Articles & Guides
Starting and running an adult day center, explained honestly: the two models, the license, the building, the people, and the funding. Browse by topic below.
State Guides
How adult day licensing actually varies by state: which agency owns it, how the social and medical models are treated, and the questions that settle your state's answer.
1 article →
Licensing Process
From concept to issued license: the model decision, the application document stack, inspections, and the order that keeps a launch from stalling.
1 article →
Facility & Staffing
The building and the people: space rules, safety and accessibility, required roles, typical ratios, training, and the schedules that hold at lunch.
1 article →
Funding & Medicaid
How adult day centers actually get paid: Medicaid HCBS waivers, VA programs, Older Americans Act funds, CACFP meals, LTC insurance, and private pay, sourced to the agencies that run them.
1 article →
Operations
Running the day: enrollment and intake, care plans, activity programming, incident handling, and the compliance rhythm that keeps a license healthy.
3 articles →
Featured Articles by Topic
Start with the cornerstone guide in each topic, then go deeper.
State Guides
How adult day licensing actually varies by state: which agency owns it, how the social and medical models are treated, and the questions that settle your state's answer.
Licensing Process
From concept to issued license: the model decision, the application document stack, inspections, and the order that keeps a launch from stalling.
Facility & Staffing
The building and the people: space rules, safety and accessibility, required roles, typical ratios, training, and the schedules that hold at lunch.
Funding & Medicaid
How adult day centers actually get paid: Medicaid HCBS waivers, VA programs, Older Americans Act funds, CACFP meals, LTC insurance, and private pay, sourced to the agencies that run them.
Operations
Running the day: enrollment and intake, care plans, activity programming, incident handling, and the compliance rhythm that keeps a license healthy.
The First 90 Days of Running an Adult Day Center: Enrollment, the Daily Rhythm, and Staying Compliant
Operating an adult day center after the license: deliberate enrollment, a dignified daily rhythm, the five records kept daily, stable staffing, referral growth, and the day-90 review.
Transport Is a Second License
Passenger rules. Confirm DOT and the state.
Activities Versus a Medical Model
Two businesses. Confirm which license you hold.