Chapter 246-320 WAC

Last Update: 12/20/22

HOSPITAL LICENSING REGULATIONS

WAC Sections

HTMLPDF246-320-001Purpose and applicability of chapter.
HTMLPDF246-320-010Definitions.
HTMLPDF246-320-011Department responsibilities—Licensing—Adjudicative proceeding.
HTMLPDF246-320-013Department responsibilities—Enforcement.
HTMLPDF246-320-016Department responsibilities—On-site survey and complaint investigation.
HTMLPDF246-320-021Department responsibilities—General.
HTMLPDF246-320-026Department role—Exemptions, interpretations, alternative methods.
HTMLPDF246-320-031Criminal history, disclosure, and background inquiries—Department responsibility.
HTMLPDF246-320-036Department responsibility, refund initial license fee.
LICENSING
HTMLPDF246-320-101Application for license—Annual update of hospital information—License renewal—Right to contest a license decision.
HTMLPDF246-320-106Application for license, specialty hospital—Annual update of hospital information—License renewal—Right to contest a license decision.
HTMLPDF246-320-111Hospital responsibilities.
HTMLPDF246-320-116Specialty hospital responsibilities.
HTMLPDF246-320-121Requests for exemptions, interpretations, alternative methods.
HTMLPDF246-320-126Criminal history, disclosure, and background inquiries—Hospital responsibility.
HTMLPDF246-320-131Governance.
HTMLPDF246-320-136Leadership.
HTMLPDF246-320-141Patient rights and organizational ethics.
HTMLPDF246-320-146Adverse health events reporting requirements.
HTMLPDF246-320-151Reportable operational or maintenance events.
HTMLPDF246-320-156Management of human resources.
HTMLPDF246-320-161Medical staff.
HTMLPDF246-320-166Management of information.
HTMLPDF246-320-171Improving organizational performance.
HTMLPDF246-320-176Infection control program.
HTMLPDF246-320-199Fees.
PATIENT CARE
HTMLPDF246-320-201Food and nutrition services.
HTMLPDF246-320-206Linen and laundry services.
HTMLPDF246-320-211Pharmaceutical services.
HTMLPDF246-320-216Laboratory, imaging, and other diagnostic, treatment or therapeutic services.
HTMLPDF246-320-221Safe patient handling.
HTMLPDF246-320-226Patient care services.
HTMLPDF246-320-231Patient care unit or area.
HTMLPDF246-320-236Surgical services.
HTMLPDF246-320-241Anesthesia services.
HTMLPDF246-320-246Recovery care.
HTMLPDF246-320-251Obstetrical services.
HTMLPDF246-320-256Neonatal and pediatric services.
HTMLPDF246-320-261Critical or intensive care services.
HTMLPDF246-320-266Alcohol and chemical dependency services.
HTMLPDF246-320-271Psychiatric services.
HTMLPDF246-320-276Long-term care services.
HTMLPDF246-320-281Emergency services.
HTMLPDF246-320-286Emergency contraception.
HTMLPDF246-320-291Dialysis services.
HTMLPDF246-320-296Management of environment for care.
HTMLPDF246-320-500Applicability of WAC 246-320-500 through 246-320-600.
HTMLPDF246-320-505Design, construction review, and approval of plans.
HTMLPDF246-320-600Washington state amendments.
DISPOSITION OF SECTIONS FORMERLY CODIFIED IN THIS TITLE
246-320-025On-site licensing survey. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-025, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-045Application for license—License expiration dates—Notice of decision—Adjudicative proceeding. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-045, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-065Exemptions, alternative methods, and interpretations. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-065, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-085Single license to cover two or more buildings—When permissible. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-085, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-105Criminal history, disclosure, and background inquiries. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-105, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-125Governance. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-125, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-145Leadership. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-145, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-165Management of human resources. [Statutory Authority: Chapter 70.41 RCW. WSR 08-14-023, § 246-320-165, filed 6/20/08, effective 7/21/08. Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-165, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-185Medical staff. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-185, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-205Management of information. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-205, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-225Improving organizational performance. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-225, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-245Patient rights and organizational ethics. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-245, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-265Infection control program. [Statutory Authority: Chapter 70.41 RCW. WSR 08-14-023, § 246-320-265, filed 6/20/08, effective 7/21/08. Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-265, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-285Pharmacy services. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-285, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-305Food and nutrition services. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-305, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-325Laboratory, imaging, and other diagnostic, treatment or therapeutic services. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-325, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-345Inpatient care services. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-345, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-365Specialized patient care services. [Statutory Authority: Chapter 70.41 RCW. WSR 08-14-023, § 246-320-365, filed 6/20/08, effective 7/21/08. Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-365, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-370Emergency contraception. [Statutory Authority: RCW 70.41.350 and 70.41.030. WSR 04-11-057, § 246-320-370, filed 5/17/04, effective 6/17/04.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-385Outpatient care services. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-385, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-405Management of environment for care. [Statutory Authority: Chapter 70.41 RCW. WSR 08-14-023, § 246-320-405, filed 6/20/08, effective 7/21/08. Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-405, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-515Site and site development. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-515, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-525General design. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-525, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-535Support facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-535, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-545Maintenance, engineering, mechanical, and electrical facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-545, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-555Admitting, lobby, and medical records facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-555, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-565Receiving, storage, and distribution facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-565, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-575Central processing service facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-575, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-585Environmental services facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-585, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-595Laundry and/or linen handling facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-595, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-605Food and nutrition facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-605, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-615Pharmacy. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-615, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-625Laboratory and pathology facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-625, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-635Surgery facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-635, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-645Recovery/post anesthesia care unit (PACU). [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-645, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-655Obstetrical delivery facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-655, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-665Birthing/delivery rooms, labor, delivery, recovery (LDR) and labor, delivery, recovery, postpartum (LDRP). [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-665, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-675Interventional service facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-675, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-685Nursing unit. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-685, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-695Pediatric nursing unit. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-695, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-705Newborn nursery facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-705, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-715Intermediate care nursery and neonatal intensive care nursery. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-715, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-725Critical care facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-725, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-735Alcoholism and chemical dependency nursing unit. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-735, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-745Psychiatric facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-745, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-755Rehabilitation facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-755, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-765Long-term care and hospice unit. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-765, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-775Dialysis facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-775, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-785Imaging facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-785, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-795Nuclear medicine facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-795, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-805Emergency facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-805, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-815Outpatient care facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-815, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.
246-320-990Fees. [Statutory Authority: Chapter 70.41 RCW. WSR 08-14-023, § 246-320-990, filed 6/20/08, effective 7/21/08. Statutory Authority: RCW 43.70.250. WSR 07-17-174, § 246-320-990, filed 8/22/07, effective 9/22/07; WSR 05-18-073, § 246-320-990, filed 9/7/05, effective 10/8/05. Statutory Authority: RCW 43.70.250, 18.46.030, 43.70.110, 71.12.470. WSR 04-19-141, § 246-320-990, filed 9/22/04, effective 10/23/04. Statutory Authority: RCW 43.70.250 and 70.38.105(5). WSR 03-22-020, § 246-320-990, filed 10/27/03, effective 11/27/03. Statutory Authority: RCW 43.70.250. WSR 02-13-061, § 246-320-990, filed 6/14/02, effective 7/15/02. Statutory Authority: RCW 70.41.100, 43.20B.110, and 43.70.250. WSR 01-20-119, § 246-320-990, filed 10/3/01, effective 11/3/01; WSR 99-24-096, § 246-320-990, filed 11/30/99, effective 12/31/99. Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-990, filed 1/28/99, effective 3/10/99.] Repealed by WSR 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040.
246-320-99902Appendix B—Dates of documents adopted by reference in chapter 246-320 WAC. [Statutory Authority: RCW 70.41.030 and 43.70.040. WSR 99-04-052, § 246-320-99902, filed 1/28/99, effective 3/10/99.] Repealed by WSR 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.