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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.

June 2, 20267 min read1st Blessed Team
How Washington State Licenses Adult Family Homes

How Washington State Licenses Adult Family Homes

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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

official DSHS website.

Written by
Dr. Chinasa Linda Atuegwu
Adult Family Home Specialist
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