Adult Care Home Regulations

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

Notice of Public Hearing for Proposed Update to the MCAR

Document

Last month the ACHP published a Notice of Intent to Adopt Proposed Rules, with a comment period that ended Tuesday, February 24.

A public hearing regarding the proposed rule will be held in person Thursday, March 19, from 3 – 5 p.m., at the Multnomah County Board Room, 501 SE Hawthorne Blvd, Portland, Oregon, 97214. 

Rachel Pearl, Department of County Human Services interim director, will preside over the hearing.

You can attend in person or listen to the hearing by phone at:

1-415-655-0001 
Access code: 2664 072 1250

Password: 43274641

 

How do I Provide a Comment for the Hearing?

Comments can be made verbally in person or in writing. Verbal comments will be limited to three minutes per person. If you listen via phone, you will not be able to make a verbal public comment.

Written comments can be provided in person at the hearing or via email to achp.rac@multco.us. Emailed comments must be received by 5 p.m. on Thursday, March 19 to be considered.

 

What Happens After the Public Hearing?

All comments will be reviewed and the DCHS interim director will adopt, reject or amend the proposed rule. 

Within 15 days of the public hearing, ACHP staff will file a Notice of Action Taken with the clerk of the Multnomah County Board. The director’s decision and the date the Notice of Action is filed with the clerk will be posted on this webpage.

 

What is Included in the MCAR Proposed Rules?

On January 1 a temporary MCAR update went into effect to remove rules related to the regulation of IDD adult care homes, and to clarify 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. 

 

What Rules are in Effect Now?

The temporary administrative rules are currently in effect.

Last reviewed March 18, 2026