Local Care Homes is dedicated to promoting independence, dignity, and well-being for seniors, ensuring they receive the care and support they deserve. Families can trust Local Care Homes to provide their loved ones with exceptional care and peace of mind. An Adult Family Home is a residential care home licensed by the Department of Social and Health Services (DSHS) for up to 8 residents. They can specialize in Dementia, Developmental Disabilities, and Mental Health. Most have Medicaid contracts with DSHS and may differ in when and how they accept Medicaid residents. Once you’ve determined that an Adult Family Home is the best option for yourself or a loved one.