Skilled Nursing Facilities

• COVID-19 outbreaks: Shared Portal for Outbreak Tracking (SPOT)
• All other outbreaks: Report an Outbreak (non-COVID) to Public Health

 On both forms you will be asked to enter information about the outbreak at your location.  Then you will be asked to enter information about the cases you are reporting. Once the information you enter is reviewed by the health department, you will receive a call and/or email from a Public Health Nurse to follow-up and provide guidance. If needed, you will also receive a shared excel spreadsheet so you can more easily share updates with the health department about new developments with your outbreak.  

Providers and Administrators can report electronically via CalREDIE (California Reportable Disease Information Exchange) Provider Portal (PP) to comply with provider disease reporting requirements as outlined in Title 17 CCR §2500.

Alternatively, this form, Communicable Diseases other than TB and HIV/AIDS (110a) can be completed and faxed to us at 925-313-6465.

Respiratory Illnesses 

• CDPH Influenza-Like Illness (ILI) or Acute Respiratory Illness (ARI) Outbreak Management Checklist for Congregate Living Facilities

• Recommendations for the Prevention and Control of Influenza in California Skilled Nursing Facilities (CDPH)

• Interim Guidance for Influenza Outbreak Management in Long-Term Care Facilities (CDC)

• Information for Clinicians on Influenza Testing (CDC)

• Prevention Strategies for Season Influenza in Healthcare Settings (CDC)

Gastroenteritis/Norovirus

•  Acute Gastroenteritis Outbreak Management Checklist for Healthcare Facilities

• Updated Order Mandating the Masking of Personnel in Healthcare Facilities During the Annual Respiratory Virus Season(Sept. 26, 2024) | Spanish
• Sample Masking Policy
•  Memo 2025 - Flu Vaccination: Hospitals, Ambulatory and Community Clinics, Skilled Nursing and Other Long Term Care Facilities, and Other Licensed Health Care Facilities
• We ask that Skilled Nursing Facilities use the Healthcare Facilities Transfer Form when transferring patients to other healthcare facilities

• Selected EPA-Registered Disinfectants
• California Department of Public Health Healthcare-associated Infections Program
• Centers for Disease Control Healthcare-associated Infections
• Association for Professionals in Infection Control and Epidemiology
• California Department of Public Health All Facilities Letters

• Enhanced Airborne Precautions 
• Droplet Precautions 
• Wash Your Hands 
• Masking
• Gastroenteritis Outbreak

Contra Costa Health evaluates Skilled Nursing Facilities on 10 Criteria. Facilities that meet 9 or more of the criteria earn the Skilled Nursing Facility Public Health Preparedness and Safety Certificate. The certificate is issued twice a year. 

Criteria 

1. Opens emails from Acute Communicable Disease department

2. Attends quarterly Infection Prevention and Control meetings 

3. Regularly engages assigned Public Health Nurse 

4. Updates Acute Communicable Disease department with staff contact information

5. Receives California Health Alert Network messages 

6. Uses appropriate methods to report Outbreaks (SPOT, MS Forms, Sharepoint) 

7. Participates in/hosts training sessions

8. Has a plan for respiratory pathogen vaccination of staff and residents

9. Facility infection prevention nurse has a designated trained backup

10. Promotes use of Healthcare Facilities Transfer Form

Certificate Awardees January - June 2025