Numbering: Adult day care licensing is now Regulation 60-75 (Standards for Licensing Day Care Facilities for Adults), formerly 61-75, under S.C. Code §44-7-260. DPH's copy lists a most recent amendment of May 23, 2025 (State Register Document 5352); the State Register is the official version.
| Topic | Requirement | Section |
|---|---|---|
| Staffing ratio | At least one direct care staff member or volunteer per eight participants, with records documenting compliance | §503 |
| First aid and CPR | A staff member with first-aid and CPR certification must be present whenever participants are | §505.F |
| Medication | Prescription medication must be administered by a licensed nurse or authorized healthcare provider | §1200.C |
| Hours of operation | Four to fourteen hours per day | §101.J |
| Meals | One meal for participants in care four or more hours; two meals for ten or more hours | §1302.A |
Licensing is separate from waiver enrollment. A program providing Adult Day Health Care under the Community Choices waiver needs both a current DPH license and separate SCDHHS provider qualifications.
Waiver terms: nursing and case management expectations for waiver clients come from the SCDHHS provider manual, not R.60-75.
Direct Care Staff is a defined term covering employees and contracted individuals who provide direct care.
Last verified against agency sources on October 30, 2026.
General information, not legal advice. Requirements change; confirm against the official source before you act, or ask us how this applies to your organization.