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Chapter 388-76 WAC

Last Update: 6/24/14

ADULT FAMILY HOME MINIMUM LICENSING REQUIREMENTS

WAC Sections

DEFINITIONS
Definitions.
Department authority.
Department access.
LICENSE
LicenseRequired.
LicenseValid and not transferable.
LicenseAdult family homeCompliance required.
LicenseAbility to provide care and services.
License annual fee.
License capacity.
License requirementsMultiple family home providers.
License requirementsMultiple adult family home management.
License requirementsMultiple adult family homesAdditional homes.
License requirementsQualified person must live-in or be on-site.
LicensingCertain state employees and employee household membersProhibited.
LicenseRelinquishment.
LICENSE APPLICATION
ApplicationGenerally.
ApplicationGeneral qualifications.
ApplicationDepartment orientation classRequired.
ApplicationGeneral training requirements.
ApplicationForty-eight hour administration and business planning class training requirements.
ApplicationRequired information.
ApplicationFees required.
ApplicationProcessing fees required.
ApplicationBecomes void.
ApplicationCoprovider.
ApplicationIndividual or coprovider.
ApplicationEntity application.
ApplicationIdentification of landlordRequired.
ApplicationSubject to review.
ApplicationChange of ownership.
Change of ownershipNotice to department and residents.
Change of ownershipPriority processing.
ApplicationChange of location or address.
GRANTING OR DENYING A LICENSE
Granting or denying a licenseGenerally.
LicenseMust be denied.
LicenseMay be denied.
QUALIFICATIONS OF INDIVIDUALS PROVIDING CARE AND SERVICES
QualificationsAdult family home personnel.
QualificationsProvider, entity representative and resident manager.
QualificationsCaregiver.
Qualifications—Students—Volunteers.
QualificationsLicensed nurse as provider, entity representative or resident manager.
QualificationsTraining and home care aide certification.
QualificationsAssessor.
CRIMINAL HISTORY BACKGROUND CHECK
Background checkGeneral.
Background checksWho is required to have.
Background checks—Process—Background authorization form.
Background checksWashington state name and date of birth background check.
Background checksNational fingerprint background check.
Background checksResultsDuty to inform.
Background checksWashington state name and date of birth background checkValid for two yearsNational fingerprint background checkValid indefinitely.
Background checksHousehold members, noncaregiving and unpaid staffUnsupervised access.
Background check—Confidentiality—Use restrictedRetention.
Background checkDisclosure of informationSharing of background information by health care facilities.
Background checks—Employment—Conditional hirePending results of Washington state name and date of birth background check.
Background checks—Employment—Provisional hirePending results of national fingerprint background check.
Background check—Employment—Disqualifying information.
Background checks—Employment—Nondisqualifying information.
ADMINISTRATION GENERAL
Liability insurance required.
Liability insurance requiredCommercial general liability insurance or business liability insurance coverage.
Liability insurance requiredProfessional liability insurance coverage.
Adult family home—Staff—Generally.
Adult family homePersonnel records.
Adult family home—Staff—Availability—Contact information.
Medicaid or state funded residents.
Resident relocation due to closure.
Resident fundsProtection, liquidation or transfer.
Incident log.
Reporting requirement.
Pets.
HEALTH CARE DECISION MAKING
Guardianship.
Durable power of attorney for health care or financial decisions.
Resident self-determinationHealth care decision making.
Medical emergenciesContacting emergency medical servicesRequired.
INFECTION CONTROL AND COMMUNICABLE DISEASE
Infection control.
Communicable diseasePreventing spread.
TUBERCULOSIS SCREENING
Tuberculosis—Testing—Required.
TuberculosisTesting methodRequired.
TuberculosisNo testing.
TuberculosisOne test.
TuberculosisTwo step skin testing.
TuberculosisPositive test result.
TuberculosisNegative test result.
TuberculosisDeclining a skin test.
TuberculosisReporting required.
TuberculosisTest records.
RESIDENT RECORDS
Resident recordRequired.
Resident recordContent.
Resident recordLegal documentsIf available.
RESIDENT ASSESSMENT
Resident assessment.
Resident assessment topics.
Preliminary service plan.
AssessmentQualified assessorRequired.
AssessmentUpdates required.
NEGOTIATED CARE PLAN
Negotiated care plan.
Negotiated care planTiming of developmentRequired.
Negotiated care plan—Implementation—Required.
Negotiated care planPersons involved in development.
Negotiated care plan—Signatures—Required.
Negotiated care planTiming of reviews and revisions.
Negotiated care planCopy to department case managerRequired.
CARE AND SERVICES
Admission and continuation of services.
Emergency admissions.
Care and services.
Nursing care.
Laundry services.
FOOD SERVICES
Food services.
Meals and snacks.
Offsite food preparation.
RESIDENT MEDICATIONS
Medication system.
Medication refusal.
Medication—Assessment—Identification of amount of assistance needed when taking medications.
Medication—Independent—Self-administration.
MedicationSelf-administration with assistance.
MedicationAdministration.
MedicationNegotiated care plan.
Medication—Altering—Requirements.
Medication—Timing—Special directions.
MedicationLog.
Medication organizers.
Medication storage.
Medication disposalWritten policyRequired.
SPECIALTY CARE
Specialty careDesignations.
Granting specialty care designationRequirements.
Specialty careAdmitting and retaining residents.
RESIDENT RIGHTS
Resident rightsBasic rights.
Resident rightsExercise of rights.
Resident rightsGeneral notice.
Resident rights—Notice—Policy on accepting medicaid as a payment source.
Resident rightsDescription.
Resident rightsNotice of services.
Resident rightsNotice of change to services.
Resident rightsDisclosure of fees and chargesNotice requirementsDeposits.
Resident rightsAdmitting and keeping residents.
Resident rightsAdult family home staffingNotification required.
Resident rightsFinancial affairs.
Resident rightsAdult family home management of resident financial affairs.
Resident rightsResident security deposit account.
Resident rightsAdult family home system for management of resident financial affairs.
Resident rightsFinancial affairs related to resident death.
Resident rightsPrivacy.
Resident rightsGrievances.
Resident rightsExamination of license.
Resident rightsExamination of inspection results.
Resident rightsContact with client advocates.
Resident rightsAdvocacy access and visitation rights.
Resident rightsMail and telephone privacy.
Resident rightsPersonal property and storage space.
Resident rightsWaiver of liability.
Resident rightsTransfer and discharge.
QUALITY OF LIFE
Resident rightsQuality of lifeGeneral.
Resident rightsQuality of lifeMeetings.
Resident rightsQuality of lifeAdult family home response to issues.
Resident rightsQuality of lifeWork.
Resident rightsQuality of lifeResident participation.
Resident rightsQuality of lifeReasonable accommodation.
MEDICAL DEVICES AND RESTRAINTS
Medical devices.
Physical restraints.
Chemical restraints.
Involuntary seclusion.
ABUSE
Prevention of abuse.
Abuse and neglect reportingMandated reporting to departmentRequired.
Adult family home rules and policies related to abuseRequired.
Staff behavior related to abuse.
PHYSICAL PLANT BASIC REQUIREMENTS
Bedrooms.
Bedroom usable floor spaceIn adult family homes after the effective date of this chapter.
Building codesStructural requirements.
Building officialInspection and approval.
Common use areas.
Construction and remodelingRelocation of residents.
DoorsAbility to open.
Electronic monitoring equipmentAudio monitoring and video monitoring.
Electronic monitoring equipmentResident requested use.
Grab bars and hand rails.
Kitchen facilities.
Lighting.
Local codes and ordinances.
Safety and maintenance.
Sewage and liquid wastes.
Site.
Storage.
Telephones.
Temperature and ventilation.
Toilets and bathing facilities.
Water hazards and bodies of waterResident safety.
Water hazardsFences, gates and alarms.
Water supply.
Windows.
FIRE PROTECTION
Adult family home located outside of public fire protection.
Automatic smoke detectors.
Fire extinguishers.
Notice requiredCompliance with building code and fire protection.
Resident evacuation capabilities and location of resident bedrooms.
Space heaters and stoves.
DISASTER AND EMERGENCY PREPAREDNESS
Emergency and disaster planRequired.
Elements of an emergency and disaster plan.
Emergency food supply.
Emergency drinking water supply.
Emergency medical supplies.
Emergency and disaster plan trainingRequired.
FIRE DRILL PLAN FOR EMERGENCY EVACUATION
Fire drill plan and procedures for emergency evacuationRequired.
Emergency evacuation from adult family home.
Resident evacuation capability levelsIdentification required.
Emergency evacuation adult family home bedrooms.
Elements of emergency evacuation floor plan.
Posting the emergency evacuation floor planRequired.
Emergency evacuation drillsFrequency and participation.
Documentation of emergency evacuation drillsRequired.
Emergency evacuationNotification of department required.
INSPECTIONSCOMPLAINT INVESTIGATIONSMONITORING VISITS
InspectionsComplaint investigationsMonitoring visitsGeneral.
InspectionsMultiple adult family home providers.
Department staff accessWillful interference prohibited.
Inspection and investigation reportsProvided by department.
Disclosure of inspection and complaint investigation reports.
Plan of correction (POC)Required.
RESIDENT ADVOCATE ACCESS
Washington protection and advocacyLong-term care ombudsmanOfficial dutiesPenalty for interference.
REMEDIES
RemediesGenerally.
RemediesImposition of remedies.
RemediesHistory and actions by individuals.
RemediesDepartment must impose remedies.
RemediesDepartment may impose remedies.
Remedies—Specific—Denial of application for license.
Remedies—Specific—Condition(s) on license.
Remedies—Specific—Civil penalties.
RemediesCivil fine grid.
Remedies—Specific—Stop placementAdmissions prohibited.
RemediesMay extend to multiple homes.
INFORMAL DISPUTE RESOLUTION, NOTICE AND APPEALS
Informal dispute resolution (IDR).
Notice, hearing rights, and effective dates relating to imposition of remedies.
RESIDENT PROTECTION PROGRAM
Resident protection programInvestigation of reports.
Resident protection programIndividual defined.
Resident protection programNotice to individual of preliminary finding.
Resident protection programNotice to others of preliminary finding.
Resident protection programDisputing a preliminary finding.
Resident protection programHearing procedures to dispute preliminary finding.
Resident protection programFinalizing a preliminary finding.
Resident protection programAppeal of the initial order or finding.
Resident protection programReporting final findings.
Resident protection programDisclosure of investigative and finding information.
MANAGEMENT AGREEMENTS
Management agreementsGeneral.
Management agreementsAdult family home.
Terms of the management agreement.
Management agreementsDepartment review.
Management agreementsResident funds.
NOTICE
NoticeService complete.
NoticeProof of service.