By the US Food and Drug Administration (FDA), are listed at the FDA COVID-19 Vaccines webpage. Thus CDPH is updating its order requiring health care workers to be fully vaccinated and boosted by March 1, 2022 to allow delay of the March 1, 2022 deadline for receiving a booster for covered workers with proof of a recent infection for up to 90 days from date of infection. Yes, if not fully vaccinated. Those workers currentlyeligible for booster doses per the Table above must receive their booster dose by no later than March 1, 2022. Sacramento, CA 95899-7377, For General Public Information: When you work directly with patients or handle body fluids, you're more likely to get and spread serious diseases. Those workers currently eligible for booster doses per the Table above must receive their booster dose by no later than March 1, 2022. 8. In general, workers shall continue reporting to work, wear the appropriate mask at all times based on current masking guidelines as posted on the Lifeline COVID-19 page, and test twice-weekly (with 48-72 hours between each test), until fully-vaccinated/boosted. Consequently, current vaccine requirements of staff in health care settings are not proving sufficient to prevent transmission of the more transmissible Omicron variant. This Order shall take effect on September 17, 2022, and facilities must be in compliance with the Order at that time, with the exception of the deadlines set forth in section 2.a, which facilities must comply with as written. Make sure you are up-to-date with recommended vaccines. Documentation of a previous diagnosis from a healthcare provider. Introduction to State Public Health Officer Order of September 13, 2022. Since the start of the pandemic, CDPH has led with science and data to better understand this disease. 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. Upon determination by their vendor/contractor/network contractor, denials and/or approvals (with corresponding signed medical statements) shall be emailed to the Direct Care Contracts Section (DCCS). 5. 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. All workers currently eligible for boosters, who provide services or work in indoor settings described in section (4) must be "fully vaccinated and boosted" for COVID-19 by receiving all recommended doses of the primary series of vaccines and a vaccine booster dose pursuant to Table A below. Worker is fully-vaccinated, has/had a proven COVID-19 infection, and deferred booster administration by up to 90 days. All CDCR/CCHCS requests require a CDCR Form 855, Request for Reasonable Accommodation, and 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 accommodation. The HA shall initiate and submit an electronic CDCR Form 989, Confidential Request for Internal Affairs Investigation/Notice of Direct Adverse Action, to the Office of Internal Affairs (OIA) within the Case Management System 4.0, consistent with CCR, Title 15, Section 3392, Employee Discipline, DOM, Chapter 3, Article 14, Internal Affairs Investigations, and DOM, Article 22, Employee Discipline. 13. Note: During a COVID-19 outbreak, all workers may be subject to more frequent and regular intervals of COVID-19 testing regardless of vaccination status. The Delta variant is currently the most common variant causing new infections in California. Workers as defined above shall not be subject to discipline or assignment termination. a total of 9,371 confirmed COVID-19 outbreaks and 113,196 . Workers shall continue reporting to work, wear the appropriate mask at all times based on current masking guidelines as posted on the Lifeline COVID-19 page, and test twice-weekly (with 48-72 hours between each test), until fully-vaccinated/boosted. California has seen a dramatic increase in the percentage of Californians that are fully vaccinated and boosted. (916) 558-1784, COVID 19 Information Line: At present, 80% of Californians 12 years of age and older have completed their primary series of COVID-19 vaccines, and 62% have also received at least their first booster dose. Vaccines continue to remain the most critical aspect of moving our communities out of this pandemic. California has seen a dramatic increase in the percentage of Californians that are fully vaccinated and boosted. Accordingly, amendments to the State Public Health Officer Order of February 22, 2022 regarding required testing for exempt covered workers are needed at this time, to reflect recent CDC recommendations, the current science of the Omicron subvariants, the increases in community immunity from vaccination and infection, and increases in vaccine coverage of our healthcare workforce. 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). Workers should only test if 90 days have passed since they tested positive. "Employer-Recipient" refers to the person receiving services from IHSS workers, WPCS workers, and independent registered home care aides. 10. a. Based on the emergence of Omicron, additional statewide facility-directed measures are necessary to ensure we maintain adequate staffing levels within our healthcare delivery system. 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. There is frequent exposure to staff and highly vulnerable patients, including elderly, chronically ill, critically ill, medically fragile, and disabled patients. and based on concerning levels of transmission locally. Workers will need a booster within seven months of their second Pfizer or Moderna dose, or within three months of their Johnson & Johnson shot. Custody workers shall be notified of a posts vaccination/booster requirement prior to bidding. The worker has a right under the Departments EEO policy to file a discrimination complaint internally via OCR or externally via EEOC/ Department of Fair and Equal Housing (DFEH). 2 min read. 12. 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. 1. to Default, Certificates, Licenses, Permits and Registrations, Registered Environmental Health Specialist, California Health Facilities Information Database, Chronic Disease Surveillance and Research, Division of Radiation Safety and Environmental Management, Center for Health Statistics and Informatics, Medical Marijuana Identification Card Program, Office of State Public Health Laboratory Director, current State Public Health Officer Order, Health Care Worker Vaccine Requirement Q&A, QSO-23-02-ALL (Revised Guidance for Staff Vaccination Requirements), Centers for Disease Control and Prevention, Moderna,Pfizer-BioNTech or Novavax or vaccines authorized by the WorldHealth Organization, Booster dose at least 2 months and no more than6 months after 2nd dose, 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. For fully-vaccinated workers not yet eligible for a booster, the disciplinary process may commence on the 16. HAs can look up workers vaccination status on the COVID-19 Staff Vaccine Registry. This Order shall take effect on September 17, 2022, and facilities must be in compliance with the Order at that time), with the exception of the deadlines set forth in section 7.a, which facilities must comply with as written. Workers include, but are not limited to, direct supportive services staff, hospice providers, nurses, nursing assistants, physicians, technicians, therapists, WPCS providers, IHSS providers, registered home care aides, certified home health aides, students and trainees, contractual staff not employed by the residential facility, and persons not directly involved in providing care or services, but who could be exposed to infectious agents that can be transmitted in the care setting (e.g., clerical, clergy, dietary, environmental services, laundry, security, engineering and facilities management, administrative, billing, cosmetology, personal training and volunteer personnel). 7. Additionally, given the current hospital census, even a moderate surge in cases and hospitalizations could materially impact California's health care delivery system within certain regions of the state. Workers have a right to file a claim if they believe that they have suffered an injury or illness caused by work, including receiving a vaccination and/or booster for COVID-19. Consistent with applicable privacy laws and regulations, an employer must maintain records of workers' vaccination or exemption status. b. a. For these reasons, COVID-19 remains a concern to public health and, in order to prevent its further spread in hospitals, SNFs, and other health care settings, new public health requirements are necessary at this time. On Feb. 18, the New York State Department of Health announced it would not enforce the booster mandate for healthcare workers, citing concerns about potential staffing issues. Fully vaccinated workers who provide proof of COVID-19 infection may defer booster administration for up to 90 days from date of their first positive test or clinical diagnosis. b. In many of these settings, the consumers and residents are at high risk of severe COVID-19 disease due to underlying health conditions, advanced age, or both. For CCHCS, requests shall be submitted to their supervisor and EEO coordinator via the CDCR 2273, Request for Religious Accommodation. Recent evidence also shows that among healthcare workers, vaccine effectiveness against COVID-19 infection is also decreasing over time without boosters. c. For unvaccinated workers: signed declination forms with written health care provider's statement where applicable, as described in section (2) above. Decrease, Reset CCHCS civil service workers may submit a request to the CCHCS Disability Management Unit. A mix and match series composed of any combination ofFDA-approved, FDA-authorized, or WHO-EUL COVID-19 vaccines. Alternatively, workers may select another no-cost community clinic listed on the California COVID-19 website or their personal health care provider and follow the process for submitting proof of testing outlined in Attachment B of the January 28, 2022, memorandum. Program of All-Inclusive Care for the Elderly (PACE) and PACE Centers, viii. Most current hospitalizations and deaths are among unvaccinated persons. There is frequent contact between staff or workers and highly vulnerable individuals, including elderly, chronically ill, critically ill, medically fragile, and people with disabilities. WHO COVID-19 Vaccines webpage. FDA COVID-19 Vaccines webpage. Vaccination against COVID-19 is the most effective means of preventing infection with the COVID-19 virus, and subsequent transmission and outbreaks. COVID-19 vaccination and boosters continue to remain the most important strategy to prevent serious illness and death from COVID-19. Boosters have been available in California since September 2021. Workers shall not be removed from their assigned posts or positions. Booster-eligible but unboosted. 4. CDPH continues to assess conditions on an ongoing basis. Novavax is not authorized for use as a booster dose at this time, A mix and match series composed of any combination of FDA-approved, FDA-authorized, or WHO-EUL COVID-19 vaccines, Booster dose at least2 months and no more than6 monthsafter getting all recommended doses, Order of the State Public Health Officer Health Care Worker Vaccine Requirement. For IHSS workers, WPCS workers, and independent registered home care aides, the worker must maintain relevant records as provided in this section. Based on the emergence of Omicron, additional statewide facility-directed measures are necessary to ensure we maintain adequate staffing levels within our healthcare delivery system. Hospitals, skilled nursing facilities (SNFs), and the other health care facility types identified in this order are particularly high-risk settings where COVID-19 outbreaks can have severe consequences for vulnerable populations including hospitalization, severe illness, and death. Once a determination on the religious accommodation request is made, HAs shall notify the Direct Care Contracts Section (DCCS), the provider/contractor, and the network contractor (if applicable). Additionally, given the current hospital census, even a moderate surge in cases and hospitalizations could materially impact California's health care delivery system within certain regions of the state. Are regularly assigned to provide health care or health care services to incarcerated people. This change was necessary because of challenges caused by the Omicron surge that made it difficult for some to obtain their booster doses by the initial deadline. Yes, workers who previously had COVID-19 need to get tested twice-weekly if they are subject to the CDPH Order and are unvaccinated, partially-vaccinated, or booster-eligible but unboosted. Workers with a religious or reasonable accommodation request to masking shall follow the process outlined above. The Delta variant is highly transmissible and causes more severe illness. Newsom first announced. At present, 80% of Californians 12 years of age and older have completed their primary series of COVID-19 vaccines, and 48% have received their first booster dose. MS 0500 for health care workers, here. Under the PHO for adult care facilities and direct care workers, those workers with an approved vaccine exemption or who are eligible for a booster but have not yet received it, testing must be conducted weekly, commencing December 27, 2021. If the accommodation request is denied, the worker has 15 calendar days to initiate a vaccination/booster. Documentation of confirmed laboratory results. Workers with a deferral due to a proven COVID-19 infection must be in compliance no later than 15 days after the expiration of their deferral. If the worker still refuses to comply within this timeframe, HAs shall initiate or continue corrective or disciplinary action. On August 11th and August 24th the Centers for Disease Control (CDC), in updated guidance, also indicated that screening testing is no longer recommended in general community settings, and while screening testing may still be considered in high-risk settings, if implemented it should include all persons, regardless of vaccination status, given recent variants and subvariants with significant immune evasion. According to the CDC " getting a COVID-19 vaccination is a safer and more dependable way to build immunity to COVID-19 than getting sick with COVID-19. Unvaccinated persons are more likely to get infected and spread the virus, which is transmitted through the air. 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. The facility must provide such records to the local or state Public Health Officer or their designee promptly upon request, and in any event no later than the next business day after receiving the request. Espaol, - 9. a. If the worker provides services across multiple households, then the exception does not apply, and the worker must adhere to the provisions of this Order. By the World Health Organization (WHO), are listed at the WHO COVID-19 Vaccines webpage. Workers not yet eligible for boosters must be in compliance no later than 15 days after the recommended timeframe above for receiving the booster dose. Reasonable Medical Accommodations: CDCR civil service workers shall notify their supervisor and Return-to-Work Coordinator of their request. COVID-19 vaccination causes a more predictable immune response than infection with the virus that causes COVID-19.Conversely, the level of protection people get from COVID-19 infection alone may vary widely depending on how mild or severe their illness was, the time since their infection, which variant they were infected with, and their age. Skilled Nursing Facilities (including Subacute Facilities), vi. The Centers for Disease Control and Prevention recommends boosters within specified timeframes; however, for purposes of compliance monitoring with the CDPH order, boosters are required pursuant to the timeframe specified in Table A of the CDPH order. The state in August issued a first-in-the-nation requirement for health care workers to be vaccinated against COVID-19. Reference: State Public Health Officer Order of September 28, 2021 . This State Public Health Officer Order will takeeffect onApril 3, 2023. Workers who fail to comply with the LOI, on the next workday, after the seven calendar day compliance period has expired, shall be subject to disciplinary action for non-compliance. Early data also suggest the increased transmissibility of the Omicron variant is two to four times as infectious as the Delta variant, and there is evidence of immune evasion. PO Box 997377 This is a separate process from the religious accommodation process and the filing of a claim, whether internal or external, does not prevent consideration of progressive discipline once the HA determination for religious accommodation has been made. Since March 2022, healthcare personnel booster rates reached 90%. Photo by Julian Mendoza for CalMatters. Nothing in this Order limits otherwise applicable requirements related to Personal Protective Equipment, personnel training, and infection control policies and practices. Nothing in this Order limits otherwise applicable requirements related to Personal Protective Equipment, personnel training, and infection control policies and practices. Newsom announced health care workers across California will be required to receive a COVID-19. New and current registry/contract assignments and onboarding processes have been updated to reflect CDPH order requirements. Additional statewide directed measures are necessary to protect particularly vulnerable populations, and ensure a sufficient, consistent supply of workers in high-risk care settings. 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. For example: 1st offense: 5% salary reduction (example: 3 or 6 qualifying pay periods), 2nd offense: 5% salary reduction for longer period of time than first (example: 9 or 12 qualifying pay periods), 3rd offense: suspension without pay (example: 1424 or 25-36 qualifying work days). Standard language for the CDCR Form 989 has been developed to assist HAs and to expedite processing of these requests through the OIA Central Intake Unit process; please consult with the local EEO/HCERO. Upon receipt of the approval or denial by the vendor/contractor/network contractor, DCCS shall forward to HAs at the location(s) the provider/contractor renders services. At present 80% of Californians 12 years of age and older have completed their primary series of COVID-19 vaccines, and 48% have received their first booster dose. Vaccinations have been available in California from December 2020 to the present, and from January 1, 2021, to July 12, 2021, a total of 9,371 confirmed COVID-19 outbreaks and 113,196 outbreak-related cases were reported to CDPH. Yes, incarcerated workers shall wear the appropriate mask at all times based on current masking guidelines.
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