reglab/housing_qa huggingface dataset:
WA Rev Code § 18.20.320 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.320 - Health support services.

RCW 18.20.320 Health support services.(1) The assisted living facility licensee may choose to provide any of the following health support services, however, the facility may or may not need to provide additional health support services to comply with the reasonable accommodation requirements in federal or state law:(a) Blood glucose testing;(b) Puree diets;(c) Calorie controlled diabetic diets;(d) Dementia care;(e) Mental health care; and(f) Developmental disabilities care.(2) The licensee shall clarify on the disclosure form any limitations, additional services, or conditions that may apply.(3) In providing health support services, the assisted living facility shall observe the resident for changes in overall functioning and respond appropriately when there are observable or reported changes in the resident's physical, mental, or emotional functioning.[ 2012 c 10 § 21; 2004 c 142 § 4.]NOTES:Application—2012 c 10: See note following RCW 18.20.010.Effective dates—2004 c 142: See note following RCW 18.20.020.
WA Rev Code § 18.20.330 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.330 - Intermittent nursing services.

RCW 18.20.330 Intermittent nursing services.(1) Assisted living facilities are not required to provide intermittent nursing services. The assisted living facility licensee may choose to provide any of the following intermittent nursing services through appropriately licensed and credentialed staff, however, the facility may or may not need to provide additional intermittent nursing services to comply with the reasonable accommodation requirements in federal or state law:(a) Medication administration;(b) Administration of health care treatments;(c) Diabetic management;(d) Nonroutine ostomy care;(e) Tube feeding; and(f) Nurse delegation consistent with chapter 18.79 RCW.(2) The licensee shall clarify on the disclosure form any limitations, additional services, or conditions that may apply under this section.(3) In providing intermittent nursing services, the assisted living facility shall observe the resident for changes in overall functioning and respond appropriately when there are observable or reported changes in the resident's physical, mental, or emotional functioning.(4) The assisted living facility may provide intermittent nursing services to the extent permitted by RCW 18.20.160.[ 2012 c 10 § 22; 2004 c 142 § 5.]NOTES:Application—2012 c 10: See note following RCW 18.20.010.Effective dates—2004 c 142: See note following RCW 18.20.020.
WA Rev Code § 18.20.370 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.370 - Negotiated service agreement.

RCW 18.20.370 Negotiated service agreement.(1) The assisted living facility licensee shall complete a negotiated service agreement using the preadmission assessment, initial resident service plan, and full reassessment information obtained under RCW 18.20.350 and 18.20.360. The licensee shall include the resident and the resident's legal representative if any, or the resident's representative if any, in the development of the negotiated service agreement. If the resident is a medicaid client, the department's case manager shall also be involved.(2) The negotiated service agreement shall be completed or updated:(a) Within thirty days of the date of move-in;(b) As necessary following the annual full assessment of the resident; and(c) Whenever the resident's negotiated service agreement no longer adequately addresses the resident's current needs and preferences.[ 2012 c 10 § 26; 2004 c 142 § 9.]NOTES:Application—2012 c 10: See note following RCW 18.20.010.Effective dates—2004 c 142: See note following RCW 18.20.020.
WA Rev Code § 18.20.380 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.380 - Provision of outside services—Licensee's duty of care/negligence.

RCW 18.20.380 Provision of outside services—Licensee's duty of care/negligence.(1) The assisted living facility licensee shall permit the resident, or the resident's legal representative if any, to independently arrange for or contract with a practitioner licensed under Title 18 RCW regulating health care professions, or a home health, hospice, or home care agency licensed under chapter 70.127 RCW, to provide on-site care and services to the resident, consistent with RCW 18.20.160 and chapter 70.129 RCW. The licensee may permit the resident, or the resident's legal representative if any, to independently arrange for other persons to provide on-site care and services to the resident.(2) The assisted living facility licensee may establish policies and procedures that describe limitations, conditions, or requirements that must be met prior to an outside service provider being allowed on-site.(3) When the resident or the resident's legal representative independently arranges for outside services under subsection (1) of this section, the licensee's duty of care, and any negligence that may be attributed thereto, shall be limited to: The responsibilities described under subsection (4) of this section, excluding supervising the activities of the outside service provider; observation of the resident for changes in overall functioning, consistent with RCW 18.20.280; notification to the person or persons identified in RCW 70.129.030 when there are observed changes in the resident's overall functioning or condition; and appropriately responding to obtain needed assistance when there are observable or reported changes in the resident's physical or mental functioning.(4) Consistent with RCW 18.20.280, the assisted living facility licensee shall not be responsible for supervising the activities of the outside service provider. When information sharing is authorized by the resident or the resident's legal representative, the licensee shall request such information and integrate relevant information from the outside service provider into the resident's negotiated service agreement, only to the extent that such information is actually shared with the licensee.[ 2012 c 10 § 27; 2004 c 142 § 10.]NOTES:Application—2012 c 10: See note following RCW 18.20.010.Effective dates—2004 c 142: See note following RCW 18.20.020.
WA Rev Code § 18.20.400 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.400 - Correction of violation/deficiency—Not included in facility report.

RCW 18.20.400 Correction of violation/deficiency—Not included in facility report.If during an inspection, reinspection, or complaint investigation by the department, an assisted living facility corrects a violation or deficiency that the department discovers, the department shall record and consider such violation or deficiency for purposes of the facility's compliance history, however the licensor or complaint investigator shall not include in the facility report the violation or deficiency if the violation or deficiency:(1) Is corrected to the satisfaction of the department prior to the exit conference;(2) Is not recurring; and(3) Did not pose a significant risk of harm or actual harm to a resident.For the purposes of this section, "recurring" means that the violation or deficiency was found under the same regulation or statute in one of the two most recent preceding inspections, reinspections, or complaint investigations.[ 2012 c 10 § 29; 2004 c 144 § 4.]NOTES:Application—2012 c 10: See note following RCW 18.20.010.Finding—Effective date—2004 c 144: See notes following RCW 18.20.390.
WA Rev Code § 18.20.410 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.410 - Standards for small assisted living facilities—Study.

RCW 18.20.410 Standards for small assisted living facilities—Study.The department of health, the department, and the building code council shall develop standards for small assisted living facilities between seven and sixteen beds that address at least the following issues:(1) Domestic food refrigeration and freezer storage;(2) Sinks and sink placement;(3) Dishwashers;(4) Use of heat supplements for water temperature in clothes washers;(5) Yard shrubbery;(6) Number of janitorial rooms in a facility;(7) Number and cross-purpose of dirty rooms;(8) Instant hot water faucets;(9) Medication refrigeration; and(10) Walled and gated facilities.Based on the standards developed under this section, the department of health and the building code council shall study the risks and benefits of modifying and simplifying construction and equipment standards for assisted living facilities with a capacity of seven to sixteen persons. The study shall include coordination with the department. The department of health shall report its findings and recommendations to appropriate committees of the legislature no later than December 1, 2005.[ 2012 c 10 § 30; 2005 c 505 § 1.]NOTES:Application—2012 c 10: See note following RCW 18.20.010.
WA Rev Code § 18.20.415 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.415 - Rule-making authority.

RCW 18.20.415 Rule-making authority.The department of health and the department of social and health services may adopt rules to implement RCW 18.20.410.[ 2005 c 505 § 2.]
WA Rev Code § 18.20.430 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.430 - Assisted living facility temporary management account.

RCW 18.20.430 Assisted living facility temporary management account.The assisted living facility temporary management account is created in the custody of the state treasurer. All receipts from civil penalties imposed under this chapter must be deposited into the account. Only the director or the director's designee may authorize expenditures from the account. The account is subject to allotment procedures under chapter 43.88 RCW, but an appropriation is not required for expenditures. Expenditures from the account may be used only for the protection of the health, safety, welfare, or property of residents of assisted living facilities found to be deficient. Uses of the account include, but are not limited to:(1) Payment for the costs of relocation of residents to other facilities;(2) Payment to maintain operation of an assisted living facility pending correction of deficiencies or closure, including payment of costs associated with temporary management authorized under this chapter;(3) Reimbursement of residents for personal funds or property lost or stolen when the resident's personal funds or property cannot be recovered from the assisted living facility or third-party insurer; and(4) The protection of the health, safety, welfare, and property of residents of assisted living facilities found to be noncompliant with licensing standards.[ 2018 c 173 § 5; 2016 sp.s. c 36 § 912; 2012 c 10 § 32; 2007 c 162 § 2.]NOTES:Findings—2018 c 173: See note following RCW 18.20.500.Effective date—2016 sp.s. c 36: "This act is necessary for the immediate preservation of the public peace, health, or safety, or support of the state government and its existing public institutions, and takes effect immediately [April 18, 2016]." [ 2016 sp.s. c 36 § 952.]Application—2012 c 10: See note following RCW 18.20.010.
WA Rev Code § 18.20.500 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.500 - Information for consumers.

RCW 18.20.500 Information for consumers.The department shall provide information to consumers about assisted living facilities. This information must be made available online and must include information related to site visits, substantiated inspection and complaint investigation reports, including any citation and remedy imposed, and a listing of licensed assisted living facilities by geographic location.[ 2018 c 173 § 2.]NOTES:Findings—2018 c 173: "The legislature finds that:(1) Washington state is ranked number one in the nation in offering quality choices in its long-term services and supports system. Assisted living facilities are an important part of the state's long-term services and supports plan;(2) Consumers should have access to current information about assisted living facilities to make informed choices;(3) Washingtonians choose to live in assisted living facilities for many different reasons including safety, access to care, socialization, rehabilitation, and community;(4) Deciding where to live and what kind of facility to live in are big decisions for potential residents and families. They deserve to have access to all information collected by the state to use in making their decisions. Providing transparency will allow for more informed consumer choices;(5) Consumers already have access to information on nursing homes and adult family homes. This act would bring assisted living facilities in line with other settings; and(6) Assisted living facilities need to be held accountable for the residents in their care and the fine structure should be reflective of that responsibility." [ 2018 c 173 § 1.]
WA Rev Code § 18.20.510 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.510 - Work group—Quality metrics.

RCW 18.20.510 Work group—Quality metrics.(1) The department shall facilitate a work group process to recommend quality metrics for assisted living facilities. The department shall keep a public record of comments submitted by stakeholders throughout the work group process.(2) The work group shall consist of representatives from the department; assisted living provider associations; the long-term care ombuds; organizations with expertise in serving persons with mental health needs in an institutional setting, as selected by the department; organizations with expertise in serving persons with developmental disability needs in an institutional setting, as selected by the department; organizations with expertise in serving culturally diverse and non-English-speaking persons in an institutional setting, as selected by the department; health care professionals with experience caring for diverse and non-English-speaking patients, as selected by the department; licensed health care professionals with experience caring for geriatric patients, as selected by the department; and an Alzheimer's advocacy organization. The work group may solicit input from individuals with additional expertise, if necessary.(3) The work group shall make an interim report by September 1, 2019, and final recommendations to the appropriate legislative committees by September 1, 2020, and shall include a dissent report if agreement is not achieved among stakeholders and the department.(4) The work group must submit recommendations for a quality metric system, propose a process for monitoring and tracking performance, and recommend a process to inform consumers.(5) The department shall include at least one meeting dedicated to review and analysis of other states with quality metric methodologies for assisted living and must include information on how well each state is achieving quality care outcomes. In addressing data metrics the work group shall consider whether the data that must be reported reflect and promote quality of care and whether reporting the data is unnecessarily burdensome upon assisted living facilities.[ 2018 c 173 § 3.]NOTES:Findings—2018 c 173: See note following RCW 18.20.500.
WA Rev Code § 18.20.520 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.520 - Stop placement orders and limited stop placement orders.

RCW 18.20.520 Stop placement orders and limited stop placement orders.The department must require an assisted living facility that is subject to a stop placement order or limited stop placement order under RCW 18.20.190 to publicly post in a conspicuous place at the facility a standardized notice that the department has issued a stop placement order or limited stop placement order for the facility. The standardized notice shall be developed by the department to include the date of the stop placement order or limited stop placement order, any conditions placed upon the facility's license, contact information for the department, contact information for the administrator or provider of the assisted living facility, and a statement that anyone may contact the department or the administrator or provider for further information. The notice must remain posted until the department has terminated the stop placement order or limited stop placement order.[ 2021 c 159 § 2.]NOTES:Findings—2021 c 159: "The legislature finds that:(1) Residents in licensed long-term care facilities have been disproportionately impacted and isolated by the COVID-19 pandemic and over 50 percent of all COVID-19 deaths in Washington have been associated with long-term care facilities;(2) According to a University of Washington report, social isolation creates a "double pandemic" that disrupts care and exacerbates the difficulties of dementia, depression, suicide risk, chronic health conditions, and other challenges faced by long-term care residents and providers;(3) A "digital divide" exists in many parts of Washington, particularly for older adults of color with low incomes and those in rural communities;(4) Residents with sensory limitations, mental illness, intellectual disabilities, dementia, cognitive limitations, traumatic brain injuries, or other disabilities may not be able to fully utilize digital tools which exacerbates their social isolation;(5) Long-term care facilities already have the legal responsibility to care for their residents in a manner and in an environment that promotes the maintenance or enhancement of each resident's quality of life. A resident should have a safe, clean, comfortable, and homelike environment as detailed in chapter 70.129 RCW; and(6) The COVID-19 pandemic has exposed systematic weaknesses in the state's long-term care system and there is a need to enact additional measures to protect and improve the health, safety, and quality of life of residents." [ 2021 c 159 § 1.]
WA Rev Code § 18.20.525 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.525 - Disaster preparedness plan.

RCW 18.20.525 Disaster preparedness plan.(1) Each assisted living facility shall develop and maintain a comprehensive disaster preparedness plan to be followed in the event of a disaster or emergency, including fires, earthquakes, floods, infectious disease outbreaks, loss of power or water, and other events that may require sheltering in place, evacuations, or other emergency measures to protect the health and safety of residents. The facility shall review the comprehensive disaster preparedness plan annually, update the plan as needed, and train all employees when they begin work in the facility on the comprehensive disaster preparedness plan and related staff procedures.(2) The department shall adopt rules governing the comprehensive disaster preparedness plan. At a minimum, the rules must address: Timely communication with the residents' emergency contacts; timely communication with state and local agencies, long-term care ombuds, and developmental disabilities ombuds; contacting and requesting emergency assistance; on-duty employees' responsibilities; meeting residents' essential needs; procedures to identify and locate residents; and procedures to provide emergency information to provide for the health and safety of residents. In addition, the rules shall establish standards for maintaining personal protective equipment and infection control capabilities, as well as department inspection procedures with respect to the plans.[ 2021 c 159 § 5.]NOTES:Findings—2021 c 159: See note following RCW 18.20.520.
WA Rev Code § 18.20.900 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.900 - Severability—1957 c 253.

RCW 18.20.900 Severability—1957 c 253.If any part, or parts, of this chapter shall be held unconstitutional, the remaining provisions shall be given full force and effect, as completely as if the part held unconstitutional had not been included herein, if any such remaining part can then be administered for the purpose of establishing and maintaining standards for assisted living facilities.[ 2012 c 10 § 34; 1957 c 253 § 20.]NOTES:Application—2012 c 10: See note following RCW 18.20.010.
WA Rev Code § 18.20.901 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.20 - Assisted Living Facilities.|18.20.901 - Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.

RCW 18.20.901 Construction—Chapter applicable to state registered domestic partnerships—2009 c 521.For the purposes of this chapter, the terms spouse, marriage, marital, husband, wife, widow, widower, next of kin, and family shall be interpreted as applying equally to state registered domestic partnerships or individuals in state registered domestic partnerships as well as to marital relationships and married persons, and references to dissolution of marriage shall apply equally to state registered domestic partnerships that have been terminated, dissolved, or invalidated, to the extent that such interpretation does not conflict with federal law. Where necessary to implement chapter 521, Laws of 2009, gender-specific terms such as husband and wife used in any statute, rule, or other law shall be construed to be gender neutral, and applicable to individuals in state registered domestic partnerships.[ 2009 c 521 § 45.]
WA Rev Code § 18.22.003 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.22 - Podiatric Medicine and Surgery.|18.22.003 - Regulation of health care professions—Criteria.

RCW 18.22.003 Regulation of health care professions—Criteria.See chapter 18.120 RCW.
WA Rev Code § 18.22.005 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.22 - Podiatric Medicine and Surgery.|18.22.005 - Legislative finding—Purpose.

RCW 18.22.005 Legislative finding—Purpose.The legislature finds that the conduct of podiatric physicians and surgeons licensed to practice in this state plays a vital role in preserving the public health and well-being. The purpose of this chapter is to establish an effective public agency to regulate the practice of podiatric medicine and surgery for the protection and promotion of the public health, safety, and welfare and to act as a disciplinary body for the licensed podiatric physicians and surgeons of this state and to ensure that only individuals who meet and maintain minimum standards of competence and conduct may obtain a license to provide podiatric services to the public.[ 1990 c 147 § 1; 1982 c 21 § 1.]
WA Rev Code § 18.22.010 (2021)
2021 Revised Code of Washington|Title 18 - Businesses and Professions|Chapter 18.22 - Podiatric Medicine and Surgery.|18.22.010 - Definitions.

RCW 18.22.010 Definitions.As used in this chapter, the following terms have the meanings indicated unless the context clearly requires otherwise.(1) "Podiatric physician and surgeon" means an individual licensed under this chapter.(2) "Board" means the Washington state podiatric medical board.(3) "Department" means the department of health.(4) "Secretary" means the secretary of health or the secretary's designee.(5) "Approved school of podiatric medicine and surgery" means a school approved by the board, which may consider official recognition of the Council of Education of the American Podiatric Medical Association in determining the approval of schools of podiatric medicine and surgery.[ 1990 c 147 § 2; 1982 c 21 § 2; 1973 c 77 § 1; 1955 c 149 § 1; 1941 c 31 § 1; 1921 c 120 § 1; 1917 c 38 § 1; Rem. Supp. 1941 § 10074.]