Related Links
Adult day care centers are regulated, non-residential facilities that provide a variety of health, social and related support services in a protective setting during part of the day to four or more aged, infirm or disabled adults who reside elsewhere. Residential adult facilities are listed under Assisted Living Facilities.
Regulations & Code References
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Regulations
- General Procedures and Information for Licensure (PDF)
- Regulation for Background Checks for Assisted Living Facilities and Adult Day Care Centers (PDF)
- Replacement Pages for General Procedures and Information for Licensure (PDF)
- Replacement pages for Standards & Regulations for Licensed Adult Day Care Centers (PDF)
- Standards & Regulations for Licensed Adult Day Care Centers (PDF)
Applicable Code of Virginia References
New ADCC Applicants
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Application Process
The Division of Licensing Programs at the Virginia Department of Social Services offers pre-application orientation at all licensing field offices. Topics covered include: the application process, licensing regulations and approvals required by other state agencies.
Application Forms
- ADCC Addendum (PDF)
- Annual Operating Budget (DOC)
- Annual Operating Budget (PDF)
- Initial Application (DOC)
- Initial Application (PDF)
- Instructions: Initial Application for Licensure (PDF)
- Personal Qualifying Information (PDF)
- Report of Environmental Sanitation Inspection (PDF)
- Request for Building Evaluation or Inspection (PDF)
- Staff Information Sheet (DOC)
- Staff Information Sheet (PDF)
Current ADCC Providers (includes forms)
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Notices
- 2019/06/13: 2019 Legislative Implementation (PDF)
- 2019/01/29: Professional Training Opportunities (PDF)
- 2018/07/13: Legislative Report 2018 (PDF)
- 2017/12/20: DSS/VCU Webinars Available Online (PDF)
- 2017/10/30: Amended General Procedures and Information for Licensure (PDF)
- 2017/10/20: Amended Background Check Regulation for ALFs and ADDCs (PDF)
- 2017/09/29: General Procedures and Information for Licensure Update (PDF)
- 2017/09/22: General Procedures and Information for Licensure Update (PDF)
- 2017/08/11: New Barrier Crimes List for Assisted Living Facilities and Adult Day Care Centers (PDF)
- 2017/06/02: Private Pay Uniform Assessment Instrument Online Training Now Available on the DSS Website (PDF)
Background Investigations
- Barrier Crimes (PDF)
- Criminal Background Checks (conducted by Virginia State Police)
- Regulation for Background Checks for Assisted Living Facilities and Adult Day Care Centers (PDF)
- Sworn Statement or Affirmation for Adult Facility Employees (PDF)
Documents & Procedures
- Risk Assessment Matrix (PDF)
Forms
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Renewal
- ADCC Addendum (PDF)
- Instructions: Renewal Application for Licensure (PDF)
- Personal Qualifying Information (PDF)
- Renewal Application (DOC)
- Renewal Application (PDF)
- Request for Building Evaluation or Inspection (PDF)
- Staff Information Sheet (DOC)
- Staff Information Sheet (PDF)
All Other
- Annual Operating Statement & Working Budget (PDF)
- Authorization to Release Confidential Information (PDF)
- Documentation of Physician's Oral Order for PRN Medication (PDF)
- Employee Record (PDF)
- License Modification Request for Facility Change of Location (PDF)
- Meal Pattern for Adults (PDF)
- Medication Administration Record (PDF)
- Participant Agreement (PDF)
- Participant Assessment (PDF)
- Participant Care Plan (PDF)
- Participant Record (PDF)
- Publication Order Form (PDF)
- Record of Emergency Evacuation Drills (PDF)
- Record of Initial ADCC Staff Training (PDF)
- Record of Staff Training & Education Following Employment (PDF)
- Report of Participant Physical Examination (PDF)
- Report of TB Screening (PDF)
- Report of Tuberculosis Screening (PDF)
- Sworn Statement or Affirmation for Adult Facility Employees (PDF)
Training
