General Interest

Adult Day Health Centers: Minimizing the Transmission of COVID-19

The California Department of Public Health (CDPH) has released new COVID-19 guidance for adult day health centers (ADHCs) through an All Facilities Letter (AFL). Note: this guidance supersedes prior gathering and visitation guidance issued through an earlier AFL.

ADHCs are currently permitted to still operate; however, referring to the CDC’s published guidance, CDPH is recommending the following strategies to help mitigate the transmission of COVID-19:

  • Stay updated with information from your local health department about COVID-19 transmission in the communities where your center is located and where your ADHC participants live.
  • Know the signs and symptoms of COVID-19 and recommended actions if participants or staff become symptomatic.
    • Fever
    • Cough
    • Shortness of breath
  • Review and update emergency operations plan (including implementing social distancing measures).
    • Develop plan if one is not available.
  • Use telephone and other distant communication methods to provide services to participants.
  • Consider temporary closure or quarantine of facility (based on local health department’s recommendations).

In addition to the recommendations above, CDPH is asking that ADHCs that are still providing in-person services to adhere to the following additional precautions:

  • Encourage personal protective measures among staff and participants including:
    • such as staying home when sick.
    • hand washing.
    • respiratory etiquette.
  • Clean frequently touched surfaces daily.
  • Ensure hand hygiene supplies are readily available in all buildings.
  • Implement social distancing measures.
    • Eliminate group gatherings of participants.
    • Alter schedules to reduce mixing.
    • Limit programs with external staff.
  • Screen participants and staff for fever and respiratory symptoms.
  • Enact a no-visitor policy in the ADHC.

CDPH’s AFL 20- 17.1 can be found: here.