📝 Adult Family Home Evaluation Checklist — Washington State
📌 Identification & Licensing
☐ Home has a current Washington State Adult Family Home license posted and available for review (license should be visible).
☐ You’ve checked inspection history and deficiency reports (ask for past inspection and complaint reports).
☐ The home provides standardized disclosure of services and charges, as required by state law.
🧑⚕️ Care & Staff
☐ Staff are kind, respectful, and communicate clearly.
☐ Ask how many caregivers are on shift during daytime and nighttime.
☐ There is awake staff at night (if needed for your loved one).
☐ Staff training includes First Aid/CPR, safe handling, dementia care (when needed), and continuing education.
☐ Staff speaks the preferred language of the resident (if language access matters).
☐ Check that there is a clear care plan tailored to your loved one’s needs.
☐ Understand Provider’s protocol for handling falls and other mishaps, including notifying family members.
🏡 Environment & Safety
☐ The home feels clean, comfortable, and home-like.
☐ Bedrooms are private or semi-private, have privacy features (curtains/blinds), and allow direct exit to hallways or common areas.
☐ Common areas are welcoming, well-lit, and large enough for all residents.
☐ Emergency evacuation plans are posted.
☐ Safety features in place: grab bars, non-slip flooring, working smoke/carbon monoxide detectors, secure stair access, etc.
☐ Outdoor areas are accessible and safe.
🍽 Meals & Nutrition
☐ Meals are served on a schedule that fits your loved one’s needs.
☐ Special dietary needs (allergies, diabetic, texture changes) are accommodated.
☐ You can speak with someone about menu planning and typical food options.
💊 Medical & Personal Care
☐ Assistance is provided with activities of daily living (bathing, dressing, toileting) as needed.
☐ Medication management protocols are in place and clearly explained.
☐ Care team includes or coordinates with nurses when necessary.
💬 Communication & Family Engagement
☐ Provider communicates openly and frequently with families.
☐ You feel comfortable asking questions about care and changes.
☐ There is a clear procedure for raising concerns or complaints.
📊 Cost & Contract
☐ You’ve reviewed a written contract listing costs and what’s included.
☐ You understand what services cost extra (e.g., special transportation, outings, extra care).
☐ You are clear on what daily care supplies the Provider includes and which are an additional cost (e.g. incontinence products, personal toiletries).
☐ Provider accepts the payment type(s) you plan to use (private pay, Medicaid, etc.).
☐ You know the process for billing and refunds.
🧠 Resident Well-Being
☐ Residents seem socially engaged and comfortable.
☐ Activities and outings are offered (if available).
☐ You can meet current residents/families (if appropriate).
☐ Provider sends regular updates to the family proactively and how often.
🛠 Legal & Advocacy
☐ You have contact information for:
• Adult Family Home complaint hotline
• Long-Term Care Ombudsman
• Washington Aging & Disability Services Administration
(These are usually posted in the home as required.)
✔️ Optional — Questions to Ask During a Visit
“How long has the home been operating?”
“What happens if my loved one’s care needs increase?”
“How often are care plans reviewed and updated?”
“Are there arrangements for medical appointments and transportation?”
“What steps do you take for infection control and emergencies?”
“Do you provide hospice support and my loved one can stay through their lifetime?”