Chapter 388-107. Licensing requirements for enhanced services facilities.  


Section 388-107-0001. Definitions.
Section 388-107-0010. Scope and purpose.
Section 388-107-0020. Department authority.
Section 388-107-0030. Admission criteria.
Section 388-107-0040. Preadmission assessment.
Section 388-107-0050. Timing of preadmission assessment.
Section 388-107-0060. Comprehensive assessment required.
Section 388-107-0070. Comprehensive assessment.
Section 388-107-0080. Ongoing comprehensive assessments.
Section 388-107-0090. Qualified assessor.
Section 388-107-0100. Person-centered service planning team.
Section 388-107-0110. Initial person-centered service plan.
Section 388-107-0120. Initial comprehensive person-centered service plan.
Section 388-107-0130. Ongoing comprehensive person-centered service plan.
Section 388-107-0140. Implementation of the person-centered service plan.
Section 388-107-0150. Comprehensive person-centered service plan sent to the state.
Section 388-107-0160. Behavioral support plan.
Section 388-107-0170. Resident dignity and accommodation of needs.
Section 388-107-0180. Self-determination and participation rights.
Section 388-107-0190. Rights of residents.
Section 388-107-0200. Quality of care.
Section 388-107-0210. Care and services.
Section 388-107-0220. Quality improvement.
Section 388-107-0230. Sufficient staffing.
Section 388-107-0240. Staffing levels.
Section 388-107-0250. Staffing credentials and qualifications.
Section 388-107-0260. Staffing for medically fragile residents.
Section 388-107-0270. Providing care and services.
Section 388-107-0280. Transfer and discharge.
Section 388-107-0290. Activities.
Section 388-107-0300. Admission and continuation of services.
Section 388-107-0310. Medical and/or adaptive equipment.
Section 388-107-0320. Medication services.
Section 388-107-0330. Pharmacy services.
Section 388-107-0332. Storing, securing, and accounting for medications.
Section 388-107-0334. Resident controlled medications.
Section 388-107-0340. Prescribed medication authorizations.
Section 388-107-0350. Medication refusal.
Section 388-107-0360. Medication refusal—Antipsychotics.
Section 388-107-0370. Treatment services.
Section 388-107-0380. Use of psychopharmacologic medications.
Section 388-107-0390. Use of routine psychopharmacologic medications.
Section 388-107-0400. Use of as needed psychopharmacologic medications.
Section 388-107-0410. Management of escalating behaviors.
Section 388-107-0420. Physical restraints for medical purposes only.
Section 388-107-0430. Food services.
Section 388-107-0440. Infection control system.
Section 388-107-0450. Early identification and management of individuals with active tuberculosis (TB).
Section 388-107-0460. Tuberculosis (TB)—Testing—Required.
Section 388-107-0465. Tuberculosis (TB) testing method—Required.
Section 388-107-0470. Tuberculosis—No testing.
Section 388-107-0480. Tuberculosis (TB)—One test.
Section 388-107-0490. Tuberculosis (TB)—Two-step skin testing.
Section 388-107-0500. Tuberculosis (TB)—Positive test result.
Section 388-107-0510. Tuberculosis (TB)—Negative test result.
Section 388-107-0520. Tuberculosis (TB)—Declining a TB test.
Section 388-107-0530. Tuberculosis (TB)—Reporting and follow-up—Required.
Section 388-107-0540. Tuberculosis (TB)—Test records.
Section 388-107-0542. Care of residents with tuberculosis (TB).
Section 388-107-0550. Contracted basic services.
Section 388-107-0560. Resident records—Clinical records.
Section 388-107-0570. Resident records—System.
Section 388-107-0580. Resident records—Maintenance and retention.
Section 388-107-0590. Reporting abuse and neglect.
Section 388-107-0600. Reporting significant change in a resident's condition.
Section 388-107-0610. Reporting fires and incidents.
Section 388-107-0620. Retaliation or discrimination prohibited.
Section 388-107-0630. Training and home care aide certification requirements.
Section 388-107-0640. Staff development trainings.
Section 388-107-0650. Specialized training.
Section 388-107-0660. Continuing education requirements for the home care aide certified staff.
Section 388-107-0670. Continuing education requirements for nursing assistant certified staff.
Section 388-107-0680. Quarterly staff education requirements.
Section 388-107-0690. Facility-based trainers.
Section 388-107-0700. General.
Section 388-107-0710. Conversion of a currently licensed facility to an enhanced services facility.
Section 388-107-0720. Types of new construction.
Section 388-107-0730. Applicable codes—New construction.
Section 388-107-0740. Required review of building plans.
Section 388-107-0750. Document submittal requirements.
Section 388-107-0760. Functional program.
Section 388-107-0770. Environment of care.
Section 388-107-0780. Electronic monitoring equipment—Audio monitoring and video monitoring.
Section 388-107-0790. Electronic monitoring equipment—Resident requested use.
Section 388-107-0800. Equipment.
Section 388-107-0810. Resident room.
Section 388-107-0820. Resident toilet room.
Section 388-107-0830. Resident bathing facilities.
Section 388-107-0840. Locks in toilet and bathing facilities.
Section 388-107-0850. Resident storage.
Section 388-107-0860. Resident support spaces.
Section 388-107-0870. Common areas.
Section 388-107-0880. Dining, dayrooms, and resident activity areas.
Section 388-107-0890. Outdoor recreation space and walkways.
Section 388-107-0900. Laundry.
Section 388-107-0910. Janitors closets on resident care units.
Section 388-107-0920. Kitchen.
Section 388-107-0922. Sewage and liquid waste disposal.
Section 388-107-0924. Garbage and refuse disposal.
Section 388-107-0940. Resident safety.
Section 388-107-0945. Resident suicide and self-harm prevention.
Section 388-107-0950. Safety—Handrails.
Section 388-107-0960. Plumbing—Water supply.
Section 388-107-0970. Sinks—Water temperature.
Section 388-107-0980. Mechanical—Heating systems.
Section 388-107-0990. Mechanical—Cooling systems.
Section 388-107-1000. Mechanical—Ventilation systems.
Section 388-107-1001. Lighting.
Section 388-107-1005. Call systems on resident care units.
Section 388-107-1010. Telephone on resident care units.
Section 388-107-1020. General.
Section 388-107-1030. Backup power.
Section 388-107-1040. License and contract.
Section 388-107-1050. Unlicensed operation—Application of Consumer Protection Act.
Section 388-107-1060. Unlicensed operation—Criminal penalty.
Section 388-107-1070. Unlicensed operation—Injunction or other remedies.
Section 388-107-1080. Licensing fees.
Section 388-107-1090. License valid and not transferable.
Section 388-107-1100. Licensee's responsibilities.
Section 388-107-1110. Liability insurance required.
Section 388-107-1120. Liability insurance required—Commercial general liability insurance or business liability insurance—Coverage.
Section 388-107-1130. Liability insurance required—Professional liability insurance coverage.
Section 388-107-1140. Licensee qualifications.
Section 388-107-1150. Application process.
Section 388-107-1160. Necessary information.
Section 388-107-1170. Department access.
Section 388-107-1180. Administrator qualifications—General.
Section 388-107-1190. Administrator responsibilities.
Section 388-107-1200. Notification of change in administrator.
Section 388-107-1205. Background checks—General.
Section 388-107-1210. Background checks—Who is required to have.
Section 388-107-1215. Background checks—Process—Background authorization form.
Section 388-107-1220. Background checks—Washington state name and date of birth background check.
Section 388-107-1230. Background checks—National fingerprint background check.
Section 388-107-1240. Background check—Results—Inform.
Section 388-107-1250. Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely.
Section 388-107-1252. Background check—Sharing by health care facilities.
Section 388-107-1260. Background checks—Employment—Conditional hire—Pending results of Washington state name and date of birth background check.
Section 388-107-1270. Background checks—Employment—Provisional hire—Pending results of national fingerprint background check.
Section 388-107-1280. Background check—Disclosure statement.
Section 388-107-1290. Background check—Employment-disqualifying information—Disqualifying negative actions.
Section 388-107-1300. Background checks—Employment—Nondisqualifying information.
Section 388-107-1310. Background check—Confidentiality—Use restricted—Retention.
Section 388-107-1320. Annual renewal.
Section 388-107-1330. Changes in licensed bed capacity.
Section 388-107-1340. Change in licensee/change of ownership—When change in licensee is required.
Section 388-107-1350. Change in licensee/change of ownership—When change in licensee not required.
Section 388-107-1360. Change in licensee/change of ownership—Application.
Section 388-107-1370. Change in licensee/change of ownership—Revised application.
Section 388-107-1380. Change in licensee/change of ownership—Notice to department and residents.
Section 388-107-1390. Change in licensee/change of ownership—Relinquishment of license.
Section 388-107-1400. Change in licensee/change of ownership—Ninety days' notice.
Section 388-107-1410. Change in licensee/change of ownership—Sixty days' notice.
Section 388-107-1420. Inspections.
Section 388-107-1422. Denial, suspension, revocation, or nonrenewal of license statutorily required.
Section 388-107-1430. Enforcement authority—Penalties and sanctions.
Section 388-107-1432. Circumstances that may result in enforcement remedies.
Section 388-107-1440. Enforcement orders—Hearings.
Section 388-107-1560. Notice—Service complete.
Section 388-107-1570. Notice—Proof of service.
Section 388-107-1580. Policies and procedures.
Section 388-107-1590. Emergency response teams.
Section 388-107-1600. Emergency disaster plan.
Section 388-107-1610. Pets.
Section 388-107-1620. Management agreements/subcontracting staff.
Section 388-107-1630. Management agreements—Licensee.
Section 388-107-1640. Management agreements—Terms of agreement.
Section 388-107-1650. Management agreements—Department review.
Section 388-107-1660. Management agreements—Resident funds.