Adult family homes are residential long-term care facilities that provide personal care services, as well as room and board for up to six adults. Homes are typically located in specially retrofitted private houses in residential neighborhoods. Some adult family homes are run by a single person or married couple who live in the home with residents. Other homes are operated by commercial entities who hire employees to cover hour shifts.

Adult Care Licensure Section



LARA - Licensing Rules and Statutes
Fifty years ago, most people with even moderate special needs were institutionalized throughout their adult lives. Now, thanks in part to societal changes and decades of litigation, most people with special needs, including those with very severe special needs, live in some type of community setting. In fact, the U. Supreme Court has specifically ruled that people with special needs who receive government benefits must be housed in the least restrictive possible setting.


Adult Family Homes
Community Residential Services include both Alternative Living Services and Companion Home Services, which are provided in typical homes or apartments in the community. Adult Family Home Services are community-based services delivered in typical family homes that are licensed by Residential Care Services to support from 2 to 6 residents. Residents must be financially eligible for Medicaid and have a functional or intellectual disability that requires support and supervision.



When elderly people or adults with physical disabilities are no longer able to care for themselves in their own homes, adult foster care may be an option. Adult foster homes are single-family residences that offer hour care in a home-like setting. A wide variety of residents are served in adult foster homes, from those needing only room, board and minimal personal assistance to those residents needing full personal care, or skilled nursing care with the help of community-based registered nurses.