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Adult Foster Care Provider Corner
- The license holder must maintain documentation of background studies initiated for the program
- This document describes the licensing requirements for placement in an Adult Foster Care home
Adult Foster Care Placement Process and Checklist for Providers
Adult Foster Care Individual Resident Record
Adult Foster Care New Placement Worksheet
Individual Resident Placement Agreement
Placement Record
- To document resident placements
Adult Foster Care New Caregiver Checklist (for sites without 245D-HCBS license)
- This document outlines the requirements which need to be met for a new caregiver to provide direct contact services in a licensed AFC home
- AFC providers may use this document or similar documentation to ensure that all AFC Rule and Statute requirements have been completed prior to allowing a new caregiver to provide direct contact services to AFC residents
- This review test must be completed by applicants at initial licensure
- It also may be used as a training aid for AFC homes which employ staff
- A foster care provider shall not care for an individual who relies on medical equipment to sustain life or monitor a medical condition unless the provider has received the training to operate such equipment as observed and confirmed by a qualified source, and (1) is currently caring for an individual who is using the same equipment in the foster home; or (2) has written documentation that the foster care provider has cared for an individual who relied on such equipment within the past six months; or (3) has successfully completed training with the individual being placed with the provide
- MN Statute 245A.155 provides the definition of "qualified source"
Training Log (for sites without 245D-HCBS license)
- Caregivers with 0-5 years of licensure / experience are required to complete 12 hours of training annually
- Caregivers with 6+ years of licensure / experience are required to complete 6 hours annually
- Annual training on the Vulnerable Adult Act is required by MN Statute 245A.65
- Complete the online competency test and follow instructions to obtain a certificate of completion
- All license holders and caregivers must receive a score of 80% or higher to be considered adequately trained on the Vulnerable Adults Act
- Maintain annual certificates with the license holder and caregivers' training logs
- Adult Foster Care Home Program Plan
- This form must be reviewed annually and revised as changes occur in the provision of services
- Appeal/Grievance Procedure
- Timelines for appealing negative licensing actions and grievance procedures for provider
- Disaster Plan
- This form will be used in the case of an emergency involving a pandemic outbreak, natural disaster, or catastrophic event
- Providers must update the licensor within 14 days of any changes to the contact information on the form
- Floor and Escape Plan
- To diagram providers home
- Program Abuse Prevention Plan
- This plan is completed by the license holder by assessing the residents and physical environment of the licensed facility and surrounding grounds
- The license holder should determine how the risk of harm will be reduced in each area of assessment
- This form must be reviewed annually by the license holder and updated as the needs of the residents change
- This plan should not contain resident names or identifying information
Licensing Rule Checklist-AFC no 245D
Licensing Rule Checklist-Family 245D
Licensing Rule Checklist-Corporate w/245D
- 211 Information and Referral
- "211" is the national abbreviated dialing code for access to health and human services information and referral.
- 211 is a free, confidential service with universal social value, accessible to the entire population and national in scope.
- 211 is for everyone - from individuals, families, and professionals to community agencies, government, and people facing barriers due to language, poverty or personal difficulty.
- Calling 211 will help anyone get information and access to vital community services.
- The 211 call will be answered 24/7 by an Information and Referral Specialist who assesses the caller's needs and refers the person to the appropriate community, social, health and government services.
- Alzheimer's Association
- The Alzheimer's Association is the largest national voluntary health organization supporting Alzheimer research and care.
- Foster Provider Liability Coverage
- Coverage through Minnesota Joint Underwriting Association, call 800-552-0013
- All foster care providers in the State of Minnesota licensed by the Department of Human Services, Department of Corrections, approved by a tribal government or a court, and foster clients are automatically covered by the policy
- Adult foster care providers must also live in the home with the clients and be the primary care giver
Office of Inspector General (OIG) Exclusion / Medicare and Medicaid Fraud
- A search must be completed monthly by all providers registered as a Minnesota Health Care Provider
- Search for all individuals affiliated with the licensed Adult Foster Care facility
Office of the Ombudsman for Mental Health and Developmental Disabilities
- Schedule II controlled substances must be stored in a locked area.
- Publication 17 contains tax information regarding certain foster care payments.
- The Arc is a national organization of and for people with mental retardation and related developmental disabilities and their families