How to Open a Rehab in San Diego: Licensing and Compliance Guide

If you’re researching how to open a rehab in San Diego, you’ll need to comply with California’s strict licensing standards. All substance use disorder (SUD) treatment facilities must be licensed through the California Department of Health Care Services (DHCS) before admitting clients. By following the state and local requirements, you can establish a fully compliant San Diego rehab facility.

Step 1: Choose Your Rehab Program Type

First, decide what type of program you plan to operate:

Residential treatment center
Outpatient substance use disorder program
Detoxification/withdrawal management service

Each option has unique licensing requirements through DHCS.
👉 DHCS Substance Use Disorder Licensing

Step 2: Understand California Regulations

Rehab facilities must comply with the California Health & Safety Code and California Code of Regulations, Title 9, which outline standards for staffing, patient care, and facility operations.

👉 California Code of Regulations – Title 9

You may also pursue DHCS program certification for recognition of quality standards.
👉 DHCS SUD Program Certification

Step 3: Apply for Licensing

Your application will include:

Ownership and business structure information
Zoning and building compliance documents
Staffing plans with licensed professionals
Policies for medication handling, patient rights, and safety procedures

👉 DHCS Licensing Applications

Step 4: Meet San Diego Local Requirements

Beyond state licensing, your facility must comply with San Diego city zoning, fire safety, and building codes. For federal startup support, the U.S. Small Business Administration (SBA) offers business planning resources.
👉 U.S. SBA – Start a Business

Step 5: Hire Staff and Pass Inspections

Facilities must hire licensed counselors, medical staff, and behavioral health professionals. DHCS conducts on-site inspections before granting approval.
👉 California DHCS Behavioral Health

Final Thoughts

Learning how to open a rehab in San Diego requires careful planning, compliance with DHCS licensing standards, and adherence to local city codes. With the right foundation, your treatment program can serve the community while meeting all legal requirements.