This letter provides important updates regarding the appropriate use of respirators, medical masks and cloth face coverings in your facility in order to reduce exposure risk from asymptomatic, pre-symptomatic and symptomatic individuals infected with SARS-CoV-2, which is the virus that causes Coronavirus 2019 (COVID-19). At this time, all LTCFs that are licensed by DC Health should implement a universal masking and face covering policy that addresses the following the scenarios in this letter.