Information for Adult Family Home Providers | DSHS

For questions or comments regarding the content on this page, contact the RCS Communications Manager.

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AFH Information

Provider Letters and Rule Changes

Dear Provider Letters
AFH Rule Filings
- DSHS Rule-making Process
- CR 103 - Chapter 388-76 WAC (Home & Community Based Settings)
  - Concise Explanatory Statement
- CR 102 - Proposed Rulemaking - Chapter 388-76 WAC (Resident Safety)
  - Small Business Economic Impact Statement and Cost Benefit Analysis
- CR 102 - Proposed Rulemaking - Chapter 388-76 WAC (Corporate Structure)
  - Supplemental CR 102
  - Small Business Economic Impact Statement and Cost Benefit Analysis
- CR 101 – Proposed Rulemaking - Chapter 388-76 WAC (TB Testing)
  - View CR 101
- CR 101 – Proposed Rulemaking - Chapter 388-76 WAC (Background Checks)
  - View CR 101

Do my caregivers need the Home Care Aide certification?

Yes, they will have to be Home Care Aide certified unless they meet one of the following exemptions:

RNs, LPNs, and certified nursing assistants (NA- C/CNA) or persons in an approved CNA training program;
Medicare certified home health aides;
Person with special education training and an endorsement granted by the Superintendent of Public Instruction; or
Employed as a LTC worker sometime between 1/1/2011 and 1/6/2012 AND who completed the training requirements in effect at the time. Must have proof of that employment meeting the requirements of DOH WAC 246-980-070. Long-Term Care Employment Verification form (DOH 675-006)

Forms

AFH Information Changes Form (DSHS 10-585) Word / PDF
Disclosure of Charges Form Word / PDF (DSHS 15-449)
Disclosure of Services Form Word / PDF (DSHS 10-508)
Instructions for Completing and Submitting Disclosure Forms
AFH Incident Log (DSHS 13-645)
Notice of Transfer & Discharge (DSHS 15-458)
Request for AFH Application Fee Waiver (DSHS 15-436)
Request Licensed Bed Capacity Increase (DSHS 06-168)
Request Licensed Bed Capacity Decrease (DSHS 06-169)
Search DSHS Forms
Sample AFH Evacuation Drill
Sample AFH Negotiated Care Plan / Blank Sample

Health care and health care decision making

How do I contact RCS and what can I expect during/after inspections?

How do I protect vulnerable adults?

Make an Online Incident Report
Abuse of Vulnerable Adults RCW 74.34
Guidebook: Prevention, Recognition, Resident Protection and Mandated Reporting
Hotline Poster Mandated Reporters: Understanding Your Responsibilities
Word Version (Handout Format)Partners in Protection : A Guide for Reporting Vulnerable Adult Abuse – DSHS 22-810(x)

Resources

AFH Information Sheets
AFH Annual License Fee
AFH Sample Contracts
Emergency Evacuations Reporting Reminder
In the event of a facility/home evacuation, you must report it to RCS. Report online or call 1-800-562-6078. Include the information in the list at this link in your report.
Opioid Abuse: Facts & Prevention Tips
RCS Standard Operating Procedures Manual
Resident Rights & Alternate Decision-Makers
IRS Notice 2014-7, Difficulty of Care Payments
Home and Community Based Services (HCBS) & New Federal Rules
Significant Change Frequently Asked Questions
Tax Exclusion
Do you qualify for this potential earned income tax exclusion?

What are the laws and regulations for operating an AFH?

What are the training requirements?

Approved Instructors for AFH Training Classes
Training Information for AFH
- Instructor and Curriculum Alert
Adult Family Homes Food Safety & Food Worker Card
Caregiving Experience Attestation (CEA) form (DSHS 10-417)

Where do I find background check information?