History

• Group homes developed as a result of the trend toward deinstitutionalization of people with physical and mental disabilities. They are generally regulated by the state as opposed to the federal government, so requirements differ based on location.
  
  

Licensing

• Group homes are required to be licensed and registered with the state and sometimes with the municipality as well.
  
  

Background Checks/Education

• Most states have laws requiring group home employees, who work with populations that are especially vulnerable to abuse and exploitation, to submit to rigorous background checks. Some states also mandate that group home employees are trained in fields like education, social work or psychology.
  
  

Mandated Reporting

• All states require group homes to report to their regulating body any incident of abuse, neglect or exploitation; falling (with or without injury); medication error and resident death.
  
  

Other Requirements

• States often have regulations about the type of clientele the homes may admit, the keeping of a comprehensive policy and procedure manual, the keeping of resident records, safety issues, sanitation and resident rights and responsibilities.