Choosing a new home for an aging parent or loved one is one of the most significant decisions a family can make. It’s a process filled with emotion, hope, and a deep desire to find a place where they will be safe, happy, and well-cared for. Adult Family Homes (AFHs), with their residential setting and smaller, family-like environment, have become a cherished option for many. To navigate this search with confidence, having a thorough adult family home checklist is indispensable. This guide isn’t just about amenities; it’s about asking the right questions to uncover the heart of the home—its quality of care, its values, and its ability to be a true home. Let this be your starting point for meaningful conversations.
The Essential Questions: Breaking Down Your Checklist
Your visit to any potential home, including a highly-recommended one like Bright Hope Adult Family Home, should feel like a structured interview. Come prepared with these questions organized into key categories.
1. Licensing, Safety, and Staffing (The Foundation)
- Licensing & Compliance: Is the home fully licensed by the state? May I see the current license? Have there been any recent licensing complaints or violations? (You can often verify this online through state health department records).
- Staff Qualifications & Ratios: How many caregivers are on duty during the day, night, and on weekends? What is the specific training and certification of the caregivers (e.g., nursing assistant credentials, dementia care training, CPR/First Aid)? What is the staff turnover rate?
- Safety & Security: How does the home handle medical emergencies? What is the protocol for fall prevention? Are walkways, bathrooms, and common areas designed for mobility and safety? Is the home secure for residents who may wander?
2. Care, Health, and Wellness (The Core of Daily Life)
- Individualized Care Plans: How do you assess a new resident’s needs? How often are care plans reviewed and updated with family input? Can you provide an example of how care is personalized?
- Medication Management: How are medications stored, administered, and documented? Who is responsible, and what are their qualifications?
- Medical Coordination: How does the home coordinate with doctors, therapists, and hospice services? Is transportation provided to medical appointments?
- Specialized Care: What is your experience and specific approach for residents with memory care needs, such as Alzheimer’s or dementia? For more insights on supportive memory care, explore our article on creating a nurturing environment for dementia.
- End-of-Life Care: Does the home allow residents to age in place with palliative or hospice care support?
3. Daily Life, Environment, and Comfort (Feeling at Home)
- Living Space: May I see the actual room my loved one will occupy? What personal furniture and belongings are encouraged? Are rooms private or shared?
- Meals & Nutrition: May I see a sample menu? How are dietary restrictions (diabetes, low-sodium, pureed diets) handled? Can residents request favorite foods? How flexible are meal times?
- Activities & Engagement: What does a typical weekly activity calendar look like? How do activities cater to different abilities and interests? Are outings into the community offered?
- Housekeeping & Laundry: How are these handled? Is laundry done personally for each resident?
- Overall Vibe: Trust your senses. Does the home feel clean, comfortable, and free of unpleasant odors? Do the current residents seem content and engaged? How do staff interact with residents—is it respectful and warm?
4. Policies, Finances, and Communication (The Practicalities)
- Cost & Fees: What is the all-inclusive monthly rate? What, if anything, costs extra (e.g., incontinence supplies, special therapies, haircuts)? What is the policy on rate increases?
- Admission/Discharge Agreement: Please provide a copy of the contract to review carefully. Under what circumstances might a resident be asked to leave?
- Family Communication: What is the primary method for updates? Is there a regular family council or check-in? How are concerns or issues escalated and resolved?
- Visitation Policy: What are the visiting hours? Can family visit freely, including for meals?
Why Bright Hope Adult Family Home Embodies This Checklist
At Bright Hope Adult Family Home, we welcome these questions because they align with our mission of transparent, compassionate care. We believe an informed family is a confident partner in care. Our approach is built on the very principles this checklist seeks to uncover: rigorous staff training, deeply personalized care plans, a vibrant and engaging daily life, and open-door communication with families. We encourage you to use this list not just as an interview tool, but as a measure of a home’s commitment to dignity and excellence.
Final Steps: Beyond the Checklist
After your visits, compare your notes. Listen to your intuition about where your loved one would feel most at home. Talk to other families; many homes can provide references. Check online reviews and state resources, such as the Washington State Department of Social and Health Services for licensed home reports.
Choosing an Adult Family Home is a profound act of love. Armed with this comprehensive checklist, you can move beyond the brochure and into the heart of what makes a residence not just a facility, but a true home—a place of safety, connection, and bright hope for the journey ahead.


