Precision Assess
Need hands-on help completing or implementing your forms? I can do it for you.
Precision Assess supports Adult Family Homes across Washington with compliant, fast, and practical nursing solutions. If a free template gets you started, my services get you finished—correctly and on time.
Our services:
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Care Plans Management
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IBSS Application Consultation
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AFH Binder Setup & Reviews
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Nurse Delegation
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Placement Assessments
Download Resident Roster
WAC 388-76-10221 requires every AFH to create and update a Resident Roster that includes:
- Resident names
- Room identifiers
Download AFH Notice of Discharge
Download Notice of discharge form required by DSHS when a resident is discharge from the Adult Family Hone
Download Resident Incident Report Form
The Resident Incident Report Form documents any unusual event or injury involving a client, outlining what occurred, actions taken, and ensuring compliance with DSHS regulations.
Download Residency Agreement Form
This DSHS Residency Agreement Language form is required for Washington State Adult Family Homes, Assisted Living Facilities, and Enhanced Services Facilities serving Medicaid residents, effective January 1, 2026. It documents resident rights related to transfer and discharge (RCW 70.129) and helps providers remain DSHS-compliant.
Respiratory Protection Program (RPP) – Adult Family Home (WA)
A required safety document for Washington State Adult Family Homes outlining respiratory protection policies for caregivers and staff, in compliance with WAC 296-842-12005.
Adult Family Home Video Monitoring Compliance Packet
A complete, DSHS-ready packet to help AFH providers implement lawful electronic monitoring in compliance with WAC 388-76-10720 and WAC 388-76-10725. Includes a written policy, resident consent form, entry signage template.
Resident Seizure Safety Plan for Adult Family Homes
A DSHS-compliant, fillable 2-page form designed to document individualized seizure management for AFH residents. Covers seizure history, prevention strategies, step-by-step caregiver response, emergency criteria, and post-seizure care — aligned with WAC 388-76-10765.
Download AFH Preliminary Service Plan
A fillable form for recording a new resident's care instructions at move-in, before the full care plan is done. It covers health, medications, mobility, ADLs, behavior support, and safety, and supports WAC 388-76-10355
Rather not fill these out yourself?
These forms are free to use, and plenty of owners do exactly that. If you would rather have a nurse do it, that is what I do. I am Ambar, a registered nurse, and I own Precision Assess. I write negotiated care plans, run nurse delegation visits, complete placement and LTC assessments, and put together IBSS and CBHS applications for adult family homes across Washington. Every document is done by me, not generated by software, which is the part that matters when an inspector is reading it.
If you are not sure whether you need help, ask anyway. Call (425) 415-7926 or email info@precisionassess.com. I am happy to answer a question even if you never become a client.