Chapter 388-76. Adult family home minimum licensing requirements.  


Section 388-76-10000. Definitions.
Section 388-76-10002. Department authority.
Section 388-76-10003. Department access.
Section 388-76-10005. License—Required.
Section 388-76-10010. License—Valid and not transferable.
Section 388-76-10015. License—Adult family home—Compliance required.
Section 388-76-10020. License—Ability to provide care and services.
Section 388-76-10025. License annual fee.
Section 388-76-10030. License capacity.
Section 388-76-10035. License requirements—Multiple family home providers.
Section 388-76-10036. License requirements—Multiple adult family home management.
Section 388-76-10037. License requirements—Multiple adult family homes—Additional homes.
Section 388-76-10040. License requirements—Qualified person must live-in or be on-site.
Section 388-76-10045. Licensing—Certain state employees and employee household members—Prohibited.
Section 388-76-10050. License—Relinquishment.
Section 388-76-10055. Application—Generally.
Section 388-76-10057. Application—General qualifications.
Section 388-76-10060. Application—Department orientation class—Required.
Section 388-76-10063. Application—General training requirements.
Section 388-76-10064. Adult family home administrator training requirements.
Section 388-76-10065. Application—Required information.
Section 388-76-10070. Application—Fees required.
Section 388-76-10073. Application—Processing fees required.
Section 388-76-10074. Application—Waiver of fees.
Section 388-76-10075. Application—Becomes void.
Section 388-76-10080. Application—Coprovider.
Section 388-76-10085. Application—Individual or coprovider.
Section 388-76-10090. Application—Entity application.
Section 388-76-10095. Application—Identification of landlord—Required.
Section 388-76-10100. Application—Subject to review.
Section 388-76-10105. Application—Change of ownership.
Section 388-76-10106. Change of ownership—Notice to department and residents.
Section 388-76-10107. Priority processing—Change of ownership and relocation.
Section 388-76-10110. Application—Change of location or address.
Section 388-76-10115. Granting or denying a license—Generally.
Section 388-76-10120. License—Must be denied.
Section 388-76-10125. License—May be denied.
Section 388-76-10129. Qualifications—Adult family home personnel.
Section 388-76-10130. Qualifications—Provider, entity representative and resident manager.
Section 388-76-10135. Qualifications—Caregiver.
Section 388-76-10140. Qualifications—Students—Volunteers.
Section 388-76-10145. Qualifications—Licensed nurse as provider, entity representative, or resident manager.
Section 388-76-10146. Qualifications—Training and home care aide certification.
Section 388-76-10150. Qualifications—Assessor.
Section 388-76-10160. Background check—General.
Section 388-76-10161. Background checks—Who is required to have.
Section 388-76-10163. Background checks—Process—Background authorization form.
Section 388-76-101631. Background checks—Washington state name and date of birth background check.
Section 388-76-101632. Background checks—National fingerprint background check.
Section 388-76-10164. Background checks—Results—Duty to inform.
Section 388-76-10165. Background checks—Washington state name and date of birth background check—Valid for two years—National fingerprint background check—Valid indefinitely.
Section 388-76-10166. Background checks—Household members, noncaregiving and unpaid staff—Unsupervised access.
Section 388-76-10170. Background check—Confidentiality—Use restricted—Retention.
Section 388-76-10174. Background check—Disclosure of information—Sharing of background information by health care facilities.
Section 388-76-10175. Background checks—Employment—Conditional hire—Pending results of Washington state name and date of birth background check.
Section 388-76-10176. Background checks—Employment—Provisional hire—Pending results of national fingerprint background check.
Section 388-76-10180. Background check—Employment—Disqualifying information.
Section 388-76-10181. Background checks—Employment—Nondisqualifying information.
Section 388-76-10191. Liability insurance required.
Section 388-76-10192. Liability insurance required—Commercial general liability insurance or business liability insurance coverage.
Section 388-76-10193. Liability insurance required—Professional liability insurance coverage.
Section 388-76-10195. Adult family home—Staff—Generally.
Section 388-76-10198. Adult family home—Personnel records.
Section 388-76-10200. Adult family home—Staff—Availability—Contact information.
Section 388-76-10205. Medicaid or state funded residents.
Section 388-76-10210. Resident relocation due to closure.
Section 388-76-10215. Resident funds—Protection, liquidation or transfer.
Section 388-76-10220. Incident log.
Section 388-76-10225. Reporting requirement.
Section 388-76-10230. Pets.
Section 388-76-10235. Guardianship.
Section 388-76-10240. Durable power of attorney for health care or financial decisions.
Section 388-76-10245. Resident self-determination—Health care decision making.
Section 388-76-10250. Medical emergencies—Contacting emergency medical services—Required.
Section 388-76-10255. Infection control.
Section 388-76-10260. Communicable disease—Preventing spread.
Section 388-76-10265. Tuberculosis—Testing—Required.
Section 388-76-10270. Tuberculosis—Testing method—Required.
Section 388-76-10275. Tuberculosis—No testing.
Section 388-76-10280. Tuberculosis—One test.
Section 388-76-10285. Tuberculosis—Two step skin testing.
Section 388-76-10290. Tuberculosis—Positive test result.
Section 388-76-10295. Tuberculosis—Negative test result.
Section 388-76-10300. Tuberculosis—Declining a skin test.
Section 388-76-10305. Tuberculosis—Reporting required.
Section 388-76-10310. Tuberculosis—Test records.
Section 388-76-10315. Resident record—Required.
Section 388-76-10320. Resident record—Content.
Section 388-76-10325. Resident record—Legal documents—If available.
Section 388-76-10330. Resident assessment.
Section 388-76-10335. Resident assessment topics.
Section 388-76-10340. Preliminary service plan.
Section 388-76-10345. Assessment—Qualified assessor—Required.
Section 388-76-10350. Assessment—Updates required.
Section 388-76-10355. Negotiated care plan.
Section 388-76-10360. Negotiated care plan—Timing of development—Required.
Section 388-76-10365. Negotiated care plan—Implementation—Required.
Section 388-76-10370. Negotiated care plan—Persons involved in development.
Section 388-76-10375. Negotiated care plan—Signatures—Required.
Section 388-76-10380. Negotiated care plan—Timing of reviews and revisions.
Section 388-76-10385. Negotiated care plan—Copy to department case manager—Required.
Section 388-76-10390. Admission and continuation of services.
Section 388-76-10395. Emergency admissions.
Section 388-76-10400. Care and services.
Section 388-76-10405. Nursing care.
Section 388-76-10410. Laundry services.
Section 388-76-10415. Food services.
Section 388-76-10420. Meals and snacks.
Section 388-76-10425. Offsite food preparation.
Section 388-76-10430. Medication system.
Section 388-76-10435. Medication refusal.
Section 388-76-10440. Medication—Assessment—Identification of amount of assistance needed when taking medications.
Section 388-76-10445. Medication—Independent—Self-administration.
Section 388-76-10450. Medication—Self-administration with assistance.
Section 388-76-10455. Medication—Administration.
Section 388-76-10460. Medication—Negotiated care plan.
Section 388-76-10463. Medication—Psychopharmacologic.
Section 388-76-10465. Medication—Altering—Requirements.
Section 388-76-10470. Medication—Timing—Special directions.
Section 388-76-10475. Medication—Log.
Section 388-76-10480. Medication organizers.
Section 388-76-10485. Medication storage.
Section 388-76-10490. Medication disposal—Written policy—Required.
Section 388-76-10495. Specialty care—Designations.
Section 388-76-10500. Granting specialty care designation—Requirements.
Section 388-76-10505. Specialty care—Admitting and retaining residents.
Section 388-76-10510. Resident rights—Basic rights.
Section 388-76-10515. Resident rights—Exercise of rights.
Section 388-76-10520. Resident rights—General notice.
Section 388-76-10522. Resident rights—Notice—Policy on accepting medicaid as a payment source.
Section 388-76-10525. Resident rights—Description.
Section 388-76-10530. Resident rights—Notice of services.
Section 388-76-10532. Resident rights—Standardized disclosure of services form.
Section 388-76-10535. Resident rights—Notice of change to services.
Section 388-76-10540. Resident rights—Disclosure of fees and charges—Notice requirements—Deposits.
Section 388-76-10545. Resident rights—Admitting and keeping residents.
Section 388-76-10550. Resident rights—Adult family home staffing—Notification required.
Section 388-76-10555. Resident rights—Financial affairs.
Section 388-76-10560. Resident rights—Adult family home management of resident financial affairs.
Section 388-76-10561. Resident rights—Resident security deposit account.
Section 388-76-10565. Resident rights—Adult family home system for management of resident financial affairs.
Section 388-76-10570. Resident rights—Financial affairs related to resident death.
Section 388-76-10575. Resident rights—Privacy.
Section 388-76-10580. Resident rights—Grievances.
Section 388-76-10584. Resident rights—Examination of license.
Section 388-76-10585. Resident rights—Examination of inspection results.
Section 388-76-10590. Resident rights—Contact with client advocates.
Section 388-76-10595. Resident rights—Advocacy access and visitation rights.
Section 388-76-10600. Resident rights—Mail and telephone privacy.
Section 388-76-10605. Resident rights—Personal property and storage space.
Section 388-76-10610. Resident rights—Waiver of liability.
Section 388-76-10615. Resident rights—Transfer and discharge.
Section 388-76-10620. Resident rights—Quality of life—General.
Section 388-76-10625. Resident rights—Quality of life—Meetings.
Section 388-76-10630. Resident rights—Quality of life—Adult family home response to issues.
Section 388-76-10635. Resident rights—Quality of life—Work.
Section 388-76-10640. Resident rights—Quality of life—Resident participation.
Section 388-76-10645. Resident rights—Quality of life—Reasonable accommodation.
Section 388-76-10650. Medical devices.
Section 388-76-10655. Physical and mechanical restraints.
Section 388-76-10660. Chemical restraints.
Section 388-76-10665. Involuntary seclusion.
Section 388-76-10670. Prevention of abuse.
Section 388-76-10673. Abuse and neglect reporting—Mandated reporting to department—Required.
Section 388-76-10675. Adult family home rules and policies related to abuse—Required.
Section 388-76-10680. Staff behavior related to abuse.
Section 388-76-10685. Bedrooms.
Section 388-76-10690. Bedroom usable floor space—In adult family homes after the effective date of this chapter.
Section 388-76-10695. Building codes—Structural requirements.
Section 388-76-10700. Building official—Inspection and approval.
Section 388-76-10705. Common use areas.
Section 388-76-10710. Construction and remodeling—Relocation of residents.
Section 388-76-10715. Doors—Ability to open.
Section 388-76-10720. Electronic monitoring equipment—Audio monitoring and video monitoring.
Section 388-76-10725. Electronic monitoring equipment—Resident requested use.
Section 388-76-10730. Grab bars and hand rails.
Section 388-76-10735. Kitchen facilities.
Section 388-76-10740. Lighting.
Section 388-76-10745. Local codes and ordinances.
Section 388-76-10750. Safety and maintenance.
Section 388-76-10755. Sewage and liquid wastes.
Section 388-76-10760. Site.
Section 388-76-10765. Storage.
Section 388-76-10770. Telephones.
Section 388-76-10775. Temperature and ventilation.
Section 388-76-10780. Toilets and bathing facilities.
Section 388-76-10783. Water hazards and bodies of water—Resident safety.
Section 388-76-10784. Water hazards—Fences, gates and alarms.
Section 388-76-10790. Water supply.
Section 388-76-10795. Windows.
Section 388-76-10800. Adult family home located outside of public fire protection.
Section 388-76-10805. Automatic smoke detectors.
Section 388-76-10810. Fire extinguishers.
Section 388-76-10815. Notice required—Compliance with building code and fire protection.
Section 388-76-10820. Resident evacuation capabilities and location of resident bedrooms.
Section 388-76-10825. Space heaters, fireplaces, and stoves.
Section 388-76-10830. Emergency and disaster plan—Required.
Section 388-76-10835. Elements of an emergency and disaster plan.
Section 388-76-10840. Emergency food supply.
Section 388-76-10845. Emergency drinking water supply.
Section 388-76-10850. Emergency medical supplies.
Section 388-76-10855. Emergency and disaster plan training—Required.
Section 388-76-10860. Fire drill plan and procedures for emergency evacuation—Required.
Section 388-76-10865. Resident evacuation from adult family home.
Section 388-76-10870. Resident evacuation capability levels—Identification required.
Section 388-76-10880. Emergency evacuation adult family home bedrooms.
Section 388-76-10885. Elements of emergency evacuation floor plan.
Section 388-76-10890. Posting the emergency evacuation floor plan—Required.
Section 388-76-10895. Emergency evacuation drills—Frequency and participation.
Section 388-76-10900. Documentation of emergency evacuation drills—Required.
Section 388-76-10905. Emergency evacuation—Notification of department required.
Section 388-76-10910. Inspections—Complaint investigations—Monitoring visits—General.
Section 388-76-10911. Inspections—Multiple adult family home providers.
Section 388-76-10915. Department staff access—Willful interference prohibited.
Section 388-76-10920. Inspection and investigation reports—Provided by department.
Section 388-76-10925. Disclosure of inspection and complaint investigation reports.
Section 388-76-10930. Plan of correction (POC)—Required.
Section 388-76-10935. Washington protection and advocacy—Long-term care ombudsman—Official duties—Penalty for interference.
Section 388-76-10940. Remedies—Generally.
Section 388-76-10945. Remedies—Imposition of remedies.
Section 388-76-10950. Remedies—History and actions by individuals.
Section 388-76-10955. Remedies—Department must impose remedies.
Section 388-76-10960. Remedies—Department may impose remedies.
Section 388-76-10965. Remedies—Specific—Denial of application for license.
Section 388-76-10970. Remedies—Specific—Condition(s) on license.
Section 388-76-10975. Remedies—Specific—Civil penalties.
Section 388-76-10976. Remedies—Civil fine grid.
Section 388-76-10980. Remedies—Specific—Stop placement—Admissions prohibited.
Section 388-76-10985. Remedies—May extend to multiple homes.
Section 388-76-10990. Informal dispute resolution (IDR).
Section 388-76-10995. Notice, hearing rights, and effective dates relating to imposition of remedies.
Section 388-76-11050. Management agreements—General.
Section 388-76-11055. Management agreements—Adult family home.
Section 388-76-11060. Terms of the management agreement.
Section 388-76-11065. Management agreements—Department review.
Section 388-76-11070. Management agreements—Resident funds.
Section 388-76-11080. Notice—Service complete.
Section 388-76-11085. Notice—Proof of service.