How would i go about starting a new in-home health care agency for the elderly?

Here's some info an AG recommends for those looking to HIRE such an agency:
"This support list provided by Marc Dann Ohio Attorney General is a very good help to determine what you need to consider.

How long has the agency been serving the community?
Performance standards are required by Medicare, state licensing agencies, and independent health care accreditation organizations. Does the agency you are considering participate in one of these programs?
Are consumer references available?
Are employees bonded?
Does the agency hire only staff who have passed a criminal background check? Are staff taught how to perform the Caregiving services they will be providing? Do they receive continuing education?
Do agency supervisors oversee the quality of in home care the patients receive? How often does a supervisor visit the client's home?
How are problems followed up and resolved?
Does the agency provide regular, itemized statements that explain all costs?
Is literature provided explaining the agency services, eligibility requirements, and fees? "
http://www.homehelpers247.net/

You can see a lot is involved in this--a lot of legal issues and also getting certified by the right agencies. Consider at least talking to owners of similar agencies--drive a bit so you're not going to be direct competition.

Make sure all employees are WELL qualified for whatever they will do with people.

They ALL should have criminal background checks. Probably want to bond them also.

ANY patient care, they should be CNAs and make sure they remain such.

IF any driving, then you've got to check their driving record, make sure the vehicle is safe, that they're well insured and remain insured.

This is a LOT of work and it will take some time to get it in motion, but it's needed and can be lucrative. You have to do it right--get the wrong employees or mess up and people can get hurt and probably you can get sued successfully. Naturally you also have to be a legal business and insured.

If you haven't worked with in-home health care for the elderly before, I highly recommend that first you get a job working for such a company - it will be quite an education for you to see what is invovled in the running and maintenance of such an organization - from how to promote the services, to finding and applying for grants, to recruiting and training the staff. There is a lot involved, and there is no training as good as hands-on experience.

We are also thinking about starting the same business in so.calf. we would like to talk to you. please contact me johnamansoori@yahoo.com

Thanks