01. Edit your cdph license login online
Type text, add images, blackout confidential details, add comments, highlights and more.
ADH 0006 (PDF) - California Department of Public Health - State of ... - cdph ca-2026
Here's how it works
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send cdph licensing and certification login via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out ADH 0006 (PDF) - California Department of Public Health with our platform
Ease of Setup
DocHub User Ratings on G2
Ease of Use
DocHub User Ratings on G2
- Click ‘Get Form’ to open it in the editor.
- In Box #1, enter the Licensee Name for your organization.
- In Box #2, input the Center’s Hours of Service as defined in Health and Safety Code Section 1570.7(h).
- For Box #3, provide the Center’s licensed capacity as indicated on the ADHC license.
- In Box #4, calculate and enter the average daily attendance (ADA) for the previous quarter.
- Enter the Center’s name in Box #5.
- Circle 'Yes' or 'No' in Box #6 to indicate if Adult Day Program services are provided.
- Box #7 requires the signature and date from the Center's Administrator or Program Director.
- List each staff member's name in Box #8, noting any approved program flexibility with '(PF)'.
- In Box #9, specify each staff member's scheduled hours per month.
- Enter each staff member's date of hire in Box #10.
- Provide license, registration, or certification numbers along with expiration dates in Box #11 if applicable.
- Finally, list meal and transportation providers' names in Box #12.
Start using our platform today to easily complete your ADH 0006 form online for free!
See more cdph license login versions
We've got more versions of the cdph license login form. Select the right cdph license login version from the list and start editing it straight away!
Who is the head of the health and Human Services Department of California?
Kim Johnson was appointed secretary of the California Health and Human Services Agency in September 2024 by Gov. Gavin Newsom. Prior to her appointment as secretary, Ms. Johnson was appointed director of the California Department of Social Services by Gov.
Who is the CEO of DHCS?
Subsequently, Michelle Baass was appointed Director of DHCS by Governor Gavin Newsom on September 10, 2021, replacing the outgoing Will Lightbourne.
Who is the CEO of the California Department of Public Health?
Erica Pan serves as director and state public health officer for the California Department of Public Health, a role she assumed on February 1, 2025.
Who is the head of the Department of health right now?
Robert F. Kennedy, Jr. is the 26th Secretary of the U.S. Department of Health and Human Services.
How do I contact the California Department of Public Health?
Contact Details Organization Type:ESRD State Survey Agency Covered States and Territories: California Information: Toll Free: (800) 236-9747 Local: (916) 440-7360 Fax: (916) 324-4820 Web Site: Hours: 8 am - 5:00 pm M-F2 more rows
Security and compliance
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
People also ask
Who is the head of the California Department of Public Health?
Toms Aragn - California Department of Public Health | LinkedIn.
What does the California Department of Public Health do?
Protecting the Health of All Californians. The California Department of Public Health (CDPH) works to protect the publics health in the Golden State and helps shape positive health outcomes for individuals, families and communities.
Related links
STATE OF CALIFORNIA. CALIFORNIA DEPARTMENT OF AGING. STAFFING/SERVICES ARRANGEMENT. CDA ADH 0006 (REV 02/2024). 1. Center Name. 2. Licensed Capacity.Read more
Aug 11, 2016 Included herein, is a copy of the State of Californias Department of Public Health (CDPH) Lead. Hazard Evaluation Report, Form CDPH 8552Read more