Repairs and upgrades that work around your residents.
One-day paint, hard-surface flooring, doors and trim, safety upgrades, and deck and winter work, scheduled so your home stays calm, safe, and ready for residents, families, and inspectors.
Room turning over? Inspection coming up? Deck not ready for winter? Let's get it on the schedule.
Free estimates. Send a few photos or your punch list and we'll quote it fast.
- Licensed, bonded & insured
- Built for Adult Family Homes
- Many jobs done in one day
- Scheduled around your residents
- Free estimates
One contractor who understands how an Adult Family Home runs.
Residents live here around the clock. Work has to be clean, quick, and safe, and the house has to be ready when it counts.
The AFH building inspection checklist, in plain English.
Before a home can be licensed as an Adult Family Home, the local building department inspects it using the state's checklist. Here's what they look for, so nothing surprises you.
Download the official checklist (PDF)
DSHS form 15-604, Adult Family Home Local Building Inspection Checklist (rev. 04/2025), developed by WABO with DSHS. Walk your home with it, then text us anything that's a "No."
Always use the latest version: official copy on dshs.wa.gov
1Resident bedrooms
- Escape window with at least 5.7 sq ft net opening (5 sq ft at grade), at least 24" high and 20" wide
- Window sill no higher than 44" above the floor, with no steps or platforms under it
- Bedroom door opens easily from the outside when locked
- Closet doors open readily from the inside
- Smoke alarm in every resident bedroom
We handle: door hardware, closet doors, window and sill work
2Doors & hardware
- Lever-type handles and locks, usable with one hand, no tight grasping or twisting
- No more than 5 lbs of force to operate
- Bathroom doors open from the outside when locked
- Exit doors side-hinged, at least 32" clear width and 78" tall
- Exit hardware unlocks without a key, tool, or special knowledge; no extra locks
We handle: lever hardware, door replacement, widening
3Smoke & CO alarms
- Smoke alarms on every level, in each resident bedroom, and outside sleeping areas
- Carbon monoxide alarms on each level
- One alarm going off must be heard everywhere in the home
- Fire access road and water supply meet local fire requirements
Ask us about alarm placement and installation
4Ramps & guards
- Maximum slope of 1 in 12 (8.3%), indoors and out
- At least 3' x 3' landings at the top, bottom, turns, and where doors open onto the ramp
- Handrails on both sides of every ramp
- Guards on open walking surfaces more than 30" above the ground
We handle: ramp builds, landings, handrails, guards
5Stairs & steps
- Risers no taller than 7¾" (8" in homes built before July 1, 2004)
- Handrails on both sides of any stairs, even a single step
We handle: step repairs, handrails on both sides
6Bathrooms & grab bars
- Toilets: grab bars on both sides, 33"–36" high, 25"–30" apart
- Tubs: 2 vertical and 3 horizontal grab bars
- Showers: vertical and horizontal bars on all sides; stall at least 30" x 48"
- Bars hold 250 lbs and can't be mounted to fiberglass tub or shower units
We handle: grab bar installs with proper blocking
Summary of DSHS form 15-604 (rev. 04/2025) and WAC 51-51-0330 (IRC Section R330), for general information only. Your local building department conducts the inspection and has the final word, so confirm requirements with them before you start work.
Don't let a worn deck go into winter.
Decks, ramps, and entry steps are how residents, families, and emergency crews get in and out. Wet Northwest winters turn small problems into slippery, unsafe ones.
- Soft or cracked boards replaced before they fail.
- Loose railings and handrails secured and reinforced.
- Slick surfaces cleaned, sealed, and given better traction.
- Ramps and steps repaired so every resident can get in and out safely.
- Winter prep: gutters, weatherstripping, caulking, and exterior touch-ups.
Built around your residents, not the other way around.
Most contractors treat your home like any other job site. We plan every job around the people who live and work there.
Fast, clean improvements for every part of the home.
Less downtime. Less disruption. A home that looks cared for.
One-Day Room Paint
Walls, ceilings, doors, and trim refreshed in a day, using low-odor paint, so a room is ready for the next resident fast.
Quote a room →
One-Day Bedroom Flooring
Worn carpet replaced with durable, easy-to-clean hard-surface flooring that's smoother for walkers and wheelchairs.
Quote a floor →
Doors & Trim
Dented, scuffed, and sticking doors repaired or replaced. Trim, jambs, and door frames restored, plus protective kick plates and lever handles.
Send door photos →
Safety & Accessibility
Grab bars, handrails, threshold transitions, lever hardware, and lighting that help residents move around safely.
See safety upgrades →
Decks, Ramps & Railings
Board replacement, railing repair, ramp and step fixes, cleaning, and sealing so entries stay safe all year.
Book a deck check →
Winter & Seasonal Maintenance
Gutters, weatherstripping, caulking, exterior touch-ups, and walkway cleaning before the wet, icy months.
Run the winter check →Not sure where to start? Text us a few photos or your list. That's our first conversation.
Turn a room around between residents.
An empty room is lost income. Let's get it ready fast.
When a resident moves out, we refresh the room so it's ready for tours and the next move-in: fresh paint, hard-surface flooring, door and trim repairs, patched walls, and updated fixtures, often in a single day.
A clean, fresh room tells families their loved one will be cared for.
Refresh the room. Fill the bed. Keep the home running.
Help residents move through the home safely.
Small changes prevent falls and make daily care easier for residents and staff. We install and repair the upgrades that matter most:
- Grab bars in bathrooms and showers
- Handrails on halls, stairs, and entries
- Ramps, landings, and step repairs
- Threshold transitions for walkers and wheelchairs
- Lever door handles and widened doorways
- Better lighting in halls, entries, and bathrooms
Got a list? We'll knock it out.
Licensing visit coming up, or a list of items to fix after one?
Send us your inspection notes, your own walk-through list, or photos. We'll quote each item, schedule the work around your residents, and get it done so you can move on.
Opening a new Adult Family Home? We help get the house ready with one contractor handling the repairs, safety upgrades, and finishes.
New home? Start with the free building inspection checklist. Your licensor and building department set the requirements; we handle the repairs and improvements on your list.
Is your home ready for winter?
Tick anything you've noticed. We'll tell you what to tackle first.
From photos to finished, without the chaos.
Send photos or your list
Text a few photos, your inspection notes, or a quick list of what needs fixing.
Get a clear quote
We price each item so you can choose what to do now and what can wait.
Schedule around residents
We plan the work around meals, rest, care routines, and your deadlines.
Done and cleaned up
Work finished, area cleaned, and the space safe for residents before we leave.
The whole list, one contractor.
- Drywall patching
- Interior & exterior painting
- Door repair & replacement
- Trim & baseboards
- Hard-surface flooring
- Grab bars & handrails
- Ramps & landings
- Deck repair & sealing
- Fence & gate repair
- Gutter cleaning
- Weatherstripping & caulking
- Pressure washing
- Window screens & blinds
- Cabinet & countertop repairs
- Bathroom updates
- Lighting upgrades
Good to know.
Can you work while residents are home?
Yes. Most of our work happens with residents in the home. We work one area at a time, keep work zones contained and clean, and plan around meals, rest, and care routines.
Can a room really be done in one day?
Many paint and flooring refreshes on a single bedroom are finished in a day. Larger rooms, repairs, or multiple rooms may take longer. We'll give you a clear timeline with your quote.
Do you work on inspection items?
Yes. Send us your inspection notes or your own list and we'll quote and schedule each item. Your licensor sets the requirements; we handle the repairs and improvements.
Why hard-surface flooring in bedrooms?
Hard-surface floors are easier to clean and keep sanitary, hold up to daily use, and are smoother for walkers and wheelchairs than carpet.
Why fix the deck now instead of spring?
Rain, moss, and freezing temperatures make worn boards and loose railings more dangerous. Fixing them before winter keeps entries safe for residents, staff, visitors, and emergency crews.
How do I get a quote?
Text photos or your list to 425-740-0070, or call. Estimates are free.
A well-kept home is part of great care.
A room turnover. A list from your inspector. A deck that won't make it through winter. Let's look at what your home needs and get it done.
Prefer email? john@homeandhealthrealty.com. Tip: include photos of each area, your city, and any inspection or move-in deadline.