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FAQ

An Adult Family Home (AFH) is a licensed residential care home located in a regular house setting. It offers housing, meals, and personalized assistance to a small group of adults—typically between two to six residents—who may need help with daily living activities. Unlike larger institutions, AFHs provide a warm, homelike environment with individualized care.

Assisted Living Facilities are usually larger settings serving many residents, best suited for those who are largely independent but may need occasional support. In contrast, an AFH offers a more intimate, hands-on approach to care with a smaller caregiver-to-resident ratio, allowing for more personalized attention and a family-like environment.

We provide comprehensive, compassionate care including:

  • Assistance with activities of daily living (ADLs): dressing, bathing, grooming, toileting, and mobility
  • Medication management
  • Support for dementia, Alzheimer’s, and cognitive impairment
  • Care for chronic medical conditions and age-related decline
  • End-of-life/hospice care
  • Stroke recovery support

Yes. We accept residents with dementia, Alzheimer’s disease, and cognitive impairments. Our trained caregivers understand the challenges and provide respectful, individualized support.

Yes. The provider is a licensed Registered Nurse (RN), who oversees care and supports our caregiving team.

We maintain a high standard of staffing, including:

  • Two licensed caregivers during the day
  • One alert night caregiver
  • A live-in RN provider
    This ensures a 3:1 resident-to-caregiver ratio, enabling meaningful one-on-one care, companionship, and personalized support that’s not possible in larger facilities.

We have an alert night staff on-site at all times. The night caregiver is alert, engaged, and ready to attend to any resident’s needs—from medication assistance to companionship or mobility support—throughout the night.

Food is one of our greatest priorities. We cook fresh meals daily from scratch using quality vegetables, fruits, meats, and seafood. Groceries are purchased weekly to ensure freshness.

  • Meals are typically served at 8 AM, 12 PM, and 6 PM
  • Snacks and desserts are available at all times
  • We accommodate personal preferences and dietary needs, including substitutions for disliked dishes
  • Our kitchen caters to just six residents, which allows us flexibility and customization unmatched in larger settings

Yes, Dream Islands AFH is a smoke-free home.

We are proud of our diverse, multilingual team. Our caregivers and providers speak:

  • English
  • Turkish
  • Azerbaijani
  • Farsi
    This enables residents to feel understood and culturally respected.

Our uniqueness lies in diversity, quality, and experience:

  • Over 20 years of combined caregiving experience
  • Nurse-owned and managed
  • Multilingual and culturally inclusive care
  • A live-in RN provider ensures continuity and deep knowledge of each resident
  • True 1:1 attention thanks to our low resident-to-staff ratio
  • A family-like, peaceful home where residents are treated with dignity and compassion

Our pricing is based on an individual assessment of the resident’s care needs, depending on level of care, mobility needs, cognitive support, and other factors.

  • 24/7 on-site care
  • Personalized service plans
  • Daily housekeeping
  • Medication management
  • Home-cooked meals and snacks
  • Daily activities and music time
  • RN oversight
  • Coordination of medical appointments (upon request)

Yes, we offer short-term or respite stays.