What happens if I operate without a license?

Knowingly operating an ALR or enhanced ALR without NYSDOH approval is a Class A misdemeanor, and NYSDOH may also impose civil penalties and seek injunctive relief. PBH §4656*2(5) · 10 NYCRR §1001.15

Can I appeal if my application is denied?

Yes. Applicants are entitled to due‑process avenues defined in statute/regulation; NYSDOH may request additional information and issues decisions subject to applicable appeal procedures. 10 NYCRR §1001.5

Are there specific training requirements for staff?

Yes. ALRs must meet ACF staffing/training standards and ALR‑specific requirements (e.g., service planning, dementia‑specific competencies where applicable). See 18 NYCRR Parts 487/488 and 10 NYCRR Part 1001. NYSDOH – ACF/ALR overview · 10 NYCRR Part 1001 index

How do I find the application forms?

Use NYSDOH’s ACF/ALR Common Application page for instructions and required schedules, and the Adult Care Facilities Forms page for ALR forms (e.g., DOH‑3122, DOH‑4397, DOH‑5301). ACF/ALR Common Application · Adult Care Facilities Forms

Does my facility require an inspection before licensing?

Yes. NYSDOH surveys facilities for compliance prior to licensure and on an ongoing basis thereafter under Part 1001 and Part 486. 10 NYCRR §1001.15 Requirements last verified: July 31, 2026

Assisted Living License New York

Licensing Requirements

Assisted Living Facilities License Requirements in New York — Full checklist of New York requirements, fees, and steps.
Assisted Living Facilities License in Connecticut
Assisted Living Facilities License in Delaware
Assisted Living Facilities License in Maine
Assisted Living Facilities Licensing — All States — State-by-state assisted living facilities licensing overview.

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