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Chapter 388-78A WAC

|Show DispositionsLast Update: 6/26/23

ASSISTED LIVING FACILITY LICENSING RULES

(Formerly chapter 246-316 WAC)

WAC Sections

GENERAL
HTMLPDF388-78A-2010Purpose.
HTMLPDF388-78A-2020Definitions.
HTMLPDF388-78A-2030Assisted living facility license required.
HTMLPDF388-78A-2032Assisted living facility license not required.
HTMLPDF388-78A-2035Disclosure statement to nonresident individuals.
HTMLPDF388-78A-2040Other requirements.
HTMLPDF388-78A-2050Resident characteristics.
ASSESSMENT AND MONITORING
HTMLPDF388-78A-2060Preadmission assessment.
HTMLPDF388-78A-2070Timing of preadmission assessment.
HTMLPDF388-78A-2080Qualified assessor.
HTMLPDF388-78A-2090Full assessment topics.
HTMLPDF388-78A-2100Ongoing assessments.
HTMLPDF388-78A-2101Ongoing assessments—Requirements in effect from January 18, 2022, through June 8, 2023, in response to the state of emergency related to COVID-19.
HTMLPDF388-78A-2110Resident participation in assessments.
HTMLPDF388-78A-2120Monitoring residents' well-being.
NEGOTIATED SERVICE AGREEMENT
HTMLPDF388-78A-2130Service agreement planning.
HTMLPDF388-78A-2140Negotiated service agreement contents.
HTMLPDF388-78A-2150Signing negotiated service agreement.
HTMLPDF388-78A-2160Implementation of negotiated service agreement.
ASSISTED LIVING FACILITY SERVICES
HTMLPDF388-78A-2170Required assisted living facility services.
HTMLPDF388-78A-2180Activities.
HTMLPDF388-78A-2190Activities of daily living.
HTMLPDF388-78A-2200Health support services.
Respite
HTMLPDF388-78A-2202Respite—General.
HTMLPDF388-78A-2204Respite—Information.
HTMLPDF388-78A-2206Respite—Assessment.
HTMLPDF388-78A-2208Respite—Negotiated service agreement.
Medications
HTMLPDF388-78A-2210Medication services.
HTMLPDF388-78A-2220Prescribed medication authorizations.
HTMLPDF388-78A-2230Medication refusal.
HTMLPDF388-78A-2240Nonavailability of medications.
HTMLPDF388-78A-2250Alteration of medications.
HTMLPDF388-78A-2260Storing, securing, and accounting for medications.
HTMLPDF388-78A-2270Resident controlled medications.
HTMLPDF388-78A-2280Medication organizers.
HTMLPDF388-78A-2290Family assistance with medications and treatments.
Food
HTMLPDF388-78A-2300Food and nutrition services.
HTMLPDF388-78A-2305Food sanitation.
Intermittent Nursing Services and Resident-Arranged Services
HTMLPDF388-78A-2310Intermittent nursing services.
HTMLPDF388-78A-2320Intermittent nursing services systems.
HTMLPDF388-78A-2330Tube feeding.
HTMLPDF388-78A-2340Resident-arranged services.
HTMLPDF388-78A-2350Coordination of health care services.
Service Delivery and Monitoring
Adult Day Services
HTMLPDF388-78A-2360Adult day services.
HTMLPDF388-78A-2361Project and operations functional program.
Dementia Care
HTMLPDF388-78A-2370Dementia care.
HTMLPDF388-78A-2371Investigations.
HTMLPDF388-78A-2380Freedom of movement.
HTMLPDF388-78A-2381General design requirements for memory care.
Resident Records
HTMLPDF388-78A-2390Resident records.
HTMLPDF388-78A-2400Protection of resident records.
HTMLPDF388-78A-2410Content of resident records.
HTMLPDF388-78A-2420Record retention.
HTMLPDF388-78A-2430Resident review of records.
HTMLPDF388-78A-2440Resident register.
ADMINISTRATION
Staff
HTMLPDF388-78A-2450Staff.
HTMLPDF388-78A-2460Quality assurance committee.
HTMLPDF388-78A-2461Background checks—General.
HTMLPDF388-78A-2462Background checks—Who is required to have.
HTMLPDF388-78A-2464Background checks—Process—Background authorization form.
HTMLPDF388-78A-24641Background checks—Washington state name and date of birth background check.
HTMLPDF388-78A-24642Background checks—National fingerprint background check.
HTMLPDF388-78A-2465Background check—Results—Inform.
HTMLPDF388-78A-2466Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely.
HTMLPDF388-78A-2467Background check—Sharing by health care facilities.
HTMLPDF388-78A-2468Background checks—Employment—Conditional hire—Pending results of Washington state name and date of birth background check.
HTMLPDF388-78A-24681Background checks—Employment—Provisional hire—Pending results of national fingerprint background check.
HTMLPDF388-78A-2469Background check—Disclosure statement.
HTMLPDF388-78A-2470Background check—Employment-disqualifying information—Disqualifying negative actions.
HTMLPDF388-78A-24701Background checks—Employment—Nondisqualifying information.
HTMLPDF388-78A-2471Background check—Confidentiality—Use restricted—Retention.
HTMLPDF388-78A-2474Training and home care aide certification requirements.
HTMLPDF388-78A-2480Tuberculosis—Testing—Required.
HTMLPDF388-78A-2481Tuberculosis—Testing method—Required.
HTMLPDF388-78A-2482Tuberculosis—No testing.
HTMLPDF388-78A-2483Tuberculosis—One test.
HTMLPDF388-78A-2484Tuberculosis—Two step skin testing.
HTMLPDF388-78A-2485Tuberculosis—Positive test result.
HTMLPDF388-78A-2486Tuberculosis—Negative test result.
HTMLPDF388-78A-2487Tuberculosis—Declining a skin test.
HTMLPDF388-78A-2488Tuberculosis—Reporting—Required.
HTMLPDF388-78A-2489Tuberculosis—Test records.
Specialized Training
HTMLPDF388-78A-2490Specialized training for developmental disabilities.
HTMLPDF388-78A-2500Specialized training for mental illness.
HTMLPDF388-78A-2510Specialized training for dementia.
Administrator
HTMLPDF388-78A-2520Administrator qualifications—General.
HTMLPDF388-78A-2521Certification of training.
HTMLPDF388-78A-2522Administrator qualifications—Prior to 2004.
HTMLPDF388-78A-2523Administrator qualifications—NH administrator license.
HTMLPDF388-78A-2524Administrator qualifications—Certification of training, and three years experience.
HTMLPDF388-78A-2525Administrator qualifications—Associate degree, certification of training, and two years experience.
HTMLPDF388-78A-2526Administrator qualifications—Bachelor's degree, certification of training, and one year experience.
HTMLPDF388-78A-2527Administrator qualifications—Five years experience.
HTMLPDF388-78A-2530Qualifying administrator training program.
HTMLPDF388-78A-2540Administrator requirements.
HTMLPDF388-78A-2550Administrator training documentation.
HTMLPDF388-78A-2560Administrator responsibilities.
HTMLPDF388-78A-2570Notification of change in administrator.
HTMLPDF388-78A-2580Use of home health/home care.
Management Agreements
HTMLPDF388-78A-2590Management agreements—General.
HTMLPDF388-78A-2592Management agreements—Licensee.
HTMLPDF388-78A-2593Management agreements—Terms of agreement.
HTMLPDF388-78A-2594Management agreements—Department review.
HTMLPDF388-78A-2595Management agreements—Resident funds.
Policies and Procedures
HTMLPDF388-78A-2600Policies and procedures.
Infection Control
HTMLPDF388-78A-2610Infection control.
HTMLPDF388-78A-2620Pets.
Reporting Requirements
HTMLPDF388-78A-2630Reporting abuse and neglect.
HTMLPDF388-78A-2640Reporting significant change in a resident's condition.
HTMLPDF388-78A-2650Reporting fires and incidents.
Resident Rights
HTMLPDF388-78A-2660Resident rights.
HTMLPDF388-78A-2665Resident rights—Notice—Policy on accepting medicaid as a payment source.
HTMLPDF388-78A-2670Services by resident for assisted living facility.
HTMLPDF388-78A-2680Electronic monitoring equipment—Audio monitoring and video monitoring.
HTMLPDF388-78A-2690Electronic monitoring equipment—Resident requested use.
Safety and Disaster Preparedness
HTMLPDF388-78A-2700Emergency and disaster preparedness.
HTMLPDF388-78A-2703Safety of the built environment.
Disclosure
HTMLPDF388-78A-2710Disclosure of services.
HTMLPDF388-78A-2720Timing of disclosure.
Licensing
HTMLPDF388-78A-2730Licensee's responsibilities.
HTMLPDF388-78A-2732Liability insurance required—Ongoing.
HTMLPDF388-78A-2733Liability insurance required—Commercial general liability insurance or business liability insurance coverage.
HTMLPDF388-78A-2734Liability insurance required—Professional liability insurance coverage.
HTMLPDF388-78A-2740Licensee qualifications.
HTMLPDF388-78A-2750Application process.
HTMLPDF388-78A-2760Necessary information.
HTMLPDF388-78A-2770Change in licensee/change of ownership—When change in licensee is required.
HTMLPDF388-78A-2773Change in licensee/change of ownership—When change in licensee not required.
HTMLPDF388-78A-2775Change in licensee/change of ownership—Application.
HTMLPDF388-78A-2777Change in licensee/change of ownership—Revised application.
HTMLPDF388-78A-2780Change in licensee/change of ownership—Notice to department and residents.
HTMLPDF388-78A-2783Change in licensee/change of ownership—Relinquishment of license.
HTMLPDF388-78A-2785Change in licensee/change of ownership—Ninety days notice.
HTMLPDF388-78A-2787Change in licensee/change of ownership—Sixty days notice.
HTMLPDF388-78A-2790Annual renewal.
HTMLPDF388-78A-2800Changes in licensed bed capacity.
HTMLPDF388-78A-2810Criteria for increasing licensed bed capacity.
HTMLPDF388-78A-2821Design, construction review, and approval plans.
HTMLPDF388-78A-2830Conversion of licensed nursing homes.
HTMLPDF388-78A-2840Licenses for multiple buildings.
HTMLPDF388-78A-2850Required reviews of building plans.
HTMLPDF388-78A-2851Applicability requirements for physical plant.
HTMLPDF388-78A-2852Exemptions or alternative methods.
HTMLPDF388-78A-2853New licenses and use of construction.
HTMLPDF388-78A-2860Relocation of residents during construction.
HTMLPDF388-78A-2870Vacant buildings.
HTMLPDF388-78A-2880Changing use of rooms.
Building
HTMLPDF388-78A-2900Retention of approved construction documents.
HTMLPDF388-78A-2920Area for nursing supplies and equipment.
HTMLPDF388-78A-2930Communication system.
HTMLPDF388-78A-2940Two-way intercom systems.
HTMLPDF388-78A-2950Water supply.
HTMLPDF388-78A-2960Sewage and liquid waste disposal.
HTMLPDF388-78A-2970Garbage and refuse disposal.
HTMLPDF388-78A-2980Lighting.
HTMLPDF388-78A-2990Heating-cooling—Temperature.
HTMLPDF388-78A-3000Ventilation.
HTMLPDF388-78A-3010Resident units.
HTMLPDF388-78A-3011Resident unit furnishings.
HTMLPDF388-78A-3030Toilet rooms and bathrooms.
HTMLPDF388-78A-3040Laundry.
HTMLPDF388-78A-3050Common areas.
HTMLPDF388-78A-3060Storage space.
HTMLPDF388-78A-3090Maintenance and housekeeping.
HTMLPDF388-78A-3100Safe storage of supplies and equipment.
HTMLPDF388-78A-3130Plant restrictions.
Inspections, Enforcement Remedies, and Appeals
HTMLPDF388-78A-3140Responsibilities during inspections.
HTMLPDF388-78A-3141Inspection timelines.
HTMLPDF388-78A-3150Statements of deficiencies.
HTMLPDF388-78A-3152Plan of correction—Required.
HTMLPDF388-78A-3160Authorized enforcement remedies.
HTMLPDF388-78A-3170Circumstances that may result in enforcement remedies.
HTMLPDF388-78A-3180Required enforcement remedies.
HTMLPDF388-78A-3181Remedies—Specific—Civil penalties.
HTMLPDF388-78A-3183Remedies—Civil fine grid.
HTMLPDF388-78A-3190Denial, suspension, revocation, or nonrenewal of license statutorily required.
HTMLPDF388-78A-3200Progression of enforcement remedies.
HTMLPDF388-78A-3210Informal dispute resolution.
HTMLPDF388-78A-3220Appeal rights.
HTMLPDF388-78A-3230Fees.
GENERAL NOTICE REQUIREMENT
HTMLPDF388-78A-4000Notice—Service complete.
HTMLPDF388-78A-4010Notice—Proof of service.