Oregon Adult Family Home Policy Manual

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The Oregon Adult Family Home Manual provides a comprehensive framework for the operation and management of licensed adult family homes in Oregon. This manual is designed to ensure full compliance with the Oregon Administrative Rules (OAR), specifically OAR Chapter 411, Division 49 and Division 50, which govern adult foster home standards. It incorporates regulations established by the Oregon Department of Human Services (ODHS), the Aging and People with Disabilities (APD) program, and the Home and Community-Based Services (HCBS) Settings Rule (42 CFR §441.301).
The manual includes detailed policies and procedures on licensing requirements, resident care, medication administration, staff qualifications and training, emergency preparedness, health and safety protocols, clinical oversight, and resident rights. It supports providers in maintaining a safe, supportive, and person-centered living environment for adults with physical, intellectual, or developmental disabilities and older adults needing assistance with activities of daily living.
By aligning with state licensure, Medicaid waiver program requirements, and applicable federal standards, the manual serves as both a regulatory compliance tool and a quality improvement guide. It ensures that Oregon adult family home providers are equipped to deliver consistent, compassionate, and high-quality care in a home-like setting while fulfilling all state and federal obligations.