Starting a Personal Care Home

Personal Care Homes, also called Assisted Living Facilities, are residential homes or apartments for senior citizens or individuals with intellectual disabilities, cognitive disabilities or “mental retardation”. These Personal Care Homes are designed to provide shelter, 3 nutritious meals a day, laundry services, hygiene assistance, ADL’s, and transportation. Some offer activities like arts and crafts, exercise, church services, outdoor trips, movie night, etc.

Personal Care Homes are often recommended to Senior Citizens by their children, physicians, family members, social workers, hospital discharge planners, or themselves. Most seniors who are having difficulty staying home alone are ideal candidates for this program. Some find that they are falling more and becoming a danger to themselves. Others might find that they are forgetful, confused or disoriented at times. Still others desire the social interaction with their peers in a safe, clean, and loving environment.

Nowadays, adult children are unable to care for their aging parents due to their own busy schedules, lack of financial resources, or due to the long distance that separates them from their parents. Personal Care Homes offer a great alternative to living without their own family. In some states like Georgia, a Personal Care Home can have as few as 6 residents in the home which offer much more one on one interaction and care. Most of the residents have their own room in which they can bring personal touches from home such as pictures for the wall, curtains, bed linens, toiletries, and some small furniture.

Residential services to those with “mental retardation” or more appropriately, “developmental disabilities or intellectual disabilities” are a great option for those adults, ages 19 and over, who desire to live alone or whose family is ready for them to make a transition to more independence. Although, living in a Personal Care Home is not living alone, it offers support and guidance to those who have always lived with a family member or in an institution for many years. It is extremely important that the staff at the Personal Care Home are especially sensitive to this population who have often experienced abuse, neglect and institutionalized living for most of their life. The transition period may take longer than it would for a Senior Citizen, so great care and patience must be a priority and no tolerance for neglectful, harsh or abusive language or actions should be accepted by the Personal Care Home management.

Individuals with intellectual disabilities often attend programs during the day time hours to learn new skills and often have jobs with real employers providing real pay. These jobs may be menial or tedious for some, but for this population bagging groceries, stuffing envelopes, gathering shopping carts, putting small plastic pieces together in a factory are rewarding and stimulating jobs to have.

Of course, like everything else, there is a financial cost associated with Personal Care Homes. Most seniors use their pensions, retirement or social security income to pay the cost for this service. The fees for Senior Citizens range greatly from Personal Care Home to Personal Care Home. In Georgia, for instance, a small PCH of 6 residents may charge anywhere from $1,300 per month to $2,000 per month. The price is sometimes determined by the location of the home, the size of the room (private or semi-private) and the services offered. Some PCH owners make special concessions to those who cannot pay the full price. Others use State programs like Medicaid funded programs that can supplement the cost if the Senior meets their eligibility requirements. The owner of the PCH will need to apply with the Medicaid program (SOURCE or CCSP etc)  in order to be a Provider for this service. Usually each state will have a Department of Human Resources, Department of Community Health or Department of Behavior and Developmental Disabilities) or something similar that can provide information on how to become a medicaid provider for residential services for the elder population.

Often, the individual with a developmental disability already has a Medicaid Waiver which grants them a certain amount of funding toward residential services. It is the waiver that allows payment to the Personal Care Home provider. This population often has a Support Coordinator or a Case Manager who helps them to make life choices and help apply for Medicaid Waivers and other programs suitable for their individual needs. They even help the individual choose which PCH they want to reside in. Again, the PCH owner has to apply with the State in order to become a Medicaid Provider for this population and to receive payment for the services. The applicant must be qualified to become a medicated provider or he or she will have to hire qualified professionals to help with this endeavor.

Of course, the state is the first place to contact when you are ready to explore opening a PCH. This work is not easy, it requires a 24 hour commitment and loving care for those that live there. It is constant cooking, cleaning, bathing, laundry and loving interaction. It’s also helping with doctor appointments, medication compliance and coordination of services.

The State will send out a booklet providing the guidelines and rules on Personal Care Homes. In Georgia, it is the Health Care Regulatory services who will send out all the information you need to get started or you may have to go to their website for an application. Use these guidelines to write your own home’s Policy and Procedures. Create the standard that you want in your home.

My advice is to write the Policy and Procedures before getting a home. This allows time to write without feeling pressured. If you get a house first, you will have to pay on a mortgage or rent while you are putting your Policies together. Also, start purchasing the furniture before you get a house. If you begin to accumulate what you need now, just store it until you are ready to move in. Many owners purchase their furniture from second-hand stores, garage sales or even from friends. Have church members, family members, coworkers and friends donate furniture to you. Be sure to tell them what you need or you’ll end up with lot of stuff you don’t need.

Some PCH owners purchase their homes for this business, while other do a lease-purchase which allows them to pay as they go. Others find success in renting a house as long as the owner is aware of what you will be using the house for and signing an affidavit that supports the agreement. Still some use the home they live in as both a PCH and their family home.

This information is just enough to get the ideas flowing. Please respond to this blog, offer insight, corrections, updates and other information that one can use in starting a Personal Care Home. Your comments are most appreciated.

I will share more information as we go along.  Let me know what topics you are most interested in.

Thanks

225 thoughts on “Starting a Personal Care Home

    • g.jones says:

      Hi there, I was wondering how things are going with you. Did you open your personal care home? If so, how are things going? If not, what is blocking you? If you haven’t gotten started but still dream of doing this business then go ahead and join our group coaching that starts August 14,2016. You can join others on this same journey. I will share info and advice from someone who’s been where you are.

      Like

      • g.jones says:

        Hey there! Have you read all of my posts. You might find your answers there. If not what question do you have

        Like

      • Fatima says:

        I’m just coming across this page and Im truly excited about venturing into this and have been for at least 7 years. Reading this comment, I’m saddened to have missed the August meeting but will there be another? And if so, how do I contact you?

        Like

      • g.jones says:

        Hi there! Please subscribe to the page so that you will get all of the updates and new information from my posts! So glad you finally connected with us!

        Like

    • g.jones says:

      Hi there, I was wondering how things are going with you. Did you open your personal care home? If so, how are things going? If not, what is blocking you? If you haven’t gotten started but still dream of doing this business then go ahead and join our group coaching that starts August 14,2016. You can join others on this same journey. I will share info and advice from someone who’s been where you are.

      Like

  1. ableyne walsh says:

    im interested in starting, i just need to know where to begin. this year is the year i want to get it up and running. is there any training programs i can attend, please respond back asap. thank you.

    Like

    • g.jones says:

      Hi there, I was wondering how things are going with you. Did you open your personal care home? If so, how are things going? If not, what is blocking you? If you haven’t gotten started but still dream of doing this business then go ahead and join our group coaching that starts August 14,2016. You can join others on this same journey. I will share info and advice from someone who’s been where you are.

      Like

  2. paradise allaway says:

    I’m interested in starting, i just need to know where to begin. I would like to get started now, please help. I want to get it up and running. is there an application that has to be filled out and any training programs i can attend, please respond back asap. thank you.

    Like

    • g.jones says:

      Hi there, I was wondering how things are going with you. Did you open your personal care home? If so, how are things going? If not, what is blocking you? If you haven’t gotten started but still dream of doing this business then go ahead and join our group coaching that starts August 14,2016. You can join others on this same journey. I will share info and advice from someone who’s been where you are.

      Like

  3. goldjones says:

    Greetings;

    A lot of questions were received about where to start. The first thing is to call your State Office of Human Resources or Regulatory Office. Request a Personal Care Home Policy and Procedure Pamphlet or website. Read it thoroughly to see if you can meet the basic requirements. Contact your Local zoning office to see where a Personal Care Home is allowed. Buy a zoning map from them or get the web address for the approved zones. These are your first two steps. Some cities having a Special Use permit that has to be applied for before approval. There may be a hearing with the neighborhood and the city council for final approval. Once you’ve gone through these processes, you can start looking for a house to rent, lease or buy. Your state may offer classes and workshops to new Personal Care Home owners. It is very helpful to attend even if you haven’t done the above steps yet.
    goldjones

    Like

    • liz says:

      what you saying is that before renting the house , send application to the state to get approved them look for the house, and what about writing the policy and procedures how you do that. thanks. email me

      Like

  4. Oceola says:

    Good info. I am very interested in starting my personal care home this year. How do i become a provider?. Please respond A.S.A.P.
    Thanks.

    Like

  5. ANTHONY CAMPFIELD says:

    To whom it may concern: Hi, I’m interested in opening my own personal care home but don’t know where to begin. Your help would be greatly appreciated. Would you please provide me with the resources on how to get started?

    Like

    • g.jones says:

      Hi there, I was wondering how things are going with you. Did you open your personal care home? If so, how are things going? If not, what is blocking you? If you haven’t gotten started but still dream of doing this business then go ahead and join our group coaching that starts August 14,2016. You can join others on this same journey. I will share info and advice from someone who’s been where you are.

      Like

  6. goldjones says:

    Yes, Allawishes, you are correct. There are other options that include hiring a consultant to help with getting started. Warning, these services can be very costly and often take a lot of your start up money. If you have the financial resources to choose this option, then go for it. But I would use a company or individual that comes highly recommended and one who has done several in your local area to ensure that they are aware of the local zoning/ordinances and state laws governing this program. Please get at least 5 references and interview them about their experiences. Below are questions you should ask the consultant:
    1. How long have you been in this line of work?
    2. How many Personal Care Homes have you set up previously
    3. How long does the overall process take from beginning to end?
    4. What does your charges include?
    5. Please provide me with 5 references within the last 3 years.

    Here are questions for the references:
    1. How did the consultant help get your PCH started?
    2. How long did it take from beginning to end?
    3. Did the PCH get approved the first time or did something have to be re-submitted?
    4. Did the application have to be returned for any reason?
    5. Were you satisfied with the overall experience?
    6. Would you highly recommend this consultant/company?
    7. Is your PCH open and operating at this time?
    8. Did the consultant follow through with all promises or committments?

    Like

  7. goldjones says:

    Cassandra,
    What specific information would you like about Conditional and Special Use Permits? Some cities/counties require that an application is put in for the above permits. This entails going to your zoning office, obtaining an application, submitting a fee and waiting for approval. It means that typically the property that you chose for the PCH location has not been zoned for Personal Care Home usage. The city or county will give you a permit under certain “conditions” or for certain “Special Use”. In some cities this process involve going in front of the local city Council to plea your case and show that your PCH will be beneficial to the community. Sometimes its required that you go to the Neighborhood planning committees to explain what your plans are. Sometimes this process can take up to three months. The key here is to call your local zoning board BEFORE looking for a PCH. It could possibly save you a lot of time. Also, some smaller cities/counties don’t require this or if they do the process can take only days compared to months in a larger city.

    Like

  8. tawanda burge says:

    hi my name is tawanda i would like information on how to open a pch please send any info you have on how to started. and any class that need to be taking. thanks for all your help.

    Like

  9. Zura Alioglu says:

    Dear Sirs,

    What is the phone number for Personal Home care certification for New York State? I am interested in starting up a rest home here in rural New York-near Albany. I have a home with two bedrooms downstairs, ample kitchen and bathrooms with handicapped access and near hospitals.

    Thanks.

    Victor C. Capelli

    Like

  10. Zoe Martin says:

    Hi I am having problem locating a home in the stockbridge area of Georgia to open my PCH. The zoning office in this area is requiring a lot of paper work. Can you please help me with some locations in Georgia that do not make things so hard that I can get my business running right away?
    Thanks
    Zoe Martin

    Like

  11. Morgan says:

    This question is for Allawishes, what is the name of the company in GA that can walk me through the development of a personal care home

    Like

  12. Desha says:

    Hello I am trying to open up a PCH in Florida around the rural areas of port saint lucie area. I was needing some help with getting started and can i apply for some grants to help me along the process and how long does it normally take to get everything done give or take..hope to hear from you soon

    Like

  13. Dee says:

    Hello. This is all new to me, but I am generating this interest out of necessity. I am having to provide care facilites for my Mother and my Father-In-Law. Any advice and direction will be very helpful. Have any of you above actually completed the process? I would ideally not work at the facility myself, but actually have astaff….my thoughs, though, is that a 6-patient facility would not adequately cover the necessary expenses. I am not worried about profit, as much as the need for a quality place for my parent(s). Any thoughts from others who do not themselves work at the location? Is this even a viable option for me, in your opiniont? THANKS for any comments and advice.

    Like

  14. Delorise says:

    I have been trying to do this for sometime.The proces is not that simple.The state has one law the county has one law and by the time your done your six to seven months into this process

    Like

  15. yvonne says:

    This question is also to Allawishes. What is the name of the company in Ga. that can also walk me through the development of a personial care home.

    Like

  16. yvonne says:

    This question is for Allawishes, I would also like to know the name of the company in Ga. that can walk me through the developement of a personal care home.

    Like

  17. goldjones says:

    In Georgia , you can go to the Georgia Department of Resources website or the Office of Regulatory Services Website and locate the section on Personal Care Homes. You can also request a booklet to be mailed to you outlining everything you need to do.

    Like

  18. renata says:

    MY MOTHER AND I WOULD LOVE TO KNOW MORE ABOUT OPENING AN PERSONAL CARE HOME.. I AM CURRENTLY IN COLLEGE TAKING HOME HEALTH CARE ADM. SO I WOULD LOVE TO GET AS MUCH AS I NEED. WILLING TO LISTEN AND LEARN , THANKS BIRDIA & RENATA HALL ( MISSISSIPPI )

    Like

  19. geraldine says:

    im interested in starting a phc of my own maybe we need more information besides the information you mention above. I also have a question in mind do i need to be a nurse or have knowledge in medical field to start a phc ? Do i need to be an administrator to start a phc? I hope you could help me with my question .

    Like

  20. goldjones says:

    Geraldine,
    The above information is just to get you started in the right direction. Every city and state has varying rules and regulations. I don’t know the rules for every single State, just some of the overall guidelines. In Georgia, you do not need to be a RN, CNA or in the medical field at all. You need to have the desire , compassion and the ability to take care of other peoples needs and respect their rights. Once you complete your application you can identify yourself as the Admininstrator, Director or CEO. Remember it’s your business and it is A business. A lot of people don’t realize that but you will be a business owner. Your best bet is to order a booklet from your state government on Personal Care Homes. It could be the Department of Human Resources, Dept of Human Services, etc.

    Like

  21. vincent says:

    hi.. i hope its not to late to ask some questions ,as i`m about to embark on starting my own PCH… first question is about writing policy and procedures…. is there a book that u could recommend that would be helpful to me in putting together my P&P??…second i do live in the state of Georgia and i`m very interested in learn more about how to participate in medicard funded programs. As the residends that i plan to take in are developmental disabilities…. last… once i become a provider for this population how do i go about connecting with case managers to recive this kind of patient….

    thank you so much
    vincent

    Like

  22. i found this web by accident and believe me the answers from allawishes and goldjones were very helpfull. for months i have been writing the policy and disaster preparedness in order to submit my PCH application. this is not easy. i ccannot afford to pay a consultant. Do you know any resource i can use to show me a format sample of a PCH policy.
    also allawishes i would like to know the company you use that would help a lot. thanks

    Like

      • rosalyn says:

        like everyone else me and a coworker are looking to start up an assisted living. both are nurses just need some information.

        Like

      • ruth says:

        please help i live on hilton head island SC and would love to open a pch, where do i start and what do i do. how do i go about doing it,

        Like

  23. Katgt Averette says:

    I’m interested in starting an PCH in Georgia. Can you provide me with the name of the company that will help you get started. Appreciate your help.
    Kathy

    Like

  24. kathy averette says:

    I’m interested in starting a 3-6 bed personal care home in a home in Ga. Please provide info on getting started. thank you.

    Like

  25. Sheila says:

    My home was just license for a PCH for a capacity of 3, now I am in the process of trying to find consumers. Where should I look (non-medical( Level I. I appreciate any advise.

    Thanks

    Like

      • goldjones says:

        Oh, no problems I enjoy this! When I worked to open my own PCH a few years back noone was there to help me. Or I should say, it took a lot of closed doors and slammed phones before I found one or two people who gave me nuggets to start this business. I was dejected by so many in this business that I was discouraged but my own inner perservence kept me moving forward. I don’t want you all to feel that there is no place for help and discussions about this business. I think this is a wonderful platform to allow people all over to converse, ask questions and hear what others have to say before opening up a Personal Care Home.

        Like

  26. megan says:

    Hello how are you? i would like to know the name of the agency that help you set up your personal care home and help u fine client.

    Thanks
    Megan

    Like

  27. Hello Goldjones, I know it has been awhile since we last spoke. I have alot of individuals interested in starting a personal care home in Alabama, but I have not had the time to really concentrate on it. Let’s try and get together early next year. I am planning on going on vacation until around Mid January. Have a happy thanksgiving.

    Like

  28. Billie says:

    For a regular Personal Care Home, the Operational Policy & Procedure Manual is an explanation of each State Rule and how YOU implement that rule in your facility.

    Each State has their own set of rules. Georgia has 32 rules (new rules effective Feb 2008). Most of these rules have one major topic but might include several sub-topics or issues. Read each rule very carefully and develop your policies and procedures for every subject or issue under every rule. When finished, ask the State Surveyor to advise you. In Georgia, you need an Operational Policy and Procedure Manual AND a Fire and Disaster Plan Manual.

    If you have a Medicaid supplemented home, there is a whole set of rules for THIS program. Most of the rules are similar to the regular PCH Rules, but some are different. You will need a separate P&P Manual for the Medicaid rules. The Fire and Disaster Plan Manual is generally the same.

    Goldjones has done a great job trying to explain the processes involved in setting up a PCH…and has written the web address above for anyone to contact regarding assistance with setting up a PCH in Georgia. You can contact these folks to buy manuals from them or to hire them to get your facility up and running. It is not an easy process. You would be well advised to contact that web address and pay their reasonable fees.

    Like

  29. Michael says:

    I have purchased a multi-family building in Newburgh, New york and am interested in opening a PCH. There appears to be a great need fr this service in that community. Any input would be greatly appreciated/

    Like

  30. Samantha Humphrey says:

    I’m so greatful for this Information, I know things now I had no idea about. I’m so excited about getting started and I thank you for the information.

    Like

  31. Trena says:

    Hi, I just wanted to say thank you so much for this valueable information on PCH. My mom is interested in openng one up in Georgia. God bless, and thank you for sharing with us!

    Like

  32. Margaret Manor says:

    I just opened a personal care home in pa. I was interested in marketing ideas. I have visited case managers in local hospitals, had an open house, and did an ad in yellow pages. We have have two residents. One we had to turn down because they needed more care than we could provide. Also a temp. Resident coming next week. They are the only ones who have looked at us and they all loved it. I need to create more traffic. We also signed up with ” a place for mom”. To all those people out there thinking about starting a home. It will be one of the hardest but most rewarding things you’ll ever do!
    Thanks

    Like

    • goldjones says:

      you are so right margaret it is rewarding but challenging none the less. your marketing strategy sounds good. i’ve used ‘a place for mom’ and after a month, the referrals started pouring in. because they service so many personal care homes, if you get an e-mail referral you better contact the representative ASAP! trust me they won’t be available for long so snatch them up when you get them. you may want to contact nursing homes, mental health hospital/facilities, adult day programs, home health agencies with your flyers and information.
      by the way, i have a relative who is looking for a pch in Philly, are you near there. she’s not willing to move to Georgia where i am. let me know.
      author of blog

      Like

    • Jennifer says:

      Margaret,
      I live in the state of PA and am very interested in opening my own PCH just not sure where to start. I did read PA’s Regulatory Compliance Guide and looked for property but other than that I am not sure where to go next. Where are you from in PA??

      Like

    • Thanks Margaret for the encouragement. I just opened a PCH in GA and I’ve yet to get a client. Been open a month now. I’ve reached out to nursing homes, hospitals, and home health agencies. I’m also registered with a place for mom. I get 1 to 2 referrals a week from A place for mom. How long did it take you to get your first client?

      Any info you provide would be helpful. Many thanks!

      Like

      • g.jones says:

        Hello, have you gotten your first client yet? sometimes it takes weeks and sometimes months (just being honest). Give us an update on your progress.

        Like

      • Valerie says:

        I haven’t gotten any clients. I’ve had referrals and either they did not have enough from Medicaid or they were not able to pay out of pocket or the difference. I cant believe the amount of money the clients are getting $600 to $1200 a month. At that rate I would not be able to hire any staff as all the money would go towards wages and utilities.

        Keeping my fingers crossed I will get the private payers as they have the funds to pay the rate requested. Our rates are $1800 semi private and $2500 for private rooms.

        Like

  33. Tanai Pacheco says:

    Im needing information on starting and opening my own personal care home in the state of OKLAHOMA. Anyone with this information please get in contact with me.

    Thank

    Like

  34. Margaret Manor says:

    Guess I’m doing all the right stuff. I’ve been in touch with all those people. Many of them attended our open house or we visited them bringing chocolates, flyers and pics of pch. Do you know of any other agencies like ” a place for mom”? We signed up with them about a month ago and they made one referral. The family picked us but after pre admission screening we reffered to a secure facility.
    We are located in the rurral subburbs outside of Pittsburgh.
    Thanks

    Like

    • rosalyn says:

      hello I have been involved with an agency called caring from a distance. they are wonderful and helped me personally with my own family in the past

      Like

  35. Tarick Ogbamichael says:

    I am interested in opening a a personal care home. I need all the information so I can begin. I also need the information to register withn the state of Georgia. The office of Regulatory SErvices number or information to begin.

    Like

  36. Nicholas Krohne says:

    I am trying to find a list of requirements to start a home in Cobb County anything you could send would be appreciated.

    Like

  37. deborrub says:

    Thank you for the Information Starting a Personal Care Home I loved it.
    With all the good Info I was wondering, Im currently living in PA, while working in Queens New York, as a home health aide for an agency. My question is I would like to know how to go on my own as a caregiver. I have 8 other certified worker will to join me in working as a team of caregiver. And could you tell me alittle more about getting paid through CASA.

    Like

  38. LaTrece says:

    Hello,
    I am very much interested in opening a personal care home please contact me and let me know where to begin. I will appreciate it dearly.

    Like

  39. Dolores says:

    I have my perleminary Lic. How should the office be set up to meet the Regulatary GUIDELINES. how much space, file rooms office, storgae. talking strickly administrative.. i work out of my home. Do I need office space?

    Like

  40. prcgirl says:

    this information is great, however I have attempted on several occassions to notify the office of regulatory services and unable to reach anybody. any suggestions? Also is it true that there is a freeze on starting pch in georgia for the year 2010

    Like

    • g.jones says:

      No there is not a freeze on PCH in Georgia. You can submit your application now if you like. Please read some of the other information and it will show where to go to get an application in Georgia.

      Like

      • mrsrich1 says:

        I am interested in starting a PCH and would like info on consultants that assist with the process. Can you help??

        Also, are the forms that you sell specific for any state or general and I have to change them to fit GA??

        Like

      • g.jones says:

        The Policies that I sell are for Georgia but most surrounding states are requiring similar policies and procedures. As a consultant, I can ensure that you get all the required policies and procedures to meet Georgia’s standands.

        Like

  41. Vince says:

    first let me say that the info ive found on this forum has been invaluable…..sense my last posting ive found a home thats suitable for what im trying to do in dekalb Co GA ……. with that said….. im looking for assistants in putting together my policies and procedures manual for DHR…. as well as possibly a brochure that i can leave case manager and or social workers that i will see …… any assistant u could give me in pointing me in the right direction would be greatly appreciate

    thks
    Vince

    Like

    • goldjones says:

      Thank you and I’m glad the posts and this forum has been helpful to you and so many. In just a few short weeks there will be a way to purchase policies for your personal care home. Please stay tuned as I will have a way for your to pay using a pay pal account for policies that so many of you have requested.
      author

      Like

  42. Lori says:

    I’m looking to start a PCH as well. I live in Norcross but will probably be starting one in Atlanta/Decatur. Anyone have any suggestions about how to start one without using a costly consultant? I don’t have a lot of start up costs but will have a 4 bedroom home soon to start one.

    Lori

    Like

  43. ERICA PATTERSON says:

    LOOKING TO START A PCH IN GWINNETT COUNTY, GA WHAT IS THE WEBSITE THAT CAN WALK ME THRU STEP BY STEP. IM A STNA WITH 14 YEARS OF EXP. ALREADY HAVE 3 RN 4 CNA READY TO WORK. ALSO WOULD LIKE TO START MY OWN NURSING AGENCY ASAP

    Like

  44. ERICA PATTERSON says:

    IM INTERESTED IN OPENING A PCH IN GWINNETT COUNTY,GA PLEASE GIVE ANY AND ALL INFO U HAVE. I HAVE 14YRS EXP IN THE HEALTHCARE FIELD ALS LOOKING TO START A HOME CARE AGENCY.

    Like

    • goldjones says:

      Thank you for your question. The first thing you should do is to contact the state for a Personal Care Home application. Then after you’ve read all of the guidelines, contact the county or city that you plan to open a PCH in and ask for the planning and zoning dept. Find out if the house is zoned in the correct area for a PCH (Please refer back to my inital blog as it outlines this subject). Then, in some counties and cities a business license is required. The state of Ga requires that you get a water, fire, and electrical inspection. The fire and electrical inspection are the only inspections in which you will incur an expense. Usually the water/sewage inspection is free or about 50 dollars at most. My advice is not to purchase a house until you find out about proper zoning of the property for a PCH. Of course you must write policies and procedures in order to get your license from the State of Ga such as Disaster Preparedness, Discharge, Refund policies etc. See my blogs Starting a Personal Care Home and More on Personal Care Homes. Hope this was helpful.

      Like

  45. goldjones says:

    More specifically, in Georgia in order to get an application go to:
    *http://dch.georgia.gov
    *On the left side of page select the ‘Healthcare Facility Regulation’ box
    *Then click on ‘Forms and Applications’ on the left side
    *See ‘Application Packets’ and scroll down to Personal Care Home application packet and click.
    *For trainings click the work ‘trainings’

    Like

    • g.jones says:

      There is tons of information on several of my posts, check out ‘Starting a Personal Care Home’, ‘More on Personal Care Homes’ and then read all of the comments.

      Like

  46. Is there any way you can email the name of the company that helped you through the process. I have a house but not sure if it will pass inspection. I also can get furniture from a friend that has a store of used things. Also how much was the fee that they charged. Please email this information to me.

    Like

  47. vince says:

    Thank you, Ms. Gold Jones in this process of helping me to start my personal care home. My question to you today is about getting medicare certified, can you point me in the right direction?

    P/s: thank you I have completed my policy and procedure manual.

    Like

    • g.jones says:

      I would suggest that maybe you start by calling 1-800-MEDICARE for assistance of go to their website to learn how to become Medicare certified. Remember that medicare does not reimburse or fund Personal Care Homes in GA. They do, however, assist with Hospice, Home Health, and long term care facililites or skilled nursing center ( Nursing Homes and Rehab facilities)

      Like

      • vince says:

        sorry Ms Goldjones i mean to say medicaid not medcare ……its my understanding that medicaid does reimburse for mentally challenge patient is this true????…… if so….. is it harder to become medicaid certified ??? and how do i go about this …..thks for ur time

        Vince

        Like

  48. Gold Jones, I want to thank you for all your info that you have provided. I actually work in CLA currently and love what I do. I have talked it over with my wife and I also want to have my own CLA and she is behind me a 100%
    . I work mainly with the mentally disabled individuals and have found my true calling in the field.
    But a couple questions..
    1) As far as the billing is concern, any info on the process of billing, achieving a provider number and etc.. in GA
    2) Can a HUD foreclosed home be used for a CLA in GA
    3) Are there grants from the Government that can acquired to assist in repair or to secure a mortgage for a CLA based business home that hires individuals from that very community thus providing jobs, living accomodations and care for societies must needy as, and thus adding value to a neighborhood.
    4) What is the fatest you have ever seen someone go from step one to the end process

    By the way, I appreciate all that you do for us here. I am just getting started on my policies and procedures (also located in GA) and when I finish and all is done..I would love to take you out to a dinner with my family to show our appreciation..
    Ken

    Like

    • g.jones says:

      Thank you Ken,
      Below I’ve tried to answer your questions to the best of my ability below. Please always do further research on your own.
      1.In order to become a CLA, the Regional Office must approve you. For some, they have had to become a PCH first, and then once the Region recognizes you as a viable provider to those with Developmental Disabilities, they may approve you as a CLA if you meet their requirement. I would suggest that if you want to open a CLA ( Community Living Arrangement) is to go the DBHDD.georgia.gov website and go to the section that says ‘Provider Recruitment and Application to Become a Provider of Developmental Disabilities’ and click on that link and there you will learn about the application process. You should also read the ‘FY 2011 Provider Manual’ which spells out all to the details of a CLA and a CRA ( Community Residential Alternative). Remember that to provide residential services to the DD population in Ga you must become a medicaid provider.
      2. Any home can be used as a CLA in Georgia as long it meets the general guidelines and it passes the Site Inspection that you will get during the last phases of your application to become a provider of CRA services in a CLA.
      3. There is something called Grant In Aid but I’m not fully aware of the criteria and application process for that funding.
      4. The fastest I’ve seen someone go from start to finish was one year. However, the state of GA changed their application and approval process this past July 2010. After reveiwing the process, its much more challenging now, so I don’t know how long it takes since the new rules were put inot effect.

      Like

  49. Klas says:

    There is already a successful PCH in the same neighborhood that I would like to open one is it safe to say that I could save a trip and fees from the zoning office?

    Like

    • g.jones says:

      You might want to offer what they don’t offer like: if they are large , you can offer a smaller intimate setting; if they do not offer transportation to doctor office visits, you should; If they do not do activities, you can offer some; If there prices are high, you can offer lower prices, etc.

      Like

  50. Juan F Narea says:

    I’m interested in starting an PCH in Georgia. Can you provide me with the name of the company that will help you get started. Appreciate your help.
    Kathy

    Like

    • g.jones says:

      Please read all of my pages on the blog and it will give you a lot of information on how to get started. There’s a lot of information that can help you. Check out the archives starting from my first post and work your way to the current. Read comments from others and my comments as well. After that you will be able to decide when and how to start this business!

      Like

      • Mo Braggs says:

        Hello Ms. Jones. i need some direction im in GA, I have already went to the state regarding directions… but i still need guidance. is there a way i can contact you?

        Like

      • Michelle Johnson says:

        Dear G. Jones: Can you help me? Im trying to start a PCH. I have my own home but need help with the paperwork. DADS website is so confusing to me, I was hoping you could simplify the steps for me. to get me on the right track. Most of the people I meet that have PCH’s do not want to help others since they are now successful. Im sure they needed help too to get started.When I call DADS they rush you off the phone. Also need help with the companies that gave you a great start with patients. Your response is appreciated.

        Like

      • Greetings , I found this site Iam looking to open a PCH in PA could you please send me any info on how you got yours up and running, It seems to me when I make phone calls to inguire about such they just hang up on me , So any help you can give me,GOD will bless you Thank You Diana , heres my email dapndil2003@aol.com

        Like

      • diane bonner says:

        I have been trying for about 15 plus yrs. I really would still like to try to open up a personal care home. Where should I start.

        Thanks, Diane

        Like

  51. Marion says:

    Hey, thanks alot for the info. Very helpful. Although there may be some thinks that . I just found out that in order for you to open a PCH in residential area. You have to let the neighbors of a 1000 ft become aware. I’d prefer to purchase a home, but very difficult to know if it will be zoned without complications. Help how do I go about doing this and is there a guarentee way of knowing for sure?

    Like

  52. Divine says:

    hi Mrs G-Jones

    I`ve completed the process of getting a PCH permit and county license thks to reading ur blog …Im getting business cards and a 3 sided brochure done …….what would be the best way to get my name out there to get clients?? should i go to hospitals and speak with social workers or just join a health service network??? thks Im located in GA

    D

    Like

  53. Nora says:

    Hi!
    I actually have two very nice;y appointed and permitted PCH homes in Atlanta, GA and need help occupying them.

    Anyone have any sources?

    Nora

    Like

  54. Radha says:

    I am relocated to Florida from Atlanta and I was trying to get some information about establishing my own Personal Care Home Agency in Florida, well I do not even know where to start, if there is any way that you can assist I would greatly appreciate.

    Like

  55. Fe Ta says:

    Just stumbled on your blog and it is priceless!!! Awesome guidance and greatly appreciated. I have made a decision that a PCH “community alternative group home” for people with developmental disabilities is the business that I desire to offer to help others. In the “pre” beginning building stages and will certainly be in contact with you in the near future.

    Like

  56. Denise says:

    I’m would like to open my own PCH here in Philadelphia but I don’t know where to go or how to get started I need all the information I can get. My passison for helping people who can’t help themselves is very strong so I know I will provide the very best. I need all the details where to go who to speak to etc.

    Like

  57. janisha gibson says:

    I’m interested in opening up my own personal care home and wanted so advice on the steps needed to take in Texas.

    Like

  58. carlos gonzalez says:

    hi my name is carlos gonzalez and i wanted to see if someone can help me start a personal care home i allready have a home i just need to know what i need also i have pt’s ready

    Like

  59. Diane says:

    Hello, I am very interested in starting my own PCH. The only thing is that I am not sure about what I need to do first. Can/will someone please help.

    Thank you

    Like

  60. Chanchan says:

    Is this blog still active? The last post is April 4, 2011. I would like to purchase some information from g.jones, but the links are no longer available…. is there anyone out there with updated 2012 infomation for starting a PCH in Ga.?

    Like

  61. shea says:

    Did your buy your home or rent? How does the percentage work that you pay yourself? Is there stateFunding? How do you keep your PCH occupied with residents, resources?

    Like

  62. Michelle Johnson says:

    This has been my dream for so long to have a Personal Care Home. I just dont know where to begin and how to find the residents/patients to care for. I all ready have my home and ready to get started but dont know how. The people who are established with PCH that I have met, do not want to help others get started. I am reading all this great info…Please help me get started. I was reading the info in DADS and got upset because all the info jammed together gets confusing. I know there must be and easier way step by step but I really need some assistance showing me. Your response is appreciated. Thank you.

    Like

  63. Nina says:

    I want to start my own home care personal. how i can get the permit. Do you have any phone # I can call on Ga or email please. I am lost here. ASAP you can.
    Thanks

    Like

  64. Patricia says:

    Hello,
    I need information on the policy and procedure and rules and regulation for personal care home. Could you please tell me how to purchase these items.
    Thanks

    Like

  65. Althea Dickson says:

    I’m interested in. Starting up a PCH for. The mentally challenge in either Conyers or Gwenette county GA. Please send me the necessary info needed to the email noted……Thank you and is looking forwarded to hearing from you soon

    Like

  66. loved this blog; very informative and encouraging. says:

    Which county do you think is the most supportive of such businesses outside of Gwinnett (which I have not found to be supportive at all). I am currently looking right outside of Gwinnett.

    Like

  67. hello!,I like your writing so a lot! percentage we keep up a correspondence extra approximately your article
    on AOL? I require an expert on this area to resolve my problem.
    May be that is you! Looking forward to peer you.

    Like

  68. Dee says:

    Goldjones. I am in need of a consultant here in GA; to assist me in opening a PCH. I have my approval letter from the county…and working on application now…can you assist me as a consultant.. please advise.. carrdelores@yahoo.com

    Like

  69. wes says:

    I would like to start a personal care home. I am a nurse and see the need for more pch as we have many elderly who are in need of such facilities.

    Like

  70. Sandra price says:

    I am very interesting and would like someone to contact me regarding the step-by-step procedure for the personal care home. God Bless you and thank you’d I much.

    Like

  71. Lynette says:

    Thank you so much for sharing this info. It was very resourceful and informative. I’m really considering opening a PCH in Ga. My two adopted children have autism and I often think about them. One day transitioning into independent living. I pray that if I’m not alive or able to care for them. That they find a well maintenanced and loving PCH if it ever comes to this. Once again thank you for sharing your knowledge.

    Like

  72. Gregory Jones says:

    Hi my name is Mr. Gregory jones, I am interested in started my own Home care Business in Macon GA.,I am a student at Miller-Motte Technical College located in Macon, GA. I don’t know how to start one. I don’t know what’s needed first. As of today, I don’t even have a house to run my Home Care Business out of. My income as of now is SSI and I don’t want to live on a fix income and I want to be able to provide for my family better. Can you please help me find the answer that I’m in need of please. Thank you very much.

    Like

    • g.jones says:

      the first thing is to go to the Department of Community Health website in Georgia. Then find the Healthcare Facility Regulations link on the left column. Once there click on application and there you will find information on Personal Care homes. Starting with your own home is a good idea. It saves you tons of money as you apply for your PCH license.

      Like

  73. Michon says:

    Hello. Where can I find how much is needed per resident to sustain a personal care home? I was told that in Georgia you need to do a year of private pay and then you can apply for medicare or medicaid. Where do you find the numbers?

    Like

  74. omar hicks says:

    Hello. ..I have accomplished getting a property zoned in Augusta, ga for a pch. I have written my policies and procedures. I have started making renovations to meet some of the criteria required on the state Web site for physical and accessibility…. what is the next step in staying the paperwork for business license and permits.

    Like

  75. stacy says:

    Seeking all info I’m for certain I want to start a small personal care home but I am unsure as of where to get started…thanks location for personal care home would be atlanta georgia

    Like

  76. i would like to say that i hope all is well. I am venturing out with starting a PCH but i have been doing a lot of research, i own my home but it’s things that i need to have done(updates) to the house before i actually submit my papers. But what i would like to know before i actually open the door is their grants out their that can help with beds,tables, recliners, lamps, and etc…any information, & resources would be greatly appreciate.

    Like

  77. Alysha Justice says:

    I am interested in starting a personal care home in Georgia and woukd like more information. Thanks for sharing this article.

    Like

    • g.jones says:

      Janette, Philly is my home town but I’ve not had a PCH there. To open a Personal care homes in Philly you must get a license from the Department of Public Welfare whenever 4 or more people with personal care needs who are unrelated to the operator live in the home. It does not matter if the home is providing personal care services; if 4 of the people who live in the home need personal care, then the home must be licensed.

      Like

  78. I I am very interested in starting my own personal care home in my house I have been working for the state for 16 years and doing home health care for 18 yearsl am in the last quarter of medical assistant course and business. I really love taking care of people I have a very good heart and a lot of love to give my name is Larvyette Jackson my number is 762-383-3741 thank you

    Like

    • g.jones says:

      Hi there, I was wondering how things are going with you. Did you open your personal care home? If so, how are things going? If not, what is blocking you? If you haven’t gotten started but still dream of doing this business then go ahead and join our group coaching that starts August 14,2016. You can join others on this same journey. I will share info and advice from someone who’s been where you are.

      Like

  79. Hi, there I am a RN in the state of TN and would like to start a PCH. I would like to rent with option to buy. I think the license application is $1080. Apply for the license first? IT says on the license if the PCH is less then 5 people we don’t need a architectural layout. How do you get around business proposal? So how do you sign on with medicaid/medicare and market your business with nursing homes or mental health institutes. My population is behavioral and young adult geriatric. Please email me at omittpart3@aol.com w/PCH in subject area or call 917-214-9196! Greatly appreciate you!!!

    Like

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s