Project Home and Adult Foster Care

No client should require 24-hour personal care or awake-supervision. Clients having the following problems will have difficulty in a family setting and require a more extensive evaluation before being referred for placement:

• Severe confusion as to place or person
• Wandering
• Agitated or violent behavior
• Noncompliance with medical, psychiatric or social treatment plans
• Confusion coupled with incontinence
• Incontinence—On rare occasions, a provider may consider a client if they are able to cooperate with using incontinence-wear and can help with managing their own incontinence.

Clients with income or assets that are insufficient to pay the cost of care and cover personal expenses will be eligible for a subsidy paid to the provider. This client receives a personal needs allowance of $75 and may keep an additional $32.50 from outside income.

Clients with incomes that are insufficient to pay for the cost of care and cover personal expenses will receive assistance to apply for Public Assistance to Adults (PAA)—a payment made to the client or his or her representative payee. Anyone eligible for PAA also receives Medical Assistance. This client receives a personal needs allowance of $82 and may keep $20 from outside income.

• Fingerprinting and Background Check—All persons living in the home over the age of 18 years old, except clients, must be fingerprinted and pass a criminal background check and an agency clearance.
• Back-Up Provider—The provider must have a responsible, reliable back-up person (at least one or maybe more) who can come into the home and stay with the clients in their absence. The back-up may also be contacted if there is an emergency with a client and the provider cannot be reached.
• References and Clearances—Three references are required for both the provider and their back-up. If the provider is employed, one of the references must be a professional reference. You may use friends, neighbors or clergy members, but not relatives.
• Required Training—Several mandatory training sessions are required for the provider and back-ups, including but not limited to:
  • CPR
  • First Aid
  • Bloodborne Pathogens
  • Medication Cueing and Coaching

A home study is conducted by the housing coordinator to assess the applicant’s appropriateness and interest in becoming a provider. Everyone in the home is expected to participate in the home study.

The provider's home must include:

• Grab rails/railings—In the bathroom and on all stairways
• Working smoke detectors—On each floor and in each bedroom. Rental properties require hard-wired smoke detectors with a battery backup.
• Fire extinguishers—For use against chemical and electrical fires
• Fire escape—A fire escape plan must be established. Fire drills must be held every 90 days. An outside fire escape must be included for any client bedroom located on the third floor or higher.
• Landline phone with emergency phone numbers posted nearby
• Must have an adequate amount of linens, dishes and utensils in the home
• If provider permits smoking, a designated smoking area

The maximum is two clients to a room. The room must:

• Be a separate sleeping space
• Measure 70 square feet for one client, and 120 square feet for two clients
• Must include:
  • A comfortable bed with two pillows
  • A bedside stand with a drawer
  • A comfortable chair
  • At least two drawers in a bureau
  • A bedside or over-the-bed lamp
  • Closet space
  • Proper lighting

Services are based on needs of the individual client and are determined by the client’s social worker. This information is intended to be a brief overview. When provider applicants are assigned for home study, the housing coordinators will review the responsibilities of the provider and the certification process in detail.

Required services to clients include:

• Three nutritious meals a day and snacks
• Personal care
• Supervision—In most cases, clients should be able to be left alone for a few hours
• Shopping
• Budgeting
• Record Keeping—Disbursement of client’s personal needs allowance, if required by client’s social worker
• Monitor Medications—Coaching and cueing client with self-administration
• Assistance with dressing or choosing proper clothing
• Arranging appointments, medical and psychiatric 
• Transportation to and from appointments, medical and psychiatric
• Ongoing contact with psychiatrist, medical doctor, housing coordinator and client’s social worker