(1) The companion home provider must document a client's refusal to participate in:

(a) Monthly evacuation drills under WAC 388-829C-320; and

(b) Health care support under WAC 388-829C-160.

(2) If a client refuses a service, the companion home provider must document:

(a) Events related to the client's refusal to participate in the service;

(b) That the client was informed of the benefits of the service and the possible risks of refusal;

(c) The service provider's efforts to provide or acquire the service for the client; and

(d) Any health or safety risks posed by the refusal.

(3) The companion home provider must give written notice to the client's case manager and legal representative, if the client has one, if the client's health and safety is adversely affected by their refusal to participate in a service.

(4) The companion home provider must:

(a) Review the refusal of service document with the client, or the client's legal representative if the client has one, at least every six months;

(b) Request that the client, or the client's legal representative if the client has one, sign and date the document after reviewing it; and

(c) Document the review in the quarterly report under WAC 388-829C-350.