reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0440 - Infection control system

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  enhanced services facility must:
(a) Establish
				  and maintain an effective infection control program designed to provide a safe,
				  sanitary, and comfortable environment and to help prevent the development and
				  transmission of disease and infection;
(b) Prohibit any employee with a communicable
				  disease or infected skin lesion from direct contact with residents or their
				  food, if direct contact could transmit the disease; and
(c) Require staff to wash their hands after
				  each direct resident contact for which hand-washing is indicated by accepted
				  professional practice.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0450 - Early identification and management of individuals with active tuberculosis (TB)

Current through Register Vol. 24-14, July 15, 2024
(1) The enhanced
				  services facility must develop and implement policies and procedures that
				  comply with nationally recognized TB standards set by the Centers for Disease
				  Control and Prevention, and applicable state law. Such policies and procedures
				  include, but are not limited to, the following:
(a) Identifying and following up on, staff
				  and residents with symptoms suggestive of TB whether TB test results were
				  positive or negative;
(b)
				  Identifying, and following up on, staff or residents with suspected or
				  confirmed TB, in a timely manner.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0460 - Tuberculosis (TB)-Testing-Required

Current through Register Vol. 24-14, July 15, 2024
The enhanced services facility must:
(1) Develop and implement a system to ensure
				  staff have TB testing upon employment or starting service; and
(2) Ensure that staff have an annual risk
				  assessment completed using the Washington state department of health approved
				  criteria.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0465 - Tuberculosis (TB) testing method-Required

Current through Register Vol. 24-14, July 15, 2024
The enhanced services facility must ensure that all TB
					 testing is done through either:
(1)
				  Tuberculin skin test with results read within forty-eight to seventy-two hours
				  of placing the test by a qualified medical professional; or
(2) Other FDA approved TB test.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0470 - Tuberculosis-No testing

Current through Register Vol. 24-14, July 15, 2024
The enhanced services facility is not required to have
					 staff tested for TB if they have documentation of the following:
(1) A positive FDA approved TB test;
				  or
(2) That the individual is
				  receiving or has received appropriate therapy for active TB disease or latent
				  TB infection and is cleared to safely work in an enhanced services
				  facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0480 - Tuberculosis (TB)-One test

Current through Register Vol. 24-14, July 15, 2024
The enhanced services facility is only required to have
					 staff have one TB test if the staff person has any of the following:
(1) A documented history of a negative result
				  from a previous two-step tuberculin skin test; or
(2) A documented negative result from one
				  tuberculin skin test in the previous twelve months; or
(3) The person is tested using a FDA approved
				  TB test that does not require a two-step testing process.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0490 - Tuberculosis (TB)-Two-step skin testing

Current through Register Vol. 24-14, July 15, 2024
Unless the staff meets the requirement for having no TB
					 test or only one test, the enhanced services facility must ensure that each
					 staff person has the following two-step tuberculin skin testing:
(1) An initial tuberculin skin test upon
				  employment or starting service; and
(2) A completed two-step tuberculin skin test
				  within four weeks of initial tuberculin skin test.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0500 - Tuberculosis (TB)-Positive test result

Current through Register Vol. 24-14, July 15, 2024
When there is a positive result from a tuberculin skin or
					 other FDA approved TB test, the enhanced services facility must ensure:
(1) The staff person has a chest radiograph
				  within seven days of a positive TB test result; and
(2) Each staff person or with a positive TB
				  test result undergoes ongoing observation for signs and symptoms of TB;
				  and
(3) The recommendation of the
				  staff health care provider is followed.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0510 - Tuberculosis (TB)-Negative test result

Current through Register Vol. 24-14, July 15, 2024
The enhanced services facility may be required by the
					 health care provider or licensing authority to ensure that staff with negative
					 TB test results have follow-up testing in certain circumstances, such
					 as:
(1) After exposure to active TB;
				  or
(2) When TB symptoms are
				  present.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0520 - Tuberculosis (TB)-Declining a TB test

Current through Register Vol. 24-14, July 15, 2024
If staff decline a certain method of TB testing they must
					 provide written documentation from a health care provider that the person is
					 clear to work or reside in an enhanced services facility as evidenced by an
					 alternative FDA approved diagnostic method used to screen for
					 TB.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0530 - Tuberculosis (TB)-Reporting and follow-up-Required

Current through Register Vol. 24-14, July 15, 2024
The enhanced services facility must:
(1) Report any staff person or resident with
				  TB symptoms or a positive chest radiograph to the appropriate health care
				  provider in accordance with chapter 246-101 WAC;
(2) Follow the infection control and safety
				  measures as suggested in the 2003 CDC Guidelines for Environmental Infection
				  Control in Health-Care Facilities (
http://www.cdc.gov/MMWR/preview/MMWRhtml/rr5210a1.htm
),
				  or as hereafter amended);
(3)
				  Ensure that staff persons caring for a resident with suspected TB comply with
				  the Washington Industrial Safety and Health Act standard for respiratory
				  protection found in chapter 296-842 WAC.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0540 - Tuberculosis (TB)-Test records

Current through Register Vol. 24-14, July 15, 2024
The enhanced services facility must:
(1) Keep the records of TB test results,
				  reports of chest radiograph findings, and any physician or health care provider
				  orders in the enhanced services facility;
(2) Make the records readily available to the
				  appropriate health provider and licensing agency;
(3) Retain the records for at least two years
				  after the date the staff either quits, is terminated, or released;
				  and
(4) Provide the staff with a
				  copy of his/her test results.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Infection Control › Section 388-107-0542 - Care of residents with tuberculosis (TB)

Current through Register Vol. 24-14, July 15, 2024
(1) When the enhanced services facility
				  accepts the care of a resident with suspected or confirmed TB, the enhanced
				  services facility must:
(a) Coordinate the
				  resident's admission, enhanced services care, discharge planning, and discharge
				  with the health care provider;
(b)
				  Provide necessary education about TB for staff, visitors, and residents;
				  and
(c) Ensure that personnel
				  caring for a resident with active TB comply with the Washington Industrial
				  Safety and Health Act standards for respiratory protection, chapter
				  296-842WAC.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Administration › Section 388-107-0550 - Contracted basic services

Current through Register Vol. 24-14, July 15, 2024
If the provider does not intend to provide basic services
					 in-house, the provider must contract with an outside source to provide those
					 services. The provider must ensure that the contracted services, at a minimum,
					 meet applicable state, local, and licensing standards. Basic services include,
					 but are not limited to:
(1)
				  Housekeeping services;
(2) Food
				  services; and
(3) Laundry
				  services.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Administration › Section 388-107-0560 - Resident records-Clinical records

Current through Register Vol. 24-14, July 15, 2024
(1)
				  The enhanced services facility must:
(a)
				  Maintain clinical records on each resident in accordance with accepted
				  professional standards and practices that are:
(i) Complete;
(ii) Accurately documented;
(iii) Readily accessible; and
(iv) Systematically organized.;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Administration › Section 388-107-0570 - Resident records-System

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  enhanced services facility must:
(a) Designate
				  an individual responsible for the record system who:
(i) Has appropriate training and experience
				  in clinical record management; or
(ii) Receives consultation from a qualified
				  clinical record practitioner, such as a registered health information
				  administrator or registered health information technician.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Administration › Section 388-107-0580 - Resident records-Maintenance and retention

Current through Register Vol. 24-14, July 15, 2024
(1) In cases where the enhanced services
				  facility maintains records by computer rather than hard copy, the facility
				  must:
(a) Have in place safeguards to prevent
				  unauthorized access; and
(b)
				  Provide for reconstruction of information.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Reporting Requirements › Section 388-107-0590 - Reporting abuse and neglect

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  enhanced services facility must ensure that each staff person:
(a) Makes a report to the department's Aging
				  and Long-Term Support Administration Complaint Resolution Unit hotline
				  consistent with
				  chapter
				  74.34 RCW in all cases
				  where the staff person has reasonable cause to believe that abandonment, abuse,
				  financial exploitation, or neglect of a vulnerable adult has occurred;
				  and
(b) Makes an immediate report
				  to the appropriate law enforcement agency and the department consistent with
				  chapter
				  74.34 RCW of all incidents
				  of suspected sexual abuse or physical abuse of a resident.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Reporting Requirements › Section 388-107-0600 - Reporting significant change in a resident's condition

Current through Register Vol. 24-14, July 15, 2024
(1) The enhanced services facility must
				  consult with the resident's representative, the resident's physician, the
				  medicaid resident's department case manager, and other individuals designated
				  by the resident as soon as possible but no later than 24 hours when:
(a) There is a significant change in the
				  resident's condition;
(b) The
				  resident is relocated to a hospital or other health care facility;
(c) The resident's condition improved and the
				  resident no longer needs the care and services provided by the enhanced
				  services facility; or
(d) The
				  resident dies.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Reporting Requirements › Section 388-107-0610 - Reporting fires and incidents

Current through Register Vol. 24-14, July 15, 2024
The enhanced services facility must immediately report to
					 the department:
(1) Any accidental or
				  unintended fire, or any deliberately set but improper fire, such as arson, in
				  the enhanced services facility;
(2)
				  Any missing resident, once the initial search for the resident is completed and
				  911 is notified;
(3) Any unusual
				  incident that requires implementation of the enhanced services facility's
				  disaster plan, including any evacuation of all or part of the residents to
				  another area of the enhanced services facility or to another address;
				  and
(4) Circumstances which
				  threaten the enhanced services facility's ability to ensure continuation of
				  services to residents.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Reporting Requirements › Section 388-107-0620 - Retaliation or discrimination prohibited

Current through Register Vol. 24-14, July 15, 2024
(1) The enhanced services facility must not
				  discriminate or retaliate in any manner against a resident or employee in its
				  enhanced services facility who has initiated or participated in any action or
				  proceeding authorized under enhanced services facility licensing law.
(2) For purposes of this chapter,
"retaliation"
or
"discrimination"
against a resident
				  means an act including, but not limited to:
(a) Verbal or physical harassment or
				  abuse;
(b) Any attempt to expel the
				  resident from the facility;
(c)
				  Non-medically indicated social, dietary, or mobility restrictions;
(d) Lessening of the level of care when not
				  medically appropriate;
(e)
				  Non-voluntary relocation within an enhanced services facility without
				  appropriate medical, psychosocial, or nursing justification;
(f) Neglect or negligent treatment;
(g) Withholding privileges;
(h) Monitoring resident's phone, mail or
				  visits without resident's permission;
(i) Withholding or threatening to withhold
				  food or treatment unless authorized by a terminally ill resident or the
				  resident's representative;
(j)
				  Persistently delaying responses to resident's request for services or
				  assistance; or
(k) Infringement on
				  a resident's rights described in this chapter.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › TRAINING REQUIREMENTS › Section 388-107-0630 - Training and home care aide certification requirements

Current through Register Vol. 24-14, July 15, 2024
(1) Under
				  RCW
				  18.88B.041 and chapter 246-980 WAC, certain
				  individuals including registered nurses, licensed practical nurses, certified
				  nursing assistants, or persons who are in an approved certified nursing
				  assistant program are exempt from long-term care worker training
				  requirements.
(2) Continuing
				  education requirements are outlined in chapter 388-112A WAC; registered nurses
				  and licensed practical nurses are exempt from the long-term care worker
				  continuing education requirement.
(3) The enhanced services facility must
				  ensure staff persons meet training requirements in effect on the date hired,
				  including requirements described in chapter 388-112A WAC, unless exempt under
				  RCW
				  18.88B.041.
(4) The enhanced services facility must
				  ensure all enhanced services facility administrators, or their designees, and
				  caregivers who are not exempt under subsection (1) of this section meet the
				  long-term care worker training requirements of chapter 388-112A WAC, including
				  but not limited to:
(a) Orientation and
				  safety;
(b) Basic
				  training;
(c) Specialty for
				  dementia and, mental illness or developmental disabilities or both when serving
				  residents with any of those primary special needs;
(d) Cardiopulmonary resuscitation and first
				  aid; and
(e) Continuing
				  education.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › TRAINING REQUIREMENTS › Section 388-107-0640 - Staff development trainings

Current through Register Vol. 24-14, July 15, 2024
(1)
				  The enhanced services facility must have a staff development program that is
				  under the direction of a designated registered nurse or licensed practical
				  nurse or mental health professional.
(2) The enhanced services facility must:
(a) Ensure each employee receives initial
				  orientation to the facility and its policies and is initially assigned only to
				  duties for which the employee has demonstrated competence;
(b) Ensure all employees receive appropriate
				  in-service and continuing education to maintain a level of knowledge
				  appropriate to, and demonstrated competence in, the performance of ongoing job
				  duties consistent with the principle of assisting the resident to attain or
				  maintain the highest practicable physical, mental, and psychosocial well-being.
				  To this end, the enhanced services facility must:
(i) Assess the specific training needs of
				  each employee and address those needs;
(ii) Determine the special needs of the
				  enhanced services facility's resident population which may require training
				  emphasis; and
(iii) Ensure that
				  each employee is trained on de-escalating challenging behaviors, including the
				  use of a manual technique intended to interrupt or stop a behavior from
				  occurring.
(c) Comply
				  with other applicable training requirements, such as, but not limited to, the
				  blood borne pathogen standard.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › TRAINING REQUIREMENTS › Section 388-107-0650 - Specialized training

Current through Register Vol. 24-14, July 15, 2024
(1) The enhanced
				  services facility must ensure all staff who have any interaction with the
				  residents successfully complete the mental health and dementia specialized
				  trainings, consistent with chapter 388-112A WAC, prior to working in the
				  enhanced services facility.
(2) The
				  facility must ensure all staff who have interaction with the residents complete
				  any other specialty trainings to meet the needs of the residents being served,
				  such as developmental disabilities.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › TRAINING REQUIREMENTS › Section 388-107-0660 - Continuing education requirements for the home care aide certified staff

Current through Register Vol. 24-14, July 15, 2024
All home care aides certified staff must have ten of their
					 twelve hours of annual continuing education cover relevant education regarding
					 the population served in the enhanced services facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › TRAINING REQUIREMENTS › Section 388-107-0670 - Continuing education requirements for nursing assistant certified staff

Current through Register Vol. 24-14, July 15, 2024
All nursing assistant certified staff must have ten of
					 their twelve hours of annual continuing education cover relevant education
					 regarding the population served in the enhanced services
					 facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › TRAINING REQUIREMENTS › Section 388-107-0680 - Quarterly staff education requirements

Current through Register Vol. 24-14, July 15, 2024
In addition to the annual continuing education
					 requirements for individual staff, the enhanced services facility must provide
					 three hours of training per quarter relevant to the needs of the population
					 being served.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › TRAINING REQUIREMENTS › Section 388-107-0690 - Facility-based trainers

Current through Register Vol. 24-14, July 15, 2024
If the enhanced services facility provides continuing
					 education, in-service education or quarterly staff education, the educators
					 must be approved by the department prior to educational intervention, in
					 accordance with chapter 388-112A WAC.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Physical Plan Basic Requirements › Section 388-107-0700 - General

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  of health construction review services will review the following general, code,
				  program submittal and minimum requirements to ensure that the facility is in
				  compliance with enhanced services facility physical plant basic
				  requirements.
(2) The enhanced
				  service facility building occupancy type will be consistent with resident
				  admission practices and state adopted building codes for licensed (1) nursing
				  homes, (2) assisted living facilities or (3) adult family homes. This
				  determination will be based on the following categories:
(a) Enhanced service facility category 1:
				  Admit resident(s) physically or cognitively incapable of self preservation
				  (enhanced services facility-nursing home type);
(b) Enhanced service facility category 2:
				  Admit resident(s) capable of self-preservation with physical assistance from
				  another person (enhanced services facility-assisted living type); or
(c) Enhanced service facility category 3:
				  Admit no more than six resident(s) capable of evacuating the facility within
				  five minutes (enhanced services facility-adult family home type).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Physical Plan Basic Requirements › Section 388-107-0710 - Conversion of a currently licensed facility to an enhanced services facility

Current through Register Vol. 24-14, July 15, 2024
(1) If the
				  department licenses part or all of a currently licensed nursing home under
				  chapter
				  18.51 RCW, assisted living
				  facility under chapter 18.20 RCW, or adult family home under chapter 70.128
				  RCW, as an enhanced services facility, the facility is deemed to meet the
				  applicable state and local rules, regulations, permits, and code requirements,
				  with the exceptions of subsections (2), (3), (4) and (5) of this
				  section.
(2) If the facility's
				  previous construction has the potential to jeopardize resident health and
				  safety, the department may require compliance with enhanced services facility
				  physical plant new construction rules.
(3) If the facility does construction to meet
				  enhanced services facility requirements, that construction has to be reviewed
				  and approved by construction review services and applicable local and state
				  building officials.
(4) The
				  enhanced services facility must also meet specific new construction
				  requirements related to the safety of any residents with complex needs that the
				  facility is choosing to serve.
(5)
				  All other facilities or new facilities must meet all enhanced services facility
				  new construction requirements, including the applicable state and local rules,
				  regulations, permits, and code requirements.
Reviser's note:
The typographical error in
						the above section occurred in the copy filed by the agency and appears in the
						Register pursuant to the requirements of
						RCW
						34.08.040.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Physical Plan Basic Requirements › Section 388-107-0720 - Types of new construction

Current through Register Vol. 24-14, July 15, 2024
New construction includes but is not limited to:
(1) New structures:
(a) A new building to be licensed as an
				  enhanced services facility; or
(b)
				  An addition to a building currently licensed as an enhanced services
				  facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Physical Plan Basic Requirements › Section 388-107-0730 - Applicable codes-New construction

Current through Register Vol. 24-14, July 15, 2024
New construction of enhanced services facilities
					 must:
(1) Through its design,
				  construction and necessary permits demonstrate compliance with this chapter,
				  the following codes and local jurisdiction standards.
(2) Obtain all local permits before
				  construction and maintain on file at the facility.
(3) Comply with the International Building
				  Code, and International Building Code Standards, as published by the
				  International Conference of Building Officials as amended and adopted by the
				  Washington state building code council and published as chapter 51-50 WAC, or
				  successor laws.
(4) Identify the
				  planned types of residents served at the point of initial licensure to
				  determine occupancy consistent with nursing homes, enhanced services
				  facilities, assisted living facilities or adult family homes;
(5) Comply with the International Mechanical
				  Code, including chapter 22, Fuel Gas Piping, Appendix B, as published by the
				  International Conference of Building Officials and the International
				  Association of Plumbing and Mechanical Officials as amended and adopted by the
				  Washington state building code council and published as chapter 51-52 WAC, or
				  successor laws;
(6) Comply with the
				  International Fire Code, and International Fire Code Standards, as published by
				  the International Conference of Building Officials and the Western Fire Chiefs
				  Association as amended and adopted by the Washington state building code
				  council and published as chapter 51-54 WAC, and RCW 70.397.210, or successor
				  laws;
(7) Comply with the Uniform
				  Plumbing Code, and Uniform Plumbing Code Standards, as published by the
				  International Association of Plumbing and Mechanical Officials, as amended and
				  adopted by the Washington state building code council and published as chapters
				  51-56 and 51-57 WAC, or successor laws;
(8) Ensure that all electrical wiring
				  complies with state and local electrical codes including chapter 296-46B WAC
				  and the National Electric Code of the National Fire Protection Association
				  (NFPA-70) as adopted by the Washington state department of labor and
				  industries.
(9) Ensure conformance
				  to the approved plans during construction.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Physical Plan Basic Requirements › Section 388-107-0740 - Required review of building plans

Current through Register Vol. 24-14, July 15, 2024
(1)
				  The facility must submit plans to construction review services as directed by
				  the department of health construction review services for approval prior to
				  beginning any construction or conversion of an existing facility or a portion
				  of an existing facility. The approved plans must be conformed to during
				  construction.
(2) The facility must
				  notify construction review services of all planned new construction regarding
				  the facility prior to beginning work on any of the following:
(a) A new building or portion thereof to be
				  used as a facility;
(b) An addition
				  of, or modification or alteration to an existing facility, including, but not
				  limited to, the facility's:
(i) Physical
				  structure;
(ii) Electrical fixtures
				  or systems;
(iii) Mechanical
				  equipment or systems;
(iv) Fire
				  alarm fixtures or systems;
(v) Fire
				  sprinkler fixtures or systems;
(vi)
				  Wall coverings 1/28 thick or thicker;
(vii) Floor coverings; or
(viii) Kitchen or laundry
				  equipment.
(c) A change
				  in the department-approved use of an existing facility or portion of a
				  facility; and
(d) An existing
				  building or portion thereof to be converted for the approved use.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Physical Plan Basic Requirements › Section 388-107-0750 - Document submittal requirements

Current through Register Vol. 24-14, July 15, 2024
The facility must:
(1) Provide one copy of the functional
				  program;
(2) Provide an analysis of
				  likely adverse impacts on current residents and plans to eliminate or mitigate
				  such adverse impacts;
(3) Provide
				  for the health, safety, and comfort of residents during construction
				  projects;
(4) Ensure that
				  construction documents include two copies of the following:
(a) Drawings prepared, stamped, and signed by
				  an architect licensed by the state of Washington under
				  chapter
				  18.08 RCW. The services of
				  a consulting engineer licensed by the state of Washington may be used for the
				  various branches of the work, if appropriate; and
(b) Drawings with coordinated architectural,
				  mechanical, and electrical work drawn to scale showing complete details for
				  construction, including:
(i) Site plan(s)
				  showing streets, driveways, parking, vehicle and pedestrian circulation,
				  utility line locations, and location of existing and new buildings;
(ii) Dimensioned floor plan(s) with the
				  function of each room and fixed/required equipment designated;
(iii) Elevations, sections, and construction
				  details;
(iv) Schedule of floor,
				  wall, and ceiling finishes;
(v)
				  Schedules of doors and windows sizes and type, and door finish
				  hardware;
(vi) Mechanical systems
				  plumbing and heating/venting/air conditioning; and
(vii) Electrical systems, including lighting,
				  power, and communication/notification systems.
(c) Specifications that describe with
				  specificity the workmanship and finishes;
(d) Shop drawings and related equipment
				  specifications for:
(i) An automatic fire
				  sprinkler system when required by other codes; and
(ii) An automatic fire alarm system when
				  required by other codes.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Physical Plan Basic Requirements › Section 388-107-0760 - Functional program

Current through Register Vol. 24-14, July 15, 2024
The facility must implement a functional program. The
					 functional program must clearly define the level, type and scope of care
					 provided. The functional program will cover, but is not limited to the
					 following:
(1) Scope of the
				  project;
(2) Type of residents to
				  be admitted to the facility;
(3)
				  Services offered;
(4) Activities
				  provided;
(5)
				  Transportation;
(6)
				  Staffing;
(7) Emergency and
				  disaster planning;
(8) Type of
				  rooms;
(9) Resident
				  rooms;
(10) Outdoor
				  spaces;
(11) Laundry
				  services;
(12) Janitorial
				  services;
(13) Food
				  services;
(14) Communication
				  systems;
(15) Security systems;
				  and
(16) Other
				  components.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Elements › Section 388-107-0770 - Environment of care

Current through Register Vol. 24-14, July 15, 2024
The enhanced services facility must ensure that:
(1) The facility is designed to provide
				  safety and security appropriate for the specific type of service or program
				  provided as well as the age level, acuity, and risk of the residents served for
				  geriatric, acute psychiatric, or forensic residents; and
(2) All rooms with lockable doors, including
				  but not limited to resident sleeping rooms and bathrooms, have a readily
				  accessible means of rapid access for appropriate staff.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Elements › Section 388-107-0780 - Electronic monitoring equipment-Audio monitoring and video monitoring

Current through Register Vol. 24-14, July 15, 2024
(1) Except as
				  provided in this section or in WAC
				  388-107-0790, the facility must
				  not use the following in the facility:
(a)
				  Audio monitoring equipment; or
(b)
				  Video monitoring equipment if it includes an audio component.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Elements › Section 388-107-0790 - Electronic monitoring equipment-Resident requested use

Current through Register Vol. 24-14, July 15, 2024
(1) The facility must not use audio or video
				  monitoring equipment to monitor any resident unless:
(a) The resident has requested the
				  monitoring; and
(b) The monitoring
				  is only used in the sleeping room of the resident who requested the
				  monitoring.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Elements › Section 388-107-0800 - Equipment

Current through Register Vol. 24-14, July 15, 2024
(1) The enhanced
				  services facility must have adequate equipment, supplies, and space to carry
				  out all functions and responsibilities of the facility.
(2) Safe and sanitary areas for:
(a) Storage and handling of clean and sterile
				  nursing equipment and supplies; and
(b) Cleaning and disinfecting of soiled
				  nursing equipment.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Elements › Section 388-107-0810 - Resident room

Current through Register Vol. 24-14, July 15, 2024
The facility must ensure that each resident sleeping
					 room:
(1) Has a maximum capacity of one
				  resident;
(2) May be locked by the
				  resident provided that:
(a) Appropriate staff
				  have a readily accessible means to unlock the room when the door is locked;
				  and
(b) An unlocked door is not an
				  identified need in the person-centered service plan;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Elements › Section 388-107-0820 - Resident toilet room

Current through Register Vol. 24-14, July 15, 2024
The facility will ensure:
(1) Toilet room doors:
(a) Are equipped with keyed locks that allow
				  staff to control access to the toilet room, where indicated by the resident
				  safety risk assessment;
(b) Swing
				  outward or be double-acting; and
(c) For accessible resident toilet rooms,
				  provide space for facility caregivers to transfer residents to the toilet using
				  portable mechanical lifting equipment.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Elements › Section 388-107-0830 - Resident bathing facilities

Current through Register Vol. 24-14, July 15, 2024
The facility must provide access to a bathtub or shower
					 for every resident. The facility must ensure:
(1) Bathing facilities are designed and
				  located for resident convenience and privacy;
(2) At least one bathing unit for every four
				  residents, or fraction thereof, who are located in a resident room without an
				  adjoining bathroom;
(3) Access to
				  at least one bathing device for immersion;
(4) Access to at least one roll-in shower or
				  equivalent on each resident care unit:
(a)
				  Designed and equipped for unobstructed ease of shower chair entry and
				  use;
(b) With a spray attachment
				  equipped with a backflow prevention device;
(c) With one-half inch or less threshold that
				  may be a collapsible rubber water barrier; and
(d) With a minimum nominal (rough-framed)
				  size of thirty-six inches by forty-eight;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Elements › Section 388-107-0840 - Locks in toilet and bathing facilities

Current through Register Vol. 24-14, July 15, 2024
The facility must ensure:
(1) All staff have a readily available means
				  of unlocking lockable toilet facilities and bathrooms from the outside;
				  and
(2) Locks are operable from the
				  inside with a single motion.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Elements › Section 388-107-0850 - Resident storage

Current through Register Vol. 24-14, July 15, 2024
The facility must ensure:
(1) Each resident has, within his or her
				  room, a separate wardrobe (for hanging garments), locker, or closet for storing
				  personal effects.
(2) Shelves for
				  folded garments may be used instead of arrangements for hanging garments if
				  acceptable to the resident.
(3)
				  Adequate storage must be available for a seven-day supply of clothes.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Elements › Section 388-107-0860 - Resident support spaces

Current through Register Vol. 24-14, July 15, 2024
The facility must ensure:
(1) Private space:
(a) For the use of individual residents,
				  family, and care-givers to discuss the specific resident's needs or private
				  family matters;
(b) With a minimum
				  clear floor area of 144 square feet; and
(c) Furnished with comfortable seating to
				  accommodate several people.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Areas › Section 388-107-0870 - Common areas

Current through Register Vol. 24-14, July 15, 2024
The facility must ensure that all residents have access to
					 common areas throughout the facility including, but not limited to, dining
					 rooms, day rooms, and activity areas.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Areas › Section 388-107-0880 - Dining, dayrooms, and resident activity areas

Current through Register Vol. 24-14, July 15, 2024
(1) The facility must provide one or more
				  rooms designated for resident dining and activities that is:
(a) Well lighted;
(b) Well ventilated;
(c) Adequately furnished;
(d) Large enough to accommodate all
				  residents; and
(e) Large enough to
				  accommodate all resident activities.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Common Areas › Section 388-107-0890 - Outdoor recreation space and walkways

Current through Register Vol. 24-14, July 15, 2024
(1) The enhanced services facility must
				  provide a safe, protected outdoor area for resident use.
(2) The facility must ensure the outdoor
				  area:
(a) Has areas protected from direct
				  sunshine and rain throughout the day;
(b) Can be accessed by the resident
				  ;
(c) Has walking surfaces that are
				  firm, stable, and free from cracks and abrupt changes with a maximum of one
				  inch between the sidewalk and adjoining landscape areas;
(d) Has sufficient space and outdoor
				  furniture provided with flexibility in arrangement of the furniture to
				  accommodate residents who use wheelchairs and mobility aids;
(e) Contains nonpoisonous shrubs, natural
				  foliage, and trees;
(f) Is
				  surrounded by walls or fences at least seventy-two inches high; and
(g) If used as a resident courtyard, the
				  outdoor area must not be used for public or service deliveries.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Support Services › Section 388-107-0900 - Laundry

Current through Register Vol. 24-14, July 15, 2024
The facility must provide laundry and linen services on
					 the premises, or by contract with a commercial laundry. If laundry services are
					 provided on-site, the facility must ensure that laundry facilities, equipment,
					 handling and processes provide residents with linen and laundered items that
					 are clean, in good repair and adequate to meet the needs of residents. The
					 facility:
(1) Must handle, clean, and
				  store linen according to acceptable methods of infection control, and:
(a) Ensure all staff wear appropriate
				  personal protective equipment and use appropriate infection control practices
				  when handling laundry;
(b) Ensure
				  that damp textiles or fabrics are not left in machines for longer than twelve
				  hours;
(c) Ensure that gross soil
				  is removed before washing and proper washing and drying procedures are used;
				  and
(d) Ensure that contaminated
				  textiles and fabrics are handled with minimum agitation to avoid contamination
				  of air, surfaces and persons.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Support Services › Section 388-107-0910 - Janitors closets on resident care units

Current through Register Vol. 24-14, July 15, 2024
The facility must ensure:
(1) There is a janitor's closet with a
				  service sink and adequate storage space for housekeeping equipment, cleaning
				  chemicals and supplies.
(2) The
				  janitor's closet meets the ventilation requirements in WAC
				  388-107-1000.
(3) The janitor's closet must remain
				  locked.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Support Services › Section 388-107-0920 - Kitchen

Current through Register Vol. 24-14, July 15, 2024
The facility must provide food service on the premises or
					 by contract with a commercial kitchen. If the facility provides food service
					 on-site, the facility must ensure food service areas are in compliance with
					 chapter 246-215 and 246-217 WAC, state board of health rules governing food
					 service sanitation. The facility providing on-site food service must:
(a) Ensure food service areas are provided
				  for the purpose of preparing, serving, and storing food and drink;
(b) Ensure food service areas are located to
				  facilitate receiving of food supplies, disposal of kitchen waste, and
				  transportation of food to dining and resident care areas;
(c) Locate and arrange the kitchen to avoid
				  contamination of food, to prevent heat and noise entering resident care areas,
				  and to prevent through traffic;
(d)
				  Conveniently locate a hand-washing sink near the food preparation and
				  dishwashing area, and include a waste receptacle and dispensers stocked with
				  soap and paper towels;
(e)
				  Adequately ventilate, light, and equip the dishwashing room or area for
				  sanitary processing of dishes;
(f)
				  Locate the garbage storage area in a well-ventilated room or an outside
				  area;
(g) Provide space for an
				  office or a desk and files for food service management located central to
				  deliveries and kitchen operations; and
(h) Include housekeeping facilities or a
				  janitor's closet for the exclusive use of food service with a service sink and
				  storage space for housekeeping equipment and supplies.