Begin Main Content Area

Adult Day Center Licensing

PDFs on this page may contain features such as electronic signature, fillable fields and auto-submit options that may not be available when viewed on a web browser (such as Firefox, Safari, Chrome, Internet Explorer etc.) To access the full functionality of the PDFs, download and open in a suitable PDF viewer such as Adobe Acrobat Reader DC. Download Adobe Acrobat Reader DC

 

Initial Application Checklist

An application will only be considered complete if each of the necessary items, listed on the Initial Application Checklist, have been included. Please refer to the Initial Application Checklist to avoid delays with your application.

Application for Licensure Forms


New Provider Applications are only being accepted by email. 
   

Checklists for New Adult Day Centers

Other Checklists

 

Unusual Incident Reporting

  

Sample Forms

   

Waiver of Regulation Request Form

  

Finance Check Processing Form

Finance Check Processing Form

Dual-Licensed Center Waiver of Inspection


 

Adult Day Services Online Director Training Course

 

Appeals by Adult Day Service Centers

 

Licensing Inspection Guide

 Accordion



Expand AllClick here for a more accessible version

Frequently Asked Questions for New & Existing Adult Day Centers