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Adult Family Home Caregiving Experience Attestation (CEA) Form A - dshs wa

Adult Family Home Caregiving Experience Attestation (CEA) Form A - dshs wa 2025

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The document outlines the requirements for completing the Caregiving Experience Attestation (CEA) Form A for applicants seeking licensure to operate an Adult Family Home (AFH) in Washington State. It specifies that applicants must demonstrate at least 1,000 hours of direct caregiving experience with vulnerable adults within the past 60 months, as mandated by state law. The form must be completed by individuals with personal knowledge of the applicant's caregiving experience and requires notarization. Failure to provide a complete and notarized form may result in denial of the AFH license.

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What is the Copes program in Washington state?

The COPES program pays for long-term care in your home or in a community setting, like assisted living or an adult family home. COPES care can include help from a trained caregiver to shower, dress, eat, use the toilet, walk, change position in bed, and manage your medications.

How do I become an independent caregiver in Washington State?

Requirements For Becoming an In-Home Caregiver in Washington State Be 18 years old or older. Be authorized to work in the U.S. Provide a picture ID of yourself. Pass a criminal conviction background check. Complete Washington States caregiver training requirements.

How much is the LTC benefit in Washington state?

The WA Cares Fund is a public long-term care insurance program. All working Washingtonians contribute a small percentage of their income into the fund. Then when you need care, you can access your earned benefit of $36,500 (adjusted up to inflation) to pay for services.

How to get an adult family home license in Washington State?

To obtain a license from the DSHS, an individual must go through a thorough licensing process, which includes a background check, an inspection of the home, and a review of the proposed care plan. Its important to note that all staff members must also pass a background check.

What are the caregiver training requirements in Washington State?

Home Care Aides (HCAs) also known as Long Term Care Workers (LTCWs) need 75 hours of training with a state approved training program, and they must take a state certification exam.

Can a family member get paid to be a caregiver in Washington state?

Long-term care (LTC) insurance, ing to Washington state law, is an insurance policy, contract or rider that provides coverage for at least 12 consecutive months to an insured person if they experience a debilitating prolonged illness or disability.

What is Altsa in Washington State?

The Aging and Long-Term Support Administration (ALTSA) is responsible for Washington states nationally recognized system of long-term services and supports serving older adults and people with disabilities. This system includes: Home and community-based settings. Protections from abuse, neglect and exploitation.

Adult Family Home Caregiving Experience Attestation (CEA) Form A - dshs wa 2025

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How to modify Adult Family Home Caregiving Experience Attestation (CEA) Form A - dshs wa in PDF format online

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What is the Copes program in Washington state?

How do I become an independent caregiver in Washington State?

How much is the LTC benefit in Washington state?

How to get an adult family home license in Washington State?

What are the caregiver training requirements in Washington State?

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Can a family member get paid to be a caregiver in Washington state?

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Adult Family Home Caregiving Experience Attestation (CEA) Form A - dshs wa 2025

Here's how it works

How to modify Adult Family Home Caregiving Experience Attestation (CEA) Form A - dshs wa in PDF format online

See more Adult Family Home Caregiving Experience Attestation (CEA) Form A - dshs wa versions

Complete this form in 5 minutes or less

Got questions?

What is the Copes program in Washington state?

How do I become an independent caregiver in Washington State?

How much is the LTC benefit in Washington state?

How to get an adult family home license in Washington State?

What are the caregiver training requirements in Washington State?

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People also ask

Can a family member get paid to be a caregiver in Washington state?

What is Altsa in Washington State?

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