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Startup · 7 min read

Starting an Adult Day Care Business

Licensing, staffing, and revenue model for launching an adult day health or social day care center.

Adult day care provides supervised daytime activities, meals, and (in the health model) skilled services for adults who live with family.

Two models Adult Day Health (ADH): nursing oversight, therapies, often Medicaid-billable. Adult Day Care (ADC, social): activities and meals, mostly private pay or VA.

Space requirements Activity room, dining area, quiet/rest area, accessible bathrooms, and an isolated illness room.

Staffing Director, activity coordinator, aides at state-required ratios, and (for ADH) an RN.

Revenue Daily rate $65–$120 (social) or $90–$180 (health). VA contracts and Medicaid waivers add stability.

We license and launch adult day programs end-to-end.

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