FAQ

Click here for additional information on different types of Adult Care facilities.

There are three levels, or classes, of Adult Foster Care Home licenses. The classification system is based on level of care the Adult Foster Home may provide to residents who live in the home as well as the experience and training of the providers and their ability to assist residents with the six Activities of Daily Living. The ADLs are: personal hygiene, mobility, eating, dressing, toileting, and behavior management. Behavior management includes both money management and medication management.

CLASS I homes provide light care to people who need assistance with four or fewer ADLs; residents must be in stable medical condition. No residents who needs skilled or continuous nursing care may be admitted to an Adult Foster Home with a Class I designation. The Operator of the home must have the equivalent of at least one year of verifiable fulltime experience providing direct care to elderly persons or persons with disabilities within the last three years of applying to open a home.

CLASS II homes provide moderate levels of care to people who need assistance in one or all of the six ADLs. Residents who are dependent in no more than three ADLs may also be admitted to a Class II home. A resident who is dependent in an ADL is substantially unable, or unwilling, to perform an ADL. The Operator of the home must have at least two years of fulltime verifiable experience providing direct care to elderly persons or persons with disabilities within the last five years.

CLASS III homes provide heavy levels of care to people who are dependent, or who need a high level of assistance with, four or more ADLs. No more than one totally dependent person may be in the residence at one time. The Operator of the home must meet higher requirements, including providing current satisfactory references from at least two medical professionals who have direct knowledge of the applicants ability and past experience as a caregiver, have the equivalent of three years of verifiable fulltime hands-on experience within the past ten years providing direct care to elderly persons or persons with disabilities who are dependent in four or more ADLs, and have no substantiated reports of abuse or neglect within the last three years.

The staff of the higher level homes are required to have the greatest amount of training and experience. It is rare for a first time applicant to be issued a Class III license unless he or she has exceptional skills and abilities.

 http://www.co.multnomah.or.us/ads/achp/publications/forms/class-ws.pdf is available to calculate the appropriate level of adult foster home for a potential resident