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Procedures for Becoming a Licensed Adult Day Care Agency

  1. Complete orientation to learn details about the licensing process. Contact your local DHS licensing office to schedule orientation. For a listing of local DHS licensing offices click here.
  2. Obtain a Federal Employer Identification Number (FEIN)

3.  Schedule an onsite visit with your assigned Program Evaluator:

  • To verify that the facility contains no apparent hazards inside or outside
  • To verify that the facility is appropriate for group care
  • To draft a floor plan with dimensions and take photos

4.  Submit an application and appropriate fee (Non-refundable).  To obtain an application click here. The fee must be in the form of a money order or cashier's check made out to the Treasurer, State of Tennessee.  

The following items must be submitted along with the application:

  • Proof of Education (of individual applying for license)
    • A copy of a Diploma or Technical Certificate
  • Proof of Experience (of individual applying for license)
    • A listing of previous work history with employer contact information that can be verified
  • Three non-related references (for individual applying for license)

5.  Schedule and complete an evaluation conducted by Environmental and Fire/Safety inspectors.  

6.  Submit a signed Criminal History Disclosure Form.

7.  Schedule and submit a fingerprint sample for a criminal background check/state administrative registry review.  Offenses in which an individual may be excluded from working with the licensed agency include:

  • Offenses of physical abuse, sexual abuse or neglect of a person
  • Offenses involving drugs
  • Offenses involving violence against a person
  • Offenses involving theft, fraud, or exploitation of a person

8.  Upon demonstration of compliance of all laws and regulations governing the adult day care agency and if the applicant has satisfactorily met the requirements, the Department shall issue a temporary license.

* All persons applying to work with adults as an employee, director or manager with an adult day care agency are required to complete a criminal background check before beginning to serve in that role. (Tenn. Code Ann. §71-2-403) The Department also checks an individual’s status on the Department of Health’s Vulnerable Persons Registry (VPR), the Department of Children’s Services abuse registry and the State’s Sex Offender registry.

Adult day care agencies providing care to 5 or more people are required to obtain a license by the Tennessee Department of Human Services (TDHS) and adhere to licensing requirements beginning July 1, 2017.  Adult day care agencies currently providing care for 5 to 9 adults without a license should contact the local TDHS child and adult care licensing office to initiate the licensing process. The DHS Licensing Office can be contacted at (615) 253-4797.