Dignified, 24/7 ABA-Informed Residential Care in Puyallup, WA.
Avenue Home is a high-support, nurturing adult family home dedicated to individuals with developmental and behavioral disabilities. With specialized ABA-trained staff, private individual rooms, and compassionate supervision, we help residents flourish with safety, autonomy, and belonging.
ABA-trained behavioral support
Individual resident rooms
Spacious & accessible layout

A Calm, Structured Home
Located in a peaceful Puyallup neighborhood with expansive grounds and modern accessible indoor spaces.
Family & Guardian Peace of Mind
Transparent updates & personalized care plans
Designed For Case Managers, Guardians, and Residents
Every detail at Avenue Home is engineered to ensure seamless collaboration with state coordinators, profound peace of mind for families, and an empowering daily life for our residents.
For DDA Case Managers
Fast intake turnarounds, prompt assessments, strict compliance with DSHS / DDA standards, and detailed Behavioral Support Plans (BSP) executed with consistency.
- Prompt intake response within 24 business hours
- ABA data collection and behavioral reporting
- Coordination with day programs & healthcare teams
For Families & Guardians
Moving a loved one to residential care is a major milestone. We welcome families with radical transparency, open communication, and compassionate respect for routines.
- Comfortable, private individual bedrooms
- Regular family visits & scheduled milestone calls
- Nutritious, home-cooked customized meals
Resident Empowerment
Individuals build self-esteem, daily living skills, and genuine friendships. Our positive reinforcement environment promotes autonomy in a calming, sensory-safe household.
- Life skills & sensory integration activities
- Safe community outings in Pierce County
- Individualized behavior support strategies
The Avenue Home Standard of Care
ABA-Informed Care
Applied Behavior Analysis techniques integrated into daily routines to de-escalate triggers, build communication skills, and reinforce constructive habits.
24/7 Awake Staffing
Continuous on-site supervision and overnight attentiveness ensuring complete resident safety, prompt medication administration, and behavioral consistency.
Health Coordination
Careful medication management, nurse delegation oversight, physician appointments coordination, and specialized dietary preparations.
Community & Recreation
Structured local excursions, park walks, sensory garden relaxation, and celebration of personal milestones and birthdays in a supportive social circle.
Step-by-Step Referral & Placement Journey
A smooth transition starts with clear expectations. Here is how case managers and families collaborate with Avenue Home from day one.
Inquiry / Referral
Submit resident profile, DDA assessment, or reach out through our online intake form with support needs and behavioral history.
Clinical Assessment
Our care team reviews the DDA care plan, medical guidelines, and ABA behavior targets to ensure an optimal peer and environment match.
Tour & Pre-Placement
Case managers and guardians visit Avenue Home in Puyallup, review accommodations, meet key staff, and schedule a gentle resident introduction.
Move-In & Transition
We prepare the personalized bedroom, establish daily visual schedules, initiate nurse delegation, and welcome the resident home.
DDA Care Guides & Articles
How to Choose a DDA-Certified Adult Family Home in Washington
Selecting the right DDA-certified adult family home means verifying licensing, staffing ratios, behavioral support capacity, and intake responsiveness. Here's the framework case managers and guardians use.
ABA-Informed Care in an Adult Family Home: What It Means
ABA-informed care brings Applied Behavior Analysis principles into daily residential life - not as clinical therapy, but as the everyday language staff use to support positive behavior and reduce triggers.
DDA Waiver Programs in Washington: A Residential Care Guide
Washington's DDA waivers - Core, Individual & Family Services (IFS), and Basic Plus - fund different levels of residential support. Here's how each applies to adult family home placement.
A Warm, Dignified, and Accessible Environment
Explore our Puyallup home designed for comfort, sensory balance, accessibility, and high quality of life.

Shared Living & Sensory Relaxation Area
Comfortable leather recliners, library bookshelves, and an ambient fireplace create a calm, low-stress environment for leisure and socialization.

Home-Cooked Meals & Dining Area
Expansive dining table and modern kitchen where residents enjoy nutritious, home-cooked family meals tailored to individual dietary needs.

Quiet Puyallup Setting & Accessible Grounds
A secure, peaceful residential neighborhood setting framed by evergreen trees with dedicated accessible entry ramps and secure outdoor grounds.
Frequently Asked Questions
What does "ABA-informed care" mean in an Adult Family Home?+
Applied Behavior Analysis (ABA) principles are incorporated by our trained direct support professionals to encourage positive behaviors, manage sensory sensitivities, establish visual and predictable schedules, and reduce stress or maladaptive coping mechanisms.
Do residents have private bedrooms?+
Yes. Each resident has their own private bedroom that can be furnished and decorated according to their sensory and personal preferences.
Are DDA Core and IFS waivers accepted?+
Yes. Avenue Home is DDA-certified and partners directly with Washington State DDA case managers to accept state-funded waiver programs as well as qualified private arrangements.
How are medical appointments and medications managed?+
We work with a contracted Registered Nurse (RN) Delegation specialist. Medications are securely stored, tracked, and administered with digital MAR compliance, and transportation can be arranged for medical visits.
Not Sure If Residential Care Is the Right Step?
Take our free 2-minute eligibility quiz and get a personalized recommendation. No protected health information, no obligation, just clarity on your next step.
Passionate About Supporting Adults with Developmental Needs?
We offer competitive compensation, ABA behavioral mentorship, continuing education, and a supportive team environment where every caregiver is valued.
