Standards for public agencies

2020 Edition

Adult Foster Care (PA-AFC) 5: Home Assessment

Prior to placement and annually thereafter, the home is assessed for its ability to be a safe and therapeutic environment for the service recipient.
2020 Edition

Currently viewing: ADULT FOSTER CARE (PA-AFC)



 Adult Foster Care (PA-AFC) programs support community-based living arrangements for adults in need of long term-services and supports, matching them with in-home caregivers.
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.

Partial Implementation, Concerning Performance
A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  

  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
Unsatisfactory Implementation or Performance
A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed service delivery infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Self-Study EvidenceOn-Site EvidenceOn-Site Activities
  • Home assessment procedures
  • Copy of home assessment tool
  • Contract with another entity responsible for inspecting and reassessing homes, as applicable
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served
  • Review home assessment records

Fundamental Practice

PA-AFC 5.01

The agency has procedures for: 
  1. approving homes in accordance with applicable regulatory requirements; 
  2. frequency of in-person home reassessments; and
  3. time frames for repairs based upon the necessity of the repair and to what extent it inhibits the service recipient’s independent functioning.

Fundamental Practice

PA-AFC 5.02

The agency inspects the caregiver’s home to ensure it meets the needs of the individual prior to placement and annually thereafter to determine: 
  1. the kitchen area is clean and in good working order;
  2. clean, private facilities for bathing, toileting, and personal hygiene are provided;
  3. provision of adequately and attractively furnished rooms with a separate bed for each person, including a clean, comfortable, covered mattress, pillow, sufficient linens and blankets;
  4. doors are maintained on sleeping areas and bathroom enclosures;
  5. assistive technology is in place or the ability for assistive technology to be installed;
  6. heating, lighting, water supply, and ventilation are adequate; 
  7. safety and emergency protections are in place, including fire and carbon monoxide detectors, and an unobstructed emergency exit is available; and
  8. ease of evacuating the building or moving to an area of safety within the building during an emergency either independently or with minimal assistance.


PA-AFC 5.03

An assessment is made of the home’s accessibility to the local community.
Examples: This would include, for example, access to public transportation, distance to community centers or libraries, whether a car is needed to run errands, etc., to ensure the home environment is supportive to the individual’s needs and helps support their highest level of independent functioning.