Resources

CDPH Checklist Library

The California Department of Public Health (CDPH) has developed checklists and information sheets to assist hospitals and other licensed providers in understanding and preparing for relicensing surveys, as well as making changes to their licenses, bed capacities, or services. To ensure California hospitals have convenient access, CHA is making these resources available on its website.

Licensing and Survey Information

Provider Checklists

Document
Initial Application
License Consolidation
License Reactivation
License Suspension
Change of Services – Onsite
Change of Services – Offsite
Change of Beds
Change of Certification
Change of National Provider Identifier
Change of Governing Board
Change of Medical Director
Change of Director of Nursing
Change of Ownership
Change of Property Owner
Change of Stock Transfer/Indirect Ownership
Change of Licensee Name
Change of Location
Change of Facility Mailing Address
Change of Licensee Mailing Address
Change of Facility Name