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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 5

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 81–100 of 301

  1. DC child development center license: opening a daycare center in Washington

    How a child care center gets licensed in Washington, DC: OSSE orientation, DOB Certificate of Occupancy, space and ratios, 2025 staff education rules, fees and renewal.

    District of Columbia · Child care centerReviewed

  2. Opening a child development home in DC: OSSE license, zoning permit and the expanded-home tier

    How to license home child care in Washington, DC: the OSSE Child Development Home and Expanded Home, the DOB home occupation permit, CDA rules, ratios and $300 in fees.

    District of Columbia · Family child care homeReviewed

  3. DC community residence facility license: three regulators, an old rulebook, an online application

    Licensing a community residence facility in Washington, DC: which CRFs are still licensed, Residence Director rules, bed-based fees, insurance and fire safety.

    District of Columbia · Small residential care homeReviewed

  4. DC home care agency license: Certificate of Need first, then DC Health

    Opening a skilled home care agency in DC: the SHPDA Certificate of Need, DC Health rules in 22-B DCMR Chapter 39, fees, staffing and the 2026 Medicare freeze.

    District of Columbia · Home health agencyReviewed

  5. DC home support agency license: opening a non-medical personal care agency in the District

    How DC Health licenses home support agencies: the DC office rule, RN roles, the 90-day provisional license and five-client census, fees and insurance minimums.

    District of Columbia · Non-medical home care agencyReviewed

  6. Florida adult day care center license: AHCA rules, ratios and the Alzheimer's designation

    How to license an adult day care center in Florida under Chapter 429 Part III and rule 59A-16: who needs it, 45 sq ft rule, 1:6 ratio, fees, inspection and Medicaid LTC.

    Florida · Adult day careReviewed

  7. Florida adult family-care home license: the live-in rule, five residents, and AHCA approval

    Florida adult family-care homes: the live-in provider rule, the five-resident cap, the $226.34 AHCA fee, fire drills, zoning, training and admission rules.

    Florida · Small residential care homeReviewed

  8. Florida child care facility license: how a center gets licensed

    Licensing a child care center in Florida: who licenses you (DCF or one of four counties), square footage, ratios, director credential, training, fees and VPK.

    Florida · Child care centerReviewed

  9. Florida homemaker and companion registration: starting non-medical home care

    How Florida registers homemaker and companion providers with AHCA: what the registration allows, the $50.75 fee, Level 2 screening, dementia training and renewal.

    Florida · Non-medical home care agencyReviewed

  10. Georgia adult day center license: social vs medical model, the 1:8 ratio and GAHLES filing

    How to license an adult day center in Georgia under rule 111-8-1: the 3-participant threshold, social vs medical model, 35 sq ft rule, 1:8 ratio, fees and CCSP.

    Georgia · Adult day careReviewed

  11. Georgia assisted living community permit: the 25-bed, medication-aide tier

    When a Georgia care home needs an assisted living community permit rather than a personal care home permit: medication aides, fire code, CON letter, staffing, fees.

    Georgia · Assisted living facilityReviewed

  12. Georgia Child Care Learning Center license: opening a center under DECAL

    How a Georgia child care center gets licensed by DECAL: the 7-child threshold, orientation, director credentials, ratios, space rules, KOALA filing and fees.

    Georgia · Child care centerReviewed

  13. Georgia Family Child Care Learning Home license: credentials, KOALA filing and the six-child cap

    How DECAL licenses home child care in Georgia: the 3-6 child rule, the age-21 and credential requirement, pre-service training, KOALA filing, the $50 fee and CAPS.

    Georgia · Family child care homeReviewed

  14. Georgia home health agency license: certificate of need first, then HFRD

    How Georgia licenses home health agencies: the certificate of need that comes first, closed CON cycles through 2026, HFRD fees and filing, and the Medicare freeze.

    Georgia · Home health agencyReviewed

  15. Georgia private home care provider license: one HFRD permit for sitter, personal care and nursing

    How Georgia licenses non-medical home care: who needs a Private Home Care Provider license, the RN rule, GAHLES filing, per-service fees and the provisional period.

    Georgia · Non-medical home care agencyReviewed

  16. Hawaii adult day care center certificate of approval: rules, fees and the OHCA process

    How to get a certificate of approval for an adult day care center in Hawaii under HAR 17-1424: who needs it, 1:6 ratio, 50 sq ft rule, $1,000 fee, 60-day decision.

    Hawaii · Adult day careReviewed

  17. Hawaii adult residential care home (ARCH) license: Type I, Type II and the expanded ARCH

    How to license a Hawaii ARCH: Type I and Type II capacity, nurse aide caregiver rules, ARCH modules, $350 fee, building and fire rules, and the expanded ARCH route.

    Hawaii · Small residential care homeReviewed

  18. Hawaii assisted living facility license: the OHCA apartment-model rules

    How Hawaii licenses assisted living facilities under HAR 11-90: 220 sq ft apartments, administrator rules, county approvals, the $1,000 fee and QUEST Integration.

    Hawaii · Assisted living facilityReviewed

  19. Registering a family child care home in Hawaii

    How Hawaii DHS registers home child care for 3 to 6 unrelated children: exemptions, infant limits, space rules, condo and townhouse rights, training and renewal.

    Hawaii · Family child care homeReviewed

  20. Hawaii group child care center license: DHS rules, ratios and steps

    How Hawaii DHS licenses group child care centers and group child care homes: the 2-and-older age rule, ratios, director qualifications, space, forms and renewal.

    Hawaii · Child care centerReviewed