Has the "Restoring Quality Home Care Initiative (I-1163)" Met Its Goals?​

Washingtonians voted twice (most recently in 2011 through Initiative 1163) to protect vulnerable clients by establishing a home care aide certification. Certification requires most people who want to be home care aides to complete 75 hours of training and pass a separate exam.

However, given the continuing shortage of long-term care workers in our state, some people have questioned if this certification is achieving its intended results. Legislators have temporarily paused some requirements until the initiative's effects can be better understood. Our audit is examining the success of this initiative and reviewing the home care aide certification process to determine if any changes might be made to better meet the needs of home care aides and their clients.

Your responses to this questionnaire will help us understand the perspective of Adult Family Homes on the home care aide certification process. We will not report or track your responses, unless you tell the audit team that you would like to talk further. If you would like to participate, please complete the questionnaire by November 15, 2025.

If you have any questions about the audit or this questionnaire, please call Lori Reimann Garretson at 206-767-3199 or email Lori.Garretson@sao.wa.gov.
1.How many people work at your adult family home?
2.How many of the people currently working at your adult family home have completed their home care aide certification?
3.How many of the people currently working at your adult family home are in the process of completing their home care aide certification?
4.How would you describe your ability to hire the staff that you need?
very easy
very difficult
5.In your opinion, have the current training and testing requirements for home care aides improved the quality of care in Washington?
6.What would you consider to be the most significant challenges home care aides face in completing their certifications?
7.If you had the ability to change anything in the home care aide certification process, what would you change?
8.Is there anything else you would want us to know about Washington's home care aide certification process?
9.Would you be open to talking further with the audit team? If so, please share your name and contact information.