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Department of Health Care Services Licensing and Certification Section Status Report

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Department of Health Care Services Licensing and Certification Section Status Report DEPARTMENT OF HEALTH CARE SERVICES LICENSING AND CERTIFICATION SECTION STATUS REPORT This is an alphabetical list by county of all alcoholism and drug abuse recovery or treatment facilities currently licensed and/or certified by the Department of Health Care Services. To download this report in an excel spreadsheet click here. To view facilities within a specific county, simply click on the county name below. For easier browsing and navigation through this report, please access the “Page and Bookmark” View option on your Adobe Reader. To view facilities that have been revoked or suspended please click here. Alameda County Madera County San Joaquin County Alpine County Marin County San Luis Obispo County Amador County Mariposa County San Mateo County Butte County Mendocino County Santa Barbara County Calaveras County Merced County Santa Clara County Colusa County Modoc County Santa Cruz County Contra Costa County Mono County Shasta County Del Norte County Monterey County Sierra County El Dorado County Napa County Siskiyou County Fresno County Nevada County Solano County Glenn County Orange County Sonoma County Humboldt County Placer County Stanislaus County Imperial County Plumas County Sutter County Inyo County Riverside County Tehama County Kern County Sacramento County Trinity County Kings County San Benito County Tulare County Lake County San Bernardino County Tuolumne County Lassen County San Diego County Ventura County Los Angeles County San Francisco County Yolo County Yuba County COMMENTS? We are always looking for ways to improve this document. If you have any comments or suggestions, please e-mail them to [email protected], or contact the Licensing and Certification Section at (916) 322-2911. LEGEND CALIFORNIA DEPARTMENT OF HEALTH CARE SERVICES LICENSED RESIDENTIAL FACILITIES AND/OR CERTIFIED ALCOHOL AND DRUG PROGRAMS Program Name: The facility/program name. Legal Name: The legal name of the entity having the authority and responsibility for the operation of the facility or program. Address: The facility/ program address. The location where services are provided. City/State: Name of the city where the facility/ program is located. Record ID: The identification number issued by the Department of Health Care Services (DHCS), Licensing and Certification Section (LCS), for licensed facilities or certified programs. The last digit tells if the facility/ program is a nonprofit (N) or profit (P) entity. Service Type: Indicates if the facility/program is: • RES - Indicates facility licensed by the Department of Health Care Services (DHCS), the licensing authority for 24-hour residential nonmedical alcoholism or drug abuse recovery or treatment facilities serving adults. • NON - Indicates a nonresidential program which has voluntarily applied to DHCS for alcohol and/ or drug certification. • DETOX - Indicates a free standing, 24-hour nonmedical detoxification facility licensed by DHCS. • RES-DETOX - Indicates a facility licensed by DHCS to provide 24-hour residential nonmedical alcohol and/or drug recovery, treatment, and detoxification services for adults. • DPH - Indicates licensure by the Department of Public Health, the licensing authority for medical alcohol and drug recovery or treatment facilities whose programs are certified by DHCS. Typically, these are Chemical Dependency Recovery Hospitals. • DSS - Indicates licensure by the Department of Social Services, the licensing authority for residential facilities for individuals in need of care and supervision whose programs are certified by DHCS. Typically, these are group homes. • COR - Indicates the facility is under the jurisdiction of the Department of Corrections and Rehabilitation (locked facility) whose program is certified by DHCS. • IMS - Indicates services provided at a licensed residential facility by a health care practitioner that address medical issues associated with either detoxification or the provision of alcoholism or drug abuse recovery or treatment services to assist in the enhancement of treatment services. IMS do not include the provision of general primary medical care. IMS must be related to the patient’s process of moving into long-term recovery. Resident Capacity: Indicates the maximum number of residents authorized by DHCS to receive recovery, treatment, or detoxification services at any one time in the residential facility. Total Occupancy: Designates the maximum number of residential facility participants plus any dependent children, staff, or volunteers who may be housed in the facility. This occupancy is approved by the State or local fire authority. (The resident capacity and total occupancy are only indicated for licensed residential facilities. Certified nonresidential facilities show “0” as the resident capacity and total occupancy.) Target Population: Describes the targeted population of the facility or program. • 1.1 – Co-Ed • 1.2 – Men Only • 1.3 - Women Only • 1.4 - Women/Children • 1.5 – Youth/Adolescents • 1.7 – Families • 1.8 – Dual Diagnosis • 1.9 – Co-Ed/Children • 1.10 – Co-Ed/Youth • 1.11 – Men/Youth • 1.12 – Women/Youth • 1.13 – Co-Ed/Child/Dual • 1.14 – Women/Child/Dual Expiration Date: Expiration date of the facility’s current license and/or certification. State of California, Department of Health Care Services Licensed Residential Facilities and/or Certified Alcohol and Drug Programs As of 6/1/2019 Alameda County ______________________________________________________________________ Program Name: CHRYSALIS Legal Name: HORIZON SERVICES, INCORPORATED Address: 3837, 3839, 3841, 3843, 3845 AND 3847 TELEGRAPH AVENUE City, State Zip: OAKLAND, CA 94609 Phone: (510) 450-1190 Fax: (510) 655-3520 Record ID: 010001AN Service Type: RES Resident Capacity: 20 Total Occupancy: 20 Target Population: 1.3 ASAM Designation: Prov_3.5, Prov_3.3, Prov_3.1 Expiration Date: 10/31/2019 IMS: No Program Name: CRONIN HOUSE Legal Name: HORIZON SERVICES, INCORPORATED Address: 2595 DEPOT ROAD City, State Zip: HAYWARD, CA 94545 Phone: (510) 784-5874 Fax: (510) 784-9194 Record ID: 010001BN Service Type: RES Resident Capacity: 34 Total Occupancy: 34 Target Population: 1.1 ASAM Designation: Prov_3.5, Prov_3.3, Prov_3.1 Expiration Date: 2/29/2020 IMS: No Program Name: CHERRY HILL DETOXIFICATION SERVICES PROGRAM Legal Name: HORIZON SERVICES, INCORPORATED Address: 2035 FAIRMONT DRIVE City, State Zip: SAN LEANDRO, CA 94578 Phone: (510) 346-7832 Fax: (510) 351-7830 Record ID: 010001DN Service Type: RES-DETOX Resident Capacity: 32 Total Occupancy: 32 Target Population: 1.1 ASAM Designation: No Expiration Date: 1/31/2020 IMS: No Program Name: EBCRP OUTPATIENT HAYWARD Legal Name: LIFELONG MEDICAL CARE Address: 22971 SUTRO STREET City, State Zip: HAYWARD, CA 94541 Phone: (510) 728-8600 Fax: (510) 728-8605 Record ID: 010003AN Service Type: NON Target Population: 1.1 ASAM Designation: No Expiration Date: 3/31/2021 IMS: No Program Name: EBCRP RESIDENTIAL PROGRAM FOR WOMEN AND CHILDREN Legal Name: LIFELONG MEDICAL CARE Address: 2545 SAN PABLO AVENUE City, State Zip: OAKLAND, CA 94612 Phone: (510) 446-7160 Fax: (510) 446-7188 Record ID: 010003BN Service Type: RES Resident Capacity: 20 Total Occupancy: 20 Target Population: 1.4 ASAM Designation: Prov_3.5, Prov_3.3, Prov_3.1 Expiration Date: 3/31/2021 IMS: No Program Name: EBCRP OUTPATIENT OAKLAND Legal Name: LIFELONG MEDICAL CARE Address: 2577 SAN PABLO AVENUE City, State Zip: OAKLAND, CA 94612 Phone: (510) 446-7180 Fax: (510) 446-7108 Record ID: 010003CN Service Type: NON Target Population: 1.1 ASAM Designation: No Expiration Date: 3/31/2021 IMS: No Program Name: COMMUNITY RECOVERY CENTER EAST Legal Name: THE WEST OAKLAND HEALTH COUNCIL Address: 7501 INTERNATIONAL BOULEVARD City, State Zip: OAKLAND, CA 94621 Phone: (510) 729-8800 Fax: (510) 569-4965 Record ID: 010005FN Service Type: NON Target Population: 1.1 ASAM Designation: No Expiration Date: 10/31/2020 IMS: No Program Name: ORCHID WOMEN'S RECOVERY CENTER Legal Name: BI-BETT Address: 1342 EAST 27TH STREET City, State Zip: OAKLAND, CA 94606 Phone: (510) 535-0611 Fax: (510) 535-1358 Record ID: 010006AN Service Type: RES Resident Capacity: 12 Total Occupancy: 12 Target Population: 1.4 ASAM Designation: Prov_3.5, Prov_3.3, Prov_3.1 Expiration Date: 4/30/2020 IMS: No Program Name: EAST OAKLAND RECOVERY CENTER Legal Name: BI-BETT Address: 7200 BANCROFT AVENUE, SUITE 176 City, State Zip: OAKLAND, CA 94605 Phone: (510) 568-2432 Fax: (510) 568-3912 Record ID: 010006DN Service Type: NON Target Population: 1.1 ASAM Designation: No Expiration Date: 5/31/2019 IMS: No Program Name: C.U.R.A., INC. Legal Name: CARNALES UNIDOS REFORMANDO ADICTOS INCORPORATE Address: 37437 GLENMOOR DRIVE City, State Zip: FREMONT, CA 94536 Phone: (510) 713-3200 Fax: (510) 713-0684 Record ID: 010010AN Service Type: RES Resident Capacity: 51 Total Occupancy: 51 Target Population: 1.1 ASAM Designation: Prov_3.5, Prov_3.1 Expiration Date: 1/31/2020 IMS: No Program Name: NEW BRIDGE FOUNDATION Legal Name: THE NEW BRIDGE FOUNDATION, INC. Address: 1816 AND 1820 SCENIC AVENUE City, State Zip: BERKELEY, CA 94709 Phone: (510) 548-7270 Fax: (510) 665-3176 Record ID: 010013AN Service Type: RES-DETOX Resident Capacity: 93 Total Occupancy: 93 Target Population: 1.1 ASAM Designation: Prov_3.5, Prov_3.1 Expiration Date: 5/31/2020 IMS: Yes Program Name: NEW BRIDGE FOUNDATION - HELIOS Legal Name: THE NEW BRIDGE FOUNDATION, INC. Address: 1816 SCENIC AVENUE City, State Zip: BERKELEY, CA 94709 Phone: (510) 548-7270 Fax: (510) 665-3176 Record ID: 010013BN Service Type: NON Target Population: 1.1 ASAM Designation:
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