The local department shall require: A written approval from the local health department of the water supply (well) and waste disposal. A home using a municipal water and sewer system may be exempt from this requirement. Documentation that the home meets the requirement, if any, of the local fire marshal. A clean, well maintained and structurally sound home. The local department may consult with a local building inspector if there is question about possible structural defects. Sleeping and living quarters for foster adults which have: Appropriate modified access for foster adults whose special physical needs require it (in most cases, foster adults require a first floor and, preferably, a ground level room); Adequate opportunity for privacy in sleeping and living quarters for each foster adult; Grab rails and other special equipment in accordance with individual needs; Storage for clothing and personal possessions, and, if possible, some of the foster adult's own furniture; Adequate protection and supervision; Accessibility to family living spaces, which the foster adults are expected to share as a part of the family's life style; and Adequate household supplies. A limit of four foster adults at a time. The local department shall assess the needs of each foster adult as well as the capacities of the provider and the home before making a placement. That the foster home meet requirements and be approved by the local department before taking an adult in the home.