Regulators
California Department of Public Health (CDPH) for facility licensing; Centers for Medicare & Medicaid Services (CMS) and California Department of Health Care Services (DHCS) for applicable Medicare and Medi-Cal participation requirements.
Applications and ownership changes
Initial licensure, change of ownership (CHOW), change of management (CHOM), HS 200 applications, ownership disclosures and provider-agreement issues. We connect the filings with the purchase, lease and management agreements. CDPH application requirements · CHOW and CHOM guidance.
Surveys and citations
CDPH Class AA, A and B citations; CMS-2567 Statements of Deficiencies; plans of correction and available challenge procedures. We assess the findings, supporting records and response options. CDPH enforcement terminology · CMS nursing-home enforcement.
Operating policies
Legal review of admission and discharge procedures, resident rights, staffing arrangements and care-plan documentation addressing activities of daily living (ADLs), nutrition and hydration.
Regulators
CDPH for licensure. For applicable developmental-disability models, the California Department of Developmental Services (DDS) also reviews the facility program plan. These facilities can serve adults beyond the senior population.
Facility categories
We distinguish general ICFs from ICF/DD, habilitative ICF/DD-H and nursing ICF/DD-N facilities when assessing the proposed services, ownership structure and approvals.
Applications and operations
Licensing submissions, DDS program-plan applications such as DS 1852 where applicable, service agreements, survey responses and corrective-action work. DDS program-plan process · DDS application forms.
Regulator
CDPH. The facility’s approved service categories matter when planning admissions, staffing or an acquisition.
Applications and transitions
Initial-license and CHOW applications, HS 200 submissions, ownership disclosures and transfer agreements. We work through the proposed operation alongside the application package. CDPH CLHF requirements.
Operating agreements and compliance
Nursing and vendor contracts, admission terms, policies tied to the authorized services, and responses to licensing findings. CDPH service and licensing framework.
Regulator
California Department of Social Services (CDSS), Community Care Licensing Division (CCLD), through its Senior Care Licensing program. CDSS licensing framework.
Applications and changes
LIC 200 license applications, applicant and organizational disclosures, ownership transitions and hospice-waiver requests. We connect the licensing work with your acquisition, lease and operating plans. CDSS application forms · Hospice-waiver provisions.
Citations and complaints
Type A and Type B deficiencies, LIC 809 facility evaluations, LIC 9099 complaint reports, plans of correction and citation challenges. CDSS enforcement procedures · CDSS report forms.
Resident and workforce policies
Admission agreements, assessments and service plans, dementia-care policies, medication-assistance procedures and staff-training requirements. CDSS admission-agreement guidance · Current dementia-care guidance.
Regulators
CDSS’s Continuing Care Contracts Bureau oversees continuing-care contracts and provider financial requirements. RCFE components also fall under CDSS licensing; an on-site SNF requires CDPH licensing. CDSS continuing-care oversight.
Applications and approvals
Permits to Accept Deposits, Provisional Certificates of Authority and Certificates of Authority, alongside the approvals for the care facilities involved. CDSS continuing-care applications.
Contracts and financial obligations
Continuing-care agreements, entrance-fee and refund provisions, disclosures and reserve requirements. We examine how the contractual commitments fit the proposed transaction or operating change. CDSS provider and contract requirements.
Licensing analysis
We assess the services and contractual commitments at each location to identify whether RCFE licensing or continuing-care approvals apply. CDSS senior-care framework.
Property and service agreements
Acquisitions, leases, residency agreements, optional-service contracts and the allocation of responsibilities between property owners and operators.
Changes to the model
Adding care services or combining operations can raise new licensing, land-use and fire-clearance questions. We address those questions as part of the expansion plan.
Operating a home-based service? See Home Health, Home Care & Hospice.
Yes. Share the current agreements, the proposed ownership structure and the stage of the transaction. We’ll identify the legal work needed and agree on its scope and fixed fee. If you have a signing or closing deadline, include it in your introduction.
Yes. Bring a transaction, agreement, regulatory issue or dispute. Individual matters are fixed fee, with the work agreed before we begin. An ongoing relationship through The Cove is another way to work with the firm.
