State guide
California Home Care Compliance
All six compliance areas for California home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
California at a glance California splits oversight: CDPH licenses skilled home health agencies, while non-medical Home Care Organizations are licensed by CDSS under the Home Care Services Consumer Protection Act, with caregivers registered on the state Home Care Aide Registry. California is the most demanding wage-hour state for home care agencies: $16.90 minimum wage in 2026, special Domestic Worker Bill of Rights overtime for personal attendants (1.5x after 9 hours/day or 45 hours/week), statewide paid sick leave, and pay transparency rules.
Requirements by category
Health Benefits & ACA → California is the heaviest-compliance state: Covered California exchange, a state individual mandate with FTB employer reporting,… Covered CaliforniaYesYes Occupational Health → California's home health agency licensing regs (22 CCR 74723) require a TB test for all new patient-contact employees and annually… RequiredFrom 1st employee Caregiver Training → California runs two regimes: CDSS-licensed Home Care Organizations must use registered Home Care Aides with 5 hours entry-level training… 120 (state cert)5 (2 orientation + 3 safety)5 hrs/yr (HCA); 12 hrs/yr (HHA) Wage & Hour → California is the most demanding wage-hour state for home care agencies: $16.90 minimum wage in 2026, special Domestic Worker Bill of… $16.901.5x >9/day or >45/wk (personal…Yes (40 hrs/5 days) Licensure & Survey Readiness → California splits oversight: CDPH licenses skilled home health agencies, while non-medical Home Care Organizations are licensed by CDSS… CDSS (non-medical) / CDPH (home…Cal. HSC §§ 1796.10 et seq.;…Home Care Organization; Home… Background Checks → California's Home Care Services Consumer Protection Act requires home care aides working for licensed Home Care Organizations to register… YesHome Care Aide Registry; CDPH…
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Reviewed quarterly by Vitable Health.