[2] The code contains various laws, including: Division 5 is entitled Sanitation; however, in 1989, California Integrated Waste Management Act (IWMA) of 1989 moved much of the waste management law into the California Public Resources Code[37] Division 2 contains licensing requirements for a variety of healthcare facilities.
Chapter 2 enumerates 13 types of facilities in Section 1250.1[41] including hospitals, skilled nursing, and hospice; these are generally regulated by the Licensing and Certification Division of the California Department of Public Health.
Outpatient ambulatory surgery center facility licensing per Chapter 1[42] can vary, with three options: (1) Medicare certification and regulation by the Licensing and Certification Division of the California Department of Public Health; (2) accreditation by one of five different accrediting agencies and oversight by the Medical Board of California; or (3) state licensure, which is uncommon.
[43] The California Adult Day Health Care Act of 1977 in Division 2, Chapter 3.3[44] which created a system to provide healthcare during the day without committing to a nursing home has been cited as a model for the nation.
[47] The grantor of licenses, which in the case of many facilities is the California Department of Public Health, is responsible for investigating complaints and issuing fines.