(1) When a certified domestic violence intervention treatment program relocates to another address, the department requires the program to submit a completed change of address form found online at https://www.dshs.wa.gov/ca/domestic-violence/certification-processor requested by mail from:

Domestic violence intervention

treatment program manager

Department of social and

health services (DSHS)

P.O. Box 45710

Olympia, Washington 98504-5710

(2) The program must provide the department with:

(a) The effective date and physical address of the program's new location;

(b) Notification of any changes to direct service staff members or supervisor(s), who must receive department approval before providing any direct client services;

(c) A statement regarding the management of all participant and victim records in accordance with applicable state and federal laws; and

(d) An attestation that the new location complies with facility requirements under WAC 388-60A-0125.

(3) The program must receive a certification for the new location's address before providing any assessments or any level of domestic violence intervention treatment service at that address.

(a) An exception may be granted at the discretion of the department if the program had to move suddenly due to an emergency or danger in the previous facility; and

(b) The department may conduct an on-site review prior to approving or issuing a new certificate for the new location.

PDFWAC 388-60B-0140

Change of address—What must be sent to the department when a program changes the physical location of where they provide assessments or groups?