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Chapter 388-76 WAC

|Show DispositionsLast Update: 11/27/23

ADULT FAMILY HOME MINIMUM LICENSING REQUIREMENTS

WAC Sections

DEFINITIONS
HTMLPDF388-76-10000Definitions.
HTMLPDF388-76-10002Department authority.
HTMLPDF388-76-10003Department access.
HTMLPDF388-76-10004Exemptions.
LICENSE
HTMLPDF388-76-10005License—Required.
HTMLPDF388-76-10010License—Valid and not transferable.
HTMLPDF388-76-10015License—Adult family home—Compliance required.
HTMLPDF388-76-10020License—Ability to provide care and services.
HTMLPDF388-76-10025License annual fee.
HTMLPDF388-76-10030Adult family home capacity.
HTMLPDF388-76-10031License requirements—Seven or eight bed adult family homes—Licensure.
HTMLPDF388-76-10032License requirements—Seven or eight bed adult family homes—Change of ownership.
HTMLPDF388-76-10035License requirements—Multiple adult family home providers.
HTMLPDF388-76-10036License requirements—Multiple adult family home management.
HTMLPDF388-76-10037License requirements—Multiple adult family homes—Additional homes.
HTMLPDF388-76-10040License requirements—Qualified person must live-in or be on-site.
HTMLPDF388-76-10041License—Change of personnel.
HTMLPDF388-76-10045Licensing—Certain state employees and employee household members—Prohibited.
HTMLPDF388-76-10050License—Relinquishment.
LICENSE APPLICATION
HTMLPDF388-76-10055Application—Generally.
HTMLPDF388-76-10057Application—General qualifications.
HTMLPDF388-76-10063Application—General training requirements.
HTMLPDF388-76-10064Adult family home administrator training requirements.
HTMLPDF388-76-10065Application—Required information.
HTMLPDF388-76-10070Application—Fees required.
HTMLPDF388-76-10073Application—Processing fees required.
HTMLPDF388-76-10074Application—Waiver of fees.
HTMLPDF388-76-10075Application—Becomes void.
HTMLPDF388-76-10080Application—Coprovider.
HTMLPDF388-76-10085Application—Affiliated facilities.
HTMLPDF388-76-10090Application—Entity application.
HTMLPDF388-76-10095Application—Identification of property owner—Required.
HTMLPDF388-76-10100Application—Subject to review.
HTMLPDF388-76-10105Application—Change of ownership.
HTMLPDF388-76-10106Change of ownership—Notice to department and residents.
HTMLPDF388-76-10107Priority processing—Change of ownership and relocation.
HTMLPDF388-76-10110Application—Change of location or address.
GRANTING OR DENYING A LICENSE
HTMLPDF388-76-10115Granting or denying a license—Generally.
HTMLPDF388-76-10120License—Must be denied.
HTMLPDF388-76-10125License—May be denied.
QUALIFICATIONS OF INDIVIDUALS PROVIDING CARE AND SERVICES
HTMLPDF388-76-10129Qualifications—Adult family home personnel.
HTMLPDF388-76-10130Qualifications—Provider, entity representative, and resident manager.
HTMLPDF388-76-10135Qualifications—Caregiver.
HTMLPDF388-76-10140Qualifications—Students—Volunteers.
HTMLPDF388-76-10145Qualifications—Licensed nurse as provider, entity representative, or resident manager.
HTMLPDF388-76-10146Qualifications—Training and home care aide certification.
HTMLPDF388-76-10150Qualifications—Assessor.
CRIMINAL HISTORY BACKGROUND CHECK
HTMLPDF388-76-10160Background checks—General.
HTMLPDF388-76-10161Background checks—Who is required to have.
HTMLPDF388-76-10163Background checks—Process—Background authorization form.
HTMLPDF388-76-101631Background checks—Washington state name and date of birth background check.
HTMLPDF388-76-101632Background checks—National fingerprint background check.
HTMLPDF388-76-10164Background checks—Results—Duty to inform.
HTMLPDF388-76-10165Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely.
HTMLPDF388-76-10166Background checks—Household members, noncaregiving and unpaid staff—Unsupervised access.
HTMLPDF388-76-10170Background check—Confidentiality—Use restricted—Retention.
HTMLPDF388-76-10174Background check—Disclosure of information—Sharing of background information by health care facilities.
HTMLPDF388-76-10175Background checks—Employment—Conditional hire—Pending results of Washington state name and date of birth background check.
HTMLPDF388-76-10176Background checks—Employment—Provisional hire—Pending results of national fingerprint background check.
HTMLPDF388-76-10180Background checks—Employment—Disqualifying information. Disqualifying negative actions.
HTMLPDF388-76-10181Background checks—Employment—Nondisqualifying information.
ADMINISTRATION GENERAL
HTMLPDF388-76-10191Liability insurance required.
HTMLPDF388-76-10192Liability insurance required—Coverage requirements.
HTMLPDF388-76-10195Adult family home—Staff—Generally.
HTMLPDF388-76-10198Adult family home—Personnel records.
HTMLPDF388-76-10200Adult family home—Staff—Availability—Contact information.
HTMLPDF388-76-10201Succession plan.
HTMLPDF388-76-10205Medicaid or state funded residents.
HTMLPDF388-76-10210Resident relocation due to closure.
HTMLPDF388-76-10215Resident funds—Protection, liquidation or transfer.
HTMLPDF388-76-10220Incident log.
HTMLPDF388-76-10225Reporting requirement.
HTMLPDF388-76-10230Pets.
HEALTH CARE DECISION MAKING
HTMLPDF388-76-10235Guardianship.
HTMLPDF388-76-10240Durable power of attorney for health care or financial decisions.
HTMLPDF388-76-10245Resident self-determination—Health care decision making.
HTMLPDF388-76-10250Medical emergencies—Contacting emergency medical services—Required.
INFECTION CONTROL AND COMMUNICABLE DISEASE
HTMLPDF388-76-10255Infection control.
HTMLPDF388-76-10260Communicable disease—Preventing spread.
TUBERCULOSIS SCREENING
HTMLPDF388-76-10265Tuberculosis—Testing—Required.
HTMLPDF388-76-10270Tuberculosis—Testing method—Required.
HTMLPDF388-76-10275Tuberculosis—No testing.
HTMLPDF388-76-10280Tuberculosis—One test.
HTMLPDF388-76-10285Tuberculosis—Two step skin testing.
HTMLPDF388-76-10290Tuberculosis—Positive test result.
HTMLPDF388-76-10295Tuberculosis—Negative test result.
HTMLPDF388-76-10300Tuberculosis—Declining a skin test.
HTMLPDF388-76-10305Tuberculosis—Reporting required.
HTMLPDF388-76-10310Tuberculosis—Test records.
RESIDENT RECORDS
HTMLPDF388-76-10315Resident record—Required.
HTMLPDF388-76-10320Resident record—Content.
HTMLPDF388-76-10325Resident record—Legal documents—If available.
RESIDENT ASSESSMENT
HTMLPDF388-76-10330Resident assessment.
HTMLPDF388-76-10335Resident assessment topics.
HTMLPDF388-76-10340Preliminary service plan.
HTMLPDF388-76-10345Assessment—Qualified assessor—Required.
HTMLPDF388-76-10350Assessment—Updates required.
HTMLPDF388-76-10351Assessment—Updates required—Requirements in effect from January 18, 2022, through June 8, 2023, in response to the state of emergency related to COVID-19.
NEGOTIATED CARE PLAN
HTMLPDF388-76-10355Negotiated care plan.
HTMLPDF388-76-10360Negotiated care plan—Timing of development—Required.
HTMLPDF388-76-10365Negotiated care plan—Implementation—Required.
HTMLPDF388-76-10370Negotiated care plan—Persons involved in development.
HTMLPDF388-76-10375Negotiated care plan—Signatures—Required.
HTMLPDF388-76-10380Negotiated care plan—Timing of reviews and revisions.
HTMLPDF388-76-10385Negotiated care plan—Copy to department case manager—Required.
CARE AND SERVICES
HTMLPDF388-76-10390Admission and continuation of services.
HTMLPDF388-76-10395Emergency admissions.
HTMLPDF388-76-10400Care and services.
HTMLPDF388-76-10401Home and community-based setting requirements.
HTMLPDF388-76-10405Nursing care.
HTMLPDF388-76-10410Laundry services.
FOOD SERVICES
HTMLPDF388-76-10415Food services.
HTMLPDF388-76-10420Meals and snacks.
HTMLPDF388-76-10425Offsite food preparation.
RESIDENT MEDICATIONS
HTMLPDF388-76-10430Medication system.
HTMLPDF388-76-10435Medication refusal.
HTMLPDF388-76-10440Medication—Assessment—Identification of amount of assistance needed when taking medications.
HTMLPDF388-76-10445Medication—Independent—Self-administration.
HTMLPDF388-76-10450Medication—Self-administration with assistance.
HTMLPDF388-76-10455Medication—Administration.
HTMLPDF388-76-10460Medication—Negotiated care plan.
HTMLPDF388-76-10463Medication—Psychopharmacologic.
HTMLPDF388-76-10465Medication—Altering—Requirements.
HTMLPDF388-76-10470Medication—Timing—Special directions.
HTMLPDF388-76-10475Medication—Log.
HTMLPDF388-76-10480Medication organizers.
HTMLPDF388-76-10485Medication storage.
HTMLPDF388-76-10490Medication disposal—Written policy—Required.
SPECIALTY CARE
HTMLPDF388-76-10495Specialty care—Designations.
HTMLPDF388-76-10500Granting specialty care designation—Requirements.
HTMLPDF388-76-10505Specialty care—Admitting and retaining residents.
RESIDENT RIGHTS
HTMLPDF388-76-10510Resident rights—Basic rights.
HTMLPDF388-76-10515Resident rights—Exercise of rights.
HTMLPDF388-76-10522Resident rights—Notice—Policy on accepting medicaid as a payment source.
HTMLPDF388-76-10525Resident rights—Postings.
HTMLPDF388-76-10530Resident rights—Notice of rights and services.
HTMLPDF388-76-10532Resident rights—Department standardized disclosure forms.
HTMLPDF388-76-10535Resident rights—Notice of change to services.
HTMLPDF388-76-10540Resident rights—Disclosure of charges—Notice requirements—Deposits.
HTMLPDF388-76-10545Resident rights—Admitting and keeping residents.
HTMLPDF388-76-10550Resident rights—Adult family home staffing—Notification required.
HTMLPDF388-76-10560Resident rights—Adult family home management of resident financial affairs.
HTMLPDF388-76-10561Resident rights—Resident security deposit account.
HTMLPDF388-76-10570Resident rights—Financial affairs related to resident death.
HTMLPDF388-76-10575Resident rights—Privacy.
HTMLPDF388-76-10580Resident rights—Grievances.
HTMLPDF388-76-10584Resident rights—Examination of license.
HTMLPDF388-76-10585Resident rights—Examination of inspection results.
HTMLPDF388-76-10590Resident rights—Contact with client advocates.
HTMLPDF388-76-10595Resident rights—Advocacy access and visitation rights.
HTMLPDF388-76-10600Resident rights—Mail and telephone privacy.
HTMLPDF388-76-10605Resident rights—Personal property and storage space.
HTMLPDF388-76-10610Resident rights—Waiver of liability.
HTMLPDF388-76-10615Resident rights—Transfer and discharge.
HTMLPDF388-76-10616Resident rights—Transfer and discharge notice.
QUALITY OF LIFE
HTMLPDF388-76-10620Resident rights—Quality of life—General.
HTMLPDF388-76-10625Resident rights—Quality of life—Meetings.
HTMLPDF388-76-10630Resident rights—Quality of life—Adult family home response to issues.
HTMLPDF388-76-10635Resident rights—Quality of life—Work.
HTMLPDF388-76-10640Resident rights—Quality of life—Resident participation.
HTMLPDF388-76-10645Resident rights—Quality of life—Reasonable accommodation.
MEDICAL DEVICES AND RESTRAINTS
HTMLPDF388-76-10650Medical devices.
HTMLPDF388-76-10655Physical and mechanical restraints.
HTMLPDF388-76-10660Chemical restraints.
HTMLPDF388-76-10665Involuntary seclusion.
ABUSE
HTMLPDF388-76-10670Prevention of abuse.
HTMLPDF388-76-10673Abuse and neglect reporting—Mandated reporting to department—Required.
HTMLPDF388-76-10675Adult family home rules and policies related to abuse—Required.
HTMLPDF388-76-10680Staff behavior related to abuse.
PHYSICAL PLANT BASIC REQUIREMENTS
HTMLPDF388-76-10685Bedrooms.
HTMLPDF388-76-10690Bedroom usable floor space—In adult family homes after the effective date of this chapter.
HTMLPDF388-76-10695Building codes—Structural requirements.
HTMLPDF388-76-10700Building official—Inspection and approval.
HTMLPDF388-76-10705Common use areas.
HTMLPDF388-76-10710Construction and remodeling—Relocation of residents.
HTMLPDF388-76-10715Doors—Ability to open.
HTMLPDF388-76-10720Electronic monitoring equipment—Audio monitoring and video monitoring.
HTMLPDF388-76-10725Electronic monitoring equipment—Resident requested use.
HTMLPDF388-76-10730Grab bars and hand rails.
HTMLPDF388-76-10735Kitchen facilities.
HTMLPDF388-76-10740Lighting.
HTMLPDF388-76-10745Local codes and ordinances.
HTMLPDF388-76-10750Safety and maintenance.
HTMLPDF388-76-10755Sewage and liquid wastes.
HTMLPDF388-76-10760Site.
HTMLPDF388-76-10765Storage.
HTMLPDF388-76-10770Telephones.
HTMLPDF388-76-10775Temperature and ventilation.
HTMLPDF388-76-10780Toilets and bathing facilities.
HTMLPDF388-76-10783Water hazards and bodies of water—Resident safety.
HTMLPDF388-76-10784Water hazards—Fences, gates, and alarms.
HTMLPDF388-76-10790Water supply.
HTMLPDF388-76-10795Windows.
FIRE PROTECTION
HTMLPDF388-76-10800Adult family home located outside of public fire protection.
HTMLPDF388-76-10805Automatic smoke alarms.
HTMLPDF388-76-10810Fire extinguishers.
HTMLPDF388-76-10815Notice required—Compliance with building code and fire protection.
HTMLPDF388-76-10825Space heaters, fireplaces, and stoves.
DISASTER AND EMERGENCY PREPAREDNESS
HTMLPDF388-76-10830Emergency and disaster plan—Required.
HTMLPDF388-76-10840Emergency food supply.
HTMLPDF388-76-10845Emergency drinking water supply.
HTMLPDF388-76-10850Emergency medical supplies.
HTMLPDF388-76-10855Emergency and disaster plan training—Required.
FIRE DRILL PLAN FOR EMERGENCY EVACUATION
HTMLPDF388-76-10860Fire drill plan and procedures for emergency evacuation—Required.
HTMLPDF388-76-10865Resident evacuation from adult family home.
HTMLPDF388-76-10870Resident evacuation capability levels—Identification required.
HTMLPDF388-76-10885Elements of emergency evacuation floor plan.
HTMLPDF388-76-10890Posting the emergency evacuation floor plan—Required.
HTMLPDF388-76-10895Emergency evacuation drills—Frequency and participation.
HTMLPDF388-76-10900Documentation of emergency evacuation drills—Required.
HTMLPDF388-76-10905Emergency evacuation—Notification of department required.
INSPECTIONS—COMPLAINT INVESTIGATIONS—MONITORING VISITS
HTMLPDF388-76-10910Inspections—Complaint investigations—Monitoring visits—General.
HTMLPDF388-76-10911Inspections—Multiple adult family home providers.
HTMLPDF388-76-10912Inspection timelines.
HTMLPDF388-76-10915Department staff access—Willful interference prohibited.
HTMLPDF388-76-10920Inspection and investigation reports—Provided by department.
HTMLPDF388-76-10925Disclosure of inspection and complaint investigation reports.
HTMLPDF388-76-10930Plan of correction (POC)—Required.
RESIDENT ADVOCATE ACCESS
HTMLPDF388-76-10935Washington protection and advocacy—Long-term care ombudsman—Official duties—Penalty for interference.
REMEDIES
HTMLPDF388-76-10940Remedies—Generally.
HTMLPDF388-76-10945Remedies—Imposition of remedies.
HTMLPDF388-76-10950Remedies—History and actions by individuals.
HTMLPDF388-76-10955Remedies—Department must impose remedies.
HTMLPDF388-76-10960Remedies—Department may impose remedies.
HTMLPDF388-76-10965Remedies—Specific—Denial of application for license.
HTMLPDF388-76-10970Remedies—Specific—Condition(s) on license.
HTMLPDF388-76-10975Remedies—Specific—Civil penalties.
HTMLPDF388-76-10976Remedies—Civil fine grid.
HTMLPDF388-76-10980Remedies—Specific—Stop placement—Admissions prohibited.
HTMLPDF388-76-10985Remedies—May extend to multiple homes.
INFORMAL DISPUTE RESOLUTION, NOTICE AND APPEALS
HTMLPDF388-76-10990Informal dispute resolution (IDR).
HTMLPDF388-76-10995Notice, hearing rights, and effective dates relating to imposition of remedies.
MANAGEMENT AGREEMENTS
HTMLPDF388-76-11050Management agreements—General.
HTMLPDF388-76-11055Management agreements—Adult family home.
HTMLPDF388-76-11060Terms of the management agreement.
HTMLPDF388-76-11065Management agreements—Department review.
HTMLPDF388-76-11070Management agreements—Resident funds.
NOTICE
HTMLPDF388-76-11080Notice—Service complete.
HTMLPDF388-76-11085Notice—Proof of service.