Adult Day Health Center
Change of Governing Board Application Packet
A State license is required to operate as an Adult Day Health Center in California. Adult Day Health Center or Adult Day Health Care Center means “a licensed facility that provides adult day health care,” pursuant to Health and Safety Code (HSC) section 1570.7(b). Adult Day Health Care means “an organized day program of therapeutic, social, and skilled nursing health activities and services provided pursuant to this chapter to elderly persons or adults with disabilities with functional impairments, either physical or mental, for the purpose of restoring or maintaining optimal capacity for self-care. Provided on a short-term basis, adult day health care serves as a transition from a health facility or home health program to personal independence. Provided on a long-term basis, it serves as an alternative to institutionalization in a long-term health care facility when 24-hour skilled nursing care is not medically necessary or viewed as desirable by the recipient or his or her family,” pursuant to HSC section 1570.7(a).
To report a Change of Governing Board, you must complete the required application packet. Refer to Title 22 of the California Code of Regulations (CCR) sections 78001 through 78609 and HSC sections 1570 through 1596.5 for information regarding licensure requirements.
How to Apply
An applicant must submit a completed application packet to the Centralized Applications Branch (CAB). The application packet contains the required forms in one location. The provider checklist identifies the required forms and supporting documents needed to apply for licensing and certification. The provider instructions are a resource to guide you through the process. The Sample Application Packet is a visual aid that displays a sample of the completed forms contained in the application packet.
Please refer to the following links to get started:
Application Packet Forms
Where to Submit Applications
Submit completed application packets to the CAB at the address listed below. Do not send any completed application packets, forms, or supporting documents to the local CDPH, District Office.
California Department of Public Health
Licensing and Certification Program
Centralized Applications Branch
P.O. Box 997377, MS 3207
Sacramento, CA 95899-7377