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Chapter 388-76 WAC

Last Update: 7/31/12

ADULT FAMILY HOME MINIMUM LICENSING REQUIREMENTS

WAC Sections

DEFINITIONS
Definitions.
Department authority.
Department access.
LICENSE
License—Required.
License—Valid and not transferable.
License—Adult family home—Compliance required.
License—Ability to provide care and services.
License annual fee.
License capacity.
License requirements—Multiple family home providers.
License requirements—Multiple adult family home management.
License requirements—Multiple adult family homes—Additional homes.
License requirements—Qualified person must live-in or be on-site.
Licensing—Certain state employees and employee household members—Prohibited.
License—Relinquishment.
LICENSE APPLICATION
Application—Generally.
Application—General qualifications.
Application—Department orientation class—Required.
Application—General training requirements.
Application—Forty-eight hour administration and business planning class training requirements.
Application—Required information.
Application—Fees required.
Application—Processing fees required.
Application—Becomes void.
Application—Coprovider.
Application—Individual or coprovider.
Application—Entity application.
Application—Identification of landlord—Required.
Application—Subject to review.
Application—Change of ownership.
Change of ownership—Notice to department and residents.
Change of ownership—Priority processing.
Application—Change of location or address.
GRANTING OR DENYING A LICENSE
Granting or denying a license—Generally.
License—Must be denied.
License—May be denied.
QUALIFICATIONS OF INDIVIDUALS PROVIDING CARE AND SERVICES
Qualifications—Adult family home personnel.
Qualifications—Provider, entity representative and resident manager.
Qualifications—Caregiver.
Qualifications—Students—Volunteers.
Qualifications—Licensed nurse as provider, entity representative or resident manager.
Qualifications—Training and home care aide certification.
Qualifications—Assessor.
CRIMINAL HISTORY BACKGROUND CHECK
Background check—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.
Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely.
Background checks—Household members, noncaregiving and unpaid staff—Unsupervised access.
Background check—Confidentiality—Use restricted—Retention.
Background check—Disclosure of information—Sharing of background information 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—Employment—Disqualifying information.
Background checks—Employment—Nondisqualifying information.
ADMINISTRATION GENERAL
Liability insurance required.
Liability insurance required—Commercial general liability insurance or business liability insurance coverage.
Liability insurance required—Professional liability insurance coverage.
Adult family home—Staff—Generally.
Adult family home—Personnel records.
Adult family home—Staff—Availability—Contact information.
Medicaid or state funded residents.
Resident relocation due to closure.
Resident funds—Protection, liquidation or transfer.
Incident log.
Reporting requirement.
Pets.
HEALTH CARE DECISION MAKING
Guardianship.
Durable power of attorney for health care or financial decisions.
Resident self-determination—Health care decision making.
Medical emergencies—Contacting emergency medical services—Required.
INFECTION CONTROL AND COMMUNICABLE DISEASE
Infection control.
Communicable disease—Preventing spread.
TUBERCULOSIS SCREENING
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.
RESIDENT RECORDS
Resident record—Required.
Resident record—Content.
Resident record—Legal documents—If available.
RESIDENT ASSESSMENT
Resident assessment.
Resident assessment topics.
Preliminary service plan.
Assessment—Qualified assessor—Required.
Assessment—Updates required.
NEGOTIATED CARE PLAN
Negotiated care plan.
Negotiated care plan—Timing of development—Required.
Negotiated care plan—Implementation—Required.
Negotiated care plan—Persons involved in development.
Negotiated care plan—Signatures—Required.
Negotiated care plan—Timing of reviews and revisions.
Negotiated care plan—Copy to department case manager—Required.
CARE AND SERVICES
Admission and continuation of services.
Emergency admissions.
Care and services.
Nursing care.
Laundry services.
FOOD SERVICES
Food services.
Meals and snacks.
Offsite food preparation.
RESIDENT MEDICATIONS
Medication system.
Medication refusal.
Medication—Assessment—Identification of amount of assistance needed when taking medications.
Medication—Independent—Self-administration.
Medication—Self-administration with assistance.
Medication—Administration.
Medication—Negotiated care plan.
Medication—Altering—Requirements.
Medication—Timing—Special directions.
Medication—Log.
Medication organizers.
Medication storage.
Medication disposal—Written policy—Required.
SPECIALTY CARE
Specialty care—Designations.
Granting specialty care designation—Requirements.
Specialty care—Admitting and retaining residents.
RESIDENT RIGHTS
Resident rights—Basic rights.
Resident rights—Exercise of rights.
Resident rights—General notice.
Resident rights—Notice—Policy on accepting medicaid as a payment source.
Resident rights—Description.
Resident rights—Notice of services.
Resident rights—Notice of change to services.
Resident rights—Disclosure of fees and charges—Notice requirements—Deposits.
Resident rights—Admitting and keeping residents.
Resident rights—Adult family home staffing—Notification required.
Resident rights—Financial affairs.
Resident rights—Adult family home management of resident financial affairs.
Resident rights—Resident security deposit account.
Resident rights—Adult family home system for management of resident financial affairs.
Resident rights—Financial affairs related to resident death.
Resident rights—Privacy.
Resident rights—Grievances.
Resident rights—Examination of license.
Resident rights—Examination of inspection results.
Resident rights—Contact with client advocates.
Resident rights—Advocacy access and visitation rights.
Resident rights—Mail and telephone privacy.
Resident rights—Personal property and storage space.
Resident rights—Waiver of liability.
Resident rights—Transfer and discharge.
QUALITY OF LIFE
Resident rights—Quality of life—General.
Resident rights—Quality of life—Meetings.
Resident rights—Quality of life—Adult family home response to issues.
Resident rights—Quality of life—Work.
Resident rights—Quality of life—Resident participation.
Resident rights—Quality of life—Reasonable accommodation.
MEDICAL DEVICES AND RESTRAINTS
Medical devices.
Physical restraints.
Chemical restraints.
Involuntary seclusion.
ABUSE
Prevention of abuse.
Abuse and neglect reporting—Mandated reporting to department—Required.
Adult family home rules and policies related to abuse—Required.
Staff behavior related to abuse.
PHYSICAL PLANT BASIC REQUIREMENTS
Bedrooms.
Bedroom usable floor space—In adult family homes after the effective date of this chapter.
Building codes—Structural requirements.
Building official—Inspection and approval.
Common use areas.
Construction and remodeling—Relocation of residents.
Doors—Ability to open.
Electronic monitoring equipment—Audio monitoring and video monitoring.
Electronic monitoring equipment—Resident requested use.
Grab bars and hand rails.
Kitchen facilities.
Lighting.
Local codes and ordinances.
Safety and maintenance.
Sewage and liquid wastes.
Site.
Storage.
Telephones.
Temperature and ventilation.
Toilets and bathing facilities.
Water hazards and bodies of water—Resident safety.
Water hazards—Fences, gates and alarms.
Water supply.
Windows.
FIRE PROTECTION
Adult family home located outside of public fire protection.
Automatic smoke detectors.
Fire extinguishers.
Notice required—Compliance with building code and fire protection.
Resident evacuation capabilities and location of resident bedrooms.
Space heaters and stoves.
DISASTER AND EMERGENCY PREPAREDNESS
Emergency and disaster plan—Required.
Elements of an emergency and disaster plan.
Emergency food supply.
Emergency drinking water supply.
Emergency medical supplies.
Emergency and disaster plan training—Required.
FIRE DRILL PLAN FOR EMERGENCY EVACUATION
Fire drill plan and procedures for emergency evacuation—Required.
Emergency evacuation from adult family home.
Resident evacuation capability levels—Identification required.
Emergency evacuation adult family home bedrooms.
Elements of emergency evacuation floor plan.
Posting the emergency evacuation floor plan—Required.
Emergency evacuation drills—Frequency and participation.
Documentation of emergency evacuation drills—Required.
Emergency evacuation—Notification of department required.
INSPECTIONS—COMPLAINT INVESTIGATIONS—MONITORING VISITS
Inspections—Complaint investigations—Monitoring visits—General.
Inspections—Multiple adult family home providers.
Department staff access—Willful interference prohibited.
Inspection and investigation reports—Provided by department.
Disclosure of inspection and complaint investigation reports.
Plan of correction (POC)—Required.
RESIDENT ADVOCATE ACCESS
Washington protection and advocacy—Long-term care ombudsman—Official duties—Penalty for interference.
REMEDIES
Remedies—Generally.
Remedies—Imposition of remedies.
Remedies—History and actions by individuals.
Remedies—Department must impose remedies.
Remedies—Department may impose remedies.
Remedies—Specific—Denial of application for license.
Remedies—Specific—Condition(s) on license.
Remedies—Specific—Civil penalties.
Remedies—Civil fine grid.
Remedies—Specific—Stop placement—Admissions prohibited.
Remedies—May extend to multiple homes.
INFORMAL DISPUTE RESOLUTION, NOTICE AND APPEALS
Informal dispute resolution (IDR).
Notice, hearing rights, and effective dates relating to imposition of remedies.
RESIDENT PROTECTION PROGRAM
Resident protection program—Investigation of reports.
Resident protection program—Individual defined.
Resident protection program—Notice to individual of preliminary finding.
Resident protection program—Notice to others of preliminary finding.
Resident protection program—Disputing a preliminary finding.
Resident protection program—Hearing procedures to dispute preliminary finding.
Resident protection program—Finalizing a preliminary finding.
Resident protection program—Appeal of the initial order or finding.
Resident protection program—Reporting final findings.
Resident protection program—Disclosure of investigative and finding information.
MANAGEMENT AGREEMENTS
Management agreements—General.
Management agreements—Adult family home.
Terms of the management agreement.
Management agreements—Department review.
Management agreements—Resident funds.
NOTICE
Notice—Service complete.
Notice—Proof of service.