HTML has links - PDF has Authentication

Chapter 388-76 WAC

|Show DispositionsLast Update: 5/17/21

ADULT FAMILY HOME MINIMUM LICENSING REQUIREMENTS

WAC Sections

DEFINITIONS
HTMLPDF388-76-10000Definitions.
HTMLPDF388-76-10002Department authority.
HTMLPDF388-76-10003Department access.
LICENSE
HTMLPDF388-76-10005LicenseRequired.
HTMLPDF388-76-10010LicenseValid and not transferable.
HTMLPDF388-76-10015LicenseAdult family homeCompliance required.
HTMLPDF388-76-10020LicenseAbility to provide care and services.
HTMLPDF388-76-10025License annual fee.
HTMLPDF388-76-10030License capacity.
HTMLPDF388-76-10035License requirements—Multiple adult family home providers.
HTMLPDF388-76-10036License requirementsMultiple adult family home management.
HTMLPDF388-76-10037License requirementsMultiple adult family homesAdditional homes.
HTMLPDF388-76-10040License requirementsQualified person must live-in or be on-site.
HTMLPDF388-76-10041LicenseChange of personnel.
HTMLPDF388-76-10045LicensingCertain state employees and employee household membersProhibited.
HTMLPDF388-76-10050LicenseRelinquishment.
LICENSE APPLICATION
HTMLPDF388-76-10055ApplicationGenerally.
HTMLPDF388-76-10057ApplicationGeneral qualifications.
HTMLPDF388-76-10060ApplicationDepartment orientation classRequired.
HTMLPDF388-76-10063ApplicationGeneral training requirements.
HTMLPDF388-76-10064Adult family home administrator training requirements.
HTMLPDF388-76-10065ApplicationRequired information.
HTMLPDF388-76-10070ApplicationFees required.
HTMLPDF388-76-10073ApplicationProcessing fees required.
HTMLPDF388-76-10074ApplicationWaiver of fees.
HTMLPDF388-76-10075ApplicationBecomes void.
HTMLPDF388-76-10080ApplicationCoprovider.
HTMLPDF388-76-10085Application—Affiliated facilities.
HTMLPDF388-76-10090ApplicationEntity application.
HTMLPDF388-76-10095Application—Identification of property owner—Required.
HTMLPDF388-76-10100ApplicationSubject to review.
HTMLPDF388-76-10105ApplicationChange of ownership.
HTMLPDF388-76-10106Change of ownershipNotice to department and residents.
HTMLPDF388-76-10107Priority processingChange of ownership and relocation.
HTMLPDF388-76-10110ApplicationChange of location or address.
GRANTING OR DENYING A LICENSE
HTMLPDF388-76-10115Granting or denying a licenseGenerally.
HTMLPDF388-76-10120LicenseMust be denied.
HTMLPDF388-76-10125LicenseMay be denied.
QUALIFICATIONS OF INDIVIDUALS PROVIDING CARE AND SERVICES
HTMLPDF388-76-10129QualificationsAdult family home personnel.
HTMLPDF388-76-10130QualificationsProvider, entity representative, and resident manager.
HTMLPDF388-76-10135QualificationsCaregiver.
HTMLPDF388-76-10140QualificationsStudentsVolunteers.
HTMLPDF388-76-10145QualificationsLicensed nurse as provider, entity representative, or resident manager.
HTMLPDF388-76-10146QualificationsTraining and home care aide certification.
HTMLPDF388-76-10150QualificationsAssessor.
CRIMINAL HISTORY BACKGROUND CHECK
HTMLPDF388-76-10160Background checksGeneral.
HTMLPDF388-76-10161Background checksWho is required to have.
HTMLPDF388-76-10163Background checksProcessBackground authorization form.
HTMLPDF388-76-101631Background checksWashington state name and date of birth background check.
HTMLPDF388-76-101632Background checksNational fingerprint background check.
HTMLPDF388-76-10164Background checksResultsDuty to inform.
HTMLPDF388-76-10165Background checksWashington state name and date of birth background checkValid for two yearsNational fingerprint background checkValid indefinitely.
HTMLPDF388-76-10166Background checksHousehold members, noncaregiving and unpaid staffUnsupervised access.
HTMLPDF388-76-10170Background checkConfidentialityUse restrictedRetention.
HTMLPDF388-76-10174Background checkDisclosure of informationSharing of background information by health care facilities.
HTMLPDF388-76-10175Background checksEmploymentConditional hirePending results of Washington state name and date of birth background check.
HTMLPDF388-76-10176Background checksEmploymentProvisional hirePending results of national fingerprint background check.
HTMLPDF388-76-10180Background checkEmploymentDisqualifying information.
HTMLPDF388-76-10181Background checksEmploymentNondisqualifying information.
ADMINISTRATION GENERAL
HTMLPDF388-76-10191Liability insurance required.
HTMLPDF388-76-10192Liability insurance requiredCommercial general liability insurance or business liability insurance coverage.
HTMLPDF388-76-10193Liability insurance requiredProfessional liability insurance coverage.
HTMLPDF388-76-10195Adult family homeStaffGenerally.
HTMLPDF388-76-10198Adult family homePersonnel records.
HTMLPDF388-76-10200Adult family homeStaffAvailabilityContact information.
HTMLPDF388-76-10201Succession plan.
HTMLPDF388-76-10205Medicaid or state funded residents.
HTMLPDF388-76-10210Resident relocation due to closure.
HTMLPDF388-76-10215Resident fundsProtection, 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-determinationHealth care decision making.
HTMLPDF388-76-10250Medical emergenciesContacting emergency medical servicesRequired.
INFECTION CONTROL AND COMMUNICABLE DISEASE
HTMLPDF388-76-10255Infection control.
HTMLPDF388-76-10260Communicable diseasePreventing spread.
TUBERCULOSIS SCREENING
HTMLPDF388-76-10265TuberculosisTestingRequired.
HTMLPDF388-76-10270TuberculosisTesting methodRequired.
HTMLPDF388-76-10275TuberculosisNo testing.
HTMLPDF388-76-10280TuberculosisOne test.
HTMLPDF388-76-10285TuberculosisTwo step skin testing.
HTMLPDF388-76-10290TuberculosisPositive test result.
HTMLPDF388-76-10295TuberculosisNegative test result.
HTMLPDF388-76-10300TuberculosisDeclining a skin test.
HTMLPDF388-76-10305TuberculosisReporting required.
HTMLPDF388-76-10310TuberculosisTest records.
RESIDENT RECORDS
HTMLPDF388-76-10315Resident recordRequired.
HTMLPDF388-76-10320Resident recordContent.
HTMLPDF388-76-10325Resident recordLegal documentsIf available.
RESIDENT ASSESSMENT
HTMLPDF388-76-10330Resident assessment.
HTMLPDF388-76-10335Resident assessment topics.
HTMLPDF388-76-10340Preliminary service plan.
HTMLPDF388-76-10345AssessmentQualified assessorRequired.
HTMLPDF388-76-10350AssessmentUpdates required.
NEGOTIATED CARE PLAN
HTMLPDF388-76-10355Negotiated care plan.
HTMLPDF388-76-10360Negotiated care planTiming of developmentRequired.
HTMLPDF388-76-10365Negotiated care planImplementationRequired.
HTMLPDF388-76-10370Negotiated care planPersons involved in development.
HTMLPDF388-76-10375Negotiated care planSignaturesRequired.
HTMLPDF388-76-10380Negotiated care planTiming of reviews and revisions.
HTMLPDF388-76-10385Negotiated care planCopy to department case managerRequired.
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.
HTMLPDF388-76-10440MedicationAssessment—Identification of amount of assistance needed when taking medications.
HTMLPDF388-76-10445MedicationIndependentSelf-administration.
HTMLPDF388-76-10450MedicationSelf-administration with assistance.
HTMLPDF388-76-10455MedicationAdministration.
HTMLPDF388-76-10460MedicationNegotiated care plan.
HTMLPDF388-76-10463MedicationPsychopharmacologic.
HTMLPDF388-76-10465MedicationAlteringRequirements.
HTMLPDF388-76-10470MedicationTiming—Special directions.
HTMLPDF388-76-10475MedicationLog.
HTMLPDF388-76-10480Medication organizers.
HTMLPDF388-76-10485Medication storage.
HTMLPDF388-76-10490Medication disposalWritten policyRequired.
SPECIALTY CARE
HTMLPDF388-76-10495Specialty careDesignations.
HTMLPDF388-76-10500Granting specialty care designationRequirements.
HTMLPDF388-76-10505Specialty careAdmitting and retaining residents.
RESIDENT RIGHTS
HTMLPDF388-76-10510Resident rightsBasic rights.
HTMLPDF388-76-10515Resident rightsExercise of rights.
HTMLPDF388-76-10522Resident rightsNoticePolicy on accepting medicaid as a payment source.
HTMLPDF388-76-10525Resident rightsPostings.
HTMLPDF388-76-10530Resident rights—Notice of rights and services.
HTMLPDF388-76-10532Resident rightsDepartment standardized disclosure forms.
HTMLPDF388-76-10535Resident rightsNotice of change to services.
HTMLPDF388-76-10540Resident rightsDisclosure of chargesNotice requirementsDeposits.
HTMLPDF388-76-10545Resident rightsAdmitting and keeping residents.
HTMLPDF388-76-10550Resident rightsAdult family home staffingNotification required.
HTMLPDF388-76-10560Resident rightsAdult family home management of resident financial affairs.
HTMLPDF388-76-10561Resident rightsResident security deposit account.
HTMLPDF388-76-10570Resident rightsFinancial affairs related to resident death.
HTMLPDF388-76-10575Resident rightsPrivacy.
HTMLPDF388-76-10580Resident rightsGrievances.
HTMLPDF388-76-10584Resident rightsExamination of license.
HTMLPDF388-76-10585Resident rightsExamination of inspection results.
HTMLPDF388-76-10590Resident rightsContact with client advocates.
HTMLPDF388-76-10595Resident rightsAdvocacy access and visitation rights.
HTMLPDF388-76-10600Resident rightsMail and telephone privacy.
HTMLPDF388-76-10605Resident rightsPersonal property and storage space.
HTMLPDF388-76-10610Resident rightsWaiver of liability.
HTMLPDF388-76-10615Resident rightsTransfer and discharge.
HTMLPDF388-76-10616Resident rightsTransfer and discharge notice.
QUALITY OF LIFE
HTMLPDF388-76-10620Resident rightsQuality of lifeGeneral.
HTMLPDF388-76-10625Resident rightsQuality of lifeMeetings.
HTMLPDF388-76-10630Resident rightsQuality of lifeAdult family home response to issues.
HTMLPDF388-76-10635Resident rightsQuality of lifeWork.
HTMLPDF388-76-10640Resident rightsQuality of lifeResident participation.
HTMLPDF388-76-10645Resident rightsQuality of lifeReasonable 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 reportingMandated reporting to departmentRequired.
HTMLPDF388-76-10675Adult family home rules and policies related to abuseRequired.
HTMLPDF388-76-10680Staff behavior related to abuse.
PHYSICAL PLANT BASIC REQUIREMENTS
HTMLPDF388-76-10685Bedrooms.
HTMLPDF388-76-10690Bedroom usable floor spaceIn adult family homes after the effective date of this chapter.
HTMLPDF388-76-10695Building codesStructural requirements.
HTMLPDF388-76-10700Building officialInspection and approval.
HTMLPDF388-76-10705Common use areas.
HTMLPDF388-76-10710Construction and remodelingRelocation of residents.
HTMLPDF388-76-10715DoorsAbility to open.
HTMLPDF388-76-10720Electronic monitoring equipmentAudio monitoring and video monitoring.
HTMLPDF388-76-10725Electronic monitoring equipmentResident 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 waterResident safety.
HTMLPDF388-76-10784Water hazardsFences, 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 requiredCompliance with building code and fire protection.
HTMLPDF388-76-10825Space heaters, fireplaces, and stoves.
DISASTER AND EMERGENCY PREPAREDNESS
HTMLPDF388-76-10830Emergency and disaster planRequired.
HTMLPDF388-76-10840Emergency food supply.
HTMLPDF388-76-10845Emergency drinking water supply.
HTMLPDF388-76-10850Emergency medical supplies.
HTMLPDF388-76-10855Emergency and disaster plan trainingRequired.
FIRE DRILL PLAN FOR EMERGENCY EVACUATION
HTMLPDF388-76-10860Fire drill plan and procedures for emergency evacuationRequired.
HTMLPDF388-76-10865Resident evacuation from adult family home.
HTMLPDF388-76-10870Resident evacuation capability levelsIdentification required.
HTMLPDF388-76-10885Elements of emergency evacuation floor plan.
HTMLPDF388-76-10890Posting the emergency evacuation floor planRequired.
HTMLPDF388-76-10895Emergency evacuation drillsFrequency and participation.
HTMLPDF388-76-10900Documentation of emergency evacuation drillsRequired.
HTMLPDF388-76-10905Emergency evacuationNotification of department required.
INSPECTIONS—COMPLAINT INVESTIGATIONS—MONITORING VISITS
HTMLPDF388-76-10910InspectionsComplaint investigationsMonitoring visitsGeneral.
HTMLPDF388-76-10911InspectionsMultiple adult family home providers.
HTMLPDF388-76-10915Department staff accessWillful interference prohibited.
HTMLPDF388-76-10920Inspection and investigation reportsProvided 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 advocacyLong-term care ombudsmanOfficial dutiesPenalty for interference.
REMEDIES
HTMLPDF388-76-10940RemediesGenerally.
HTMLPDF388-76-10945RemediesImposition of remedies.
HTMLPDF388-76-10950RemediesHistory and actions by individuals.
HTMLPDF388-76-10955RemediesDepartment must impose remedies.
HTMLPDF388-76-10960RemediesDepartment may impose remedies.
HTMLPDF388-76-10965RemediesSpecificDenial of application for license.
HTMLPDF388-76-10970RemediesSpecificCondition(s) on license.
HTMLPDF388-76-10975RemediesSpecificCivil penalties.
HTMLPDF388-76-10976RemediesCivil fine grid.
HTMLPDF388-76-10980RemediesSpecificStop placementAdmissions prohibited.
HTMLPDF388-76-10985RemediesMay 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 agreementsGeneral.
HTMLPDF388-76-11055Management agreementsAdult family home.
HTMLPDF388-76-11060Terms of the management agreement.
HTMLPDF388-76-11065Management agreementsDepartment review.
HTMLPDF388-76-11070Management agreementsResident funds.
NOTICE
HTMLPDF388-76-11080NoticeService complete.
HTMLPDF388-76-11085NoticeProof of service.
Site Contents
Selected content listed in alphabetical order under each group