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The California Department of Health has issued a new All Facilities Letter, requiring healthcare facilities to use the revised Licensure & Certification Application HS 200 (7/06) form. This form must be used for all initial and change of ownership applications, as well as for disclosure purposes when changes are reported, such as changes in administrators, corporate officers, or facility agents. The form must also be completed for other changes, such as changes in capacity, location, services, facility type, bed classification, name, and stock transfers. The HS 200 form can be obtained from the Licensing and Certification Centralized Applications Unit website. Facilities must begin using the revised form immediately, and failure to comply may result in penalties or sanctions.
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