Chapter 388-107 WAC

Last Update: 6/26/23

LICENSING REQUIREMENTS FOR ENHANCED SERVICES FACILITIES

WAC Sections

DEFINITIONS
HTMLPDF388-107-0001Definitions.
GENERAL
HTMLPDF388-107-0010Scope and purpose.
HTMLPDF388-107-0020Department authority.
ADMISSION AND ASSESSMENT
HTMLPDF388-107-0030Admission criteria.
HTMLPDF388-107-0040Preadmission assessment.
HTMLPDF388-107-0050Timing of preadmission assessment.
HTMLPDF388-107-0060Comprehensive assessment required.
HTMLPDF388-107-0070Comprehensive assessment.
HTMLPDF388-107-0080Ongoing comprehensive assessments.
HTMLPDF388-107-0081Ongoing comprehensive assessments—Requirements in effect from January 18, 2022, through June 8, 2023, in response to the state of emergency related to COVID-19.
HTMLPDF388-107-0090Qualified assessor.
INDIVIDUAL TREATMENT PLAN
HTMLPDF388-107-0100Person-centered service planning team.
HTMLPDF388-107-0110Initial person-centered service plan.
HTMLPDF388-107-0120Initial comprehensive person-centered service plan.
HTMLPDF388-107-0130Ongoing comprehensive person-centered service plan.
HTMLPDF388-107-0140Implementation of the person-centered service plan.
HTMLPDF388-107-0150Comprehensive person-centered service plan sent to the state.
HTMLPDF388-107-0160Behavioral support plan.
RESIDENT RIGHTS
HTMLPDF388-107-0170Resident dignity and accommodation of needs.
HTMLPDF388-107-0180Self-determination and participation rights.
HTMLPDF388-107-0190Rights of residents.
QUALITY OF CARE
HTMLPDF388-107-0200Quality of care.
HTMLPDF388-107-0210Care and services.
QUALITY IMPROVEMENT
HTMLPDF388-107-0220Quality improvement.
NURSING SERVICES AND STAFFING
HTMLPDF388-107-0230Sufficient staffing.
HTMLPDF388-107-0240Staffing levels.
HTMLPDF388-107-0250Staffing credentials and qualifications.
HTMLPDF388-107-0260Staffing for medically fragile residents.
HTMLPDF388-107-0270Providing care and services.
OPERATIONS
HTMLPDF388-107-0280Transfer and discharge.
SERVICE PROVIDED
HTMLPDF388-107-0290Activities.
HTMLPDF388-107-0300Admission and continuation of services.
HTMLPDF388-107-0310Medical and/or adaptive equipment.
HTMLPDF388-107-0320Medication services.
HTMLPDF388-107-0330Pharmacy services.
HTMLPDF388-107-0332Storing, securing, and accounting for medications.
HTMLPDF388-107-0334Resident controlled medications.
HTMLPDF388-107-0340Prescribed medication authorizations.
HTMLPDF388-107-0350Medication refusal.
HTMLPDF388-107-0360Medication refusal—Antipsychotics.
HTMLPDF388-107-0370Treatment services.
HTMLPDF388-107-0380Use of psychopharmacologic medications.
HTMLPDF388-107-0390Use of routine psychopharmacologic medications.
HTMLPDF388-107-0400Use of as needed psychopharmacologic medications.
HTMLPDF388-107-0410Management of escalating behaviors.
RESTRAINTS
HTMLPDF388-107-0420Physical restraints for medical purposes only.
FOOD SERVICES
HTMLPDF388-107-0430Food services.
INFECTION CONTROL
HTMLPDF388-107-0440Infection control system.
HTMLPDF388-107-0450Early identification and management of individuals with active tuberculosis (TB).
HTMLPDF388-107-0460Tuberculosis (TB)—Testing—Required.
HTMLPDF388-107-0465Tuberculosis (TB) testing method—Required.
HTMLPDF388-107-0470Tuberculosis—No testing.
HTMLPDF388-107-0480Tuberculosis (TB)—One test.
HTMLPDF388-107-0490Tuberculosis (TB)—Two-step skin testing.
HTMLPDF388-107-0500Tuberculosis (TB)—Positive test result.
HTMLPDF388-107-0510Tuberculosis (TB)—Negative test result.
HTMLPDF388-107-0520Tuberculosis (TB)—Declining a TB test.
HTMLPDF388-107-0530Tuberculosis (TB)—Reporting and follow-up—Required.
HTMLPDF388-107-0540Tuberculosis (TB)—Test records.
HTMLPDF388-107-0542Care of residents with tuberculosis (TB).
ADMINISTRATION
HTMLPDF388-107-0550Contracted basic services.
HTMLPDF388-107-0560Resident records—Clinical records.
HTMLPDF388-107-0570Resident records—System.
HTMLPDF388-107-0580Resident records—Maintenance and retention.
REPORTING REQUIREMENTS
HTMLPDF388-107-0590Reporting abuse and neglect.
HTMLPDF388-107-0600Reporting significant change in a resident's condition.
HTMLPDF388-107-0610Reporting fires and incidents.
HTMLPDF388-107-0620Retaliation or discrimination prohibited.
TRAINING REQUIREMENTS
HTMLPDF388-107-0630Training and home care aide certification requirements.
HTMLPDF388-107-0640Staff development trainings.
HTMLPDF388-107-0650Specialized training.
HTMLPDF388-107-0660Continuing education requirements for the home care aide certified staff.
HTMLPDF388-107-0670Continuing education requirements for nursing assistant certified staff.
HTMLPDF388-107-0680Quarterly staff education requirements.
HTMLPDF388-107-0690Facility-based trainers.
PHYSICAL PLAN BASIC REQUIREMENTS
HTMLPDF388-107-0700General.
HTMLPDF388-107-0710Conversion of a currently licensed facility to an enhanced services facility.
HTMLPDF388-107-0720Types of new construction.
HTMLPDF388-107-0730Applicable codes—New construction.
HTMLPDF388-107-0740Required review of building plans.
HTMLPDF388-107-0750Document submittal requirements.
HTMLPDF388-107-0760Functional program.
COMMON ELEMENTS
HTMLPDF388-107-0770Environment of care.
HTMLPDF388-107-0780Electronic monitoring equipment—Audio monitoring and video monitoring.
HTMLPDF388-107-0790Electronic monitoring equipment—Resident requested use.
HTMLPDF388-107-0800Equipment.
HTMLPDF388-107-0810Resident room.
HTMLPDF388-107-0820Resident toilet room.
HTMLPDF388-107-0830Resident bathing facilities.
HTMLPDF388-107-0840Locks in toilet and bathing facilities.
HTMLPDF388-107-0850Resident storage.
HTMLPDF388-107-0860Resident support spaces.
COMMON AREAS
HTMLPDF388-107-0870Common areas.
HTMLPDF388-107-0880Dining, dayrooms, and resident activity areas.
HTMLPDF388-107-0890Outdoor recreation space and walkways.
SUPPORT SERVICES
HTMLPDF388-107-0900Laundry.
HTMLPDF388-107-0910Janitors closets on resident care units.
HTMLPDF388-107-0920Kitchen.
HTMLPDF388-107-0922Sewage and liquid waste disposal.
HTMLPDF388-107-0924Garbage and refuse disposal.
BUILDING ELEMENTS
HTMLPDF388-107-0940Resident safety.
HTMLPDF388-107-0945Resident suicide and self-harm prevention.
HTMLPDF388-107-0950Safety—Handrails.
HTMLPDF388-107-0960Plumbing—Water supply.
HTMLPDF388-107-0970Sinks—Water temperature.
HTMLPDF388-107-0980Mechanical—Heating systems.
HTMLPDF388-107-0990Mechanical—Cooling systems.
HTMLPDF388-107-1000Mechanical—Ventilation systems.
HTMLPDF388-107-1001Lighting.
COMMUNICATION
HTMLPDF388-107-1005Call systems on resident care units.
HTMLPDF388-107-1010Telephone on resident care units.
ELECTRICAL - SPECIAL PROVISIONS
HTMLPDF388-107-1020General.
HTMLPDF388-107-1030Backup power.
LICENSING
HTMLPDF388-107-1040License and contract.
LICENSE REQUIRED/UNLICENSED OPERATOR
HTMLPDF388-107-1050Unlicensed operation—Application of Consumer Protection Act.
HTMLPDF388-107-1060Unlicensed operation—Criminal penalty.
HTMLPDF388-107-1070Unlicensed operation—Injunction or other remedies.
HTMLPDF388-107-1080Licensing fees.
HTMLPDF388-107-1090License valid and not transferable.
HTMLPDF388-107-1100Licensee's responsibilities.
HTMLPDF388-107-1110Liability insurance required.
HTMLPDF388-107-1120Liability insurance required—Commercial general liability insurance or business liability insurance—Coverage.
HTMLPDF388-107-1130Liability insurance required—Professional liability insurance coverage.
INITIAL LICENSE APPLICATION
HTMLPDF388-107-1140Licensee qualifications.
HTMLPDF388-107-1150Application process.
HTMLPDF388-107-1160Necessary information.
HTMLPDF388-107-1170Department access.
HTMLPDF388-107-1180Administrator qualifications—General.
HTMLPDF388-107-1190Administrator responsibilities.
HTMLPDF388-107-1200Notification of change in administrator.
CRIMINAL HISTORY BACKGROUND CHECK
HTMLPDF388-107-1205Background checks—General.
HTMLPDF388-107-1210Background checks—Who is required to have.
HTMLPDF388-107-1215Background checks—Process—Background authorization form.
HTMLPDF388-107-1220Background checks—Washington state name and date of birth background check.
HTMLPDF388-107-1230Background checks—National fingerprint background check.
HTMLPDF388-107-1240Background check—Results—Inform.
HTMLPDF388-107-1250Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely.
HTMLPDF388-107-1252Background check—Sharing by health care facilities.
HTMLPDF388-107-1260Background checks—Employment—Conditional hire—Pending results of Washington state name and date of birth background check.
HTMLPDF388-107-1270Background checks—Employment—Provisional hire—Pending results of national fingerprint background check.
HTMLPDF388-107-1280Background check—Disclosure statement.
HTMLPDF388-107-1290Background check—Employment-disqualifying information—Disqualifying negative actions.
HTMLPDF388-107-1300Background checks—Employment—Nondisqualifying information.
HTMLPDF388-107-1310Background check—Confidentiality—Use restricted—Retention.
ANNUAL RENEWAL OF LICENSE/CHANGE IN BED CAPACITY
HTMLPDF388-107-1320Annual renewal.
HTMLPDF388-107-1330Changes in licensed bed capacity.
CHANGE OF LICENSEE/OWNERSHIP
HTMLPDF388-107-1340Change in licensee/change of ownership—When change in licensee is required.
HTMLPDF388-107-1350Change in licensee/change of ownership—When change in licensee not required.
HTMLPDF388-107-1360Change in licensee/change of ownership—Application.
HTMLPDF388-107-1370Change in licensee/change of ownership—Revised application.
HTMLPDF388-107-1380Change in licensee/change of ownership—Notice to department and residents.
HTMLPDF388-107-1390Change in licensee/change of ownership—Relinquishment of license.
HTMLPDF388-107-1400Change in licensee/change of ownership—Ninety days' notice.
HTMLPDF388-107-1410Change in licensee/change of ownership—Sixty days' notice.
HTMLPDF388-107-1420Inspections.
HTMLPDF388-107-1421Inspection timelines
HTMLPDF388-107-1422Denial, suspension, revocation, or nonrenewal of license statutorily required.
HTMLPDF388-107-1430Enforcement authority—Penalties and sanctions.
HTMLPDF388-107-1432Circumstances that may result in enforcement remedies.
HTMLPDF388-107-1440Enforcement orders—Hearings.
GENERAL NOTICE REQUIREMENTS
HTMLPDF388-107-1560Notice—Service complete.
HTMLPDF388-107-1570Notice—Proof of service.
POLICIES
HTMLPDF388-107-1580Policies and procedures.
HTMLPDF388-107-1590Emergency response teams.
HTMLPDF388-107-1600Emergency disaster plan.
HTMLPDF388-107-1610Pets.
HTMLPDF388-107-1620Management agreements/subcontracting staff.
HTMLPDF388-107-1630Management agreements—Licensee.
HTMLPDF388-107-1640Management agreements—Terms of agreement.
HTMLPDF388-107-1650Management agreements—Department review.
HTMLPDF388-107-1660Management agreements—Resident funds.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
388-107-0930Nursing and nutrition station. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0930, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-14-078, filed 7/1/16, effective 8/1/16. Statutory Authority: RCW 70.97.230 and HCBS Final Rule 42 C.F.R.
388-107-1450Resident protection program definition. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1450, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.
388-107-1460Investigation of mandated reports. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1460, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.
388-107-1470Preliminary finding. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1470, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.
388-107-1480Notice to individual of preliminary findings. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1480, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.
388-107-1490Notice to others of preliminary findings. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1490, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.
388-107-1500Disputing a preliminary finding. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1500, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.
388-107-1510Hearing procedures to dispute preliminary finding. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1510, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.
388-107-1520Finalizing the preliminary finding. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1520, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.
388-107-1530Reporting final findings. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1530, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.
388-107-1540Appeal of administrative law judge's initial order or finding. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1540, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.
388-107-1550Disclosure of investigative and finding information. [Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1550, filed 9/12/14, effective 10/13/14.] Repealed by WSR 16-06-027, filed 2/22/16, effective 4/1/16. Statutory Authority: Chapter 71A.12 RCW.