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AFH Reference Guide - Aging and Long-Term Support Administration

By Jonathan Johnson,2014-11-08 07:20
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AFH Reference Guide - Aging and Long-Term Support Administration

    WHAT YOU NEED TO UNDERSTAND

    BEFORE BECOMING A LICENSED ADULT FAMILY HOME PROVIDER

    This document contains information intended to help you decide if you want to become a licensed adult family home provider.

PROSPECTIVE PROVIDER INFORMATION

    To be an adult family home provider you will be required to care for the most vulnerable members of our society, including persons with challenging behaviors, physical and developmental disabilities, mental illness and the elderly. If you become licensed, you assume a serious responsibility that will have a large impact on you and your family members lives.

    Adult family homes are heavily regulated. If you become licensed, you will have to meet all of the many licensing requirements. In addition, you will have to provide the care and services that your residents need day and night.

    As an adult family home provider, you will find out that, while it can be a rewarding experience, it is also very tiring and stressful to work and be available to residents day and night. As a result, you may decide that you need to hire staff to be awake and available to care for residents at all times.

    We know that a number of providers close their adult family homes after only one or two years. This is usually because they did not realize how difficult it would be to share their home with others, how hard the work would be, or how hard it may be to attract residents and operate a business. When a home closes, this negatively impacts residents and their families, as well as providers and their families.

    Before you decide to apply to become an adult family home provider, you should consider why you want to become a licensed provider and how you will maintain your adult family home business over time. The self assessment at the end of this guide, along with the other information, may help you decide whether or not you want to go forward with the process to apply to become a licensed adult family home provider.

AFH DEFINITION

    WHAT IS AN ADULT FAMILY HOME (AFH)?

    ; An AFH is a residential home licensed to care for two to six adults not related by

    blood or marriage to the person or persons providing the services.

    ; The AFH provides room and meals, laundry, supervision, assistance with activities

    of daily living and personal care. Some homes provide nursing or other special care.

    ; A licensed AFH is generally at a residential home address.

    ; An adult family home is a single family residence, a duplex unit, or other type of

    dwelling for one or two families [per IRC #R101]. Each unit must have:

    o Separate staffing;

    o Separate call systems;

    o Separate living quarters;

    o Separate addresses;

    o Either a fire wall or floor separating the two units; and

    o No internal door in common.

    MARCH 2013 PAGE 1 OF 8

    WHAT YOU NEED TO UNDERSTAND

    …BEFORE BECOMING A LICENSED ADULT FAMILY HOME PROVIDER

HAT IS NOT AN ADULT FAMILY HOME (AFH)? W

    ; An apartment in an apartment building or condominium cannot be licensed as

    an AFH because this type of dwelling is for more than two families.

LICENSE NEEDED

    WHEN IS A LICENSE REQUIRED?

    ; You have to have an AFH license before you can provide personal care, special

    care, room and meals for two to six adults, unrelated to you, in your home.

WHEN IS A LICENSE NOT REQUIRED?

    An AFH license is not required:

    ; To provide care for your own relatives in your home;

    ; To provide care for one person unrelated to you in your home;

    ; To take care of a relative (such as your mother) and one other person not related

    to you in your home; or

    ; If you are providing only room and meals in exchange for rent.

MANAGEMENT RESPONSIBILITIES

    WHAT ARE SOME MANAGEMENT RESPONSIBILITIES FOR OPERATING AN ADULT FAMILY HOME?

    The following is a partial list of some things the provider must do. ; Know and comply with all AFH applicable laws and rules;

    ; Meet the assessed care needs and preferences for each resident which may

    include, but is not limited to:

    o Assisting with personal hygiene, dressing, bathing, toileting, body care,

    walking and moving from one spot to another,

    o Providing nutritious meals,

    o Offering activities other than television,

    o Providing medication assistance or administration, and

    o Providing supervision to residents with challenging behaviors or at risk of falls; ; Be responsible for the care and services provided to residents 24 hours a day

    whether the provider is on site or not;

    ; Screen and hire responsible, dependable and qualified staff members; ; Ensure that staffing is adequate to meet all resident needs at all times (24 hours

    a day, seven days a week);

    ; Provide staff orientation and ongoing staff support and training; ; Maintain adult family home records such as individual resident records, staffing

    records, accounting, income tax and payroll records; and

    ; Ensure that each resident is protected from

    o abandonment,

    o verbal, sexual, physical, and mental abuse,

    o exploitation and financial exploitation,

    o neglect, and

    o involuntary seclusion.

    MARCH 2013 PAGE 2 OF 8

    WHAT YOU NEED TO UNDERSTAND

    …BEFORE BECOMING A LICENSED ADULT FAMILY HOME PROVIDER

SKILLS NEEDED

    WHAT ARE THE SKILLS NECESSARY FOR OPERATING AN ADULT FAMILY HOME?

    The provider must:

    ; Have the character, competence and suitability to operate an AFH;

    ; Have the ability to read, understand and meet all laws and rules related to AFHs;

    ; Protect resident rights first over the needs of yourself and your family; and

    ; Be able to communicate in the English language and ensure that there is staff

    on-site at all times who are capable of understanding and speaking English well

    enough to be able to respond appropriately in case of an emergency and

    implement resident care plans.

COSTS

    WHAT ARE THE COSTS ASSOCIATED WITH OBTAINING AN ADULT FAMILY HOME LICENSE?

    -refundable $2,750 license and processing fee must be turned in with the license A non

    application. The following costs vary by instructor, county, location, fees and codes.

    ; 48-hour AFH Administrator training provided by community colleges (a list of

    community colleges is available on the department’s website at

    https://fortress.wa.gov/dshs/adsaapps/Professional/training/training.aspx)

    ; First Aid and CPR training for applicants and all staff;

    ; Tuberculosis (TB) tests for applicants and staff;

    ; 75 hours of basic/long-term care worker training;

    ; Home Care Aide Certification Testing and Certification by DOH

    ; Specialty training if you plan to take residents with dementia, developmental

    disabilities, or mental illness;

    ; Building inspection by local building inspectors; and

    ; Structural changes to your home that may be needed to meet state or local

    building codes or safety issues.

ORIENTATION CLASS

    WHAT IS REQUIRED BEFORE I CAN APPLY TO BE AN ADULT FAMILY HOME PROVIDER?

    ; You must attend a Prospective Provider Orientation class before applying for an AFH

    license, unless you are currently licensed, or have been licensed within the past year.

    ;<