Section B — Supplemental Documents ~90 min

Program Description for California Home Care Agency License

HCS 281 B5 asks for a program description. It can be a brochure or other paper. It must list your business hours, your services, and the area you serve.

What CDSS requires (HCS 281 B5)

It can be a pamphlet, brochure, or other paper. It must include all of these:

1. Business hours. Use the same hours as item 9 on your HCS 200.

2. Basic and optional services. Say which services come standard and which are extra. Include transportation if you offer it.

3. The counties or area you serve. Add a map if it helps.

Optional extras: Who you serve, how you match caregivers, and how you check quality. CDSS does not list these, but they can help.

What the Law Says You Can (and Can't) Offer

California law defines exactly what counts as "home care services." Your program description should stay inside these lines.

Services you can offer (§ 1796.12(n)):

- Bathing, dressing, feeding, exercising

- Personal hygiene and grooming

- Transferring, walking assistance, positioning

- Toileting and incontinence care

- Helping with self-administered medication

- Housekeeping, meal planning and prep, laundry

- Transportation, phone calls, correspondence

- Shopping for groceries or personal items

- Companionship

What you cannot do: Aides may not help with medicine that needs a licensed health professional (HSC §1796.12(n)). Home care services are nonmedical. Do not list medical services. Your agency must be licensed (§ 1796.12(j)). The law defines an HCO as a licensed group that arranges home care. That license is what you are working toward.

Common Mistakes to Avoid

  • 1Leaving out your business hours.
  • 2Not saying which services are basic and which are optional.
  • 3Forgetting to list the counties or area you serve.
  • 4Listing medical services. Home care is nonmedical.

Tips

  • Your brochure can count if it has all three items.
  • Use the same business hours as your HCS 200.

What You Need to Do

  1. 1
    Write program description
  2. 2
    Upload program description

Information You Will Need

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

Agency Mission & Purpose (optional)
Basic and Optional Services (required — HCS 281 B5)
Counties / Area Served (required — HCS 281 B5)
Business Hours (required — HCS 281 B5)
Who You Serve (optional)

Documents Needed

  • Program Description
    RequiredPDF, DOCX · 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.