Skilled Nursing Facilities (SNFs)

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

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)
Office of Statewide Hospital Planning and Development, 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

Skilled Nursing Facility (SNF) Alternate Source of Power


Skilled Nursing Facilities shall have an alternative source of power to protect resident health and safety for no less than 96 hours during any type of power outage.

Policy Intent Notice (PIN) 74

Skilled Nursing Facility (SNF) alternate source of power to maintain safe temperatures, maintain availability of life-saving equipment, and maintain oxygen-generating devices.

Facility Assessment

Advisory Guide A6