Building Safety & Finance

HCAI regulates the design and construction of healthcare facilities to ensure they are safe and capable of providing services to the public, and provides finance tools for capital projects. Find information on facilities, building plans and permits, seismic compliance, inspections, construction financing, and more.


Welcome to the Department of Health Care Access and Information (HCAI), formerly the Office of Statewide Health Planning and Development (OSHPD). All the information that was available under OSHPD is here as HCAI.

COVID-19 Update

Because Facilities Development Division (FDD) provides health and safety services and construction related services regarding hospital and skilled nursing facilities, we will continue to perform our business to the extent possible in accordance with the provisions of Governor Newsom’s Executive Order.

The health and wellness of our staff is of utmost importance, therefore, for the majority of staff work will be accomplished by teleworking. It is expected that there may be some delays in processing projects as we work through these different scenarios for performing our duties and responsibilities.

Available FDD field staff will visit construction projects that are ongoing, visit sites for COVID-19 related measures, or for projects deemed essential by state or local governments. The timeliness of field visits may be impacted as staff have been directed to prioritize COVID-19 related work above all other site visits as the HCAI FDD Emergency Operations Center has been activated.

FDD appreciates your support and understanding as it works through this unprecedented health-related emergency. We will post updates should there be a need to make changes to our policy and approach to doing business.

Learn more about HCAI COVID-19 Resources

Building and Construction Projects

Plan Review Processes and Goals, Building Permits, Construction Observation, Region Assignments, Comments, and Activities

eServices Portal (eSP)

Submit building plans, monitor project status, and review project data

Forms, Training, and Resources

Forms, FREER, Testing Inspection and Observation (TIO), FAQs, FDD Phone List, Training, and Education

Facility Detail

Site Plans, Maps, Projects, Seismic Information, Building Data for Hospitals and Skilled Nursing Facilities

Pre-Approval Programs

View and Apply for Pre-Approval Programs: OPM, OSP, OPAA, OPD, OPA, OPL

Codes and Regulations

Policy Intent Notices (PINs), Code Application Notices (CANs), HCAI 3, and Title 24

Seismic Compliance

Structural Performance Categories (SPC) Ratings, Extension Requests, and Legislation

Construction Financing

Cal-Mortgage program for health facility construction mortgage loan insurance