COVID-19 Updated Requirements, February 6, 2024

Multnomah, Clackamas and Washington counties worked together to create this  Tri-County COVID-19 Toolkit for Adult Foster Homes (845.15 KB)

Review the toolkit and follow these updated requirements to continue to prevent the spread of COVID-19.


If a staff member, household member or resident in your home is exposed to or exhibits symptoms of COVID-19, please seek COVID testing. Positive test results should be reported to the ACHP within one business day using the new ACHP COVID-19 Reporting Form. Someone from the program will call you ASAP with questions and further instructions.

If there are two or more positive cases in the home, operators are required to contact the Multnomah County Health Department Communicable Disease Triage Line at 503-988-3406.

If a resident tests positive for COVID-19 and dies, an Incident Report Form (280.56 KB) must be completed.

COVID-19 Home Test Kits

All households may request four free at-⁠home COVID-⁠19 tests at These tests will be delivered directly to your home.

Oregon Health Authority will continue to fill requests for COVID-19 rapid antigen tests through July 31, 2024, while supplies last. Adult care homes are encouraged to request rapid antigen tests to have on hand for residents and staff in the event of an outbreak. Use the iHealth Self-Test Ordering Form to request tests from OHA. If you have questions, email

COVID-19 home tests must be self-administered by the resident. If a resident cannot administer the test, a family member of the resident or a medical professional can administer it. Non-medical adult care home staff should not administer tests to residents. If a COVID-19 test is needed and the resident or their family member is unable to administer the test, a test should be scheduled through the resident’s medical provider.

Multnomah County is distributing free bulk hand sanitizer, face coverings, gloves, gowns and face shields at no charge through Community Organization Resources Request


Masks are no longer required for residents, visitors, staff that live in the home, or staff that live elsewhere.

  • Operators may choose to require staff to continue to wear masks. 
  • You may request that visitors wear masks, but you cannot deny entry to unmasked visitors.
  • Some people may prefer to continue to wear masks. You may not require staff or visitors to remove their masks if they choose to wear one.
  • Masks are required when a person requests a provider wear one.

Sometimes masking remains necessary for the health and safety of all. Masking will be required for staff, residents and visitors who:

  • Have suspected or confirmed COVID-19 or other respiratory infections (e.g., runny nose, coughing, sneezing).
  • Had close contact or a higher-risk exposure with someone who has COVID-19. They should wear a mask for 10 days after their exposure.
  • Live or work in a care home with a COVID-19 outbreak.

Adult care homes should also follow masking protocols recommended by local public health authorities.

If a resident is unable to wear a mask due to a medical condition, you should take steps to reduce the risk of illness, including physical distancing from other residents, and ensuring others in the care home are wearing masks.

Screening Visitors

Active screening of all visitors is no longer a requirement.

You must maintain a visitor log with the date, visitor’s name and contact information, and the reason for the visit. In the event of a positive COVID case, this log will be used for contract tracing.

Visitor log COVID (110.74 KB)

  • Care home visitors are encouraged to delay their visit if they are not feeling well or have any flu or COVID-19 symptoms.
  • Visits must be allowed regardless of the vaccination status of residents or visitors. Adult care home staff should not ask visitors about their vaccination status. 
  • There is no longer a two-person limit on visitors for both residents and household members. Residents, staff and household members of the adult care home may have multiple visitors in the home at the same time.
  • Continue to practice good hand hygiene, including asking all visitors to use hand sanitizer or wash their hands.


Vaccines are readily accessible and are still the best protection against COVID-19. COVID-19 vaccinations are encouraged, but no longer required, for adult care home staff, according to recently-updated Oregon Health Authority rules.

Isolation and Transmission Based Protocols 

Isolation protocol should remain in place until it has been at least 10 days from the date of the last resident testing COVID positive, or 10 days since the last positive staff or associated staff worked in the ACH while infectious, whichever is longer.

Best practice is for a designated staff member to provide care to the infected individual and to have other staff attend to the needs of the non-infected individuals in the home. Gloves, gowns, and masks should be disposed of after interacting with the infected individual.

Care home activities, events and communal dining should be discontinued to minimize the risk of spreading the virus.

If you have any questions about the above isolation protocols, call the Multnomah County Health Department Communicable Disease Triage Line: 503-988-3406.

Involuntary Move Notices

An Involuntary Move Notice may not be issued solely because a resident has symptoms or a positive diagnosis for COVID-19. A list of  acceptable reasons can be found in MCAR 023-090-615. Any appropriate notice must be submitted to ACHP and will be evaluated and prioritized per available resources.

Mandatory Infection Prevention Training

All operators and resident managers are required to complete a 2 hour Pre-Service Infection Prevention Training through Oregon Care Partners. The training is highly recommended for caregivers too. This training is worth 2 CEUs. Email the completed certificate to or fax it to 503-988-5722. 


Contact the Adult Care Home Program at or 503-988-3000 if you have questions about policy changes or resources. 

Multnomah County also provides up-to-date COVID-19 information and general resources.