Home Care Agency- California State Complete Licensure Package

Introducing our comprehensive  Home Care Agency Licensure Document package designed specifically for California State Licensure. We understand the critical importance of adhering to state regulations and maintaining the highest standards of care in the home health industry. Our meticulously crafted set of state-compliant documents is your key to achieving and sustaining compliance while delivering exceptional healthcare services.

California Licensing Instructions: PDF

The Number of Documents

Section A

1. Application for a Home Care Organization License (HCS 200)
2. Home Care Organization Licensee Applicant Information (HCS 215)
3. Designation of Home Care Organization Responsibility (HCS308)
4. Partnership/ Corporation/ Limited Liability Company Organization Structure (HCS 309)
5. Registered Home Care Aide Training Log (HCS 500)
6. Criminal Record Statement & Out-Of-State Disclosure (HCS 508)
7. Board of Directors Statement (HCS 1965)

Section B

1. Application Submission and Payment Guidelines
2. Job Description 
3. Personnel Policies
4. Home Care Organization Program Description
5. Training Plan for Home Care Aide