The Washington VoiceMarch 2020
An E-Newsletter From
Who We Are
Advocates for compassionate,
individualized care. Serving
adult family homes for more
than 20 years!
Our Mission
To improve the lives and well-
being of vulnerable adults
through support of adult
family homes.
In This Issue
Letter from Executive Director John Ficker p. 1
p. 2
p. 3
p. 7-8
p. 11-12
p. 5-6
Upcoming Webinars
ESHB 1023 - 8 Bed Bill - PASSED!
p. 9
p. 17
There's a WAC for That!
COVID-19 Outbreak Information, Management, and Mitigation
COVID-19 Updates & Best Resources
p. 4
Dear Provider Letters
p. 13-15
IDR Panel Members Needed p. 10
COVID-19 Cancellations!
2020 Census Data Collection in midst of COVID-19
Buy - Sell - Trade
adultfamilyhomecouncil.org Page 1
All the best,
John Ficker
Executive Director
Hello Adult Family Homes of Washington, To Our Members, Residents, Families, Friends and Partners,
Today I am writing to address the coronavirus outbreak. The first thing you should know is that action is being
taken to protect our residents, caregivers, families and communities. The Washington State Department of
Health has provided all long-term care facilities with to prevent the spread of the virus.
These actions include:
required action
All homes are implementing infection control measures. Infection control measures and prevention
of communicable diseases are now and have always been an expectation of an adult family home.
Discouraging and limiting visitors to our facilities. Residents are limited to one visitor per day and
visitors are to limit movement within the home. Visitors to be screened for symptoms. Adult family homes
are also now required to keep a visitor’s log. If you are not feeling well, do not visit. It is understandable
that families will want to connect with their loved ones in this time of increased anxiety. Many providers
are working to arrange FaceTime, Zoom and Skype meetings to keep in touch.
Screening of residents. The Department of Health is requiring at a minimum that all residents are
screened daily for coronavirus symptoms. Any resident who is screened with symptoms is to be isolated
and the home to contact medical professionals to likely be transported to a hospital.
Canceling group activities. Group activities are to be canceled unless they can accommodate
appropriate social distancing (being at least 6 feet apart). Communal dinning is to be canceled and
DOH recommends limiting the resident’s movements within the home.
Screening of employees. All staff entering the adult family home will be screened for signs and
symptoms of the virus upon entry into the home. No staff person exhibiting symptoms will be allowed to
work. Staff are to minimize entry into patient’s rooms and as supplies are available use personal
protective equipment when needed.
and rules Infection control communicable disease
This is unprecedented. We are doing our best to ensure that every home is aware and able to take the
necessary steps to protect their residents. Information for adult family home operators is available on our
.
I am very impressed with our community’s response so far. We sincerely appreciate the additional precautions
and sacrifices that it takes to protect the most vulnerable amongst us. We are available to our members and
the community for any questions you may have. As more information is available, we will do our best to share
that with you.
website
https://www.adultfamilyhomecouncil.org/covid-19-updates-best-resources/
adultfamilyhomecouncil.org Page 2
COVID-19 Updates & Best Resouces
Stay up-to-date with the latest COVID-19 resources and announcements
regarding adult family homes!
Visit our COVID-19 Updates & Best Resources Page:
We will be updating this page as soon as new information and resources
become available, so please stay tuned and keep checking in!
Due to the outbreak of COVID-19, in compliance with
regional health districts’ recommendations, considering
the population we serve, and out of an abundance of
caution, all Spring Conferences & Chapter Meetings
have been cancelled!
To everyone who has already registered, all attendees,
sponsors and vendors, you will receive a refund of your
registration fees; no further action is needed on your
part. Due to the volume, we expect you will receive your
refund within 30 days. We will appreciate your patience
and understanding in advance!
adultfamilyhomecouncil.org Page 3
Hello Adult Family Home Providers!
The 2020 legislative session ended on Thursday, March 12. We are proud to announce the
final passage of - Allowing certain adult family homes to increase capacity
to eight beds. This legislation is on Governor Inslee’s desk for his signature. As we move
forward please stay tuned for the details of this legislation and what it means for those of
you who are interested in increasing your bed capacity.
For more information, you can follow to our events page for upcoming
webinars.
Please feel free to contact Maria Chiechi or John Ficker with any questions you may have.
adultfamilyhomecouncil.org Page 4
ESHB 1023 - 8 Bed Bill - PASSED!
8 Bed Bill
ESHB 1023
this link
adultfamilyhomecouncil.org Page 5
There's a WAC for That!Using Bed Side Rails in Adult Family Homes: There’s a WAC for that!
Adult family home (AFH) residents may use bed side
rails if they are assessed as being necessary. Even
if an individual has a history of using bed side rails,
once that person moves into an AFH, there are
necessary steps to take to ensure bed side rail use
complies with state regulations as written in
.
In WAC, bed side rails are considered medical
devices, which are defined below:
WAC 388-76-1000-- Definitions.
Medical device as used in this chapter, means any
piece of medical equipment used to treat a
resident's assessed need.
(1) A medical device is not always a restraint and
should not be used as a restraint;
(2) Some medical devices have considerable safety
risks associated with use; and
(3) Examples of medical devices with known safety
risks when used are transfer poles, Posey or lap
belts, and side rails.
Per , the following steps
must be taken before using bed side rails (or any
other medical device) for AFH residents:
WAC Chapter 388-76
WAC Chapter 388-76
Resident assessment to determine need for bed
side rails.
Ensure the bed side rails are properly installed.
Update NCP to include description of how bed
side rails are used, and create safety plan.
Provide information to resident/resident
representative about safety of using the medical
device; is an FDA
brochure that provides more information about
the safety risks and benefits involved with using
bed side rails. If resident and/or resident
representative need bed side rails and wish to
use them, obtain consent to use bed side rails.
A Guide to Bed Safety
The WACs that describe these requirements are as
follows:
WAC 388-76-10650--Medical devices.
(1) The adult family home must not use a medical
device with a known safety risk as a restraint or for
staff convenience.
(2) Before a medical device with a known safety
risk is used by a resident, the home must:
(a) Ensure an assessment has been completed that
identifies the resident's need and ability to safely
use the medical device;
(b) Provide the resident and his or her family or
legal representative with information about the
device's benefits and safety risks to enable them to
make an informed decision about whether to use
the device;
(c) Ensure the resident's negotiated care plan
includes how the resident will use the medical
device; and
(d) Ensure the medical device is properly installed.
WAC 388-76-10335—Resident Assessment
Topics.
(6) Significant known behaviors or symptoms that
may cause concern or require special care,
including:
(a) The need for and use of medical devices;
WAC 388-76-10355—Negotiated Care Plan.
(7) If needed, a plan to:
(c) Respond to resident’s special needs, including,
but not limited to medical devices and related
safety plans.
Continued on page 6
Creating a plan for the use of bed side rails should
be focused on safety and individualized for each
resident. Details such as whether one or both sides
of the bed will have rails, what time of day they will
be used, and how staff will be trained on their
proper use should all be included in the assessment
and negotiated care plan.
Some providers are caught by surprise when a new
resident moves in with a bed that already has side
rails, and they were not aware of this prior to
admitting the resident. While the resident may very
much want to start using the bed side rails right
away, they cannot be used in an AFH setting until
an assessment showing the need for them is
complete. The use of any medical equipment with
known safety risks is taken very seriously, and AFH
licensors will be on the lookout for all of the
requirements and documentation to be in place.
For private paying residents bed side rail
assessments may be done by a qualified assessor,
not necessarily a specialist such as a Physical or
Occupational Therapist.
For Medicaid residents, the HCS case manager
who would normally do assessments must use a
specific request form ( )
to implement a process which entails a referral to
PT or OT do the bed rail assessment. Because this
may take longer than it would if the case manager
were to do the assessment themselves, providers
should request their case manager initiate the
process as soon as possible if there is any chance a
Medicaid resident needs bed rails.
adultfamilyhomecouncil.org Page 6
There's a WAC for That!Using Bed Side Rails in Adult Family Homes: There’s a WAC for that!
DSHS form 13-906
Continued from page 5
This detail, in the case of Medicaid residents, about
the protocol for getting a bed rail assessment is not
in WAC, but it is outlined in HCS
, dated April 10, 2014.
There are several important and required steps
before the use of bed rails, as you are now aware.
If you do have residents who are using them, please
ensure there is a documented need, and you are
using them properly!
Management
Bulletin H14-022
adultfamilyhomecouncil.org Page 7
COVID-19 Outbreak Information, Management, and
MitigationBy Kevin McMahon, PharmD – Ready Meds Pharmacy
Continued on page 8
With virtually every media outlet reporting information
on the coronavirus outbreak here in the US, we would
be remiss if not to target this month’s segment on
providing information about the disease and what
should be done to help continue safely caring for our
patients, while keeping our caregivers safe.
The title, novel coronavirus, simply means it is a new
strain of coronavirus previously unknown to affect
humans. Coronaviruses as a whole are not new to us
as some may remember the SARS outbreak from
2004, another strain of coronaviruses. The name
COVID-19 stands for COrona-VIrus-Disease-2019,
and is the official designated title from the World
Health Organization for illness caused by the newly
identified SARS-CoV-2.
This early in the outbreak it is difficult to paint a
clinical picture of the severity of COVID-19 as some
patients experience very mild symptoms, but serious
illness and death are occurring more so in the elderly
and those with other health conditions. Fever, cough,
and shortness of breath are the most common side
effects of COVID-19. Early information indicates that
symptoms can begin 2-14 days after exposure. Those
exposed to the virus are instructed to stay home
except to receive medical care. In the home,
exposed individuals should be provided their own
room with the door kept closed. Face masks should
be worn by sick individuals (except when mask
significantly limits breathing) and all care givers
interacting with the subject. If medical treatment is
required, patients in Washington state are advised to
call 911 for serious illness, or call their
doctor/healthcare provider prior to pursuing
treatment.
It is important to remember that although it is always
critical for patients to receive their annual flu
vaccine, the vaccine does not provide coverage
against SARS-CoV-2. Currently no immunization, or
treatment specially targets this virus making
prevention our primary defense against infection.
Current recommendations are to practice social
distancing by limiting contact within 6 feet of other
individuals when possible. Take special care to
prevent illness in particularly vulnerable populations
including senior citizens and those with underlying
health conditions including heart disease, lung
disease, and diabetes. Efforts should be made to
restrict visitation, and monitor all caregivers for
signs/symptoms of infection through temperature
checks and screenings.
Handwashing is imperative when entering a facility,
before coming in contact with a patient, after
removing gloves, or interacting with potentially
contaminated surfaces. Hands should be washed
with soap and water for at least 20 seconds, or
utilize a hand sanitizer containing at least 60%
alcohol. It is also important to avoid touching your
eyes, mouth, or nose with unwashed hands.
Individuals must be diligent about covering their
mouth and nose with a tissue when coughing or
sneezing. Surfaces should be sanitized using an EPA
registered household cleaner, an alcohol-based
solution >70%, or a diluted bleach mixture. Diluted
bleach can be created in a well-ventilated area
using 5 tbsp (1/3 cup) of bleach per gallon of water.
adultfamilyhomecouncil.org Page 8
COVID-19 Outbreak Information, Management, and
Mitigation
By Kevin McMahon, PharmD – Ready Meds Pharmacy
Continued from page 7
By implementing good preventative practices, we
can all work to help minimize the impact of the
disease on our community. Long term care facilities
and adult family homes are required to report all
suspected and confirmed outbreaks of disease to
their local health authority per Washington
Administrative Code (WAC) 246-101-305. May
everyone stay safe and healthy during this time and a
big thanks to all those health care providers that
continue to work hard to provide care during this
difficult time. All information provided in this passage
was derived from CDC and Washington State
Department of Health resources and accurate as of
March 13th, 2020.
Paper Response: A Census Bureau worker will meet with you or your staff to obtain a paper
listing of census response data for each person who is staying at the facility on Census Day,
April 1st, 2020. The individual(s) conducting the data collection will be sworn in by a Census
Bureau Worker.
Electronic Response: A secure website for you to submit census response data to a secure
portal for each person who will be staying at this facility on Census Day, April 1st, 2020. You
will be provided a unique user ID. The requested data must be entered in the Census template
format and uploaded to the Census Bureau website. The individual(s) conducting the data
collection will be sworn in by a Census Bureau Worker.
Drop Off/Pick Up of Individual Questionnaires: A Census Bureau worker will leave census
questionnaires with you to distribute to each person who was staying at this facility on Census
Day, April 1, 2020. You should ensure each person completes and returns the questionnaires. A
Census Bureau worker will pick up the completed questionnaires at an agreed upon time.
adultfamilyhomecouncil.org Page 9
2020 Census Data Collection in midst of COVID-19
In efforts to minimize exposure to residents of Adult Family Homes, the U.S. Census changed some of
their procedures to the 2020 Census. When the Census first made contact with these facilities, many
chose to be counted through the “In-Person” Interview method. This method is no longer available.
Instead, there are now only three methods to be counted available:
The Census Bureau is in the process of trying to contact all facilities that initially chose the In-Person
interview process and identifying a new process. It is important to note that there should be no need
for Census Bureau employees to enter the physical facility. Everything can be done outside or through a
door to minimize potential exposure. Your help in giving this the widest dissemination is greatly
appreciated.
adultfamilyhomecouncil.org Page 10
IDR Panel Members Needed
adultfamilyhomecouncil.org Page 11
Dear Provider Letters
ALTSA: AFH #2020-005 CONCERNING 2019 NOVEL CORONAVIRUS ILLNESS (2019-nCoV)
The Centers for Disease Control and Prevention (CDC) is closely monitoring an outbreak of respiratory
illness caused by a novel (new) coronavirus first identified in Wuhan, Hubei Province, China. Chinese
authorities identified the new coronavirus, which has resulted in thousands of confirmed cases in China,
including cases outside Wuhan City. Additional cases have been identified in a growing number of other
countries, including the United States.
Please read this Dear Provider Letter for some basic information and be sure to monitor the Washington
State Department of Health website for more up to date information:
The AFH Council will also be posting information regarding the Covid-19 pandemic on our website:
HERE
https://www.doh.wa.gov/Emergencies/Coronavirus
Continued on page 12
https://www.adultfamilyhomecouncil.org/covid-19-updates-best-resources/
ALTSA: AFH #2020-006 INVESTIGATION PROCESS IN COVID-19 SITUATIONS AND
SUSPENSION OF CERTAIN INSPECTION ACTIVITIES
HERE
RCS is making changes to licensing inspections, certification visits and complaint investigation processes
in response to the Covid-19 pandemic.
The Washington State Department of Health (DOH) has issued recommendations for long-term care and
residential providers concerning infection prevention measures, general preparedness and responding to
an illness. There are also resources at the Centers for Disease Prevention and Control (CDC) website and
on the Aging and Long Term Support (ALTSA) website. Facilities and agencies are advised to check these
websites regularly, as updated information is provided as the outbreak evolves.
adultfamilyhomecouncil.org Page 12
Dear Provider LettersContinued from page 11
Inspection, Certification, and Investigation guidelines:
Effective immediately, licensing inspections, certification visits, and complaint investigation activities are
limited to the following (in priority order):
All complaints that constitute imminent danger or immediate threat (cases in which serious physical harm
to or death of a resident/client has occurred, or there is a serious threat to the resident/client’s life, health
or safety) and allegations of abuse and neglect.
Complaints alleging infection control concerns, including facilities/homes with potential COVID-19 or
other respiratory illnesses.
Statutorily required licensing inspections or certification visits
Any re-visits necessary to resolve current enforcement actions.
Initial licensing visits.
Licensing inspections or certification visits of facilities/homes that have a history of infection control
deficiencies at the imminent danger or immediate threat level in the last three years.
Licensing inspections or certification visits of facilities/homes that have a history of infection control
deficiencies at less than imminent danger or immediate threat.
For investigations of facilities with complaints alleging infection control concerns, including facilities with
potential COVID-19 or other respiratory illness, licensors and investigators should talk with their Field Manger
prior to entering the facility/home.
Residential Care Services (RCS) is committed to the health and safety of all residents/clients and staff. If a
surveyor exhibits signs of illness, they will not be deployed to a facility. RCS will assess facility visits on a
case-by-case basis following the DOH quarantine guidelines (Infection Prevention, Control & Immunizations)
and the availability of Personal Protective Equipment.
Facilities and agencies are encouraged to continue to monitor for compliance with standard hand hygiene
practices, using alcohol-based hand rub/hand sanitizer (ABHR/ABHS) as the preferred method of hand
hygiene in most clinical situations. If hands are visibly soiled, wash with soap and water for at least 20
seconds. Facilities and agencies should ensure that hand hygiene supplies are readily available. Continue to
ensure supplies for appropriate personal protective equipment use are available, such as gloves, gowns,
respirators, and eye protection. RCS recommends notifying the local health jurisdiction if the facility is having
difficulty accessing personal protective equipment (PPE).
Healthcare providers and healthcare facilities must report suspected or confirmed cases of 2019 Novel
Coronavirus to their local health jurisdiction. For information on how and when to report, please use this link:
https://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/NotifiableConditions
adultfamilyhomecouncil.org Page 13
Upcoming Webinars
Please join AFH Council Executive Director, John
Ficker, for a discussion about your role and
rights in the collective bargaining agreement
process. There will be time for questions.
Webinar: Advocating for Fair
Medicaid Reimbursement Rates for
Your Residents
April 9, 2020
10:00 am – 11:00 am
April 28, 2020
10:00 am – 11:00 am
Register: HERE
1.0 hours of CE are available for AFH Council
Members who register and attend the webinar.
March 17, 2020
10:30 am – 11:30 am
March 26, 2020
2:30 pm – 3:30 pm
Webinar: Understanding the CARE Tool
and How it Affects Your Resident’s
Daily Rate and Services
March 24, 2020
2:00 pm – 3:30 pm
Medicaid Programs and fundingThe purpose of the CARE toolHow CARE affects daily ratesYour role in the CARE assessmentAdditional information captured in CARE
Additionally they will be introduced to importantresources:
Appropriate WAC sectionsCARE assessor’s manualLong Term Care Manual
Participants will learn:
1.5 hours of CE are available for AFH Council
Members who register and attend the webinar.
Register: HERE
Webinar: 2020 Legislative Session
March 18, 2020
10:00 am – 11:00 am
Please join John Ficker, AFH Council Executive
Director, and Maria Chiechi, Director of
Legislative Affairs, for a discussion about the
2020 legislative session.
This session will include:
A brief overview of the legislative process
Update on the legislative agenda pertinent
to the adult family home and long-term care
industries in Washington State
1.0 hours of CE are available for AFH Council
Members who register and attend the webinar.
Register: HERE
Webinar: Things to Consider When Buying
an Adult Family Home
March 20, 2020
12:30 pm – 1:30 pm
Register: HERE
1.0 hours of CE are available for AFH Council Members
who register and attend the webinar.
Please join Doug Linton, Residential Specialist with John
L. Scott and Sherise Baltazar, Owner of Proactive
Solutions LLC for a discussion about the ins and outs of
buying an adult family home.
adultfamilyhomecouncil.org Page 14
Upcoming Webinars
Presented by Carolyn Ham, Older Adult Falls
Prevention Specialist with the Department of
Health
Research has demonstrated that falls can be
prevented, and evidence-based tools can help
adult family homes keep their residents safe
from falls. This presentation will focus on both
fall prevention and fall-related injury
prevention for residents of adult family homes.
We will discuss the common causes of falls,
what the science says about who is most at
risk, and how to make an individual falls
prevention plan for your residents. Strategies
will include environmental safety, strengthening
and medical factors.
Learning Objectives:
Webinar: Falls Prevention in Adult
Family Homes
April 2, 2020
2:00 pm – 3:00 pm
Register: HERE
1.0 hours of CE are available for AFH Council
Members who register and attend the webinar.
Participants will learn about the factors
leading to falls in adult family homes
Participants will learn how to help residents
address their personal fall risk factors
Participants will learn about resources
available to help prevent falls in their homes
Webinar: Cannabis 101: Current Evidence
& Considerations for Older Adults
Describe the basic principles of cannabis,
including the substance’s most studied
chemical compounds and how they work in
the body.
Discuss the history of cannabis legality and
its effects on current knowledge.
Examine current research conclusions on
health correlations with cannabis use (both
therapeutic and harmful), specifically for
conditions and outcomes applicable to
older adults.
Recognize acute effects, intoxication
symptoms, and other considerations unique
to older adults that may increase risk of
adverse reactions or negative outcomes.
1.5 hours of CE are available for AFH Council
Members who register and attend the webinar.
Register: HERE
March 18, 2020
2:30 pm – 4:00 pm
Presented by Meghan King, MPH, Public Health
Education & Communications Specialist with
Washington Poison Center
By the end of this training, participants will be able
to:
Upcoming Webinars SERIES
adultfamilyhomecouncil.org Page 15
The Million Dollar Caregiver’s 5 To Thrive Series
Session 3:
March 19, 2020
3:00 pm – 4:30 pm
Session 4:
April 3, 2020
1:00 pm – 2:30 pm
Session 5:
April 14, 2020
2:00 pm – 3:30 pm
"Roadmap for Lifelong Health & Fitness"Register: HERE
"Ankle and Foot Painproofing with
Balance Mechanics Tune-Up"
"Neck and Shoulder Painproofing with
Posture Mechanics Tune-Up"
Register: HERE
Register: HERE
Presented by Tamara Elzey, DPT with Simple Solutions PT
1.5 hours of CE are available each sesssion for AFH Council Members who register and attend the webinar.
DispatchHealth: We Are Open For Business!
This is a great time to consider using our mobile urgent care service - especially when folks are being asked
to remain at home and not risk exposure to the coronavirus (CoVID-19).
DispatchHealth's team of providers are available to see your residents quickly and provide the same level of
care that you would receive in an urgent care or emergency room without the lengthy wait times. We offer
advanced point-of-care lab testing to include screening for the Flu, IV placement, stitches, splinting, urinary
catheter insertion, EKGs, IV hydration and more...
We look forward to caring for you and your patients! Open everyday of the week 8am - 10pm, including all
holidays. To expedite booking a visit please use the following dedicated phone numbers:
Seattle - 425.553.4976
Tacoma - 253.527.1931
Olympia - 360.200.8249
Spokane - 509.408.2109
www.dispatchhealth.com
adultfamilyhomecouncil.org Page 16
Are You Up-To-Date with Your Chapter?Click on your chapter to view upcoming chapter meetings and events!
Click here to view all chapter meeting dates!
Buy - Sell - Trade
adultfamilyhomecouncil.org Page 17
Adult Family Home Council Members Marketplace Page
Place an ad on this page in the next issue!
AFH for sale in Vancouver, WA
Excellent location! Family
Care Home with two living
quarters on the main and one
on the basement, just minutes
to freeways, shopping,
hospital. This home has 9
bedrooms total: 7 bedrooms
on the main level, kitchen,
dining room, 2 living rooms, 3
full and 6 half bathrooms.
There is a separate living
quarters for caregiver with
kitchenette , and two
bedrooms in the basement.
Property sold as is.
360-513-9667
AFH for sale in Woodland, WA
Large one level was remodeled in 2007 features 7 bedrooms
and office,1 full bath, 3 showers and 3 half baths. The attached
garage is partially converted. 5 large bedrooms are for
residents and separate quarters for caregiver with master, 2nd
bedroom, office and laundry.Fenced back yard, with 616 sqf
shop. Call /text LA for an appt. 24 hour notice.
360-513-9667
adultfamilyhomecouncil.org Page 18
Your AFH Council Team
John FickerExecutive Director
(360) 754-3329
Maria ChiechiDirector of Legislative Affairs
(360) 754-3329
Bryon DahlOperations Manager
(360) 754-3329
Karen CorderoDirector of Education & Support
(360) 754-3329
Jessica GriffinCommunications Coordinator
(360) 754-3329
Code of Ethics for Adult Family
Home Providers
This Code of Ethics for Adult Family Home Providers has
been developed as a guide for carrying out provider
responsibilities in a manner consistent with professional
values and more standards which define the essentials of
honorable behavior for the Adult Family Home Provider.
As Adult Family Home Providers, we want the public to
acknowledge us as professionals. Part of this process is to
develop a system of ethical codes of conduct and
standards of practice that incorporate our principles and
values regarding quality care. Through their Associations
and working with fellow members:
An Adult Home Provider recognizes and respects the
dignity of residents without consideration for race,
religion, gender, sexual orientation, social or economic
status.
An Adult Family Home Provider, while honoring the
residents' rights to self determination, will promote and
protect the rights of all their residents.
An Adult Family Home Provider is responsible and
accountable for their individual practice and
determining how they deliver optimal care to their
residents.
An Adult Family Home Provider acknowledges the
responsibility to protect their own integrity, maintain
competence in their field, and continue their personal
and professional growth.
An Adult Family Home Provider will promote their
profession with continued education and political
action in shaping the WACs and rules that govern their
profession.
523 Pear Street SE, Olympia, WA 98501
Toll Free - 1-888-439-8999
Fax - 360-943-6653
www.adultfamilyhomecouncil.org
Follow Us on Facebook!
Molly NobleEducation & Support Specialist
(360) 754-3329