Skilled Nursing Facilities (SNFs)
HCAI is the building department for California′s Skilled Nursing (SNF) and Intermediate Care facilities (ICF).
SNF Electronic Services
- How to submit applications and plans with eServices Portal
- eServices Portal Login
- Check on project status in plan review or construction
- SNF Data and License information
- IOR List
- HCAI Emergency Operations Center
SNF Building Permits
- Project Process Summary
- Requirements for Plan Submittal
- Requirement for Test, Inspection & Observation (TIO) Program
- Requirement for Inspector of Record
- California Administrative Code & Building Standards Code
- Code Application Notices (CAN’s) & Policy Intent Notices (PINS)
- Options for Plan Review
- Contact Regional Supervisor
- Guide for Working on Projects Under HCAI Jurisdiction
- FREER Manual – A Guide for Field Review (FR) Projects, Excluded (E) from OSHPD Plan Review, and Expedited Review (ER)
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
RegsUnit@hcai.ca.gov
How-To Guides
- Guide #1 – Wall-Mounted TV/Monitor Bracket Installation
- Guide #2 – Water Heater Replacement
- Guide #3 – Wall-Mounted Handrail Replacement
- Guide #4 – Roof-Mounted HVAC Unit Replacement
- Guide #5 – Re-Roofing
- Guide #6 – Installing a Connection for a Temporary Generator – Full Building Backup
- Guide #7 – Installing a Connection for a Temporary Generator – Emergency Generator Backup
- Guide #8 – Installing a Temporary Generator
- Guide #9 – Mobile Dialysis Unit Installation
Advisory Guides
- Advisory Guide A1 – Fire Sprinkler Installation for CDPH/CMS
- Advisory Guide A3 – Dietetic Design and Review Checklist for Hospital and SNF Facilities
- Advisory Guide A4 – Acute Psychiatric Hospitals
- Advisory Guide A6 – Alternate Source of Power for SNFs
Forms and Applications
- Application for New Project, OSH-FD-121
- Application for Inspector of Record (IOR), OSH-FD-124
- Application for Building Permit, OSH-FD-302
- Expedited Building Permit User Manual (To apply use: eServices Portal Login)
Please email SNF or ICF questions or comments to RegsUnit@hcai.ca.gov.
Skilled Nursing Facility (SNF) Alternate Source of Power
Legislation
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.