Washington Administrative Code › Title 388 - Social and Health Services, Department of › DEVELOPMENTAL DISABILITIES SERVICES › Chapter 388-828 - The division of developmental disabilities (DDD) assessment › RESIDENTIAL ALGORITHM › Section 388-828-9540 - What residential service levels of support does DDA use?

Current through Register Vol. 24-14, July 15, 2024
DDA uses the following residential service levels of
					 support which correspond with your assessed support needs (see WAC
					 388-828-9530
					 ):
Support Need Level
Typical Support Need Characteristics from the DDA
								Assessment
Expected Level of Support*
Weekly or less Support Level 1
Client requires supervision, training, or physical
								assistance in areas that typically occur weekly or less often, such as
								shopping, paying bills, or medical appointments. Client is generally
								independent in support areas that typically occur daily or every couple of
								days.
Clients assessed to need this level receive support
								on a weekly basis or less frequently.
Multiple times per week Support Level 2
Client is able to maintain health and safety for a
								full day or more at a time AND needs supervision, training, or physical
								assistance with tasks that typically occur every few days, such as light
								housekeeping, menu planning, or guidance and support with relationships. Client
								is generally independent in support areas that must occur daily.
Clients assessed to need this level receive support
								multiple times per week.
Intermittent daily - Low Support Level 3A
Client is able to maintain health and safety for
								short periods of time (i.e., hours, but not days) OR needs supervision,
								training, or physical assistance with activities that typically occur daily,
								such as bathing, dressing, or taking medications.
Clients assessed to need this level receive daily
								support.
Intermittent daily - Moderate Support Level
								3B
Client requires supervision, training, or physical
								assistance with multiple tasks that typically occur daily OR requires frequent
								checks for health and safety or due to disruptions in routines.
Clients assessed to need this level receive daily
								support and may receive checks during nighttime hours as needed.
Close proximity Support Level 4
Client requires support with a large number of
								activities that typically occur daily OR is able to maintain health and safety
								for very short periods of time (i.e., less than 2 hours, if at all) AND
								requires occasional health and safety checks or support during overnight
								hours.
Clients assessed to need this level receive
								supports in close proximity 24 hours per day. Support hours may be shared with
								neighboring households.
Continuous day and continuous night Support Level
								5
Client is generally unable to maintain health and
								safety OR requires support with a large number of activities that occur daily
								or almost every day AND requires nighttime staff typically within the
								household.
Clients assessed to need this level receive support
								24 hours per day.
Community Protection Support Level 6
Client is enrolled in the community protection
								program.
Clients assessed to need this level of support will
								receive 24 hour per day supervision per community protection program
								policy.
*Emergency access to residential staff is available
								to all clients, 24-hours per day, regardless of the residential service level
								of support the assessment indicates.
Statutory Authority:
						RCW
						71A.12.030 and Title 71A RCW. 09-06-047,
						§ 388-828-9540, filed 2/25/09, effective 3/28/09. 08-15-091, recodified as
						§ 388-828-9540, filed 7/17/08, effective 7/17/08; 08-12-037, §
						388-828-10080, filed 5/30/08, effective
						7/1/08.