Section B — Supplemental Documents ~90 min

Program Description for California Home Care Agency License

Write a description of your agency's program — services, clients served, geographic area, and operations.

The program description should cover:

- Services offered (personal care, meal prep, medication reminders, etc.)

- Target population (elderly, disabled adults, etc.)

- Geographic service area (pre-filled from HCS 200)

- Hours of operation

- Client intake procedures

- How you match clients with caregivers

- Supervision and quality assurance methods


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: Your aides CANNOT help with medication that requires a licensed health care professional. This is a hard line in the law. If your program description mentions anything medical, CDSS will flag it. Your agency must be licensed (§ 1796.12(j)). A "home care organization" is defined as an entity that arranges home care services and is "licensed pursuant to this chapter." That is what you are working toward right now.

Common Mistakes to Avoid

  • 1Being too vague — be specific about what services you will provide
  • 2Not aligning service area with what you listed on HCS 200

Tips

  • 2–4 pages is typical for a program description
  • Use your service area from HCS 200 — it must be consistent

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
Services Offered
Geographic Service Area
Hours of Operation & Service Availability
Target Client Population

Documents Needed

  • Program Description
    RequiredPDF, DOCX · Max 10MB

Want us to handle this for you?

Our licensing team knows this form inside and out. For $999, 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.