Daim Ntawv Tso Cai​​ 

Rov qab mus rau Mental Health Licensing and Certification​​ 

Mental Health Rehabilitation Centers​​ 

 Lub Chaw Kho Mob Puas Siab Puas Ntsws yog ib qho kev pab cuam 24-teev uas muab kev txhawb nqa hnyav thiab cov kev pabcuam kho mob uas tsim los pab cov tib neeg, 18 xyoo lossis tshaj saud, nrog rau kev puas siab puas ntsws uas yuav raug muab tso rau hauv lub tsev kho mob hauv xeev lossis lwm lub chaw kho mob puas hlwb los tsim kev txawj ntse los ua tus kheej txaus thiab muaj peev xwm nce qib ntawm kev ywj pheej thiab kev ua haujlwm.​​ 

Daim ntawv thov​​ 

• APPLICATION FOR LICENSURE - Mental Health REHABILITATION CENTER (MHRC) (DHCS 1813)​​ 

Kev cai​​ 

• Tsab ntawv 95-05: Kev Ceeb Toom Txog Kev Pom Zoo Rau Lub Chaw Kho Mob Puas Hlwb (MHRC) Cov Kev Cai Xwm Ceev​​  (PDF)​​ 
• Tsab ntawv No. 03-02: Mental Health Facilities Criminal Record Checks​​   (PDF)​​ 

Daim Ntawv Teev Npe​​ 

• California Kev Noj Qab Haus Huv thiab Tib Neeg Kev Pabcuam Qhib Cov Ntaub Ntawv - Cov Chaw Pabcuam Kev Kho Mob puas hlwb (MHRC) thiab Psychiatric Health Facilities (PHF)​​ 

Cov peev txheej​​ 

• FY 2023-2024 Cov Nqi Tso Cai​​  (PDF)​​ 
  
  

Psychiatric Health Facilities​​ 

Psychiatric Health Facilities tau ntawv tso cai los ntawm Lub Xeev Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv thiab muab kev saib xyuas 24-teev rau cov neeg mob nyob rau hauv lub hlwb, tsis muaj peev xwm, lossis lwm tus neeg raws li tau piav qhia hauv Division 5 (piv txwv li Tshooj 5000) lossis Division 6 (piv txwv li Tshooj 6000) ntawm Welfare and Institutions Code.  Kev saib xyuas suav nrog, tab sis tsis txwv rau, cov kev pabcuam hauv qab no: kev puas siab puas ntsws, kev kho mob hlwb, kev saib xyuas mob hlwb, kev sib raug zoo, kev kho mob, kev tswj hwm tshuaj, thiab kev pabcuam zaub mov tsim nyog rau cov neeg uas xav tau kev noj qab haus huv ntawm lub cev tuaj yeem ntsib hauv tsev kho mob koom nrog lossis hauv chaw kho mob sab nraud.​​ 

Daim ntawv thov​​ 

• APPLICATION FOR LICENSURE - PSYCHIATRIC HEALTH FACILITY (PHF) (DHCS 1814)​​ 

Kev cai​​ 

• Department of Mental Health Notice of Proposed Regulatory Action - Tshooj 4080(j) ntawm Txoj Cai Welfare thiab Institutions Code​​  
• Tsab ntawv No. 03-02: Mental Health Facilities Criminal Record Checks​​  

Daim Ntawv Teev Npe​​ 

• California Kev Noj Qab Haus Huv thiab Tib Neeg Kev Pabcuam Qhib Cov Ntaub Ntawv - Cov Chaw Pabcuam Kev Kho Mob puas hlwb (MHRC) thiab Psychiatric Health Facilities (PHF)​​ 

Cov peev txheej​​ 

• FY 2023-2024 Cov Nqi Tso Cai​​ 
  
  

Psychiatric Residential Treatment Facilities​​ 

Psychiatric Residential Treatment Facilities yog cov chaw tsis yog tsev kho mob uas muab kev pab kho mob 24-teev rau Medicaid-tsim nyog cov neeg muaj hnub nyoog qis dua 21 xyoos. Cov kev pabcuam khomob no tuaj yeem suav nrog kev ntsuas tus neeg tau txais txiaj ntsig qhov kev xav tau khomob tam sim thiab ntev ntev, qhov tseem ceeb ntawm kev txhim kho, thiab lub zog ntawm tus kheej thiab kev lav phib xaub, tshuaj xyuas cov peev txheej ntawm cov neeg tau txais txiaj ntsig tsev neeg, teeb tsa lub hom phiaj kev kho mob, thiab sau cov txheej txheem kho mob kom ua tiav cov phiaj xwm lub hom phiaj.​​ 

Cov ntawv​​ 

• Daim ntawv thov rau Daim Ntawv Tso Cai Thawj Coj rau Psychiatric Residential Treatment Facility (PRTF) (DHCS 6030)​​ 
  
• Psychiatric Residential Treatment Facility Affidavit About Resident Money (PRTF) (DHCS 6031)​​ 
• Kev lees paub ib xyoos ib zaug ntawm Kev Ua Raws Li Ntu G ntawm Tshooj 483 ntawm Title 42 ntawm Txoj Cai Tswjfwm Ntiag Tug (DHCS 6032)​​ 
  
• Daim Ntawv Thov Rov Ntxiv Daim Ntawv Tso Cai Rau Kev Kho Mob Psychiatric Residential Treatment Facility (PRTF) (DHCS 6033)​​ 

Kev cai​​ 

• Kev cai PRTF ib ntus​​ 
  

Daim Ntawv Teev Npe​​ 

• California Kev Noj Qab Haus Huv thiab Tib Neeg Kev Pabcuam Qhib Cov Ntaub Ntawv - Cov Chaw Pabcuam Kev Kho Mob puas hlwb (MHRC) thiab Psychiatric Health Facilities (PHF)​​ 
  
  

Ua ntawv tsis txaus siab​​ 

Txhua tus neeg tuaj yeem xa daim ntawv tsis txaus siab rau DHCS txog kev ua haujlwm ntawm MHRC, PHF, lossis PRTF. Txhawm rau ua ntawv tsis txaus siab tawm tsam MHRC, PHF, lossis PRTF, thov sau daim ntawv tsis txaus siab hauv online thiab nyem "Submit" nyob hauv qab ntawm nplooj ntawv.​​ 

Ib qho kev tsis txaus siab kuj tuaj yeem raug foob los ntawm qhov ncauj lossis sau ntawv. Qhov kev tsis txaus siab yuav tsum qhia meej cov ntsiab lus txaus ntawm qhov raug liam tias ua txhaum cai kom DHCS txiav txim siab hnub thiab sijhawm, leej twg tau koom nrog, thiab qhov ua txhaum cai yog dab tsi. Yog tias koj xav xa koj qhov kev tsis txaus siab hauv xov tooj, email, fax, lossis xa ntawv, thov siv MHLC Cov Ntaub Ntawv Tsis Txaus Siab Sib cuag hauv qab no.

Thov nco ntsoov, cov neeg tsis txaus siab yuav tsis raug ceeb toom txog qhov tshwm sim ntawm qhov kev tsis txaus siab. Txawm li cas los xij, tus neeg tsis txaus siab tuaj yeem thov qhov tshwm sim thaum kaw qhov kev tshawb xyuas, thiab Daim Ntawv Ceeb Toom Cov Ntaub Ntawv (PRA) yuav raug pib los ntawm tus neeg tsis txaus siab. Yog tias koj tsis yog tus neeg tsis txaus siab thiab xav tau cov ntaub ntawv hais txog qhov tshwm sim ntawm qhov kev tsis txaus siab tom qab nws raug kaw, thov xa daim ntawv thov PRA. Yog xav paub ntxiv txog tus txheej txheem PRA, thov mus saib ntawm Public Records Act home page.​​ 

Cov ntaub ntawv tiv tauj tsis txaus siab​​ 

Daim Ntawv Qhia Tsis Txaus Siab:​​   (916) 327-8378​​ 

Tsis Txaus Siab Email Chaw Nyob:  MHUOR2@dhcs.ca.gov
​​ 

Fax:  (916) 440-5600​​ 

Mail:  P.O. Box 997413, MS 2800
          Sacramento, CA 95899-7413
​​