reglab/statecodes huggingface dataset:
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.160 - Persons requiring medical or nursing care.

RCW 18.20.160
Persons requiring medical or nursing care.
No person operating an assisted living facility licensed under this chapter shall admit to or retain in the assisted living facility any aged person requiring nursing or medical care of a type provided by institutions licensed under chapters 18.51, 70.41 or 71.12 RCW, except that when registered nurses are available, and upon a doctor's order that a supervised medication service is needed, it may be provided. Supervised medication services, as defined by the department and consistent with chapters 69.41 and 18.79 RCW, may include an approved program of self-medication or self-directed medication. Such medication service shall be provided only to residents who otherwise meet all requirements for residency in an assisted living facility. No assisted living facility shall admit or retain a person who requires the frequent presence and frequent evaluation of a registered nurse, excluding persons who are receiving hospice care or persons who have a short-term illness that is expected to be resolved within fourteen days.
[ 2012 c 10 § 11; 2004 c 142 § 12; 1985 c 297 § 2; 1975 1st ex.s. c 43 § 1; 1957 c 253 § 16.]
NOTES:
Application—2012 c 10: See note following RCW 18.20.010.
Effective dates—2004 c 142: See note following RCW 18.20.020.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.170 - Facilities operated by religious organizations.

RCW 18.20.170
Facilities operated by religious organizations.
Nothing in this chapter or the rules and regulations adopted pursuant thereto shall be construed as authorizing the supervision, regulation, or control of the remedial care or treatment of residents in any assisted living facility conducted for those who rely upon treatment by prayer or spiritual means in accordance with the creed or tenets of any well-recognized church or religious denomination.
[ 2012 c 10 § 12; 1957 c 253 § 17.]
NOTES:
Application—2012 c 10: See note following RCW 18.20.010.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.180 - Resident rights.

RCW 18.20.180
Resident rights.
RCW 70.129.005 through 70.129.030, 70.129.040, and 70.129.050 through 70.129.170 apply to this chapter and persons regulated under this chapter.
[ 2011 1st sp.s. c 3 § 303; 1994 c 214 § 21.]
NOTES:
Finding—Intent—2011 1st sp.s. c 3: See note following RCW 70.128.005.
Conflict with federal requirements—1994 c 214: See RCW 70.129.901.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.184 - Communication system—Telephones and other equipment.

RCW 18.20.184
Communication system—Telephones and other equipment.
(1) Each assisted living facility shall be responsive to incoming communications and respond within a reasonable time to phone and electronic messages.
(2) Each assisted living facility must have a communication system, including a sufficient quantity of working telephones and other communication equipment, to ensure that residents have 24-hour access to communications with family, medical providers, and others, and also to allow for emergency contact to and from facility staff. The telephones and communication equipment must provide for auditory privacy, not be located in a staff office or station, be accessible and usable by persons with hearing loss and other disabilities, and not require payment for local calls. An assisted living facility is not required to provide telephones at no cost in each resident room.
[ 2021 c 159 § 4.]
NOTES:
Findings—2021 c 159: See note following RCW 18.20.520.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.195 - Disputed violations, enforcement remedies—Informal dispute resolution process.

RCW 18.20.195
Disputed violations, enforcement remedies—Informal dispute resolution process.
(1) The licensee or its designee has the right to an informal dispute resolution process to dispute any violation found or enforcement remedy imposed by the department during a licensing inspection or complaint investigation. The purpose of the informal dispute resolution process is to provide an opportunity for an exchange of information that may lead to the modification, deletion, or removal of a violation, or parts of a violation, or enforcement remedy imposed by the department.
(2) The informal dispute resolution process provided by the department shall include, but is not necessarily limited to, an opportunity for review by a department employee who did not participate in, or oversee, the determination of the violation or enforcement remedy under dispute. The department shall develop, or further develop, an informal dispute resolution process consistent with this section.
(3) A request for an informal dispute resolution shall be made to the department within ten working days from the receipt of a written finding of a violation or enforcement remedy. The request shall identify the violation or violations and enforcement remedy or remedies being disputed. The department shall convene a meeting, when possible, within ten working days of receipt of the request for informal dispute resolution, unless by mutual agreement a later date is agreed upon.
(4) If the department determines that a violation or enforcement remedy should not be cited or imposed, the department shall delete the violation or immediately rescind or modify the enforcement remedy. If the department determines that a violation should have been cited under a different more appropriate regulation, the department shall revise the report, statement of deficiencies, or enforcement remedy accordingly. Upon request, the department shall issue a clean copy of the revised report, statement of deficiencies, or notice of enforcement action.
(5) The request for informal dispute resolution does not delay the effective date of any enforcement remedy imposed by the department, except that civil monetary fines are not payable until the exhaustion of any formal hearing and appeal rights provided under this chapter. The licensee shall submit to the department, within the time period prescribed by the department, a plan of correction to address any undisputed violations, and including any violations that still remain following the informal dispute resolution.
[ 2005 c 506 § 1; 2004 c 140 § 5; 2001 c 193 § 7.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.210 - License suspension—Noncompliance with support order—Reissuance.

RCW 18.20.210
License suspension—Noncompliance with support order—Reissuance.
The department shall immediately suspend the license of a person who has been certified pursuant to RCW 74.20A.320 by the department of social and health services as a person who is not in compliance with a support order or a *residential or visitation order. If the person has continued to meet all other requirements for reinstatement during the suspension, reissuance of the license shall be automatic upon the department's receipt of a release issued by the department of social and health services stating that the licensee is in compliance with the order.
[ 1997 c 58 § 816.]
NOTES:
*Reviser's note: 1997 c 58 § 886 requiring a court to order certification of noncompliance with residential provisions of a court-ordered parenting plan was vetoed. Provisions ordering the department of social and health services to certify a responsible parent based on a court order to certify for noncompliance with residential provisions of a parenting plan were vetoed. See RCW 74.20A.320.
Short title—Part headings, captions, table of contents not law—Exemptions and waivers from federal law—Conflict with federal requirements—Severability—1997 c 58: See RCW 74.08A.900 through 74.08A.904.
Effective dates—Intent—1997 c 58: See notes following RCW 74.20A.320.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.220 - Residential care contracted services, conversion to—Requirements.

RCW 18.20.220
Residential care contracted services, conversion to—Requirements.
For the purpose of encouraging a nursing home licensed under chapter 18.51 RCW to convert a portion or all of its licensed bed capacity to provide enhanced adult residential care contracted services under chapter 74.39A RCW, the department shall:
(1) Find the nursing home to be in satisfactory compliance with RCW 18.20.110 and 18.20.130, upon application for assisted living facility licensure and the production of copies of its most recent nursing home inspection reports demonstrating compliance with the safety standards and fire regulations, as required by RCW 18.51.140, and the state building code, as required by RCW 18.51.145, including any waivers that may have been granted. However, assisted living facility licensure requirements pertaining to resident to bathing fixture/toilet ratio, corridor call system, resident room door closures, and resident room windows may require modification, unless determined to be functionally equivalent, based upon a prelicensure survey inspection.
(2) Allow residents receiving enhanced adult residential care services to make arrangements for on-site health care services, consistent with Title 18 RCW regulating health care professions, to the extent that such services can be provided while maintaining the resident's right to privacy and safety in treatment, but this in no way means that such services may only be provided in a private room. The provision of on-site health care services must otherwise be consistent with RCW 18.20.160 and the rules adopted under RCW 18.20.160.
[ 2012 c 10 § 14; 1997 c 164 § 1.]
NOTES:
Application—2012 c 10: See note following RCW 18.20.010.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.250 - Federal funding programs, opportunities—Secretary's duty to comply.

RCW 18.20.250
Federal funding programs, opportunities—Secretary's duty to comply.
The secretary may adopt rules and policies as necessary to entitle the state to participate in federal funding programs and opportunities and to facilitate state and federal cooperation in programs under the department's jurisdiction. The secretary shall ensure that any internal reorganization carried out under the terms of this chapter complies with prerequisites for the receipt of federal funding for the various programs under the department's control. When interpreting any department-related section or provision of law susceptible to more than one interpretation, the secretary shall construe that section or provision in the manner most likely to comply with federal laws and rules entitling the state to receive federal funds for the various programs of the department. If any law or rule dealing with the department is ruled to be in conflict with federal prerequisites to the allocation of federal funding to the state, the department, or its agencies, the secretary shall declare that law or rule inoperative solely to the extent of the conflict.
[ 1998 c 272 § 16.]
NOTES:
Findings—Severability—Effective date—1998 c 272: See notes following RCW 18.20.230.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.280 - General responsibility for each resident.

RCW 18.20.280
General responsibility for each resident.
(1) The assisted living facility must assume general responsibility for each resident and must promote each resident's health, safety, and well-being consistent with the resident negotiated care plan.
(2) The assisted living facility is not required to supervise the activities of a person providing care or services to a resident when the resident, or legal representative, has independently arranged for or contracted with the person and the person is not directly or indirectly controlled or paid by the assisted living facility. However, the assisted living facility is required to coordinate services with such person to the extent allowed by the resident, or legal representative, and consistent with the resident's negotiated care plan. Further, the assisted living facility is required to observe the resident and respond appropriately to any changes in the resident's overall functioning consistent with chapter 70.129 RCW, this chapter, and rules adopted under this chapter.
[ 2012 c 10 § 17; 2003 c 231 § 7.]
NOTES:
Application—2012 c 10: See note following RCW 18.20.010.
Findings—Effective date—2003 c 231: See notes following RCW 18.20.020.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.290 - Holding a medicaid eligible resident's room or unit—Payment rates.

RCW 18.20.290
Holding a medicaid eligible resident's room or unit—Payment rates.
(1) When an assisted living facility contracts with the department to provide adult residential care services, enhanced adult residential care services, or assisted living services under chapter 74.39A RCW, the assisted living facility must hold a medicaid eligible resident's room or unit when short-term care is needed in a nursing home or hospital, the resident is likely to return to the assisted living facility, and payment is made under subsection (2) of this section.
(2) The medicaid resident's bed or unit shall be held for up to twenty days. The per day bed or unit hold compensation amount shall be seventy percent of the daily rate paid for the first seven days the bed or unit is held for the resident who needs short-term nursing home care or hospitalization. The rate for the eighth through the twentieth day a bed is held shall be established in rule, but shall be no lower than ten dollars per day the bed or unit is held.
(3) The assisted living facility may seek third-party payment to hold a bed or unit for twenty-one days or longer. The third-party payment shall not exceed the medicaid daily rate paid to the facility for the resident. If third-party payment is not available, the medicaid resident may return to the first available and appropriate bed or unit, if the resident continues to meet the admission criteria under this chapter.
[ 2012 c 10 § 18; 2006 c 64 § 1; 2004 c 142 § 13; 2003 c 231 § 11.]
NOTES:
Application—2012 c 10: See note following RCW 18.20.010.
Effective dates—2004 c 142: See note following RCW 18.20.020.
Findings—Effective date—2003 c 231: See notes following RCW 18.20.020.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.305 - Disclosure to nonresidents.

RCW 18.20.305
Disclosure to nonresidents.
(1) An assisted living facility must provide each nonresident a disclosure statement upon admission and at the time that additional services are requested by a nonresident.
(2) The disclosure statement shall notify the nonresident that:
(a) The resident rights of chapter 70.129 RCW do not apply to nonresidents;
(b) Licensing requirements for *boarding homes under this chapter do not apply to nonresident units; and
(c) The jurisdiction of the long-term care ombuds does not apply to nonresidents and nonresident units.
[ 2013 c 23 § 10; 2011 c 366 § 4.]
NOTES:
*Reviser's note: The term "boarding home" was changed to "assisted living facility" by 2012 c 10 § 2.
Findings—Purpose—Conflict with federal requirements—2011 c 366: See notes following RCW 18.20.020.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.310 - Assistance with activities of daily living.

RCW 18.20.310
Assistance with activities of daily living.
(1) Assisted living facilities are not required to provide assistance with one or more activities of daily living.
(2) If an assisted living facility licensee chooses to provide assistance with activities of daily living, the licensee shall provide at least the minimal level of assistance for all activities of daily living consistent with subsection (3) of this section and consistent with the reasonable accommodation requirements in state or federal laws. "Activities of daily living" means the following self-care activities related to personal care:
(a) Bathing;
(b) Dressing;
(c) Eating;
(d) Personal hygiene;
(e) Transferring;
(f) Toileting;
(g) Ambulation and mobility; and
(h) Medication assistance, as defined in RCW 69.41.010.
(3) The department shall, in rule, define the minimum level of assistance that will be provided for all activities of daily living, however, such rules shall not require more than occasional stand-by assistance or more than occasional physical assistance.
(4) The licensee shall clarify, through the disclosure form, the assistance with activities of daily living that may be provided, and any limitations or conditions that may apply. The licensee shall also clarify through the disclosure form any additional services that may be provided.
(5) In providing assistance with activities of daily living, 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.
[ 2017 c 201 § 1; 2012 c 10 § 20; 2004 c 142 § 3.]
NOTES:
Application—2012 c 10: See note following RCW 18.20.010.
Effective dates—2004 c 142: See note following RCW 18.20.020.
2023 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.
2023 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.
2023 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.
2023 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.
2023 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.
2023 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.
2023 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.]
2023 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.
2023 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.]
2023 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.
2023 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.]
2023 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.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.20 - Assisted Living Facilities. › 18.20.530 - Multistate nurse license—Conditions of employment.

RCW 18.20.530
Multistate nurse license—Conditions of employment.
(1) Beginning September 1, 2023, and annually thereafter, individuals that hold a multistate nurse license issued by a state other than Washington and are employed by assisted living facilities licensed under this chapter shall complete any demographic data surveys required by the board of nursing in rule as a condition of employment.
(2) Individuals that hold a multistate nurse license issued by a state other than Washington and are employed by assisted living facilities licensed under this chapter shall complete the suicide assessment, treatment, and management training required by RCW 43.70.442(5)(a) as a condition of employment.
(3) Assisted living facilities shall report to the board of nursing, within 30 days of employment, all nurses holding a multistate license issued by a state other than Washington and an attestation that the employees holding a multistate license issued by a state other than Washington have completed the tasks required under this section as a condition of employment.
(4) This section is subject to enforcement by the department.
[ 2023 c 123 § 28.]
NOTES:
Short title—2023 c 123: See RCW 18.80.900.
2023 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.
2023 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.]
2023 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.]
2023 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.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.013 - Podiatric medical board—Membership.

RCW 18.22.013
Podiatric medical board—Membership.
The Washington state podiatric medical board consists of seven members that are appointed by the governor. All members must be residents of the state. Two members must be consumers whose occupation does not include the administration of health activities or the providing of health services and who have no material financial interest in providing health care services or fiduciary relationship to a health care delivery system. Five members must be podiatric physicians and surgeons who at the time of appointment have been licensed under the laws of this state for at least five consecutive years immediately preceding appointment and shall at all times during their terms remain licensed podiatric physicians and surgeons.
Board members serve five-year terms. No person may serve more than two consecutive terms on the board. Each member shall take the usual oath of a state officer, which must be filed with the secretary of state, and each member shall hold office for the term of appointment and until a successor is appointed and sworn.
Each member is subject to removal at the pleasure of the governor. If a vacancy on the board occurs from any cause, the governor shall appoint a successor for the unexpired term.
[ 2020 c 248 § 1; 1990 c 147 § 3; 1982 c 21 § 8.]
NOTES:
Secretary of health or designee ex officio member of health professional licensure and disciplinary boards: RCW 43.70.300.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.014 - Board—Officers—Members' compensation and travel expenses.

RCW 18.22.014
Board—Officers—Members' compensation and travel expenses.
The board shall meet at the places and times it determines and as often as necessary to discharge its duties. The board shall elect a chairperson and a vice chairperson from among its members. Members must be compensated in accordance with RCW 43.03.265 in addition to travel expenses provided by RCW 43.03.050 and 43.03.060. The board is a class five group for purposes of chapter 43.03 RCW. A majority of the board members appointed and serving constitutes a quorum for the transaction of board business. The affirmative vote of a majority of a quorum of the board is required to carry a motion or resolution, to adopt a rule, or to pass a measure.
[ 2022 c 240 § 29; 2020 c 248 § 2; 1990 c 147 § 4; 1984 c 287 § 26; 1982 c 21 § 9.]
NOTES:
Legislative findings—Severability—Effective date—1984 c 287: See notes following RCW 43.03.220.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.015 - Board—Duties—Rules.

RCW 18.22.015
Board—Duties—Rules.
The board shall:
(1) Administer all laws placed under its jurisdiction;
(2) Prepare, grade, and administer or determine the nature, grading, and administration of examinations for applicants for podiatric physician and surgeon licenses;
(3) Examine and investigate all applicants for podiatric physician and surgeon licenses and certify to the secretary all applicants it judges to be properly qualified;
(4) Adopt any rules which it considers necessary or proper to carry out the purposes of this chapter;
(5) Adopt rules governing the administration of sedation and anesthesia in the offices of persons licensed under this chapter, including necessary training and equipment;
(6) Determine which schools of podiatric medicine and surgery will be approved.
[ 2007 c 273 § 28; 1990 c 147 § 5; 1986 c 259 § 18; 1982 c 21 § 10.]
NOTES:
Effective date—Implementation—2007 c 273: See RCW 70.230.900 and 70.230.901.
Severability—1986 c 259: See note following RCW 18.130.010.
Director of licensing or director's designee ex officio member of health professional licensure and disciplinary boards: RCW 43.70.300.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.018 - Application of uniform disciplinary act.

RCW 18.22.018
Application of uniform disciplinary act.
The uniform disciplinary act, chapter 18.130 RCW, governs unlicensed practice, the issuance and denial of licenses, and the discipline of licensees under this chapter.
[ 1987 c 150 § 10; 1986 c 259 § 17.]
NOTES:
Severability—1987 c 150: See RCW 18.122.901.
Severability—1986 c 259: See note following RCW 18.130.010.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.021 - License required.

RCW 18.22.021
License required.
It is a violation of RCW 18.130.190 for any person to practice podiatry in this state unless the person first has obtained a license therefor.
[ 1987 c 150 § 11.]
NOTES:
Severability—1987 c 150: See RCW 18.122.901.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.22 - Podiatric Medicine and Surgery. › 18.22.025 - License required to practice podiatric medicine and surgery.

RCW 18.22.025
License required to practice podiatric medicine and surgery.
No person may practice or represent himself or herself as a podiatric physician and surgeon without first applying for and receiving a license under this chapter to practice podiatric medicine and surgery.
[ 1990 c 147 § 7.]