Step-by-Step Guide to ALF Licensing in Florida

If you’re wondering how to start an assisted living facility in Florida, you’re in the right place. Opening an ALF (Assisted Living Facility) requires more than just a passion for helping seniors — it takes careful planning, licensing, and compliance with Florida’s healthcare regulations.

This step-by-step guide breaks down the licensing process so you can move forward with confidence. Whether you’re figuring out how to become an ALF provider or just beginning to explore how to open an assisted living facility, this roadmap is for you.

Step 1: Understand What an ALF Is

An Assisted Living Facility is a residential setting that provides housing, meals, personal care, and some health-related services to residents who need support with daily living but do not require 24/7 skilled nursing.

Florida regulates ALFs under Chapter 429, F.S. and Rule 59A-36, F.A.C. It’s essential to familiarize yourself with these rules before starting the licensing process.

Step 2: Take the Required ALF Core Training

Before applying for a license, administrators must complete a 26-hour Core Training course from a state-approved provider. This course teaches you the legal and operational knowledge required to manage an ALF. After training, you’ll need to pass the Core Competency Exam.

Step 3: Choose Your Facility Type and Size

Determine the type of license you’ll need:

Standard license – For general personal care services
Extended Congregate Care (ECC) – Allows aging in place with more support
Limited Nursing Services (LNS) – Allows some nursing services on-site
Limited Mental Health (LMH) – For residents with mental health diagnoses

Also decide how many residents you’ll serve and if you’ll offer private or shared rooms.

Step 4: Secure a Location

Make sure your property meets the building code requirements for assisted living facilities in your county. This includes:

Fire safety systems
Accessibility features
Resident privacy standards
Sufficient communal and dining spaces

You must also undergo inspections from the Fire Marshal and Environmental Health.

Step 5: Prepare and Submit Your Application

You’ll need to complete AHCA Form 3180-1022 and submit it with:

Proof of Core Training completion
Proof of financial stability
Background screenings
A zoning approval letter
Emergency plan (CEMP) for disasters
Licensure fee (based on resident capacity)

The application is submitted to Florida’s Agency for Health Care Administration (AHCA).

Step 6: Pass the Initial Inspection

Once your application is reviewed, AHCA will schedule an initial survey (inspection). This includes:

Review of staff files, resident rights, and medication policies
Facility walkthrough for health and safety compliance
Review of your emergency plan and food service area

Passing this inspection is your final step before receiving your license.

Step 7: Receive Your License and Open Your Doors

Congratulations! After a successful inspection, you’ll receive your ALF license. You can now officially begin operations as a licensed ALF in Florida.

Bonus: Stay Compliant After Opening

To keep your license in good standing:

Complete required continuing education (12 hours every 2 years for administrators)
Renew your license before it expires
Maintain accurate resident records
Stay up-to-date on AHCA regulations

Ready to Get Started?

Whether you’re researching how to become an ALF provider, or preparing your business plan and location, this guide gives you the roadmap you need to move forward.

If you need help navigating the process or finding the right training and application support, reach out — we’re here to help make your ALF journey a success!