1. (1) DDA and the provider work together to develop a corrective action plan in response to a citation.

2. (2) DDA determines the timeline for correction based on the nature of the citation, according to the following degrees of severity.

   1. (a) A minor citation is an infrequent or isolated incident that does not:

      1. (i) Impact client well-being; or
      2. (ii) Jeopardize client funding.

   2. (b) A major citation is an isolated incident or systemic problem that results in:

      1. (i) Inadequate treatment of a client; or
      2. (ii) Jeopardized client well-being (i.e., no imminent danger).
   3. (c) A significant citation is an isolated incident or systemic problem that results in an imminent health and safety risk impacting client well-being.
3. (3) A repeat citation may be elevated to a higher degree of severity. A repeat citation occurs when a provider is cited for the same incident or systemic problem two or more times.

4. (4) Providers must complete corrective actions as follows.

   1. (a) Minor. No more than 30 calendar days after a minor citation is issued, the provider must:

      1. (i) Apply the correction across the site and to all clients and employees in the sample. The provider must submit to DDA evidence that the citation has been corrected.
      2. (ii) Inform DDA of the provider's plan to ensure the correction is applied to all other clients, employees, and sites under the certification, as appropriate.
   2. (b) Major. No more than 10 calendar days after a major citation is identified, the provider must correct the citation for all clients, employees, and sites under the certification, as appropriate. The provider must submit to DDA evidence that the citation has been corrected.
   3. (c) Significant. No more than 24 hours after a significant citation is identified, the provider must correct the citation for all clients, employees, and sites under the certification, as appropriate. The provider must submit to DDA evidence that the citation has been corrected.
5. (5) DDA headquarters may approve modified timelines in subsection (4) of this section.

[Statutory Authority: RCW 71A.12.030 and 71A.12.080. WSR 25-11-087, s 388-825A-0180, filed 5/21/25, effective 7/1/25.]