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licensing and certification

 

California Department of Public Health

Field Operations Branch

Centralized Applications Branch

 

​ ​Kelly Abel, SSM III Branch Chief

​Main (916) 552-8632

CAB@cdph.ca.gov

CABRenewals@cdph.ca.gov

CABHospitals@cdph.ca.gov

1615 Capitol Ave MS 3207

Sacramento C​A 95814-7402

PO Box 997377 MS 3207

Sacramento CA 95899-7377

 

 Licensing Certification & Policy

Michelle Dunlap, SSM II Section Chief

​Team LC&P1: Renewals / Issuing All Licenses / Tracking Surveys
SSM I - Stephanie Devlin
​Diana Ndubuisi (Bakersfield / Fresno / Sacramento / San Bernardino / San Francisco / Santa Rosa-Redwood Coast)
​Eileen Liu (Chico / East Bay / Riverside / San Diego / San Jose / Ventura)
Kaimana Kaili (Los Angeles)
Oscar Montenegro
​Nicole Catli (Orange County / State Facilities Section)
Team ​LC&P2: Policy / Training Unit
SSM I - Steven Lee
Claudia Flores
​Joshua Williams
Team LC&P3: Intake Unit
SPT II - Ricky Eaddy
​Jason Zakem
​Kelli Russell
​Rajesh Ratti

 

 Long Term Care Section

Maha Edlbi, SSM II Section Chief

Team LTC1: SNF / ICF / MC
SSM I - Andrea Sanders
​Audrey Hakenewerth
​Jesse Burgard
​Mercedes Jones
​Rebecca Friesen
​Team LTC2: Hospice / HOFA
SSM I - Audrey Watkins
​Cristina Shantz
​Gabriel Garcia
​Matthew Stephens
​Raquel Monteiro
Team LTC3: ADHC / CLHF / ICF-DD / ICF-DDH / ICF-DDN / PDHRC / Referral
SSM I - Diana Yang
​Derek Kaihara
​Donald Mealor
​Jaime Rodriguez
​Maribel Dominguez Cruz
​Sandy Vue

Team LTC4: CGSA / CHGB / CHIO / CHMA / CHMC / CHMD / CHOB / CHOL / CHON / CHOS / CHPO / ​CHST / CNPI / DON

(For the facility types process within this section)

SSM I - Matthew Wilson
​Dwayne F Brown
​Robert Rivet
​Wendy Miller
Team LTC5: CHAD / CHOA / DPCS / DPCSD​ ​
SSM I - Anessa Reyes
Arianna Duran​
​Candise Kirkpatrick
​Satina Davis
Team LTC6: LTC4 Back-Up
SSM I - Natasha McGee
​Jalisha Toomer

 

 Non-Long Term Care Section

Nora Salazar, SSM II Section Chief

Team ​N-LTC1: HHA Unit
SSM I - Vanessa Casiano​
Bea Vue​
​Christian Carvin
​Felicia Zamora
​John Edwards
​Team N-LTC2: Clinic Unit - ABC / CDC / CORF / CTC / ESRD / FQHC / OT / PCC / PSYCH / REHAB / RHC
SSM I - Jessica Rodriquez​
​Bob Gong
​Jose Lott
​Katrina Ye
​Lurena Cisco
​Rita Brott

Team​ ​N-LTC3: GACH Unit - APH / ASC / CAH / CDRH / GACH / SPHOSP / SURGC

(also CHOB / CHOL / CHON / CHOS for GACHs only)

SSM I - Rose McDowall​
​Amy Avery
​Kathleen Keating
​Margaret Halbach
​Marie Bachiller
​Yvonne Barron

Team​ ​N-LTC4: CGSA / CHGB / CHIO / CHMA / CHMC / CHMD / CHOB / CHOL / CHON / CHPO / CHST / CNPI / DON

(For the facility types processed within this section - except CHOS / CHOB / CHOL / CHON for GACHs)

SSM I - Lucero Garcia
​Alyssa Armstrong
​Gwen Hunter-Williams
​(Kyle) Richard Baker
​Melinda Chan
​Paolo Christian Tayros

 

​Team N-LTC5: CHAD / CHOA / DPCS / DPCSD
SSM I - Vanessa Solis
​Joshua Armstrong
​Mary Vang
​Steven Amaral
​Team N-LTC6: LTC4 Back-Up
SSM I - Sheila Keechel
​Ashley Miller
​Carolina Hernandez

 

Facility Types

​ABC- Alternative Birth Center / ADHC - Adult Day Health Center / APH - Acute Psychiatric Hospital / ASC - Ambulatory Surgery Center /
CAH - Critical Access Hospital / CDRH - Chemical Dependency Recovery Hospital / CDC - Chronic Dialysis Clinic /
CLHF - Congregate Living Health Facility / CORF - Comprehensive Outpatient Rehabilitation Clinic / CTC - Correctional Treatment Centers /
ESRD - End Stage Renal Dialysis / GACH - General Acute Care Hospital / HHA - Home Health Agency /
HOFA - Hospice Facility / Hospice (provider) / ICF - Intermediate Care Facility / DD: Developmentally Disabled,
DD-CN: Developmentally Disabled - Continuous Nursing, DD-H: Developmentally Disabled-Habilitative,
DD-N: Developmentally Disabled-Nursing / MC- Management Company / OT/SP - Outpatient Physical Speech/Occupational Therapy /
PDHRC - Pediatric Day Health & Respite Care / PCC - Primary Care Clinic / PSYCHC - Psychology Clinic / REFRLAG - Referral Agency /
REHABC - Rehabilitation Clinic / RHC or (FQHC) - Rural Health Clinic (or Federally Qualified Health Center) / SNF - Skilled Nursing Facility / SPHOSP - Special Hospital / SURGC - Surgical Clinic

 

​​
Change Types
​CGSA - Change in Geographical Service Area / CHAD - Change in Administrator Designee /
CHGB - Change in Governing Board (Officers/Directors/Board Members/Trustees) / CHIO - Change in Indirect Ownership /
CHMA - Change in Mailing Address / CHMC - Change in Management Company / CHMD - Change in Medical Director /
CHOA - Change in Administrator / CHOB - Change of Bed / CHON - Change of Name / CHOS - Change of Service /
CHPO - Change in Property Owner / CHST - Change in Stock Transfer / CNPI - Change in National Provider Identifier /
DON - Change in Director of Nursing / DPCS - Change in Director of Patient Care Services (Only applies to HHA/Hospice) /
DPCSD - Change of Director of Patient Care Services Designee (Only applies to HHA/Hospice)

 

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