Wash. Admin. Code § 388-828-4200
The home living activities subscale measures your personal support needs for the following home living activities:
| # | Home living activities | Type of support | Frequency of support | Daily support time | Raw score | ||||||||||||
| A1 | Bathing and taking care of personal hygiene and grooming needs | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | * | 0 | 1 | 2 | 3 | 4 | |
| A2 | Dressing | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
| A3 | Using the toilet | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
| A4 | Preparing food | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | * | 0 | 1 | 2 | 3 | 4 | |
| A5 | Eating food | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
| A6 | Taking care of clothes, including laundering | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
| A7 | Housekeeping and cleaning | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | * | * | |
| A8 | Operating home appliances/electronics | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
| A9 | Using currently prescribed equipment or treatment | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | 0 | 1 | 2 | 3 | 4 | |
| Total raw score for home living activities: | |||||||||||||||||
| * = Score is not an option per AAIDD.Note: Question A9 is a question added by DDA. It is for informational purposes only and is not used to calculate scores or levels for service determination. |
[Statutory Authority: RCW 71A.12.030 and 71A.16.050. WSR 24-23-058, s 388-828-4200, filed 11/15/24, effective 1/1/25. Statutory Authority: RCW 71A.12.030 and 71A.12.120. WSR 19-02-020, § 388-828-4200, filed 12/21/18, effective 2/1/19. Statutory Authority: RCW 71A.12.030 and Title 71A RCW. WSR 07-10-029, § 388-828-4200, filed 4/23/07, effective 6/1/07.]