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Ensuring Quality Care (EQC) - Adult Foster Care

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Adult Foster Care
What is Adult Foster Care?

When elderly people or adults with physical disabilities are no longer able to care for themselves in their own homes, adult foster care may be an option. Adult foster homes are single-family residences that offer 24-hour care in a home-like setting. The goal of an adult foster home licensee is to provide care and services to residents while supporting their independence, choice and the right to make decisions.

Adult foster home licensees provide meals (including special medical-related diets), provide or arrange transportation to appointments and other activities, laundry, medication administration, and help with eating, dressing, bowel and bladder care, personal care, walking and/or getting out of a bed or a chair, and behavioral issues, as needed. They also provide friendship and the opportunity for residents to reside in a safe and caring environment.

Where does an Adult Foster care provider work?

Providers normally work in adult foster homes that are single-family residences that offer care in a homelike setting. Adult foster homes in Oregon are inspected and licensed. The adult foster home provider must meet certain standards to obtain a license.

Staff from the Oregon Department of Human Services (DHS), Seniors and People with Disabilities (SPD), or the Area Agency on Aging (AAA) offices verify the qualifications of the caregiver, conduct yearly licensing inspections, and investigate complaints and concerns.

How much are adult foster home licensees paid?

Adult foster home licensees in Oregon are independent business owners. They are not employees of the State of Oregon. There are two payment options for these types of businesses. One option is private pay, where the resident has a contract with the licensee to pay a certain amount of money each month in return for specific care and services. The contract between the resident and the licensee should include the basic monthly rate** which includes the following:

  • Room;
  • Meals;
  • Laundry; and
  • Specified basic services.

Additional fees may be assessed for care and services** in addition to the basic rate, such as:

  • Incontinence care;
  • Assistance with eating;
  • Diabetic monitoring;
  • Special diets;
  • Transportation;
  • Mobility and transfers;
  • Skilled nursing tasks;
  • Night-time care; and
  • Dementia care.

**These services and costs vary between homes and must be explicit in the contract.

The other payment option is for licensees who agree to care for residents who are eligible for Medicaid. Medicaid provides health care insurance for low-income residents through a federal and state partnership.

If the potential resident is eligible for Medicaid assistance, the local DHS office in the licensee's town/city will determine the total amount the licensee will be paid for the potential resident's care. This determination is based on the resident's care needs. The licensee must accept that amount as payment in full and cannot ask the resident or any other person for additional compensation.

Do I have to be licensed to be in Adult Foster care?


RCC's Adult Foster Care class will enable you to pass the adult foster home licensee basic course exam. You must meet the following minimum requirements to become licensed as an adult foster home provider in Oregon:

  • Be of good character;
  • Pass a criminal records check;
  • Be at least 21 years of age;
  • Have a home that meets the structural and safety requirements of the adult foster home program;
  • Have the financial resources required to open and maintain an adult foster home business;
  • Be literate in the English language;
  • Be mentally able to provide care to up to five residents;
  • Guarantee that the adult foster care licensee or a resident manager will live in the adult foster home;
  • Complete an adult foster home licensee basic training course and pass the exam.
  • Be physically fit and able to provide care to five or fewer seniors or adults with physical disabilities.

When is the next class?

Next class is winter term 2020:

Course Days Dates Time Place Cost
9.412-T1 Wednesdays 2/5/20 - 3/4/20 TBD Web/Online** $379

Start/Login instructions will be emailed to you about a week before the 2/5/20 class start date.

Four segments starting on Wednesdays, lasting one week each.
Complete assignments at your own schedule during each segment.

**Local Southern Oregon EQC students must attend one in-person two-hour session of class on  Tuesday, February 25, 2020, 8:30 to 10:30 in the city of Central Point, location details provided in class.

$379 total. A $349 tuition with a $30 distance learning fee.

How the class works: Sample Syllabus

Payment required at time of registration. Please call 541-956-7303.

Payment cannot be refunded once registration is completed. If RCC cancels a class for any reason, it will be refunded. Please be certain of your intent to complete class prior to registration.

Start/Login instructions will be emailed to you a week before the class start date.

Pre-requisites: Attending a free adult foster home provider orientation meeting is mandatory before taking a Rogue Community College EQC class. It must be an orientation given after January 2019, since many regulations changed in 2019. Orientations are provided by the Aging and People with Disabilities/Adult Foster Home department or your local licensor. To sign up for an orientation in Southern Oregon call 541-618-7879, otherwise contact your local Adult Foster Home licensor. Also, a basic knowledge of computers, including folder and file management is recommended.

2020 Calendar of Southern Oregon EQC Orientations

All RCC EQC Class Dates in 2020