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Care business licensing, state by state

Try a license (“assisted living”), an agency (“AHCA”) or a topic (“background screening”).

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Licensing guides, page 13

Step-by-step guides to licensing a care business, each checked against the state agency’s own rules and dated with its last review.

Guides 241–260 of 301

  1. Pennsylvania child care center certificate of compliance: how to get one

    Opening a child care center in Pennsylvania: the DHS certificate of compliance, the group home overlap, orientation, the application, space, ratios and staff degrees.

    Pennsylvania · Child care centerReviewed

  2. Pennsylvania home care agency and home care registry license

    How Pennsylvania licenses non-medical home care: agency vs registry, the $100 fee, online-only applications, worker hiring files, competency rules and Medicaid.

    Pennsylvania · Non-medical home care agencyReviewed

  3. Pennsylvania home health agency license: DOH rules and the 2026 Medicare freeze

    How Pennsylvania licenses home health agencies under Chapter 601: the $250 fee, the emailed packet, required staff, surveys, and the 2026 Medicare and Medicaid block.

    Pennsylvania · Home health agencyReviewed

  4. Pennsylvania adult day center license: Older Adult Daily Living Center rules and steps

    How to license an adult day center in Pennsylvania: the four-client threshold, I-4 occupancy, 1:7 ratio, 50 sq ft rule, $10-$40 fee, interim license and CHC Medicaid.

    Pennsylvania · Adult day careReviewed

  5. Rhode Island child care center license: DHS rules, space and steps

    How a Rhode Island child care center or school age program gets licensed by DHS: RISES application, inspections, floor space, ratios, leadership roles, $500 fee.

    Rhode Island · Child care centerReviewed

  6. Rhode Island family child care home license: FCCH and group home rules

    How to license a family or group family child care home with Rhode Island DHS: the 4-child threshold, assistant rules, ratios, inspections, RISES steps and fees.

    Rhode Island · Family child care homeReviewed

  7. South Carolina child care center license: from DSS orientation to a regular license

    Licensing a child care center in South Carolina: the 13-child threshold, church exemption, director qualifications, space, ratios, DSS steps and the 45-day evaluation.

    South Carolina · Child care centerReviewed

  8. South Carolina day care facility for adults license: R.60-75 rules, fees and Medicaid

    How to license adult day care in South Carolina under Regulation 60-75: the two-person threshold, 50 sq ft rule, 1:8 ratio, fees, plan review and Medicaid ADHC.

    South Carolina · Adult day careReviewed

  9. Starting a family child care home in South Carolina: DSS registration, step by step

    How SC DSS registers family child care homes for up to 6 children: who must register, background checks from age 15, zoning, the home visit, training and renewal.

    South Carolina · Family child care homeReviewed

  10. South Carolina home health agency license: certificate of need first, then DPH licensure

    How to open a home health agency in South Carolina: the certificate of need still required, county-by-county licensing under Reg. 60-77, fees, staffing and Medicare.

    South Carolina · Home health agencyReviewed

  11. South Dakota adult foster care home license: four adults, a resident owner, and DOH approval

    How to license a South Dakota adult foster care home: the 4-adult cap, the live-in owner rule, ARSD 44:77 admission limits, fire code, training and the DOH application.

    South Dakota · Small residential care homeReviewed

  12. South Dakota assisted living center license: DOH rules, beds and staffing

    How the SD Department of Health licenses assisted living centers: who needs one, the 16-bed thresholds, plan review, staffing exceptions, fees and HOPE waiver enrollment.

    South Dakota · Assisted living facilityReviewed

  13. South Dakota day care center license: floor plans, fire code and DSS rules

    How to license a day care center (21+ children) or group family day care home (13-20) in South Dakota: floor plan review, fire code, ratios, director rules.

    South Dakota · Child care centerReviewed

  14. South Dakota family day care registration: when you need it and how to get it

    South Dakota registers, not licenses, home daycares of up to 12 children, and only requires it when care is publicly paid. Ratios, checks, training, fire rules, CCA.

    South Dakota · Family child care homeReviewed

  15. Tennessee adult day services center license: the TDHS process and the September 2026 rule changes

    How to license an adult day center in Tennessee under rule 1240-07-10: the 5-participant threshold, TDHS pre-licensure steps, 40 sq ft, 1:8 ratio, fees and 2026 changes.

    Tennessee · Adult day careReviewed

  16. Tennessee assisted-care living facility (ACLF) license: rules, fees and steps

    How Tennessee licenses assisted-care living facilities: resident limits, plans review, the 13-minute evacuation rule, administrator certification and fees.

    Tennessee · Assisted living facilityReviewed

  17. Tennessee child care center license: the DHS process from intake to continuous license

    How to license a child care center in Tennessee: the 13-child threshold, DHS pre-licensure steps, director routes, ratios, space rules, insurance and monitoring.

    Tennessee · Child care centerReviewed

  18. Opening a family child care home in Tennessee: the TDHS license, step by step

    Licensing a Tennessee home daycare: the 5-to-7 child threshold, how your own kids count, the $100 fee, $300,000 insurance and the 120-day provisional license.

    Tennessee · Family child care homeReviewed

  19. Tennessee home health agency license: certificate of need first, then HFC licensure

    How to open a Tennessee home health agency: the certificate of need, county service areas, the $1,404 HFC license, rule 0720-27 staffing and the 2026 Medicare freeze.

    Tennessee · Home health agencyReviewed

  20. Tennessee home for the aged license: Tier 1 through DDA, Tier 2 through the HFC

    Tennessee residential homes for the aged: the 2026 five-resident Tier 1 line, DDA versus HFC licensing, fees, administrator certification, surveys and building rules.

    Tennessee · Small residential care homeReviewed