RESOURCES & INSIGHTS

The Balanced Care Blog

Practical guidance, compliance updates, and business insights for Maryland ALF and DDA

providers — written by Ayo AkinOni, MPH.

🏷 ALF Compliance Featured

Understanding COMAR 10.07.14: A Complete Guide for Maryland ALF Providers

COMAR 10.22 governs every aspect of Assisted Living Facilities in Maryland. From staffing ratios to physical plant requirements, this guide breaks down what every provider must know to stay compliant and avoid costly violations.

🏷 DDA Programs Featured

Starting a DDA Group Home in Maryland: What You Need to Know in 2026

The Developmental Disabilities Administration (DDA) pathway is one of the most rewarding — and most regulated — service models in Maryland. Here's your step-by-step overview of what it takes to get started the right way.

Staff Training

Why the 80-Hour Assisted Living Manager Training Is Non-Negotiable

Maryland law requires every Assisted Living Manager to complete an MDH-OHCQ approved 80-hour training program. Here's what the training covers, why it matters,...

April 28, 2026
5 mins read
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Policy Procedures

Building a Compliant Policy & Procedure Manual for Your ALF

Your Policy & Procedure Manual is not just a document — it is your operational blueprint and your first line of defense during an OHCQ inspection. Here's what every...

April, 20, 2026
5 mins read
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Business Startup

How a Placement & Referral Agency Can Fill Your ALF Beds Faster

One of the biggest challenges for new ALF providers is census development — getting residents through the door. A strategic partnership with a placement and...

April, 14, 2026
4 mins read
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Staff Training

Why the 80-Hour Assisted Living Manager Training Is Non-Negotiable

Maryland law requires every Assisted Living Manager to complete an MDH-OHCQ approved 80-hour training program. Here's what the training covers, why it matters,...

April, 7, 2026
5 mins read
Read →
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Maryland ALF Startup Checklist

The exact 10-step checklist Ayo uses to guide providers through the Maryland ALF licensing process.

📄 What's inside:

  • Determine ALF license type
  • Complete MDH–OHCQ requirements
  • Secure facility zoning approval
  • Develop Policy Manual
  • Complete 80-Hour Training
  • Hire staff
➜ + 4 more steps inside...

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