{"id":"AGY-ST-HEALTH-SUBORDERS-088","kind":"order","level":"state","jurisdiction":"California - Department of Public Health, Center for Health Care Quality","state":"CA","metro":"","industry":"","agency":"ST-HEALTH-SUBORDERS","eco":"","issuer":"Heidi W. Steinecker, Deputy Director, Center for Health Care Quality, CDPH","authority":"\u0027AUTHORITY: Title 22 of the California Code of Regulations section 72523(c)\u0027 (recited)","instrument":"AFL 20-52, Coronavirus Disease 2019 (COVID-19) Mitigation Plan Implementation and Submission","title":"Every SNF must submit a CDPH-approved COVID-19 mitigation plan within 21 calendar days with six required elements (testing, full-time infection preventionist, PPE, staffing shortages, designated space, communication); failure may be cited as immediate jeopardy","dateIssued":"2020-05-11","effective":"2020-05-11 (plans due within 21 calendar days)","end":"continued as the plan framework through 2021 (AFL 20-53 series)","startDate":"2020-05-11","endDate":"2021-09-30","quarters":["2020Q2","2020Q3","2020Q4","2021Q1","2021Q2","2021Q3"],"types":["HC","EMP","SUPPLY"],"addressees":["all skilled nursing facilities"],"clause":"AUTHORITY: Title 22 of the California Code of Regulations section 72523(c)... [This AFL requires SNFs to submit a mitigation plan with the required] elements to the California Department of Public Health (CDPH) within 21 calendar days... development and implementation of a CDPH approved COVID-19 mitigation plan. SNFs must submit a mitigation [plan; failure to do so may be cited as] immediate jeopardy. The mitigation plan must include the following six elements:... 2. Infection Prevention and Control. The SNF must have a full-time, dedicated Infection Preventionist (IP).... 3. Personal Protective Equipment (PPE). The SNF must have a plan for adequate provision of PPE... 4. Staffing Shortages. The SNF must have policies in place to address HCP shortages... 5. Designation of Space. The SNF must have policies in place for dedicated spaces within the facility.","enforcement":"22 CCR § 72523(c); Health \u0026 Safety Code § 1280.1 (immediate jeopardy citations and administrative penalties)","functions":["IC infection control (full-time infection preventionist)","SC PPE supply planning","HR staffing contingency","OF plan submission","RS designated spaces (bed use)"],"notes":"","sourceUrl":"https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/AFL-20-52.aspx","snapshot":"","fileExists":true,"fileBytes":141086,"grade":"primary","character":"","description":"","collection":"AGY-ST-HEALTH-SUBORDERS","url":"/library/AGY-ST-HEALTH-SUBORDERS-088","exhibitUrl":"/exhibit/AGY-ST-HEALTH-SUBORDERS-088","citation":"Heidi W. Steinecker, Deputy Director, Center for Health Care Quality, CDPH, AFL 20-52, Coronavirus Disease 2019 (COVID-19) Mitigation Plan Implementation and Submission (May 11, 2020) (Ex. AGY-ST-HEALTH-SUBORDERS-088)","stateName":"California","related":["AGY-ST-HEALTH-SUBORDERS-087"]}