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Healthcare facilities are considered high risk settings, for which the risk of transmission of COVID-19 is high and populations have a greater chance of experiencing more serious COVID-19 disease consequences including hospitalization, severe illness, and death. 

Information for Skilled Nursing Facilities (SNF)  

GUIDANCE QUICK TABLE BY FACILITY TYPE:

Guidance Topic 

Facility Type 

Guidance 

Masking in the facility 
All healthcare facilities and non-healthcare congregate settings  
Masking for general, daily use is recommended, but not required for healthcare workers, patients, and visitors. Wear a facemask for source control in all patient care and common areas of the facility (e.g., HCP breakrooms) for at least 10 days after symptom onset or positive test (if asymptomatic), if not already wearing a facemask as a part of universal source control masking. AFL 25-01 During Respiratory Virus Season (November 1 to April 30), refer to the Respiratory Virus Season Health Officer Order on masking and vaccinations.    
Healthcare worker vaccination 
All healthcare facilities and non-healthcare congregate settings   
Healthcare Personnel (HCP) are strongly recommended to stay up to date with COVID-19 vaccines, however HCP COVID-19 vaccination is no longer mandated by the city.  During Respiratory Virus Season (November 1 to April 30), refer to the Respiratory Virus Season Health Officer Order on masking and vaccinations.  
Reporting 
 
 
 
Skilled Nursing Facilities and other healthcare facilities licensed by CDPH
All COVID-19 positive cases among staff and residents must be reported to LBDHHS within 24 hours of identification through CalREDIE.  
Assisted Living Facilities and all other DSS- licensed facilities  
All COVID-19 positive cases among staff and residents must be reported to LBDHHS within 24 hours of identification via Confidential Morbidity Report (CMR) 
Behavioral health facilities 
All COVID-19 positive cases among staff and residents must be reported to LBDHHS within 24 hours of identification via  Confidential Morbidity Report (CMR) 
Shelters and all other congregate settings 
All outbreaks of COVID-19 must be reported within 24 hours of identification. An outbreak is defined as5 or more epidemiologically linked*** residents/clients have tested positive for COVID-19 within a 7-day period. In settings with a census of 15 or less, the minimum is reduced to 3 cases. 
Resident Isolation (Residents who test positive for COVID-19) 
 
 
 
Skilled Nursing Facilities and other healthcare facilities licensed by CDPH  

Positive residents must be isolated in a private room or placed together with other positive residents in a separate unit/hall/section/building designated as a 'COVID-19 isolation area'.  

Isolation may be discontinued for positive residents after at least 10 days* have passed since symptom onset; AND 
at least 24 hours have passed since resolution of fever without the use of fever-reducing medications; AND 
any other symptoms have improved. (AFL 22-13

Assisted Living Facilities and all other DSS- licensed facilities 
Isolation may be discontinued for positive clients and staff after at least 24 hours have passed since resolution of fever without the use of fever-reducing medications; AND any other symptoms have improved. Staff and residents must wear a mask for 10 days following positive test result or symptom onset 
Behavioral health facilities 
Isolation may be discontinued for positive clients and staff after at least 24 hours have passed since resolution of fever without the use of fever-reducing medications; AND any other symptoms have improved. Staff and residents must wear a mask for 10 days following positive test result or symptom onset 
Shelters and all other congregate settings 
Isolation may be discontinued for positive clients and staff after at least 24 hours have passed since resolution of fever without the use of fever-reducing medications; AND any other symptoms have improved. Staff and residents must wear a mask for 10 days following positive test result or symptom onset  
Staff Isolation with suspected or confirmed respiratory viral infection, regardless of whether testing is performed 
 
 
Skilled Nursing Facilities and other healthcare facilities licensed by CDPH     

Do not return to work until at least 3 days have passed since symptoms onset** and at least 24 hours have passed with no fever (without use of fever-reducing medicines), symptoms are improving, and they feel well enough to return to work. AFL 25-01  

  • If testing is performed that renders a positive result, but the individual is asymptomatic throughout their infection, HCP should not return to work at least 3 days have passed since their first positive test.  
Assisted Living Facilities and all other DSS- licensed facilities  
Isolation may be discontinued for positive clients and staff after at least 24 hours have passed since resolution of fever without the use of fever-reducing medications; AND any other symptoms have improved. Staff and residents must wear a mask for 10 days following positive test result or symptom onset 
Behavioral health facilities 
Isolation may be discontinued for positive clients and staff after at least 24 hours have passed since resolution of fever without the use of fever-reducing medications; AND any other symptoms have improved. Staff and residents must wear a mask for 10 days following positive test result or symptom onset 
Shelters and all other congregate settings 
Isolation may be discontinued for positive clients and staff after at least 24 hours have passed since resolution of fever without the use of fever-reducing medications; AND any other symptoms have improved. Staff and residents must wear a mask for 10 days following positive test result or symptom onset 

*Isolation may be extended to up to 20 days for individuals who had critical illness (e.g., required intensive care) and beyond 20 days for individuals who are moderately to severely immunocompromised. 

**Where the first day of symptoms is day 0, making the first possible day of return to work on day 

***To be considered epidemiologically linked, cases must have had contact with one another or exposure to a common source. 4.  

Looking for general information on COVID-19? 

Are you a health provider or community member looking for more information about HAIs? 

Contact the Healthcare Associated Infections program

Email with solid fill  LBHAI@longbeach.gov 

Telephone with solid fill (562) 570-4302 Available Monday-Friday, 8:00 am-5:00 pm