An official website of the State of Oregon
How you know »
(how to identify a Oregon.gov website)
An official website of the State of Oregon »
Adult foster homes are:
The goal of the AFH-IDD is to provide necessary care while emphasizing the individual's independence. The goal is reached through a cooperative relationship between the provider, the individual, their legal representative (if applicable) and the Community Developmental Disabilities Program (CDDP) service coordinator.
The AFH-IDD provides a setting that protects and encourages the individual's independence, dignity, choice and decision-making, allowing the individual to function at the highest level of independence possible.
Adult foster home providers provide meals, transportation to appointments and other activities, medication management, assistance with activities of daily living, personal care, mobility and household activities. Support is also provided for behavioral challenges, implementation of nursing care, behavior support and individual support plans.
AFH-IDD homes in Oregon are inspected and licensed prior to receiving individuals for care and then annually to maintain licensure. The CDDP licensing staff works closely with the licensed provider to assure these activities are completed. CDDP licensing staff works with the Oregon Department of Human Services (ODHS) to assure that all aspects of licensing are complete and to provide technical assistance as needed. Licenses are issued by ODHS. OAR 411-360 governs the operations of the AFH-IDD.
Every applicant for an AFH-IDD license must meet certain standards in order to operate an AFH-IDD.
In addition to meeting the minimum requirements, further requirements are needed to become a 2B (behavioral) or 2M (medical AFH-IDD provider. Requirements include:
Once the county receives the signed and dated application by the applicant the clock starts ticking and the applicant and licensor have 60 days to complete the licensing process.
Level one AFH-IDD homes must meet minimum qualifications and support individuals who have support needs in the areas of personal care, transportation, medication management and activities of daily living. Most individuals served in level one AFH homes also participate in day programs such as employment, alternatives to employment or school.
Level one homes may serve one individual with significant medical or behavioral challenges as approved by the CDDP. A provider intending to serve more than one individual with significant medical or behavioral challenges is required to obtain a 2B or 2M license.
2B homes support more than one individual with significant behavioral challenges. Challenges may stem from co-occurring mental health conditions, the type of disability the individual experiences or criminal activity.
2M homes support more than one individual with significant medical conditions that may be life threatening. Many individuals in these settings require ongoing nursing care plans and frequent visits to the physician.
Limited license may be granted to an applicant who has a long-term relationship with an individual who is identified as the only resident in the adult foster home. Individuals with this license may ot accept other individuals into the home.
Provisional (60 day) licenses may be granted in an emergency situation if a licensed provider is no longer able to provide care in an AFH-IDD.
Prior to placement, an individual's service payments are determined by a Support Needs Assessment Profile (SNAP). The assessment bases the service payment on the individual's specific needs, as determined by the profile.
Individuals who are not Medicaid eligible may pay privately with a written contract between the AFH-IDD provider and the individual and their representative.
Yes. Prior to entry into a foster care home, you should receive referral information from the local CDDP service coordinator. The AFH-IDD provider should review this material prior to setting up a screening, or meeting, designed to introduce the individual and ask questions about level of care. The AFH-IDD provider can also show the individual around the residence at this time. Should the provider and individual and their legal representative agree to placement, an entry meeting will be scheduled and transition activities should begin.
No. AFH-IDD providers can only receive payment to provide care to individuals who are not related to them.
Every AFH-IDD provider should obtain a copy of OAR 411-360 at the time of orientation.
The rules come from Oregon Revised Statutes (or laws) that govern adult foster care. They tell the provider about the expectations of care, facility requirements, provider qualifications, documentation requirements and grievance and investigation procedures. Home inspections are based on the OARs, so it is best to always be familiar with the expectations.
Lack of compliance with OARs can result in administrative sanctions that include conditions on a license, civil penalties, denial, suspension or revocation of a license.
CDDP service coordinators should visit the home on a monthly basis if five individuals are served in the home, less is there are fewer individuals. The site visits are opportunities to review the operations of the home, meet with the provider and individuals and provide technical assistance. Licensing staff will visit at least once per year for licensing inspections, but may have follow-up meetings to assist in the correction of violations and/or provide technical assistance. AFH-IDD providers must comply with the inspections.
Complaints are directed to the local CDDP. There, complaints are addressed and resolved. If they can't be resolved at the local level, there is a process to move the complaint along to higher levels of authority.
If a complaint indicates a protective service action, an investigation may be opened with the local office. You must comply with all investigation activities. Substantiated allegations may result in administrative sanctions that can be anything from additional provider training, to denial, suspension or revocation of a license. If this happens, the AFH-IDD provider has the right to a hearing to appeal the decision.
All AFH-IDD providers and caregivers are mandatory abuse reporters and must report to the CDDP any instances of suspected abuse or neglect.
Yes. However the second and any subsequent home(s) require a resident manager to oversee the site. AFH-IDDs with resident managers do not have the same tax benefits as an AFH-IDD in which the licensed provider resides. New providers typically open one home and demonstrate the ability to support the individuals in that home before pursuing a second license.
A .gov website belongs to an official government organization in the United States.
A lock icon ( ) or https:// means you’ve safely connected to the .gov website.
Only share sensitive information on official, secure websites.
Your browser is out-of-date! It has known security flaws and may not display all features of this and other websites. Learn how