Washington Adult Family Home (AFH) Agency Policy Manual

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The Washington Adult Family Home (AFH) Agency Policy Manual provides a comprehensive operational framework for licensed adult family homes delivering residential care and support services to older adults and individuals with disabilities across Washington State. This manual aligns with the regulations established by the Washington State Department of Social and Health Services (DSHS), including the Residential Care Services Division and the Aging and Long-Term Support Administration (ALTSA). It also ensures compliance with Washington Administrative Code (WAC) Chapter 388-76, Medicaid Home and Community-Based Services (HCBS) waivers, and licensing requirements for AFH operations. The manual includes policies and procedures governing licensure and certification, resident eligibility and pre-admission assessment, individualized service planning, personal care services, medication administration, nursing oversight (when applicable), nutrition and meal provision, staff qualifications and training, resident rights and protections, emergency preparedness, infection prevention and control, documentation and billing, incident reporting, and quality assurance. It emphasizes a person-centered approach to care that supports residents’ dignity, independence, safety, and quality of life in a home-like setting. This manual serves as a foundational resource for adult family home providers in Washington, ensuring the delivery of high-quality, compliant, and compassionate residential care services that meet the diverse needs of individuals in a supportive and community-integrated environment.