Support builtaround the day.
Start with the person, then build the day.
We begin by learning how someone actually lives: their routine, what they can do for themselves, where they need a hand, and what makes a day go badly. Support is arranged around that, and revised as things change.
What we provide
Room and board in a licensed home
Bear Care AFH II LLC is licensed by Washington State as an Adult Family Home. That license category covers housing, meals and the everyday care of residents living in the home.
Assistance with daily living
Support with the ordinary business of the day, provided at the level set out in each resident's individual care plan.
Care planned around the individual
Each resident's needs, routines and preferences are assessed and documented, and support is adjusted as those needs change.
Specialty care
The home carries verified specialty designations for mental health and dementia. See specialties below.
A small, shared household
The home is licensed for six residents, so daily life happens at the scale of a household rather than a facility.
For the specific services available to a particular resident, and to discuss an individual care plan, please contact us directly on 206-407-4933.
into a household.
A kitchen, a table, rooms people live in. Care is delivered inside an ordinary household rather than around it.
Two verified specialty areas
Mental Health
Mental health is a recorded specialty on the home’s Washington Adult Family Home license.
Dementia
Dementia is a recorded specialty on the home’s Washington Adult Family Home license.
A house set up
for living in
Bear Care AFH II LLC operates from a residential home in Everett rather than a commercial care building. Six licensed beds is the whole of it, which is what keeps daily life at the scale of a household.
The bathrooms are fitted for accessibility: step-free showers with grab bars and shower seats. Shared living and dining rooms open onto the kitchen, and the house sits on a level lot with a patio, lawn and garden. You can see all of it in the gallery.
Questions families ask
- What is an Adult Family Home?
- A private residence licensed by Washington State where a small number of adults live and receive care. It is a house, not a facility or a campus. Most are licensed for up to six residents.
- How many people live at Bear Care AFH II LLC?
- The home is licensed for six. Six is the number of beds on the licence, not a statement of how many people are living here at any given time. Call 206-407-4933 for current availability.
- Who owns and runs the home?
- Sara Tesfai is the owner and provider, and is responsible for the operation of the home under Washington Adult Family Home license #758494. Families are welcome to speak with her directly.
- Is the home licensed, and how can I check?
- Yes. Washington Adult Family Home license #758494, for six beds. You can verify that yourself on the Washington DSHS Adult Family Home Locator: search by license number 758494 rather than by name, which takes you straight to this home's record. fortress.wa.gov
- What specialties is the home licensed for?
- Mental Health and Dementia, as recorded on Washington Adult Family Home license #758494. A specialty designation means the provider has completed the state's approved training for that category and demonstrated competency. It is not a medical certification, and it does not by itself mean every level of need can be met.
- Do you accept Medicaid?
- Yes. The home accepts both private pay and Washington State Medicaid (DSHS), and holds an active Adult Family Home contract along with an Expanded Community Services contract. Whether a resident already receiving private care can stay after becoming Medicaid-eligible is a separate question. Please ask directly.
- How much does it cost?
- No single figure is published, because what a placement costs depends on the level of care a person needs. A rate is quoted after an assessment. Call 206-407-4933 to talk through cost for a particular person.
- Does the home have any inspection findings?
- As of 12 September 2026, the DSHS locator shows no inspection or enforcement documents on file for license #758494. That record is public and updated by the state, so check it yourself rather than taking our word for it.
- Can we visit before deciding?
- Yes, and it is the most useful thing you can do. Tours are by appointment. Call 206-407-4933, email bearafh20@gmail.com, or request a time. Seeing the house, the rooms and the table tells you more than any page can.
Questions about staffing, overnight cover, medication, nursing or end-of-life care are best answered directly rather than in general terms, because the honest answer depends on the person. Call 206-407-4933.
Care should follow the person. When six people share a home instead of sixty, it can.
Ask us anything.
If you are weighing up options for someone, a phone call is often the quickest way to find out whether this home is a fit.