State guide
Virginia Home Care Compliance
All six compliance areas for Virginia home care agencies, each cited to official sources.
Last reviewed: July 24, 2026
Virginia at a glance Virginia licenses home care organizations (personal care, pharmaceutical, and nursing services) through the Department of Health, with accreditation able to substitute for routine inspections. Virginia's minimum wage is $12.77 in 2026 (CPI-indexed after the legislature declined further step increases), state overtime tracks the FLSA with stronger remedies — and uniquely, Virginia mandates paid sick leave specifically for home health workers averaging 20+ hours a week.
Requirements by category
Health Benefits & ACA → Virginia runs its own Insurance Marketplace, expanded Medicaid in 2019, and mandates RetirePath VA - expanding to smaller employers in… Virginia's Insurance MarketplaceYesNo Occupational Health → Virginia's home care organization licensing chapter (12VAC5-381) contains no TB screening requirement; the requirement instead lives on… No specific rule3+ employees (more than two) Caregiver Training → Virginia licenses home care organizations under 12VAC5-381; home attendants must have completed nurse aide education (or be a CNA, nursing… Nurse aide ed./CNA or competency…40 hrs (Medicaid PCA)12 hrs/yr (certified only) Wage & Hour → Virginia's minimum wage is $12.77 in 2026 (CPI-indexed after the legislature declined further step increases), state overtime tracks the… $12.771.5x >40 (state remedies)Yes — home health workers only… Licensure & Survey Readiness → Virginia licenses home care organizations (personal care, pharmaceutical, and nursing services) through the Department of Health, with… VA Dept. of Health (OLC)Va. Code § 32.1-162.7; 12VAC5-381Home care organization (personal… Background Checks → Virginia home care organizations must obtain a Virginia State Police criminal record check within 30 days of employment and may not employ… NoNurse aide registry; DSS Central…
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Reviewed quarterly by Vitable Health.