1600 Ninth Street
P. O. Box 944202
Sacramento, CA 94244-2020
Info: (916) 654-1690
TTY: (916) 654-2054
- Laws & Regulations
- Budget Information
- Facts & Stats
- DDS Forms
- Publications & Other Resources
- Public Records Requests
- Appeals, Complaints & Comments
- Small Business and Disabled Veterans Advocates
- Newsroom/Media Access
- Contact Us
Documents identified by PDF (Portable Document Format) requires the Adobe Acrobat Reader to be viewed and printed. If you do not already have the Adobe Reader, it can be downloaded for free from Adobe.
ICF/IID Program Plan Template
A Program Plan template has been created which may be used to assist with the development of either an ICF/DD-H or ICF/DD- N type facility. Within the document, italicized font is instructions, directions, and/or suggestions, while regular font is recommended text to use within your document. Red text indicates information specific to a particular facility type. This template format is optional. It is not required and is intended only to assist in the development process of an ICF/DD-H or ICF/DD-N Program Plan.
» Program Plan Template (MS Word)
Please visit the Program Plan Information and Development Web page for more information.
If you have any questions, please contact the Health Facilities Program Section at (916) 654-1965, or send an e-mail to email@example.com.