Adult Foster Care with 245D Providers

This page is dedicated to family AFC license holders who also hold their own 245D license. Family providers live in the home with people supported and are the primary caregivers. License holders may provide services to individuals on a disability waiver, Elderly Waiver or Private Pay. As an AFC provider, the commissioner or delegated person (your RLS) has rights to access your program and information. 

AFC licensing specialist with providers

To assist with information accessibility and understanding of requirements, we have created an Adult Foster Care manual. The manual is designed to be beneficial from application through the duration of licensure and provide guidance on what to do with different documents. 

To better help providers understand what is required for each visit or need, the webpage is laid out in a different format than the manual. 

  • AFC Manual

    The Incident and Required Reporting Form is a tool to help you meet required reporting. You must report the following to your RLS: 

    • Immediately report death or serious injury of a resident 
    • Immediately report diagnosis of communicable disease of anyone who lives or works in the home, or has recently visited the home
    • Change in the health status of a caregiver within 24 hours 
    • Occurrence of a fire that causes damage to the home, requires the services of the fire department, or repairs to the home require a building permit within 24 hours 
    • Change in the regular membership of the household (non-residents) within 5 days  
    • Change in a caregiver’s employment status within 5 days 

    If you are utilizing your 245D license to “host” another AFC provider, this is counted as employment and must be reported to your RLS. 

    MN Rule 9555.7175 provides full information on reporting.  

    You must also follow any reporting requirements for your 245D license.

    All caregivers and household members must complete the MN DHS Vulnerable Adults Mandated Reporting (VAMR) Training annually. You must provide proof of VAMR training and can meet this requirement by providing a training certificate or copy of your training transcript.  

    If someone receiving services in your home relies on life sustaining medical equipment, you must provide proof that you and all caregivers have been trained by a qualified person.

    You must also follow any training requirements for your 245D license which is monitored directly by your 245D licensor. 

    To ensure compliance with MN Statute 245C, you must complete background studies for all household members age 13 and older, caregivers, volunteers, or others as required. You are also required to remove study subjects from your roster if they are no longer affiliated with your program. 

    You can find more information about background studies here: Background studies / Minnesota Department of Human Services

    Our goal is to help you feel as prepared as possible for your relicensing visit. Please reach out to your Regional Licensing Specialist RLS) if you have any questions about the requirements. You will receive an email from your RLS approximately 2 months in advance of your license expiration to schedule your visit.  

    Any document with a Sourcewell logo is an optional template. You may use a different form or template if you wish as long as all requirements are met. DHS branded documents and templates should be used when available. 

    Documents to review 

    Your RLS will complete these documents during your relicensing visit. It’s a good idea to review these documents ahead of time to make sure you are ready. Requirements on these checklists are the minimum standards outlined in Rule of Statute to ensure resident safety and rights as well as program integrity.  

    It’s also a good idea to review this additional document to help make sure you are prepared. 

    Documents to review and/or complete 

    You must complete and/or review and provide copies of the following documents to your RLS. You can return these documents via secure email or your RLS will scan the documents during the visit.  

    List of home documents:

    You will be asked to complete the following forms if they apply to your home: 

    List of resident documents: 

    What your RLS will look at during the visit:

    Your RLS will review all items on the Licensing and Home Safety Checklist. Some key observations your RLS will make are: 

    • Water temperature (must be 120F or less) 
    • Operation of exit doors and windows (they must not be fully or partially obstructed and must easily open) 
    • General cleanliness and condition of the home 
    • Operation of flashlight and battery radio
    • First aid kit contents 
    • Variance requests 

    After your visit, your RLS will email you a copy of your DHS license, Home Safety Checklist, and Licensing Evaluation Report. 

    Off-year visits are required non-renewal visits. These visits are an additional opportunity for you to ensure you are following minimum licensing standards, ask questions to your RLS, and for your RLS to collect annual paperwork.  

    Documents to review and/or complete 

    You will be asked to complete the following forms if they apply to your home: 

    Some key observations your RLS will make are: 

    • Water temperature (must be 120F or less) 
    • Operation of exit doors and windows (they must not be fully or partially obstructed and must easily open)
    • General cleanliness and condition of the home 
    • Operation of flashlight and battery radio
    • First aid kit contents 
    • Variance requests

    A change of premise happens when you move from one home to another within the same county. If you are moving near the time your license is due to be renewed, your RLS will instruct you to also complete relicensing forms. If you are moving to a different county, you will need to close your existing AFC license and open a new license in that county.  

    Please notify your RLS at least 90 days in advance of your move. It is not guaranteed that a change of premise can be completed in less than 90 days.  

    Questions

    Contact licensing@sourcewell-mn.gov or call 218-895-4120.

    Please include your county of residence in all communications.