Health Care Facility Licensing and Certification

Contact Us

Phone: (916) 552-8632
Email: CAB@cdph.ca.gov

For application status requests, please include the following in your email:

Application ID (if applicable)
Name of Facility or Agency
License or Facility/Agency # (if applicable)
Address
Facility or Provider Type
Date Documentation Sent
Contact Number

Voluntary Surrender of Facility License/Permanent Closure Process

Background

When a licensed provider decides to voluntarily surrender their license/permanently close their facility/agency/clinic they must submit a letter to the CDPH local District Office (DO). The closure letter must indicate the reason for closure, closure date, and other pertinent information pursuant to statute/regulation according to the provider type. The DO will work with the provider to obtain the closure information and closure process to close the facility, agency, or clinic.

When a Medi-Cal and/or Medicare certified only provider decides to voluntarily close, the provider must submit a letter to the CDPH DO. The closure letter must include the reason for closure, closure date, and other pertinent information pursuant to certification rules.

Once the DO and the provider has completed the closure process, the DO will notify the Centralized Applications Branch, Provider Licensing Unit (PLU). PLU will complete the final phase of the facility closure process in our database of record.

CDPH District Office Contact (https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/DistrictOffices.aspx)

Voluntary Closure Process

Party Responsible	Action
Provider	Provider submits a letter via mail or email addressed to their local CDPH District Office indicating the facility is closing or surrendering their license. The letter contains the following information: Request submitted on company letterhead Reason for closure and projected date of closure
District Office	District Office receives the provider closure letter District Office works with the provider to ensure the facility closes in accordance with statutes/regulations for the provider's facility type District Office emails the Provider Licensing Unit a copy of the voluntary closure letter with confirmation the facility is closed District Office emails the Provider Certification Unit if the facility is Medi-Cal certified and requires Medi-Cal termination
Provider Licensing Unit	Provider Licensing Unit inputs the facility closure into the Centralized Applications Branch database.
Provider (Optional)	Provider can confirm the facility is closed by checking CalHealthFind (https://www.cdph.ca.gov/Programs/CHCQ/LCP/CalHealthFind/Pages/Home.aspx) Facilities do not appear on CalHealthFind if closed