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Adult Day Services

Many vulnerable adults do not need the services of institutional care such as nursing homes, but they still need services that will help them function to their fullest potential. They also need a place that will help them avoid feeling isolated or lonely, and one that will help their caregivers (such as family members) take some time to rest and care for themselves. Adult Day Care (also called “Adult Day Services”) is critical to helping meet these needs. This program is funded through the Social Services Block Grant.

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If you have any questions or concerns about a program, please call your DHS local office. DHS Local Offices can be found here. To report suspected licensing violations or possible illegal adult day care operations, please call the Complaint Hotline at 1-800-462-8261

Licensing Requirements

Beginning July 1, 2017, Tennessee law requires that any Adult Day Care/Adult Day Services program caring for 5 or more clients be licensed by the Department of Human Services. 

Procedures for Becoming a Licensed Adult Day Care Agency

Adult Day Care/Services Licensing Application

Adult Day Services Licensing Staff Contact Information

Licensing helps to ensure the safety of vulnerable adults. In licensed programs, an outside person (the state regulator) is monitoring for compliance with rules. The rules include, but are not limited to, criminal background checks on the caregivers, fire and environmental inspections of the building, lower ratios of clients to caregivers, and an organized program, specifically designed for each client’s needs.

These programs have a set of rules they must follow, and DHS Licensing Evaluators perform both announced and unannounced visits on the programs throughout the year to ensure that they are in compliance with these rules.

Adult Day Care Services Rules

Exception for Limited Respite Care Services

Contact Information: Adult Day Services Complaint Hotline: 1-800-462-8261

For information on becoming a licensed Adult Day Care provider, visit the Procedures for Becoming a Licensed Adult Day Care Agency page or contact your local Adult Care licensing Office.

Funding for Adult Day Services comes from a variety of sources, including private pay, government grants (federal, state, county), the United Way, religious organizations, etc.

Adult Care - Background Check Information


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