Program Plan Process Overview

The ICF/IID facility types are as follows:

  • ICF/DD* – Intermediate Care Facility for the Developmentally Disabled
  • ICF/DD-H – Intermediate Care Facility for the Developmentally Disabled- Habilitative
  • ICF/DD-N – Intermediate Care Facility for the Developmentally Disabled-Nursing
  • DD-CNC** Developmentally Disabled-Continuous Nursing Care

*Development of this facility type is not described, as it has not been identified as a need since regional centers began developing facilities of 15 beds or less.

**Development of this facility type is not described as it is a waiver program and limited to selected participants as determined by the Department of Health Care Services, in collaboration with the regional center.

Opening a small community based health facility for persons with a developmental disability is a complicated process. Every prospective provider must work with multiple agencies during the facility development process.

The California Health and Safety Code, Section 1275.3, requires that a facility program plan be submitted to the Department of Developmental Services for review and approval prior to the California Department of Public Health issuing a license to operate.

To determine if there is a need for the type of facility you want to open, contact the regional center Resource Developer in your catchment area. You may need to adjust your plans and services to meet the needs identified by the regional center.

After determining the type of facility, you will need to do the following to develop your Program Plan:

  • Review the information for the specific type of facility to be developed.
  • Attend the 16-hour New Provider Orientation Training (if you have not previously attended).
  • Consult with a Registered Nurse to formulate your Medication Training Program Plan (both facility types) and Attendant training (for ICF/DD-N only).
  • Use the Program Plan Checklist, Medication Training Program Plan Checklist, Title 22 Regulations, and the Code of Federal Regulations as your guide to develop your Program Plan.
  • Use the checklists to ensure that all required topic areas are addressed.

Forms are available to assist in the development of your plan.

When your plan is complete, submit the following:

  1. HFPP Application Form DS 1852(complete both pages) PDF
  2. Training Programs and Attachments
  3. Consultants qualifying documents and attachments
  4. Completed checklists

Submit your Program Plan Packet to the address below:

California Department of Developmental Services Community Living Section 1215 O Street (MS 8-30) Sacramento, CA 95814
916-654-1965 or e-mail:

A Department analyst will review your plan for clarity and content using the Program Plan Checklist. You will be contacted if changes to your program plan are required.


Last modified: July 1, 2021