United States · 19 states compared

Home care survey and inspection requirements by state

Most licensed home care agencies can expect the regulator to check their work, but states differ on when the first check comes, who does it, how often it repeats, whether you get notice and how fast you must answer a finding. This table puts them side by side, with each answer cited to the official rule or regulator page.

Built from our rule-verified state datasets. Rules last checked between September 30, 2026 and October 8, 2026; each row shows its own date. How we verify rules. For licenses, fees and policies, see home care licensing requirements by state.

Quick answer

A survey comes before the license in Colorado (usually on site), Nevada, New York and Washington; the survey comes while the agency operates on a provisional or initial license, before the full license, in Delaware, Georgia and Illinois; the first check is a review of documents in Indiana, North Carolina and Tennessee; Maine usually inspects first, by our count of the state’s records; the rules allow an inspection before licensing without requiring one in Maryland; applicants are subject to inspection, but the rules do not say when, in Virginia; the first survey comes after the license is issued in Texas; our sources do not settle it for California (our reading), Kansas (our reading) and South Carolina; no site visit is required before licensing for nonmedical agencies in Florida and Ohio (our reading).

Routine inspections are set in law or rule in Kansas (at least every 36 months), Maine (monitoring at least every two years, by statute, which does not say on site), North Carolina (at least every three years), Tennessee (at least once a year), Texas (at least every 36 months), Virginia (at least every two years) and Washington (at least once each licensure period); only regulator guidance gives one in Georgia (roughly every 18 to 24 months, by DCH’s checklist); we found no set cycle in California, Colorado, Delaware, Illinois, Indiana, Maryland, Nevada and South Carolina; in Ohio only a program rule sets one; for Florida and New York, the cycle is not covered in our sources. A plan of correction is due within a set time in Colorado (10 calendar days), Georgia (10 days), Illinois (10 days), Maine (10 business days, though its penalty schedule says 10 calendar days), Maryland (10 calendar days), Nevada (10 days), North Carolina (10 working days), Texas (10 days), Virginia (15 working days) and Washington (10 working days); by the date the regulator writes on its report in South Carolina and Tennessee; with no deadline named in California, Delaware and Kansas; only a program rule sets one in Ohio (10 business days); for Florida, Indiana and New York, it is not covered in our sources. The table below shows each state’s rule, with a link to the source.

How to read the table

The non-medical license only. Each row covers the license a non-medical home care agency needs in that state. Home health, hospice and Medicare surveys follow other rules and are not used here.
Before the first license. Some states survey before any license, some while you operate on a provisional or initial license, and some only review documents. The first column says which, and how.
Days are not all the same. Plan of correction deadlines are in calendar, working or business days, as each rule words them; “days” means the rule does not say which.
Program rules are labelled. Where an answer rests on a Medicaid, waiver or aging program rule alone, a Program rule label marks it, and the cell names the program.
Rule or guidance. Where an answer comes from a regulator’s web page, form or checklist rather than the law or rule, the cell says who says it, and a Regulator guidance label marks cells that rest on guidance alone.
“Our reading” marks an answer that is our interpretation, because the rule does not say it in so many words. Confirm those with the regulator.
“Not covered in our sources” means the official texts we saved do not answer the question. We leave it blank rather than guess. “None set” likewise means our sources name no cycle, not that the state never inspects.

The 19 states compared

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Home care survey and inspection requirements in 19 US states.
State and guide	Inspection before the first license	Who inspects	Routine inspection cycle	Announced or unannounced	Plan of correction deadline	Notable point
California CDSS, HCO Rules checked October 8, 2026 State guide	No pre-license step namedOur readingRegulator guidance CDSS’s eight-step application overview has no inspection before the license (our reading). Its instructions say the HCO address is where CDSS will make an unannounced inspection. Application steps 1 to 8 (our reading)HCS 281, A1 (HCS 200)	CDSS (Home Care Services Branch) CDSS staff may enter an HCO during posted business hours, with or without advance notice. CDSS Home Care Services page HSC s. 1796.53	Random; no cycle set yet The statute provides random, unannounced inspections, and our sources set no cycle. AB 152 (2026), per the Legislative Counsel’s digest, gives CDSS until January 1, 2028 to adopt regulations for biennial inspections. HSC s. 1796.52(b)AB 152 (2026), Legislative Counsel’s digest, para. (3)	Unannounced Random, unannounced inspections during posted business hours. HSC s. 1796.52(b)HSC s. 1796.53	No deadline named A notice of violation may require a plan of correction. Our sources name no number of days; the statute says CDSS shall adopt regulations on correction plans. HSC s. 1796.55(b)	A published inspection checklistRegulator guidance CDSS’s HCS 9201 lists the statutory items an enforcement analyst reviews at an unannounced inspection. HCS 9201 (11/25)
Colorado CDPHE, HCA Class B Rules checked October 2, 2026 Survey guide	Yes, usually on siteRegulator guidance After the fitness review, a scheduled initial survey. CDPHE’s guidance describes issuing the license once the survey is completed with zero deficiencies. Step 6, Survey Requested & Completed Step 7, License Issued	CDPHERegulator guidance CDPHE’s survey team; a surveyor calls to set the time of the initial survey. Step 6, Survey Requested & Completed	None set; up to 3 years if eligible We found no standard frequency for home care. A licensee with a clean three-year record can get an extended survey cycle of up to three years or a tiered inspection instead. 6 CCR 1011-1 Ch. 2, 2.10.2	First scheduled; others may be unannounced The initial survey is scheduled in advance. After that CDPHE may inspect without notice between 7 a.m. and 7 p.m., and investigate complaints at any time. Step 6, Survey Requested & Completed 6 CCR 1011-1 Ch. 2, 2.10.1(A); Ch. 26, 4.6(A)(1)	10 calendar days Signed by the director, administrator or manager, within 10 calendar days of CDPHE’s written notice, with corrections within 30 days unless CDPHE allows otherwise. 6 CCR 1011-1 Ch. 2, 2.10.4(B)(1)(c), (2)6 CCR 1011-1 Ch. 2, 2.10.4(B)(2)(a)	Records within 30 minutes Consumer files and administrative records must start reaching the surveyor within 30 minutes of a request. 6 CCR 1011-1 Ch. 26, 4.6(A)(1)(b)
Delaware DHCQ, PASA license Rules checked October 4, 2026 State guide	Yes, on the 90-day initial license The 90-day initial license lets you hire and take consumers; an on-site survey follows in those 90 days, while you are serving consumers. 3345-2.3.1.1 3345-2.3.1.2	DHSS, through DHCQ DHSS inspects licensed agencies; DHCQ’s process steps describe the survey. 3345-2.7.1 Initial Application Process Steps, step 6	Periodically; no interval named DHSS inspects periodically, scheduled or unannounced. The annual license runs 12 months at a time. 3345-2.7.1 3345-2.3.3.1	Scheduled or unannounced The rule allows both. For the initial survey, you tell DHCQ in writing when services start, and a surveyor then comes unannounced. 3345-2.7.1 Slide 28	No deadline namedRegulator guidance An agency with deficiencies at the survey completes an acceptable plan of correction before getting its annual license; our sources name no number of days. Initial Application Process Steps, step 6b	No consumer, no annual licenseRegulator guidance DHCQ’s slides say an agency with no consumer within the first 90 days will not get an annual license. Slide 28
Florida AHCA, HCS registration Rules checked October 8, 2026 State guide	No initial inspection No initial inspection is required for companion and homemaker providers. F.S. 408.806(7)(b)	AHCA AHCA may make any inspection or investigation it deems necessary. Its form says surveyors’ site inspections happen during the business hours you list. F.S. 408.811(1)AHCA Form 3110-1003, section 10, Hours of Operation	Not covered in our sources	Unannounced Inspections under the general licensing law are unannounced, except as s. 408.806 specifies. F.S. 408.811(1)(a)	Not covered in our sources	AHCA’s surveyor set AHCA’s surveyor regulation set for registrants (printed in 2021) checks services within the definitions, no clients who need personal care, the registration number in adverts and employment history files. Regulation Set I 1.07 (printed 09/09/2021), tag I0003 Services Provided Regulation Set I 1.07 (printed 09/09/2021), tag I0005 Regulation Set I 1.07 (printed 09/09/2021), tag I0011 F.S. 400.509(5)
Georgia DCH, PHCP Rules checked September 30, 2026 Survey guide	Yes, on the provisional licenseRegulator guidance A three-month provisional license, in which you become operational, admit at least three clients and email DCH to request the initial survey. The permanent permit follows a successful survey. Application Checklist, p. 2	DCH’s Private Home Care Team Survey questions go to DCH’s Private Home Care Team, and DCH representatives show identification before entering. Application Checklist, p. 1 111-8-25-.06(2)	About every 18 to 24 months DCH’s checklist says re-licensure surveys come roughly every 18 to 24 months, and the rules let DCH inspect whenever it decides it is necessary. Application Checklist, pp. 2-3 111-8-65-.08(1)(b)	Unannounced (DCH’s affidavit)Regulator guidance The Affidavit of Compliance you sign says your policies are checked at unannounced inspections. Application Checklist, Affidavit of Compliance	Within 10 days A written plan within 10 days of receiving an inspection report that cites violations. You can explain or dispute findings in the plan itself. 111-8-65-.08(4)	Accreditation can replace periodic inspections DCH may exempt a certified or accredited provider from periodic inspections; you send DCH the documents and the latest report. 111-8-65-.08(1), (1)(a)
Illinois IDPH, Home services agency Rules checked October 1, 2026 Survey guide	Yes, late in the provisional license IDPH inspects in the last 30 days of the 240-day provisional license, then issues a full license if you substantially comply. 77 Ill. Adm. Code 245.100(a)(3)77 Ill. Adm. Code 245.100(a)(2)	IDPH nurse surveyorsRegulator guidance IDPH’s checklist is written for a nurse surveyor; the agency manager or a designee must be available when they arrive. Surveillance Nurse Visit Checklist (Home Services)	None set IDPH inspects and investigates licensed agencies as it deems necessary. We found no renewal survey interval. 77 Ill. Adm. Code 245.110(a)	Not covered in our sources	Within 10 days After a notice of violation, a written plan saying how and by when each violation will be corrected. If IDPH rejects it, a modified plan is due 10 days after you receive the rejection. 77 Ill. Adm. Code 245.120(b)77 Ill. Adm. Code 245.120(b)(2)-(3)	One extension of up to 90 days If you do not yet substantially comply but have made significant progress, IDPH may renew the provisional license once, for up to 90 days. 77 Ill. Adm. Code 245.100(a)(4)
Indiana IDOH, PSA license Rules checked October 2, 2026 Survey guide	A desk review; a visit is possible IDOH must approve all documents before the license. The statute lets IDOH inspect on site at licensing, but also has agencies tell clients that IDOH “does not inspect personal service agencies as part of the licensing process”. State Form 53391, Section VIII IC 16-27-4-6(e)IC 16-27-4-12(12); 16-27-4-6(e)	IDOH IDOH’s onsite inspections are limited to compliance with the personal services agency law, or to permitting or aiding an illegal act. IC 16-27-4-6(f)	None set We found no survey cycle in the statute. IDOH may inspect at renewal and investigates complaints. IC 16-27-4-6(e)IDOH-HCBC/PSA-1, On/Off Site Investigations	Complaint visits are unannouncedRegulator guidance IDOH’s complaint page says a surveyor enters without prior notice once an investigation begins. Our sources do not say for licensing inspections. Report a Complaint, What to Expect	Not covered in our sources	Documents within 24 hours The agency produces documents a surveyor requests; IDOH reads the statute as 24 hours. IC 16-27-4-6(g)
Kansas KDHE, HHA (supportive care) Rules checked October 2, 2026 Survey guide	UnclearOur reading The statute ties the license to a survey inspection, but KDHE’s application describes a document review. K.S.A. 65-5104(a)	KDHERegulator guidance KDHE, not KDADS, licenses and surveys home health agencies, including the supportive care type. Letter of Introduction, p. 1	At least every 36 months A license stays in effect only if an on-site survey at least every 36 months shows compliance. KDHE may make other surveys during business hours. K.S.A. 65-5104(b)(2)K.S.A. 65-5105	Not covered in our sources	No deadline named A license is issued or renewed only with an acceptable plan of correction for cited deficiencies; the rules set no number of days. K.A.R. 28-51-101(c)	Findings fixed at the exit interview The preliminary report signed at the exit interview lists all deficiencies from the survey, and none based on what was found at that survey can be added later. K.S.A. 65-5106
Maine DLC, PCA license Rules checked October 4, 2026 State guide	Usually, before the first license The rule says an inspection may occur before licensing. DLC’s records show one for 112 of the 130 agencies first licensed since August 2024 (our count). Ch. 129 § 10(B)(1)licence detail pages, 4 to 8 Oct 2026 (our count)	DLC (Maine DHHS) An application is permission for DLC to enter and inspect. 22 M.R.S. § 1717(9)(A)	Monitoring at least every 2 years (the statute does not say on site) The statute has DHHS monitor every agency at least every two years. DLC began surveying agencies as their provisional licenses ended. 22 M.R.S. § 1717(13-A)Listening session slides, Current Status	Not covered in our sources	10 business days A signed plan within 10 business days of a statement of deficiencies, though the rule’s penalty schedule says ten calendar days. Ch. 129 § 10(G)(1)Ch. 129 § 10(H)(3)(b)(i)	A 6 to 9 month backlogRegulator guidance DLC says it is 6 to 9 months behind on processing and inspections. How to Apply for Licensure
Maryland OHCQ, RSA Rules checked October 2, 2026 Survey guide	Possible Before approving or denying an application, the Department may inspect the agency on site, announced or unannounced. COMAR 10.07.05.04D	OHCQ The Office of Health Care Quality makes licensure inspections and complaint investigations. COMAR 10.07.05.07A	None set for RSAs We found no interval in the RSA rules. The statute tells the Department to inspect each RSA’s operations. COMAR 10.07.05.07A Health-General §19-4A-06	Announced or unannounced OHCQ may make announced or unannounced licensure inspections, and its 2019 overview says complaint surveys are unannounced. COMAR 10.07.05.07A Complaint Survey Process overview (2019)	10 calendar days An acceptable plan within 10 calendar days of a notice of violation, with a date for each correction. A late plan may bring a sanction. COMAR 10.07.05.07E-F COMAR 10.07.05.07E(2)	Records off site within 24 hours Current client and staff files and quality assurance records stay at the office; other records may be off site if available within 24 hours. COMAR 10.07.05.07C(2)
Nevada HCQC, Personal care agency (PCA) Rules checked October 3, 2026 Survey guide	Yes, a prelicensure survey Once the application, identity proof and fee are complete, the Division investigates and performs a prelicensure survey. HCQC’s workbook ends in a 55-tag checklist of policies and forms. NAC 449.0112(1)Workbook (12.2024), final pages	HCQC (Nevada Health Authority) The Health Care Purchasing and Compliance Division and its Bureau of Health Care Quality and Compliance. NRS 449B.030	None set The Division may inspect at any time; we found no routine cycle. NRS 449B.360	With or without notice The Division may inspect at any time, with or without notice. NRS 449B.360	Within 10 days A plan with corrective actions and timeframes within 10 days of the statement of deficiencies. Missing the deadline is itself a deficiency. NAC 449.9987(1); 449.0118(5)NAC 449.9987(3)	No fire inspection Personal care agencies are exempt from the fire inspection other facilities need before licensing. NAC 449.0112(2)(b)
New York DOH, LHCSA Rules checked October 3, 2026 State guide	Yes, a pre-opening surveyRegulator guidance After contingent PHHPC approval you send your manual. Once it is acceptable, the DOH regional office schedules a pre-opening survey, and the license follows a successful survey. FAQ A, Q3	DOH regional officeRegulator guidance The regional office surveys; DOH’s Bureau of Home Care Licensure and Certification issues the license. FAQ A, Q3	Not covered in our sources	Not covered in our sources	Not covered in our sources	A need review comes first PHHPC must be satisfied about public need before approval, and DOH’s 2022 survey presumed no need in 20 counties. PHL s. 3605(4)(a)Need report, Section 2
North Carolina DHSR, Home care agency Rules checked October 1, 2026 Survey guide	Yes, a desk review The initial survey is a review of the policies, procedures and personnel documents you send, before a license is issued. Requirements for Establishing a Home Care Agency 10A NCAC 13J .0903(a)	DHSR DHSR’s Acute and Home Care Licensure and Certification Section; inspectors make their identities known to the person in charge. Requirements for Establishing a Home Care Agency, Acute and Home Care Licensure and Certification Section 10A NCAC 13J .0904(c)	At least every 3 years The statute requires DHSR to inspect each agency at least every three years, and a licensed agency may be inspected at any time. G.S. 131E-140(b)10A NCAC 13J .0904(a)	UnannouncedRegulator guidance DHSR’s FAQ says licensed agencies are inspected every 3 years, unannounced. FAQ 34-35	10 working days File a plan within 10 working days of receiving cited deficiencies; DHSR responds within 10 working days of receiving it. 10A NCAC 13J .0904(f)	Accredited agencies can be deemed An agency accredited for all its home care services can be deemed to meet the licensing rules, and sends DHSR each accreditation survey report within 30 days. G.S. 131E-138(g)10A NCAC 13J .0906(d)
Ohio ODH, Nonmedical HHS Rules checked September 30, 2026 State guide	Not for nonmedicalOur reading The statute requires a site visit only for skilled applicants applying through Medicare certification. ORC 3740.04	ODH, on request ODH can inspect your background check roster and ask for written confirmation that you comply. OAC 3701-60-10(C)OAC 3701-60-10(D)	Medicaid program: every 3 yearsProgram rule We found no inspection cycle in the ODH license rules. Under S.B. 315, a Medicaid program law, ODM reviews or inspects a new home and community-based services provider in person before enrolling it, then every three years. ORC 5164.302(A), as enacted by S.B. 315	ODA program: unannounced, at any timeProgram rule For ODA certification, a program rule, ODA may review a provider at any time. OAC 173-39-04(D)	ODA program: 10 business daysProgram rule For ODA certification, a program rule: a plan of correction or evidence of compliance within 10 business days of a review summary. OAC 173-39-04(H)(3)	Medicaid enrollment pausedRegulator guidanceProgram rule ODM stopped new enrollments for listed home care provider types in its Medicaid program from May 14, 2026, until November 14, 2026 unless CMS authorizes an extension. ODM announcement, p. 1
South Carolina DPH, IHCP Rules checked October 2, 2026 Inspections and incidents guide	Not stated DPH will not issue the first license until you show substantial compliance; the rule does not say whether it checks by visit or by documents. R.60-122 §103.B R.60-122 §102.L	DPH Healthcare QualityRegulator guidance DPH says its inspectors are healthcare professionals, and its Healthcare Quality investigates complaints and serious incidents. How DPH Inspects and Certifies	None set Any provider may be inspected or investigated without notice; we found no set interval. R.60-122 §202.A	Unannounced Any provider may be inspected or investigated without notice, and DPH says its inspections are unannounced. R.60-122 §202.A How DPH Inspects and Certifies	By the date on the report The administrator signs and returns the plan by the date written on the report of inspection or investigation; the rule sets no fixed number of days. R.60-122 §202.C	Inspection access is Class I Section 202, inspections and investigations, is marked (I), so failing to allow an inspection is a Class I violation; its plan of correction paragraph, 202.C, is Class II. R.60-122 §202, §202.C
Tennessee TDMHSAS, PSSA Rules checked October 2, 2026 Survey guide	Yes, an electronic desk audit Once the paperwork is in and the fee is paid, the initial inspection is an electronic desk audit, and deficiencies must be corrected before a license is issued. Step 5 0940-05-02-.06(5)(b)	TDMHSAS Office of LicensureRegulator guidance The Office of Licensure runs unannounced inspections and follow-ups and investigates complaints. Licensing page	At least once a year At least one unannounced inspection of each licensed service each year, on dates that are random and vary from year to year. 0940-05-02-.22 0940-05-02-.07(4)	Unannounced The yearly inspection is unannounced, and TDMHSAS staff may enter and inspect with or without notice. 0940-05-02-.22 0940-05-02-.13	By the date on the notice A written Plan of Compliance answers each Notice of Non-Compliance by its deadline, giving the corrective action and completion date for each item. 0940-05-02-.21(1)-(2)0940-05-02-.21(3)Tenn. Comp. R. & Regs. 0940-05-02-.21(2)-(3)	Remote inspections proposed A proposed rewrite would let TDMHSAS meet the yearly inspection remotely for services with no in-person site, such as a PSSA. It is a proposal, not the rule in force. Proposed 0940-05-02-.22(3)-(4)
Texas HHSC, HCSSA (PAS) Rules checked September 30, 2026 Survey guide	After the license, within 6 months Within six months of the license date, admit at least one client and request the initial survey on HHSC Form 2020. 26 TAC §558.521(a)26 TAC §558.521(c)	HHSC HHSC surveyors; the administrator names, in writing, an employee to let them in. 26 TAC §558.243(b)(3)	At least every 36 months A survey may follow within 18 months of the initial survey, then on site at least every 36 months. Tex. Health & Safety Code §142.009(j)	Unannounced Surveys are unannounced. If the office is closed in business hours, someone must let the surveyor in within two hours. 26 TAC §558.505 26 TAC §558.523(e)	Within 10 days A plan for each violation within 10 days of receiving the findings, even if you disagree. 26 TAC §558.527(g)(3)26 TAC §558.527(i)	Accreditation replaces routine surveys Accreditation by the Joint Commission, CHAP or ACHC exempts an agency from HHSC surveys other than complaint investigations. 26 TAC §558.503
Virginia OLC, HCO Rules checked October 1, 2026 Survey guide	Applicants are subject to inspection Applicants are subject to OLC inspection, and the license is issued on finding compliance; our sources do not say when the first inspection happens. The statute also refers to a preoperational inspection, and OLC offers a prelicensure consultation on the survey process. 12VAC5-381-40 C 12VAC5-381-20 B Va. Code § 32.1-162.10 12VAC5-381-40 A	VDH’s OLCRegulator guidance The Home Care and Hospice Unit of the Office of Licensure and Certification licenses and inspects home care organizations and investigates complaints. Home Care & Hospice page	At least every 2 years Unannounced on-site inspections as needed, and at least every two years. 12VAC5-381-80 A	Unannounced The OLC’s on-site inspections are unannounced. 12VAC5-381-80 A	15 working days An acceptable plan within 15 working days of receiving the report, with corrections finished within 45 working days of the last inspection day. 12VAC5-381-80 D 12VAC5-381-80 G	Client home visits are voluntary The OLC may visit clients at home during an inspection. You arrange the visits and explain that agreeing is voluntary and will not affect care. 12VAC5-381-90 B
Washington DOH, In-home services license (home care) Rules checked October 2, 2026 Survey guide	Yes, announced An initial announced survey confirms you meet the rules before licensing, and the license is issued only after you pass it. WAC 246-335-320(3)License Requirements page	DOH, by registered nursesRegulator guidance DOH’s Office of Investigation and Inspection; its survey team are registered nurses with home care, home health and hospice experience. Survey Program page	Once each licensure period DOH must survey within each licensure period, unless DSHS or an area agency on aging contracts with and monitors the agency. The first license lasts 12 months and later licenses two years. RCW 70.127.100 WAC 246-335-350(3)WAC 246-335-340(1)	First announced; later unannounced DOH says initial surveys are scheduled and announced and later surveys are unannounced. Survey Program page WAC 246-335-340(1)	10 working days A written plan within ten working days of the statement of deficiencies, with corrections within 60 days unless DOH allows more. WAC 246-335-345(2)WAC 246-335-345(2)(b)	Policies in your own wordsRegulator guidance DOH says policies may not be the WAC or RCW copied word for word, and must approve the manual before it issues the license. Survey Program page, Policies and procedures DOH 505-109 (April 2026), Policies and Procedures

California

California Department of Social Services, Community Care Licensing Division, Home Care Services Branch (CDSS)

Inspection before the first license: No pre-license step namedOur readingRegulator guidanceCDSS’s eight-step application overview has no inspection before the license (our reading). Its instructions say the HCO address is where CDSS will make an unannounced inspection.Application steps 1 to 8 (our reading)HCS 281, A1 (HCS 200)
Who inspects: CDSS (Home Care Services Branch)CDSS staff may enter an HCO during posted business hours, with or without advance notice.CDSS Home Care Services page HSC s. 1796.53
Routine inspection cycle: Random; no cycle set yetThe statute provides random, unannounced inspections, and our sources set no cycle. AB 152 (2026), per the Legislative Counsel’s digest, gives CDSS until January 1, 2028 to adopt regulations for biennial inspections.HSC s. 1796.52(b)AB 152 (2026), Legislative Counsel’s digest, para. (3)
Announced or unannounced: UnannouncedRandom, unannounced inspections during posted business hours.HSC s. 1796.52(b)HSC s. 1796.53
Plan of correction deadline: No deadline namedA notice of violation may require a plan of correction. Our sources name no number of days; the statute says CDSS shall adopt regulations on correction plans.HSC s. 1796.55(b)
Notable point: A published inspection checklistRegulator guidanceCDSS’s HCS 9201 lists the statutory items an enforcement analyst reviews at an unannounced inspection.HCS 9201 (11/25)

California guide

Rules checked October 8, 2026

Colorado

Colorado Department of Public Health and Environment, Health Facilities and Emergency Medical Services Division (CDPHE)

Inspection before the first license: Yes, usually on siteRegulator guidanceAfter the fitness review, a scheduled initial survey. CDPHE’s guidance describes issuing the license once the survey is completed with zero deficiencies.Step 6, Survey Requested & Completed Step 7, License Issued
Who inspects: CDPHERegulator guidanceCDPHE’s survey team; a surveyor calls to set the time of the initial survey.Step 6, Survey Requested & Completed
Routine inspection cycle: None set; up to 3 years if eligibleWe found no standard frequency for home care. A licensee with a clean three-year record can get an extended survey cycle of up to three years or a tiered inspection instead.6 CCR 1011-1 Ch. 2, 2.10.2
Announced or unannounced: First scheduled; others may be unannouncedThe initial survey is scheduled in advance. After that CDPHE may inspect without notice between 7 a.m. and 7 p.m., and investigate complaints at any time.Step 6, Survey Requested & Completed 6 CCR 1011-1 Ch. 2, 2.10.1(A); Ch. 26, 4.6(A)(1)
Plan of correction deadline: 10 calendar daysSigned by the director, administrator or manager, within 10 calendar days of CDPHE’s written notice, with corrections within 30 days unless CDPHE allows otherwise.6 CCR 1011-1 Ch. 2, 2.10.4(B)(1)(c), (2)6 CCR 1011-1 Ch. 2, 2.10.4(B)(2)(a)
Notable point: Records within 30 minutesConsumer files and administrative records must start reaching the surveyor within 30 minutes of a request.6 CCR 1011-1 Ch. 26, 4.6(A)(1)(b)

Colorado survey Colorado guide

Rules checked October 2, 2026

Delaware

Delaware Department of Health and Social Services, Division of Health Care Quality, Office of Health Facilities Licensing and Certification (DHCQ)

Inspection before the first license: Yes, on the 90-day initial licenseThe 90-day initial license lets you hire and take consumers; an on-site survey follows in those 90 days, while you are serving consumers.3345-2.3.1.1 3345-2.3.1.2
Who inspects: DHSS, through DHCQDHSS inspects licensed agencies; DHCQ’s process steps describe the survey.3345-2.7.1 Initial Application Process Steps, step 6
Routine inspection cycle: Periodically; no interval namedDHSS inspects periodically, scheduled or unannounced. The annual license runs 12 months at a time.3345-2.7.1 3345-2.3.3.1
Announced or unannounced: Scheduled or unannouncedThe rule allows both. For the initial survey, you tell DHCQ in writing when services start, and a surveyor then comes unannounced.3345-2.7.1 Slide 28
Plan of correction deadline: No deadline namedRegulator guidanceAn agency with deficiencies at the survey completes an acceptable plan of correction before getting its annual license; our sources name no number of days.Initial Application Process Steps, step 6b
Notable point: No consumer, no annual licenseRegulator guidanceDHCQ’s slides say an agency with no consumer within the first 90 days will not get an annual license.Slide 28

Delaware guide

Rules checked October 4, 2026

Florida

Agency for Health Care Administration, Bureau of Health Facility Regulation (Long Term Care Services Unit) (AHCA)

Inspection before the first license: No initial inspectionNo initial inspection is required for companion and homemaker providers.F.S. 408.806(7)(b)
Who inspects: AHCAAHCA may make any inspection or investigation it deems necessary. Its form says surveyors’ site inspections happen during the business hours you list.F.S. 408.811(1)AHCA Form 3110-1003, section 10, Hours of Operation
Routine inspection cycle: Not covered in our sources
Announced or unannounced: UnannouncedInspections under the general licensing law are unannounced, except as s. 408.806 specifies.F.S. 408.811(1)(a)
Plan of correction deadline: Not covered in our sources
Notable point: AHCA’s surveyor setAHCA’s surveyor regulation set for registrants (printed in 2021) checks services within the definitions, no clients who need personal care, the registration number in adverts and employment history files.Regulation Set I 1.07 (printed 09/09/2021), tag I0003 Services Provided Regulation Set I 1.07 (printed 09/09/2021), tag I0005 Regulation Set I 1.07 (printed 09/09/2021), tag I0011 F.S. 400.509(5)

Florida guide

Rules checked October 8, 2026

Georgia

Georgia Department of Community Health, Healthcare Facility Regulation Division (DCH)

Inspection before the first license: Yes, on the provisional licenseRegulator guidanceA three-month provisional license, in which you become operational, admit at least three clients and email DCH to request the initial survey. The permanent permit follows a successful survey.Application Checklist, p. 2
Who inspects: DCH’s Private Home Care TeamSurvey questions go to DCH’s Private Home Care Team, and DCH representatives show identification before entering.Application Checklist, p. 1 111-8-25-.06(2)
Routine inspection cycle: About every 18 to 24 monthsDCH’s checklist says re-licensure surveys come roughly every 18 to 24 months, and the rules let DCH inspect whenever it decides it is necessary.Application Checklist, pp. 2-3 111-8-65-.08(1)(b)
Announced or unannounced: Unannounced (DCH’s affidavit)Regulator guidanceThe Affidavit of Compliance you sign says your policies are checked at unannounced inspections.Application Checklist, Affidavit of Compliance
Plan of correction deadline: Within 10 daysA written plan within 10 days of receiving an inspection report that cites violations. You can explain or dispute findings in the plan itself.111-8-65-.08(4)
Notable point: Accreditation can replace periodic inspectionsDCH may exempt a certified or accredited provider from periodic inspections; you send DCH the documents and the latest report.111-8-65-.08(1), (1)(a)

Georgia survey Georgia guide

Rules checked September 30, 2026

Illinois

Illinois Department of Public Health, Division of Health Care Facilities and Programs (IDPH)

Inspection before the first license: Yes, late in the provisional licenseIDPH inspects in the last 30 days of the 240-day provisional license, then issues a full license if you substantially comply.77 Ill. Adm. Code 245.100(a)(3)77 Ill. Adm. Code 245.100(a)(2)
Who inspects: IDPH nurse surveyorsRegulator guidanceIDPH’s checklist is written for a nurse surveyor; the agency manager or a designee must be available when they arrive.Surveillance Nurse Visit Checklist (Home Services)
Routine inspection cycle: None setIDPH inspects and investigates licensed agencies as it deems necessary. We found no renewal survey interval.77 Ill. Adm. Code 245.110(a)
Announced or unannounced: Not covered in our sources
Plan of correction deadline: Within 10 daysAfter a notice of violation, a written plan saying how and by when each violation will be corrected. If IDPH rejects it, a modified plan is due 10 days after you receive the rejection.77 Ill. Adm. Code 245.120(b)77 Ill. Adm. Code 245.120(b)(2)-(3)
Notable point: One extension of up to 90 daysIf you do not yet substantially comply but have made significant progress, IDPH may renew the provisional license once, for up to 90 days.77 Ill. Adm. Code 245.100(a)(4)

Illinois survey Illinois guide

Rules checked October 1, 2026

Indiana

Indiana Department of Health, Division of Home and Community-Based Care (IDOH)

Inspection before the first license: A desk review; a visit is possibleIDOH must approve all documents before the license. The statute lets IDOH inspect on site at licensing, but also has agencies tell clients that IDOH “does not inspect personal service agencies as part of the licensing process”.State Form 53391, Section VIII IC 16-27-4-6(e)IC 16-27-4-12(12); 16-27-4-6(e)
Who inspects: IDOHIDOH’s onsite inspections are limited to compliance with the personal services agency law, or to permitting or aiding an illegal act.IC 16-27-4-6(f)
Routine inspection cycle: None setWe found no survey cycle in the statute. IDOH may inspect at renewal and investigates complaints.IC 16-27-4-6(e)IDOH-HCBC/PSA-1, On/Off Site Investigations
Announced or unannounced: Complaint visits are unannouncedRegulator guidanceIDOH’s complaint page says a surveyor enters without prior notice once an investigation begins. Our sources do not say for licensing inspections.Report a Complaint, What to Expect
Plan of correction deadline: Not covered in our sources
Notable point: Documents within 24 hoursThe agency produces documents a surveyor requests; IDOH reads the statute as 24 hours.IC 16-27-4-6(g)

Indiana survey Indiana guide

Rules checked October 2, 2026

Kansas

Kansas Department of Health and Environment, Bureau of Facilities and Licensing (KDHE)

Inspection before the first license: UnclearOur readingThe statute ties the license to a survey inspection, but KDHE’s application describes a document review.K.S.A. 65-5104(a)
Who inspects: KDHERegulator guidanceKDHE, not KDADS, licenses and surveys home health agencies, including the supportive care type.Letter of Introduction, p. 1
Routine inspection cycle: At least every 36 monthsA license stays in effect only if an on-site survey at least every 36 months shows compliance. KDHE may make other surveys during business hours.K.S.A. 65-5104(b)(2)K.S.A. 65-5105
Announced or unannounced: Not covered in our sources
Plan of correction deadline: No deadline namedA license is issued or renewed only with an acceptable plan of correction for cited deficiencies; the rules set no number of days.K.A.R. 28-51-101(c)
Notable point: Findings fixed at the exit interviewThe preliminary report signed at the exit interview lists all deficiencies from the survey, and none based on what was found at that survey can be added later.K.S.A. 65-5106

Kansas survey Kansas guide

Rules checked October 2, 2026

Maine

Maine Department of Health and Human Services, Division of Licensing and Certification (DLC)

Inspection before the first license: Usually, before the first licenseThe rule says an inspection may occur before licensing. DLC’s records show one for 112 of the 130 agencies first licensed since August 2024 (our count).Ch. 129 § 10(B)(1)licence detail pages, 4 to 8 Oct 2026 (our count)
Who inspects: DLC (Maine DHHS)An application is permission for DLC to enter and inspect.22 M.R.S. § 1717(9)(A)
Routine inspection cycle: Monitoring at least every 2 years (the statute does not say on site)The statute has DHHS monitor every agency at least every two years. DLC began surveying agencies as their provisional licenses ended.22 M.R.S. § 1717(13-A)Listening session slides, Current Status
Announced or unannounced: Not covered in our sources
Plan of correction deadline: 10 business daysA signed plan within 10 business days of a statement of deficiencies, though the rule’s penalty schedule says ten calendar days.Ch. 129 § 10(G)(1)Ch. 129 § 10(H)(3)(b)(i)
Notable point: A 6 to 9 month backlogRegulator guidanceDLC says it is 6 to 9 months behind on processing and inspections.How to Apply for Licensure

Maine guide

Rules checked October 4, 2026

Maryland

Maryland Department of Health, Office of Health Care Quality (OHCQ)

Inspection before the first license: PossibleBefore approving or denying an application, the Department may inspect the agency on site, announced or unannounced.COMAR 10.07.05.04D
Who inspects: OHCQThe Office of Health Care Quality makes licensure inspections and complaint investigations.COMAR 10.07.05.07A
Routine inspection cycle: None set for RSAsWe found no interval in the RSA rules. The statute tells the Department to inspect each RSA’s operations.COMAR 10.07.05.07A Health-General §19-4A-06
Announced or unannounced: Announced or unannouncedOHCQ may make announced or unannounced licensure inspections, and its 2019 overview says complaint surveys are unannounced.COMAR 10.07.05.07A Complaint Survey Process overview (2019)
Plan of correction deadline: 10 calendar daysAn acceptable plan within 10 calendar days of a notice of violation, with a date for each correction. A late plan may bring a sanction.COMAR 10.07.05.07E-F COMAR 10.07.05.07E(2)
Notable point: Records off site within 24 hoursCurrent client and staff files and quality assurance records stay at the office; other records may be off site if available within 24 hours.COMAR 10.07.05.07C(2)

Maryland survey Maryland guide

Rules checked October 2, 2026

Nevada

Nevada Health Authority, Health Care Purchasing and Compliance Division, Bureau of Health Care Quality and Compliance (HCQC)

Inspection before the first license: Yes, a prelicensure surveyOnce the application, identity proof and fee are complete, the Division investigates and performs a prelicensure survey. HCQC’s workbook ends in a 55-tag checklist of policies and forms.NAC 449.0112(1)Workbook (12.2024), final pages
Who inspects: HCQC (Nevada Health Authority)The Health Care Purchasing and Compliance Division and its Bureau of Health Care Quality and Compliance.NRS 449B.030
Routine inspection cycle: None setThe Division may inspect at any time; we found no routine cycle.NRS 449B.360
Announced or unannounced: With or without noticeThe Division may inspect at any time, with or without notice.NRS 449B.360
Plan of correction deadline: Within 10 daysA plan with corrective actions and timeframes within 10 days of the statement of deficiencies. Missing the deadline is itself a deficiency.NAC 449.9987(1); 449.0118(5)NAC 449.9987(3)
Notable point: No fire inspectionPersonal care agencies are exempt from the fire inspection other facilities need before licensing.NAC 449.0112(2)(b)

Nevada survey Nevada guide

Rules checked October 3, 2026

New York

New York State Department of Health, Division of Home and Community Based Services (with the Public Health and Health Planning Council) (DOH)

Inspection before the first license: Yes, a pre-opening surveyRegulator guidanceAfter contingent PHHPC approval you send your manual. Once it is acceptable, the DOH regional office schedules a pre-opening survey, and the license follows a successful survey.FAQ A, Q3
Who inspects: DOH regional officeRegulator guidanceThe regional office surveys; DOH’s Bureau of Home Care Licensure and Certification issues the license.FAQ A, Q3
Routine inspection cycle: Not covered in our sources
Announced or unannounced: Not covered in our sources
Plan of correction deadline: Not covered in our sources
Notable point: A need review comes firstPHHPC must be satisfied about public need before approval, and DOH’s 2022 survey presumed no need in 20 counties.PHL s. 3605(4)(a)Need report, Section 2

New York guide

Rules checked October 3, 2026

North Carolina

North Carolina Division of Health Service Regulation, Acute and Home Care Licensure and Certification Section (DHSR)

Inspection before the first license: Yes, a desk reviewThe initial survey is a review of the policies, procedures and personnel documents you send, before a license is issued.Requirements for Establishing a Home Care Agency 10A NCAC 13J .0903(a)
Who inspects: DHSRDHSR’s Acute and Home Care Licensure and Certification Section; inspectors make their identities known to the person in charge.Requirements for Establishing a Home Care Agency, Acute and Home Care Licensure and Certification Section 10A NCAC 13J .0904(c)
Routine inspection cycle: At least every 3 yearsThe statute requires DHSR to inspect each agency at least every three years, and a licensed agency may be inspected at any time.G.S. 131E-140(b)10A NCAC 13J .0904(a)
Announced or unannounced: UnannouncedRegulator guidanceDHSR’s FAQ says licensed agencies are inspected every 3 years, unannounced.FAQ 34-35
Plan of correction deadline: 10 working daysFile a plan within 10 working days of receiving cited deficiencies; DHSR responds within 10 working days of receiving it.10A NCAC 13J .0904(f)
Notable point: Accredited agencies can be deemedAn agency accredited for all its home care services can be deemed to meet the licensing rules, and sends DHSR each accreditation survey report within 30 days.G.S. 131E-138(g)10A NCAC 13J .0906(d)

North Carolina survey North Carolina guide

Rules checked October 1, 2026

Ohio

Ohio Department of Health (ODH)

Inspection before the first license: Not for nonmedicalOur readingThe statute requires a site visit only for skilled applicants applying through Medicare certification.ORC 3740.04
Who inspects: ODH, on requestODH can inspect your background check roster and ask for written confirmation that you comply.OAC 3701-60-10(C)OAC 3701-60-10(D)
Routine inspection cycle: Medicaid program: every 3 yearsProgram ruleWe found no inspection cycle in the ODH license rules. Under S.B. 315, a Medicaid program law, ODM reviews or inspects a new home and community-based services provider in person before enrolling it, then every three years.ORC 5164.302(A), as enacted by S.B. 315
Announced or unannounced: ODA program: unannounced, at any timeProgram ruleFor ODA certification, a program rule, ODA may review a provider at any time.OAC 173-39-04(D)
Plan of correction deadline: ODA program: 10 business daysProgram ruleFor ODA certification, a program rule: a plan of correction or evidence of compliance within 10 business days of a review summary.OAC 173-39-04(H)(3)
Notable point: Medicaid enrollment pausedRegulator guidanceProgram ruleODM stopped new enrollments for listed home care provider types in its Medicaid program from May 14, 2026, until November 14, 2026 unless CMS authorizes an extension.ODM announcement, p. 1

Ohio guide

Rules checked September 30, 2026

South Carolina

South Carolina Department of Public Health, Healthcare Quality, Bureau of Health Facilities Licensing (DPH)

Inspection before the first license: Not statedDPH will not issue the first license until you show substantial compliance; the rule does not say whether it checks by visit or by documents.R.60-122 §103.B R.60-122 §102.L
Who inspects: DPH Healthcare QualityRegulator guidanceDPH says its inspectors are healthcare professionals, and its Healthcare Quality investigates complaints and serious incidents.How DPH Inspects and Certifies
Routine inspection cycle: None setAny provider may be inspected or investigated without notice; we found no set interval.R.60-122 §202.A
Announced or unannounced: UnannouncedAny provider may be inspected or investigated without notice, and DPH says its inspections are unannounced.R.60-122 §202.A How DPH Inspects and Certifies
Plan of correction deadline: By the date on the reportThe administrator signs and returns the plan by the date written on the report of inspection or investigation; the rule sets no fixed number of days.R.60-122 §202.C
Notable point: Inspection access is Class ISection 202, inspections and investigations, is marked (I), so failing to allow an inspection is a Class I violation; its plan of correction paragraph, 202.C, is Class II.R.60-122 §202, §202.C

South Carolina inspections and incidents South Carolina guide

Rules checked October 2, 2026

Tennessee

Tennessee Department of Mental Health and Substance Abuse Services, Office of Licensure (TDMHSAS)

Inspection before the first license: Yes, an electronic desk auditOnce the paperwork is in and the fee is paid, the initial inspection is an electronic desk audit, and deficiencies must be corrected before a license is issued.Step 5 0940-05-02-.06(5)(b)
Who inspects: TDMHSAS Office of LicensureRegulator guidanceThe Office of Licensure runs unannounced inspections and follow-ups and investigates complaints.Licensing page
Routine inspection cycle: At least once a yearAt least one unannounced inspection of each licensed service each year, on dates that are random and vary from year to year.0940-05-02-.22 0940-05-02-.07(4)
Announced or unannounced: UnannouncedThe yearly inspection is unannounced, and TDMHSAS staff may enter and inspect with or without notice.0940-05-02-.22 0940-05-02-.13
Plan of correction deadline: By the date on the noticeA written Plan of Compliance answers each Notice of Non-Compliance by its deadline, giving the corrective action and completion date for each item.0940-05-02-.21(1)-(2)0940-05-02-.21(3)Tenn. Comp. R. & Regs. 0940-05-02-.21(2)-(3)
Notable point: Remote inspections proposedA proposed rewrite would let TDMHSAS meet the yearly inspection remotely for services with no in-person site, such as a PSSA. It is a proposal, not the rule in force.Proposed 0940-05-02-.22(3)-(4)

Tennessee survey Tennessee guide

Rules checked October 2, 2026

Texas

Texas Health and Human Services Commission (HHSC)

Inspection before the first license: After the license, within 6 monthsWithin six months of the license date, admit at least one client and request the initial survey on HHSC Form 2020.26 TAC §558.521(a)26 TAC §558.521(c)
Who inspects: HHSCHHSC surveyors; the administrator names, in writing, an employee to let them in.26 TAC §558.243(b)(3)
Routine inspection cycle: At least every 36 monthsA survey may follow within 18 months of the initial survey, then on site at least every 36 months.Tex. Health & Safety Code §142.009(j)
Announced or unannounced: UnannouncedSurveys are unannounced. If the office is closed in business hours, someone must let the surveyor in within two hours.26 TAC §558.505 26 TAC §558.523(e)
Plan of correction deadline: Within 10 daysA plan for each violation within 10 days of receiving the findings, even if you disagree.26 TAC §558.527(g)(3)26 TAC §558.527(i)
Notable point: Accreditation replaces routine surveysAccreditation by the Joint Commission, CHAP or ACHC exempts an agency from HHSC surveys other than complaint investigations.26 TAC §558.503

Texas survey Texas guide

Rules checked September 30, 2026

Virginia

Virginia Department of Health, Office of Licensure and Certification (OLC)

Inspection before the first license: Applicants are subject to inspectionApplicants are subject to OLC inspection, and the license is issued on finding compliance; our sources do not say when the first inspection happens. The statute also refers to a preoperational inspection, and OLC offers a prelicensure consultation on the survey process.12VAC5-381-40 C 12VAC5-381-20 B Va. Code § 32.1-162.10 12VAC5-381-40 A
Who inspects: VDH’s OLCRegulator guidanceThe Home Care and Hospice Unit of the Office of Licensure and Certification licenses and inspects home care organizations and investigates complaints.Home Care & Hospice page
Routine inspection cycle: At least every 2 yearsUnannounced on-site inspections as needed, and at least every two years.12VAC5-381-80 A
Announced or unannounced: UnannouncedThe OLC’s on-site inspections are unannounced.12VAC5-381-80 A
Plan of correction deadline: 15 working daysAn acceptable plan within 15 working days of receiving the report, with corrections finished within 45 working days of the last inspection day.12VAC5-381-80 D 12VAC5-381-80 G
Notable point: Client home visits are voluntaryThe OLC may visit clients at home during an inspection. You arrange the visits and explain that agreeing is voluntary and will not affect care.12VAC5-381-90 B

Virginia survey Virginia guide

Rules checked October 1, 2026

Washington

Washington State Department of Health, in-home services program (DOH)

Inspection before the first license: Yes, announcedAn initial announced survey confirms you meet the rules before licensing, and the license is issued only after you pass it.WAC 246-335-320(3)License Requirements page
Who inspects: DOH, by registered nursesRegulator guidanceDOH’s Office of Investigation and Inspection; its survey team are registered nurses with home care, home health and hospice experience.Survey Program page
Routine inspection cycle: Once each licensure periodDOH must survey within each licensure period, unless DSHS or an area agency on aging contracts with and monitors the agency. The first license lasts 12 months and later licenses two years.RCW 70.127.100 WAC 246-335-350(3)WAC 246-335-340(1)
Announced or unannounced: First announced; later unannouncedDOH says initial surveys are scheduled and announced and later surveys are unannounced.Survey Program page WAC 246-335-340(1)
Plan of correction deadline: 10 working daysA written plan within ten working days of the statement of deficiencies, with corrections within 60 days unless DOH allows more.WAC 246-335-345(2)WAC 246-335-345(2)(b)
Notable point: Policies in your own wordsRegulator guidanceDOH says policies may not be the WAC or RCW copied word for word, and must approve the manual before it issues the license.Survey Program page, Policies and procedures DOH 505-109 (April 2026), Policies and Procedures

Washington survey Washington guide

Rules checked October 2, 2026

Survey guides by state

Each guide walks through one state’s surveys and inspections: what the surveyor looks at, what happens after a finding and how to be ready, with every rule quoted and linked.

Colorado: survey
Home Care Agency license, Class B (personal care services only), CDPHE
Colorado policy manual →
Georgia: survey
Private home care provider (PHCP) license, DCH
Georgia policy manual →
Illinois: survey
Home services agency license, IDPH
Illinois policy manual →
Indiana: survey
Personal services agency (PSA) license, IDOH
Indiana policy manual →
Kansas: survey
Home Health Agency (HHA) license, Non-Medical Supportive Care Services, KDHE
Kansas policy manual →
Maryland: survey
Residential Service Agency (RSA) license (home health aide service), OHCQ
Maryland policy manual →
Nevada: survey
License to operate an agency to provide personal care services in the home (personal care agency), HCQC
Nevada policy manual →
North Carolina: survey
Home care agency license (in-home aide services), DHSR
North Carolina policy manual →
South Carolina: inspections and incidents
In-Home Care Provider (IHCP) license, DPH
South Carolina policy manual →
Tennessee: survey
Personal Support Services Agency (PSSA) license, TDMHSAS
Tennessee policy manual →
Texas: survey
Home and Community Support Services Agency (HCSSA) license, Personal Assistance Services (PAS) category, HHSC
Texas policy manual →
Virginia: survey
Home care organization (HCO) license, OLC
Virginia policy manual →
Washington: survey
In-home services agency license, home care service category, DOH
Washington policy manual →
How to start a home care agency in California
Home Care Organization (HCO) license, with affiliated home care aides on the Home Care Aide Registry, CDSS
How to start a home care agency in Delaware
Personal Assistance Services Agency (PASA) license, Delaware Division of Health Care Quality, DHCQ
How to start a home care agency in Florida
Homemaker and companion services provider registration, Agency for Health Care Administration (AHCA), AHCA
How to start a home care agency in Maine
Personal Care Agency license, Maine DHHS Division of Licensing and Certification, DLC
How to start a home care agency in New York
Licensed Home Care Services Agency (LHCSA) license, after Public Health and Health Planning Council approval, DOH
How to start a home care agency in Ohio
Nonmedical home health services license, ODH

Frequently asked questions

Is there an inspection before a home care agency gets its license?

Before the first full license, most states check the agency by a survey or a document review, but how varies. A survey comes before the license in Colorado (usually on site), Nevada, New York and Washington; the survey comes while the agency operates on a provisional or initial license, before the full license, in Delaware, Georgia and Illinois; the first check is a review of documents in Indiana, North Carolina and Tennessee; Maine usually inspects first, by our count of the state’s records; the rules allow an inspection before licensing without requiring one in Maryland; applicants are subject to inspection, but the rules do not say when, in Virginia; the first survey comes after the license is issued in Texas; our sources do not settle it for California (our reading), Kansas (our reading) and South Carolina; no site visit is required before licensing for nonmedical agencies in Florida and Ohio (our reading). The table gives each state’s rule with a link to it.

How often are home care agencies inspected?

Are home care inspections announced?

Inspections are unannounced in California, Florida, South Carolina, Tennessee, Texas and Virginia by rule, and in Georgia and North Carolina by the regulator’s own documents; the first survey is scheduled and later ones unannounced in Colorado and Washington; the rules allow either in Delaware, Maryland and Nevada; only complaint visits are said to be unannounced in Indiana; only a program rule speaks to it in Ohio; for Illinois, Kansas, Maine and New York, it is not covered in our sources. Being ready on any business day is the safe course.

How long do I have to send a plan of correction?

A plan of correction is due within a set time in Colorado (10 calendar days), Georgia (10 days), Illinois (10 days), Maine (10 business days, though its penalty schedule says 10 calendar days), Maryland (10 calendar days), Nevada (10 days), North Carolina (10 working days), Texas (10 days), Virginia (15 working days) and Washington (10 working days); by the date the regulator writes on its report in South Carolina and Tennessee; with no deadline named in California, Delaware and Kansas; only a program rule sets one in Ohio (10 business days); for Florida, Indiana and New York, it is not covered in our sources. Check whether the days are calendar, working or business days, and when the clock starts.

Who inspects home care agencies?

California: CDSS (Home Care Services Branch); Colorado: CDPHE; Delaware: DHSS, through DHCQ; Florida: AHCA; Georgia: DCH’s Private Home Care Team; Illinois: IDPH nurse surveyors; Indiana: IDOH; Kansas: KDHE; Maine: DLC (Maine DHHS); Maryland: OHCQ; Nevada: HCQC (Nevada Health Authority); New York: DOH regional office; North Carolina: DHSR; Ohio: ODH, on request; South Carolina: DPH Healthcare Quality; Tennessee: TDMHSAS Office of Licensure; Texas: HHSC; Virginia: VDH’s OLC; Washington: DOH, by registered nurses.

What do “Our reading”, “Regulator guidance”, “Program rule” and “Not covered in our sources” mean?

“Our reading” marks an answer that is our interpretation, because the rule does not say it in so many words; confirm it with the regulator. “Regulator guidance” marks an answer that rests only on a regulator’s web page, form or checklist, not on the law or rule text. “Program rule” marks an answer that rests on a Medicaid, waiver or aging program rule, not the license rules. “Not covered in our sources” means the official texts we saved and verified for that state do not answer the question; it does not mean the state never inspects. “None set” likewise means our sources name no cycle.

How current is this table?

Each row shows the date we last checked that state’s rules against the official text (between September 30, 2026 and October 8, 2026). The table is built from the same datasets as our state guides, so a correction in a state’s data updates its row here. We log every correction on our corrections page.

Sources

The official texts behind each row. The full list for each state, with every quote, is on its guide.

California · checked October 8, 2026

Colorado · checked October 2, 2026

Delaware · checked October 4, 2026

Florida · checked October 8, 2026

Georgia · checked September 30, 2026

Illinois · checked October 1, 2026

Indiana · checked October 2, 2026

Kansas · checked October 2, 2026

Maine · checked October 4, 2026

Maryland · checked October 2, 2026

Nevada · checked October 3, 2026

New York · checked October 3, 2026

North Carolina · checked October 1, 2026

Ohio · checked September 30, 2026

South Carolina · checked October 2, 2026

Tennessee · checked October 2, 2026

Texas · checked September 30, 2026

Virginia · checked October 1, 2026

Washington · checked October 2, 2026

Keep reading

Home care licensing requirements by state

The license, companion-only care, state fees, policy checks and nurse rules side by side.

Home care caregiver training requirements by state

Initial hours, competency checks, orientation topics, yearly training and the nurse’s role.

Home care policy requirements by state

Which written policies the rules require and when the regulator reads them.

Data

CareRulebook Home Care Licensing Dataset

Every comparison table, its CSV, how it is built and how to cite it.

Trust

How we verify rules

Every quote is checked against the official text, dated, and linked.