Home Health Agency

Administrator Designee

An application is not required for the Administrator Designee, however the requirements for the Administrator and Administrator Designee may be reviewed during an onsite survey.

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A State license is required to operate a Home Health Agency (HHA) in California.  A HHA means “A private or public organization, including but not limited to, any partnership, corporation, political subdivision of the state, or other government agency within the state, which provides, or arranges for the provision of, skilled nursing services, to persons in their temporary or permanent place of residence", pursuant to Title 22 of the California Code of Regulations (CCR) section 74600(a).

Pursuant to CCR section 74667(b)(6) - The licensee shall, within 10 days, notify the Department in writing a change of the administrator including the name and mailing address of the administrator, the date the administrator assumed office and a brief description of qualifications and background of the administrator.

Pursuant to CCR section 74718(a) The administrator shall:

(1) Organize and direct the ongoing functions of the agency.

(2) Maintain ongoing liaison between the governing body and staff.

(3) Be responsible for ongoing oversight of the agency's quality management system.

(4) Employ qualified personnel and ensure adequate staff education and evaluation.

(5) Ensure the accuracy of public information materials and activities including advertisements and brochures that the agency uses to represent itself to the community-at-large.

(6) Implement an effective budgeting and accounting system.

(b) A supervising physician or Director of Patient Care Services may also be the administrator. An administrator who is neither a physician or a registered nurse shall have training and experience in health service administration and at least one year of supervisory experience in home health care or health related programs.

(c) The administrator shall have a similarly qualified designee available in the administrator's absence.

(d) The administrator may have responsibilities over more than one parent agency provided that the administrator can demonstrate the adequacy of administrative and nursing supervision over each parent agency through ongoing Quality Management review.​