Last Update: 7/1/16

Chapter 388-107 WAC

LICENSING REQUIREMENTS FOR ENHANCED SERVICES FACILITIES

WAC Sections

DEFINITIONS
Definitions.
GENERAL
Scope and purpose.
Department authority.
ADMISSION AND ASSESSMENT
Admission criteria.
Preadmission assessment.
Timing of preadmission assessment.
Comprehensive assessment required.
Comprehensive assessment.
Ongoing comprehensive assessments.
Qualified assessor.
INDIVIDUAL TREATMENT PLAN
Person-centered service planning team.
Initial person-centered service plan.
Initial comprehensive person-centered service plan.
Ongoing comprehensive person-centered service plan.
Implementation of the person-centered service plan.
Comprehensive person-centered service plan sent to the state.
Behavioral support plan.
RESIDENT RIGHTS
Resident dignity and accommodation of needs.
Self-determination and participation rights.
Rights of residents.
QUALITY OF CARE
Quality of care.
Care and services.
QUALITY IMPROVEMENT
Quality improvement.
NURSING SERVICES AND STAFFING
Sufficient staffing.
Staffing levels.
Staffing credentials and qualifications.
Staffing for medically fragile residents.
Providing care and services.
OPERATIONS
Transfer and discharge.
SERVICE PROVIDED
Activities.
Admission and continuation of services.
Medical and/or adaptive equipment.
Medication services.
Pharmacy services.
Storing, securing, and accounting for medications.
Resident controlled medications.
Prescribed medication authorizations.
Medication refusal.
Medication refusalAntipsychotics.
Treatment services.
Use of psychopharmacologic medications.
Use of routine psychopharmacologic medications.
Use of as needed psychopharmacologic medications.
Management of escalating behaviors.
RESTRAINTS
Physical restraints for medical purposes only.
FOOD SERVICES
Food services.
INFECTION CONTROL
Infection control system.
Early identification and management of individuals with active tuberculosis (TB).
Tuberculosis (TB)TestingRequired.
Tuberculosis (TB) testing methodRequired.
Tuberculosis—No testing.
Tuberculosis (TB)One test.
Tuberculosis (TB)Two-step skin testing.
Tuberculosis (TB)Positive test result.
Tuberculosis (TB)Negative test result.
Tuberculosis (TB)Declining a TB test.
Tuberculosis (TB)Reporting and follow-upRequired.
Tuberculosis (TB)Test records.
Care of residents with tuberculosis (TB).
ADMINISTRATION
Contracted basic services.
Resident recordsClinical records.
Resident recordsSystem.
Resident recordsMaintenance and retention.
REPORTING REQUIREMENTS
Reporting abuse and neglect.
Reporting significant change in a resident's condition.
Reporting fires and incidents.
Retaliation or discrimination prohibited.
TRAINING REQUIREMENTS
Training and home care aide certification requirements.
Staff development trainings.
Specialized training.
Continuing education requirements for the home care aide certified staff.
Continuing education requirements for nursing assistant certified staff.
Quarterly staff education requirements.
Facility-based trainers.
PHYSICAL PLAN BASIC REQUIREMENTS
General.
Conversion of a currently licensed facility to an enhanced services facility.
Types of new construction.
Applicable codesNew construction.
Required review of building plans.
Document submittal requirements.
Functional program.
COMMON ELEMENTS
Environment of care.
Electronic monitoring equipmentAudio monitoring and video monitoring.
Electronic monitoring equipmentResident requested use.
Equipment.
Resident room.
Resident toilet room.
Resident bathing facilities.
Locks in toilet and bathing facilities.
Resident storage.
Resident support spaces.
COMMON AREAS
Common areas.
Dining, dayrooms, and resident activity areas.
Outdoor recreation space and walkways.
SUPPORT SERVICES
Laundry.
Janitors closets on resident care units.
Kitchen.
Sewage and liquid waste disposal.
Garbage and refuse disposal.
BUILDING ELEMENTS
Resident safety.
Resident suicide and self-harm prevention.
SafetyHandrails.
PlumbingWater supply.
SinksWater temperature.
MechanicalHeating systems.
MechanicalCooling systems.
MechanicalVentilation systems.
Lighting.
COMMUNICATION
Call systems on resident care units.
Telephone on resident care units.
ELECTRICAL - SPECIAL PROVISIONS
General.
Backup power.
LICENSING
License and contract.
LICENSE REQUIRED/UNLICENSED OPERATOR
Unlicensed operationApplication of Consumer Protection Act.
Unlicensed operationCriminal penalty.
Unlicensed operationInjunction or other remedies.
Licensing fees.
License valid and not transferable.
Licensee's responsibilities.
Liability insurance required.
Liability insurance requiredCommercial general liability insurance or business liability insuranceCoverage.
Liability insurance requiredProfessional liability insurance coverage.
INITIAL LICENSE APPLICATION
Licensee qualifications.
Application process.
Necessary information.
Department access.
Administrator qualificationsGeneral.
Administrator responsibilities.
Notification of change in administrator.
CRIMINAL HISTORY BACKGROUND CHECK
Background checksGeneral.
Background checksWho is required to have.
Background checksProcessBackground authorization form.
Background checksWashington state name and date of birth background check.
Background checksNational fingerprint background check.
Background checkResultsInform.
Background checksWashington state name and date of birth background checkValid for two yearsNational fingerprint background checkValid indefinitely.
Background checkSharing by health care facilities.
Background checksEmploymentConditional hirePending results of Washington state name and date of birth background check.
Background checksEmploymentProvisional hirePending results of national fingerprint background check.
Background checkDisclosure statement.
Background checkEmployment-disqualifying informationDisqualifying negative actions.
Background checksEmploymentNondisqualifying information.
Background checkConfidentialityUse restrictedRetention.
ANNUAL RENEWAL OF LICENSE/CHANGE IN BED CAPACITY
Annual renewal.
Changes in licensed bed capacity.
CHANGE OF LICENSEE/OWNERSHIP
Change in licensee/change of ownershipWhen change in licensee is required.
Change in licensee/change of ownershipWhen change in licensee not required.
Change in licensee/change of ownershipApplication.
Change in licensee/change of ownershipRevised application.
Change in licensee/change of ownershipNotice to department and residents.
Change in licensee/change of ownershipRelinquishment of license.
Change in licensee/change of ownershipNinety days' notice.
Change in licensee/change of ownershipSixty days' notice.
Inspections.
Denial, suspension, revocation, or nonrenewal of license statutorily required.
Enforcement authorityPenalties and sanctions.
Circumstances that may result in enforcement remedies.
Enforcement ordersHearings.
GENERAL NOTICE REQUIREMENTS
NoticeService complete.
NoticeProof of service.
POLICIES
Policies and procedures.
Emergency response teams.
Emergency disaster plan.
Pets.
Management agreements/subcontracting staff.
Management agreementsLicensee.
Management agreementsTerms of agreement.
Management agreementsDepartment review.
Management agreementsResident funds.
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