Skip Navigation LinksProvider-Instructions-Certified-Only

Health Care Facility Licensing and Certification​​

Application Instructions for Initial, Change of Ownership (CHOW), and Report of Change (ROC) Applications

To receive a health facility certification in California, an applicant must fully complete the required application forms and submit them with all of the identified supporting documents. 

These instructions assist in preparing Initial, CHOW, or ROC application for certification. 

Please read each required application form carefully and:
  • Provide all requested supporting documents
  • Retain a copy of the completed application forms and supporting documents – CAB may contact the applicant and will refer to the information provided​

Review Process

CAB receives an application packet and assigns an application ID number in the Electronic Licensing Management System. CAB conducts a prescreen review of the application packet to validate receipt of all required forms and supporting documents. 

Once prescreen is complete, CAB will conduct a comprehensive review to ensure compliance with state and federal requirements.

CAB completes the review process and sends the application packet to the district office or accrediting organization (if applicable). As required, an onsite survey will be conducted.

Submission of Applications

Submit completed application packets and payments to:

California Department of Public Health
Licensing and Certification Division​
Centralized Applications Branch
P.O. Box 997377, MS 3207
​Sacramento, CA 95899-7377​


If you have questions, please navigate to the Centralized Applications Branch (CAB)​ Contact Page​​​.​​

Page Last Updated :