Adult Family Home Regulations and Care Overview

Questions and Answers

What is an AFH?

AFH is a residential home licensed to care for 2 to 6 residents.

What does RCW stand for?

RCW law

What is a negotiated care plan?

A care plan that has to be signed by both AFH and resident, completed within 30 days, updated with every new assessment, and a copy provided to the case manager.

What are the requirements for bedrooms in an AFH?

Must have natural light, a window with a screen, openable windows, 80 square feet for single rooms, and 120 square feet for shared bedrooms. Signup and view all the answers

What is included in enforcement actions?

Inspection, investigation, citation, enforcement action, with records kept for 3 years, and 7 days to correct citations. Signup and view all the answers

What is the annual license price per bed for an AFH?

$225.00 Signup and view all the answers

When can enforcement actions occur?

When there is a violation of WAC. Signup and view all the answers

What cannot be asked during a job interview? (Select all that apply)

Age Signup and view all the answers

What benefits are provided to employees? (Select all that apply)

401k Signup and view all the answers

What is the matching contribution for a 401k setup?

100% Signup and view all the answers

What is required to run a background check?

Disqualifying crimes must be checked and the CCs form must be attached. Signup and view all the answers

Employees must take TB screening within ______ after hiring.

3 days Signup and view all the answers

How long is the training period after hiring?

120 days Signup and view all the answers

What should be included during orientation?

Explain policy, safety program, job description, and review after 90 days. Signup and view all the answers

How often is evaluation conducted for employees?

Every 3 months, 6 months, and yearly on their birthday. Signup and view all the answers

What does L&I stand for?

Labor and Industry Signup and view all the answers

When should you sign up with L&I?

The minute you have an employee. Signup and view all the answers

What does DOSH stand for?

Division of Occupational Safety and Health Signup and view all the answers

What is WISHA?

Washington Industrial Safety Health Act Signup and view all the answers

What is the purpose of the I-9 verification?

To verify employment eligibility. Signup and view all the answers

What are the OSHA requirements?

Development of a fire safety program including fire exits, extinguishers, emergency action plan. Signup and view all the answers

What should a job description include?

Job title = The name of the position Pay grade = The salary range for the position Reporting relationships = Who the employee reports to Job duties = The tasks expected of the employee Signup and view all the answers

Where can you find employees?

Online ads, Facebook, Craigslist, local papers, colleges, friends, and family. Signup and view all the answers

What is required when hiring an employee?

A background check and fingerprinting. Signup and view all the answers

What does deficiency mean in this context?

You are in violation with the law and failed to comply with the requirements. Signup and view all the answers

What does RCW 70.128.140 pertain to?

Each adult family home will meet applicable laws and regulations. Signup and view all the answers

What are mandated benefits?

Paid sick leave, paid family medical leave, paid holidays, and optional benefits. Signup and view all the answers

What should be included in the orientation checklist?

Safety procedures, job duties, policies, and an introduction to the home. Signup and view all the answers

How often should staff appraisals occur?

Monthly staff meetings to review performance. Signup and view all the answers

What are disqualifying crimes?

Crimes that may prevent someone from being employed in an AFH as per WAC 388 113 0020. Signup and view all the answers

Study Notes

AFH Overview

AFH (Adult Family Home) cares for 2 to 6 residents; not a traditional apartment.

Regulations

RCW: Revised Code of Washington (law).
WAC: Washington Administrative Code (regulation), specifically referencing 388-76-.

Care Plans

Negotiated care plans must be signed by both the AFH and the resident within 30 days.
Plans are updated with new assessments and copies provided to the case manager.

Bedroom Requirements

Bedrooms must have natural light, openable screens, and minimum sizes (80 sq. ft. for single, 120 sq. ft. for shared).

Enforcement Actions

Inspections lead to investigations, citations, and enforcement actions, recorded for 3 years.
AFHs have 7 days to correct violations.

Licensing Costs

Annual license fee is $225.00 per bed.

Job Interview Process

Initial phone interview lasts 5 minutes, followed by an in-person public interview (e.g., Starbucks).
Employers cannot inquire about age, disability, pregnancy, marital status, religion, sexual preference, race, ancestry, or prior arrests.

Employee Benefits

Employees receive holiday pay (8 major holidays, time and a half) and sick leave (1 hour for every 40 hours worked).
Optional benefits include 401(k), health, dental, life, and vision plans.

401(k) Plan

Offers 100% match contribution for employee contributions.
Vesting period of 3 years applies.

Medical Leave

Paid family medical leave is available for all employees.

Background Checks

Conducted online in approximately 2 minutes; look for disqualifying crimes.
Submit a CCS form with the background check.

Tuberculosis Screening

TB screening (2-step process) must occur within 3 days of hire; options include a blood test or X-ray.

Employee Training

Training required within 120 days of hire; ongoing continuing education of 12 hours/year enforced.
New hires cannot work unsupervised with residents until training is complete.

Orientation

Orientation covers policies, safety training, HIPAA, job descriptions, and includes a review after 90 days.

Evaluations

Employee evaluations take place at 3, 6 months, and annually on their birthday, including suggestions and education assessments.

No CNA Certificate Required

First aid, CPR, and specific training necessary, alongside required continuing education.

Department of Labor and Industry (L&I)

Protects worker health, safety, wages, hours, and breaks.

Division of Occupational Safety and Health (DOSH)

Regulates workplace safety within Washington State.

Washington Industrial Safety Health Act (WISHA)

Ensures workplace safety regulations are enforced.

I-9 Verification

Employment eligibility verification mandatory for all hirees.

OSHA Compliance

AFHs must establish fire safety programs, including evacuation plans and compliance checks.

Job Description Essentials

Must outline job title, pay grade, responsibilities (patient care, cooking, cleaning), and qualifications.

Employee Recruitment

Use online ads, social media, local newspapers, colleges, and personal networks to find candidates.

Hiring Procedure

Includes ongoing background checks (renewable every 2 years) and fingerprinting.

Deficiency

Indicates violation of laws or failure to comply with requirements.

RCW Reference

RCW 70.128.140 mandates that AFHs meet applicable codes.

Job Description Details

Must include specifics on objectives, qualifications, and special demands.

Application Process

Applicants should submit resumes and cover letters online or via email.

Advertisement Requirements

Must feature attention-grabbing headlines to appeal to potential applicants.

Two-Interview Structure

Mandatory initial phone and in-person interviews, with a possible third home visit.

Mandatory Employee Benefits

Include paid sick leave, paid family medical leave, holiday pay, and optional 401(k) and medical benefits.

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Description

Explore the essential regulations and care requirements for Adult Family Homes (AFH) in Washington. This quiz covers care plans, bedroom requirements, licensing costs, and the job interview process in the AFH sector. Test your knowledge about the standards that guide AFH operations.