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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 4

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 61–80 of 301

  1. California home health agency license: the SB 164 freeze and what CDPH requires

    How CDPH licenses California home health agencies in 2026: the SB 164 freeze since June 29, 2026, the unmet-need exception, the application packet, fees and Medicare.

    California · Home health agencyReviewed

  2. California RCFE license: six-bed homes, large facilities, CDSS steps and fees

    How CDSS licenses California residential care facilities for the elderly, from six-bed homes to large buildings: certification, zoning, fire clearance, staffing, fees.

    California · Assisted living facilityReviewed

  3. Colorado assisted living residence license: CDPHE steps, fees and rules

    How CDPHE licenses Colorado assisted living residences from three residents up: the letter of intent, fire and FGI review, bed-based fees, administrator and staff rules.

    Colorado · Assisted living facilityReviewed

  4. Colorado child care center license: small and large centers under CDEC

    Licensing a child care center in Colorado: small vs. large centers, director letters, ratios, square footage, zoning and fire approvals, fees and the Provider Hub.

    Colorado · Child care centerReviewed

  5. Colorado Class A home care agency license: skilled care, CDPHE rules and Medicare

    How CDPHE licenses Colorado skilled home care (Class A) agencies: what counts as skilled, the $3,709.49 initial fee, administrator rules, the survey, the Medicare freeze.

    Colorado · Home health agencyReviewed

  6. Colorado Class B home care agency license: opening a non-medical personal care agency

    How Colorado licenses non-medical home care: the CDPHE Class B license, what personal care workers may and may not do, the manager rules, the $2,720.30 fee and Medicaid.

    Colorado · Non-medical home care agencyReviewed

  7. Connecticut assisted living services agency (ALSA) license: DPH rules and steps

    How Connecticut licenses assisted living through an ALSA serving a managed residential community: core services, RN supervisor rules, the $500 fee and 2026 law changes.

    Connecticut · Assisted living facilityReviewed

  8. Connecticut child care center license: OEC rules, staffing and steps

    How to license a child care center or group child care home in Connecticut: OEC application, $500 four-year fee, head teacher, four consultants, space and lead rules.

    Connecticut · Child care centerReviewed

  9. Connecticut family child care home license: capacity, application and inspection

    How Connecticut OEC licenses home daycares: the 6-plus-3 capacity rule, infant limits, the $40 four-year license, lead and water tests, and the inspection.

    Connecticut · Family child care homeReviewed

  10. Connecticut home health care agency license: DPH rules, staffing and the inspection

    How Connecticut DPH licenses home health care agencies: the nursing-plus-one test, required staff and ratios, the inspection, $300 fees and the 2026 Medicare freeze.

    Connecticut · Home health agencyReviewed

  11. Connecticut homemaker-companion agency registration: opening a non-medical home care business

    How Connecticut registers non-medical home care agencies with Consumer Protection: who registers, the $375 fee, the $10,000 bond, hiring and contract rules.

    Connecticut · Non-medical home care agencyReviewed

  12. Connecticut residential care home license: DSS certificate of need first, then DPH

    Opening a Connecticut residential care home: the DSS certificate of need, DPH licensing under 19-13-D6, the 1:25 attendant rule, room sizes, med certification and fees.

    Connecticut · Small residential care homeReviewed

  13. Delaware adult day care facility license: DHCQ rule 3360, space, staffing and fees

    Licensing an adult day care facility in Delaware under 16 DE Admin. Code 3360: the four-participant threshold, space formula, 1:8 staffing and the $100 fee.

    Delaware · Adult day careReviewed

  14. Delaware assisted living facility license: DHCQ rules, staffing tiers and fees

    How Delaware licenses assisted living facilities under 16 DE Admin. Code 3225: bed-based staffing tiers, fee caps, the application package and 2026-2027 law changes.

    Delaware · Assisted living facilityReviewed

  15. Delaware child care center license: the OCCL Early Care and Education and School-Age Center license

    How to license a Delaware child care center or school-age program with OCCL: the 13-child threshold, DE First staff credentials, ratios, 35 sq ft rule and steps.

    Delaware · Child care centerReviewed

  16. Delaware family care home license: two or three residents, and you must live there

    Delaware family care homes: the 2-3 resident limit, the live-in rule, the $50 DHCQ fee, the six-month initial license, room sizes, TB testing and fines.

    Delaware · Small residential care homeReviewed

  17. Opening a family child care home in Delaware: Level I, Level II or large family home

    How Delaware licenses home child care: OCCL Level I (5-6 children), Level II (9) and large family homes (12), no state fees, lead and radon tests, training and steps.

    Delaware · Family child care homeReviewed

  18. Delaware personal assistance services agency license: opening a non-medical home care agency

    How Delaware licenses non-medical home care: the DHCQ personal assistance services agency license, $250 fee, 90-day initial license, background checks and task limits.

    Delaware · Non-medical home care agencyReviewed

  19. Delaware skilled home health agency license: the OHFLC binder review, directors and fees

    How Delaware licenses skilled home health agencies (rule 3350): $500 fee, 6-9 month binder review, 90-day initial license, two-county service area and Medicare freeze.

    Delaware · Home health agencyReviewed

  20. DC assisted living residence license: DC Health rules, fees and steps

    How DC Health licenses assisted living residences: who needs an ALR license, the licensed administrator, building and insurance minimums, fees and Medicaid waiver rules.

    District of Columbia · Assisted living facilityReviewed