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State of California—Health and Human Services Agency
California Department of Public Health

AFL 15-21
November 16, 2015

Congregate Living Health Facilities (CLHFs)

Assembly Bill (AB) 1211 – CLHF Bed Capacity Increase

AUTHORITY:      Health and Safety Code, section 1250(i)

All Facilities Letter (AFL) Summary

This AFL informs providers of the chaptering of AB 1211, which:

  • Allows CLHFs previously having a maximum capacity of 12 beds to expand to 18 beds, and
  • Clarifies that all CLHFs may serve more than one of the three patient types that CLHFs are statutorily permitted to serve.

​Effective October 4, 2015, AB 1211 (Chapter 483, Statutes of 2015) allows CLHFs that previously had a maximum bed capacity of 12 to have a maximum capacity of 18 beds. This bill also clarifies that a CLHF may provide health care services to more than one of the following types of patient groups:

A) persons who are mentally alert, persons with physical disabilities, who may be ventilator dependent;
B) persons who have a diagnosis of terminal illness, a diagnosis of a life-threatening illness, or both; and
C) persons who are catastrophically and severely disabled.

This legislation does not affect the bed capacity of the following categories of CLHFs:

  • privately-operated facilities that serve the terminally ill or persons diagnosed with a life-threatening illness, or both, and are located in a county with a population of 500,000 or more or in Santa Barbara County; and
  • CLHFs operated by a city and county.

This AFL is a brief summary of the provisions of AB 1211. Facilities are responsible for following all applicable laws. The California Department of Public Health’s failure to expressly notify facilities of statutory or regulatory requirements does not relieve facilities of their responsibility for following all laws and regulations. Facilities should refer to the full text of all applicable sections of the Health and Safety Code and the California Code of Regulations to ensure compliance.

If you have questions regarding this AFL, please contact your local district office.



Original signed by Jean Iacino

Jean Iacino
Deputy Director

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