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Avenue Home

How to Find the Right Adult Family Home in Pierce County: A Step-by-Step Guide for Families

Finding the right Adult Family Home for your loved one is one of the most important decisions a family can make. In Pierce County, Washington, families navigate this process with the help of DDA case managers — but understanding the steps yourself can make the journey much smoother.

Step 1: Connect with DDA

If your loved one isn’t already enrolled with Washington’s Developmental Disabilities Administration (DDA), that’s the first step. DDA determines eligibility and assigns a case manager or support coordinator who helps identify appropriate placement options, including Adult Family Homes.

Step 2: Define Your Priorities

Before touring homes, sit down as a family and identify what matters most. Consider:

  • Location — proximity to family and familiar community
  • Caregiver qualifications and training (ABA, nursing, behavioral support)
  • Resident-to-caregiver ratio
  • Communication style and family involvement
  • Cultural fit and home environment
  • Availability of activities and community integration

Step 3: Tour Multiple Homes

Never choose a home without visiting in person. During a tour, pay attention to how the staff interacts with current residents, whether the space feels like a home rather than a facility, and whether your questions are answered openly and honestly.

Step 4: Ask the Right Questions

Key questions to ask during any AFH tour:

  • What is your caregiver’s training and certification background?
  • How do you handle behavioral challenges?
  • How often do you communicate with families?
  • What does a typical daily routine look like?
  • Are you DDA-certified and in good standing?

Step 5: Review the Individual Care Plan

A quality AFH will work with you and your DDA case manager to develop an individualized care plan aligned with your loved one’s goals and needs. Be cautious of homes that offer generic, one-size-fits-all care.

Schedule a Tour at Avenue Home

Avenue Home is a DDA-certified Adult Family Home in Puyallup, WA, specializing in ABA-informed care for adults with developmental disabilities. We welcome families to visit, ask questions, and see our home for themselves. We currently have an opening available.

Contact us today to schedule a tour, or call 253-348-6004 to speak with our care team directly.

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What Families Are Saying

Real experiences from the families we serve.

★★★★★

"Moving my brother into Avenue Home was the best decision our family made. The staff truly knows him — his routines, his preferences, what helps him feel calm. We've seen real growth since he moved in."

— Sandra M.
Sister of a current resident, Puyallup, WA
★★★★★

"As a DDA case manager, I've referred clients to many homes. Avenue Home stands out because of the ABA training. The caregivers understand behavior — not just routine — and that makes a real difference for our clients."

— James T.
DDA Support Coordinator, Pierce County
★★★★★

"My son has lived at Avenue Home for over a year. The communication from the team is incredible — I always know what's happening. He's thriving, and that's everything to me as a parent."

— Patricia K.
Parent of a current resident, Tacoma, WA
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