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Chapter 388-76 WAC

 Last Update: 7/31/12

ADULT FAMILY HOME MINIMUM LICENSING REQUIREMENTS

WAC Sections

DEFINITIONS
388-76-10000 Definitions.
388-76-10002 Department authority.
388-76-10003 Department access.
LICENSE
388-76-10005 License--Required.
388-76-10010 License--Valid and not transferable.
388-76-10015 License--Adult family home--Compliance required.
388-76-10020 License--Ability to provide care and services.
388-76-10025 License annual fee.
388-76-10030 License capacity.
388-76-10035 License requirements--Multiple family home providers.
388-76-10036 License requirements--Multiple adult family home management.
388-76-10037 License requirements--Multiple adult family homes--Additional homes.
388-76-10040 License requirements--Qualified person must live-in or be on-site.
388-76-10045 Licensing--Certain state employees and employee household members--Prohibited.
388-76-10050 License--Relinquishment.
LICENSE APPLICATION
388-76-10055 Application--Generally.
388-76-10057 Application--General qualifications.
388-76-10060 Application -- Department orientation class -- Required.
388-76-10063 Application--General training requirements.
388-76-10064 Application--Forty-eight hour administration and business planning class training requirements.
388-76-10065 Application -- Required information.
388-76-10070 Application -- Fees required.
388-76-10073 Application--Processing fees required.
388-76-10075 Application -- Becomes void.
388-76-10080 Application -- Coprovider.
388-76-10085 Application -- Individual or coprovider.
388-76-10090 Application -- Entity application.
388-76-10095 Application -- Identification of landlord -- Required.
388-76-10100 Application -- Subject to review.
388-76-10105 Application -- Change of ownership.
388-76-10106 Change of ownership--Notice to department and residents.
388-76-10107 Change of ownership--Priority processing.
388-76-10110 Application -- Change of location or address.
GRANTING OR DENYING A LICENSE
388-76-10115 Granting or denying a license--Generally.
388-76-10120 License--Must be denied.
388-76-10125 License--May be denied.
QUALIFICATIONS OF INDIVIDUALS PROVIDING CARE AND SERVICES
388-76-10129 Qualifications--Adult family home personnel.
388-76-10130 Qualifications--Provider, entity representative and resident manager.
388-76-10135 Qualifications--Caregiver.
388-76-10140 Qualifications--Students--Volunteers.
388-76-10145 Qualifications--Licensed nurse as provider, entity representative or resident manager.
388-76-10146 Qualifications--Training and home care aide certification.
388-76-10150 Qualifications--Assessor.
CRIMINAL HISTORY BACKGROUND CHECK
388-76-10160 Background check -- General.
388-76-10161 Background checks--Who is required to have.
388-76-10163 Background checks--Process--Background authorization form.
388-76-101631 Background checks--Washington state name and date of birth background check.
388-76-101632 Background checks--National fingerprint background check.
388-76-10164 Background check--Results.
388-76-10165 Background checks--Washington state name and date of birth background check -- Valid for two years--National fingerprint background check--Valid indefinitely.
388-76-10166 Background checks--Household members, noncaregiving and unpaid staff--Unsupervised access.
388-76-10170 Background check -- Confidentiality -- Use restricted--Retention.
388-76-10174 Background check--Disclosure of information--Sharing of background information by health care facilities.
388-76-10175 Background checks--Employment -- Conditional hire -- Pending results of Washington state name and date of birth background check.
388-76-10176 Background checks--Employment--Provisional hire--Pending results of national fingerprint background check.
388-76-10180 Background check--Employment--Disqualifying information.
388-76-10181 Background checks--Employment--Nondisqualifying information.
ADMINISTRATION GENERAL
388-76-10191 Liability insurance required.
388-76-10192 Liability insurance required--Commercial general liability insurance or business liability insurance coverage.
388-76-10193 Liability insurance required--Professional liability insurance coverage.
388-76-10195 Adult family home -- Staff -- Generally.
388-76-10198 Adult family home--Personnel records.
388-76-10200 Adult family home -- Staff -- Availability -- Contact information.
388-76-10205 Medicaid or state funded residents.
388-76-10210 Resident relocation due to closure.
388-76-10215 Resident funds--Protection, liquidation or transfer.
388-76-10220 Incident log.
388-76-10225 Reporting requirement.
388-76-10230 Pets.
HEALTH CARE DECISION MAKING
388-76-10235 Guardianship.
388-76-10240 Durable power of attorney for health care or financial decisions.
388-76-10245 Resident self-determination -- Health care decision making.
388-76-10250 Medical emergencies -- Contacting emergency medical services -- Required.
INFECTION CONTROL AND COMMUNICABLE DISEASE
388-76-10255 Infection control.
388-76-10260 Communicable disease--Preventing spread.
TUBERCULOSIS SCREENING
388-76-10265 Tuberculosis--Testing--Required.
388-76-10270 Tuberculosis--Testing method--Required.
388-76-10275 Tuberculosis--No testing.
388-76-10280 Tuberculosis--One test.
388-76-10285 Tuberculosis--Two step skin testing.
388-76-10290 Tuberculosis--Positive test result.
388-76-10295 Tuberculosis--Negative test result.
388-76-10300 Tuberculosis--Declining a skin test.
388-76-10305 Tuberculosis--Reporting required.
388-76-10310 Tuberculosis--Test records.
RESIDENT RECORDS
388-76-10315 Resident record--Required.
388-76-10320 Resident record--Content.
388-76-10325 Resident record--Legal documents--If available.
RESIDENT ASSESSMENT
388-76-10330 Resident assessment.
388-76-10335 Resident assessment topics.
388-76-10340 Preliminary service plan.
388-76-10345 Assessment--Qualified assessor--Required.
388-76-10350 Assessment--Updates required.
NEGOTIATED CARE PLAN
388-76-10355 Negotiated care plan.
388-76-10360 Negotiated care plan--Timing of development--Required.
388-76-10365 Negotiated care plan--Implementation--Required.
388-76-10370 Negotiated care plan--Persons involved in development.
388-76-10375 Negotiated care plan--Signatures--Required.
388-76-10380 Negotiated care plan--Timing of reviews and revisions.
388-76-10385 Negotiated care plan--Copy to department case manager--Required.
CARE AND SERVICES
388-76-10390 Admission and continuation of services.
388-76-10395 Emergency admissions.
388-76-10400 Care and services.
388-76-10405 Nursing care.
388-76-10410 Laundry services.
FOOD SERVICES
388-76-10415 Food services.
388-76-10420 Meals and snacks.
388-76-10425 Offsite food preparation.
RESIDENT MEDICATIONS
388-76-10430 Medication system.
388-76-10435 Medication refusal.
388-76-10440 Medication--Assessment--Identification of amount of assistance needed when taking medications.
388-76-10445 Medication--Independent--Self-administration.
388-76-10450 Medication--Self-administration with assistance.
388-76-10455 Medication--Administration.
388-76-10460 Medication--Negotiated care plan.
388-76-10465 Medication--Altering--Requirements.
388-76-10470 Medication--Timing--Special directions.
388-76-10475 Medication--Log.
388-76-10480 Medication organizers.
388-76-10485 Medication storage.
388-76-10490 Medication disposal -- Written policy--Required.
SPECIALTY CARE
388-76-10495 Specialty care--Designations.
388-76-10500 Granting specialty care designation--Requirements.
388-76-10505 Specialty care--Admitting and retaining residents.
RESIDENT RIGHTS
388-76-10510 Resident rights--Basic rights.
388-76-10515 Resident rights--Exercise of rights.
388-76-10520 Resident rights--General notice.
388-76-10522 Resident rights--Notice--Policy on accepting medicaid as a payment source.
388-76-10525 Resident rights--Description.
388-76-10530 Resident rights--Notice of services.
388-76-10535 Resident rights--Notice of change to services.
388-76-10540 Resident rights--Disclosure of fees and charges--Notice requirements--Deposits.
388-76-10545 Resident rights--Admitting and keeping residents.
388-76-10550 Resident rights--Adult family home staffing--Notification required.
388-76-10555 Resident rights--Financial affairs.
388-76-10560 Resident rights--Adult family home management of resident financial affairs.
388-76-10561 Resident rights--Resident security deposit account.
388-76-10565 Resident rights--Adult family home system for management of resident financial affairs.
388-76-10570 Resident rights--Financial affairs related to resident death.
388-76-10575 Resident rights--Privacy.
388-76-10580 Resident rights--Grievances.
388-76-10584 Resident rights--Examination of license.
388-76-10585 Resident rights--Examination of inspection results.
388-76-10590 Resident rights--Contact with client advocates.
388-76-10595 Resident rights--Advocacy access and visitation rights.
388-76-10600 Resident rights--Mail and telephone privacy.
388-76-10605 Resident rights--Personal property and storage space.
388-76-10610 Resident rights--Waiver of liability.
388-76-10615 Resident rights--Transfer and discharge.
QUALITY OF LIFE
388-76-10620 Resident rights--Quality of life--General.
388-76-10625 Resident rights--Quality of life--Meetings.
388-76-10630 Resident rights--Quality of life--Adult family home response to issues.
388-76-10635 Resident rights--Quality of life--Work.
388-76-10640 Resident rights--Quality of life--Resident participation.
388-76-10645 Resident rights--Quality of life--Reasonable accommodation.
MEDICAL DEVICES AND RESTRAINTS
388-76-10650 Medical devices.
388-76-10655 Physical restraints.
388-76-10660 Chemical restraints.
388-76-10665 Involuntary seclusion.
ABUSE
388-76-10670 Prevention of abuse.
388-76-10673 Abuse and neglect reporting -- Mandated reporting to department -- Required.
388-76-10675 Adult family home rules and policies related to abuse--Required.
388-76-10680 Staff behavior related to abuse.
PHYSICAL PLANT BASIC REQUIREMENTS
388-76-10685 Bedrooms.
388-76-10690 Bedroom usable floor space--In adult family homes after the effective date of this chapter.
388-76-10695 Building codes--Structural requirements.
388-76-10700 Building official--Inspection and approval.
388-76-10705 Common use areas.
388-76-10710 Construction and remodeling--Relocation of residents.
388-76-10715 Doors--Ability to open.
388-76-10720 Electronic monitoring equipment--Audio monitoring and video monitoring.
388-76-10725 Electronic monitoring equipment--Resident requested use.
388-76-10730 Grab bars and hand rails.
388-76-10735 Kitchen facilities.
388-76-10740 Lighting.
388-76-10745 Local codes and ordinances.
388-76-10750 Safety and maintenance.
388-76-10755 Sewage and liquid wastes.
388-76-10760 Site.
388-76-10765 Storage.
388-76-10770 Telephones.
388-76-10775 Temperature and ventilation.
388-76-10780 Toilets and bathing facilities.
388-76-10783 Water hazards and bodies of water--Resident safety.
388-76-10784 Water hazards--Fences, gates and alarms.
388-76-10790 Water supply.
388-76-10795 Windows.
FIRE PROTECTION
388-76-10800 Adult family home located outside of public fire protection.
388-76-10805 Automatic smoke detectors.
388-76-10810 Fire extinguishers.
388-76-10815 Notice required--Compliance with building code and fire protection.
388-76-10820 Resident evacuation capabilities and location of resident bedrooms.
388-76-10825 Space heaters and stoves.
DISASTER AND EMERGENCY PREPAREDNESS
388-76-10830 Emergency and disaster plan--Required.
388-76-10835 Elements of an emergency and disaster plan.
388-76-10840 Emergency food supply.
388-76-10845 Emergency drinking water supply.
388-76-10850 Emergency medical supplies.
388-76-10855 Emergency and disaster plan training--Required.
FIRE DRILL PLAN FOR EMERGENCY EVACUATION
388-76-10860 Fire drill plan and procedures for emergency evacuation--Required.
388-76-10865 Emergency evacuation from adult family home.
388-76-10870 Resident evacuation capability levels--Identification required.
388-76-10880 Emergency evacuation adult family home bedrooms.
388-76-10885 Elements of emergency evacuation floor plan.
388-76-10890 Posting the emergency evacuation floor plan--Required.
388-76-10895 Emergency evacuation drills--Frequency and participation.
388-76-10900 Documentation of emergency evacuation drills--Required.
388-76-10905 Emergency evacuation--Notification of department required.
INSPECTIONS--COMPLAINT INVESTIGATIONS--MONITORING VISITS
388-76-10910 Inspections--Complaint investigations--Monitoring visits--General.
388-76-10911 Inspections--Multiple adult family home providers.
388-76-10915 Department staff access--Willful interference prohibited.
388-76-10920 Inspection and investigation reports--Provided by department.
388-76-10925 Disclosure of inspection and complaint investigation reports.
388-76-10930 Plan of correction (POC)--Required.
RESIDENT ADVOCATE ACCESS
388-76-10935 Washington protection and advocacy--Long-term care ombudsman--Official duties--Penalty for interference.
REMEDIES
388-76-10940 Remedies--Generally.
388-76-10945 Remedies--Imposition of remedies.
388-76-10950 Remedies--History and actions by individuals.
388-76-10955 Remedies--Department must impose remedies.
388-76-10960 Remedies--Department may impose remedies.
388-76-10965 Remedies--Specific--Denial of application for license.
388-76-10970 Remedies--Specific--Condition(s) on license.
388-76-10975 Remedies--Specific--Civil penalties.
388-76-10976 Remedies--Civil fine grid.
388-76-10980 Remedies--Specific--Stop placement--Admissions prohibited.
388-76-10985 Remedies--May extend to multiple homes.
INFORMAL DISPUTE RESOLUTION, NOTICE AND APPEALS
388-76-10990 Informal dispute resolution (IDR).
388-76-10995 Notice, hearing rights, and effective dates relating to imposition of remedies.
RESIDENT PROTECTION PROGRAM
388-76-11000 Resident protection program -- Investigation of reports.
388-76-11004 Resident protection program--Individual defined.
388-76-11005 Resident protection program -- Notice to individual of preliminary finding.
388-76-11010 Resident protection program -- Notice to others of preliminary finding.
388-76-11015 Resident protection program -- Disputing a preliminary finding.
388-76-11020 Resident protection program -- Hearing procedures to dispute preliminary finding.
388-76-11025 Resident protection program -- Finalizing a preliminary finding.
388-76-11030 Resident protection program -- Appeal of the initial order or finding.
388-76-11035 Resident protection program -- Reporting final findings.
388-76-11040 Resident protection program -- Disclosure of investigative and finding information.
MANAGEMENT AGREEMENTS
388-76-11050 Management agreements--General.
388-76-11055 Management agreements--Adult family home.
388-76-11060 Terms of the management agreement.
388-76-11065 Management agreements--Department review.
388-76-11070 Management agreements--Resident funds.
NOTICE
388-76-11080 Notice--Service complete.
388-76-11085 Notice--Proof of service.