā€‹All Facilities
ā€‹ā€‹Revised Licensure and Certification Application (HS 200) and Applicant Individual Information (HS 215A)ā€‹
ā€‹06/30/2023
ā€‹AFL 23-25ā€‹ā€‹ā€‹ā€‹ā€‹

ā€‹All Facilities

ā€‹Weather Advisory Hurricane Hilary

ā€‹08/18/2023

ā€‹AFL 23-26ā€‹ 
ā€‹All Facilities
ā€‹ā€‹New Legal Requirement to Submit Immunization Data
ā€‹ā€‹08/25/2023ā€‹
ā€‹AFL 23-27ā€‹ 


ā€‹General Acute Care Hospitals (GACHs)

ā€‹Nurse-to-Patient Ratios Penalties and Clarification on Unpredictable Situations Affecting Staffing Levelsā€‹

ā€‹09/11/2023
ā€‹ā€‹AFL 23-28ā€‹ 


ā€‹Skilled Nursing Facilities (SNFs)
ā€‹Select Skilled Nursing Facility Recertification Surveys to be Conducted by CertiSurv
ā€‹09/14/2023
ā€‹ā€‹AFL 23-29ā€‹ 
(Supersedes AFL 22-20)ā€‹

ā€‹Skilled Nursing Facilitiesā€‹

ā€‹Coronavirus Disease 2019 (COVID-19) Treatment Resources for Skilled Nursing Facilities (SNFs) ā€‹
ā€‹09/26/2023
ā€‹AFL 23-30ā€‹ 
(Supersedes AFL 22-23.2)ā€‹

ā€‹All Hospitals
ā€‹Guidance for Response to Anticipated Adult and Pediatric Surges in Respiratory Virus Transmission 
ā€‹10/10/2023
ā€‹ā€‹AFL 23-31ā€‹ 

ā€‹Hospice Agencies
Hospice Facilitiesā€‹

ā€‹Notice of Stakeholder Meeting for Hospice Regulationsā€‹
ā€‹10/13/2023
ā€‹AFL 23-32.1ā€‹ 
(Supersedes AFL 23-32)

ā€‹Skilled Nursing Facilities (SNF) 
Nursing Facilities (NF) and 
Swing Beds Non-Critical Access Hospital (SB Non-CAH)

ā€‹Centers for Medicare and Medicaid Serviceā€™s (CMS) Minimum Data Set (MDS) Resident Assessment Instrument (RAI) 3.0 Manual v1.18.11 went into effect October 1, 2023
ā€‹11/03/2023
ā€‹AFL 23-33 
(Supersedes AFL 21-20.2)
General Acute Care Hospitals (GACHs)
Acute Psychiatric Hospitals (APHs)
ā€‹ā€‹Coronavirus Disease 2019 (COVID-19) Vaccine Recommendations for Eligible Individuals Prior to Discharge

ā€‹11/13/2023
ā€‹AFL 23-34ā€‹ 

(Supersedes AFL ā€‹22-09.1)ā€‹


ā€‹ā€‹All Facilities
ā€‹Coronavirus Disease 2019 (COVID-19) Vaccine Recommendations for Clinically Eligible Individualsā€‹

ā€‹11/13/2023
ā€‹ā€‹AFL 23-35ā€‹ 

ā€‹All Facilities
ā€‹Xylazine in the Illicit Drug Supply and Patient Best Practices
ā€‹11/28/2023
ā€‹ā€‹AFL 23-36ā€‹ 

ā€‹Skilled Nursing Facilities (SNFs)
ā€‹Recommendations for Prevention and Control of COVID-19, Influenza, and Other Respiratory Viral Infections in California Skilled Nursing Facilities ā€“ 2023-24
ā€‹12/05/2023
ā€‹AFL 23-37ā€‹ - NEW

ā€‹Skilled Nursing Facilities
ā€‹Skilled Nursing Facility Admission, Transfer and Discharge Requirements 
ā€‹12/22/2023


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