Health Care | Domiciliary Care (Assisted Living)
Domiciliary Care/Assisted Living is provided in a facility but can be provided in a private residence (see group home). These facilities provide housing, personalized and health-related services to meet the needs of residents who need assistance to perform the activities of daily living. Domicilairy Care/Assisted Living programs are licensed for 17 or more residents and a license must be obtained before operating a program.
These permits, applications and licenses must be renewed annually for Montgomery County.
As of July 1, 2021 Montgomery County Department of Health and Human Services no longer inspects Nursing Homes and Assisted Living facilities on behalf of the State of Maryland. Questions of concerns related to quality of care at a Nursing Home or Assisted Living Facility should be directed to the Maryland Office of Health Care Quality.
For assistance with services, email HHSMail@montgomerycountymd.gov
What is Domiciliary Care (Assisted Living)?
Residential or facility-based programs that provide housing, personalized and supportive supervision, and health-related services to meet the needs of residents who are unable to perform or need assistance in performing activities of daily living.
Who must apply for a Domiciliary Care (Assisted Living) license?
Any person, corporation, or entity intending to operate a Domiciliary/Assisted Living Program must obtain a valid license from the Montgomery County Department of Health and Human Service, Licensure and Regulatory Services and the Maryland Department of Health, Office of Health Care Quality.
When must one obtain a license for Domiciliary Care (Assisted Living)?
Living facility. In addition, a license must be obtained from the Maryland Department of Health - Office of Health Care Quality prior to operating.
Is there a fee?
Please see the Montgomery County 2022 Fee schedule for any fees that might apply.
Submit ALL of the following documents below with your application
Complete all parts of the application and submit with online required documents and appropriate fee.
Documentation
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Zoning Approval and/or Use & Occupancy Permit (new, ownership and change and change in number of beds)
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State of Maryland Assisted Living license
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Fire Permit per facility's jurisdiction
Montgomery County
City of Gaithersburg
City of Rockville -
Environmental Health inspection
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Well & Septic- if applicable
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When all of your documentation has been received in its entirety and approved, a nurse surveyor from Licensure & Regulatory Services and or the Office of Health Care Quality (OHCQ) will contact you to set up a paper review of your information. A site inspection will follow.
A Montgomery County License will not be issued until all State and County requirements are met.
A Montgomery County license is issued for one year and must be renewed annually. Fire and environmental inspections are also required annually.
Domiciliary Care (Assisted Living) Process Guide
1. Apply Online
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Format |
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Domiciliary Care (Assisted Living) License Application |
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Use & Occupancy Permit (9+ Occupants)-for new construction and changes of use or ownership only |
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State of MD Office of Health Care Quality Group Home License |
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| Fire Permit for Montgomery County |
Montgomery County Department of Permitting Services |
| Fire Permit for City of Gaithersburg |
City of Gaithersburg Permitting and Inspections |
| Fire Permit for City of Rockville |
City of Rockville Fire Protection Permits and Procedures |
2. Review
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Review: be sure to double check all of your paperwork to ensure faster processing time. You must submit all your documentation together.
- Review: be sure to double check all of your paperwork to ensure faster processing time.
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Submit online: We now offer an easy online form powered by Seamless Docs - (Seamless Docs sign up and documentation). We provide online applications to decrease the use of paper and our impact on the environment. PDF applications should be mailed to Licensure & Regulatory Services office (2425 Reedie Drive, 9th floor, Wheaton, MD 20902) or faxed to 240-777-3088.
3. Approval
If approved you will hear back from us within 10 - 14 business days.
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240-777-3986
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> Helpful Domiciliary Care (Assisted Living) Resources
The links below will help with the completion of submitting documentation required by Montgomery County DHHS and the state of Maryland to effectively operate a Domiciliary Care (Assisted Living) Programs.
Obtaining a State License: Office of Health Care Quality
or call 410-402-8144 or 877-402-8219.