Washington Administrative Code
2021 Archive

Chapter 246-335 WAC
Last Update: 2/25/21

IN-HOME SERVICES AGENCIES
(Formerly chapters 246-327, 246-331 and 246-336 WAC)
PDF of Chapter Digest
WAC Sections
PARTS 1 THROUGH 4
REQUIREMENTS FOR IN-HOME SERVICES AGENCIES LICENSED TO PROVIDE HOME CARE, HOME HEALTH, AND HOSPICE SERVICES
Part 1 – General Requirements Applicable to All Service Categories
246-335-300Scope and purpose.
246-335-305Applicability.
246-335-310Definitions—General.
246-335-315License required.
246-335-320Initial application.
246-335-325License renewal.
246-335-330Change of ownership.
246-335-335Applicant or licensee responsibilities.
246-335-340Survey and investigation.
246-335-345Statement of deficiencies, plan of correction, and enforcement action.
246-335-350Substantial equivalency to the state survey requirement.
246-335-355Exemptions and alternative methods.
Part 2 - Requirements Specific to Home Care Agency Services
246-335-405Applicability.
246-335-410Definitions—Home care.
246-335-415Plan of operation.
246-335-420Delivery of services.
246-335-425Personnel, contractor, and volunteer policies.
246-335-430Personnel, contractor, and volunteer records.
246-335-435Bill of rights.
246-335-440Home care plan of care.
246-335-445Supervision of home care services.
246-335-450Client records.
246-335-455Quality improvement program.
Part 3 - Requirements Specific to Home Health Agency Services
246-335-505Applicability.
246-335-510Definitions—Home health.
246-335-515Plan of operation.
246-335-520Delivery of services.
246-335-525Personnel, contractor, and volunteer policies.
246-335-530Personnel, contractor, and volunteer records.
246-335-535Bill of rights.
246-335-540Home health plan of care.
246-335-545Supervision of home health services.
246-335-550Patient records.
246-335-555Quality improvement program.
246-335-560Home medical supplies and equipment.
Part 4 - Requirements Specific to Hospice Agency Services
246-335-605Applicability.
246-335-610Definitions—Hospice.
246-335-615Plan of operation.
246-335-620Delivery of services.
246-335-625Personnel, contractor, and volunteer policies.
246-335-630Personnel, contractor, and volunteer records.
246-335-635Bill of rights.
246-335-640Hospice plan of care.
246-335-645Supervision of hospice services.
246-335-650Patient records.
246-335-655Quality improvement program.
246-335-660Home medical supplies and equipment.
PARTS 5 THROUGH 12
REQUIREMENTS FOR THE LICENSING, OPERATION, AND CONSTRUCTION OF HOSPICE CARE CENTERS
Part 5 – Requirements Specific to Licensing and Operation of Hospice Care Centers
246-335-705Applicability.
246-335-710Definitions.
246-335-712License required.
246-335-714General licensing requirements.
246-335-716Nutritional services.
246-335-718Infection control.
246-335-720Emergency preparedness.
246-335-722Pharmaceutical services.
246-335-724Exemptions and alternative methods.
Part 6 – Physical Environment Requirements
246-335-726Applicability.
246-335-728Construction and design codes.
246-335-730Design, construction review and approval of plans.
246-335-732Site and site development.
Part 7 – General Design Requirements
246-335-734General requirements.
246-335-736Furnishings.
246-335-738Pharmaceutical services area.
246-335-740Food preparation.
246-335-742Linen handling facilities.
246-335-744Laundry facilities.
246-335-746Utility rooms.
Part 8 – Specific Design Requirements
246-335-748Plumbing.
246-335-750Medical gases.
246-335-752Heating, ventilating and air conditioning.
246-335-754Electrical and communication systems.
Part 9 – Patient Areas
246-335-756Patient rooms.
246-335-758Patient toilets and bathing facilities.
Part 10 – Family, Personnel, Volunteer, Contractor, and Public Areas
246-335-760Family, personnel, volunteer, contractor, and public areas.
Part 11 – Facility Support
246-335-762Environmental services facilities.
246-335-764Maintenance facilities.
246-335-766Receiving, storage and distribution facilities.
Part 12 – Exemptions and Alternative Methods
246-335-768Exemptions and alternative methods.
Part 13 - Fees
246-335-990Fees.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
246-335-001Scope and purpose. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-001, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-010Applicability. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-010, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-015Definitions. [Statutory Authority: 2013 c 19 and RCW 70.127.120. WSR 15-09-108, § 246-335-015, filed 4/20/15, effective 5/21/15. Statutory Authority: Chapter 70.127 RCW. WSR 04-01-197, § 246-335-015, filed 12/24/03, effective 1/24/04; WSR 02-18-026, § 246-335-015, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-020License required. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-020, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-025Initial application. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-025, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-030Renewal. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-030, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-035Change of ownership. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-035, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-040Applicant or licensee rights and responsibilities. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-040, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-045Department responsibilities. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-045, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-050Deemed status. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-050, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-055Plan of operation. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-055, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-060Delivery of services. [Statutory Authority: Chapter 70.127 RCW. WSR 04-01-197, § 246-335-060, filed 12/24/03, effective 1/24/04; WSR 02-18-026, § 246-335-060, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-065Personnel, contractor, and volunteer policies. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-065, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-070Personnel, contractor and volunteer records. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-070, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-075Bill of rights. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-075, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-080Home health plan of care. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-080, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-085Hospice plan of care. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-085, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-090Home care plan of care. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-090, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-095Supervision of home health care. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-095, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-100Supervision of hospice care. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-100, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-105Supervision of home care. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-105, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-110Patient/client records. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-110, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-115Quality improvement. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-115, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-120Home medical supplies and equipment. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-120, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-125Exemptions and alternative methods. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-125, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-130Applicability. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-130, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-135Definitions. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-135, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-140License required. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-140, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-145Initial application. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-145, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-150Renewal. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-150, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-155Other general hospice care center licensing requirements. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-155, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-160Nutritional services. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-160, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-165Infection control. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-165, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-170Emergency preparedness. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-170, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-175Pharmaceutical services. [Statutory Authority: 2013 c 19 and RCW 70.127.120. WSR 15-09-108, § 246-335-175, filed 4/20/15, effective 5/21/15. Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-175, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-180Applicability. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-180, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-185Application and approval. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-185, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-190Construction and design codes. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-190, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-195Construction documents. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-195, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-200Site and site development. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-200, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-205General requirements. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-205, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-210Furnishings. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-210, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-220Pharmaceutical services area. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-220, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-225Food preparation. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-225, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-230Linen handling facilities. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-230, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-235Laundry facilities. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-235, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-240Utility rooms. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-240, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-245Plumbing. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-245, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-250Medical gases. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-250, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-255Heating, ventilating and air conditioning. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-255, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-260Electrical service and distribution. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-260, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-265Patient rooms. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-265, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-270Patient toilets and bathing facilities. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-270, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-275Family, personnel, volunteer, contractor, and public areas. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-275, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-280Environmental services facilities. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-280, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-285Maintenance facilities. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-285, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-290Receiving, storage and distribution facilities. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-290, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.
246-335-295Exemptions and alternative methods. [Statutory Authority: Chapter 70.127 RCW. WSR 02-18-026, § 246-335-295, filed 8/23/02, effective 10/1/02.] Repealed by WSR 18-06-093, filed 3/6/18, effective 4/6/18. Statutory Authority: RCW 70.127.120 and 43.70.250.