Adult Foster Home Program
Become an Adult Foster Home Provider
For additional information, complete the form below and return to:
Area Office on Aging of Northwestern Ohio, Inc.
2155 Arlington Avenue - Toledo, OH 43609-1997
or contact the Housing Department at
419-382-0624 ex. 1186 or 1-800-472-7277.
I want more information on becoming an Adult Foster Home provider
Name:_________________________________________________
Address:_______________________________________________
City:________________________State:_____ZIP:______________
County:______________________Phone Number:______________
Providers are families or individuals who will share their home and family life with one or two residents, providing rooms, meals and personal care. Providers will have the satisfaction of assisting an older person in the most fundamental and welcome manner: as part of the family.
Providers must be able to manage all operations of the residence and services provided.
Providers must be at least 21 years of age, of good moral character, and must not have been convicted of a felony.
Facility/Service Requirements:- handrails and adequate lighting on stairways, inclines, ramps and open porches
- telephone must be available in home for resident use
- non-skid surfaces and grab bars in bath and shower
- free from rodent and insect infestation
- outdoor and indoor passageways unobstructed
- written plan for emergencies
- must meet state and local public building safety codes
- water supply must be certified as safe by local health department (if not on public water system)
- program regulated under section 173.36 of Ohio Revised Code for adult foster homes and Rule 5101:1-17-16 of Administrative Code for Residential State Supplement program
Area Office on Aging of Northwestern Ohio, Inc.
2155 Arlington Avenue - Toledo, OH 43609-1997
or contact the Housing Department at
419-382-0624 ex. 1186 or 1-800-472-7277.
I want more information on becoming an Adult Foster Home provider
Name:_________________________________________________
Address:_______________________________________________
City:________________________State:_____ZIP:______________
County:______________________Phone Number:______________

