Acute Communicable
Disease Control

Contact Information
County of Los Angeles
Department of Public Health
Acute Communicable Disease Control
313 N. Figueroa Street, #212
Los Angeles, CA 90012
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Fax: (213) 482-4856

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Acute Communicable Disease Control

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As a supplement to LAC DPH's Prevention of COVID-19 Transmission in Skilled Nursing Facilities Health Officer Order, this document is a resource for skilled nursing facilities (SNF) to build the appropriate infection prevention and control (IPC) training program at hire, annually, and post-outbreak for all staff including their Infection Preventionist (IP). Important to developing effective IPC programs for your staff are the following recommendations:
  • Each facility should complete an Infection Control Risk Assessment Prioritization annually to understand their facility's unique education and resource needs, and use the results of this assessment to inform any changes to their IPC training programs. The link for this assessment can also be found on LAC DPH's Building an Infection Prevention Program for the Infection Preventionist page among other resources.
  • Document staff training including the course completed, date completed, and reason for completion (e.g., at hire, annual, post-outbreak).
  • Consider staff's educational needs when building their IPC trainings (e.g., passive learning with videos, online modules, etc. versus active learning via teach-back method).
  • Provide education in relevant languages
  • Include targeted training above the minimum requirements when appropriate (e.g., food-borne illness training for dietary/kitchen staff; central line-associated blood stream infection [CLABSI] and/or catheter-associated urinary tract infection [CAUTI] training for licensed nurses especially in SNFs with subacute/ventilator units).
Basic infection prevention education training for non-IP staff should include the domains below. Facilities may mix-and-match modules from different educational resources to form the most appropriate IPC training for each type of staff, e.g., certified nursing assistants, housekeeping, dietary, administrative, etc., while ensuring that the domains below are included:
  • Hand Hygiene
  • Standard precautions (including Personal Protective Equipment)
  • Transmission-based precautions (including Personal Protective Equipment)
  • Environmental Cleaning and disinfection
  • Respiratory Hygiene, Cough Etiquette and Source Control
  • Injection Safety and Point of Care Testing
  • Antimicrobial Stewardship
For infection prevention and control training requirements for the SNF IP role, please see CDPH AFL 20-84 and/or LAC DPH's Building an Infection Prevention Program Information for the Facility.
This is relevant to certain roles and departments e.g., nurses, pharmacists, and clinical prescribers.
Table 1 - Recommended for the SNF Infection Preventionist (IP)
Educational Resource Training Type Audience Link Duration Cost
CDC Train Nursing Home Modules
  • At hire
  • Annual
  • Post Outbreak (Module: 5, 6A, 6B, 7 and 9)
  • Infection Preventionist
  • All Staff (excluding IP)*
Train Learning Network
For more information see CDC Infection Prevention Training Guidance for LTCFs.
19 hours Free
CDPH HAI Program Infection Preventionist Training for Skilled Nursing Facilities Online Course

This course will end on 11/30/22 and will resume in 2023 with revised modules.
  • At hire
  • Annual
  • Post Outbreak (Modules: Standard Precautions, Transmission-based Precautions, and CDPH HAI Program Infection Prevention Assessments in Preparation and Response to COVID-19 in SNFs)
  • Infection Preventionist
  • All staff (excluding IP)*
Healthcare-Associated Infection (HAI) Program 14 hours Free
APIC Long-Term Care 101 modules
  • At hire
  • Annual
  • Post Outbreak (Modules: PPE and Precautions, COVID-19 Basics)
  • Infection Preventionist
  • All staff (excluding IP)*
(APIC) Association for Professionals in Infection Control and Epidemiology Self-paced Price Varies
*Facilities may still offer these trainings, or components of these trainings, to non-IP staff but the training resources listed in table 2 is likely more catered to non-IP staff.
Table 2 - Recommended for all other SNF staff besides the IP (e.g., licensed nurses, certified nursing assistants, rehabilitation including Physical therapists/Occupational therapists/Speech and language therapists, housekeeping/environmental services including laundry, activities, social work, administration, facility engineers, etc.)
Educational Resource Training Type Audience Link Duration Cost
CMS Targeted COVID-19 Training for Frontline Nursing Home Staff
  • Post outbreak
  • All Staff (excluding IP)
Quality, Safety, & Education Portal (QSEP) 3 hours Free
CMS Targeted COVID-19 Training for Nursing Home Management
  • Post outbreak
  • All Staff (excluding IP)
Quality, Safety, & Education Portal (QSEP) 4.5 hours Free
Oregon Patient Safety Commission (available in Spanish)
  • At hire
  • Annual
  • Target housekeeping/environmental services staff including laundry
  • For staff other than housekeeping/environmental services, training should be supplemented with modules from other educational resources
English: Infection Prevention Education video
Spanish: Infection Prevention Education video
Self-paced Free
CDC Strive
  • At hire
  • Annual
  • All Staff (excluding IP)
Competency based Training, Audits and Feedback Course WB4220 Self-paced Free
CDC Project Firstline
  • Post Outbreak
  • All Staff
Project Firstline Facilitator Toolkit Self-paced Free
CDC Project Firstline Courses
  • At hire
  • Annual
  • CNA Staff
Project Firstline Varies Free
Staff Training and Education (presentations and videos)
Use the following materials to train and educate staff on core infection prevention practices of hand hygiene, environmental cleaning and disinfection, and use of personal protective equipment (PPE). 
Reminders in the Workplace (posters, flyers)
Transmission Based Precautions Posters
  • Los Angeles County Department of Public Health Acute Communicable Disease Control Program Transmission Based Precautions: Infectious Disease Prevention Posters webpage  
Evaluation and Feedback (Adherence Monitoring) 
Regular monitoring with feedback of results to staff can maintain or improve adherence to hand hygiene, environmental cleaning and education, and contact precautions practices. Use the following tools to identify gaps and opportunities for improvement.
The content on this webpage is adapted from the CDPH Healthcare-Associated Infections (HAI) Program vSNF Workgroup to Prevent MDRO.


Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.
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