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

AFL 13-21
August 23, 2013

All Adult Day Health Centers (ADHCs)

Licensing and Certification Program (L&C) District Office Contact for Entity-Reported Incidents (ERIs) and Complaints

​This All Facilities Letter (AFL) is issued to provide ADHCs and associated stakeholders with updated contact information for Entity-Reported Incidents (ERIs) and complaints.

Effective the date of this letter, all ADHCs must report ERIs and direct clients and their families to address complaints to the L&C District Office with jurisdiction for the county or city in which the ADHC is located. A list of the District Offices, their geographical areas of jurisdiction and contact information are provided in the attachment.

This list is also available and updated as necessary at the following Internet address:

District Office Contact

Licensure of all ADHCs in California remains the responsibility of only two L&C District Offices, the Orange County and San Jose District Offices. Initial and/or periodic licensing surveys and activities will continue to be their responsibility; however, effective immediately, these two offices will no longer be responsible for conducting and processing all ADHC ERI or complaint investigations statewide.

Questions regarding this AFL may be directed to your local L&C District Office.



Original signed by Debby Rogers

Debby Rogers, RN, MS, FAEN
Deputy Director 


cc. Department of Aging

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