reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-075 - Resident rights

Current through Register Vol. 24-14, July 15, 2024
The licensee must establish a process to ensure resident
				  rights are protected in compliance with chapter 71.12 RCW, this chapter, and
				  other applicable laws, and are based on the service types provided in the RTF.
				  This process must address how the RTF will:
(1) In an understandable manner, inform each
				resident or their personal representative, designee or parent or guardian, of
				the following:
(a) All rights, treatment
				methods, and rules applicable to the proposed health care of the
				resident;
(b) The estimated cost of
				treatment;
(c) The name, address
				and telephone number of the department;
(d) How to file a complaint with the
				department without interference, discrimination, reprisal or facility
				knowledge; and
(e) Use of
				applicable emergency interventions such as:
(i) Behavior management;
(ii) Restraint or seclusion, if used in the
				RTF;
(iii) Special treatment
				intervention such as room or personal searches;
(iv) Restrictions of rights; and
(v) Confidentiality parameters based on terms
				of admission or confinement.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-080 - Resident care services

Current through Register Vol. 24-14, July 15, 2024
Nothing in this section applies to an RTF in its licensed
				  capacity to provide pediatric transitional care services according to this
				  chapter.
(1) The licensee must
				establish and implement policies and procedures that:
(a) Describe how the licensee meets the
				residents' health care needs by satisfying the requirements of this section;
				and
(b) Are reviewed and approved
				by a health care pre-scriber at least biennially.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-081 - Residential services-Pediatric transitional care

Current through Register Vol. 24-14, July 15, 2024
This section only applies to an RTF in its licensed capacity
				  to provide pediatric transitional care services according to this
				  chapter.
(1) The licensee must
				establish and implement policies and procedures that:
(a) Describe how the licensee meets the
				infants' health care needs by satisfying the requirements of this section;
				and
(b) Are reviewed and approved
				by a pediatrician, a pediatric physician's assistant, or pediatric ARNP at
				least biennially.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-082 - Pediatric transitional care services-Parent-infant visitation

Current through Register Vol. 24-14, July 15, 2024
This section only applies to an RTF in its licensed capacity
				  to provide pediatric transitional care services according to this
				  chapter.
(1) The licensee, in
				collaboration with the infant's family, and the department of children, youth,
				and families, if applicable, shall identify persons who are authorized to visit
				the infant or call and receive verbal updates on the infant's
				condition.
(2) The licensee shall
				make all reasonable efforts to provide an initial visit between parents and
				infants at the facility within seventy-two hours of admission to the RTF,
				unless directed otherwise by a court order.
(3) At the first initial visit, the licensee
				shall develop a written visitation plan in collaboration with the infant's
				family and the department of children, youth, and families, if
				applicable.
(4) The licensee shall
				develop and implement policies and procedures regarding how to address safety
				concerns that are identified with persons visiting or wanting to visit an
				infant receiving pediatric transitional care services.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-085 - Accepting a child with a parent in treatment

Current through Register Vol. 24-14, July 15, 2024
(1) An RTF providing substance use disorder
				services and no mental health services may accept a child or children along
				with a parent in treatment as long as the parent is not receiving withdrawal
				management services.
(2) If the RTF
				provides withdrawal management, the child must be kept physically and visually
				separate from residents receiving withdrawal management services.
(3) An RTF that accepts a child with a parent
				in treatment must operate or arrange for child care which the child will attend
				during treatment hours of the parent. Child care facilities must be licensed by
				the department of early learning under:
(a)
				Chapter 170-295 WAC;
(b) Chapter
				170-297 WAC; or
(c) Chapter
				170-296A WAC;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-090

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-090, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-100 - Resident's individual service plan

Current through Register Vol. 24-14, July 15, 2024
This section does not apply to an RTF in its licensed
				  capacity to provide pediatric transitional care services according to this
				  chapter.
(1) The licensee must develop
				and implement an individual service plan for each resident based on the
				resident's:
(a) Initial health on admission;
				and
(b) Health
				assessment(s).
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-103 - Individual service plan-Pediat-ric transitional care services

Current through Register Vol. 24-14, July 15, 2024
(1) This section
				only applies to an RTF in its licensed capacity to provide pediatric
				transitional care services according to this chapter.
(2) The licensee must develop, implement, and
				update at least weekly an individual service plan for each infant receiving
				pediatric transitional care services based on the infant's:
(a) Initial health on admission;
				and
(b) Health assessment(s)
				described in WAC
				246-337-081.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-105 - Medication management

Current through Register Vol. 24-14, July 15, 2024
The licensee is responsible for implementing policies and
				  procedures for the control and appropriate use of all drugs within the RTF in
				  accordance with all applicable state and federal regulations. The policies and
				  procedures to implement this section must be developed, approved, and reviewed
				  by a health care prescriber and the RTF administrator, and must be consistent
				  with this chapter.
(1) Procurement.
				Timely procurement of drugs must be achieved in one or more of the following
				ways:
(a) A pharmacy licensed under chapter
				18.64 RCW provides resident specific drugs by prescription order to the
				RTF;
(b) A prescriber purchases
				drugs from a licensed wholesaler and is responsible for the drugs;
(c) The RTF is listed as a hospital pharmacy
				associated clinic under a hospital pharmacy license in accordance with chapter
				18.64 RCW and applicable rules adopted by the Washington state pharmacy quality
				assurance commission;
(d) The RTF
				holds a health care entity license under chapter 18.64 RCW and purchases drugs
				consistent with chapter 246-904 WAC; and
(e) The resident brings his or her prescribed
				medication with them to the RTF.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-110 - Use of restraint and seclusion

Current through Register Vol. 24-14, July 15, 2024
(1)
				This section only applies to an RTF that uses restraint or seclusion. This
				section does not apply to an RTF in its licensed capacity to provide pediatric
				transitional care services according to this chapter, nor are any of the
				practices described in this section permitted when providing services to
				infants. The licensee shall have policies and procedures addressing the
				application and use of restraint or seclusion consistent with this
				chapter.
(2) The following
				facilities must have a minimum of one seclusion room for seclusion or temporary
				holding of residents awaiting transfer:
(a)
				Any RTF certified under chapter 388-865 WAC as an evaluation and treatment
				facility, competency restoration facility or involuntary crisis triage
				facility; or
(b) Any RTF certified
				under chapter 388-877B WAC as a detoxification facility providing secure
				detoxification services as defined in
				RCW
				70.96B.010.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-111 - Food and nutrition services

Current through Register Vol. 24-14, July 15, 2024
Meals must meet resident nutritional needs, and are stored,
				  prepared and served in accordance with chapter 246-215 WAC.
The licensee shall:
(1) Provide food and dietary services managed
				by a person knowledgeable in food services, and, when needed, consultative
				services provided by a registered dietician.
(2) Post current food handlers permits in the
				kitchen.
(3) Provide at least three
				meals at regular intervals without more than fourteen hours between the last
				meal of the day and the first meal of the next day.
(4) Consider age, gender, developmental age,
				activities and health conditions when developing meals.
(5) Make reasonable accommodations for
				cultural and religious preferences.
(6) Notify appropriate staff of any resident
				with food allergies or other medical conditions, symptoms of allergic reactions
				to watch for, and emergency measures to take if allergic reactions
				occur.
(7) Provide modified diets,
				nutrient supplements and concentrates to residents if prescribed or indicated
				by an authorized health care prescriber or registered dietician.
(8) Allow sufficient time for residents to
				consume meals.
(9) Require all
				staff and residents who perform food preparation for group consumption have a
				current food and beverage service worker's permit and be medically screened and
				cleared to perform food preparation. All residents who do not perform food
				preparation for group consumption but who work in the kitchen do not need a
				food and beverage worker's permit, but must be oriented and supervised by staff
				with a current food and beverage worker permit at all times when working in the
				kitchen.
(10) Date, make available,
				and conspicuously post menus at least one week in advance.
(11) Keep records of all food served,
				including substitutions for at least three months.
(12) Prepare food on-site or have food
				provided by a licensed food establishment under chapter 246-215 WAC, Food and
				Drug Administration, or United States Department of Agriculture, with which the
				RTF has a signed contract or agreement and a written plan of action should food
				be in an unacceptable condition.
(13) Use commercial appliances if the kitchen
				provides meals for more than sixteen residents. A licensed RTF with sixteen or
				fewer residents may use domestic or home-type kitchen appliances. Domestic and
				home-type equipment must meet sanitation requirements of chapter 246-215
				WAC.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-112 - Laundry services

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Provide to residents laundry facilities,
				equipment, handling and processes for linen and laundered items that are clean
				and in good repair, adequate to meet the needs of residents, and maintained
				according to the manufacturer's instructions;
(2) Provide laundry and linen services on the
				premises, or by commercial laundry;
(3) Handle, clean, and store linen according
				to acceptable methods of infection control including preventing contamination
				from other sources;
(4) Provide
				separate areas for handling clean laundry and soiled laundry;
(5) Require that all staff wear appropriate
				personal protective equipment and use appropriate infection control practices
				when handling grossly soiled laundry;
(6) Remove gross soil from laundry before
				washing and drying;
(7) Handle
				contaminated textiles and fabrics with minimum agitation to avoid contamination
				of air, surfaces and persons;
(8)
				Use washing machines that have a continuous supply of hot water with a
				temperature of one hundred forty degrees Fahrenheit, or that automatically
				dispense a chemical sanitizer and detergent or wash additives as specified by
				the manufacturer. A resident's personal laundry, separate from other laundry,
				may be washed at temperatures below one hundred forty degrees Fahrenheit
				provided chemicals suitable for low temperature washing at proper use
				concentration and according to the cleaning instructions for the textile,
				fabric, or clothing are used.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-113 - Resident sleeping room accommodations

Current through Register Vol. 24-14, July 15, 2024
In resident rooms used for sleeping, the licensee shall
				  provide furniture appropriate for the age and physical condition of each
				  resident, including:
(1) A bed at
				least thirty-six or more inches wide for adults and appropriate size for
				children, spaced at least thirty-six inches apart.
(2) No more than two infants per room using
				two single level nonstacking cribs or bassinets for licensees providing
				pediatric transitional care services.
(3) Equipping each bed with:
(a) A mattress that is clean, in good repair,
				and fits the frame;
(b) One or more
				pillows that are clean, and in good repair for each resident over two and
				one-half years of age;
(c) Bedding
				that includes a tight-fitting sheet or cover for the sleeping surface, and a
				clean blanket or suitable cover; and
(d) Bedding that is in good repair, changed
				weekly or more often as necessary to maintain cleanliness.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-115

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-115, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-116 - Animal management and safety

Current through Register Vol. 24-14, July 15, 2024
The licensee must develop and implement policies and
				  procedures that protect the health and safety of residents when service animals
				  or, if allowed, therapy animals or pets are allowed on the premises. Policies
				  and procedures must address:
(1)
				Animal immunizations;
(2) Animal
				behavior;
(3) The handling and
				cleanup of animal waste; and
(4)
				Animal health care needs.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-120 - Facility and environment requirements

Current through Register Vol. 24-14, July 15, 2024
(1)
				The licensee must maintain the facility, exterior grounds, and component parts
				such as fences, equipment, outbuildings, and landscape items in a manner that
				is safe, free of hazards, clean, and in good repair.
(2) Each facility must be located on a site
				which is accessible by emergency vehicles on at least one street, road or
				driveway usable under all weather conditions and free of major potholes or
				obstructions.
(3) Policies and
				procedures must be developed and implemented for routine preventative
				maintenance, including:
(a) Heating
				ventilation and air conditioning, plumbing and electrical equipment;
(b) Certification and calibration of
				biomedical and therapeutic equipment; and
(c) Documentation of all
				maintenance.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-124 - Common room requirements

Current through Register Vol. 24-14, July 15, 2024
The RTF shall include rooms for social, educational, and
				  recreational activities, visitation, dining, toileting and bathing, as
				  described in this section.
(1) Common
				areas. Provide at least forty square feet per resident for the total combined
				area which is used for dining, social, educational, recreational activities and
				group therapies.
(2) Visiting
				room(s). At least one private area for visitation of residents by
				guests.
(3) Dining room(s). Dining
				rooms or areas must be large enough to accommodate all residents at a single
				sitting or in no more than three shifts. If the space is used for more than one
				purpose, that space must be designed to accommodate each of the activities
				without unreasonable interference with one another.
(4) Toilet room(s) and bathroom(s). Toilet
				rooms and bathrooms must be available to residents including:
(a) A minimum of one toilet and handwashing
				sink for every eight residents. Urinals may count for up to one-third of the
				required toilets in a male-only toilet room;
(b) A toilet and handwashing sink in, or
				immediately accessible to each bathroom;
(c) A minimum of one bathing fixture for
				every eight residents;
(d) Rooms
				containing more than one toilet or more than one bathing area must:
(i) Be designated for use by one gender,
				unless it is a toilet room specifically designated for children under the age
				of six years; and
(ii) Provide for
				privacy during toileting, bathing, and dressing through the use of doors or
				dividers;
(e) Equipping
				each toilet room and bathroom with:
(i) Water
				resistant, smooth, easily cleanable, slip-resistant bathtubs, showers, and
				floor surfaces;
(ii) Washable walls
				to the height of splash or spray;
(iii) Washable cabinets and counter
				tops;
(iv) Plumbing fixtures
				designed for easy cleaning;
(v)
				Clean, nonabsorbent toilet seats free of cracks;
(vi) Grab bars installed at each toilet and
				bathing fixture;
(vii) Shatter
				resistant mirrors when appropriate;
(viii) Adequate lighting for general
				illumination;
(ix) One or more
				handwashing sink with soap and single use or disposable towels with a mounted
				paper towel dispenser, unless a blower or equivalent hand-drying device is
				provided; and
(x) Toilet tissue
				with a reachable mounted tissue dispenser by each toilet.
(f) Providing access to bath and toilet rooms
				by:
(i) Locating a toilet room and bath room
				on the same floor or level as the sleeping room of the resident; and
(ii) Providing access without passage through
				any food preparation area or from one bedroom through another
				bedroom.
(g) If a toilet
				room or bath room adjoins a bedroom, the bath room is restricted to use by
				those residents residing in the adjoining bedrooms.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-125

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-125, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-126 - Resident care room requirements

Current through Register Vol. 24-14, July 15, 2024
The facility shall include rooms for individual and group
				  therapy, medical examination when there is routine physical examination of
				  residents, and medication storage if applicable, as described in this
				  section.
(1) Therapy room(s). Therapy
				rooms for individual and group counseling must maintain visual and auditory
				confidentiality. The facility must have at least one room per twelve
				residents.
(2) Medical examination
				room. The examination room must be equipped with:
(a) An exam table with at least three feet of
				space on two sides and end of the table for staff access;
(b) An examination light;
(c) Storage units for medical supplies and
				equipment; and
(d) A handwashing
				sink.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-127 - Restraint or seclusion room requirements

Current through Register Vol. 24-14, July 15, 2024
This section only applies to an RTF that is approved to use
				  restraint or seclusion. In new construction or modification, each restraint or
				  seclusion room must:
(1) Be designed
				to minimize potential for stimulation, escape, hiding, injury, or death,
				including:
(a) Walls, ceiling, and floors
				shall be designed to resist impact forces;
(b) Ceilings shall be monolithic without
				joints or crevices or shall be a minimum of nine feet high;
(c) All permanent building fixtures and
				details in the room shall be designed to prevent injury to the residents or
				staff; and
(d) Electrical switches
				and receptacles within the room are prohibited or covered to make them
				inaccessible.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-128 - Laundry and housekeeping room requirements

Current through Register Vol. 24-14, July 15, 2024
(1) Laundry. RTFs in which on-site laundry
				services are provided must:
(a) Locate
				laundry equipment in rooms other than those used for open food storage, food
				preparation, or food service;
(b)
				Equip laundry areas with:
(i) A utility
				sink;
(ii) A table or counter for
				folding clean laundry; and
(iii) At
				least one washing machine and one clothes dryer.
(c) Provide separate areas for handling clean
				laundry and soiled laundry; and
(d)
				Ventilate laundry rooms and areas to the exterior including areas or rooms
				where holding soiled laundry for processing by off-site commercial laundry
				services.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-129 - Resident sleeping room requirements

Current through Register Vol. 24-14, July 15, 2024
(1) The licensee shall provide residents with
				an accessible, clean, well-maintained room with sufficient space, light, and
				comfortable furnishings for sleeping and personal activities.
(2) Sleeping rooms must include:
(a) At least a three-foot clear access aisle
				from the entry door, along at least one side of each bed, and in front of all
				storage equipment;
(b) If a bunk
				bed is used, a minimum access aisle of five feet along at least one side of the
				bunk bed;
(c) Room
				identification;
(d) Direct access
				to a hallway, living room, lounge, the outside, or other common use area
				without going through a laundry or utility area, a bath or toilet room, or
				another resident's bedroom; and
(e)
				One or more outside windows that:
(i) Has
				adjustable curtains, shades, blinds, or equivalent installed at the windows for
				visual privacy;
(ii) Is
				shatterproof, screened, or of the security type as determined by the resident
				needs; and
(iii) Are marked with a
				solid color or barrier if clear glass windows or doors extend to the
				floor.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-130 - Water supply, sewage and waste disposal

Current through Register Vol. 24-14, July 15, 2024
The licensee shall ensure:
(1) Water supply and waste disposal in each
				facility meet the provisions of chapter 246-290 or 246-291 WAC, whichever
				applies.
(2) Tempered water between
				one hundred and one hundred twenty degrees Fahrenheit in resident
				areas.
(3) Plumbing systems free of
				cross connections.
(4) Sewage and
				waste water drain into a public sewer system in compliance with applicable laws
				and rules, or meet the requirements of chapters 246-272 and 173-240 WAC, and
				local laws and rules.
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-130, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-135 - Heating, ventilation and air conditioning

Current through Register Vol. 24-14, July 15, 2024
The licensee shall ensure:
(1) Rooms used by residents are able to
				maintain interior temperatures between sixty-five degrees Fahrenheit and
				seventy-eight degrees Fahrenheit year-round.
(2) Direct evaporative coolers are not used
				for cooling. In existing facilities, no new or replacement evaporative coolers
				may be used after adoption of these rules. Facilities currently using direct
				evaporative coolers such as swamp coolers or similar equipment shall follow
				manufacturer's instructions and develop and implement a written preventive
				maintenance program.
(3) Excessive
				odors and moisture are prevented in all areas of the building. The ventilation
				system must be in compliance with the mechanical code as adopted by the
				Washington state building code council.
(4) RTFs licensed prior to July 1991 may
				continue to use windows for ventilating toilet rooms, bathrooms, and janitor
				rooms if the windows are equipped with sixteen gauge mesh screens.
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-135, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-140 - Lighting, emergency lighting, and electrical outlets

Current through Register Vol. 24-14, July 15, 2024
The licensee shall ensure that lighting, emergency lighting,
				  and electrical outlets are adequate and safe including:
(1) Protection of bulbs and tubes against
				breakage by using canned lights, appropriately fitted shields, or shatter
				resistant materials in all areas occupied by residents, and in medication and
				food preparation areas.
(2) Use of
				tamper resistant electrical outlets in each room or area occupied by children
				under age five or residents with unsafe behaviors.
(3) Use of electrical outlets of the ground
				fault interrupter type or be controlled by a ground fault circuit interrupter
				when the outlet is within six feet of a sink or wet area.
(4) Emergency lighting on each
				floor.
(5) Exterior lighting with
				solar or battery backup at the exit and entry doors.
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-140, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-145

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-145, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-146 - Cleaning, maintenance and refuse disposal

Current through Register Vol. 24-14, July 15, 2024
The licensee shall maintain the facility, equipment, and
				  furnishings in a safe and sanitary condition, and in good repair through the
				  following requirements:
(1) Provide
				sanitary disposal and collection of garbage and refuse by:
(a) Use of containers constructed of
				nonabsorbent material, which are water-tight, covered, and adequate to store
				garbage and refuse;
(b) Having a
				storage area location convenient for resident and staff use;
(c) Having a clean and maintained area for
				containers to prevent:
(i) Entrance of
				insects, rodents, birds, or other pests;
(ii) Odors; and
(iii) Other nuisances.
(d) A disposal program for biohazardous and
				nonmedical waste using appropriate containers and disposal services.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-150

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-150, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-155

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-155, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-990 - Licensing fees

Current through Register Vol. 24-14, July 15, 2024
A licensee must submit the following fees to the
				  department:
FEE TYPE
AMOUNT
Administrative processing/
initial application fee
$204.00
License bed fee (per bed)
$190.00
Annual renewal fee (per bed)
$190.00
Late fee (per bed)
$33.00 (up to $660.00)
Follow-up compliance survey fee or a complete
								on-site survey fee resulting from a substantiated complaint
$1,320.00
(1) The
				department shall refund fees paid by the applicant for initial licensure if:
(a) The department has received an
				application but has not conducted an on-site survey or provided technical
				assistance. The department shall refund two-thirds of the fees paid, less a
				fifty dollar processing fee;
(b)
				The department has received an application and has conducted an on-site survey
				or provided technical assistance. The department shall refund one-third of the
				fees paid, less a fifty dollar processing fee.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-001 - Purpose

Current through Register Vol. 24-14, July 15, 2024
The purpose of this chapter is to implement chapter 70.42
				  RCW, by establishing licensing standards for medical test sites, consistent
				  with federal law and regulation, related to quality control, quality assurance,
				  records, personnel requirements, proficiency testing, and licensure
				  waivers.
Statutory Authority: RCW 70.42.005, 70.42.060 and chapter
					 70.42 RCW. 00-06-079, § 246-338-001, filed 3/1/00, effective 4/1/00.
					 Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-338-001, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 Chapter 70.42 RCW. 90-20-017 (Order 090), § 248-38-001, filed 9/21/90,
					 effective 10/22/90.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-020 - Licensure-Types of medical test site licenses

Current through Register Vol. 24-14, July 15, 2024
After July 1, 1990, any person advertising, operating,
				  managing, owning, conducting, opening, or maintaining a medical test site must
				  first obtain a license from the department. License types are described in
				  Table 020-1.
(1) Certificate of
				waiver.
Applicable if the medical test site performs only the tests
				  classified as waived.
(2)
				Provider performed microscopic procedures (PPMP).
Applicable if the medical test site restricts its testing
				  performance to one or more of the following moderate complexity tests performed
				  by one of the licensed professionals listed, in conjunction with a patient's
				  visit. In addition, the medical test site can perform tests classified as
				  waived with this type of license.
(a)
				The following licensed professionals may serve as the laboratory director and
				testing personnel for microscopic procedures under a PPMP medical test site
				license:
(i) Physician licensed under chapter
				18.71 RCW, Physicians; chapter 18.57 RCW, Osteopathy-Osteopathic medicine and
				surgery; or chapter 18.22 RCW, Podiatric medicine and surgery;
(ii) Advanced registered nurse practitioner,
				licensed under chapter 18.79 RCW, Nursing care;
(iii) Physician assistant licensed under
				chapter 18.71A RCW, Physician assistants; or
(iv) Dentist licensed under chapter 18.32
				RCW, Dentistry.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-022 - Initial application for medical test site license

Current through Register Vol. 24-14, July 15, 2024
(1)
Application procedure.
Applicants requesting a medical test site license
				  must:
(a) Submit a completed
				application on forms furnished by the department, signed by the owner or
				authorized representative;
(b) File
				a separate application for each test site
except
under the
				following conditions:
(i) If the test site is
				not at a fixed location and moves from testing site to testing site, or uses a
				temporary testing location such as a health fair, the medical test site may
				apply for a single license for the home base location;
(ii) If the medical test site is a
				not-for-profit or state or local government and performs a combination of
				fifteen or less of either waived or moderate complexity test procedures at
				different locations, the owner may file an application for a single
				license;
(c) Furnish
				full and complete information to the department in writing:
(i) Name, address, phone number, and federal
				tax ID number of the medical test site;
(ii) Name of owner;
(iii) Number and types of tests performed,
				planned, or projected;
(iv) Name
				and qualifications including educational background, training, and experience
				of the director;
(v) Names and
				qualifications including educational background, training, and experience of
				technical personnel, if requested by the department;
(vi) Name of proficiency testing program or
				programs used by the medical test site and a copy of the enrollment
				confirmation form, if applicable;
(vii) Methodologies for tests performed, if
				requested by the department; and
(viii) Other information as requested by the
				department;
(d) Submit
				the designated fee in the time period indicated, upon receipt of a fee
				statement from the department;
(e)
				If applying for an accredited license, submit proof of accreditation by an
				approved accreditation organization. If application has been made to an
				accreditation organization, submit a copy of the application, followed by proof
				of accreditation within eleven months of issuance of the medical test site
				license.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-024 - License renewal/reapplication process

Current through Register Vol. 24-14, July 15, 2024
(1) The department will issue a renewal
				license for a medical test site when the owner:
(a) At least thirty days prior to the
				expiration date of the current license, submits a completed renewal application
				form, available from the department, in compliance with WAC
				246-338-022(1) 
				and submits the designated fee; and
(b) Meets the requirements of chapter 70.42
				RCW and this chapter.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-026 - Notification requirements

Current through Register Vol. 24-14, July 15, 2024
(1) The owner
				must notify the department in writing at least thirty days prior to the date of
				opening or closing the medical test site.
(2) The owner must notify the department in
				writing within thirty days of any changes in:
(a) Name of site;
(b) Director;
(c) Location of site;
(d) Tests, specialties, and subspecialties;
				and
(e) Test
				methodologies.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-028 - On-site inspections

Current through Register Vol. 24-14, July 15, 2024
(1) The
				department may conduct an on-site review of a licensee or applicant at any time
				to determine compliance with chapter 70.42 RCW and this chapter as described in
				Table 020-1.
(2) The department may
				at any time examine records of the medical test site to determine compliance
				with chapter 70.42 RCW and this chapter.
(3) The department will:
(a) Provide written notice of deficiencies to
				the medical test site;
(b) Allow
				the owner a reasonable period of time, not to exceed sixty days after
				department approval of the written plan of correction, to correct a deficiency
				unless the deficiency is an immediate threat to public health, safety, or
				welfare; and
(c) Impose a directed
				plan of correction or a partial directed plan of correction as an alternative
				sanction for any laboratory that has serious deficiencies per
				42 C.F.R.
				493.1832 and
				RCW
				43.05.100.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-040 - Approval of accreditation organizations

Current through Register Vol. 24-14, July 15, 2024
(1) The department will recognize the
				accreditation organizations granted deemed status by CMS.
(2) The CMS-approved accreditation
				organizations are:
(a) American Association of
				Blood Banks (AABB);
(b) American
				Osteopathic Association (AOA);
(c)
				American Society of Histocompatibility and Immunogenetics (ASHI);
(d) College of American Pathologists
				(CAP);
(e) COLA; and
(f) Joint Commission on Accreditation of
				Healthcare Organizations (JCAHO).
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-050 - Proficiency testing

Current through Register Vol. 24-14, July 15, 2024
(1) All licensed
				medical test sites, excluding those granted a certificate of waiver, must:
(a) Comply with federal proficiency testing
				requirements listed in 42 C.F.R. Part 493 - Laboratory Requirements, Subparts H
				and I;
(b) Submit to the department
				a copy of proficiency testing enrollment confirmation form(s) for the tests the
				medical test site will perform during the following calendar year, by December
				31st of each year; and
(c)
				Authorize the proficiency testing program to release to the department all data
				required to determine the medical test site's compliance with this
				section.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-060 - Personnel

Current through Register Vol. 24-14, July 15, 2024
(1) Medical test
				site owners must:
(a) Have a director
				responsible for the overall technical supervision and management of the test
				site personnel including oversight of the performance of test procedures and
				reporting of test results;
(b) Have
				technical personnel, competent to perform tests and report test results;
				and
(c) Meet the standards for
				personnel qualifications and responsibilities in compliance with federal
				regulation, as listed in 42 C.F.R. Part 493 Subpart M - Personnel for
				Non-waived Testing.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-070 - Records

Current through Register Vol. 24-14, July 15, 2024
Medical test sites must maintain records as described in
				  this section.
(1) REQUISITIONS must
				include the following information, in written or electronic form:
(a) Patient name, identification number, or
				other method of patient identification;
(b) Name and address or other suitable
				identifiers of the authorized person ordering the test. The laboratory may
				accept oral requests for laboratory tests if it solicits a written or
				electronic authorization within thirty days of the oral request and maintains
				the authorization or documentation of its efforts to obtain the
				authorization;
(c) Date of specimen
				collection, and time, if appropriate;
(d) Source of specimen, if
				appropriate;
(e) Type of test
				ordered;
(f) Sex, and age or date
				of birth, of the patient; and
(g)
				For cytology and histopathology specimens:
(i)
				Pertinent clinical information; and
(ii) For Pap smears:
(A) Date of last menstrual period;
				and
(B) Indication whether the
				patient had a previous abnormal report, treatment, or biopsy.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-080 - Quality assurance

Current through Register Vol. 24-14, July 15, 2024
Each medical test site performing moderate complexity
				  (including PPMP) or high complexity testing, or any combination of these tests,
				  must establish and follow written policies and procedures for a comprehensive
				  quality assurance program. The quality assurance program must be designed to
				  monitor and evaluate the ongoing and overall quality of the total testing
				  process (preanalytic, analytic, postanalytic). The medical test site's quality
				  assurance program must evaluate the effectiveness of its policies and
				  procedures; identify and correct problems; assure the accurate, reliable, and
				  prompt reporting of test results; and assure the adequacy and competency of the
				  staff. As necessary, the medical test site must revise policies and procedures
				  based upon the results of those evaluations. The medical test site must meet
				  the standards as they apply to the services offered, complexity of testing
				  performed and test results reported, and the unique practices of each testing
				  entity. All quality assurance activities must be documented.
(1) The medical test site must establish and
				implement a written quality assurance plan, including policies and procedures,
				designed to:
(a) Monitor, evaluate, and
				review quality control data, proficiency testing results, and test results,
				including biannual verification of:
(i)
				Accuracy of test results for:
(A) Tests that
				are not covered by proficiency testing;
(B) Tests that are covered by proficiency
				testing but have unsatisfactory scores, are not scored by the proficiency
				testing program, or where scoring does not reflect actual test performance
				(e.g., the proficiency testing program does not obtain the agreement required
				for scoring); and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-090 - Quality control

Current through Register Vol. 24-14, July 15, 2024
The medical test site must use quality control procedures,
				  providing and assuring accurate and reliable test results and reports, meeting
				  the requirements of this chapter.
(1)
				The medical test site must have and follow written procedures and policies
				available in the work area for:
(a) Analytical
				methods used by the technical personnel including:
(i) Principle;
(ii) Specimen collection and processing
				procedures;
(iii)
				Equipment/reagent/supplies required;
(iv) Preparation of solutions, reagents, and
				stains;
(v) Test
				methodology;
(vi) Quality control
				procedures;
(vii) Procedures for
				reporting results (normal, abnormal, and critical values);
(viii) Reference range;
(ix) Troubleshooting guidelines - limitations
				of methodology;
(x) Calibration
				procedures; and
(xi) Pertinent
				literature references; and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-100 - Disciplinary action

Current through Register Vol. 24-14, July 15, 2024
(1) Pursuant to
				chapter 34.05 RCW, the department may deny a license to any applicant, or
				condition, suspend, or revoke the license of any licensee, or in addition to or
				in lieu thereof, assess monetary penalties of up to ten thousand dollars per
				violation, if the applicant or licensee:
(a)
				Fails or refuses to comply with the requirements of chapter 70.42 RCW or the
				rules adopted under chapter 70.42 RCW;
(b) Knowingly, or with reason to know, makes
				a false statement of a material fact in the application for a license or in any
				data attached thereto or in any record required by the department;
(c) Refuses to allow representatives of the
				department to examine any book, record, or file required under this
				chapter;
(d) Willfully prevents,
				interferes with, or attempts to impede in any way, the work of a representative
				of the department; or
(e)
				Misrepresents or is fraudulent in any aspect of the owner's or applicant's
				business.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-338 - Medical test site rules › Section 246-338-110 - Adjudicative proceedings

Current through Register Vol. 24-14, July 15, 2024
(1) A licensee
				or applicant who contests a disciplinary action shall, within twenty-eight days
				of service of the notice of disciplinary action, file a request for
				adjudicative proceeding with the Department of Health, Adjudicative Clerk, P.O.
				Box 47879, Olympia, WA 98504-7879.
(2) The adjudicative proceeding is governed
				by chapter 34.05 RCW, the Administrative Procedure Act, chapter 70.42 RCW,
				Medical test sites, this chapter, and chapter 246-10 WAC.
(3) Any licensee or applicant aggrieved upon
				issuance of the decision after the adjudicative proceeding may, within sixty
				days of service of the adjudicative proceeding decision, petition the superior
				court for review of the decision under chapter 34.05 RCW.
Statutory Authority: RCW 70.42.005, 70.42.060 and chapter
					 70.42 RCW. 00-06-079, § 246-338-110, filed 3/1/00, effective 4/1/00.
					 Statutory Authority: Chapter 70.42 RCW. 93-18-091 (Order 390), §
					 246-338-110, filed 9/1/93, effective 10/2/93; 91-21-062 (Order 205), §
					 246-338-110, filed 10/16/91, effective 10/16/91. Statutory Authority:
					 RCW
					 43.70.040. 91-02-049 (Order 121), recodified
					 as § 246-338-110, filed 12/27/90, effective 1/31/91. Statutory Authority:
					 Chapter 70.42 RCW. 90-20-017 (Order 090), § 248-38-110, filed 9/21/90,
					 effective 10/22/90.