Effective Date of Rule: Thirty-one days after filing.

     Purpose: The department is amending sections to these rules as a result of legislative activity during session and to be consistent with newly passed state laws: SSB 5042 Vulnerable adults protection, ESHB 1277 Oversight of licensed or certified long-term care settings for vulnerable adults, ESHB 1548 Long-term care worker requirements superseded by Initiative 1163, and 2E2SHB 1738 Changing the designation of the medicaid state agency.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-78A-2130, 388-78A-2474, 388-78A-2750, 388-78A-2780, 388-78A-2800, and 388-78A-3230.

     Statutory Authority for Adoption: Chapter 18.20 RCW.

      Adopted under notice filed as WSR 11-17-134 on August 24, 2011.

     Changes Other than Editing from Proposed to Adopted Version: [No information supplied by agency.]

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 6, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 6, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 6, Repealed 0.

     Date Adopted: December 5, 2011.

Katherine I. Vasquez

Rules Coordinator

     (1) Develop an initial resident service plan, based upon discussions with the resident and the resident's representative if the resident has one, and the preadmission assessment of a qualified assessor, upon admitting a resident into a boarding home. The boarding home must ensure the initial resident service plan:

     (a) Integrates the assessment information provided by the department's case manager for each resident whose care is partially or wholly funded by the department or the health care authority;

     (b) Identifies the resident's immediate needs; and

     (c) Provides direction to staff and caregivers relating to the resident's immediate needs, capabilities, and preferences.

     (2) Complete the negotiated service agreement for each resident using the resident's preadmission assessment, initial resident service plan, and full assessment information, within thirty days of the resident moving in;

     (3) Review and update each resident's negotiated service agreement consistent with WAC 388-78A-2120:

     (a) Within a reasonable time consistent with the needs of the resident following any change in the resident's physical, mental, or emotional functioning; and

     (b) Whenever the negotiated service agreement no longer adequately addresses the resident's current assessed needs and preferences.

     (4) Review and update each resident's negotiated service agreement as necessary following an annual full assessment;

     (5) Involve the following persons in the process of developing and updating a negotiated service agreement:

     (a) The resident;

     (b) The resident's representative to the extent he or she is willing and capable, if the resident has one;

     (c) Other individuals the resident wants included;

     (d) The department's case manager, if the resident is a recipient of medicaid assistance, or any private case manager, if available; and

     (e) Staff designated by the boarding home.

     (6) Ensure:

     (a) Individuals participating in developing the resident's negotiated service agreement:

     (i) Discuss the resident's assessed needs, capabilities, and preferences; and

     (ii) Negotiate and agree upon the care and services to be provided to support the resident; and

     (b) Staff persons document in the resident's record the agreed upon plan for services.

[Statutory Authority: RCW 18.20.090 (2004 c 142 § 19) and chapter 18.20 RCW. 04-16-065, § 388-78A-2130, filed 7/30/04, effective 9/1/04.]

     (2) The boarding home must ensure all boarding home administrators, or their designees, and caregivers hired on or after ((January 1, 2011)) January 7, 2012 meet the long-term care worker training requirements of chapter 388-112 WAC, including but not limited to:

     (a) Orientation and safety;

     (b) Basic;

     (c) Specialty for dementia, mental illness and/or developmental disabilities when serving residents with any of those primary special needs;

     (d) Cardiopulmonary resuscitation and first aid; and

     (e) Continuing education.

     (3) The boarding home must ensure that all staff receive appropriate training and orientation for their specific duties and responsibilities.

     (4) The boarding home must ensure all persons listed in subsection (2) of this section, obtain the home-care aide certification if required by chapter 246-980 WAC.

     (((4))) (5) Under RCW 18.88B.040 and chapter 246-980 WAC, certain persons including registered nurses, licensed practical nurses, certified nursing assistants, or persons who are in an approved certified nursing assistant program are exempt from long-term care worker training requirements. Continuing education requirements still apply as outlined in chapter 388-112 WAC.

     (((5))) (6) For the purpose of this section, the term "caregiver" has the same meaning as the term "long-term care worker" as defined in RCW 74.39A.009.

[Statutory Authority: Chapters 18.20 and 74.39A RCW. 10-16-085, § 388-78A-2474, filed 7/30/10, effective 1/1/11.]

     (1) Submit to the department a complete license application on forms designated by the department at least ninety days prior to the proposed effective date of the license;

     (2) Submit all relevant attachments specified in the application;

     (3) Submit department background authorization forms as required in WAC 388-78A-2462 and 388-78A-2463;

     (4) Sign the application;

     (5) Submit the license fee as specified in WAC 388-78A-3230;

     (6) Submit verification that construction plans have been approved by construction review services;

     (7) Submit a revised application before the license is issued if any information has changed since the initial license application was submitted;

     (8) Submit a revised application containing current information about the proposed licensee or any other persons named in the application, if a license application is pending for more than one year; and

     (9) If the licensee's agent prepares an application on the licensee's behalf, the licensee must review, sign and attest to the accuracy of the information contained in the application.

     (10) A license must be issued only to the person who applied for the license.

     (11) A license may not exceed twelve months in duration and expires on a date set by the department.

[Statutory Authority: Chapters 18.20 and 74.39A RCW. 10-16-085, § 388-78A-2750, filed 7/30/10, effective 1/1/11. Statutory Authority: RCW 18.20.090 (2004 c 142 § 19) and chapter 18.20 RCW. 04-16-065, § 388-78A-2750, filed 7/30/04, effective 9/1/04.]

     (a) The department; and

     (b) All residents, or resident representatives (if any).

     (2) The licensee must include the following information in the written notice:

     (a) Name of the present licensee and prospective licensee;

     (b) Name and address of the boarding home for which the licensee is being changed;

     (c) Date of proposed change; and

     (d) If the boarding home contracts with the department, health care authority or other public agencies that may make payments for residential care on behalf of residents, the anticipated effect, such as discharge from the boarding home, the change of licensee will have on residents whose care and services are supported through these contracts.

[Statutory Authority: Chapter 18.20 RCW. 09-06-063, § 388-78A-2780, filed 3/2/09, effective 4/2/09. Statutory Authority: RCW 18.20.090 (2004 c 142 § 19) and chapter 18.20 RCW. 04-16-065, § 388-78A-2780, filed 7/30/04, effective 9/1/04.]

     (1) Submit a completed request for approval to the department at least one day before the intended change;

     (2) Submit the prorated fee ((required according to WAC 388-78A-3230)) for additional beds if applicable; and

     (3) Post an amended license obtained from the department, indicating the new bed capacity.

[Statutory Authority: RCW 18.20.090 (2004 c 142 § 19) and chapter 18.20 RCW. 04-16-065, § 388-78A-2800, filed 7/30/04, effective 9/1/04.]

     (1) Submit an annual per bed license fee ((of one hundred six dollars per bed of the licensed resident bed capacity as determined by and in accordance with RCW 18.20.050)) based on the licensed bed capacity and as established in the state's biennial omnibus appropriation act and any amendment or addition made to that act;

     (2) ((Submit an additional one hundred fifty dollars when billed by the department for:

     (a) A third on-site visit required by the boarding home's failure to adequately correct problems identified in a statement of deficiencies; and

     (b) A full out-of-sequence inspection resulting from information gathered during a complaint investigation.

     (3))) Submit an additional late fee in the amount of ten dollars per day from the license renewal date until the date of mailing the fee, as evidenced by the postmark; and

     (((4))) (3) Submit to construction review services a fee for the review of the construction documents per the review fee schedule that is based on the project cost.

[Statutory Authority: RCW 18.20.050 and 2010 c 37 § 206 (19)(a). 10-21-036, § 388-78A-3230, filed 10/12/10, effective 10/29/10. Statutory Authority: RCW 18.20.090 (2004 c 142 § 19) and chapter 18.20 RCW. 04-16-065, § 388-78A-3230, filed 7/30/04, effective 9/1/04.]

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