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California home care licensing, explained for families

California regulates non-medical home care through the California Department of Social Services (CDSS), within its Community Care Licensing Division.

The law

According to CDSS, the Home Care Services Consumer Protection Act requires Home Care Organizations to be licensed, as of January 2016, and created a public online registry of Home Care Aides who have been background checked. CDSS describes the law as intended to protect elderly and disabled people who hire aides to help with daily activities at home.

Who does what

Part of the systemRole
Home Care Services Branch (HCSB), CDSSLicenses Home Care Organizations, processes applications, responds to complaints and makes unannounced visits
Home Care OrganizationThe licensed agency that employs or places aides
Home Care Aide RegistryThe public registry of aides who completed the application and background check
Community Care Licensing complaint hotlineWhere to report concerns about a licensee, staff or caregiver

What this means for families

Home care is not home health

These rules cover non-medical help with daily living. Skilled nursing or therapy at home, ordered by a doctor, is home health care and is regulated separately. Ask any provider which one they offer.

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