# Care Copilot: full site content > Care Copilot is a UK software company whose AI audits care records against the regulator's rules. This site covers its plans for Florida assisted living facility (ALF) and memory care operators regulated by AHCA, including Florida's new Memory Care Services license. Care Copilot is a UK company. It has no US entity, office or customers yet. It is testing demand in Florida and offering early-access pilots to assisted living and memory care operators. Nothing on this site is legal or regulatory advice; check requirements with AHCA and your own advisers. This file contains every page of https://d3kof0zbodw3pw.cloudfront.net/ in site order. Each page starts with its title and canonical URL. --- # Care Copilot for Florida Assisted Living and Memory Care > AI that audits Florida ALF resident and staff files against AHCA rules and flags likely deficiencies before a survey. Opening early access; not yet in the US. Last updated: November 7, 2026 Canonical URL: https://d3kof0zbodw3pw.cloudfront.net/ **Care Copilot is AI software that reads an assisted living facility's resident and staff files, checks them against Florida's ALF rules, and tells you what a surveyor from the Agency for Health Care Administration (AHCA) is likely to cite, with the evidence and a draft plan of correction.** We are a UK company. Care Copilot is opening early access to a small group of founding Florida operators. It is not yet available for general use in the US. ## What does Care Copilot do for a Florida ALF? Care Copilot does three things: 1. **Audits every file, not a sample.** It reads resident records (health assessments, medication observation records, contracts, care records) and staff files (training certificates, background screening, licenses) and checks each one against Part I of Chapter 429, Florida Statutes, and Chapter 59A-36, Florida Administrative Code. 2. **Flags likely deficiencies before a survey.** Each finding names the statute or rule it relates to, quotes the document or record it comes from, and suggests a likely severity using AHCA's class I to IV scheme. 3. **Drafts the fix.** You get a prioritized action list with due dates and a draft plan of correction that your administrator reviews and edits. It works from the documents and exports you already have. It does not replace your EHR or care management system, and it does not replace your own judgment or legal advice. ## Why now? **Florida created a new Memory Care Services license in 2026, and AHCA must adopt the rules for it by June 1, 2027.** Under SB 1404 (Chapter 2026-102, Laws of Florida), an ALF that serves memory care residents, or advertises memory care, will need the new license. A facility already licensed when the rules take effect has six months after that date to get it. AHCA began rule development in June 2026 and opened a second round in October 2026. That means new standards for memory care training, safety, admission criteria, contracts and advertising, on top of the existing ALF survey. Operators who know where their files stand today will have less to fix later. Read the full guide: [Florida's Memory Care Services license (SB 1404)](https://d3kof0zbodw3pw.cloudfront.net/florida-memory-care-license/). ## Free guides for Florida ALF administrators - [Florida Memory Care Services license: SB 1404 explained](https://d3kof0zbodw3pw.cloudfront.net/florida-memory-care-license/): who needs it, the timeline, and what AHCA's rules must cover. - [How to prepare for an AHCA survey](https://d3kof0zbodw3pw.cloudfront.net/ahca-survey-readiness/): survey types, deficiency classes I to IV, fines, plans of correction and a readiness checklist. - [Florida ALF staff training and background screening](https://d3kof0zbodw3pw.cloudfront.net/florida-alf-staff-training/): core training, in-service, dementia training, medication assistance training and Level 2 screening, in tables. - [Frequently asked questions](https://d3kof0zbodw3pw.cloudfront.net/faq/) ## Where does Care Copilot stand today? **Care Copilot works with home care providers across the UK today; in Florida it is opening early access.** Here is the honest status: - We are a UK company (Care Copilot Ltd) with no US entity and no US customers yet. - We are recruiting a small number of founding pilot operators in Florida. - Our free [readiness self-check](https://d3kof0zbodw3pw.cloudfront.net/self-check/) asks about your facility, not your residents, and collects no resident data. - We do not claim HIPAA compliance or SOC 2 certification today. Take the [free readiness self-check](https://d3kof0zbodw3pw.cloudfront.net/self-check/), or [apply for early access](https://d3kof0zbodw3pw.cloudfront.net/early-access/) to be a founding pilot operator. ## Sources - [CS/CS/SB 1404 (2026), Memory Care: bill page and history, The Florida Senate](https://www.flsenate.gov/Session/Bill/2026/1404) - [Section 429.076, Florida Statutes (2026): Memory care services license](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.076.html) - [Chapter 59A-36, Florida Administrative Code: Assisted Living Facility, flrules.org](https://www.flrules.org/gateway/ChapterHome.asp?Chapter=59A-36) - [Section 408.813, Florida Statutes (2026): Administrative fines; violations (class I to IV)](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.813.html) - [Rule 59A-36.0225, Memory Care Services: notice history, flrules.org](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.0225) --- # Florida Memory Care Services License (SB 1404): Plain-English Guide > SB 1404 creates a Memory Care Services license for Florida ALFs. AHCA must adopt rules by June 1, 2027; existing ALFs then have 6 months to get licensed. Last updated: November 7, 2026 Canonical URL: https://d3kof0zbodw3pw.cloudfront.net/florida-memory-care-license/ **Florida law now requires an assisted living facility (ALF) that serves memory care residents, or advertises memory care, to hold a new Memory Care Services license.** The law is SB 1404 (2026), Chapter 2026-102, Laws of Florida, which created section 429.076, Florida Statutes. The Agency for Health Care Administration (AHCA) must adopt the rules for the license by June 1, 2027. A facility already licensed when those rules take effect then has six months to obtain the new license. *Last checked against primary sources on November 7, 2026. This guide is general information, not legal advice.* ## What is the Memory Care Services license? **It is a new specialty license for Florida ALFs, alongside the existing extended congregate care, limited nursing services and limited mental health licenses.** SB 1404 added "memory care services" to the categories of care an ALF license can be issued for in section 429.07(3), F.S., and created section 429.076, F.S., to govern the new license. To get one, a facility must hold a standard ALF license and meet any additional minimum requirements AHCA adopts by rule (s. 429.076(1), F.S.). The memory care license is renewed, and expires, at the same time as the facility's standard license (ss. 429.076(1) and 429.17(1), F.S.). ## Who needs a Memory Care Services license? **An ALF needs the license if it serves one or more memory care residents, or if it advertises or otherwise holds itself out as providing memory care services** (s. 429.076, F.S.). There is one exception. A facility does not need the license if it only provides supportive services for residents with Alzheimer's disease and related dementias that are optional and available to all residents of the facility, as long as it follows AHCA's rules on advertising (s. 429.076, F.S.). ### What counts as a "memory care resident"? The statute defines a **memory care resident** as "a person who suffers from Alzheimer's disease or a related dementia who is a resident of an assisted living facility that claims or otherwise represents that it provides specialized care, services, or activities specifically to support such resident's Alzheimer's disease or related dementia, irrespective of whether such care, services, or activities were listed in the resident's contract" (s. 429.02(15), F.S.). **Memory care services** means "specific specialized or focused care, services, or activities an assisted living facility agrees to provide to a memory care resident to support his or her Alzheimer's disease or related dementia." It does not include supportive services that are optional and available to all residents (s. 429.02(16), F.S.). In practice, the trigger is what the facility claims or represents it provides for residents with dementia, not only what is written in the contract. ## When is the deadline? **AHCA must adopt the rules by June 1, 2027. Existing ALFs must then obtain the license within six months after the rules take effect.** The exact compliance date for existing facilities depends on when the rules actually take effect, which is not yet known. | Date | What happens | Source | |---|---|---| | January 8, 2026 | SB 1404 filed by Senator Burton | Senate bill history | | March 4, 2026 | Passed the Senate, 37-0 | Senate bill history | | March 10, 2026 | Passed the House, 111-0 | Senate bill history | | May 22, 2026 | Approved by the Governor; the act took effect on becoming law (Chapter 2026-102) | Senate bill history; Ch. 2026-102, L.O.F. | | June 18, 2026 | AHCA published a Notice of Rule Development for a new rule, 59A-36.0225, Memory Care Services | Florida Administrative Register (FAR), Vol. 52, No. 118 | | July 9, 2026 | AHCA rule development workshop on Rule 59A-36.0225 | FAR, Vol. 52, No. 118 | | October 28, 2026 | AHCA published a Notice of Rule Development to amend Rules 59A-36.003, .006, .011, .015 and .018 to implement SB 1404, and a public meeting notice for Rule 59A-36.0225 | FAR, Vol. 52, No. 210 | | November 17, 2026, 1:00 to 2:00 p.m. | AHCA workshop and public meeting, 2727 Mahan Drive, Tallahassee (with a call-in line) | FAR, Vol. 52, No. 210 | | By June 1, 2027 | AHCA must adopt rules setting minimum standards for the license | s. 429.076(2), F.S. | | When the rules take effect | ALFs licensed on or after this date must hold a memory care license to serve memory care residents or advertise memory care | s. 429.076(3), F.S. | | Upon adoption of the rules | Sections 429.177 and 429.178, F.S. (current Alzheimer's advertising and special care provisions) are repealed | s. 5, Ch. 2026-102, L.O.F. | | Six months after the rules take effect | ALFs licensed before the rules took effect must hold the license to begin or continue memory care, unless they qualify for the exception in s. 429.076(5) | s. 429.076(4), F.S. | For example, if the rules took effect on June 1, 2027, existing facilities would have until about December 1, 2027. If the rules take effect earlier or later, the window moves with them. ## What must AHCA's memory care rules cover? **The statute lists nine subjects AHCA's rules must address, "including, but not limited to"** (s. 429.076(2), F.S.): | # | Required subject | Detail in the statute | |---|---|---| | (a) | Policies and procedures | For providing memory care services | | (b) | Admission criteria | Standardized admittance criteria for memory care residents | | (c) | Minimum care | The minimum level of care, services and activities for memory care residents | | (d) | Staff training | Minimum training that must meet or exceed the dementia training in s. 430.5025, F.S. | | (e) | Safety | Safety requirements, including at least one awake staff member on duty at all hours | | (f) | Physical plant | Requirements for the facility, or the parts of it the licensee specifies, serving memory care residents | | (g) | Resident contracts | On top of s. 429.24, F.S., contracts must specify the memory care services the resident will receive | | (h) | Advertising | Terms a facility may not use without the license | | (i) | Continuing without a license | Requirements for facilities that keep serving existing memory care residents under s. 429.076(5) | Because the list is "not limited to" these items, AHCA's rules may cover more. ### Which advertising terms will need a license? **The statute says the restricted terms include "memory care, memory care facility, memory care services, memory care residents, dementia care, dementia care facility, Alzheimer's care, and Alzheimer's care facility"** (s. 429.076(2)(h), F.S.). AHCA's rules may add more. A facility without the license may still advertise the supportive services it offers to people with Alzheimer's disease and related dementias, if the ads do not use the restricted terms, do not claim the facility provides memory care services, and the facility keeps a copy of the ads in its records. AHCA examines those ads at license renewal. ## What if a facility can't get the license? **A facility that accepted memory care residents before the rules take effect may keep serving those residents without the license, but only if it meets four conditions** (s. 429.076(5)(a), F.S.): 1. It shows AHCA that it is unable to reasonably obtain the license. 2. It tells its memory care residents, and their caregivers if applicable, that it is required to get the license, cannot get it, and that the resident may move to a licensed facility. 3. On request, it helps residents or caregivers find a suitable alternative facility. 4. It accepts no new memory care residents until it gets the license. If a resident or caregiver decides to stay, the facility must amend the resident's contract to list the memory care services provided, keep records of when and how those services were provided, and give those records to the resident, caregivers or AHCA on request (s. 429.076(5)(b), F.S.). This does not exempt the facility from other requirements, including the appropriateness-of-placement rules in s. 429.26, F.S. (s. 429.076(5)(c), F.S.). ## What happens if a facility serves memory care residents without the license? **The statute does not set a specific penalty for this, and AHCA has not yet published rules on how it will enforce the new license.** Florida's general licensing law (Part II of Chapter 408, F.S.) already says a licensee may not hold itself out as holding a license it does not have (s. 408.812(1), F.S.), and lists "providing services beyond the scope of the license" as a violation for which AHCA may impose a fine of up to $500 per violation unless another law sets the amount (s. 408.813(3), F.S.). How AHCA will apply these to memory care is not yet known. ## What is the status of AHCA's rulemaking? **As of November 7, 2026, AHCA is at the rule development stage. It has not yet published a Notice of Proposed Rule for the memory care rules on flrules.org.** - **New rule 59A-36.0225, Memory Care Services.** AHCA published a Notice of Rule Development on June 18, 2026 (FAR Vol. 52, No. 118), proposing "to create a new rule to implement the provisions of SB 1404." It held a workshop on July 9, 2026. That notice said preliminary rule text was not available. On October 28, 2026, AHCA noticed a follow-up public meeting for November 17, 2026, saying the agenda and a copy of the preliminary draft would be posted on AHCA's rulemaking web page before the meeting. - **Amendments to existing rules.** On October 28, 2026 (FAR Vol. 52, No. 210), AHCA published a Notice of Rule Development to amend five existing rules "to implement the provisions of 2026-102 L.O.F. (SB 1404)": - 59A-36.003, Licensing and Change of Ownership - 59A-36.006, Admission Procedures, Appropriateness of Placement and Continued Residency Criteria - 59A-36.011, Staff Training Requirements and Competency Test - 59A-36.015, Records - 59A-36.018, Resident Contracts The notice says the preliminary text is available at no charge from the AHCA contact person, at HQARuleComments@ahca.myflorida.com. We have not seen the preliminary draft text, so this guide does not describe what AHCA is proposing. When AHCA publishes a Notice of Proposed Rule, the text will appear in the Florida Administrative Register and on flrules.org. ### How does Florida rulemaking work from here? **The next formal step is a Notice of Proposed Rule in the Florida Administrative Register, which starts the public comment period.** Under Florida's Administrative Procedure Act (s. 120.54(3), F.S.): - Affected persons can ask for a public hearing within 21 days after the notice is published. - A rule generally cannot be filed for adoption less than 28 days or more than 90 days after the notice. Other steps, such as a notice of change or a public hearing, can push the earliest filing date later. - An adopted rule generally takes effect 20 days after it is filed with the Department of State, or on a later date stated in the notice. - If the agency's statement of estimated regulatory costs shows costs or adverse impacts over $1 million in total within five years, the rule cannot take effect until the Legislature ratifies it (s. 120.541, F.S.). ## What does Florida already require for dementia care in ALFs? **Until the new rules are adopted, the existing Alzheimer's provisions still apply.** A facility that advertises special care for people with Alzheimer's disease or related disorders must currently (s. 429.178, F.S.): - have an awake staff member on duty at all hours if it has 17 or more residents (facilities with fewer than 17 residents may instead have mechanisms to monitor and ensure residents' safety); - offer activities designed for people who are cognitively impaired; - have a physical environment that provides for residents' safety and welfare; and - employ staff who complete the dementia training in s. 430.5025, F.S. It must also disclose in its ads, or in a separate document, the services that make its care especially suitable for people with Alzheimer's disease, and keep copies in its records (s. 429.177, F.S.). Both sections are repealed when AHCA adopts the memory care rules. Rule 59A-36.011(10), F.A.C., applies the s. 430.5025 dementia training to facilities that advertise special Alzheimer's care or maintain secured areas. ## What can Florida ALF operators do now? **Start with the parts of the law that are already clear.** The statute fixes some requirements regardless of what AHCA's rules add: 1. **Decide whether you will need the license.** List every way your facility describes dementia care: website, brochures, signage, listings, admission packets and contracts. If you use any of the restricted terms, or represent specialized dementia care, plan on applying. 2. **Identify your memory care residents.** The definition depends on what you claim to provide, not only on contract wording. Know who would count. 3. **Check staffing at night.** Rule 59A-36.010, F.A.C., already requires an awake staff member at all hours in ALFs with 17 or more residents. The memory care rules must require at least one awake staff member on duty at all hours for memory care licensees, whatever the facility's size. 4. **Audit dementia training records now.** The new training standard must meet or exceed s. 430.5025, F.S. Make sure each employee's required dementia training (the 1-hour and 3-hour courses, plus the 4-hour course and annual continuing education where the facility advertises dementia care) is complete and documented. See our [staff training guide](https://d3kof0zbodw3pw.cloudfront.net/florida-alf-staff-training/). 5. **Review resident contracts.** Licensees will have to specify the memory care services each memory care resident receives. 6. **Follow AHCA's rulemaking.** Watch flrules.org for Rules 59A-36.0225, .003, .006, .011, .015 and .018, attend or call in to workshops, and request the preliminary text from HQARuleComments@ahca.myflorida.com. 7. **Fix your current survey risks first.** Memory care licensure will build on your standard license, and AHCA examines dementia advertising at renewal. See [How to prepare for an AHCA survey](https://d3kof0zbodw3pw.cloudfront.net/ahca-survey-readiness/). ## What we don't know yet - **The rule text.** AHCA has not yet published proposed rule text in the FAR. Staffing ratios, training hours, admission criteria, physical plant standards and advertising terms beyond those in the statute are all still open. - **The effective date of the rules**, and so the end of the six-month window for existing facilities. The statutory deadline for adoption is June 1, 2027, but the effective date depends on the rulemaking process, and could depend on legislative ratification if regulatory costs exceed the $1 million threshold. - **The application process and fee.** The statute does not set a separate fee for the memory care license, and AHCA has not published an application form. - **How AHCA will survey and enforce** the new standards, including how the s. 429.076(5) exception will be documented and reviewed. - **How many facilities are affected.** The Senate's staff analysis counted 2,989 licensed ALFs in Florida (FloridaHealthFinder data, January 27, 2026), but there is no official count of facilities that serve memory care residents or advertise memory care. ## How Care Copilot helps Care Copilot is building a Florida version of its AI file audit for ALF and memory care operators. It reads your resident and staff files, checks them against Chapter 429 F.S. and Chapter 59A-36 F.A.C., and flags likely deficiencies with the evidence and a draft plan of correction. When AHCA's memory care rules are final, we plan to add them to the checks. We are opening early access to a small group of founding Florida operators; it is not yet available in the US. [Learn about early access](https://d3kof0zbodw3pw.cloudfront.net/early-access/). ## Sources - [CS/CS/SB 1404 (2026), Memory Care: bill page, history and votes, The Florida Senate](https://www.flsenate.gov/Session/Bill/2026/1404) - [CS/CS/SB 1404, enrolled bill text (PDF), The Florida Senate](https://www.flsenate.gov/Session/Bill/2026/1404/BillText/er/PDF) - [Bill summary, CS/CS/SB 1404 (vote: Senate 37-0; House 111-0), The Florida Senate](https://www.flsenate.gov/Committees/BillSummaries/2026/html/1404) - [Senate Fiscal Policy Committee bill analysis and fiscal impact statement, February 25, 2026 (PDF)](https://www.flsenate.gov/Session/Bill/2026/1404/Analyses/2026s01404.fp.PDF) - [Chapter 2026-102, Laws of Florida (PDF)](https://laws.flrules.org/2026/102) - [Section 429.076, F.S. (2026): Memory care services license](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.076.html) - [Section 429.02, F.S. (2026): Definitions](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.02.html) - [Section 429.07, F.S. (2026): License required; fee](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.07.html) - [Section 429.177, F.S. (2026): Alzheimer's disclosures](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.177.html) - [Section 429.178, F.S. (2026): Special care for persons with Alzheimer's disease](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.178.html) - [Section 430.5025, F.S. (2026): Alzheimer's disease and related dementia education and training](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0430/Sections/0430.5025.html) - [Section 408.812, F.S. (2026): Unlicensed activity](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.812.html) - [Section 408.813, F.S. (2026): Administrative fines; violations](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.813.html) - [Section 120.54, F.S. (2026): Rulemaking](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0100-0199/0120/Sections/0120.54.html) - [Section 120.541, F.S. (2026): Statement of estimated regulatory costs](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0100-0199/0120/Sections/0120.541.html) - [Rule 59A-36.0225, Memory Care Services: notice history, flrules.org](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.0225) - [Notice of Rule Development, Rule 59A-36.0225, June 18, 2026, flrules.org](https://www.flrules.org/Gateway/View_notice.asp?id=31032936) - [Notice of Rule Development, Rules 59A-36.003, .006, .011, .015, .018, October 28, 2026, flrules.org](https://www.flrules.org/Gateway/View_notice.asp?id=31542962) - [Notice of Public Meeting, Rule 59A-36.0225, October 28, 2026, flrules.org](https://www.flrules.org/Gateway/View_notice.asp?id=31542865) - [Florida Administrative Register, Vol. 52, No. 118, June 18, 2026 (PDF)](https://flrules.org/Faw/FAWDocuments/FAWVOLUMEFOLDERS2026/52118/52118doc.pdf) - [Florida Administrative Register, Vol. 52, No. 210, October 28, 2026 (PDF)](https://flrules.org/Faw/FAWDocuments/FAWVOLUMEFOLDERS2026/52210/52210doc.pdf) - [Rule 59A-36.011, F.A.C.: Staff Training Requirements and Competency Test, flrules.org](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.011) - [Rule 59A-36.010, F.A.C.: Staffing Standards, flrules.org](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.010) --- # How to Prepare for an AHCA Survey: Florida ALF Readiness Guide > How AHCA surveys Florida assisted living facilities: survey types, class I-IV deficiencies and fines, plans of correction, public reports and a checklist. Last updated: November 7, 2026 Canonical URL: https://d3kof0zbodw3pw.cloudfront.net/ahca-survey-readiness/ **The Agency for Health Care Administration (AHCA) inspects Florida assisted living facilities (ALFs) without notice: at initial licensure, every two years for license renewal, in response to complaints, and on follow-up visits to check corrections.** Surveyors cite each violation as class I, II, III or IV according to its likely effect on residents, and each class carries a fine range set in section 429.19, Florida Statutes. A facility must usually correct deficiencies within 30 days, and AHCA may require a written plan of correction within 10 calendar days. *Last checked against primary sources on November 7, 2026. This guide is general information, not legal advice.* ## What types of AHCA survey can an ALF get? **AHCA licensure inspections are unannounced, and relicensure inspections happen every two years** (s. 408.811(1)(a)-(b), F.S.). AHCA can also inspect any provider at any time to verify compliance. | Survey type | When it happens | Source | |---|---|---| | Initial licensure inspection | Before a new license is issued. The applicant must show compliance during the inspection; if the provider is not available when AHCA attempts the inspection, the application is denied. | s. 408.806(7), F.S. | | Biennial relicensure survey | Every two years, unannounced, unless law or rule says otherwise | s. 408.811(1), F.S. | | Abbreviated biennial survey | Instead of a full relicensure survey, for facilities with no class I or II violations, no uncorrected class III violations, and no confirmed ombudsman or licensing complaints in the two licensing periods before renewal. It expands to a full survey if serious problems are found. | Rule 59A-36.023(1), F.A.C. | | Complaint investigation | When AHCA receives a complaint. If the investigation confirms a violation, AHCA may charge a survey fee of up to half the biennial license and bed fee or $500, whichever is less. | ss. 429.34(2), 429.19(7), F.S. | | Follow-up (revisit) | To verify corrective action. Corrections must be documented in writing by the owner or administrator and are verified on follow-up visits. | s. 429.19(5), F.S. | | Additional licensure inspection | Within 6 months, if a facility is cited for a class I violation, or for three or more class II violations from separate surveys within 60 days or unrelated circumstances in the same survey | s. 429.34(2)(a), F.S. | | Monitoring visit | In a year without a survey, for facilities cited the previous year for a class I or II violation or more than three uncorrected class III violations | s. 429.34(2)(b), F.S. | | Limited nursing services monitoring | A registered nurse from AHCA visits at least annually to monitor residents receiving limited nursing services (can be waived for facilities with a clean record) | s. 429.07(3)(c), F.S. | Other officials can also enter an ALF unannounced, including the Department of Children and Families, the Medicaid Fraud Control Unit, state and local fire marshals, and representatives of the Long-Term Care Ombudsman Program (s. 429.34(1), F.S.). ## What do AHCA surveyors look at first? **AHCA's own rule lists ten "key quality of care standards" it uses during an abbreviated survey, which is a good guide to where surveyors focus** (Rule 59A-36.023(1)(b), F.A.C.): 1. Residency criteria: admission and continued residency (s. 429.26, F.S.; Rule 59A-36.006) 2. Management of resident funds and property (s. 429.27, F.S.; Rule 59A-36.013) 3. Respect for resident rights (s. 429.28, F.S.; Rule 59A-36.007) 4. Supervision, help with activities of daily living, and arranging appointments and transportation (s. 429.41, F.S.; Rule 59A-36.007) 5. Assistance with or administration of medications (s. 429.256, F.S.; Rule 59A-36.008) 6. Sufficient staffing to meet resident needs (s. 429.41, F.S.; Rule 59A-36.010) 7. Minimum dietary requirements and food hygiene (s. 429.41, F.S.; Rule 59A-36.012) 8. Community living support plans for mental health residents (s. 429.075, F.S.; Rule 59A-36.020) 9. Environmental standards and residency criteria under an extended congregate care license (s. 429.07, F.S.; Rule 59A-36.021) 10. Care and staffing under a limited nursing services license (s. 429.07, F.S.; Rule 59A-36.022) AHCA will immediately conduct a full survey if an abbreviated survey finds fire safety violations that threaten residents' life or safety, staffing or resident care violations that adversely affect residents, staff providing services the facility is not licensed for, or medication practice violations that threaten residents (Rule 59A-36.023(1)(c), F.A.C.). Records must be "readily available," meaning you can produce them immediately, on paper or electronically, at the licensee's address (Rule 59A-36.015, F.A.C.). The facility must give AHCA copies of required records at no cost (s. 408.811(3), F.S.). ## What are AHCA deficiency classes I to IV? **AHCA classifies each violation by its nature and "the gravity of its probable effect" on residents, from class I (most serious) to class IV (least)** (s. 408.813(2), F.S.). For ALFs, the fine ranges are set in s. 429.19(2), F.S. | Class | Definition (s. 408.813(2), F.S.) | ALF fine per violation (s. 429.19(2), F.S.) | Correction | |---|---|---|---| | Class I | Conditions or occurrences that present an imminent danger to residents, or a substantial probability that death or serious physical or emotional harm would result | $5,000 to $10,000 | Must be abated or eliminated within 24 hours unless AHCA sets a fixed period. The fine is imposed even if the violation is corrected. | | Class II | Conditions or occurrences that directly threaten residents' physical or emotional health, safety or security | $1,000 to $5,000 | The fine is imposed even if the violation is corrected. | | Class III | Conditions or occurrences that indirectly or potentially threaten residents' physical or emotional health, safety or security | $500 to $1,000 | The citation states a correction deadline. No fine if corrected in time. | | Class IV | Conditions or occurrences related to required reports, forms or documents that do not have the potential to negatively affect residents | $100 to $200 | The citation states a correction deadline. No fine if corrected in time. | Other rules on fines and classes: - **Background screening.** Whatever the class, a facility found out of compliance with background screening requirements is fined $500 (s. 429.19(2)(e), F.S.). - **Unclassified violations.** AHCA may fine up to $500 per violation, unless another law sets the amount, for things like exceeding licensed capacity or providing services beyond the scope of the license (s. 408.813(3), F.S.). - **Scope.** A violation can be cited as isolated, patterned or widespread, depending on how many residents, staff or locations are affected (s. 408.813(2), F.S.). - **How AHCA sets the amount.** AHCA considers the gravity of the violation, the actions taken to correct it, previous violations, any financial benefit to the facility, and the facility's licensed capacity (s. 429.19(3), F.S.). - **Continuing violations.** Each day a violation continues past the date AHCA set for correction counts as a separate violation (s. 429.19(4), F.S.). ### What else follows a serious citation? - **Consultants.** A class I, class II or uncorrected class III deficiency tied to medication practices requires the facility to employ or contract a licensed pharmacist or registered nurse as a consultant; dietary deficiencies require a registered or licensed dietitian or licensed nutritionist (Rule 59A-36.023(3), F.A.C.). - **Specialty licenses.** A class I or class II violation, or certain patterns of class III violations, in the previous two years makes a facility ineligible for an extended congregate care license (s. 429.07(3)(b), F.S.). - **More inspections.** See the additional licensure inspection and monitoring visit rows in the survey table above (s. 429.34(2), F.S.). ## What happens after an AHCA survey? **AHCA issues a written statement of deficiencies within 10 working days of the inspection, and you generally have 30 calendar days from notification to correct each deficiency.** | Step | Timing | Source | |---|---|---| | Surveyor discusses each violation with the owner or administrator | During the inspection, before written notice ("a reasonable attempt") | s. 429.19(8), F.S. | | Statement of deficiencies issued, with a description, the statute or rule violated, and a correction time frame | Within 10 working days of the inspection | Rule 59A-36.023(2)(a), F.A.C. | | Plan of correction filed, if AHCA requires one | Within 10 calendar days after notification, unless AHCA sets another time frame | s. 408.811(5), F.S. | | Deficiencies corrected | Within 30 calendar days after notification, unless AHCA requires or approves another time frame | s. 408.811(4), F.S. | | Request for more time | In writing, before the correction deadline expires | Rule 59A-36.023(2)(b), F.A.C. | | Correction verified | By follow-up visit | s. 429.19(5), F.S. | Be accurate in what you report. AHCA may impose a fine, and for an owner-operated facility revoke or deny the license, when an administrator fraudulently misrepresents action taken to correct a violation (s. 429.19(5), F.S.). ### How do you write a good plan of correction? **A strong plan of correction answers, for each deficiency, what you fixed, how you found everyone affected, what you changed so it won't recur, and who checks it and when.** The statute does not prescribe a format, so this is common practice rather than an AHCA template: 1. **Correct it for the residents or staff named.** For example, obtain the missing health assessment items for the resident cited. 2. **Find the others.** Review every resident or staff file for the same problem, not only the ones the surveyor sampled. 3. **Fix the system.** Change the policy, form, schedule or training that let it happen. 4. **Monitor.** Say who will audit, how often, for how long, and where results are reported. 5. **Name an owner and a date** for each action, within the correction time frame. ## Where are AHCA survey reports published? **ALF inspection reports are public in three places: in the facility itself, on AHCA's consumer website, and with the local ombudsman council and public library.** - **At the facility.** Every ALF must post its last AHCA inspection report in a prominent place accessible to residents and the public, and give a copy to any resident or applicant who asks (s. 429.35(3), F.S.). It must keep copies of all AHCA inspection reports as public information for 5 years (s. 429.35(1), F.S.; Rule 59A-36.015(1)(m), F.A.C.). - **Online.** By law, AHCA's consumer website must list each ALF's violations from the previous 60 months, updated monthly, with a plain-language summary, any sanctions imposed by final order, the date AHCA confirmed corrective action, and links to the inspection reports on file. It must be searchable by facility name, license type, city or ZIP code (s. 429.55(1), F.S.). AHCA's consumer site for this is FloridaHealthFinder (floridahealthfinder.gov). - **Locally.** Within 60 days of an inspection, AHCA sends the results to the local long-term care ombudsman council and to at least one public library in the county (s. 429.35(2), F.S.). ## What do AHCA surveyors cite most often in ALFs? **We have not been able to verify a current official list of the most frequently cited ALF deficiencies, so we don't publish one.** The best primary indicator of AHCA's focus is the list of key quality of care standards above (Rule 59A-36.023(1)(b), F.A.C.). Your own last three survey reports, and those of comparable facilities on FloridaHealthFinder, are the most reliable guide to local patterns. ## AHCA survey readiness checklist **Use this checklist to audit your own files before AHCA arrives.** Each item links to the statute or rule a surveyor would cite. ### Resident records and health assessments - [ ] Each resident had a face-to-face medical examination within 60 days before or 30 days after admission, recorded on AHCA Form 1823 or the practitioner's form (s. 429.26(5), F.S.; Rule 59A-36.006(2), F.A.C.). - [ ] Any items missing from the examination form were obtained and documented within 30 days after admission (Rule 59A-36.006(2)(b), F.A.C.). - [ ] When a resident showed signs of dementia or cognitive impairment, or had a change of condition, a physician was notified within 30 days (s. 429.26(7), F.S.). - [ ] Each resident record contains what Rule 59A-36.015(3), F.A.C., requires, including demographic data, the health assessment, practitioner orders, the resident care record, a weight record (recorded at least semiannually for residents receiving help with activities of daily living), informed consent for medication assistance, medication records, the contract and any addenda, and any Do Not Resuscitate Order (DH Form 1896). - [ ] The admission and discharge log is up to date (Rule 59A-36.015(1)(b), F.A.C.). - [ ] Resident records are kept for 2 years after the resident leaves, and contracts for 5 years (Rule 59A-36.015(3)(q), F.A.C.). ### Medication practices - [ ] There is a documented request and written informed consent for every resident whom unlicensed staff assist with self-administration of medication (s. 429.256(2), F.S.; Rule 59A-36.006(1)(a), F.A.C.). - [ ] Each such resident has a daily medication observation record (MOR), updated immediately each time a medication is offered or administered, showing allergies, the health care provider's name and phone number, each medication's name, strength and directions, and every dose taken, missed or refused, plus any errors (Rule 59A-36.008(5)(b), F.A.C.). - [ ] Every change in directions is backed by a written, faxed or electronic order and recorded promptly in the MOR; telephone orders taken by a nurse are followed by a signed order within 10 working days (Rule 59A-36.008(5)(d)-(e), F.A.C.). - [ ] Stock over-the-counter medications are labeled, stored in a locked container or secure room, and recorded in the MOR when given (Rule 59A-36.008, F.A.C.). - [ ] Every unlicensed staff member who assists with medication completed 6 hours of training from a registered nurse or licensed pharmacist before starting, plus 2 hours of continuing education each year (s. 429.52(6), F.S.; Rule 59A-36.011(6), F.A.C.). ### Staffing and training - [ ] The administrator (and any manager) completed core training and passed the competency test within the required time, and has 12 hours of continuing education every 2 years (s. 429.52(4)-(5), F.S.; Rule 59A-36.011(1), F.A.C.). - [ ] Every new employee without core training completed at least 2 hours of preservice orientation before interacting with residents, with a statement signed by the employee and administrator in the personnel file (s. 429.52(1), F.S.; Rule 59A-36.011(2), F.A.C.). - [ ] In-service training (infection control, adverse incidents and emergency procedures, resident rights and abuse reporting, resident behavior and activities of daily living, food safety, elopement response) was completed on time and documented (Rule 59A-36.011(3), F.A.C.). - [ ] Dementia training under s. 430.5025, F.S., is complete for every employee it applies to. - [ ] A staff member with current first aid and CPR certification is in the facility at all times (Rule 59A-36.011(5), F.A.C.). - [ ] Training certificates in personnel files show the course title, subject, agenda, hours, trainee name, dates, location and the trainer's signature and credentials (Rule 59A-36.011(12), F.A.C.). - [ ] Written work schedules and staff time sheets are kept for the most recent 6 months (Rule 59A-36.015(2)(c), F.A.C.). - [ ] Every week meets the minimum staff hours for your census (for example 212 hours a week for 6 to 15 residents, 253 for 16 to 25), counting only on-the-job staff, and you have enough qualified staff to meet residents' scheduled and unscheduled needs (Rule 59A-36.010(3)(a)-(b), F.A.C.). - [ ] If you have 17 or more residents, at least one staff member is awake at all hours of the day and night (Rule 59A-36.010(3)(a)4., F.A.C.). See [Florida ALF staff training and background screening](https://d3kof0zbodw3pw.cloudfront.net/florida-alf-staff-training/) for the full requirements in tables. ### Background screening - [ ] The licensee (if an individual), administrator, financial officer, controlling interests, and staff or contractors who provide personal care or have access to residents' funds, property or living areas have Level 2 background screening through AHCA (s. 408.809(1), F.S.; s. 429.174, F.S.). - [ ] Rescreening is tracked on a 5-year cycle (s. 408.809(2), F.S.). - [ ] Each personnel file documents screening compliance (s. 429.275(2), F.S.; Rule 59A-36.015(2)(a), F.A.C.). ### Incidents and emergency planning - [ ] Adverse incidents (as defined in s. 429.23(2), F.S., including resident elopement that puts the resident at risk) get a preliminary report to AHCA through its online portal within 1 business day and a full report within 15 days (s. 429.23(3)-(4), F.S.). - [ ] Suspected abuse, neglect or exploitation is reported to the Department of Children and Families under Chapter 415, F.S. (s. 429.23(6), F.S.). - [ ] The comprehensive emergency management plan follows AHCA Form 3180-5006, is reviewed and submitted every year, and significant changes are submitted within 30 days; the county emergency management agency is the final authority on the plan (Rule 59A-36.019(1)-(2), F.A.C.). - [ ] All staff are trained in their duties under the emergency plan, and new staff within 30 days of starting (Rule 59A-36.019(3)(a), F.A.C.). ### Resident rights, contracts and safety - [ ] Every resident has a contract signed at or before admission (s. 429.24, F.S.). - [ ] The facility has a grievance procedure and abuse prevention policies (Rule 59A-36.015(1), F.A.C.), and staff are trained on resident rights under s. 429.28, F.S. - [ ] Elopement response policies are in place, all staff were trained within 30 days of hire, and elopement drills are documented (Rule 59A-36.011(3)(f), Rule 59A-36.015(1)(n)-(o), F.A.C.). ### Facility records - [ ] The license is displayed in a conspicuous public place (Rule 59A-36.015(1)(a), F.A.C.). - [ ] The emergency management plan, with the county emergency management agency's review, is on file and readily available (Rule 59A-36.015(1)(d), F.A.C.). - [ ] Liability insurance is in force and on file (s. 429.275(3), F.S.; Rule 59A-36.015(1)(e), F.A.C.). - [ ] AHCA survey, inspection and complaint reports from the last 5 years, and fire safety and sanitation inspection reports from the last 2 years, are on file (Rule 59A-36.015(1)(k)-(m), F.A.C.). - [ ] Policies required by Rule 59A-36.015(1), F.A.C., are on file, including medication practices, physical restraints, assistive devices, third-party providers and visitation. ### Dementia care and advertising - [ ] If you advertise special care for people with Alzheimer's disease or related disorders, you meet the standards in s. 429.178, F.S., and keep copies of those ads (s. 429.177, F.S.; Rule 59A-36.015(1)(h), F.A.C.). - [ ] You have checked whether you will need Florida's new Memory Care Services license. See [our SB 1404 guide](https://d3kof0zbodw3pw.cloudfront.net/florida-memory-care-license/). ## How Care Copilot helps Care Copilot is building a Florida version of its AI file audit. It reads every resident and staff file you export, not a sample, checks each against Chapter 429 F.S. and Chapter 59A-36 F.A.C., and lists likely deficiencies with the statute or rule, a suggested class, the exact evidence and a draft plan of correction for your administrator to review. It does not observe care or interview residents or staff, so it works alongside your own rounds and mock surveys. We are opening early access to a small group of founding Florida operators; it is not yet available in the US. [Learn about early access](https://d3kof0zbodw3pw.cloudfront.net/early-access/). ## Sources - [Section 408.806, F.S. (2026): License application process](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.806.html) - [Section 408.809, F.S. (2026): Background screening; prohibited offenses](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.809.html) - [Section 408.811, F.S. (2026): Right of inspection; inspection reports; plan for correction of deficiencies](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.811.html) - [Section 408.813, F.S. (2026): Administrative fines; violations](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.813.html) - [Section 429.07, F.S. (2026): License required; fee](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.07.html) - [Section 429.174, F.S. (2026): Background screening](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.174.html) - [Section 429.177, F.S. (2026): Alzheimer's disclosures](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.177.html) - [Section 429.178, F.S. (2026): Special care for persons with Alzheimer's disease](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.178.html) - [Section 429.19, F.S. (2026): Violations; administrative fines](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.19.html) - [Section 429.23, F.S. (2026): Internal risk management and quality assurance; adverse incidents](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.23.html) - [Section 429.24, F.S. (2026): Contracts](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.24.html) - [Section 429.256, F.S. (2026): Assistance with self-administration of medication](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.256.html) - [Section 429.26, F.S. (2026): Appropriateness of placements; examinations of residents](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.26.html) - [Section 429.275, F.S. (2026): Business practice; personnel records; liability insurance](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.275.html) - [Section 429.28, F.S. (2026): Resident bill of rights](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.28.html) - [Section 429.34, F.S. (2026): Right of entry and inspection](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.34.html) - [Section 429.35, F.S. (2026): Maintenance of records; reports](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.35.html) - [Section 429.52, F.S. (2026): Staff training and educational requirements](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.52.html) - [Section 429.55, F.S. (2026): Consumer information website](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.55.html) - [Rule 59A-36.006, F.A.C.: Admission Procedures, Appropriateness of Placement and Continued Residency Criteria](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.006) - [Rule 59A-36.008, F.A.C.: Medication Practices](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.008) - [Rule 59A-36.010, F.A.C.: Staffing Standards](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.010) - [Rule 59A-36.011, F.A.C.: Staff Training Requirements and Competency Test](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.011) - [Rule 59A-36.015, F.A.C.: Records](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.015) - [Rule 59A-36.019, F.A.C.: Emergency Management](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.019) - [Rule 59A-36.023, F.A.C.: Administrative Enforcement](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.023) - [FloridaHealthFinder, Florida Agency for Health Care Administration](https://www.floridahealthfinder.gov/) --- # Florida ALF Staff Training and Background Screening Requirements > Florida ALF training in tables: 26-hour administrator core training, 2-hour preservice, in-service, dementia, 6-hour medication training, Level 2 screening. Last updated: November 7, 2026 Canonical URL: https://d3kof0zbodw3pw.cloudfront.net/florida-alf-staff-training/ **Florida assisted living facility (ALF) staff training is set by section 429.52, Florida Statutes, and Rule 59A-36.011, Florida Administrative Code, with dementia training in section 430.5025, F.S.** Administrators need 26 hours of core training plus a competency test, new staff who have not completed core training need a preservice orientation of at least 2 hours before working with residents, unlicensed staff who help with medication need 6 hours of training first, and anyone who provides personal care or has access to residents needs Level 2 background screening through the Agency for Health Care Administration (AHCA). *Last checked against primary sources on November 7, 2026. This guide is general information, not legal advice. Florida's new Memory Care Services license will add training standards once AHCA adopts its rules; see [our SB 1404 guide](https://d3kof0zbodw3pw.cloudfront.net/florida-memory-care-license/).* ## What training do Florida ALF administrators need? **An ALF administrator must complete at least 26 hours of core training and pass a competency test (minimum score 75%) within 3 months of becoming administrator, then complete 12 hours of continuing education every 2 years.** Managers have the same requirements. | Requirement | Detail | Source | |---|---|---| | Core training | At least 26 hours, plus a competency test | Rule 59A-36.011(1)(a), F.A.C. | | Deadline | Within 3 months of becoming administrator or manager (the statute says within 90 days after employment as administrator) | Rule 59A-36.011(1)(b), F.A.C.; s. 429.52(4), F.S. | | Passing score | 75% | Rule 59A-36.011(1)(b), F.A.C. | | Test fee | Not more than $200, paid to the entity giving the test; a new fee each time it is taken | Rule 59A-36.011(1)(e), F.A.C. | | Continuing education | 12 contact hours every 2 years, in topics related to assisted living | s. 429.52(5), F.S.; Rule 59A-36.011(1)(c), F.A.C. | | Lapsed continuing education | Treated as a new administrator: must retake core training and pass the test again | Rule 59A-36.011(1)(d), F.A.C. | | Exemption | Nursing home administrators licensed under Part II of Chapter 468, F.S. | s. 429.52(4), F.S.; Rule 59A-36.011(1)(b), F.A.C. | | Food service | The administrator, or the person designated to supervise food service, needs 2 hours of nutrition and food service continuing education each year (some exemptions apply) | Rule 59A-36.011(7), F.A.C. | Core training must be given by a trainer registered with AHCA (s. 429.52(10), F.S.). The core competency test must cover at least state law and rules, resident rights and abuse reporting, special needs of elderly people and people with mental illness or developmental disabilities, nutrition and food service, medication management, fire safety and emergency procedures, and care of people with Alzheimer's disease and related disorders (s. 429.52(3), F.S.). Failing to complete core training on time is a violation subject to a fine under s. 429.19, F.S. (s. 429.52(4), F.S.). ### What extra training do specialty-licensed facilities need? | License | Who | Training | Source | |---|---|---|---| | Extended congregate care (ECC) | Administrator and ECC supervisor | Core training plus 4 hours of initial ECC training, before the ECC license is issued or within 3 months of starting; then 4 hours of continuing education every 2 years | Rule 59A-36.011(8)(a)-(b), F.A.C. | | Extended congregate care (ECC) | Direct care staff in the ECC program | At least 2 hours of in-service training within 6 months of starting | Rule 59A-36.011(8)(c), F.A.C. | | Limited mental health (LMH) | Administrator, managers and staff with direct contact with mental health residents | At least 6 hours of specialized training within 6 months, then at least 3 hours of continuing education every 2 years | Rule 59A-36.011(9), F.A.C. | | Memory care services | To be set by AHCA rule | Must meet or exceed s. 430.5025, F.S.; rules not yet adopted | s. 429.076(2)(d), F.S. | ## What training do new ALF staff need before working with residents? **Every new employee who has not completed core training must finish a preservice orientation of at least 2 hours before interacting with residents.** The orientation must cover resident rights and the facility's license type and services. The employee and the administrator both sign a statement that it was completed, and the statement goes in the personnel file (s. 429.52(1)(a), F.S.; Rule 59A-36.011(2), F.A.C.). If an employee completes the 1-hour dementia training under s. 430.5025, F.S., before interacting with residents, it can count toward the 2 hours (s. 429.52(1)(c), F.S.). ## What in-service training do ALF staff need? **Most ALF in-service training must be completed within 30 days of employment, and infection control training must be done before giving personal care** (Rule 59A-36.011(3), F.A.C.). | Training | Who | Minimum | When | Source | |---|---|---|---|---| | Infection control, universal precautions and sanitation | Direct care staff (except nurses, CNAs and home health aides trained under Rule 59A-8.0095) | 1 hour | Before providing personal care | Rule 59A-36.011(3)(a) | | Reporting adverse incidents; emergency procedures and evacuation roles | Direct care staff | 1 hour | Within 30 days | Rule 59A-36.011(3)(b) | | Resident rights; recognizing and reporting abuse, neglect and exploitation | Direct care staff who have not taken core training | 1 hour | Within 30 days | Rule 59A-36.011(3)(c) | | Resident behavior and needs; assisting with activities of daily living | Direct care staff (except nurses, CNAs and home health aides trained under Rule 59A-8.0095) | 3 hours | Within 30 days | Rule 59A-36.011(3)(d) | | Safe food handling | Staff who prepare or serve food and have not taken core training | 1 hour | Within 30 days | Rule 59A-36.011(3)(e) | | Elopement response policies and procedures | All staff | Must demonstrate understanding and competency | Within 30 days | Rule 59A-36.011(3)(f) | | HIV/AIDS | All employees (except those subject to s. 456.033, F.S.) | One-time course | Within 30 days | Rule 59A-36.011(4) | | Do Not Resuscitate Order (DNRO) policies | Administrators, managers, direct care staff and admissions staff | 1 hour | Within 30 days | Rule 59A-36.011(11) | **First aid and CPR.** A staff member with current first aid and CPR certification must be in the facility at all times. A CPR course must include an in-person skills demonstration and come from an approved provider such as the American Red Cross or American Heart Association (Rule 59A-36.011(5), F.A.C.). ## What Alzheimer's and dementia training do ALF staff need? **Every ALF employee must receive basic written information about dementia on hire, and those who give personal care or have regular contact with residents must complete a free 1-hour Department of Elder Affairs course within 30 days.** Staff who provide personal care then need 3 more hours within 7 months. Facilities that advertise and provide specialized Alzheimer's care have shorter deadlines and an extra 4 hours plus annual continuing education (s. 430.5025(4), F.S.; s. 429.52(1)(b), F.S.). | Training | Who | Hours | Deadline | Source | |---|---|---|---|---| | Basic written information about interacting with people with dementia | Every employee | Not specified | On starting employment | s. 430.5025(4)(a), F.S. | | Department of Elder Affairs dementia course (online, free) | Employees who provide personal care or have regular contact with residents | 1 hour | Within 30 days of starting | s. 430.5025(4)(b), F.S. | | Additional dementia training: behavior management, independence in daily living, working with families, activities, environment, ethics | Employees who provide personal care | 3 hours | Within 7 months of starting | s. 430.5025(4)(d), F.S. | **If the ALF advertises and provides, or is designated to provide, specialized care for people with Alzheimer's disease or related dementia** (s. 430.5025(4)(e), F.S.): | Training | Who | Hours | Deadline | |---|---|---|---| | The 3 hours above | Employees who provide personal care or have regular contact with residents | 3 hours | Within 3 months of starting | | Dementia-specific training: the disease and its stages, communication, medical information, stress management | Employees who provide personal care | 4 hours | Within 6 months of starting | | Continuing education | Employees who provide personal care | At least 4 hours | Every calendar year; on-the-job training may count for no more than 2 hours | Notes: - "Employee" here means a person, contracted staff member or independent contractor who must undergo Level 2 background screening (s. 430.5025(2)(d), F.S.). - An employee who has completed the training does not have to repeat it after moving to another covered provider (s. 430.5025(4)(b)3., F.S.). - The facility must keep a record of each employee's completion of the 1-hour course (s. 430.5025(4)(b)2., F.S.). - Employees of an ALF licensed for limited mental health are exempt from the 3-hour requirement in s. 430.5025(4)(d) (s. 429.52(1)(b), F.S.). - Rule 59A-36.011(10), F.A.C., also applies the s. 430.5025 training to facilities that maintain secured areas under the Florida Building Code, as well as those advertising special Alzheimer's care. ## What training do unlicensed staff need to help with medication? **Unlicensed staff must complete at least 6 hours of training from a registered nurse or licensed pharmacist before assisting residents with self-administration of medication, then 2 hours of continuing education every year** (s. 429.52(6), F.S.; Rule 59A-36.011(6), F.A.C.). | Requirement | Detail | Source | |---|---|---| | Initial training | At least 6 hours, by a registered nurse or licensed pharmacist, before providing assistance | s. 429.52(6), F.S. | | Competency | The trainer issues a certificate only after the trainee demonstrates the skills in person, physically and verbally | Rule 59A-36.011(6)(b), F.A.C. | | Annual continuing education | At least 2 hours each year on assisting with self-administered medication and safe medication practices; may be online | Rule 59A-36.011(6)(c), F.A.C. | | Staff trained under the older 4-hour course | 2 more hours on the newer tasks (such as prefilled insulin, nebulizers, glucometers, oxygen cannulas and CPAP, blood pressure and vital signs) before doing those tasks | Rule 59A-36.011(6)(d), F.A.C. | Skills the trainee must demonstrate include reading a prescription label, assisting with oral, topical, eye, ear and nasal medications, measuring liquids and breaking or crushing tablets as directed, recognizing "as needed" orders that need clarification, completing a medication observation record, and recognizing and reporting adverse reactions (Rule 59A-36.011(6)(b), F.A.C.). Before unlicensed staff assist a resident, the facility needs a documented request and written informed consent from the resident or their surrogate, guardian or attorney in fact (s. 429.256(2), F.S.). ## Who needs Level 2 background screening in a Florida ALF? **Level 2 screening through AHCA is required for the licensee (if an individual), the administrator, the financial officer, anyone with a controlling interest, and staff or contractors who provide personal care or services to residents or have access to residents' funds, property or living areas** (s. 408.809(1), F.S.; s. 429.174, F.S.). Contractors who work 20 hours a week or more with access to residents' funds, property or living areas are included. | Requirement | Detail | Source | |---|---|---| | What Level 2 means | Fingerprint-based statewide (FDLE) and national (FBI) criminal history checks, local criminal records checks, and a search of sex offender registries | s. 435.04(1)(a), F.S. | | Where it runs | Through AHCA's Care Provider Background Screening Clearinghouse | s. 408.809(1), F.S.; s. 435.12, F.S. | | Employer registration | The employer must register with the Clearinghouse and start all checks through it before sending someone for fingerprinting | s. 435.12(2)(d), F.S. | | Status updates | The employer must keep each person's employment status current in the Clearinghouse, reporting changes within 5 business days | s. 435.12(2)(c), F.S. | | Rescreening | Every 5 years | s. 408.809(2), F.S. | | Disqualifying offenses | Those in s. 435.04, F.S., plus the additional offenses listed in s. 408.809(4), F.S., such as Medicaid fraud, patient brokering and certain fraud and forgery offenses | ss. 435.04, 408.809(4), F.S. | | Exemptions | AHCA may grant an exemption from disqualification under Chapter 435 (or the relevant Department of Health board, for licensed professionals working within their license) | s. 408.809(6), F.S. | | Cost | Paid by the licensee or the person screened; the facility may reimburse | s. 408.809(5), F.S. | | Records | Each personnel file must document background screening compliance | s. 429.275(2), F.S.; Rule 59A-36.015(2)(a), F.A.C. | | Penalty | $500 fine for noncompliance with background screening requirements, regardless of class | s. 429.19(2)(e), F.S. | ## What must be in an ALF personnel file? **Each staff personnel file must hold the employment application with references, proof of freedom from communicable disease, training and continuing education records, copies of required licenses or certifications, and background screening documentation** (Rule 59A-36.015(2), F.A.C.; s. 429.275(2), F.S.). Facilities with a licensed capacity of 17 or more residents also keep each staff member's job description, and files must show direct care staff and administrator participation in elopement drills. Training certificates must show the course title, subject, agenda, hours, the trainee's name, dates and location, and the trainer's name, dated signature, credentials and license number if applicable (Rule 59A-36.011(12), F.A.C.). Work schedules and staff time sheets must be kept for the most recent 6 months (Rule 59A-36.015(2)(c), F.A.C.). ## How Care Copilot helps Training and screening gaps are easy to miss when files are checked by hand. Care Copilot is building a Florida version of its AI file audit that reads every staff file, checks each training certificate, deadline and screening record against s. 429.52, s. 430.5025, Chapter 435 and Rule 59A-36.011, and lists what is missing or late with the evidence and a due date. We are opening early access to a small group of founding Florida operators; it is not yet available in the US. [Learn about early access](https://d3kof0zbodw3pw.cloudfront.net/early-access/). ## Sources - [Section 429.52, F.S. (2026): Staff training and educational requirements](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.52.html) - [Section 430.5025, F.S. (2026): Alzheimer's disease and related forms of dementia; education and training](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0430/Sections/0430.5025.html) - [Section 429.256, F.S. (2026): Assistance with self-administration of medication](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.256.html) - [Section 429.174, F.S. (2026): Background screening](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.174.html) - [Section 408.809, F.S. (2026): Background screening; prohibited offenses](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.809.html) - [Section 435.04, F.S. (2026): Level 2 screening standards](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0435/Sections/0435.04.html) - [Section 435.12, F.S. (2026): Care Provider Background Screening Clearinghouse](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0435/Sections/0435.12.html) - [Section 429.275, F.S. (2026): Business practice; personnel records; liability insurance](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.275.html) - [Section 429.19, F.S. (2026): Violations; administrative fines](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.19.html) - [Section 429.076, F.S. (2026): Memory care services license](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.076.html) - [Rule 59A-36.011, F.A.C.: Staff Training Requirements and Competency Test](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.011) - [Rule 59A-36.015, F.A.C.: Records](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.015) - [Rule 59A-36.010, F.A.C.: Staffing Standards](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.010) --- # How Care Copilot's AI Survey-Readiness Audit Works > How Care Copilot's AI audits Florida ALF files: an auditor agent cites evidence, a reviewer re-checks it, and you get likely deficiencies and a draft plan. Last updated: November 7, 2026 Canonical URL: https://d3kof0zbodw3pw.cloudfront.net/how-it-works/ **Care Copilot reads a facility's resident and staff files, checks them against the regulator's rules, and produces a list of likely deficiencies, each tied to a rule and backed by a quote from the source document, with a prioritized action plan.** Two AI agents do the work: an auditor that records every issue with its evidence, and a separate reviewer that re-opens every cited source and corrects, merges or drops issues before you see them. People at the facility review and decide what to act on. The engine runs today for home care providers in the UK, where it audits records against the Care Quality Commission (CQC) standards. The Florida version, for assisted living facility (ALF) and memory care operators, applies the same method to Florida's rules. We are opening early access to a small group of founding Florida operators; no US facility uses it yet. ## What goes in? **The audit reads the documents and exports you already have; you do not change systems.** - **Resident files:** health assessments (AHCA Form 1823 or the practitioner's form), medication observation records, practitioner orders, resident contracts and addenda, care records, informed consent forms and DNROs. - **Staff files:** training certificates, preservice orientation statements, background screening records, licenses and certifications, schedules and time sheets. - **Facility documents:** policies and procedures, admission packets, emergency management plan, elopement drill records, and dementia-care advertising. Exports from your EHR or care management system, PDFs and scans are all fine. Care Copilot does not need a login to your systems. ## How does the AI audit work? **An auditor agent works through a written playbook, and a separate reviewer agent checks the auditor's work against the original documents.** 1. **A playbook sets the checks.** In the UK, the playbook was written by a former CQC regional head of compliance and sets out what an inspector looks for in each record. For Florida, the checks map to Part I of Chapter 429, Florida Statutes, and Chapter 59A-36, Florida Administrative Code: for example, whether a health assessment was completed within 60 days before or 30 days after admission (s. 429.26(5), F.S.), or whether every medication observation record has the fields Rule 59A-36.008(5)(b), F.A.C., requires. 2. **The auditor agent records every issue with a citation.** Each issue names the document and page, or the record ID, and quotes the exact text it relies on. No citation, no issue. 3. **The reviewer agent re-checks each one.** A second agent opens every cited source again, confirms the quote says what the auditor claims, and corrects, merges duplicate issues, or drops issues that the evidence does not support. 4. **The results are assembled per area.** You get a rating for each standard, the issues with their evidence, the positive practice the audit found, and an action plan. ## What comes out? **For a Florida ALF, the output is a list of likely deficiencies tied to the statute or rule, each with a suggested severity, the evidence and a draft plan of correction.** | Output | What it contains | |---|---| | Rating per area | Where each area stands: for example resident records and health assessments, medication practices, staff training, background screening, resident rights and contracts, facility records | | Likely deficiencies | Each issue with the statute or rule it relates to (for example Rule 59A-36.011(2), F.A.C.), the residents or staff affected, and a suggested class I to IV using AHCA's definitions in s. 408.813, F.S. | | Evidence | The document and page, or the record ID, with the exact quote, so you can check every finding yourself | | Positives | Good practice the audit found, so the picture is not only problems | | Action plan | Prioritized actions with due dates that your team can turn into tracked tasks | | Draft plan of correction | For each likely deficiency: the fix for the people affected, how to find others, the system change, monitoring, an owner and a date, for your administrator to edit | Severity is a suggestion. Only AHCA decides how a violation is classed in a survey. ## Who reviews the results? **Your team does.** Every finding links to its source so your administrator, nurse or compliance lead can check it against the original, reject it, or add context. The audit is designed to help you prepare; the decisions stay with the people who know the residents. ## What doesn't Care Copilot do? **Care Copilot reviews records. It does not observe care, interview residents or staff, or inspect the building.** - It is not legal advice and does not tell you how a surveyor will rule. - It does not replace your EHR or care management system; it reads exports from them. - It does not replace AHCA surveyors, your own rounds, or a mock survey by an experienced consultant. It works best alongside them. - It cannot find problems that are not in the records, such as care that was given but not documented, or documented but not given. - It does not yet include rules for Florida's Memory Care Services license, because AHCA has not adopted them. We plan to add them once they are final. See [our SB 1404 guide](https://d3kof0zbodw3pw.cloudfront.net/florida-memory-care-license/). ## How is data handled during the pilot? **The free [readiness self-check](https://d3kof0zbodw3pw.cloudfront.net/self-check/) asks about your facility and your processes, not your residents, and collects no resident data.** Please don't include any resident or health information when you fill it in. A founding pilot that involves real resident or staff records only starts after the data handling terms are agreed with you in writing. Care Copilot is a UK company; it does not currently claim HIPAA compliance or SOC 2 certification, and it will be clear with each pilot operator about where data is processed and stored. ## How Care Copilot helps If you run a Florida ALF or memory care community and want to know where your files stand before your next survey, or before the memory care rules arrive, take the [free readiness self-check](https://d3kof0zbodw3pw.cloudfront.net/self-check/) or [apply for early access](https://d3kof0zbodw3pw.cloudfront.net/early-access/). ## Sources - [Section 429.26, F.S. (2026): Appropriateness of placements; examinations of residents](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.26.html) - [Section 408.813, F.S. (2026): Administrative fines; violations (class I to IV definitions)](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.813.html) - [Rule 59A-36.008, F.A.C.: Medication Practices](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.008) - [Rule 59A-36.011, F.A.C.: Staff Training Requirements and Competency Test](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.011) - [Chapter 59A-36, F.A.C.: Assisted Living Facility, flrules.org](https://www.flrules.org/gateway/ChapterHome.asp?Chapter=59A-36) - [Section 429.076, F.S. (2026): Memory care services license](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.076.html) --- # Florida ALF Memory Care License and AHCA Survey FAQ > Answers on Florida's Memory Care Services license (SB 1404), AHCA surveys, deficiency classes, fines, ALF training, and what Care Copilot is and isn't. Last updated: November 7, 2026 Canonical URL: https://d3kof0zbodw3pw.cloudfront.net/faq/ *Regulatory answers last checked against primary sources on November 7, 2026. They are general information, not legal advice.* ## What is Florida's new memory care license? **It is the Memory Care Services license, a new specialty license for assisted living facilities created by SB 1404 in 2026 (Chapter 2026-102, Laws of Florida, now section 429.076, Florida Statutes).** An ALF that serves memory care residents, or advertises memory care, must hold it in addition to its standard license. The Agency for Health Care Administration (AHCA) must adopt the rules that set its minimum standards. Full details: [Florida Memory Care Services license guide](https://d3kof0zbodw3pw.cloudfront.net/florida-memory-care-license/). ## When is the deadline for the Florida memory care license? **AHCA must adopt the memory care rules by June 1, 2027, and an ALF licensed before the rules take effect must obtain the license within six months after they take effect** (s. 429.076(2) and (4), F.S.). Facilities licensed on or after the rules' effective date need the license from the start before serving memory care residents. The exact date for existing facilities depends on when the rules take effect, which is not yet known. ## Does my assisted living facility need a memory care license? **Your ALF needs the license if it serves one or more memory care residents, or advertises or otherwise holds itself out as providing memory care services** (s. 429.076, F.S.). A "memory care resident" is a resident with Alzheimer's disease or a related dementia in a facility that claims or represents that it provides specialized care, services or activities for that condition, whether or not those are listed in the contract (s. 429.02(15), F.S.). A facility that only offers optional supportive services available to all residents does not need the license, as long as it follows AHCA's advertising rules. ## What happens if my ALF doesn't get a memory care license? **After the six-month window, an ALF without the license may not begin or continue to provide memory care services, serve memory care residents, or advertise memory care, unless it qualifies for a narrow exception** (s. 429.076(4)-(5), F.S.). The exception lets a facility keep serving memory care residents it accepted before the rules took effect if it shows AHCA it cannot reasonably get the license, tells residents and caregivers, helps them find another facility on request, and accepts no new memory care residents. AHCA has not yet published rules on how it will enforce the license. ## Has AHCA published the memory care rules yet? **No. As of November 7, 2026, AHCA is in rule development and has not published a Notice of Proposed Rule.** It published a Notice of Rule Development for a new Rule 59A-36.0225, Memory Care Services, on June 18, 2026, and held a workshop on July 9, 2026. On October 28, 2026, it published a second notice to amend Rules 59A-36.003, .006, .011, .015 and .018 to implement SB 1404, with a workshop and public meeting on November 17, 2026. You can follow both on flrules.org. ## Can my facility still advertise memory care before the rules are final? **Yes, under current law, as long as you meet Florida's existing rules for advertising special Alzheimer's care.** Until AHCA adopts the memory care rules, a facility that advertises special care for Alzheimer's disease must meet s. 429.178, F.S. (including an awake staff member at all hours if it has 17 or more residents) and disclose its specialized services under s. 429.177, F.S. Once the rules take effect, a facility licensed before that date has six months to get the memory care license to keep advertising memory care; the statute lists terms such as "memory care," "dementia care" and "Alzheimer's care" as restricted. ## How often does AHCA survey assisted living facilities? **AHCA conducts relicensure surveys of Florida ALFs every two years, unannounced** (s. 408.811(1), F.S.). It also inspects new facilities before licensing, investigates complaints, makes follow-up visits to verify corrections, and must conduct an additional inspection within six months after a class I violation, or after three or more class II violations from separate surveys within 60 days or from unrelated circumstances in the same survey (s. 429.34(2), F.S.). Facilities with a clean record may get an abbreviated survey focused on key quality of care standards (Rule 59A-36.023(1), F.A.C.). See [How to prepare for an AHCA survey](https://d3kof0zbodw3pw.cloudfront.net/ahca-survey-readiness/). ## How do AHCA deficiency classes work? **AHCA classes each violation from I to IV by how seriously it is likely to affect residents** (s. 408.813(2), F.S.): - **Class I:** an imminent danger, or a substantial probability of death or serious physical or emotional harm. - **Class II:** directly threatens residents' physical or emotional health, safety or security. - **Class III:** indirectly or potentially threatens residents' health, safety or security. - **Class IV:** relates to reports, forms or documents and has no potential to negatively affect residents. AHCA can also describe a violation's scope as isolated, patterned or widespread. ## How much are AHCA fines for assisted living facilities? **For ALFs, the fine per violation is $5,000 to $10,000 for class I, $1,000 to $5,000 for class II, $500 to $1,000 for class III, and $100 to $200 for class IV** (s. 429.19(2), F.S.). Class I and II fines are imposed even if the violation is corrected; class III and IV violations are not fined if corrected within the time AHCA specifies (s. 408.813(2), F.S.). Background screening noncompliance carries a $500 fine regardless of class (s. 429.19(2)(e), F.S.). ## How long do I have to correct an AHCA deficiency? **A deficiency must generally be corrected within 30 calendar days after you are notified of the inspection results, unless AHCA requires or approves a different time frame** (s. 408.811(4), F.S.). If AHCA requires a plan of correction, it is due within 10 calendar days after notification (s. 408.811(5), F.S.). A class I condition must be abated within 24 hours unless AHCA sets a fixed period (s. 408.813(2)(a), F.S.). AHCA issues the statement of deficiencies within 10 working days of the inspection (Rule 59A-36.023(2), F.A.C.). ## Where can I find my facility's AHCA survey report? **Your facility must keep its AHCA inspection reports for 5 years and post the latest one in a prominent place; AHCA also publishes ALF violations and links to inspection reports on its consumer website, FloridaHealthFinder.** By law, that website must list each ALF's violations from the previous 60 months, updated monthly (s. 429.55(1), F.S.; s. 429.35, F.S.). AHCA also sends inspection results to the local ombudsman council and at least one public library in the county. ## How many hours of training does a Florida ALF administrator need? **A Florida ALF administrator needs at least 26 hours of core training and a passing score of 75% on the competency test within 3 months of starting, then 12 hours of continuing education every 2 years** (Rule 59A-36.011(1), F.A.C.; s. 429.52(4)-(5), F.S.). Licensed nursing home administrators are exempt from core training. See [Florida ALF staff training requirements](https://d3kof0zbodw3pw.cloudfront.net/florida-alf-staff-training/). ## What dementia training do Florida ALF staff need? **Every ALF employee who gives personal care or has regular contact with residents must complete a 1-hour Department of Elder Affairs dementia course within 30 days of starting, and staff who give personal care need 3 more hours within 7 months** (s. 430.5025(4), F.S.). In ALFs that advertise and provide specialized Alzheimer's care, the 3 hours are due within 3 months, a further 4 hours within 6 months, and 4 hours of continuing education every calendar year. The memory care license rules must set training that meets or exceeds these requirements. ## What is Care Copilot? **Care Copilot is AI software that audits care records against the regulator's rules and produces likely findings with evidence and an action plan.** In the UK it works with home care providers, checking records against the Care Quality Commission's standards. For Florida, we are testing a version for assisted living and memory care operators that checks resident and staff files against Chapter 429 F.S. and Chapter 59A-36 F.A.C., flags likely deficiencies before a survey, and drafts a plan of correction. See [how it works](https://d3kof0zbodw3pw.cloudfront.net/how-it-works/). ## Is Care Copilot available in Florida? **Not yet: Care Copilot is opening early access to a small group of founding Florida operators, and is not generally available in the US.** It has no US customers today. You can take the [free readiness self-check](https://d3kof0zbodw3pw.cloudfront.net/self-check/) or apply for the founding pilot on our [early access page](https://d3kof0zbodw3pw.cloudfront.net/early-access/). ## Is Care Copilot a UK company? **Yes. Care Copilot Ltd is a UK company, and it has no US entity or US office today.** It was founded with a multi-office home care provider in England and works with home care businesses across the UK. In the US, it is testing demand in Florida. See [About Care Copilot](https://d3kof0zbodw3pw.cloudfront.net/about/). ## Does Care Copilot need resident data? **The free [readiness self-check](https://d3kof0zbodw3pw.cloudfront.net/self-check/) does not: it asks about your facility and processes and collects no resident data.** Please don't include any resident or health information in it. An audit of real files does use resident and staff records, so a founding pilot that involves them only starts once data handling terms are agreed with you in writing. Care Copilot does not currently claim HIPAA compliance or SOC 2 certification. ## How is Care Copilot different from an EHR? **An EHR or care management system is where you record care; Care Copilot reads those records afterwards and checks them against the rules.** It works from exports, PDFs and scans of the documents you already have, so you keep your current system and your team's routine. It does not do care planning, eMAR, billing or scheduling. ## Does Care Copilot guarantee a deficiency-free survey? **No.** Care Copilot reviews records, so it can find documentation gaps before a surveyor does, but it does not observe care, interview residents or staff, or inspect the building, and only AHCA decides what is cited. It is not legal advice. ## What does Care Copilot cost? **Pilot pricing is set with founding operators.** There is no public US price yet. The [readiness self-check](https://d3kof0zbodw3pw.cloudfront.net/self-check/) is free. ## Sources - [Section 429.076, F.S. (2026): Memory care services license](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.076.html) - [Section 429.02, F.S. (2026): Definitions](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.02.html) - [CS/CS/SB 1404 (2026), Memory Care: bill page and history, The Florida Senate](https://www.flsenate.gov/Session/Bill/2026/1404) - [Rule 59A-36.0225, Memory Care Services: notice history, flrules.org](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.0225) - [Notice of Rule Development, Rules 59A-36.003, .006, .011, .015, .018, October 28, 2026, flrules.org](https://www.flrules.org/Gateway/View_notice.asp?id=31542962) - [Section 429.177, F.S. (2026): Alzheimer's disclosures](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.177.html) - [Section 429.178, F.S. (2026): Special care for persons with Alzheimer's disease](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.178.html) - [Section 408.811, F.S. (2026): Right of inspection; plan for correction of deficiencies](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.811.html) - [Section 408.813, F.S. (2026): Administrative fines; violations](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0408/Sections/0408.813.html) - [Section 429.19, F.S. (2026): Violations; administrative fines](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.19.html) - [Section 429.34, F.S. (2026): Right of entry and inspection](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.34.html) - [Section 429.35, F.S. (2026): Maintenance of records; reports](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.35.html) - [Section 429.55, F.S. (2026): Consumer information website](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.55.html) - [Section 429.52, F.S. (2026): Staff training and educational requirements](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.52.html) - [Section 430.5025, F.S. (2026): Alzheimer's disease and related dementia education and training](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0430/Sections/0430.5025.html) - [Rule 59A-36.011, F.A.C.: Staff Training Requirements and Competency Test](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.011) - [Rule 59A-36.023, F.A.C.: Administrative Enforcement](https://www.flrules.org/gateway/ruleNo.asp?id=59A-36.023) - [FloridaHealthFinder, Florida Agency for Health Care Administration](https://www.floridahealthfinder.gov/) --- # About Care Copilot > Care Copilot is a UK company whose AI audits care records against the regulator's rules. It is testing a Florida ALF version; it has no US customers yet. Last updated: November 7, 2026 Canonical URL: https://d3kof0zbodw3pw.cloudfront.net/about/ **Care Copilot is a UK company that builds AI to audit care records against the regulator's rules, so care teams spend less time on paperwork and more time on care.** In the UK, we work with home care providers regulated by the Care Quality Commission (CQC). We are now testing whether Florida's assisted living and memory care operators want the same thing for AHCA surveys. ## Where did Care Copilot start? **Care Copilot started inside a home care office in England.** Our co-founders, Jake Hall and Mike Jefferies, asked a simple question: what can AI do to cut the admin in a care office, so teams can spend more time with the people they care for? Mike co-owns four Home Instead home care franchises in England and offered his own offices as the first place to try it. Jake, a software architect and AI engineer who previously worked on AI transformation projects as a technology consultant at EY, leads the AI and engineering. What began as a checker for visit logs grew into an auditing platform for care plans, needs assessments, medication records and full client files. Care Copilot now works with more than 100 home care businesses across the UK. ## What does Care Copilot do in the UK? **In the UK, Care Copilot audits every client file a home care provider holds, not just a sample, against CQC standards.** An AI auditor follows a playbook written by a former CQC regional head of compliance and records each issue with the exact document, page and quote. A second AI reviewer re-checks every cited source. The provider gets a rating per standard, the evidence behind each finding, the positives found, and an action plan with priorities and due dates. See [how it works](https://d3kof0zbodw3pw.cloudfront.net/how-it-works/). ## Why Florida? **Florida is changing how it regulates memory care, and many of the requirements AHCA checks in an ALF survey are documented in resident and staff files.** SB 1404 created a new Memory Care Services license in 2026, and AHCA must adopt its rules by June 1, 2027. Assessments, care plans and medication records are the kind of documents our engine already reads in the UK. Staff training and screening files are newer ground for us, and part of what the Florida pilot will test. We also know what we don't know. US assisted living is regulated differently from UK home care, and Florida's rules are their own. That is why we are starting with founding operators who can tell us where the product helps and where it falls short. ## Where does Care Copilot stand in the US today? **Care Copilot is opening early access in Florida. It is not yet generally available in the US.** - Care Copilot Ltd is a UK company. We have no US entity and no US office. - We have no US customers yet. We are recruiting a small number of founding pilot operators. - We do not currently claim HIPAA compliance or SOC 2 certification. - Our free [readiness self-check](https://d3kof0zbodw3pw.cloudfront.net/self-check/) collects no resident data. If you run a Florida ALF or memory care community and would like to help shape the product, [apply for early access](https://d3kof0zbodw3pw.cloudfront.net/early-access/), or start with the [free readiness self-check](https://d3kof0zbodw3pw.cloudfront.net/self-check/). ## Sources - [CS/CS/SB 1404 (2026), Memory Care: bill page and history, The Florida Senate](https://www.flsenate.gov/Session/Bill/2026/1404) - [Section 429.076, F.S. (2026): Memory care services license](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.076.html) - [Chapter 59A-36, F.A.C.: Assisted Living Facility, flrules.org](https://www.flrules.org/gateway/ChapterHome.asp?Chapter=59A-36) - [Care Copilot (UK)](https://www.carecopilot.uk/) --- # Early Access: Founding Pilot for Florida ALF and Memory Care Operators > Apply to be a founding pilot operator for Care Copilot's AI survey-readiness audit for Florida ALFs. Please don't include resident or health information. Last updated: November 7, 2026 Canonical URL: https://d3kof0zbodw3pw.cloudfront.net/early-access/ **Care Copilot is opening early access to a small group of founding Florida operators, who will be the first to try our AI file audit on their own files.** It is for operators of Florida assisted living facilities (ALFs) and memory care communities. Care Copilot is not yet generally available in the US. Want a quick view first? Take the [free readiness self-check](https://d3kof0zbodw3pw.cloudfront.net/self-check/). It takes about 5 minutes and never asks about residents. ## What is the founding pilot? **The founding pilot is a small group of Florida operators who use the AI file audit on their own files and help shape the Florida product.** The audit reads your resident and staff files, checks them against Chapter 429 F.S. and Chapter 59A-36 F.A.C., and returns likely deficiencies with the evidence, a suggested severity and a draft plan of correction for your team to review. See [how it works](https://d3kof0zbodw3pw.cloudfront.net/how-it-works/). As a founding operator, you would: - run the audit on your facility's files and review the findings with us; - tell us where the findings are right, wrong or missing something, so we can improve the Florida checks; - help us decide how memory care requirements should be added once AHCA adopts its rules. Pilot pricing is set with founding operators. ## Who is early access for? **Early access is for people who run or oversee Florida ALFs and memory care communities.** That includes: - administrators and managers of licensed assisted living facilities; - owners and operators with one or several facilities; - directors of nursing, wellness directors and compliance leads; - operators deciding whether they will need Florida's new Memory Care Services license. ## What happens after you apply? **We reply by email and, if the pilot looks like a fit, set up a short call.** 1. **You apply** with the form on this page. 2. **We reply by email** to confirm we've received it. 3. **If the pilot is a fit,** we arrange a call to understand your facility, the systems you use and what you want to check. 4. **Before any files are shared,** we agree in writing how data will be handled. Nothing involving resident records starts until then. ## What we ask you not to share **Please don't include any resident or health information** in the form. We only need details about you and your facility. Care Copilot does not currently claim HIPAA compliance or SOC 2 certification, and we are a UK company with no US entity yet. ## Apply for early access **How to request early access:** use the form at https://d3kof0zbodw3pw.cloudfront.net/early-access/#early-access-form, or email florida@carecopilot.example. The form asks for your name, role, facility name, county, email, number of beds, and whether you are interested in the free readiness self-check, the founding pilot, or Florida's Memory Care Services license. Please don't include any resident or health information. ## Sources - [Chapter 59A-36, F.A.C.: Assisted Living Facility, flrules.org](https://www.flrules.org/gateway/ChapterHome.asp?Chapter=59A-36) - [Section 429.076, F.S. (2026): Memory care services license](https://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0429/Sections/0429.076.html)