An Adult Family Home is a residential care home licensed by the Department of Social and Health Services (DSHS) for up to 8 residents. They can specialize in Dementia, Developmental Disabilities, and Mental Health. Most have Medicaid contracts with DSHS and may differ in when and how they accept Medicaid residents. Once you’ve determined that an Adult Family Home is the best option for yourself or a loved one. Local Care Homes is creating a safe and comfortable space that makes the elderly feel more valued and respected. "Quality Care, Right at Home."