How Washington State Licenses Adult Family Homes
What does it actually mean to be a licensed adult family home in Washington? Here is a plain-English walkthrough of the licensing process and what it guarantees for families.

How Washington State Licenses Adult Family Homes
Who regulates adult family homes?
Adult family homes in Washington State are licensed and regulated by the Department of Social and Health Services (DSHS). DSHS sets the standards, performs inspections, and investigates complaints.
What caregivers must complete
Every caregiver must complete mandatory training before being left alone with residents. Core requirements include:
70 hours of initial caregiver training
Core basic training covering resident rights, safety, and care fundamentals
CPR and first aid certification
Ongoing continuing education each year
Inspections and accountability
Licensed homes are subject to unannounced inspections, and providers must keep detailed records of care. Complaints are investigated, and findings are public record — families can request a provider's history.
The bottom line
A DSHS license is not a formality. It is a binding promise about how your loved one will be cared for — and it comes with real oversight.
Read more about the current standards on the
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