Adult Care Home Regulations

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

Public Hearing at Board of County Commissioners Meeting

A hearing about proposed permanent rules will be held during the normal Board of County Commissioners meeting: 

Thursday, July 2 
9:30 a.m. 
Multnomah County Board Room, 501 SE Hawthorne Blvd, Portland, Oregon, 97214

Document

Members of the public may testify in person or virtually. Use the Public testimony webform to sign up to testify or to submit written testimony.

You can watch a livestream of the meeting at the Multnomah County Board YouTube channel. Recordings of each board meeting will be available on both the Board clerk's website and the YouTube page within 48 hours following the end of the meeting.

 

What Led to This Public Hearing?

In March 2026, the Adult Care Home Program held a public hearing on proposed updated rules. Rachel Pearl, Department of County Human Services [interim] director, reviewed written and verbal hearing testimony, and made the decision to adopt the rules with no amendments. Following the decision, the director received a request for a board hearing with the Multnomah Board of County Commissioners.

 

What is Included in the MCAR Proposed Rules?

The revised MCAR removes rules related to the regulation of IDD adult care homes, and clarifies documentation of informed consent and review during the care planning process. Additionally, Appendix I describing Activities of Daily Living was updated to correspond to OAR language.

 

Current Rules: What Rules are in Effect Now?

Temporary administrative rules have been in effect since January 1, 2026. Because temporary rules are effective for no longer than 120 days, the rule was replaced with an identical temporary rule on May 1, 2026. This allows time to complete the appeal process with the Board of County Commissioners.

Last reviewed June 18, 2026