Current through September 17, 2024
This section contains material which relates to:
(A) Recruitment, evaluation, and approval of
adult family homes; and
(B)
Providing case management services for all adult family home guests .
001.01
DEFINITIONS. The following definitions apply:
001.01(A)
ADULT FAMILY
HOME. An adult family home is a residential living unit certified
by the Department to provide full-time residence and minimal supervision and
guidance to not more than three guests age 19 or older. Service includes room
and board with meals, standard furnishings, equipment, household supplies,
laundry service, and facilities to ensure client comfort.
001.01(B)
ADULT FAMILY HOME
GUEST. An adult family home guest is a resident, age 19 or older,
whose needs are most appropriately met in an adult family home.
001.01(C)
ADULT FAMILY HOME
SPONSOR. An adult family home sponsor is an adult, age 19 or
older, who manages and provides caretaker responsibilities in an adult family
home. The sponsor accepts responsibility for maintaining the facility and
meeting the needs of the guests.
001.01(D)
SUPERVISION. Each sponsor defines supervision for his or her home
by indicating acceptable guest conditions on the adult family home
application.
001.02
SELF-ADMINISTRATION OF MEDICATION. An adult who
requires an occasional reminder to take medications is appropriate for adult
family home care.
001.03
COMPLAINTS OF SUSPECTED ABUSE OR NEGLECT OCCURRING IN ADULT FAMILY
HOMES. All complaints of adult abuse or neglect occurring in an
adult family home must be reported.
001.04
ADULT FAMILY HOME SPONSOR
RESPONSIBILITIES. Each adult family home sponsor must:
(A) Accept guests only through the direction
of, or in cooperation with, local service unit staff;
(B) Comply with the provisions of Title VI of
the Civil Rights Act of 1964 and its amendments;
(C) Agree to share required information with,
and follow the directions and suggestions of, agency representatives regarding
the guest's functioning;
(D) Allow
agency staff to visit the adult family home at any reasonable time;
(E) Arrange for substitute supervision in the
home, like when the sponsor is absent because of illness or a death in the
family. The sponsor shall notify and receive prior approval from the local unit
before arranging substitute supervision. The sponsor shall accept
responsibility for reimbursing any substitute care provided;
(F) Arrange for guest's access to the home in
the event of a guest's illness;
(G)
Maintain a record of important information about each guest including the name
and telephone number of the guest's doctor, clinic, hospital and pharmacy
preference, and the guest's medication schedule;
(H) Report any changes in the sponsor's
address, family members, telephone number or number of guests to the
Department's resource development coordinator before the change
occurs;
(I) Contact the Internal
Revenue Service to determine if additional information is necessary such as
whether income from adult family home care must need to be considered for tax
purposes; and
(J) Contact their
insurance agent when looking for a policy to protect them from liability in the
event a guest is injured.
001.05
FINANCIAL ARRANGEMENTS FOR
ADULT FAMILY HOME CARE. Guests who are recipients of benefits from
the Department may be paying for adult family home care with public assistance
funds. These funds are unrestricted and there is no stipulation as to how the
money is spent. The Department suggests that the amount be reserved for the
recipient's personal needs. Therefore, the reimbursement each adult family home
receives is negotiated between the sponsor and the guest, or their legal
representative.
001.05(A) Sponsors may assist
guests in money management, but may not act as guardians, conservators,
representative payees, or have power of attorney for any of their guests,
unless related to the guest.
001.06
ANNUAL
CERTIFICATION. Adult family homes are re-evaluated annually and
before the expiration of the certification. Another medical examination may be
required if it is determined to be necessary during the
re-evaluation.
001.07
CHANGE OF ADULT FAMILY HOME ADDRESS. When an adult family home
sponsor changes his or her address, an evaluation of the new home is required.
The evaluation must be completed before the move, or within five days after the
move, to continue the sponsor's certification.
001.08
INCREASE IN THE NUMBER OF
GUESTS. When an adult family home sponsor wants to increase the
number of guests for whom they are certified, an evaluation of the sponsor's
ability to handle additional guests, and whether there is adequate space
available in the home, is completed.
001.09
TERMINATION OF
APPROVAL. When an adult family home sponsor, or home, is in
violation of adult family home regulations, the adult family home sponsor is
allowed the opportunity to correct the violation within a reasonable time, not
to exceed 30 days. If the violation has not been corrected within that time,
the adult family home certificate is terminated.
001.10
STANDARDS FOR ADULT FAMILY
HOME APPROVAL. Adult family homes and sponsors must meet the
following standards:
001.10(A)
ADULT FAMILY HOME SPONSORS. All adult family home
sponsors must:
(i) Be physically and mentally
capable of assuming the responsibilities and functions involved in adult family
care;
(ii) Be capable of exercising
good judgment in supervising adults and in cooperating with the local service
office;
(iii) Conform with all
local, state, and federal fire, sanitation, and zoning standards;
(iv) Arrange for any inspection required by
the resource developer;
(v) Accept
responsibility and potential liability for guest safety and property security;
and,
(vi) Not have engaged in, or
have an ongoing history of, criminal activity that is harmful or may endanger
individuals for whom they provide an adult family home living arrangement. This
also applies to other adult household members, and must include a substantiated
listing as a perpetrator on the child and adult Central Registries of abuse and
neglect.
001.10(B)
ADULT FAMILY HOME ENVIRONMENTAL REQUIREMENTS. The
following list applies to the environmental requirements for adult family
homes:
001.10(B)(i)
BEDROOMS. The adult family home sponsor must furnish each guest
with a private or semi-private bedroom having:
(1) A minimum of 80 square feet per occupant
in a single room;
(2) A minimum of
60 square feet per occupant in a double room;
(3) A single or double bed for each guest
with a mattress and box spring in good condition;
(4) At least three feet between beds at all
points;
(5) Adequate and convenient
room, closet, and drawer space and clean, adequate bedding that must be changed
at least weekly;
(6) Adequate
provision for the guest's privacy. Guests of opposite sexes must not be
required to share a bedroom; and
(7) A first floor location for any guest when
another location might be unsafe.
001.10(B)(ii)
BATHROOMS.
Bath, lavatory, and toilet facilities are required to be easily
accessible and available to residents. Adequate amounts of bar soap, toilet
tissue, and facial tissue must be provided.
001.10(B)(iii)
COMMON
AREAS. A well-lighted, well-ventilated, and heated living room is
required to be available for the use of guests and their visitors for social
and recreational purposes.
001.10(C)
FIRE SAFETY
REQUIREMENTS. All homes must meet existing state and local fire
prevention standards. The adult family home sponsor must ensure that the adult
family home is in sufficient repair so there is no fire hazard. Smoke detection
devises, in good working order, are required.
001.10(C)(i)
FIRE EVACUATION
PLAN. Adult family home sponsors must develop a written fire
evacuation plan which is routinely explained to and practiced with the guests.
If the basement has no outdoor exit, the guests' physical limitations and the
sponsor's evacuation plan must be evaluated before approving the home. A fire
inspection to determine the appropriateness of having basement bedrooms for
guests' use is required.
001.10(D)
SANITATION
REQUIREMENTS. Adult family home sponsors must carry out accepted
sanitation practices, provide necessary household cleaning supplies, and meet
state and local health standards.
001.10(E)
MEAL
PREPARATION. The adult family home sponsor must observe adequate
nutrition standards and food handling sanitation practices in preparing and
serving meals, with three meals a day being available for guests.
001.10(F)
LAUNDRY FACILITIES.
Adult family home sponsors must provide laundry services for their
guests, using either facilities in the home or commercial laundry facilities.
The sponsor is not responsible for dry cleaning
costs.
