Wash. Admin. Code ch. 388-78A – Assisted Living Facility Licensing Rules | Midpage

Collections
Washington Administrative Code (WAC)

Chapter 78A

Wash. Admin. Code ch. 388-78A

Assisted Living Facility Licensing Rules

SOCIAL AND HEALTH SERVICES, DEPARTMENT OF

388-78A-2010Purpose 388-78A-2020Definitions 388-78A-2030Assisted living facility license required 388-78A-2032Assisted living facility license not required 388-78A-2035Disclosure statement to nonresident individuals 388-78A-2040Other requirements 388-78A-2050Resident characteristics 388-78A-2060Preadmission assessment 388-78A-2070Timing of preadmission assessment 388-78A-2080Qualified assessor 388-78A-2090Full assessment topics 388-78A-2100Ongoing assessments 388-78A-2101Ongoing assessments—Requirements in effect from January 18, 2022, through June 8, 2023, in response to the state of emergency related to COVID-19 388-78A-2110Resident participation in assessments 388-78A-2120Monitoring residents' well-being 388-78A-2130Service agreement planning 388-78A-2140Negotiated service agreement contents 388-78A-2150Signing negotiated service agreement 388-78A-2160Implementation of negotiated service agreement 388-78A-2170Required assisted living facility services 388-78A-2180Activities 388-78A-2190Activities of daily living 388-78A-2200Health support services 388-78A-2202Respite—General 388-78A-2204Respite—Information 388-78A-2206Respite—Assessment 388-78A-2208Respite—Negotiated service agreement 388-78A-2210Medication services 388-78A-2220Prescribed medication authorizations 388-78A-2230Medication refusal 388-78A-2240Nonavailability of medications 388-78A-2250Alteration of medications 388-78A-2260Storing, securing, and accounting for medications 388-78A-2270Resident controlled medications 388-78A-2280Medication organizers 388-78A-2290Family assistance with medications and treatments 388-78A-2300Food and nutrition services 388-78A-2305Food sanitation 388-78A-2310Intermittent nursing services 388-78A-2320Intermittent nursing services systems 388-78A-2330Tube feeding 388-78A-2340Resident-arranged services 388-78A-2350Coordination of health care services 388-78A-2360Adult day services 388-78A-2361Project and operations functional program 388-78A-2370Dementia care 388-78A-2371Investigations 388-78A-2380Freedom of movement 388-78A-2381General design requirements for memory care 388-78A-2390Resident records 388-78A-2400Protection of resident records 388-78A-2410Content of resident records 388-78A-2420Record retention 388-78A-2430Resident review of records 388-78A-2440Resident register, resident roster, and complete contact information 388-78A-2450Staff 388-78A-2460Quality assurance committee 388-78A-2461Background checks—General 388-78A-2462Background checks—Who is required to have 388-78A-2464Background checks—Process—Background authorization form 388-78A-24641Background checks—Washington state name and date of birth background check 388-78A-24642Background checks—National fingerprint background check 388-78A-2465Background check—Results—Inform 388-78A-2466Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely 388-78A-2467Background check—Sharing by health care facilities 388-78A-2468Background checks—Employment—Conditional hire—Pending results of Washington state name and date of birth background check 388-78A-24681Background checks—Employment—Provisional hire—Pending results of national fingerprint background check 388-78A-2469Background check—Disclosure statement 388-78A-2470Background check—Employment-disqualifying information—Disqualifying negative actions 388-78A-24701Background checks—Employment—Nondisqualifying information 388-78A-2471Background check—Confidentiality—Use restricted—Retention 388-78A-2474Training and home care aide certification requirements 388-78A-2480Tuberculosis—Testing—Required 388-78A-2481Tuberculosis—Testing method—Required 388-78A-2482Tuberculosis—No testing 388-78A-2483Tuberculosis—One test 388-78A-2484Tuberculosis—Two step skin testing 388-78A-2485Tuberculosis—Positive test result 388-78A-2486Tuberculosis—Negative test result 388-78A-2487Tuberculosis—Declining a skin test 388-78A-2488Tuberculosis—Reporting—Required 388-78A-2489Tuberculosis—Test records 388-78A-2490Specialized training for developmental disabilities 388-78A-2500Specialized training for mental illness 388-78A-2510Specialized training for dementia 388-78A-2520Administrator qualifications—General 388-78A-2521Certification of training 388-78A-2522Administrator qualifications—Prior to 2004 388-78A-2523Administrator qualifications—NH administrator license 388-78A-2524Administrator qualifications—Certification of training, and three years experience 388-78A-2525Administrator qualifications—Associate degree, certification of training, and two years experience 388-78A-2526Administrator qualifications—Bachelor's degree, certification of training, and one year experience 388-78A-2527Administrator qualifications—Five years experience 388-78A-2530Qualifying administrator training program 388-78A-2540Administrator requirements 388-78A-2550Administrator training documentation 388-78A-2560Administrator responsibilities 388-78A-2570Notification of change in administrator 388-78A-2580Use of home health/home care 388-78A-2590Management agreements—General 388-78A-2592Management agreements—Licensee 388-78A-2593Management agreements—Terms of agreement 388-78A-2594Management agreements—Department review 388-78A-2595Management agreements—Resident funds 388-78A-2600Policies and procedures 388-78A-2610Infection control 388-78A-2620Pets 388-78A-2630Reporting abuse and neglect 388-78A-2640Reporting significant change in a resident's condition 388-78A-2650Reporting fires and incidents 388-78A-2651Written residency agreement—Residents with medicaid as a payor 388-78A-2660Resident rights 388-78A-2661Resident rights—Transfer and discharge notice—Residents with medicaid as a payor 388-78A-2665Resident rights—Notice—Policy on accepting medicaid as a payment source 388-78A-2670Services by resident for assisted living facility 388-78A-2680Electronic monitoring equipment—Audio monitoring and video monitoring 388-78A-2690Electronic monitoring equipment—Resident requested use 388-78A-2700Emergency and disaster preparedness 388-78A-2703Safety of the built environment 388-78A-2710Disclosure of services 388-78A-2720Timing of disclosure 388-78A-2730Licensee's responsibilities 388-78A-2732Liability insurance required—Ongoing 388-78A-2733Liability insurance required—Commercial general liability insurance or business liability insurance coverage 388-78A-2734Liability insurance required—Professional liability insurance coverage 388-78A-2740Licensee qualifications 388-78A-2750Application process 388-78A-2760Necessary information 388-78A-2770Change in licensee/change of ownership—When change in licensee is required 388-78A-2773Change in licensee/change of ownership—When change in licensee not required 388-78A-2775Change in licensee/change of ownership—Application 388-78A-2777Change in licensee/change of ownership—Revised application 388-78A-2780Change in licensee/change of ownership—Notice to department and residents 388-78A-2783Change in licensee/change of ownership—Relinquishment of license 388-78A-2785Change in licensee/change of ownership—Ninety days notice 388-78A-2787Change in licensee/change of ownership—Sixty days notice 388-78A-2790Annual renewal 388-78A-2800Changes in licensed bed capacity 388-78A-2810Criteria for increasing licensed bed capacity 388-78A-2821Design, construction review, and approval plans 388-78A-2830Conversion of licensed nursing homes 388-78A-2840Licenses for multiple buildings 388-78A-2850Required reviews of building plans 388-78A-2851Applicability requirements for physical plant 388-78A-2852Exemptions or alternative methods 388-78A-2853New licenses and use of construction 388-78A-2860Relocation of residents during construction 388-78A-2870Vacant buildings 388-78A-2880Changing use of rooms 388-78A-2900Retention of approved construction documents 388-78A-2920Area for nursing supplies and equipment 388-78A-2930Communication system 388-78A-2940Two-way intercom systems 388-78A-2950Water supply 388-78A-2960Sewage and liquid waste disposal 388-78A-2970Garbage and refuse disposal 388-78A-2980Lighting 388-78A-2990Heating-cooling—Temperature 388-78A-3000Ventilation 388-78A-3010Resident units 388-78A-3011Resident unit furnishings 388-78A-3030Toilet rooms and bathrooms 388-78A-3040Laundry 388-78A-3050Common areas 388-78A-3060Storage space 388-78A-3090Maintenance and housekeeping 388-78A-3100Safe storage of supplies and equipment 388-78A-3130Plant restrictions 388-78A-3140Responsibilities during inspections 388-78A-3141Inspection timelines 388-78A-3150Statements of deficiencies 388-78A-3152Plan of correction—Required 388-78A-3160Authorized enforcement remedies 388-78A-3170Circumstances that may result in enforcement remedies 388-78A-3180Required enforcement remedies 388-78A-3181Remedies—Specific—Civil penalties 388-78A-3183Remedies—Civil fine grid 388-78A-3190Denial, suspension, revocation, or nonrenewal of license statutorily required 388-78A-3200Progression of enforcement remedies 388-78A-3210Informal dispute resolution 388-78A-3220Appeal rights 388-78A-3230Fees 388-78A-4000Notice—Service complete 388-78A-4010Notice—Proof of service