DEFINITIONS |
HTMLPDF | 388-76-10000 | Definitions. |
HTMLPDF | 388-76-10002 | Department authority. |
HTMLPDF | 388-76-10003 | Department access. |
HTMLPDF | 388-76-10004 | Exemptions. |
LICENSE |
HTMLPDF | 388-76-10005 | License—Required. |
HTMLPDF | 388-76-10010 | License—Valid and not transferable. |
HTMLPDF | 388-76-10015 | License—Adult family home—Compliance required. |
HTMLPDF | 388-76-10020 | License—Ability to provide care and services. |
HTMLPDF | 388-76-10025 | License annual fee. |
HTMLPDF | 388-76-10030 | Adult family home capacity. |
HTMLPDF | 388-76-10031 | License requirements—Seven or eight bed adult family homes—Licensure. |
HTMLPDF | 388-76-10032 | License requirements—Seven or eight bed adult family homes—Change of ownership. |
HTMLPDF | 388-76-10035 | License requirements—Multiple adult family home providers. |
HTMLPDF | 388-76-10036 | License requirements—Multiple adult family home management. |
HTMLPDF | 388-76-10037 | License requirements—Multiple adult family homes—Additional homes. |
HTMLPDF | 388-76-10040 | License requirements—Qualified person must live-in or be on-site. |
HTMLPDF | 388-76-10041 | License—Change of personnel. |
HTMLPDF | 388-76-10045 | Licensing—Certain state employees and employee household members—Prohibited. |
HTMLPDF | 388-76-10050 | License—Relinquishment. |
LICENSE APPLICATION |
HTMLPDF | 388-76-10055 | Application—Generally. |
HTMLPDF | 388-76-10057 | Application—General qualifications. |
HTMLPDF | 388-76-10063 | Application—General training requirements. |
HTMLPDF | 388-76-10064 | Adult family home administrator training requirements. |
HTMLPDF | 388-76-10065 | Application—Required information. |
HTMLPDF | 388-76-10070 | Application—Fees required. |
HTMLPDF | 388-76-10073 | Application—Processing fees required. |
HTMLPDF | 388-76-10074 | Application—Waiver of fees. |
HTMLPDF | 388-76-10075 | Application—Becomes void. |
HTMLPDF | 388-76-10080 | Application—Coprovider. |
HTMLPDF | 388-76-10085 | Application—Affiliated facilities. |
HTMLPDF | 388-76-10090 | Application—Entity application. |
HTMLPDF | 388-76-10095 | Application—Identification of property owner—Required. |
HTMLPDF | 388-76-10100 | Application—Subject to review. |
HTMLPDF | 388-76-10105 | Application—Change of ownership. |
HTMLPDF | 388-76-10106 | Change of ownership—Notice to department and residents. |
HTMLPDF | 388-76-10107 | Priority processing—Change of ownership and relocation. |
HTMLPDF | 388-76-10110 | Application—Change of location or address. |
GRANTING OR DENYING A LICENSE |
HTMLPDF | 388-76-10115 | Granting or denying a license—Generally. |
HTMLPDF | 388-76-10120 | License—Must be denied. |
HTMLPDF | 388-76-10125 | License—May be denied. |
QUALIFICATIONS OF INDIVIDUALS PROVIDING CARE AND SERVICES |
HTMLPDF | 388-76-10129 | Qualifications—Adult family home personnel. |
HTMLPDF | 388-76-10130 | Qualifications—Provider, entity representative, and resident manager. |
HTMLPDF | 388-76-10135 | Qualifications—Caregiver. |
HTMLPDF | 388-76-10140 | Qualifications—Students—Volunteers. |
HTMLPDF | 388-76-10145 | Qualifications—Licensed nurse as provider, entity representative, or resident manager. |
HTMLPDF | 388-76-10146 | Qualifications—Training and home care aide certification. |
HTMLPDF | 388-76-10150 | Qualifications—Assessor. |
CRIMINAL HISTORY BACKGROUND CHECK |
HTMLPDF | 388-76-10160 | Background checks—General. |
HTMLPDF | 388-76-10161 | Background checks—Who is required to have. |
HTMLPDF | 388-76-10163 | Background checks—Process—Background authorization form. |
HTMLPDF | 388-76-101631 | Background checks—Washington state name and date of birth background check. |
HTMLPDF | 388-76-101632 | Background checks—National fingerprint background check. |
HTMLPDF | 388-76-10164 | Background checks—Results—Duty to inform. |
HTMLPDF | 388-76-10165 | Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely. |
HTMLPDF | 388-76-10166 | Background checks—Household members, noncaregiving and unpaid staff—Unsupervised access. |
HTMLPDF | 388-76-10170 | Background check—Confidentiality—Use restricted—Retention. |
HTMLPDF | 388-76-10174 | Background check—Disclosure of information—Sharing of background information by health care facilities. |
HTMLPDF | 388-76-10175 | Background checks—Employment—Conditional hire—Pending results of Washington state name and date of birth background check. |
HTMLPDF | 388-76-10176 | Background checks—Employment—Provisional hire—Pending results of national fingerprint background check. |
HTMLPDF | 388-76-10180 | Background checks—Employment—Disqualifying information. Disqualifying negative actions. |
HTMLPDF | 388-76-10181 | Background checks—Employment—Nondisqualifying information. |
ADMINISTRATION GENERAL |
HTMLPDF | 388-76-10191 | Liability insurance required. |
HTMLPDF | 388-76-10192 | Liability insurance required—Coverage requirements. |
HTMLPDF | 388-76-10195 | Adult family home—Staff—Generally. |
HTMLPDF | 388-76-10198 | Adult family home—Personnel records. |
HTMLPDF | 388-76-10200 | Adult family home—Staff—Availability—Contact information. |
HTMLPDF | 388-76-10201 | Succession plan. |
HTMLPDF | 388-76-10205 | Medicaid or state funded residents. |
HTMLPDF | 388-76-10210 | Resident relocation due to closure. |
HTMLPDF | 388-76-10215 | Resident funds—Protection, liquidation or transfer. |
HTMLPDF | 388-76-10220 | Incident log. |
HTMLPDF | 388-76-10225 | Reporting requirement. |
HTMLPDF | 388-76-10230 | Pets. |
HEALTH CARE DECISION MAKING |
HTMLPDF | 388-76-10235 | Guardianship. |
HTMLPDF | 388-76-10240 | Durable power of attorney for health care or financial decisions. |
HTMLPDF | 388-76-10245 | Resident self-determination—Health care decision making. |
HTMLPDF | 388-76-10250 | Medical emergencies—Contacting emergency medical services—Required. |
INFECTION CONTROL AND COMMUNICABLE DISEASE |
HTMLPDF | 388-76-10255 | Infection control. |
HTMLPDF | 388-76-10260 | Communicable disease—Preventing spread. |
TUBERCULOSIS SCREENING |
HTMLPDF | 388-76-10265 | Tuberculosis—Testing—Required. |
HTMLPDF | 388-76-10270 | Tuberculosis—Testing method—Required. |
HTMLPDF | 388-76-10275 | Tuberculosis—No testing. |
HTMLPDF | 388-76-10280 | Tuberculosis—One test. |
HTMLPDF | 388-76-10285 | Tuberculosis—Two step skin testing. |
HTMLPDF | 388-76-10290 | Tuberculosis—Positive test result. |
HTMLPDF | 388-76-10295 | Tuberculosis—Negative test result. |
HTMLPDF | 388-76-10300 | Tuberculosis—Declining a skin test. |
HTMLPDF | 388-76-10305 | Tuberculosis—Reporting required. |
HTMLPDF | 388-76-10310 | Tuberculosis—Test records. |
RESIDENT RECORDS |
HTMLPDF | 388-76-10315 | Resident record—Required. |
HTMLPDF | 388-76-10320 | Resident record—Content. |
HTMLPDF | 388-76-10325 | Resident record—Legal documents—If available. |
RESIDENT ASSESSMENT |
HTMLPDF | 388-76-10330 | Resident assessment. |
HTMLPDF | 388-76-10335 | Resident assessment topics. |
HTMLPDF | 388-76-10340 | Preliminary service plan. |
HTMLPDF | 388-76-10345 | Assessment—Qualified assessor—Required. |
HTMLPDF | 388-76-10350 | Assessment—Updates required. |
HTMLPDF | 388-76-10351 | Assessment—Updates required—Requirements in effect from January 18, 2022, through June 8, 2023, in response to the state of emergency related to COVID-19. |
NEGOTIATED CARE PLAN |
HTMLPDF | 388-76-10355 | Negotiated care plan. |
HTMLPDF | 388-76-10360 | Negotiated care plan—Timing of development—Required. |
HTMLPDF | 388-76-10365 | Negotiated care plan—Implementation—Required. |
HTMLPDF | 388-76-10370 | Negotiated care plan—Persons involved in development. |
HTMLPDF | 388-76-10375 | Negotiated care plan—Signatures—Required. |
HTMLPDF | 388-76-10380 | Negotiated care plan—Timing of reviews and revisions. |
HTMLPDF | 388-76-10385 | Negotiated care plan—Copy to department case manager—Required. |
CARE AND SERVICES |
HTMLPDF | 388-76-10390 | Admission and continuation of services. |
HTMLPDF | 388-76-10395 | Emergency admissions. |
HTMLPDF | 388-76-10400 | Care and services. |
HTMLPDF | 388-76-10401 | Home and community-based setting requirements. |
HTMLPDF | 388-76-10405 | Nursing care. |
HTMLPDF | 388-76-10410 | Laundry services. |
FOOD SERVICES |
HTMLPDF | 388-76-10415 | Food services. |
HTMLPDF | 388-76-10420 | Meals and snacks. |
HTMLPDF | 388-76-10425 | Offsite food preparation. |
RESIDENT MEDICATIONS |
HTMLPDF | 388-76-10430 | Medication system. |
HTMLPDF | 388-76-10435 | Medication refusal. |
HTMLPDF | 388-76-10440 | Medication—Assessment—Identification of amount of assistance needed when taking medications. |
HTMLPDF | 388-76-10445 | Medication—Independent—Self-administration. |
HTMLPDF | 388-76-10450 | Medication—Self-administration with assistance. |
HTMLPDF | 388-76-10455 | Medication—Administration. |
HTMLPDF | 388-76-10460 | Medication—Negotiated care plan. |
HTMLPDF | 388-76-10463 | Medication—Psychopharmacologic. |
HTMLPDF | 388-76-10465 | Medication—Altering—Requirements. |
HTMLPDF | 388-76-10470 | Medication—Timing—Special directions. |
HTMLPDF | 388-76-10475 | Medication—Log. |
HTMLPDF | 388-76-10480 | Medication organizers. |
HTMLPDF | 388-76-10485 | Medication storage. |
HTMLPDF | 388-76-10490 | Medication disposal—Written policy—Required. |
SPECIALTY CARE |
HTMLPDF | 388-76-10495 | Specialty care—Designations. |
HTMLPDF | 388-76-10500 | Granting specialty care designation—Requirements. |
HTMLPDF | 388-76-10505 | Specialty care—Admitting and retaining residents. |
RESIDENT RIGHTS |
HTMLPDF | 388-76-10510 | Resident rights—Basic rights. |
HTMLPDF | 388-76-10515 | Resident rights—Exercise of rights. |
HTMLPDF | 388-76-10522 | Resident rights—Notice—Policy on accepting medicaid as a payment source. |
HTMLPDF | 388-76-10525 | Resident rights—Postings. |
HTMLPDF | 388-76-10530 | Resident rights—Notice of rights and services. |
HTMLPDF | 388-76-10532 | Resident rights—Department standardized disclosure forms. |
HTMLPDF | 388-76-10535 | Resident rights—Notice of change to services. |
HTMLPDF | 388-76-10540 | Resident rights—Disclosure of charges—Notice requirements—Deposits. |
HTMLPDF | 388-76-10545 | Resident rights—Admitting and keeping residents. |
HTMLPDF | 388-76-10550 | Resident rights—Adult family home staffing—Notification required. |
HTMLPDF | 388-76-10560 | Resident rights—Adult family home management of resident financial affairs. |
HTMLPDF | 388-76-10561 | Resident rights—Resident security deposit account. |
HTMLPDF | 388-76-10570 | Resident rights—Financial affairs related to resident death. |
HTMLPDF | 388-76-10575 | Resident rights—Privacy. |
HTMLPDF | 388-76-10580 | Resident rights—Grievances. |
HTMLPDF | 388-76-10584 | Resident rights—Examination of license. |
HTMLPDF | 388-76-10585 | Resident rights—Examination of inspection results. |
HTMLPDF | 388-76-10590 | Resident rights—Contact with client advocates. |
HTMLPDF | 388-76-10595 | Resident rights—Advocacy access and visitation rights. |
HTMLPDF | 388-76-10600 | Resident rights—Mail and telephone privacy. |
HTMLPDF | 388-76-10605 | Resident rights—Personal property and storage space. |
HTMLPDF | 388-76-10610 | Resident rights—Waiver of liability. |
HTMLPDF | 388-76-10615 | Resident rights—Transfer and discharge. |
HTMLPDF | 388-76-10616 | Resident rights—Transfer and discharge notice. |
QUALITY OF LIFE |
HTMLPDF | 388-76-10620 | Resident rights—Quality of life—General. |
HTMLPDF | 388-76-10625 | Resident rights—Quality of life—Meetings. |
HTMLPDF | 388-76-10630 | Resident rights—Quality of life—Adult family home response to issues. |
HTMLPDF | 388-76-10635 | Resident rights—Quality of life—Work. |
HTMLPDF | 388-76-10640 | Resident rights—Quality of life—Resident participation. |
HTMLPDF | 388-76-10645 | Resident rights—Quality of life—Reasonable accommodation. |
MEDICAL DEVICES AND RESTRAINTS |
HTMLPDF | 388-76-10650 | Medical devices. |
HTMLPDF | 388-76-10655 | Physical and mechanical restraints. |
HTMLPDF | 388-76-10660 | Chemical restraints. |
HTMLPDF | 388-76-10665 | Involuntary seclusion. |
ABUSE |
HTMLPDF | 388-76-10670 | Prevention of abuse. |
HTMLPDF | 388-76-10673 | Abuse and neglect reporting—Mandated reporting to department—Required. |
HTMLPDF | 388-76-10675 | Adult family home rules and policies related to abuse—Required. |
HTMLPDF | 388-76-10680 | Staff behavior related to abuse. |
PHYSICAL PLANT BASIC REQUIREMENTS |
HTMLPDF | 388-76-10685 | Bedrooms. |
HTMLPDF | 388-76-10690 | Bedroom usable floor space—In adult family homes after the effective date of this chapter. |
HTMLPDF | 388-76-10695 | Building codes—Structural requirements. |
HTMLPDF | 388-76-10700 | Building official—Inspection and approval. |
HTMLPDF | 388-76-10705 | Common use areas. |
HTMLPDF | 388-76-10710 | Construction and remodeling—Relocation of residents. |
HTMLPDF | 388-76-10715 | Doors—Ability to open. |
HTMLPDF | 388-76-10720 | Electronic monitoring equipment—Audio monitoring and video monitoring. |
HTMLPDF | 388-76-10725 | Electronic monitoring equipment—Resident requested use. |
HTMLPDF | 388-76-10730 | Grab bars and hand rails. |
HTMLPDF | 388-76-10735 | Kitchen facilities. |
HTMLPDF | 388-76-10740 | Lighting. |
HTMLPDF | 388-76-10745 | Local codes and ordinances. |
HTMLPDF | 388-76-10750 | Safety and maintenance. |
HTMLPDF | 388-76-10755 | Sewage and liquid wastes. |
HTMLPDF | 388-76-10760 | Site. |
HTMLPDF | 388-76-10765 | Storage. |
HTMLPDF | 388-76-10770 | Telephones. |
HTMLPDF | 388-76-10775 | Temperature and ventilation. |
HTMLPDF | 388-76-10780 | Toilets and bathing facilities. |
HTMLPDF | 388-76-10783 | Water hazards and bodies of water—Resident safety. |
HTMLPDF | 388-76-10784 | Water hazards—Fences, gates, and alarms. |
HTMLPDF | 388-76-10790 | Water supply. |
HTMLPDF | 388-76-10795 | Windows. |
FIRE PROTECTION |
HTMLPDF | 388-76-10800 | Adult family home located outside of public fire protection. |
HTMLPDF | 388-76-10805 | Automatic smoke alarms. |
HTMLPDF | 388-76-10810 | Fire extinguishers. |
HTMLPDF | 388-76-10815 | Notice required—Compliance with building code and fire protection. |
HTMLPDF | 388-76-10825 | Space heaters, fireplaces, and stoves. |
DISASTER AND EMERGENCY PREPAREDNESS |
HTMLPDF | 388-76-10830 | Emergency and disaster plan—Required. |
HTMLPDF | 388-76-10840 | Emergency food supply. |
HTMLPDF | 388-76-10845 | Emergency drinking water supply. |
HTMLPDF | 388-76-10850 | Emergency medical supplies. |
HTMLPDF | 388-76-10855 | Emergency and disaster plan training—Required. |
FIRE DRILL PLAN FOR EMERGENCY EVACUATION |
HTMLPDF | 388-76-10860 | Fire drill plan and procedures for emergency evacuation—Required. |
HTMLPDF | 388-76-10865 | Resident evacuation from adult family home. |
HTMLPDF | 388-76-10870 | Resident evacuation capability levels—Identification required. |
HTMLPDF | 388-76-10885 | Elements of emergency evacuation floor plan. |
HTMLPDF | 388-76-10890 | Posting the emergency evacuation floor plan—Required. |
HTMLPDF | 388-76-10895 | Emergency evacuation drills—Frequency and participation. |
HTMLPDF | 388-76-10900 | Documentation of emergency evacuation drills—Required. |
HTMLPDF | 388-76-10905 | Emergency evacuation—Notification of department required. |
INSPECTIONS—COMPLAINT INVESTIGATIONS—MONITORING VISITS |
HTMLPDF | 388-76-10910 | Inspections—Complaint investigations—Monitoring visits—General. |
HTMLPDF | 388-76-10911 | Inspections—Multiple adult family home providers. |
HTMLPDF | 388-76-10912 | Inspection timelines. |
HTMLPDF | 388-76-10915 | Department staff access—Willful interference prohibited. |
HTMLPDF | 388-76-10920 | Inspection and investigation reports—Provided by department. |
HTMLPDF | 388-76-10925 | Disclosure of inspection and complaint investigation reports. |
HTMLPDF | 388-76-10930 | Plan of correction (POC)—Required. |
RESIDENT ADVOCATE ACCESS |
HTMLPDF | 388-76-10935 | Washington protection and advocacy—Long-term care ombudsman—Official duties—Penalty for interference. |
REMEDIES |
HTMLPDF | 388-76-10940 | Remedies—Generally. |
HTMLPDF | 388-76-10945 | Remedies—Imposition of remedies. |
HTMLPDF | 388-76-10950 | Remedies—History and actions by individuals. |
HTMLPDF | 388-76-10955 | Remedies—Department must impose remedies. |
HTMLPDF | 388-76-10960 | Remedies—Department may impose remedies. |
HTMLPDF | 388-76-10965 | Remedies—Specific—Denial of application for license. |
HTMLPDF | 388-76-10970 | Remedies—Specific—Condition(s) on license. |
HTMLPDF | 388-76-10975 | Remedies—Specific—Civil penalties. |
HTMLPDF | 388-76-10976 | Remedies—Civil fine grid. |
HTMLPDF | 388-76-10980 | Remedies—Specific—Stop placement—Admissions prohibited. |
HTMLPDF | 388-76-10985 | Remedies—May extend to multiple homes. |
INFORMAL DISPUTE RESOLUTION, NOTICE AND APPEALS |
HTMLPDF | 388-76-10990 | Informal dispute resolution (IDR). |
HTMLPDF | 388-76-10995 | Notice, hearing rights, and effective dates relating to imposition of remedies. |
MANAGEMENT AGREEMENTS |
HTMLPDF | 388-76-11050 | Management agreements—General. |
HTMLPDF | 388-76-11055 | Management agreements—Adult family home. |
HTMLPDF | 388-76-11060 | Terms of the management agreement. |
HTMLPDF | 388-76-11065 | Management agreements—Department review. |
HTMLPDF | 388-76-11070 | Management agreements—Resident funds. |
NOTICE |
HTMLPDF | 388-76-11080 | Notice—Service complete. |
HTMLPDF | 388-76-11085 | Notice—Proof of service. |