Setting up your adult family home records

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

• Orientation Checklist
• Evacuation Drill -  
• Accident/Injury Log
• Policies
  • Medication Disposal -
  • Abuse, Neglect, Exploitation
  • Contacting Emergency Services
  • Medicaid Policy
  • Respiratory Protection Program
• Disaster Plans
  • Emergency Preparedness Workbook for AFHs
  • Emergency Planning Information
  • AFH Response to Natural or Human-Made Disaster
• Notice of Rights and Service Requirements
• Liability Insurance

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:
  • Nursing Assistant credentials and Training DSHS 10-217 
  • Consent for Delegation Process DSHS 13-678
  • Instructions for Nursing Task DSHS 13-678
  • Nursing Visit DSHS 14-484
  • Change in Medical Orders DSHS 13-681
  • PRN Medication DSHS 13-678A
• Medication Logs - MARS