Adult Care Home Regulations

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

Permanent Rules

The permanent Multnomah County Administrative Rules went into effect Thursday, August 13.

The permanent rules include updates to Appendix I describing Activities of Daily Living, and the removal of rules related to the licensing and regulation of IDD adult care homes.

 

Appeal Hearing at Board of County Commissioners Meeting

On July 2, 2026, a hearing was held about proposed changes to the Adult Care Home Program licensing rules during the Board of County Commissioners meeting. The Board postponed their vote and provided feedback on the rules. Based on that feedback, the ACHP removed the proposed rule changes related to care plan requirements. The hearing continued at the board meeting held on Thursday, August 13, 2026. The Board approved the DCHS director’s decision to adopt the amended rules.

Recordings of board meetings are available on both the Board clerk's website and the Multnomah County Board YouTube channel.

 

Feedback on Permanent Rules

Do you have feedback you would like the ACHP to consider for the next MCAR update? Adult care home operators, residents and the general public are encouraged to Submit Comments and Suggestions.

Last reviewed August 13, 2026