AHCA Form 3110-1023
The Adult Family Care Home health assessment form is to be used by and for all AFCH residents.
Resident Safety
All residents are to be supervised at all times.
Staff
A family member can be a staff who resides in the home.
Resident Capacity
The Adult Family Care Home is a residential home designed to provide personal care services to individuals requiring assistance. The provider must live in the home and offers personal services for up to 5 residents.