Standards for public agencies

2020 Edition

Adult Foster Care (PA-AFC) 6: Placement Planning

Individuals are placed with caregivers who can best meet their needs and support, build, and strengthen their ties to family and community.


For agencies that only provide ready-made matches, the placement planning process may be less formal, but the agency must still ensure that the home and caregiver are adequately matched with the service recipient’s needs and resources.
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
  • Placement planning procedures, including:
    1. Matching service recipients and caregivers
    2. Preventing and managing placement disruptions
    3. Creation of transition and backup plans
  • Procedures for developing residency agreements
  • Residency agreements
  • Interviews may include:
    1. Program director
    2. Relevant personnel
    3. Persons served

PA-AFC 6.01

To identify the safest and most appropriate home for every individual, the agency uses a process that considers: 
  1. the individuals’ and caregivers’ characteristics, strengths, needs, supports, and resources; 
  2. the appropriateness of the home environment;
  3. any prior relationship between the individual and caregiver; and 
  4. informal support networks of both the individual and the caregiver.
Examples: Informal support networks of both the individual and the caregiver can be helpful to examine as they will place a significant role in the individual’s ability to integrate into the community. 

PA-AFC 6.02

The agency prevents placement changes through coordinated placement planning that: 
  1. ensures individuals, families, and caregivers are aware of the placement process and receive support and information throughout;
  2. provides all legally permissible information about the individual’s characteristics, behaviors, needs, and histories to prospective caregivers;
  3. arranges opportunities for individuals and families to meet prospective caregivers whenever possible;
  4. responds proactively to challenges associated with placement and assesses the need for services and supports; and
  5. facilitates workers’ ability to spend more time with individuals, families, and/or caregivers after a new placement or when challenges arise.
NA The agency only makes ready-made matches.

Fundamental Practice

PA-AFC 6.03

The worker assists in developing a residency agreement individualized to the service recipient and caregiver that:
  1. outlines both parties’ expectations of household functioning; and
  2. includes both parties’ signatures.
Examples: Residency agreements may include information around both parties’ expectations regarding the living quarters, such as:
  1. meal times, including when and where meals are provided;
  2. expectations around having visitors to the home;
  3. the use and decoration of personal and common spaces; and
  4. support for purchasing personal belongings.

PA-AFC 6.04

Caregivers are provided with the support and information needed to appropriately implement the residency agreement, including: 
  1. a list of all medical, treatment, and other services needed;
  2. dietary requirements; and
  3. any known allergies.

PA-AFC 6.05

Care managers work with caregivers and participants to develop a transition plan should a caregiver no longer be able to offer the AFC service.