The California Department of Public Health (CDPH) Licensing and
Certification surveyors may visit a hospital at any time to
determine whether the hospital is in compliance with state
licensing requirements. Visits may result from a complaint by a
patient, employee or other third party; a newspaper article; or a
report by the hospital itself regarding an unusual occurrence,
privacy breach or adverse event.
The California Department of Public Health (CDPH) Healthcare
Associated Infections Program (HAI) has developed a
self-assessment tool for long-term care facilities (LTCFs) to
help them collect data and evaluate their infection control
practices. The HAI program will also use the online tool to
collect and summarize data — aggregated from all LTCFs that
volunteer to participate. According to CDPH, the goals of using
the tool are to better understand infection control needs and
challenges in the long-term care setting and help CDPH plan
educational programs and consultative services. The tool was
developed in consultation with the Centers for Disease Control
and Prevention. More information, including a link to the tool,
is available in attached CDPH letter.
The California Department of Public Health has updated sections
of Title 22 of the California Code of Regulations related to
licensing fees and diesel generator testing so they
conform to changes previously enacted in statute. Because
the changes were enacted through statute, they do not have a
“regulatory effect” and are not required to go through the
standard regulatory development process. A list of
the affected Title 22 sections that have been amended or
repealed is attached. Also attached are the updated
In mid-August, CDPH released their most recent data on HAI
reporting through an improved website. This website presents the
material in a more user-friendly format and groups the reporting
hospitals into like categories for a more balanced analysis and
comparison. Learn about changes to the website, recent
release and analysis of HAI data, and what it says about the
performance of California hospitals to date.
Many questions arise when confronted with an unannounced survey.
Whether or not the survey goes smoothly will depend heavily upon
hospital staff having a solid understanding of the types of
surveys, and the laws, regulations and guidelines that
surveyors will use to assess compliance. Whether you are a
seasoned veteran, or new to the survey process, this webinar will
provide clarity and practical guidance on the licensing
and certification survey process.
The surveyors have arrived, unannounced, at your
hospital. What do you do first? What will the surveyors
The California Hospital Survey Manual is intended to
help hospital staff understand and prepare for the survey
process, from start to finish. It was written specifically
for California’s hospital licensing and accreditation
professionals, compliance officers, legal counsel, risk managers,
and other members of the hospital’s licensing and compliance
Despite warnings from the Food and Drug Administration,
manufacturers and various patient safety agencies, fentaNYL
transdermal patches continue to be prescribed inappropriately to
treat patients with acute pain who are not opioid tolerant.
CDPH has issued several Immediate Jeopardy administrative
penalties for inappropriate use of fentaNYL transdermal patches.