Staffing Agency Business

I have a pal who is currently in the process of starting her OWN staffing agency. It is very very small.
but
she says she is making more money than she ever ever dreamed possible. wowza, she IS raking in the bucks. She herself is working 3 days each week, and just rollin in the dough. The other 4 days of each week, she is sending in others to care for the patient.

Right now, she is only able to staff about 2 or 3 homes at same time, doesn't have enough staff to do more, but, has list of clients who do want her. Not all her staff are nurses, either, many are CNAs, etc.

If you have a specific question, i can ask her, and post what she said. I'm not sure if she is up to snuff on all the legalities of what she is doing, and she lives in fairly wealthy area, and my impression is, she is being paid out-of-pocket, not by medicare or insurance, but, i'll ask her.

She lives in California.

Low barrier to entry - it is dead easy to start a staffing agency. Do you have specific question?

Look at your state requirements, too-- if you intend to get paid by insurance, medicaid, medicare, you will need to meet criteria they set. If you just want to do a private-pay "comfort" sort of thing, CNA care, etc., your challenges will be getting insurance, bonding, and CORI checks on your employees ... and staffing the shifts they call out on or no-show.

I am in the process of running one. We have two contracts but these were obtained through prior relationships. We are now in a rut.

I was wondering if anyone knows the best way to approach a facility to get a contract?

Who am I approaching? The CNO, Staffing Manager, HR, DON, etc.

Thanks!