​This Service Option is offered when required or needed services are beyond the basic services.

 

The services, items, and activities described below are in addition to those outlined under Service Option 1.  The services offered under Service Option 2 are provided based on determinations made by the family, guardian, Cartier’s Adult Family Home, or is made by the Department of Social and Health Services (DSHS) for Medicaid-supported residents/clients.  Residents may be admitted for basic services and later progress to a higher need. 

 

Additional services provided at Cartier’s Adult Family Home (AFH) are based on the needs of each resident and the extent the home can meet those needs as allowed by the rules and laws governing adult family homes licensed in the State of Washington.   Residents may need to move to Service Option 2 when they need or have:

 

1. Increased needs beyond basic services, such as frequent or consistent 1 to 1 care and monitoring for safety.  This includes wandering or attempting to leave the home unsupervised.

2. Frequent direct hands-on assistance for mobility and safety.

3. Continuous hands-on assistance for mobility and safety.

4. Continuous hands-on assistance for incontinence care.

5. Incontinence care for bowel or bladder that exceeds occasional incontinence that requires staff assistance.

6. Increased bathing and showering needs because of incontinence.

7. Full or total care as allowed by law.

​Residents, guardians, families are responsible to cover the cost of:

1. Transportation to out-of-area locations.

2. Chaperone for individual vacations, which includes the cost of staff, if needed to chaperone residents during travel and while on vacation.  This includes staff meals, cost of travel, reasonable tips, and hotel accommodations.

3. Chaperone for individual dining out.  This includes the cost of staff to chaperone and transport, if necessary, during this time.

4. Outings that are not voluntarily covered by the home.

5. Incontinent supplies, including rubber gloves, pads for the bed, and Depends Undergarments.

6. Replacement of clothing, makeup specialists, designer or specialty lotions, and creams are the responsibility of the resident.

7. Haircuts, pedicures, beard trims, professional hair salon care, and manicures.

8. Uncompensated local day trip mileage: 56 cents per mile per IRS 2021.

9. Extra recreational activities such as YMCA, Senior Center, etc.

10. Medical or pharmaceutical co-pay for residents.

11. Cost of annual Assessment and Negotiated Care Plan must be paid for directly by the resident or guardian/Power of Attorney (POA) if not covered by DSHS.

 

Rates for services under Service Option 2 is higher than Service Option 1, and are negotiable.

 

Note: Except in cases of emergency, the facility will give the resident 30 days advance written notice of any changes in the availability of or charges for services, items, or activities.