California Department of Public Health Throughout the pandemic, California has led the nation in its COVID-19 response effort in collaboration with community-based organizations and local government agencies to address statewide health disparities and built an unprecedented public health infrastructure. This revision also updates the vaccine booster dose requirements in the California Immunization Requirements for Covered HCP Table. Please turn on JavaScript and try again. Additionally, facilities and providers must ensure the records are in compliance with CDPH Guidance for Vaccine Records Guidelines & Standards and contain the following information: If a contractor or vendor has entered into an agreement to verify and document HCP vaccination/exemption status, the agreement shall also require the contractor to maintain records and provide such records to CDPH, the local or state Public Health Officer, or their designee immediately upon request or by no later than the next business day after receiving the request. These measures can improve vaccination rates in these settings, which ensures that both the individuals being served as well as the workers providing the services, are protected from COVID-19. Healthcare Workers 5. Do workers need to get vaccinated and/or boosted if they previously had COVID-19? Quick Reference: Discontinuation of Transmission-Based Precautions for Persons with COVID-19 in Healthcare Settings UPDATED 5/25/23. These recommendations will be updated as additional information becomes available, including regarding the ability of currently authorized vaccines to protect against infection with novel variants and the effectiveness of additional authorized vaccines. 8. This includes workers serving in residential care or other direct care settings who have the potential for direct or indirect exposure to persons in care or SARS-CoV-2 airborne aerosols. Since March 2022, healthcare personnel booster rates reached 90%. Vulnerable The updates to the orders related to vaccination, masking, isolation, and quarantine will take effect in the coming days and weeks. It covers the fundamentals of infection prevention and control for COVID-19 in an aged care setting. Sacramento, CA 95899-7377, For General Public Information:
For more information regarding COVID-19 vaccines that are currently authorized for emergency use, please refer to theFood and Drug Administration COVID-19 Vaccines webpage and/or theWorld Health Organization COVID-19 Vaccineswebpage. The worker is excused from receiving any COVID-19 vaccine due to Qualifying Medical Reasons. To be eligible for a Qualified Medical Reasons exemption the worker must also provide to their employer or employer-recipient a written statement signed by a physician, nurse practitioner, or other licensed medical professional practicing under the license of a physician stating that the individual qualifies for the exemption (but the statement should not describe the underlying medical condition or disability) and indicating the probable duration of the worker's inability to receive the vaccine (or if the duration is unknown or permanent, so indicate). Consequently, mandated testing of the small number of unvaccinated workers is not effectively preventing disease transmission as it did with the original COVID-19 virus and prior variants earlier in the pandemic. In March 2022, California announced the release of the state's SMARTER Plan, the next phase of California's COVID-19 response. California's path forward will be predicated on individual, smarter actions that will collectively yield better outcomes for our neighborhoods, communities, and state. Medical exemptions must include a statement signed by a licensed healthcare provider that states the exemption applies to the specific individual submitting the certification because the COVID-19 vaccine is medically contraindicated for the individual. Either an antigen test or nucleic acid amplification test (NAAT) can be used. This includes health care, long-term care, and correctional facilities as well as homeless, emergency, and warming and cooling centers. (916) 558-1784, COVID 19 Information Line:
Consistent with applicable privacy laws and regulations, an employer must maintain records of workers' vaccination or exemption status. Find links to COVID-19 resources for healthcare personnel on caring for patients, vaccine provider resources, and hospital and non-hospital operations. 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The operator of the facility shall maintain a record of the agreement on-site. In addition, healthcare facilities should make N95 respirators available to any HCP who wishes to wear one when not otherwise required for the care of patients or residents with suspected or confirmed COVID-19. *Asymptomatic or mildly symptomatic with improving symptoms, and meeting negative test criteria; facilities should refer toCDC guidancefor HCP with severe to critical illness or moderately to severely immunocompromised. It looks like your browser does not have JavaScript enabled. Additionally, there is immunological data suggesting that allowing an adequate interval between an infection and a COVID-19 vaccination dose may be important to allow quality immune memory. Beginning March 13, a COVID-19 positive person may end isolation after five days if they feel well, have improving symptoms, and are fever-free for 24 hours, with less emphasis on testing negative. CDPH reminds Californians that critical tools to fight COVID-19 remain available to everyone at low or no cost. Facilities and employers may also still consider various screening strategies (point in time testing, serial testing, etc.) In recent weeks, California has begun to wind down some underutilized emergency COVID-19 supports across California. MS 0500
Additional statewide directed measures are necessary to protect particularly vulnerable populations, and ensure a sufficient, consistent supply of workers in high-risk care settings. Record Rai nfall Raises Risk of Mosquito-borne Diseases. Order of the State Public Health Officer Adult Care Facilities and
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On December 22, 2021, this Order was amended to make boosters mandatory for covered workers and to require additional testing of workers eligible for boosters who are not yet boosted. 10. Hospitals should refer to AFL 21-08.9 for guidance about work exclusion and return to work for HCP who test positive for COVID-19. The state public health officer order formerly known as Beyond the Blueprint is being updated to align with CDPH's isolation and quarantine recommendations above and includes an updated definition for a confirmed COVID-19 case. In addition, 88% of Skilled Nursing Facility healthcare personnel have received at least one booster doseand 71% of staff at the California Department of Corrections and Rehabilitation have completed their primary series. For HCP who test positive, hospitals should follow AFL 21-08.9, "Guidance on Quarantine for Health Care Personnel (HCP) Exposed to SARS-CoV-2.". Vaccines for children 5-11 years of age have been available since October 2021. On April 3, CDPH will rescind an order that required hospitals statewide to accept transfer patients from facilities with limited ICU capacity as needed. As we've also seen, the Omicron subvariants have shown immune escape and increased transmissibility, and while unvaccinated individuals still have higher risk of infection, previously infected, vaccinated, and boosted persons have also been infected. Sacramento, CA 95899-7377, For General Public Information:
12. Although COVID-19 vaccination remains effective in preventing severe disease, recent data suggest vaccination becomes less effective over time at preventing infection or milder illness with symptoms, especially in people aged 65 years and older. California has seen a dramatic increase in the percentage of Californians that are fully vaccinated and boosted. Regardless of primary vaccine received, any of the COVID-19 vaccines authorized in the United States may be used for the booster dose, but either Moderna or Pfizer-BionTech are preferred. Distributed more than 1 billion pieces of personal protective equipment, including masks. Pursuant to the Public Health Order Health Care Worker Vaccine Requirement and Adult Care Facilities and Direct Care Worker Vaccine Requirement, facilities and providers must maintain records demonstrating compliance with the vaccine requirements for HCP described in this AFL. HCP may consider routine diagnostic screening testing if they have underlying immunocompromising conditions due to the greater risks such individuals face if they contract COVID-19. Hospitals should and SNFs must usethe table, below, to guide work restrictions and testing for HCP with SARS-CoV-2 infection and for asymptomatic HCP with exposures based upon facility staffing level. This change takes effect on Monday, April 3 to allow local health departments and individual health care facilities to develop and implement plans customized to their needs and local conditions to continue to protect Californians through the end of the winter virus season. Post-exposure testing is not recommended if a person was infected with COVID-19 in the last 30 days, unless they develop new symptoms. "Worker" refers to all paid and unpaid individuals who work in indoor settings where (1) care is provided to individuals, or (2) persons in care have access for any purpose. The Delta variant is highly transmissible and causes more severe illness. 5 days* with at least one negative diagnostic test same day or within 24 hours prior to return OR. Federal regulations 42 CFR 483.80(d)(3) and 42 CFR 483.460(a)(4)(i) also require that Long-Term Care (LTC) facilities and Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID) must offer COVID-19 vaccines to residents, clients, and staff onsite when supplies are available to the facility and in accordance with the CDC and the Advisory Committee on Immunization Practices (ACIP) COVID-19 vaccine schedule, which includes bivalent booster doses. Recognizing the staffing shortages that persist across the state and the need to bring HCP back to work, CDPH is maintaining the routine return-to-work criteria of at least 5 days with at least one negative test on day 5 or later, regardless of vaccination status. COVID Additionally, facilities must continue to track workers' vaccination or exemption status to ensure they are complying with these requirements. and based on concerning levels of transmission locally. On September 13, 2022, CDPH amended the Public Health Order Health Care Worker Vaccine Requirement and State Public Health Order Adult Care Facilities and Direct Care Worker Vaccine Requirement to no longer requiring routine diagnostic screening COVID-19 testing for unvaccinated HCP. In the case of workers in a facility, the facility is the employer. CDPH continues to monitor the science and current recommendations from the Centers for Disease Control and Prevention (CDC) to inform and update guidance. 2. , AUTHORITY: State Public Health Order - Health Care Worker Vaccine Requirement State Public Health Order Adult Care Facilities and Direct Care Worker Vaccine Requirement. "Employer" refers to an organization that employs and directs the worker in providing services. Decrease, Reset
Beginning April 3, with federal rules continuing to ensure that most health care workers remain vaccinated for COVID-19, the state will no longer require vaccination for health care workers including those in adult care, direct care, correctional facilities, and detention centers. This includes HCP serving in healthcare or other healthcare/direct care settings who have the potential for direct or indirect exposure to patients or SARS-CoV-2 airborne aerosols. Healthcare Ending the expedited license processing for facilities performing COVID-19 tests. Earlier today, Oregon and Washington made similar announcements related to masking. COVID troduction to State Public Health Officer Order of September 13, 2022, en
Please turn on JavaScript and try again. Contact: CDPHpress@cdph.ca.gov . FDA COVID-19 Vaccines webpage. The updated order, which will take effect March 13, provides prevention and mitigation strategies for slowing the spread of COVID-19 in homes, workplaces, and communities. . To provide an additional layer of safety, these HCP should wear a fit-tested N95 for source control through day 10. HCP subject to the vaccine requirement include all paid and unpaid individuals who work in indoor settings where care is provided to patients, or patients have access to for any purpose. Did you know that youcan reduce the spread of COVID-19 at work by improving the air quality indoors? c. For unvaccinated workers: signed declination forms with written health care provider's statement where applicable, as described in section (6) above. Additional information about how CDPH isolation guidance affects covered workplaces may be found in COVID-19 Prevention Non-Emergency Regulations FAQ. a. Vaccines continue to remain the most critical aspect of moving our communities out of this pandemic. a. California Health and Safety Code, Sections 120325-120375 Under these statutes, children in California are required to receive certain immunizations in order to attend public and private elementary and secondary schools, child care centers, family day care homes, nursery schools, day nurseries, and If new symptoms consistent with COVID-19 If you have any questions regarding this AFL, quarantine guidance, or work restrictions, please contact CDPH Healthcare-Associated Infections Program via email atCovHAI@cdph.ca.gov. AFL 23-20 - California Department of Public Health to Default, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, Interim Guidance for Managing Healthcare Personnel with SARS-CoV-2 Infection or Exposure to SARS-CoV-2. (916) 558-1784, COVID 19 Information Line:
The new COVID 19 & Improving Indoor Air Quality at Work Webpage describes methods you can apply at work to improve indoor air quality. Healthcare workers with COVID-19 who are without symptoms can return to work after 7 days with a negative test, and isolation time can be reduced further if there are staffing shortages. All in-home direct services workers, including registered home care aides and certified home health aides, except for those workers who only provide services to a recipient with whom they live or who are a family member of the recipient for whom they provide services, All hospice workers who are providing services in the home or in a licensed facility, HCP in healthcare facilities: September 30, 2021, HCP in direct care settings: November 30, 2021, Contractual staff not employed by the healthcare facility. The COVID-19 pandemic remains a significant challenge in California. This may not apply for staff types or in settings where practically infeasible (e.g., Emergency Departments where patient COVID status is unknown) or where doing so would disrupt safe nurse to patient ratios, and for staff who do not have direct patient/resident care roles. Nothing in this Order limits otherwise applicable requirements related to Personal Protective Equipment, personnel training, and infection control policies and practices. This Order is issued pursuant to Health and Safety Code sections 120125, 120140, 120175,120195 and 131080 and other applicable law.