2022 Edition

Adult Foster Care (CA-AFC) 7: Caregiver Training and Support

Caregivers receive training and support to strengthen their capacity to care for individuals and support their needs.

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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
  • Table of contents of training curricula for caregivers
  • Procedures for responding to emergencies
  • Procedures for developing respite plans
  • Training curricula
  • Training attendance records
  • Materials that specify pre- and in-service training requirements
  • Materials provided to caregivers describing their rights
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Caregivers
  • Review caregiver records

Fundamental Practice

CA-AFC 7.01

Caregivers receive pre-service training that addresses: 
  1. specific duties of caregivers;
  2. identification and reporting of abuse and neglect;
  3. documentation and reporting requirements;
  4. reimbursement of services;
  5. creating a safe environment, responsive to the individual’s trauma and mitigating trauma-related stress responses;
  6. preventing allegations of maltreatment and procedures when allegations are made;
  7. complaint procedures;
  8. community resources, including public transportation; and
  9. circumstances that will result in the revocation of a caregiver’s license, certification, or approval.
Examples: Regarding element (e), an environment that mitigates trauma takes an individualized approach. For example, if an individual’s trauma triggers stress responses to loud, sudden noises then ensuring the individual is in a room not directly off areas of high traffic (such as the living room or kitchen) can help mitigate those responses.

Fundamental Practice

CA-AFC 7.02

Caregivers are trained or certified, as appropriate, in: 
  1. basic first aid and CPR;
  2. medication administration, as appropriate;
  3. safe lifts;
  4. the organization’s policies on restrictive interventions and behaviour support and management; 
  5. medical or rehabilitative interventions; and 
  6. operation of medical equipment when required for an individual’s care.


To meet the requirements of this standard, first aid and CPR trainings must be renewed at least every two years and include a hands-on, in-person CPR skills assessment conducted by a certified CPR instructor. 

Medication administration training pertains only to the medicines that are relevant for the service recipients in that household and includes dosage, frequency, side effects, and likelihood and signs of abuse, as well as any other relevant information. If another service provider is responsible for overseeing the individual’s medications, then the organization has procedures in place for ensuring the caregivers receive this information.


CA-AFC 7.03

Caregivers develop or use the organization’s procedures for responding to emergencies, including accidents, serious illness, fire, and natural and human-caused disaster.


This includes appointing alternative caregivers, if need be.


CA-AFC 7.04

The organization offers or refers caregivers to: 
  1. psychoeducation;
  2. emotional support;
  3. community services;
  4. self-help referrals; and
  5. care coordination resources, as needed.


CA-AFC 7.05

The care manager works with the caregiver to develop respite plans, which includes identifying backup caregivers, for planned breaks or to tend to unplanned emergencies.