Maryland Adult Day Services Requirements

State-specific requirements, guidelines, and resources for Adult Day Services in Maryland

ADULT DAY SERVICES REQUIREMENTS

Maryland

Last reviewed: October 13, 2026

2 hours of cognitive impairment and mental illness training within 90 days for staff who give individual care

Training Hours Required

At least 8 in-service training sessions a year

Continuing Education

Not required for program assistants (high school diploma or GED, or enrolled)

Certification

Required before hiring

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Overview

Maryland licenses adult medical day care centers (Day Care for the Elderly and Adults with a Medical Disability) under COMAR 10.12.04, overseen by OHCQ. Centers must orient all staff and volunteers, run an ongoing education program, and hold at least eight in-service sessions a year. Staff who give individual care need 2 hours of cognitive impairment and mental illness training in their first 90 days.

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Meets all regulatory requirements

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Training Requirements

Initial Training Topics

  • Cognitive impairment and mental illness (2 hours, care staff)
  • Infection prevention and control
  • Fire prevention and emergency safety procedures
  • Accident prevention
  • Care of the population served (Alzheimer's disease, mental illness, developmental disabilities, cognitive impairment)
  • Recognizing and reporting abuse, exploitation, neglect and self-neglect
  • Safe food handling and service

Renewal Process

The center must hold at least eight in-service sessions every year on the required topics and keep attendance and content records. The rule sets a number of sessions, not a number of hours.

Regulatory Information

Regulatory Body

Maryland Department of Health, Office of Health Care Quality

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Frequently Asked Questions

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Access our comprehensive library of Adult Day Services training programs. From basic certification to advanced specialized courses, we have everything you need to excel in your role.

View All Adult Day Programs →
Available 24/7 • Self-paced learning