Adult foster care current license holders

This page offers quick and easy access to important forms and frequently accessed information for all license types.

Regional Adult Foster Care Conference

Connect and elevate best practices as a licensed adult foster care program at this virtual conference. This conference is open to individuals that operate an adult foster care license in the following counties: Cass, Crow Wing, Morrison, Todd, Wadena, Otter Tail, and Douglas Counties.

Register now
Sourcewell licensing consultant working with provider

Relicensing forms

    Additional forms

      Serious injury or death

      If you witness or suspect that a resident is being maltreated, abused, or neglected, you must call the state reporting line at 844-880-1574. Also, complete an incident report form.

      If a resident is developmentally delayed, mentally ill or elderly, you must report any serious injury or death to the Department of Human Services-Office of the Ombudsman (1-800-657-3591), as well as the case manager, guardian, and your regional licensing specialist.

      Access forms and additional information on the OMHDD website >

       

      Incident

      In compliance with Minnesota statute 9555.6175, the following items require reporting to your regional licensing specialist within the specified timeframes:

      • resident death or serious injury, including any that requires medical treatment - immediately with Required Reporting Form (PDF)
      • Incident report form (PDF)
      • diagnosis of a resident, caregiver or household member with a communicable disease - immediately
      • fire, storm, or other damage to the home - within 24 hours with Natural Disasters form (PDF)
      • building repair or remodeling that requires a building permit - within 24 hours
      • change in health status of a caregiver that could affect ability to care for a resident - within 24 hours
      • change in the regular membership of the household or caregiver's employment status - within five calendar days
      • transfer or voluntary discharge of a resident - within seven calendar days
      • involuntary discharge of a resident who does not have an individual service plan - at least 30 days before

      For your convenience, sample documents or forms have been provided.

      Please maintain a copy of the following in your files. Your RLS may ask to review these documents.

      Please maintain a copy of the following in your files. Your RLS may ask to review these documents.

      • Guardian or other court paperwork
      • Resident progress notes
      • Release of information ROI's

      Training information

        In addition to orientation training, each caregiver must complete training designed to meet the needs of residents as outlined below. 

        • caregivers with zero to five years of licensure or experience as an adult foster home caregiver must complete 12 hours training a year
        • caregivers with six or more years of licensure or experience as an adult foster home caregiver must complete six hours training a year
        • caregivers who provide services according to a contract between the operator and the department or service must comply with any additional training requirements stated in the terms of the contract

        The operator of the home must ensure that a record of completed training is maintained.

        Online required training for vulnerable adult maltreatment reporting is available through DHS.

        DirectCourse

        TrainLink

        The following individuals are exempt from the training hours requirements:

        • caregivers providing no more than 30 cumulative days of foster care in a 12-month period
        • caregivers providing foster care no more than eight hours a week

        DHS license lookup

        Verify your license by name, county, or license number. 

        License information found here
        DHS License Lookup tool displayed on laptop

        Questions

        Contact licensing@sourcewell-mn.gov or call 218-895-4120.

        Please include your county of residence in all communications.