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Chapter 388-78A WAC

Last Update: 2/12/14

ASSISTED LIVING FACILITY LICENSING RULES

WAC Sections

GENERAL
Purpose.
Definitions.
Assisted living facility license required.
Assisted living facility license not required.
Disclosure statement to nonresident individuals.
Other requirements.
Resident characteristics.
ASSESSMENT AND MONITORING
Preadmission assessment.
Timing of preadmission assessment.
Qualified assessor.
Full assessment topics.
On-going assessments.
Resident participation in assessments.
Monitoring residents' well-being.
NEGOTIATED SERVICE AGREEMENT
Service agreement planning.
Negotiated service agreement contents.
Signing negotiated service agreement.
Implementation of negotiated service agreement.
ASSISTED LIVING FACILITY SERVICES
Required assisted living facility services.
Activities.
Activities of daily living.
Health support services.
Respite
Respite—General.
Respite—Information.
Respite—Assessment.
Respite—Negotiated service agreement.
Medications
Medication services.
Prescribed medication authorizations.
Medication refusal.
Nonavailability of medications.
Alteration of medications.
Storing, securing, and accounting for medications.
Resident controlled medications.
Medication organizers.
Family assistance with medications and treatments.
Food
Food and nutrition services.
Food sanitation.
Intermittent Nursing Services and Resident-Arranged Services
Intermittent nursing services.
Intermittent nursing services systems.
Tube feeding.
Resident-arranged services.
Coordination of health care services.
Service Delivery and Monitoring
Adult Day Services
Adult day services.
Dementia Care
Dementia care.
Restricted egress.
Resident Records
Resident records.
Protection of resident records.
Content of resident records.
Record retention.
Resident review of records.
Resident register.
ADMINISTRATION
Staff
Staff.
Quality assurance committee.
Background checks—General.
Background checks—Who is required to have.
Background checks—Process—Background authorization form.
Background checks—Washington state name and date of birth background check.
Background checks—National fingerprint background check.
Background check—Results—Inform.
Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely.
Background check—Sharing by health care facilities.
Background checks—Employment—Conditional hire—Pending results of Washington state name and date of birth background check.
Background checks—Employment—Provisional hire—Pending results of national fingerprint background check.
Background check—Disclosure statement.
Background check—Employment-disqualifying information.
Background checks—Employment—Nondisqualifying information.
Background check—Confidentiality—Use restricted—Retention.
Training and home care aide certification requirements.
Tuberculosis—Testing—Required.
Tuberculosis—Testing method—Required.
Tuberculosis—No testing.
Tuberculosis—One test.
Tuberculosis—Two step skin testing.
Tuberculosis—Positive test result.
Tuberculosis—Negative test result.
Tuberculosis—Declining a skin test.
Tuberculosis—Reporting—Required.
Tuberculosis—Test records.
Specialized Training
Specialized training for developmental disabilities.
Specialized training for mental illness.
Specialized training for dementia.
Administrator
Administrator qualifications—General.
Certification of training.
Administrator qualifications—Prior to 2004.
Administrator qualifications—NH administrator license.
Administrator qualifications—Certification of training, and three years experience.
Administrator qualifications—Associate degree, certification of training, and two years experience.
Administrator qualifications—Bachelor's degree, certification of training, and one year experience.
Administrator qualifications—Five years experience.
Qualifying administrator training program.
Administrator requirements.
Administrator training documentation.
Administrator responsibilities.
Notification of change in administrator.
Use of home health/home care.
Management Agreements
Management agreements—General.
Management agreements—Licensee.
Management agreements—Terms of agreement.
Management agreements—Department review.
Management agreements—Resident funds.
Policies and Procedures
Policies and procedures.
Infection Control
Infection control.
Pets.
Reporting Requirements
Reporting abuse and neglect.
Reporting significant change in a resident's condition.
Reporting fires and incidents.
Resident Rights
Resident rights.
Resident rights—Notice—Policy on accepting medicaid as a payment source.
Services by resident for assisted living facility.
Electronic monitoring equipment—Audio monitoring and video monitoring.
Electronic monitoring equipment—Resident requested use.
Safety and Disaster Preparedness
Safety measures and disaster preparedness.
Disclosure
Disclosure of services.
Timing of disclosure.
Licensing
Licensee's responsibilities.
Liability insurance required—Ongoing.
Liability insurance required—Commercial general liability insurance or business liability insurance coverage.
Liability insurance required—Professional liability insurance coverage.
Licensee qualifications.
Application process.
Necessary information.
Change in licensee/change of ownership—When change in licensee is required.
Change in licensee/change of ownership—When change in licensee not required.
Change in licensee/change of ownership—Application.
Change in licensee/change of ownership—Revised application.
Change in licensee/change of ownership—Notice to department and residents.
Change in licensee/change of ownership—Relinquishment of license.
Change in licensee/change of ownership—Ninety days notice.
Change in licensee/change of ownership—Sixty days notice.
Annual renewal.
Changes in licensed bed capacity.
Criteria for increasing licensed bed capacity.
Building requirements and exemptions.
Conversion of licensed nursing homes.
Licenses for multiple buildings.
Required reviews of building plans.
Relocation of residents during construction.
Vacant buildings.
Changing use of rooms.
Time frame for approval.
Building
Retention of approved construction documents.
Applicable building codes.
Area for nursing supplies and equipment.
Communication system.
Two-way intercom systems.
Water supply.
Sewage and liquid waste disposal.
Garbage and refuse disposal.
Lighting.
Heating-cooling—Temperature.
Ventilation.
Resident room—Room furnishings-storage.
Calculating floor space.
Toilet rooms and bathrooms.
Laundry.
Day rooms.
Storage space.
Stairs—Ramps.
Guardrails—Handrails.
Maintenance and housekeeping.
Safe storage of supplies and equipment.
Areas for cleaning and storing soiled equipment, supplies and laundry.
Areas for handling and storing clean supplies and equipment.
Plant restrictions.
Inspections, Enforcement Remedies, and Appeals
Responsibilities during inspections.
Statements of deficiencies.
Plan of correction—Required.
Authorized enforcement remedies.
Circumstances resulting in enforcement remedies.
Required enforcement remedies.
Denial, suspension, revocation, or nonrenewal of license statutorily required.
Progression of enforcement remedies.
Informal dispute resolution.
Appeal rights.
Fees.
Resident Protection Program
Resident protection program—Individual defined.
Investigation of reports.
Resident protection program—Notice to the individual of preliminary finding.
Resident protection program—Notice to others of preliminary findings.
Resident protection program—Disputing a preliminary finding.
Hearing procedures to dispute preliminary finding.
Resident protection program—Finalizing a preliminary finding.
Resident protection program—Appeal of initial order.
Resident protection program—Reporting final findings.
Resident protection program—Disclosure of investigative and finding information.
GENERAL NOTICE REQUIREMENT
Notice—Service complete.
Notice—Proof of service.