Licensing

This web page offers adult foster home providers and their caregiving staff easy access to up-to-date tools and resources that reflect quality care. Many of the tools can be easily printed and used as reference.

Prospective adult foster home licensees see: EQC Classroom Resources for APD Adult Foster Homes

  
  
  
  
Notes
  
5th Guy - Handwashing5th Guy - HandwashingInfection Control
Short Video
1/15/2013
A Guide to Adult Foster HomesA Guide to Adult Foster HomesEmployer
Document #DHS 9033
1/15/2013
Adult Foster Home (AFH)Adult Foster Home (AFH)OARs
2/16/2017
AFH Caregiver Preparatory Study GuideAFH Caregiver Preparatory Study GuideMandatory Information
Document #SDS 9030 - Mandatory Training for caregivers
1/15/2013
AFH Caregiver Preparatory WorkbookAFH Caregiver Preparatory WorkbookMandatory Information
Document #SDS 9030W - Mandatory Training for caregivers
1/15/2013
AFH Nutrition Assessment FormAFH Nutrition Assessment FormMandatory Information
From #SDS 902C
1/15/2013
All About Blood GlucoseAll About Blood GlucoseDiabetesShort Article
ADA Diabetes Tool Kit
3/2/2017
Alzheimer's Dementia - Experience 12 MinutesAlzheimer's Dementia - Experience 12 MinutesDementiaVideo
Video
8/18/2014
Alzheimer's Disease - General ScreeningAlzheimer's Disease - General ScreeningScreening Tools
1/15/2013
Alzheimer's Disease - Provider QuestionnaireAlzheimer's Disease - Provider QuestionnaireScreening Tools
1/15/2013
American Heart AssociationAmerican Heart AssociationHeart Disease
Website
1/15/2013
American Red CrossAmerican Red CrossHome Safety
Website
1/15/2013
American Stroke AssociationAmerican Stroke AssociationStroke
Website
1/15/2013
Apidra (insulin glulisine)Apidra (insulin glulisine)Medication Administration
Medication ALERT
7/3/2014
Arthritis - General ScreeningArthritis - General ScreeningScreening Tools
1/15/2013
Arthritis - Provider QuestionnaireArthritis - Provider QuestionnaireScreening Tools
1/15/2013
Avoding Medication Errors with Multiple Brand NamesAvoding Medication Errors with Multiple Brand NamesMedication Administration
Add'l Resources - Video
7/3/2014
Avoiding Drug InteractionsAvoiding Drug InteractionsMedication Administration
Add'l Resources - Video
7/3/2014
Avoiding Maalox Mix-upsAvoiding Maalox Mix-upsMedication Administration
Add'l Resources - Video
7/3/2014
Avoiding Medication MistakesAvoiding Medication MistakesMedication Administration
Add'l Resources - Video
7/3/2014
Be An Active Member of Your Health Care TeamBe An Active Member of Your Health Care TeamCommunication
Add'l Resources
7/3/2014
Be Red Cross Ready - Heat Wave Safety TipsBe Red Cross Ready - Heat Wave Safety TipsEmergency Preparedness
Add'l Resources
7/14/2014
Behavior Symptom WorksheetBehavior Symptom WorksheetScreening Tools
1/15/2013
Brain ChangesBrain ChangesDementiaVideo
Video - with Teepa Snow
8/23/2016
Bring Your Life into BalanceBring Your Life into BalanceEmployer
Website
1/15/2013
Care Planning Process - Care PlanCare Planning Process - Care PlanCare Planning
SDS 0340 - New
7/3/2014
Care Team Contact SheetCare Team Contact SheetScreening, admission and documentation
1/15/2013
Clean Hands Save LivesClean Hands Save LivesInfection Control
Website
1/15/2013
Complaint Procedure & Fair Housing NoticeComplaint Procedure & Fair Housing NoticeMandatory Forms
Form #SDS 519
6/17/2013
ConstipationConstipationConstipation
1/15/2013
Constipation and the Colon - Mayo ClinicConstipation and the Colon - Mayo ClinicConstipation
Video #2 of 4
7/14/2014
Constipation: Causes and Symptoms - Mayo ClinicConstipation: Causes and Symptoms - Mayo ClinicConstipation
Video #1 of 4
7/14/2014
Constipation: Dietary and Behavior Modifications - Mayo ClinicConstipation: Dietary and Behavior Modifications - Mayo ClinicConstipation
Video #3 of 4
7/14/2014
Constipation: Lifestyle Modifications - Mayo ClinicConstipation: Lifestyle Modifications - Mayo ClinicConstipation
Video #4 of 4
7/14/2014
Consumer Medication SafetyConsumer Medication SafetyMedication Administration
Website
1/15/2013
Cooking fire safety outreach materialsCooking fire safety outreach materialsFire Safety
Video & Addt'l Resources
7/14/2014
Dementia 101Dementia 101DementiaVideo
Video with Teepa Snow
8/23/2016
Depression in Later LifeDepression in Later LifeCommunication skills and problem solving
Additional Reading (PNW 347)
1/15/2013
Diabetes - General ScreeningDiabetes - General ScreeningScreening Tools
1/15/2013
Diabetes - Provider QuestionnaireDiabetes - Provider QuestionnaireScreening Tools
1/15/2013
Disaster Preparedness for Seniors by SeniorsDisaster Preparedness for Seniors by SeniorsEmergency Preparedness
Additional Reading
1/15/2013
Don't Share Insulin Pens Between PatientsDon't Share Insulin Pens Between PatientsMedication Administration
Add'l Resources - Video
7/3/2014
Dosing Errors with Certain Oral SyringesDosing Errors with Certain Oral SyringesMedication Administration
Add'l Resources - Video
7/3/2014
Drug Interactions: What You Should KnowDrug Interactions: What You Should KnowMedication Administration
Add'l Resources
7/3/2014
Emergency Contact InformationEmergency Contact InformationSuggested Forms
Form #SDS 902A
1/15/2013
Emergency Preparedness - Heatwave Safety ChecklistEmergency Preparedness - Heatwave Safety ChecklistEmergency Preparedness
Additional Reading
1/15/2013
Emergency Preparedness – Ready for EvacuationEmergency Preparedness – Ready for EvacuationEmergency Preparedness
Add'l Resources
7/3/2014
Emergency Preparedness - Ready for FloodingEmergency Preparedness - Ready for FloodingEmergency Preparedness
Add'l Resources
7/3/2014
Emergency Preparedness - Ready for Heat WaveEmergency Preparedness - Ready for Heat WaveEmergency Preparedness
Addt'l Resources
7/14/2014
Emergency Preparedness - Ready for Power OutagesEmergency Preparedness - Ready for Power OutagesEmergency Preparedness
Add'l Resources
7/3/2014
Emergency Preparedness - Ready for TornadoesEmergency Preparedness - Ready for TornadoesEmergency Preparedness
Add'l Resources
7/3/2014
Emergency Preparedness - Ready for WildfiresEmergency Preparedness - Ready for WildfiresEmergency Preparedness
Add'l Resources
7/3/2014
Emergency Telephone NumbersEmergency Telephone NumbersEmergency Preparedness
Worksheet
1/15/2013
Expiration Dates MatterExpiration Dates MatterMedication Administration
Add'l Resources - Video
7/3/2014
Federal Emergency Management Agency (FEMA)Federal Emergency Management Agency (FEMA)Emergency Preparedness
 Website
1/15/2013
Financial InformationFinancial InformationMandatory Forms
Form #SDS 448A
1/15/2013
Fire and Life SafetyFire and Life SafetyFire Safety
Document #SDS 511F
1/15/2013
Fire Drill and Evacuation RecordFire Drill and Evacuation RecordMandatory Information
Form #SDS 342
1/15/2013
Food Likes and DislikesFood Likes and DislikesMandatory Information
Form #SDS 902B
1/15/2013
Food SafetyFood SafetyNutrition and Food Management
Your Self-Training Manaul
6/18/2013
Food Safety Minimum Temperature ChartFood Safety Minimum Temperature ChartFood Safety
Website
1/15/2013
General Information and Screening AssessmentGeneral Information and Screening AssessmentMandatory Information
Form #SDS 902
1/15/2013
Get a Kit, Make a Plan, Be InformedGet a Kit, Make a Plan, Be InformedEmergency Preparedness
Additional Reading
1/15/2013
Grapefruit, Drug InteractionGrapefruit, Drug InteractionMedication Administration
Add'l Resources - Video
7/3/2014
Growing OlderGrowing OlderCommunication skills and problem solving
Additional Reading (PNW 196)
1/15/2013
Health History and Physician_NP StatementHealth History and Physician_NP StatementMandatory Information
Form #SDS 903
1/15/2013
Heart Disease - General ScreeningHeart Disease - General ScreeningScreening Tools
1/15/2013
Heart Disease - Provider QuestionaireHeart Disease - Provider QuestionaireScreening Tools
1/15/2013
Heat EmergenciesHeat EmergenciesEmergency Preparedness
Add'l Resources
7/14/2014
Heating fire safety outreach materialsHeating fire safety outreach materialsFire Safety
Video & Addt'l Resources
7/14/2014
Helping Memory-Impaired EldersHelping Memory-Impaired EldersCommunication skills and problem solving
Additional Reading (PNW 314)
1/15/2013
Herbal Medicines - WarningHerbal Medicines - WarningMedication Administration
Add'l Resources
7/3/2014
Herbals Act Like MedicinesHerbals Act Like MedicinesMedication Administration
Add'l Resources
7/3/2014
How Dehydration Can Lead to Heat StrokeHow Dehydration Can Lead to Heat StrokeDehydration
Video
7/14/2014
How to Read an OTC Medicine LabelHow to Read an OTC Medicine LabelMedication Administration
Add'l Resources
7/3/2014
Humalog (insulin lispro)Humalog (insulin lispro)Medication Administration
Medication ALERT
7/3/2014
Incident ReportIncident ReportMandatory Information
Form #SDS 344
1/15/2013
Infectious Waste ManagementInfectious Waste ManagementOARs
Initial ApplicationInitial ApplicationMandatory Forms
Form #SDS 448
1/15/2013
Insurance DivisionInsurance DivisionBusiness
Website
1/15/2013
Insurance Pool Governing Board (IPGB)Insurance Pool Governing Board (IPGB)Business
Website
1/15/2013
Lantus (insulin glargine)Lantus (insulin glargine)Medication Administration
Medication ALERT
7/3/2014
Learn About Fire Escape PlansLearn About Fire Escape PlansFire Safety
Video & Addt'l Resources
7/14/2014
Legal Issues for Older AdultsLegal Issues for Older AdultsMyths and facts about aging
An Oregon Legal Information and Reference Guide
1/15/2013
Levemir (insulin detemir)Levemir (insulin detemir)Medication Administration
Medication ALERT
7/3/2014
Licensing Complaint FormLicensing Complaint FormMandatory Forms
Form #SDS 517L
6/17/2013
Long-term Care OmbudsmanLong-term Care OmbudsmanAdmission
Website
1/15/2013
Long-term Care Ombudsman (LTCO)Long-term Care Ombudsman (LTCO)Business
1/15/2013
Long-term Care Ombudsman (LTCO)Long-term Care Ombudsman (LTCO)OARs
Website
Making Pain Medicines SaferMaking Pain Medicines SaferMedication Administration
Add'l Resources - Video
7/3/2014
Medical Errors from Misreading Letters and NumbersMedical Errors from Misreading Letters and NumbersMedication Administration
Add'l Resources - Video
7/3/2014
Medical Visit ReportMedical Visit ReportMandatory Information
Form #SDS 341
1/15/2013
Medication ALERT - Compound DrugsMedication ALERT - Compound DrugsMedication AdministrationShort Article
4/18/2017
Medication ALERT - Expired MedicationsMedication ALERT - Expired MedicationsMedication AdministrationShort Article
4/18/2017
Medication ALERT - PRN MedicationsMedication ALERT - PRN MedicationsMedication AdministrationShort Article
4/18/2017
Mixups between Insulin U-100 and U-500Mixups between Insulin U-100 and U-500Medication Administration
Add'l Resources - Video
7/3/2014
My PlateMy PlateNutrition
Website
1/15/2013
Notice of Involuntary Move, Transfer or DischargeNotice of Involuntary Move, Transfer or DischargeMandatory Forms
Form #SDS 0901
1/7/2013
Notice of Rights to Receive Long-term CareNotice of Rights to Receive Long-term CareMandatory Forms
Form #SDS 913
1/15/2013
NovoLog (insulin aspart)NovoLog (insulin aspart)Medication Administration
Medication ALERT
7/3/2014
Occupational Safety and Health Administration (OSHA)Occupational Safety and Health Administration (OSHA)Business
Website
1/15/2013
Office of the Ombudsman for Small BusinessOffice of the Ombudsman for Small BusinessBusiness
Website
1/15/2013
Oregon Alzheimer's AssociationOregon Alzheimer's AssociationDementiaWebsite
Website
1/15/2013
Oregon Bureau of Labor and IndustriesOregon Bureau of Labor and IndustriesBusiness
Website (Wage and Hour Division)
1/15/2013
Oregon Department of Consumer and Business ServicesOregon Department of Consumer and Business ServicesBusiness
Website
1/15/2013
Oregon Safe MedsOregon Safe MedsMedication Administration
Facebook Page
6/18/2013
Oregon State Board of NursingOregon State Board of NursingRN Services
License Verification
1/15/2013
OTC - The BasicsOTC - The BasicsMedication Administration
Add'l Resources
7/3/2014
Parkinson's Disease - General ScreeningParkinson's Disease - General ScreeningScreening Tools
1/15/2013
Parkinson's Disease - Provider QuestionnaireParkinson's Disease - Provider QuestionnaireScreening Tools
1/15/2013
Parkinson's Resources of OregonParkinson's Resources of OregonParkinson's Disease
Website
1/15/2013
Parkinson's: Get it on time - Medicine Management for PatientsParkinson's: Get it on time - Medicine Management for PatientsMedication Administration
Video - Parkinson's Medications
8/18/2014
Partnership for Food Safety EducationPartnership for Food Safety EducationFood SafetyWebsite
8/23/2016
Playing it Safe with MedicinesPlaying it Safe with MedicinesMedication Administration
Add'l Resources - Video
7/3/2014
Preparing for Disaster for People with DisabilitiesPreparing for Disaster for People with DisabilitiesEmergency Preparedness
Additional Reading
1/15/2013
Pressure SoresPressure SoresAdmission
1/15/2013
Prevent Foodborne IllnessPrevent Foodborne IllnessFood Safety
Website
1/15/2013
Registering Your Business NameRegistering Your Business NameMiscellaneous Documents
Website: It is required by State Law that if you have a business name it must be registered with Oregon Secretary of State.
10/25/2013
Reminiscing and Discussion Tools for Older AdultsReminiscing and Discussion Tools for Older AdultsCommunication skills and problem solving
ElderSong Tools and Publications
1/15/2013
Renewal License ApplicationRenewal License ApplicationMandatory Forms
Form #SDS 448C
6/17/2013
Request for AFH Training CreditRequest for AFH Training CreditMandatory Forms
Traininer/Instructor Form #SDS 1510
6/17/2013
Resident Account RecordResident Account RecordMiscellaneous Documents
Form #SDS 713
1/15/2013
Resident Orientation to HomeResident Orientation to HomeMandatory Information
Form #SDS 342A
1/15/2013
Resident Personal PossessionsResident Personal PossessionsSuggested Forms
Form #SDS 346
1/15/2013
Resident Records ChecklistResident Records ChecklistSuggested Forms
Form #SDS 348
1/15/2013
Resident RightsResident RightsMandatory Forms
SDS 0350A Signature Version
10/17/2013
Residents RightsResidents RightsMandatory Forms
SDS 0350 To Be Posted
10/17/2013
RN Delegation for Lay CaregiversRN Delegation for Lay CaregiversRN Services
Self-study Website
1/15/2013
S.T.O.P. FormS.T.O.P. FormCommunication
1/15/2013
Safe Medication AdministrationSafe Medication AdministrationMedication Administration
Website
6/18/2013
SmokingSmokingFire Safety
Add'tl Resources
7/14/2014
Smoking and Home Fire SafetySmoking and Home Fire SafetyFire Safety
Video & Addt'l Resources
7/14/2014
Special needs Resident Admission ReviewSpecial needs Resident Admission ReviewMandatory Information
Form #SDS 490
1/15/2013
Stroke - General ScreeningStroke - General ScreeningScreening Tools
1/15/2013
Stroke - Provider QuestionnaireStroke - Provider QuestionnaireScreening Tools
1/15/2013
Stroke Education - DysphagiaStroke Education - DysphagiaStroke
Video
7/14/2014
Substitute Caregiver Orientation RecordSubstitute Caregiver Orientation RecordMandatory Forms
Form #SDS 349
1/15/2013
Supplemental ApplicationSupplemental ApplicationMandatory Forms
Form #SDS 448B
1/15/2013
Taking Acetaminophen SafelyTaking Acetaminophen SafelyMedication Administration
Add'l Resources - Video
7/3/2014
Tasks and TimelineTasks and TimelineEmployer
Worksheet
1/15/2013
Technical Assistance for EmployersTechnical Assistance for EmployersEmployer
Website
1/15/2013
Teepa SnowTeepa SnowDementiaWebsite
Teepa Snow's Website
8/23/2016
Teepa's GEMSTeepa's GEMSDementiaVideo
Video - with Teepa Snow
8/23/2016
The American Diabetes AssociationThe American Diabetes AssociationDiabetesWebsite
Website
1/15/2013
The Arthritis FoundationThe Arthritis FoundationArthritisWebsite
Website
1/15/2013
The Six Rights to Safe Medication AdministrationThe Six Rights to Safe Medication AdministrationMedication Administration
DHS Learning Center - NetLink Training (CO2865)
1/15/2013
Throw away your old medicines safelyThrow away your old medicines safelyMedication Administration
Add'l Resources
7/3/2014
Tips for Measuring Liquid Medicines SafelyTips for Measuring Liquid Medicines SafelyMedication Administration
Add'l Resources
7/3/2014
Tips for Taking Medicines SafelyTips for Taking Medicines SafelyMedication Administration
Add'l Resources - Video
7/3/2014
Tips for Talking with Your PharmacistTips for Talking with Your PharmacistCommunication
Add'l Resources
7/3/2014
Unsafe Medical AbbreviationsUnsafe Medical AbbreviationsMedication Administration
Add'l Resources
7/3/2014
US Small Business Administration (SBA)US Small Business Administration (SBA)Business
1/15/2013
Use Laxatives with CautionUse Laxatives with CautionMedication Administration
Add'l Resources
7/3/2014
Worker's Compensation DivisionWorker's Compensation DivisionBusiness
website
1/15/2013
You can Prevent Foodborne IllnessYou can Prevent Foodborne IllnessFood Safety
Additional Reading (PNW0250)
1/15/2013