Workers include, but are not limited to, nurses, nursing assistants, physicians, technicians, therapists, phlebotomists, pharmacists, students and trainees, contractual staff not employed by the health care facility, and persons not directly involved in patient care, but who could be exposed to infectious agents that can be transmitted in the health care setting (e.g., clerical, dietary, environmental services, laundry, security, engineering and facilities management, administrative, billing, and volunteer personnel). Vaccination against COVID-19 is the most effective means of preventing infection with the COVID-19 virus, and subsequent transmission and outbreaks. Workers who initially received the Johnson & Johnson vaccine are recommended to receive the booster two months after their initial dose. k 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. Yes, unless they have an approved religious or reasonable medical accommodation. Since Thanksgiving, the statewide seven-day average case rate has increased by 34% and hospitalizations have increased by 17%. 1. Will this cause mandatory overtime costs? Work within skilled nursing facilities (SNF), intermediate care facilities, or the equivalent that are integrated into the correctional facility or areas where health care is provided. Increasing evidence shows that a combination of infection after completing the primary series of vaccination can build strong hybrid immunity. 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. If unvaccinated, partially vaccinated, or booster-eligible but unboosted, the returning worker shall obtain vaccine/booster dose within 15 calendar days and immediately undergo twice-weekly COVID-19 testing (with 48-72 hours between each test) until fully-vaccinated/ boosted. The, en 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). 3. Skilled Nursing Facilities (including Subacute Facilities), vi. 2. Yes, workers who previously had COVID19 still need to get vaccinated and/or boosted if they are regularly assigned to work in the areas, institutions, posts and locations specified in the August 23, 2021 and January 28, 2022, memoranda, unless they have an approved religious or reasonable medical accommodation for the vaccine/booster. Vaccination/booster status will be verified by management. Yes, progressive discipline shall be paused pending determination on an accommodation request, and will recommence if the request is denied and worker remains non-compliant. 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. Vaccine coverage is also high among workers in high-risk settings, and the proportion of unvaccinated workers is low. (916) 558-1784, COVID 19 Information Line: 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. States Embrace Vaccine Mandates Despite Potential Worker Exodus. The COVID-19 pandemic remains a significant challenge in California. Unvaccinated persons are more likely to get infected and spread the virus, which is transmitted through the air. 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. All non-custody institution workers vaccination/booster status will be verified by management if required to work in a vaccination/booster-required post. Workers shall wear the appropriate mask at all times based on current masking guidelines as posted on the Lifeline COVID-19 page. By the World Health Organization (WHO), are listed at the WHO COVID-19 Vaccines webpage. Follow the process for submitting proof of vaccination/booster outlined in Attachment A of the, Follow the process for submitting proof of testing outlined in Attachment B of, The worker has 15 calendar days to initiate a vaccination/booster, or they shall be subject to progressive discipline on the 16. If the test was obtained within CDCR/CCHCS, no further documentation is required. 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. Are regularly assigned to provide health care or health care services to incarcerated people. Copyright 2023 California Department of Corrections & Rehabilitation. 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. Thecurrent State Public Health Officer Orderis ineffect untilApril 2, 2023. , Related Materials:Adult Care Facilities and Direct Care Worker Vaccine Requirement Q&A. "Employer" refers to an organization that employs and directs the worker in providing services. Accordingly, amendments to the original State Public Health Officer Order of December 22, 2021, are needed at this time, to reflect current science and understandingas it relates to hybrid immunity in those who are fully vaccinated and then become infected. Accordingly, amendments to the original State Public Health Officer Order of August 5, 2021, to make boosters mandatory and to require additional testing of workers eligible for boosters who are not yet boosted, are necessary at this critical time. 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. Based on the appropriate timeframes as specified above, the first step is issuing an LOI to non-compliant workers. a. 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. Two-dose vaccines include: Pfizer-BioNTech,Moderna or Novavaxor vaccines authorized by the World Health Organization. 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, Adult Care Facilities and Direct Care Worker Vaccine Requirement Q&A, QSO-23-02-ALL (Revised Guidance for Staff Vaccination Requirements), Centers for Disease Control and Prevention, Moderna or Pfizer-BioNTech or Novavax or vaccines authorized by World Health Organization, Booster dose at least 2 months and no more than 6 months after 2nd dose. 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. California must be vigilant to maintain situational awareness through surveillance and be ready to pause or reinstate a higher level of protective mitigation recommendations or requirements. California has seen a dramatic increase in the percentage of Californians that are fully vaccinated and boosted. A request for religious accommodation may be submitted by the worker in writing via a CDCR Form 2273, Request for Religious Accommodation, or verbally to a supervisor, manager, or EEO Coordinator. Newsom announced health care workers across California will be required to receive a COVID-19. To submit a request, follow the below process: Religious Accommodations: CDCR and CCHCS civil service workers, registry providers, and contractors requesting for a religious accommodation shall notify their supervisor, manager, Equal Employment Opportunity (EEO) Coordinator and/or HA. The stay temporarily halts enforcement of the ruling last month from state Supreme Court Judge Gerald Neri in Syracuse that declared the health worker . Custody workers shall be notified of a posts vaccination/booster requirement prior to bidding. Those workers currently eligible for booster doses per the Table above must receive their booster dose by no later than March 1, 2022. Workers who provide proof of COVID-19 infection shall be in compliance no later than 15 days after the expiration of their deferral. 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. 4. Fully-vaccinated workers who are not yet eligible for a booster are only required to test when they become eligible for a booster and remain unboosted. Since March 2022, healthcare personnel booster rates reached 90%. Individuals employed by these entities are not considered workers at CDCR prisons. Facilities covered by this Order are encouraged to provide onsite vaccinations, easy access to nearby vaccinations, use of work time to get vaccinated, and education and outreach on vaccinations, including: a. access to epidemiologists, physicians, and other counselors who can answer questions or concerns related to vaccinations and provide culturally sensitive advice; and. HAs shall initiate corrective or disciplinary action to workers who fail to comply with the instructions and timeframes outlined above. 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. At present, 69.34% of Californians 12 years of age and older are fully vaccinated with an additional 8.26% are partially vaccinated. 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. Most current hospitalizations and deaths are among unvaccinated persons. Masking requirements are subject to change at any time; current guidelines are posted on the COVID-19 response page. 4. e. All regional center employees, as well as service provider workers, who provide services to a consumer through the network of Regional Centers serving individuals with developmental and intellectual disabilities, 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.