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Adult Family Home Live-in Care Impact Survey

The purpose of this survey is to estimate the number of adult family homes and live-in caregiver employees potentially affected by the Washington Supreme Court’s decision in Bolina v. AssureCare.

The survey will also help AFHC estimate the potential fiscal and operational effect of the ruling on individual homes, Medicaid residents, employees, and the adult family home system.

This survey is being conducted for legislative, budget, collective bargaining, and policy purposes. It is not a legal compliance audit, and a provider’s response does not determine whether any particular period is compensable or whether the provider owes wages.

Confidentiality and use of survey information

AFHC is collecting provider and home information to verify that each response represents one licensed adult family home, prevent duplicate responses, and contact providers if clarification is necessary.

Survey responses will be treated as confidential. AFHC will:

  • Analyze and report survey results in aggregate.
  • Remove provider-identifying information from external reports and presentations.
  • Use the information only to assess the potential impact of the ruling and support related legislative, budget, bargaining, and policy efforts.
  • Contact the provider before sharing any provider-specific information or individual impact statement.

AFHC will not provide your name, phone number, adult family home name, license number, individual responses, or other identifying information to any outside person or organization without first consulting you and receiving your permission.

Please do not include the names of employees or residents, Social Security numbers, medical information, individual wage records, or other personally identifiable information in your responses.

Important instructions

Please complete one separate survey response for each licensed adult family home you own or operate.

This survey response should include information for only the adult family home identified by its name and license number in this response.

  • If you operate one licensed home, submit one response.
  • If you operate five licensed homes, submit five separate responses.
  • Do not combine information from multiple homes into one response.
  • After submitting a response for one home, please return to the survey link and complete another response for each additional licensed home.

Survey Definition

For purposes of this survey, a live-in caregiver employee is an employee whose job requires or regularly involves one or more of the following:

  • Living or sleeping at an adult family home.
  • Remaining at the home overnight.
  • Remaining on the premises for extended periods while available to respond to resident needs.
  • Providing resident care, supervision, emergency coverage, or overnight coverage while residing or sleeping at the home.

Not a Member Yet?

Membership fees enable the Council to cover legal expenses and fund staff to advocate with the state and regulatory agencies. The participation of every adult family home is vital to ensuring fair regulations and rates that accurately reflect the costs of caring for our vulnerable adults. Consider becoming a member of the Council to help us continue improving conditions for all adult family homes in Washington State.