Skilled Nursing Facilities (SNFs)

HCAI is the building department for California′s Skilled Nursing (SNF) and Intermediate Care facilities (ICF). HCAI is responsible for overseeing:

SNF Electronic Services

SNF Building Permits

SNF Maintenance & Repairs

If you would like to request a Guide in an alternative format, please provide us with your preferred format for accessing the information and we will work with you to make the publication accessible to you. Contact us at:

Department of Health Care Access and Information (HCAI)
Facilities Development Division, Building Standards Unit 
2020 West El Camino Avenue, Suite 800 
Sacramento, CA 95833 
(916) 440-8300 

How-To Guides

Advisory Guides

Forms and Applications

Please email SNF or ICF questions or comments to