2022 Edition

Adult Foster Care (CA-AFC) 5: Home Assessment

Prior to placement and annually thereafter, the home is assessed for its ability to be a safe and therapeutic environment for the service recipient.


The NA is given to organizations that the local authority routinely inspects and reauthorizes for licensure. If the local authority only provides approval for licensure, then the standards in this section apply to ensure the home continues to meet the criteria it is licensed or approved under. ​​​​​​​
NA The homes are inspected and approved by another entity, such as a local authority.

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Adult Foster Care (CA-AFC) programs support community-based living arrangements for adults in need of long term-services and supports, matching them with in-home caregivers.
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice Standards.
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice Standards; e.g.,
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions, procedures are understood by staff and are being used; or
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations and training; or
  • Active client participation occurs to a considerable extent.
Practice requires significant improvement, as noted in the ratings for the Practice Standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Timeframes are often missed; or
  • Several client records are missing important information; or
  • Client participation is inconsistent. 
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice Standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or 
  • Documentation is routinely incomplete and/or missing.      
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Home assessment procedures
  • Copy of home assessment tool
  • Contract with another entity responsible for inspecting and reassessing homes, as applicable
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review home assessment records

Fundamental Practice

CA-AFC 5.01

The organization has procedures for: 
  1. approving homes in accordance with applicable regulatory requirements; 
  2. frequency of in-person home reassessments; and
  3. time frames for repairs based upon the necessity of the repair and to what extent it inhibits the service recipient’s independent functioning.

Fundamental Practice

CA-AFC 5.02

The organization inspects the caregiver’s home to ensure it meets the needs of the individual prior to placement and annually thereafter to determine: 
  1. the kitchen area is clean and in good working order;
  2. clean, private facilities for bathing, toileting, and personal hygiene are provided;
  3. provision of adequately and attractively furnished rooms with a separate bed for each person, including a clean, comfortable, covered mattress, pillow, sufficient linens and blankets;
  4. doors are maintained on sleeping areas and bathroom enclosures;
  5. assistive technology is in place or the ability for assistive technology to be installed;
  6. heating, lighting, water supply, and ventilation are adequate; 
  7. safety and emergency protections are in place, including fire and carbon monoxide detectors, and an unobstructed emergency exit is available; and
  8. ease of evacuating the building or moving to an area of safety within the building during an emergency either independently or with minimal assistance.


CA-AFC 5.03

An assessment is made of the home’s accessibility to the local community.
Examples: This would include, for example, access to public transportation, distance to community centers or libraries, whether a car is needed to run errands, etc., to ensure the home environment is supportive to the individual’s needs and helps support their highest level of independent functioning.