There are thousands of adult and children's day care centers all over the United States, and more than 4,200 adult centers, according to the National Adult Day Services Association (NADSA). The number of facilities that include "disabled" adults and/or children is difficult to ascertain because there are no national licensing requirements.
Consult local agencies for information on how to open a day care center for the disabled. Many states require day care centers to accept people with disabilities, although the more common term is "special needs." Other facilities are dedicated exclusively to people with special needs.
The licensing requirements are based, in part, on the Americans with Disabilities Act (ADA). The ADA's rules on businesses and governmental agencies making their services usable to people who have special needs pertains to family child care homes. However, there are provisions for "reasonable accommodations" and "undue financial burden" that can be interpreted differently by different state agencies.
The NASDA projects that the demand for day care centers will increase significantly in the future.
If the information is unclear, find a day care center expert or an attorney who can help you understand it.
Click on the state or states that you are interested in. This takes you to a few very long documents. If there is no specific document for day care centers for people with special needs, you can search "special needs" or "disabled" in one or more of the other documents. Georgia, for example, has documents on child care learning centers, group day care homes and family day care homes. California has information specifically on day care centers for children who are mildly ill.
Find out the states' rules for how many people can be served by your facility.
Contact the agency in your state that is responsible for day care center regulations. A good source is a 50-state map that you can access at the website of the National Resource Center for Health and Safety in Child Care and Early Education (http://nrckids.org/states/states.htm).
Find pieces of land where you can build your facility or buildings that comply with state laws on accommodating the disabled. Negotiate the sales or rental prices of available properties.
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