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The California Department of Public Health (CDPH) has issued all facilities letter (AFL) 20-22.6 which updates previous guidance for limiting the transmission of COVID-19 in long term care facilities including skilled facilities (SNFs). Specifically, this AFL updates the California Department of Public Health’s (CDPH’s) visitation guidance, including: expanded opportunities for indoor, in-room visitation and physical touch, as well as infection control measures for fully vaccinated residents and visitors.