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Health Care Facility Licensing and Certification

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Phone: (916) 552-8632

Staff will respond to your inquiry within 48 hours.

Applications for an Adult Day Health Center

The following forms and documents are required for licensure.

In addition to the forms below, you are required to submit additional documents for a change of ownership.  These documents must be submitted with your completed application.  The required information and instructions are listed on the checklist contained in the Adult Day Health Center Application Request Letter and Instructional Checklist (PDF) letter.

Adult Day Health Center

Required Forms to be Licensed:

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