Becoming a adult family home

An Adult Family Home is one of the many options in our area that is able to provide hands-on care to older adults. In Washington State alone, there are more than 2, adult family homes; all are regulated and licensed by the Department of Social and Health Services in Washington and the Department of Human Services in Oregon. This makes it a great option for someone who requires more one-on-one attention because of the lower resident-to-caregiver ratio. All providers and staff must be certified in the fundamentals of caregiving, first aid, and CPR.
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What is an Adult Family Home?

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New AFH Provider - Adult Family Home Council

Adult care homes ACH also known as group homes or residential care homes are single-family residences that offer care to seniors and people with disabilities. These homes are located in residential areas throughout the United States, and they offer an alternative to assisted living and nursing homes. You may not even recognize an Adult Care Home in your neighborhood, as they look like any other home. You probably drive by one every day without knowing. Adult care homes are non-institutional.
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Starting Up an Adult Family Home

Liability insurance is required in all adult family homes by WACs through We are hearing that some homes are finding it difficult to obtain and maintain liability insurance upon licensure. Some insurance companies have implemented training and experience requirements above and beyond what is required by DSHS for licensure in order to obtain liability insurance. Please be sure to research your liability insurance options before licensure in order to be prepared to meet their requirements in order to obtain insurance.
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This document contains information intended to help you decide if you want to become a licensed adult family home provider. For more information, call To be an adult family home provider you will be required to care for the most vulnerable members of our society, including persons with challenging behaviors, physical and developmental disabilities, mental illness and the elderly. Adult family homes are heavily regulated.
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