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Licensing and Certification Program

Apply for Licensure

Centralized Applications Unit (CAU)

The Center for Health Care Quality’s (CHCQ) Centralized Applications Unit’s (CAU) mission is to ensure standardization and consistency of the state licensing and federal certification application process. 


To better accomplish this mission and fully centralize the process, the CAU has absorbed all facility applications that were previously processed by CHCQ’s district offices. With the centralization, staffing increased and staff are actively implementing efficiencies to improve the timeliness of processing applications.


At this time, the time frame for processing applications is currently four to six months; however, that is dependent on the completeness of the application. This processing timeline also applies to report of change requests for existing facilities, which can include changes to: ownership, indirect ownership, name, location, mailing address, services, beds, geographical service area, stock transfers, governing board, and staff.

Applications for Licensing and/or Certification of a Health Facility

Please click on the appropriate facility type below to access the forms and documents that are required for licensure.

​Adult Day Health Center
Affiliate Primary Care Clinic
Chronic Dialysis Clinic (End Stage Renal Dialysis)
Congregate Living Health Facility (CLHF)
General Acute Care Hospital
Home Health Agency
Hospice
Intermediate Care Facilities for the Developmentally Disabled
Management Company - Hospital
Management Company - Skilled Nursing Facility or Intermediate Care Facility
Primary Care Clinics
Rural Health Clinics (Non-Urbanized Area)
Skilled Nursing Facilities or Intermediate Care Facilities

Applicants should anticipate an additional 3-6 month processing time for applications that require on-site surveys by the district office.

License Renewal

CAU is also responsible for the processing of license renewals. Before CAU issues a renewal, the provider must submit its annual licensing fee, any outstanding fees/penalties, the renewal application, and all applicable documentation. Upon receipt of the fees and application, CAU will process the renewal license. Please note: a license renewal cannot be issued any sooner than 30 days prior to the expiration date.

Report of Change Requests

All licensees are required to report the following changes: ownership, name, location, beds, services, number, and staff in order to remain in compliance with the licensure agreement. These requested changes should be made by sending your fee and application to CAU for processing.

Change of Administrator
Change of Administrator Designee
Change of Beds
Change of Director of Nursing
Change of Director of Patient Care Services
Change of Director of Patient Care Designee
Change of Geographical Service Area

Change of Governing Board
Change of Indirect Ownership
Change of Location
Change of Mailing Address
Change of Name 
Change of Services
Change of Stock Transfer

Where to Submit Completed Forms

All completed application packages and report of change requests must be submitted to the Licensing and Certification, Centralized Applications Unit at the address listed below. Do not send any completed applications to the local district office.

California Department of Public Health
Licensing and Certification Program
Centralized Applications Unit
P.O. Box 997377, MS 3207
Sacramento, CA 95899-7377

Application Status or Questions

Submit the following information to our CAU mailbox at CAU@cdph.ca.gov.

  • Name of Facility
  • License or Facility # (if you already have one)
  • Address
  • Facility Type
  • Date documentation sent
  • Contact Number

Contact Us :

Phone: (916) 552-8632

Email: CAU@cdph.ca.gov

Staff will respond to your inquiry within 48 hours.

Licensing and Certification Process Information

The Centralized Application Branch (CAB) is primarily responsible for processing licensing and certification application for health care facilities and providers. An applicaiton packet is required for any of the following:

  • New (initial) facility or agency
  • Change of ownership
  • Change of services 

CAB processes applications in the order in which they are received. Processing times for applications and other report of changes vary widely due to complexity of application or reported change. CAB will notify applicants with contact information once an analyst is assigned to process the application.

For more information on the licensing and certification process, please visit the following links:

   

 

Licensing and Certification Application Packets

To access an specific application packet, please select from the following below and click "Submit"

 
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