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Adult day care and family care homes

Two small Florida license types that fill gaps between home and a facility.

Quick answer

A licensed adult day care center, regulated by AHCA under Part III of Chapter 429, provides supervision, activities, meals and help with personal care during weekday daytime hours, letting a person live at home while a caregiver works or rests.

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What does an adult day care center provide?

A licensed adult day care center, regulated by AHCA under Part III of Chapter 429, provides supervision, activities, meals and help with personal care during weekday daytime hours, letting a person live at home while a caregiver works or rests.

There are 5 licensed adult day care centers in the two counties: David I. Siegel Adult Day Care Center in Palm Coast, Alba Court Adult Day Care Center in New Smyrna Beach, Beacon of Life Florida LLC D/B/A Boldage PACE in Holly Hill, Sender Retreat in DeLand, Stay for A Day Adult Day Care in Orange City.

What is an adult family care home?

An adult family care home is a private home where the licensed provider lives and cares for up to five residents, licensed under Part II of Chapter 429; it is a long-term living arrangement, not a day program.

AHCA lists 19 adult family care homes in Volusia and Flagler, 12 in Palm Coast, 3 in DeLand, 2 in Deltona; every one is on the adult day and family care roster.

What do these options cost?

Florida's 2025 median for adult day health care is $19,500 a year for five days a week, about $75 a day; adult family care home rates are not published, and many are lower than large ALFs.

Medicaid long-term care plans can pay for adult day care, and OSS can help eligible adult family care home residents with room and board.

What should we ask an adult day program?

Ask about hours and transportation, staff dementia training, how medications are handled, what happens if your parent becomes ill during the day, and the daily rate.

A trial day tells you more than a brochure, and most programs offer one.

Who benefits most from adult day care?

People living with a family caregiver who works or needs a break, people who are isolated at home, and people with early to moderate dementia who do well with structure and company.

Adult day can also delay or prevent a move to assisted living by covering the hours when a person cannot safely be alone.

Where in Volusia and Flagler is adult day care licensed?

AHCA's records put these adult day care licenses in the following cities; agencies have no bed count.

CityCountyLicensesLicensed beds / capacity
DeLandVolusia460
Palm CoastFlagler1387
DeltonaVolusia29
New Smyrna BeachVolusia230
Orange CityVolusia255
Holly HillVolusia175

At a glance

Adult day care in Florida isAdult day care in Florida is not
LicenseAHCA adult day care license (Ch. 429, Part III)An unlicensed drop-in club
HoursWeekday daytime careOvernight stays
PaymentPrivate funds or a Medicaid LTC planMedicare

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