WSR 17-23-043
(Aging and Long-Term Support Administration)
[Filed November 8, 2017, 11:44 a.m.]
Subject of Possible Rule Making: The department is proposing to add new sections, repeal existing sections, and amend existing sections in chapter 388-76 WAC, Adult family home minimum licensing requirements, including WAC 388-76-10005 LicenseRequired, 388-76-10010 LicenseValid and not transferable, 388-76-10015 LicenseAdult family homeCompliance required, 388-76-10020 LicenseAbility to provide care and services, 388-76-10025 License annual fee, 388-76-10030 License capacity, 388-76-10035 License requirementsMultiple family home providers, 388-76-10036 License requirementsMultiple adult family home management, 388-76-10037 License requirementsMultiple adult family homesAdditional homes, 388-76-10040 License requirementsQualified person must live-in or be on-site, 388-76-10045 LicensingCertain state employees and employee household membersProhibited, 388-76-10050 LicenseRelinquishment, 388-76-10055 ApplicationGenerally, 388-76-10057 ApplicationGeneral qualifications, 388-76-10060 ApplicationDepartment orientation classRequired, 388-76-10063 ApplicationGeneral training requirements, 388-76-10064 Adult family home administrator training requirements, 388-76-10065 ApplicationRequired information, 388-76-10070 ApplicationFees required, 388-76-10073 ApplicationProcessing fees required, 388-76-10074 ApplicationWaiver of fees, 388-76-10075 ApplicationBecomes void, 388-76-10080 ApplicationCoprovider, 388-76-10085 ApplicationIndividual or coprovider, 388-76-10090 ApplicationEntity application, 388-76-10095 ApplicationIdentification of landlordRequired, 388-76-10100 ApplicationIdentification of landlordRequired, 388-76-10105 ApplicationChange of ownership, 388-76-10106 Change of ownershipNotice to department and residents, 388-76-10107 Priority processingChange of ownership and relocation, 388-76-10110 ApplicationChange of location or address, 388-76-10115 Granting or denying a licenseGenerally, 388-76-10120 LicenseMust be denied, 388-76-10125 LicenseMay be denied, 388-76-10129 QualificationsAdult family home personnel, 388-76-10130 QualificationsProvider, entity representative and resident manager, 388-76-10135 QualificationsCaregiver, 388-76-10140 QualificationsStudentsVolunteers, 388-76-10145 QualificationsLicensed nurse as provider, entity representative, or resident manager, 388-76-10146 QualificationsTraining and home care aide certification, 388-76-10150 QualificationsAssessor, 388-76-10191 Liability insurance required, 388-76-10192 Liability insurance requiredCommercial general liability insurance or business liability insurance coverage, 388-76-10193 Liability insurance requiredProfessional liability insurance coverage, 388-76-10195 Adult family homeStaffGenerally, 388-76-10198 Adult family homePersonnel records, 388-76-10200 Adult family homeStaffAvailabilityContact information, 388-76-10205 Medicaid or state funded residents, 388-76-10210 Resident relocation due to closure, 388-76-10215 Resident fundsProtection, liquidation or transfer, 388-76-10220 Incident log, 388-76-10225 Reporting requirement, 388-76-10230 Pets, 388-76-10235 Guardianship, 388-76-10240 Durable power of attorney for health care or financial decisions, 388-76-10245 Resident self-determinationHealth care decision making, 388-76-10250 Medical emergenciesContacting emergency medical servicesRequired, 388-76-10255 Infection control, 388-76-10260 Communicable diseasePreventing spread, 388-76-10315 Resident recordRequired, 388-76-10320 Resident recordContent, 388-76-10325 Resident recordLegal documentsIf available, 388-76-10330 Resident assessment, 388-76-10335 Resident assessment topics, 388-76-10340 Preliminary service plan, 388-76-10345 AssessmentQualified assessorRequired, 388-76-10350 AssessmentUpdates required, 388-76-10355 Negotiated care plan, 388-76-10360 Negotiated care planTiming of developmentRequired, 388-76-10365 Negotiated care planImplementationRequired, 388-76-10370 Negotiated care planPersons involved in development, 388-76-10375 Negotiated care planSignaturesRequired, 388-76-10380 Negotiated care planTiming of reviews and revisions, 388-76-10385 Negotiated care planCopy to department case managerRequired, 388-76-10390 Admission and continuation of services, 388-76-10395 Emergency admissions, 388-76-10400 Care and services, 388-76-10405 Nursing care, 388-76-10410 Laundry services, 388-76-10415 Food services, 388-76-10420 Meals and snacks, 388-76-10425 Offsite food preparation, 388-76-10430 Medication system, 388-76-10435 Medication refusal, 388-76-10440 MedicationAssessmentIdentification of amount of assistance needed when taking medications, 388-76-10445 MedicationIndependentSelf-administration, 388-76-10450 MedicationSelf-administration with assistance, 388-76-10455 MedicationAdministration, 388-76-10460 MedicationNegotiated care plan, 388-76-10463 MedicationPsychopharmacologic, 388-76-10465 MedicationAlteringRequirements, 388-76-10470 MedicationTimingSpecial directions, 388-76-10475 MedicationLog, 388-76-10480 Medication organizers, 388-76-10485 Medication storage, 388-76-10490 Medication disposalWritten policyRequired, 388-76-10495 Specialty careDesignations, 388-76-10500 Granting specialty care designationRequirements, 388-76-10505 Specialty careAdmitting and retaining residents, and other related rules as may be required.
Statutes Authorizing the Agency to Adopt Rules on this Subject: Chapter 70.128 RCW.
Reasons Why Rules on this Subject may be Needed and What They Might Accomplish: The department has worked collaboratively with external and internal stakeholders to plan revisions to chapter 388-76 WAC in order to protect the health and safety of residents in adult family homes, clarify rule language as requested by adult family home business owners, department staff, and those affiliated with adult family homes, as well as to update rule language to reflect current issues identified by adult family home business owners, individuals affiliated with the adult family home business, and department staff.
Process for Developing New Rule: DSHS welcomes the public to take part in developing the rules. Anyone interested should contact the staff person identified below. At a later date, DSHS will file a proposal with the office of the code reviser with a notice of proposed rule making. A copy of the proposal will be sent to everyone on the mailing list and to anyone who requests a copy.
Interested parties can participate in the decision to adopt the new rule and formulation of the proposed rule before publication by contacting Sherise Baltazar, Adult Family Home Policy Program Manager, P.O. Box 45600, Olympia, WA 98504, phone 360-725-3204, fax 360-438-7903, email, web site
November 8, 2017
Katherine I. Vasquez
Rules Coordinator