Licensure of Adult Care Facilities and Adult Foster Homes

Adult Care Facilities (ACFs) and Adult Foster Homes (AFoHs) are residential care homes licensed by ODMH for the purpose of providing accommodations, supervision and personal care services to unrelated adults. Facilities receive a two-year license to operate after complying with the statutory requirements prescribed in the Ohio Revised Code and the rules set forth in the Ohio Administrative Code. Operators must undergo a comprehensive onsite inspection of the home in which inspectors verify the safe and sanitary condition of the facility, the capability of the operator and staff to meet their responsibilities in providing supervision and personal care services and the appropriateness of the placement of each resident in the adult care setting. ACFs and AFoHs that serve residents with serious mental illness have an additional obligation by rule to have staff and managers oriented to the care and supervision needs of these residents and to require specific training on an annual basis relevant to persons with a diagnosis of mental illness residing in the facility.

Communication Updates

Training

Other Forms

• Criminal Background Check Log
• Emergency Contingency Plan
• Employee Record Page
• Evacuation Drill Tally Sheet
• Financial Stability Statement
• Home Ownership Verification (AFoH)
• Listing of Residents
• Notice of Intent to Relocate or Close
• Record Keeping

List of Adult Care Facilities

Adult Care Facilities listed alphabetically
Adult Care Facilities listed by county

List of Adult Foster Homes

Adult Foster Homes listed alphabetically
Adult Foster Homes listed by county

Licensure Applications and Agreements

Adult Care Facilities (ACFs) are Adult Family Homes (AFHs) and Adult Group Homes (AGHs) that provides accommodations and supervision to unrelated adults to at least three of whom require personal care services.

Applicable Policies: ACF Multi-Unit Policy

Please note: The Department may request to review your rental/lease agreement regarding the "terms" and or "use" of the anticipated residence or facility.

Facsimiles are not accepted and an incomplete application packet will be returned.

Adult Family Home (3-5 Residents):

Initial Application Requirements

• ACF Application - Initial
• Pre-Application Checklist for an Adult Family Home (AFH)
• Copy of Central Heating System Inspection
• Copy of existing Fireplace Inspection
• Three personal references for the Owner
• Three personal references for the Manager(If not the same as the owner)
• Mental Health Participation Agreement(Word version, PDF version)
• Application Fee

• ACF Application - Renewal
  • Application Fee
• ACF Application - Change of Ownership
  • Three personal references for the Owner
• ACF Application - New Manager
  • Three personal references for the Manager(if not the same as the owner)

Adult Group Home (6-16 Residents):

Initial Application Requirements

• ACF Application - Initial
• Pre-Application Checklist for an Adult Group Home(AGH)
• Copy of Central Heating System Inspection
• Copy of existing Fireplace Inspection
• Three personal references for the Owner
• Three personal references for the Manager(if not the same as the owner)
• Certificate of Occupancy
• Fire Inspection
• Asset, Liability, and Projected Revenue and Expense Form
• Mental Health Participation Agreement(Word version, PDF version)
• Application Fee

• ACF Application - Renewal
  • Application Fee
• ACF Application - Change of Ownership
  • Consent form or Copy of the Bill of Sale ORC 5119.
  • Asset, Liability, and Projected Revenue and Expense Form
  • Three personal references for the Owner
• ACF Application - New Manager
  • Three personal references for the Manager(if not the same as the owner)

An Adult Foster Homes (AFoHs) provide accommodations, supervision and personal care for one to two unrelated adults.

Facsimiles are not accepted and an incomplete application packet will be returned.

Adult Foster Home (1-2 Residents):

Initial Application Requirements

• AFoH Application
• Copy of Central Heating System Inspection
• Copy of existing Fireplace Inspection
• Fire Inspection

Complaint and Incident Notification Forms

Incident Notification Rule, DMH Star 001_2 (Effective 1-2013)
ACF Incident Report Form (Word version, PDF version)

Notice: All agencies / facilities who fax their reportable incidents to ODMH should use fax number (614) 485-9737 starting December 14, 2012. Remember that after December 14, 2012 the old fax number (614) 387-2987 is disconnected and will not work. If you have any questions please Call Rob Nugen, Community Client Safety Manager at (614) 466-9074.

If you wish to submit a complaint concerning a licensed or certified Ohio Department of Mental Health provider, please complete all applicable fields on the form below and submit. We will respond to all complaints. Thank you.
Complaint Form DMH-LIC-0982 (PDF)

Applicable Rules for Adult Care Facilities

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Applicable Rules for Adult Foster Homes

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