Section B — Supplemental Documents ~30 min

Board Resolution for a California Home Care Agency (Corporations)

CDSS asks corporations for a Board Resolution in four places. One resolution can cover all of them. LLCs, partnerships, and sole owners skip this.

Why you need it

HCS 281 asks corporations for a Board Resolution that does these things:

1. Lets the corporation apply for an HCO license (HCS 309 item 6; HCS 281 B1).

2. Names each person who signs the HCS 200 (HCS 281 A1).

3. Approves your designees on the HCS 308 (HCS 281 A3).

4. Names who acts for the corporation. This may be the CEO or a person in a similar role (HCS 281 B1).


What to put in it

Here is a simple checklist. We didn't find a CDSS template.

  • The corporation's exact legal name.
  • The date the board voted.
  • A line that lets the corporation apply for a California HCO license.
  • The name and title of each person who may sign the HCS 200 and other forms.
  • The names of the HCS 308 designees.
  • Signature of the board secretary or another officer, as your bylaws allow.
Tip: Ask a lawyer to check it if you are not sure.

Who can be on the board

Eligibility matters. CDSS will not license a corporation with an ineligible board member, executive director, or officer. Eligibility is set by HSC §§1796.40 and 1796.41 (HSC §1796.33(b)). Check before you add someone.

Where it goes

Send a copy with your packet. Attach it to the HCS 309. Keep a copy with your HCS 200 and HCS 308.

Common Mistakes to Avoid

  • 1Someone signs the HCS 200 who is not named in the resolution (HCS 281 A1).
  • 2The resolution does not approve the HCS 308 designees (HCS 281 A3).
  • 3Forgetting to attach it to the HCS 309 (item 6).

Tips

  • Write one resolution that covers all four uses.
  • Keep it with your board minutes.

What You Need to Do

  1. 1
    Have the board approve applying for an HCO license
  2. 2
    Name every person who will sign the HCS 200
  3. 3
    Approve the designees listed on your HCS 308
  4. 4
    Upload the signed resolution and attach a copy to your HCS 309

Information You Will Need

Have these details ready before you sit down to fill this out:

Date the board approved the resolution
People the resolution lets sign for the corporation

Everyone who signs the HCS 200 must be on this list.

Documents Needed

  • Board Resolution (signed)
    RequiredPDF · Max 10MB

Want us to handle this for you?

Our licensing team knows this form inside and out. We fill out every form, check every box, and submit the whole packet to CDSS on your behalf. You just answer a few simple questions.

John Helmy

Researched and reviewed by

John Helmy, Founder of HomeCareAtlas

Building tools and resources to help home care agency owners navigate licensing, compliance, and growth.