Information for AFH Prospective Providers


Liability insurance is required in all adult family homes by WACs 388-76-10191 through 388-76-10193. 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. 

Yes, you will have to be Home Care Aide Certified UNLESS you 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.

If you do not meet one of those exemptions, you must complete the seventy-five hour orientation, safety, and basic training requirements, take the home care aide certification examination, and receive certification from the Department of Health prior to applying for an adult family home license. Find an approved training program here.

The following trainings required only for homes admitting residents with the listed diagnosis or assessed need:

If your home is on a septic system, the system will need to be inspected by your local health authority or approved septic system inspection entity and you will need to provide documentation of the following:

  • The septic system has been inspected and approved
  • How many people (not bedrooms) the system can accommodate
  • The local health authority or inspection entity is aware that the system will be used in an AFH

This information does not need to be submitted with the application but it will need to be provided to the licensor prior to licensure recommendation. There can be significant costs associated with septic system improvements, so it is highly recommended this process be completed prior to submitting the application.

Administration records: You must have a system to maintain your administrative records. Your system must include the following documents:

Resident records: You must have a system to maintain confidential resident records so you can provide the needed care to the residents.  Your system must be organized so there is a place for the following documents:

  • Personal Belongings Inventory Log DSHS 02-516 
  • Resident Assessment/Preliminary Service plan
  • Negotiated Care Plan
  • Medical Professional Orders
  • Legal Documents
  • Financial Record Keeping
  • Resident Information Sheet
  • Nurse Delegation documents:
  • Medication Logs - MARS