Yes. In response to increased vaccination rates (including boosters), visitation guidance has changed.
In an ongoing effort to ensure resident safety, and to minimize the spread of COVID-19 among vulnerable individuals, CDPH is requiring SNFs to develop and implement processes for verifying the vaccination status of all visitors seeking indoor visitation, and for obtaining and tracking documentation of SARS-CoV-2 diagnostic test of all unvaccinated visitors. In compliance with the Public Health Order issued February 7, 2022, beginning February 8, 2022, SNFs must verify visitors have completed an initial vaccination series or have provided evidence of a negative SARS-CoV-2 test within one day of visitation for antigen tests, and within two days of visitation for PCR tests for indoor visitation. Visitors that are unvaccinated or partially vaccinated or are unable to show a negative SARS-CoV-2 test may only have an outdoor visit.
Visit the CDPH website to read the full guidance for visitation requirements in these settings.
People who are pregnant and part of a group recommended to receive the COVID-19 vaccine may choose to be vaccinated. While breastfeeding is an important consideration, it is rarely a safety concern with vaccines. Recent reports have shown that breastfeeding people who have received mRNA COVID-19 vaccines have antibodies in their breastmilk, which could help protect their babies. More data are needed to determine what level of protection these antibodies may provide to the baby. If you have questions about getting vaccinated, talking with a healthcare provider may might help you make an informed decision.
More information can be found here: Vaccination Considerations for People who are Pregnant or Breastfeeding | CDC
Based on currently available information and clinical expertise, older adults and people of all ages who have serious underlying medical conditions may be at higher risk for severe illness from COVID-19.
For more information visit the CDC COVID-19 Recommendations for Older Adults webpage.
Who is at higher risk for severe illness from COVID-19? Which groups need to take extra precautions?
Who has an increased risk for severe illness from COVID-19?
Older adults*
Persons with certain underlying medical conditions **
- Cancer
- Chronic kidney disease
- COPD (chronic obstructive pulmonary disease)
- Heart conditions, such as heart failure, coronary artery disease, or cardiomyopathies
- Immunocompromised state (weakened immune system) from solid organ transplant
- Obesity (body mass index [BMI] of 30 kg/m2 or higher but < 40 kg/m2)
- Severe obesity (BMI ≥ 40 kg/m2)
- Pregnancy
- Sickle cell disease
- Smoking
- Type 2 diabetes mellitus
- Children who are medically complex **
Who might have increased risk for severe illness from COVID-19 ***
Persons with certain underlying medical conditions
- Asthma (moderate-to-severe)
- Cerebrovascular disease (affects blood vessels and blood supply to the brain)
- Cystic fibrosis
- Hypertension or high blood pressure
- Immunocompromised state (weakened immune system) from blood or bone marrow transplant, immune deficiencies, HIV, use of corticosteroids, or use of other immune weakening medicines
- Neurologic conditions, such as dementia
- Liver disease
- Overweight (BMI > 25 kg/m2, but < 30 kg/m2)
- Pulmonary fibrosis (having damaged or scarred lung tissues)
- Thalassemia (a type of blood disorder)
- Type 1 diabetes mellitus
Who needs extra precautions ****
- Racial and ethnic minority groups
- People who are pregnant or breastfeeding
- People with disabilities
- People with developmental and behavioral disorders
- People with drug use and substance use disorder
- People living in rural communities
- People experiencing homelessness
- Newly resettled refugee populations
- People who live in a nursing home or long-term care facility
- People who live in group homes for people with disabilities
Notes:
* CDC has published data showing that among adults, the risk for severe illness from COVID-19 increases with age, with older adults at highest risk. For example, people in their 50s are at higher risk for severe illness than people in their 40s. Similarly, people in their 60s or 70s are, in general, at higher risk for severe illness than people in their 50s. The greatest risk for severe illness from COVID-19 is among those aged 85 or older. While the risk is not zero for younger adults – people in their 20’s, 30’s, and 40’s can and do develop severe COVID-19 illness and should take steps to protect themselves from getting COVID-19.
** The CDC has determined that these conditions place people at higher risk for severe COVID-19 disease based on consistent evidence from multiple small studies or a strong association from a large study. Children who are medically complex, who have neurologic, genetic, metabolic conditions, or who have congenital heart disease are at higher risk for severe illness than other children. See CDC pages on pediatric COVID-19 for additional information about COVID-19 risk factors for children.
*** CDC has determined based on limited data and information at this time, people with these conditions might have increased risk for severe illness from COVID-19.
**** Other groups of persons are recommended by CDC to take extra precautions, as emerging data indicate some populations bear a disproportionate burden of COVID-19 disease and death, have a higher prevalence of underlying conditions, or are experiencing conditions that may facilitate the spread of infection.
Visit the CDC website to learn more about those with potentially increased risk.
Source: CDC
- Although the overall risks are low, if you are pregnant or were recently pregnant, you are more likely to get very sick from COVID-19 compared to people who are not pregnant. Pregnant people who contract COVID-19 are at higher risk for pregnancy complications affecting them and their developing baby, such as preterm birth (delivering the baby earlier than 37 weeks), high blood pressure, bleeding disorders, death, and stillbirth.
- Having certain underlying medical conditions, and other factors, including age, can further increase a pregnant or recently pregnant (for at least 42 days following end of pregnancy) person’s risk for developing severe COVID-19 illness.
- Pregnant and recently pregnant people and those who live with or visit them need to take steps to protect themselves from getting sick with COVID-19.
- To maximize protection from variants and prevent possibly spreading the virus to others, wear a mask indoors in public in areas with a high COVID-19 Community Level. People who are pregnant or have other conditions that could put them at higher risk for severe illness should speak with their healthcare provider about wearing a mask in public indoor spaces at the medium COVID-19 Community Level.
- Recent reports have shown that breastfeeding people who have received mRNA COVID-19 vaccines have antibodies in their breastmilk, which could help protect their babies. More data are needed to determine what level of protection these antibodies may provide to the baby.
If you would like to speak to someone about COVID-19 vaccination during pregnancy, please contact MotherToBaby. MotherToBaby experts are available to answer questions in English or Spanish by phone or chat. The free and confidential service is available Monday–Friday 8am–5pm (local time). To reach MotherToBaby:
- Call 1-866-626-6847
- Chat live or send an email MotherToBaby
Additional Resources:
Pregnant and recently pregnant people, and those who live with or visit them, need to take steps to protect themselves from getting sick with COVID-19. To learn how to protect yourself and your baby, visit the CDC webpages for COVID-19 Vaccines While Pregnant or Breastfeeding and CDC Breastfeeding and Caring for Newborns if You Have COVID-19.
Additional Resources:
- CDC Pregnant People and Recently Pregnant People
- CDPH Pregnancy and the COVID-19 vaccine fact sheet (Available in multiple languages)
Information and Assistance - for older adults, persons with disabilities, and family caregivers: 415-473-INFO (415-473-4636).
For assistance, please contact the Disability Rights California confidential intake line at 1-800-776-5746, available 9:00 am - 4:00 pm, Monday through Friday or For TTY call: 1-800-719-5798.
Disability Rights California can help you if:
- You have questions about your legal rights during an outbreak.
- Are seeing information that is not accessible from other agencies.
- Feel you are experiencing an extra layer of disability discrimination during this time.
- We can talk to you about your questions, determine how we can help, and get you the information that you need.
To prevent the spread of Covid-19, masks and physical distancing are both still required.
Restrooms and phone charging are available when using the shower.
Please note that shower services will be closed on holidays. To verify current schedules, visit https://marinmobilecare.org/.
Call to schedule a shower: (415) 497-1318
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- Novato Downtown Streets Team - Temporarily on Hold
Tuesday, 8:00 am – 10:40 am
816 State Access Road
Bus Route: 49 - San Rafael Health & Wellness Campus
Wednesday, 6:00 pm – 8:40 pm
3240 Kerner Blvd
Bus Routes: 29, 35, 36 - Sausalito Marinship Park
Tuesday / Friday, 9:00 am – 11:40 am
Testa Street at Marinship Way
Bus Routes: 71X, 30, 92 - Fairfax Community Church
Thursday, 6:00 pm - 8:40 pm
2398 Sir Francis Drake Boulevard
Bus Routes: 23X, 23 - Lee Gerner Park
Friday, 8:00 am - 11:30 am
1720 Novato Blvd
- Novato Downtown Streets Team - Temporarily on Hold
The following Health (Medical) Clinics are seeing patients. We advise scheduling an appointment in advance because services may continue to be provided on a limited basis due to COVID-19 protocols.
- The Ritter Center
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The Ritter Center Case Management department is operating with a new workflow and limited on-campus services, aimed to keep clients and staff safe to continue to provide the community with excellent health care during this public health emergency.
For non-urgent matters that can be addressed via phone visits please call the Case Management Department at 415-457-8182 ext. 130
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- Marin City Health and Wellness Center
- To address your health questions or schedule an appointment, call 415-339-8813 Monday - Friday: 9:00 am - 5:00 pm
- Marin Community Clinics
- 415-448-1500
Please see the contact information below for essential services:
- Adult Protective Services: 415-473-2774
- Skilled Nursing/Assisted Living Ombudsman: 415-473-7446
- Child Protective Services: 415-473-7153
- Public Assistance Call Center (Medi-Cal, CalFresh, CalWorks): 1-877-410-8817
or visit c4yourself.com. - General Relief: 415-473-3450
- Behavioral Health and Recovery Services Access Line: 1-888-818-1115
- Information and Assistance - for older adults, persons with disabilities, and family caregivers: 415-473-INFO (415-473-4636) or email 473-INFO@marincounty.org.
All HHS lobbies are now open to the public. Staff will continue to provide services remotely when possible for safety reasons, and residents in need of HHS services should consider conducting conversations over the phone or email when possible. Please call ahead if you have an appointment or require in-person assistance.
Please call Public Assistance Call Center (Medi-Cal, CalFresh, CalWorks): 1-877-410-8817 or visit getCalFresh.org.
To identify food resources in your area, visit the San Francisco-Marin Food Bank.