Adult Care Home Regulations

The Multnomah County Administrative Rules (MCAR) govern the licensing and operation of adult care homes in Multnomah County.

Temporary Administrative Rules

Temporary administrative rules will go into effect on Thursday, January 1, 2026. This is the same day the Oregon Developmental Disabilities Services (ODDS) will begin licensing all Intellectual and Developmental Disabilities (IDD) adult care homes in Multnomah County. 

Changes to the MCAR in the temporary rules:

  • Rules related to the regulation of IDD homes have been removed. 
  • Care plans now require signatures for both residents and staff.
  • Activities of Daily Living updated in Appendix 1.

Temporary rules are in place until they are formally adopted by the county. In 2026 the ACHP will post a Notice of Intent to Adopt Proposed Rules when that process begins. We will announce this in the ACHP newsletter and The Oregonian.  

Adult care home operators, residents and the general public are encouraged to Submit Comments and Suggestions.

 

Current Administrative Rules

Adult care homes must follow other regulations, including housing, labor and tax laws. Find resources to help adult care home operators stay in compliance with all these regulations at Small Business Resources.

Last reviewed October 22, 2024