Adult Day Care Regulations and Compliance Checklist for Owners
- Nate Jones, CPCU, ARM, CLCS, AU
- Nov 26, 2025
- 2 min read
Operating an adult day care facility requires strict adherence to federal, state, and local regulations. Compliance ensures safety, protects your clients, and safeguards your business from fines or closures.
This checklist provides a comprehensive guide for adult day care owners to stay compliant and operate successfully.
Why Compliance Matters
Compliance isn’t just a legal obligation—it’s critical for:
Client safety and wellbeing
Staff training and accountability
Maintaining your facility’s license
Reducing liability and financial risks
Failing to meet regulations can result in penalties, lawsuits, or license revocation, which can harm your facility’s reputation and profitability.
Adult Day Care Compliance Checklist
1. Licensing and Certification
Obtain and maintain state-required licenses
Ensure facility meets building and safety standards
Keep copies of all certifications accessible
Schedule periodic inspections as required by law
2. Staffing Requirements
Maintain proper staff-to-client ratios
Ensure all staff complete background checks and drug screenings
Verify CPR, first aid, and specialized care certifications
Conduct regular training and professional development
3. Health and Safety Standards
Implement emergency preparedness plans (fire drills, evacuation procedures)
Maintain clean and safe facilities, including restrooms and dining areas
Store medications securely and maintain accurate administration logs
Monitor and manage infection control measures
4. Client Records and Documentation
Maintain updated client files, including medical histories and care plans
Track attendance and program participation
Record incidents and follow-up actions
Protect client confidentiality in compliance with HIPAA
5. Financial and Administrative Compliance
Track income, expenses, and payroll accurately
Maintain insurance policies and coverage records
Adhere to state and federal labor laws
Keep proper contracts and consent forms on file
6. Program Quality and Care Standards
Regularly evaluate activities and services to meet client needs
Implement individualized care plans
Ensure recreational, social, and therapeutic activities are properly documented
For state-specific regulations, consult resources such as the National Adult Day Services Association’s State.
Protect Your Adult Day Care with Wexford Insurance
Compliance helps minimize risk, but unexpected incidents can still occur. Wexford Insurance helps adult day care owners nationwide secure comprehensive insurance coverage to protect their facility, staff, and clients.
Key policies include:
General Liability – Protection against claims from clients or visitors
Commercial Property – Covers your facility and equipment
Workers’ Compensation – Covers staff injuries
Professional Liability – Protection against care-related errors or omissions
Commercial Auto – For transporting clients or staff
Final Thoughts
Staying compliant with adult day care regulations ensures your facility operates safely, legally, and successfully. Use this checklist to maintain high standards, protect your clients, and safeguard your business with insurance coverage from Wexford Insurance.
Contact us today.
