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

AFL 17-30
December 28, 2017

All Health Care Facilities

Small House Skilled Nursing Facilities Pilot Program: Standards

All Facilities Letter (AFL) Summary

This AFL publishes the Small House Skilled Nursing Facilities Pilot Program (SHSNF PP) standards, as authorized by Senate Bill (SB) 1228 (Chapter 671, Statutes of 2012).

The attached standards apply to all facilities selected to participate in the SHSNF PP. These standards are in addition to all applicable federal statutes and regulations. In addition, all pilot facilities must follow all state statutes and regulations to the extent that the pilot program standards do not vary from them.

Please refer to AFL 17-29 for the application procedures and submittal deadlines for admission to the pilot program. 

For questions regarding any of the matters in this AFL, please email them to



Original signed by Jean Iacino

Jean Iacino
Deputy Director

Attachment: Small House Skilled Nursing Facilities: Pilot Program Standards

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