Information for Adult Family Home Providers


Reporting Abuse and Neglect in Adult Family Homes Webinar (May 7, 2024 Recording)

Retention Toolkit Available. Providers and administrators can access free supervisory tools, online courses, and free CEs through CareLearnWA, a provider of training and resources for direct care staff. The Retention Toolkit helps supervisors and managers of direct care staff address retention issues, reduce high turnover rates, and continue providing quality care. The toolkit will be initially available to supervisors of staff who are not members of the Service Employees International Union (SEIU). Available modules include Onboarding, Communication, Recognition, and Wellness, and a new module addressing Harassment, Abuse, and Discrimination of caregivers. Set up a free account and access the toolkit by visiting

AFH online license application note: There are certain symbols that can create errors or prevent submission in the completed application. Do not use the following symbols &, =, +, or #. Instead, use the following terms: (and) (equals) (plus) (number sign), spelling out the words, with parentheses on either side.  See the updated Instructions for the license application for details.  We are researching a permanent fix to this issue and will advise you of any changes.

Background checks during and after licensure:

Effective January 1, 2024, the Department provided Orientation class is no longer  required. View the AFH Initial Inspection process informational slideshow 

AFH Information

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)