Coronavirus

We are closely monitoring the ongoing situation with the Coronavirus (COVID-19) and realize how concerning the outbreak is for Residents, their loved ones, Team Members and vendors. We are being proactive and diligent in our efforts to reduce the risk of COVID-19 in our community.

Heritage on the Marina continues to take every precaution necessary to protect our Residents and Team from the Coronavirus infection. This includes all federal, state, and local guidelines and restrictions, as well as any additional actions recommended by our Infection Prevention Nurse and Healthcare Team.

What Heritage on the Marina is doing:

• Observing guidance provided by CDSS, CDC, CDPH, SFDPH and other agencies.
• FULLY VACCINATED Visitors (14 days after the second Pfizer/Moderna injection or 14 days after the Johnson & Johnson vaccination) traveling from more than 120 miles outside of San Francisco  DO NOT need to quarantine, however must comply with all of our health and safety protocols.
• No individual is allowed into the Community or on our Campus if they have had a recent fever, cough and/or symptoms of respiratory illness.  In addition, individuals will be restricted from entering our community if they have personally traveled to countries within the Level 2 or Level 3 virus spread or have been in contact with those who have.
• ALL Residents are being screened daily.
• ALL Team Members are being screened daily.
• Unvaccinated Team Members must wear fitted N-95 masks and will undergo COVID-19 testing twice a week.
• ALL Team Members are required to surgical wear masks and/or additional PPE during their shifts.

• ALL Residents are must wear surgical masks when leaving their apartments or rooms, and while walking around the premises.
• ALL Residents are highly encouraged to wear protective equipment, specifically masks (and gloves in some cases), when leaving the campus.
• We are using technology, printed memos, and our In-House TV channel for regular updates.
• We are emphasizing to Residents and Team the necessity to self-isolate if they have any cold or flu-like symptoms.
• Our Team Members are committed to staying home if they have flu-like symptoms. Clearance from a medical professional is required before team members can return to work.
• Our Executive Team is regularly reviewing our infection control protocols and ensuring our community is fully prepared in the event of an emergency.
• Our Team is keeping stock of medical supplies and sanitizing agents/products. The Housekeeping Team is spending additional time wiping down surfaces with proper cleaning agents.
• Our Team is actively tracking the latest updates from the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), and the California Department of Public Health.
• We are closely following health guidelines and recommendations from the San Francisco Department of Public Health (SFDPH) and California Department of Public Health (CDPH).
• Everyone is encouraged to respectfully (and immediately) say something if they encounter any individual who appears to have symptoms and is in a public area.

We appreciate all that friends and family members have done to keep our Residents safe.  The health and safety of Residents, Team Members, and all Visitors are our priority. Thank you all for your cooperation and efforts. For any other questions, comments, or concerns, please email covid19info@heritagesf.org.

COVID-19 UPDATES

Heritage on the Marina continues to follow all COVID-19 related Health Orders, infection control precautions, recommendations and guidelines issued by CMS, CPDH, SF DPH, CDSS and other regulatory agencies. State guidance is rapidly changing in response to case rates, vaccination status, and CDC recommendations.

10/07/22 Update: Interim Guidance: Prevention and Management of COVID-19 in Long-Term Care Facilities (sf.gov)

•     Updated post-exposure testing and quarantine timeline for both SNF and RCF residents
•     Updated routine testing requirement for LTCF staff without all required vaccine doses
•     Updated exemption period for testing after COVID infection from 90 days to 30 days
•     Clarifies booster requirement for staff

12/22/22 Update: C19-07-Safer-Return-Together-Health-Order_0.pdf (sf.gov) (Safer Return Together)

Summary: As of December 21, 2022, this Order replaces the prior update of this health order, Health Officer Order No. C19-07y (issued September 15, 2022), in its entirety. This Order largely aligns with the COVID-19 orders of the State. The main changes made by the December 21, 2022 update are to (1) update the terms Booster, Booster Eligible, and Up-to-Date on Vaccination and clarify language related to Boosters in High-Risk Settings to align with California Department of Public Health Guidelines and vaccine requirements, (2) update the term Close Contact to align with California Department of Public Health isolation and quarantine guidelines, and (3) add clarifications regarding settings where it is required to wear a Well-Fitting Mask without changing the existing requirements.

State Public Health Officer Orders and Regulatory Agencies Guidance

• State Public Health Officer Order – Health Care Worker Vaccine Requirement 12/22/2021 (Last updated 9/13/2022)
  • Health Care Worker Vaccine Requirement – Q&A 12/24/2021(Last updated 9/13/2022)
• State Public Health Officer Order Revision Of Mandatory Reporting Of COVID-19 Results By Health Care Providers 02/10/2022 (Last updated 10/04/2022)
• PIN 22-15.1-ASC – (Supersedes PIN 22-15-ASC) Resident Cohorting, Isolation and Quarantine, Staffing, and Use of Personal Protective Equipment Based on Resident Coronavirus Disease 2019 (COVID-19) Status (Last updated 9/1/2022)
• PIN 22-05.2-ASC – (Supersedes PIN 22-05.1-ASC) Updated Adult And Senior Care Facility Worker Coronavirus Disease 2019 (COVID-19) Vaccination, Booster, And Testing Requirements (Last updated 9/26/2022)
• PIN 22-05.1-ASC – (Superseded by PIN 22-05.2-ASC) and (Supersedes PIN 22-05-ASC) Adult and Senior Care Facility Worker Coronavirus Disease 2019 (COVID-19) Vaccination And Booster Requirements (Last updated 3/18/2022)
  • Supplemental Guidance for Provider Information Notice (PIN) 22-05.1-ASC: Adult and Senior Care Facility Worker Coronavirus Disease 2019 (COVID-19) Vaccination and Booster Requirements

• State has released or updated the following COVID-related All Facilities Letters:
  • AFL 23-08 – Requirements to Report Outbreaks and Unusual Infectious Disease Occurrences
  • AFL 23-09 – COVID-19 Outbreak Investigation and Reporting Thresholds
  • AFL 23-10 – Recommendations for the Prevention and Control of Influenza in California Skilled Nursing Facilities for the 2022-2023 Season during the COVID-19 Pandemic​
  • AFL 23-12 – COVID-19 Recommendations for Personal Protective Equipment (PPE), Resident Placement/Movement, and Staffing in Skilled Nursing Facilities
  • AFL 21-34.5 – COVID-19 Vaccine Requirement for Healthcare Personnel
  • AFL 22-07.2 – Guidance for Limiting the Transmission of COVID-19 in Skilled Nursing Facilities (SNFs) (This AFL supersedes AFL 22-07.1)

CMS Guidance

• QSO-20-39-NH REVISED 09/23/2022 (cms.gov)
  • Visitation Guidance: CMS is issuing new guidance for visitation in nursing homes during the COVID-19 PHE.
  • Visitation is allowed for all residents at all times.
  • Updated guidance for face coverings and masks during visits.
  • Removed vaccination status from the guidance.
• QSO-20-38-NH REVISED 09/23/2022 (cms.gov)
  • Routine testing of asymptomatic staff is no longer recommended but may be performed at the discretion of the facility.
  • Updated recommendations for testing individuals who have recovered from COVID-19.
• QSO-20-39-NH REVISED 09/23/2022 (cms.gov)
  • Visitation Guidance: CMS is issuing new guidance for visitation in nursing homes during the COVID-19 PHE.
  • Visitation is allowed for all residents at all times.
  • Updated guidance for face coverings and masks during visits.
  • Removed vaccination status from the guidance.