Adult Foster Care - Initial Licensing Process
When all paperwork and training is complete, the licensing social worker will visit your home to learn more about your family and ensure your home meets safety requirements for Adult Foster Care.
If you are interested in becoming a provider, please e-mail our staff at firstname.lastname@example.org.
Family Systems License Application - Complete the application and return to licensing. To find out the municipality contact information required for page 5 of the application, please see the City Officials or Township Officers lists of government officials in Wright County.
SSIS Application for Foster Care Licensure - Complete the application and return to licensing.
Privacy Rights Notice - Review for privacy rights information.
Privacy Rights Signature Page - Sign and return to licensing.
Instructions for Initiating Background Studies through NETStudy - Follow instructions for initiating background studies.
Background Study Log - The license holder must maintain documentation of background studies initiated for the program.
Reference Letters - Three references are required from unrelated individuals who can attest to the applicant's ability to provide care for functionally impaired adults. Completed reference forms must be sent to licensing.
Fire Marshal Fee Instructions - Follow instructions to initiate the request for a Fire Marshal inspection.
Home Safety Checklist - Review and ensure full compliance with checklist items. Send completed checklist to licensing.
Disaster Plan - Complete and return to licensing.
Social Family History - Each license applicant must complete and return to licensing.
Social Family History of Household Members - Each household member (not the license applicant/s) must complete and return to licensing.
Vulnerable Adult Act Training - Annual training on the Vulnerable Adult Act is required by MN Statute 245A.65. Complete the on-line competency test and follow instructions to obtain a certificate of completion. All license holder and caregivers must receive a score of 80% or higher to be considered adequately trained on the Vulnerable Adult Act. Maintain annual certificates with the license holder and caregivers' training logs.
Program Abuse Prevention Plan - Complete and return to licensing.
AFC Home Program Plan - Complete and return to licensing.
Grievance Policy - Submit the completed policy to licensing.
Substance Abuse Policy - Submit the completed policy to licensing.
Reporting Maltreatment of Vulnerable Adults Policy - Submit the completed plan to licensing.
Floor and Escape Plan - Submit the completed plan to licensing.
Well-water Testing Requirements - Water from privately owned wells must be tested annually by a MN Health Department certified laboratory for coliform bacteria and nitrate nitrogens to verity safety.
Acknowledgment of Resident's Rights - Review and sign the form.
Directions to Home - Complete and return to licensing.
9555.5050 - Repealer and effective dates.
9555.5105 - Definitions.
9555.5205 - Applicability.
9555.5305 - Purpose.
9555.5405 - Foster Home Development.
9555.5505 - Local Agency Orientation and Training Role.
9555.5515 - Record on The Residence.
9555.5605 - Assessment.
9555.5705 - Provision of Adult Foster Care Services to Residents of Adult Foster Homes.
9555.6105 - Applicability and Purpose.
9555.6115 - License Application Process.
9555.6125 - Licensing Study.
9555.6145 - Negative Licensing Actions.
9555.6165 - Capacity.
9555.6167 - Individual Resident Placement Agreement.
9555.6175 - Cooperate and Report to Agencies.
9555.6185 - Foster Care Training.
9555.6195 - Prohibitions Against Maltreatment and Discrimination.
9555.6205 - Physical Environment.
9555.6215 - Water and Food.
9555.6225 - Sanitation and Health.
9555.6235 - Adult Foster Home Program.
9555.6245 - Personal Record of Resident in Foster Care.
9555.6255 - Resident's Rights.
9555.6265 - Safeguards for Cash Resources Entrusted to Operator.
No Meeting Schedules or Training Dates available at this time.
If you live in Wright County, please contact the licensor by email at email@example.com. If you do not live in Wright County, please contact your local county social services department; click here for contact information for Minnesota counties.