Information for Adult Family Home Providers | DSHS

Announcements

RCS Reimplementation Webinar

Safe Start for AFH-ALF-ESF (October 7, 2021)

Latest Guidance Regarding COVID-19

See provider letters for the latest guidance from the department regarding COVID-19. Additional resources are available on the ALTSA and DOH web pages to assist long-term and residential care facilities in response to the COVID-19 outbreak. See also CDC Recommendations for COVID-19 in Healthcare Settings

COVID-19 Information for new LTC Providers

COVID-19 Vaccine Information for Newly Licensed Long-Term Care Providers

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

Quick Links

Submit COVID-19 Data

AFH Information

Provider Letters and Rule Changes

Dear Provider Letters
AFH Rule Filings
- DSHS Rule-making Process
- CR 101 - Proposed Rulemaking - Chapter 338-76 WAC (ESHB 1120 - Licensing Inspection Timelines)
- CR 103P - Permanent Rules - Chapter 388-76 WAC
  - Concise Explanatory Statement / Summary of Changes
- CR 101 – Proposed Rulemaking – 388-76 WAC (8 bed capacity & liability insurance)
- 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
- CR 101 – Proposed Rulemaking Chapter 388-76 WAC (ESHB 1120 Licensing Inspection Timelines)

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
AFH Personnel Changes (DSHS 02-709)
Caregiving Experience Attestation (CEA) Form (DSHS 10-417)
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) Word / PDF
Request Licensed Bed Capacity Decrease (DSHS 06-169) Word / PDF
Search DSHS Forms
Sample AFH Evacuation Drill Word/PDF
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.
Infection Control Essentials for Community Programs – PowerPoint Presentation
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?