1. (1) The provider must maintain buildings, premises, and equipment in a clean and sanitary condition, free of hazards, and in good repair. The provider must ensure the facility has:

   1. (a) Handrails for steps, stairways, and ramps if identified as a safety need.
   2. (b) Appropriate furnishings, based on the age and activities of the client supported.
   3. (c) Washable, water-resistant floors in bathrooms, kitchens, and other rooms exposed to moisture. Washable short-pile carpeting may be approved in kitchen areas if kept clean and sanitary.
   4. (d) Tamper-proof or tamper-resistant electrical outlets or blank covers installed in areas accessible to clients who might be endangered by access to them.
   5. (e) Easy access to the outdoors and rooms occupied by children in case an emergency arises.
   6. (f) Non-breakable light fixture covers or shatter-resistant light bulbs or tubes in food preparation and dining areas.
2. (2) Adequate indoor and outdoor space, ventilation, light, and heat to ensure the health and comfort of all members of the household.

3. (3) The bathroom facilities must include:

   1. (a) Toilets, urinals, and handwashing sinks appropriate to the height for the clients supported, or have a safe and easily cleaned step stool or platform that is water-resistant; and
   2. (b) Soap and clean towels, disposable towels, or other approved hand-drying devices.
4. (4) The cleanliness and care of the premises must meet generally accepted health standards for the storage and preparation of food.
5. (5) The provider must make reasonable attempts to keep the premises free from pests, such as rodents, flies, cockroaches, fleas, and other insects using the least toxic methods.
6. (6) The provider must have an immediate plan to address hazardous conditions on the property or in the facility.
7. (7) The facility must be accessible to emergency vehicles and the address must be clearly visible on the facility or mailbox so that first responders can easily find the facility.
8. (8) The facility must be located on a well-drained site, free from hazardous conditions.
9. (9) Utility rooms with mop sinks that do not have windows opening to the outside must be ventilated with a mechanical exhaust fan to the outside of the building.
10. (10) The use of window blinds or other window coverings with pull cords capable of forming a loop and posing a risk of strangulation to children are prohibited under RCW 43.216.380.

[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 25-11-094, s 388-826-0480, filed 5/21/25, effective 7/1/25.]