Dodge County Human Services and Health Department

 

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Adult Family Home Certification Requirements

  • No prospective adult family home previously denied a certification or whose certification was revoked may reapply for certification within two years after the effective date of the notice of denial or revocation unless the prospective adult family home sponsor documents to the satisfaction of Dodge County Human Services and Health Department that the condition which caused the denial or revocation has been corrected.  Potential adult family home sponsors need to participate in several interviews in the prospective adult family home.  The purpose of these interviews is to see if the home, as well as the prospective sponsors satisfy the State and Agency requirements and are able to meet the needs of the adults available for future placement.

  • A physical examination is required.  The prospective adult family home sponsors and all household members must provide a written statement from their doctor on Dodge County provided forms stating that they are free from diseases harmful to adults and that they are physically and emotionally able to care for special needs adults.

  • Prospective adult family home sponsors and any children over the age of 12 that reside in the home must agree to undergo a criminal background check.  The applicant and any children over the age twelve residing in the home cannot possess criminal charges that may have an impact on caring for vulnerable adults in a safe and appropriate manner.  The prospective adult family home sponsor and every substitute provider shall be at least eighteen years of age and shall be physically, emotionally, and mentally capable of providing responsible adult family home care.

  • The adult family home sponsors and any substitute providers shall be persons who are responsible, mature and of reputable character, who exercises sound judgment and display the capacity to successfully care for disabled adults.

  • The prospective adult family home sponsors shall present evidence of having or having access to sufficient financial reserves to meet the needs of all residents and of all members of the household for whom this sponsor is financially responsible for.  Furthermore, the prospective sponsors must be able to ensure that the home will continue to function adequately for a period of at least 30 days without receiving payment for the care of any resident.

  • Prospective adult family home sponsors must furnish proof of their automobile liability insurance as well as their homeowner’s and/or renter’s insurance.

The prospective adult family home shall be physically located so that residents can easily get to community activities and supportive services by walking or by means of private or public transportation.  Furthermore, the prospective sponsors agree to ensure that the adult resident receives the assistance necessary in order to enable them to get to these activities and services.  The prospective adult family home sponsors shall be enrolled in or have completed eight hours of department approved training related to the health, safety, welfare, rights and treatment of residents during the first year after certification.  Furthermore, the prospective sponsors shall complete six hours of agency approved training related to the health, safety, welfare, rights and treatment of residents on an annual basis.


©1999, 2005 Dodge County

Last Update December, 2010

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