reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0750 - What are the adult day center's personnel policies and procedures requirements?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Personnel policies and procedures must be in place to ensure that staff is
				  trained and knowledgeable to provide quality services in a safe environment.
				  Policies must include at least the following:
(a) The center must have policies concerning
				  the recruitment, orientation, training, evaluation, and professional
				  development of staff and volunteers.
(b) The center must have job descriptions for
				  each paid staff and volunteer position, which functions as staff, that are in
				  accordance with ADA requirements and that specify qualifications for the job,
				  delineation of tasks, essential functions and lines of supervision and
				  authority.
(c) Each employee must
				  receive, review, and sign a copy of the job description at the time of
				  employment and whenever job descriptions are modified. Volunteers who function
				  as staff must receive written descriptions of responsibilities.
(d) Probationary evaluations and annual
				  performance evaluations, in accordance with job descriptions, must be conducted
				  and must conform to the policy of the funding or parent organization. Both the
				  employee and supervisor will sign and date the written evaluation. Copies will
				  be kept in locked personnel files.
(e) Each staff person or volunteer, who
				  functions as a staff person, is to have tuberculosis (TB) testing according to
				  current local health authorities recommendations.
(f) The center must have policies to restrict
				  a staff person or participant's contact with clients when the staff person or
				  participant has a known communicable disease in the infectious stage that is
				  likely to spread in the center.
(g)
				  Policies must also be established concerning hand washing, universal
				  precautions, infection control, infectious waste disposal, bloodborne
				  pathogens, and laundry and handling of soiled and clean items.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0754 - What are the adult day center's staff ratio requirements?

Current through Register Vol. 24-14, July 15, 2024
(1) Direct care
				  staff in adult day centers will vary based upon the number of participants and
				  their care and service requirements. The centers must provide sufficient
				  numbers of qualified staff to meet the participants' needs, but at a minimum
				  must have one staff to six clients for:
(a)
				  Adequate nutrition and hydration;
(b) Health monitoring, education and referral
				  to health services if needed;
(c)
				  Assistance with activities of daily living;
(d) Socialization, recreation, therapeutic
				  activities and stimulation;
(e)
				  Transportation assistance;
(f)
				  Supervision and protection; and
(g)
				  Provision of a safe environment.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0756 - What are the adult day care centers' minimum staff requirements?

Current through Register Vol. 24-14, July 15, 2024
(1) The minimum
				  staffing requirements for adult day care centers include an
				  administrator/program director, activity coordinator, a consulting registered
				  nurse, and a consulting social worker.
(2) The administrator/program director must
				  have a master's degree and one year of supervisory experience in health or
				  social services (full-time equivalent); or a bachelor's degree in health,
				  social services or a related field, with two years of supervisory experience
				  (full-time equivalent) in a social or health service setting; or a high school
				  diploma or equivalent and four years of experience in a health or social
				  services field, of which two years must be in a supervisory position, and have
				  expertise with the populations served at the center.
Statutory Authority:
						RCW
						74.04.050,
						74.04.057,
						74.04.200,
						74.08.090,
						74.09.520, and
						74.39A.030. 03-06-024, §
						388-71-0756, filed 2/24/03, effective
						7/1/03.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0758 - What are the adult day health centers' minimum staff requirements?

Current through Register Vol. 24-14, July 15, 2024
(1) The minimum
				  staffing requirements for adult day health centers include an administrator,
				  program director, registered nurse, activity coordinator, a PT/OT or speech
				  therapist, and a social worker. The administrator and program director may be
				  the same person.
(2) The program
				  administrator must have a master's degree and one year of supervisory
				  experience in health or social services (full-time equivalent), or a bachelor's
				  degree and two years of supervisory experience in a social or health service
				  setting. The degree may be in nursing.
(3) The program director must have a
				  bachelor's degree in health, social services or a related field with one year
				  of supervisory experience (full-time equivalent) in a social or health service
				  setting. Upon approval by the department, a day health center may request an
				  exception for an individual with an associate's or vocational degree in health,
				  social services, or a related field with four years of experience in a health
				  or social service setting, of which two years must be in a supervisory
				  position.
(4) Registered nurses and
				  licensed practical nurses per WAC
				  388-71-0752.
(5) Therapists, regardless of specific
				  expertise, such as physical therapists, occupational therapists, speech
				  therapists, recreation therapists, mental health therapists, or any other
				  therapists used, must have valid state credentials and one year of experience
				  in a social or health setting.
(6)
				  Rehabilitative therapeutic assistants must be certified with valid state
				  credentials, have at least one year of applicable experience (full-time
				  equivalent), and meet the requirements of chapter 246-915, 246-847, or 246-828
				  WAC.
(7) A certified or registered
				  nursing assistant must meet the requirements of chapter 18.88A. RCW.
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.
Statutory Authority:
						RCW
						74.04.050,
						74.04.057,
						74.04.200,
						74.08.090,
						74.09.520, and
						74.39A.030. 03-06-024, §
						388-71-0758, filed 2/24/03, effective
						7/1/03.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0760 - What are the adult day centers' employee file requirements?

Current through Register Vol. 24-14, July 15, 2024
(1) Each employee
				  must have an individual file containing the employee's application,
				  verification of references, TB status, signed job description, and all
				  performance evaluations. Copies of current license, certificate, or
				  registration and verification of current good standing, and a current
				  certification of CPR and first aid training, if applicable, must also be in the
				  file.
(2) Centers must maintain
				  employee records for the duration of staff employment and at least seven years
				  after termination of employment.
(3) Employee records must contain
				  documentation demonstrating the employee was oriented to the facility, job and
				  possesses the knowledge, skills and ability to perform their assigned duties.
				  The record should also contain documentation demonstrating the employee
				  understands and will follow the center's policies and procedures regarding but
				  not limited to medication disposal, the emergency and evacuation plan, the
				  abuse, neglect, abandonment and financial exploitation of vulnerable adults and
				  universal precaution policies and procedures.
(4) Background checks pursuant to
				  RCW
				  43.43.830 and
				  43.43.832 must be performed for
				  all applicants hired, existing employees, and volunteers who function as staff
				  or who have unsupervised access to participants. Unsupervised access to
				  participants is prohibited until a background check has been completed and the
				  employee's suitability for employment has been determined. Background checks
				  must be updated every two years and documentation maintained in the employees'
				  or volunteers' functioning as staff, record.
Statutory Authority:
						RCW
						74.04.050,
						74.04.057,
						74.04.200,
						74.08.090,
						74.09.520, and
						74.39A.030. 03-06-024, §
						388-71-0760, filed 2/24/03, effective
						7/1/03.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0762 - What are the adult day centers' employee education and training requirements?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Provision must be made for orientation of new employees, contractors, and
				  volunteers.
(2) Every year, all
				  staff, contractors, and volunteers, functioning as staff, must receive, at a
				  minimum, quarterly in-service training and staff development that meets their
				  individual training needs to support program services. This must be documented
				  and readily accessible in the personnel file.
(3) Staff, contractors, and volunteers, who
				  function as staff, must receive training regarding the following at a minimum:
(a) How to document in participants'
				  records;
(b) What the center's
				  emergency plan and evacuation procedure is and how to implement;
(c) How to respond to aggressive or
				  assaultive participants;
(d) How to
				  receive and respond to grievances;
(e) What are universal precautions and how to
				  implement in the day to day operations in the center;
(f) Reporting requirements such as but not
				  limited to:
(i) Mandatory reporting for abuse,
				  neglect, abandonment, and exploitation of vulnerable adults; and
(ii) Local health department procedure for
				  disease outbreak.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0764 - How will medications be provided in an adult day center?

Current through Register Vol. 24-14, July 15, 2024
(1) The center must
				  develop written medication policies that support and promote safe medication
				  storage and administration for each participant and meet the requirements of
				  chapters 69.41 RCW and 246-88 WAC and other applicable statutes. These policies
				  must be explained and accessible to all staff, contractors, volunteers, and
				  participants that have responsibility in this area.
(2) Participants who need to take medications
				  while at the center, and who are able to self-medicate, must be encouraged and
				  expected to bring and take their own medications as prescribed. Some
				  participants may need assistance with their medications, and some may need to
				  have their medications administered by qualified program staff.
(3) In order for the center staff to
				  administer any prescribed medication, there must be a written authorization
				  from the participant's authorizing practitioner stating that the medication is
				  to be administered at the program site.
(4) Staff must be trained to observe
				  medication usage and effects, and to document and report any concerns or
				  difficulties with medications.
(5)
				  At a minimum, medication policies must include the following:
(a) How medications will be labeled and
				  stored. Medications must be:
(i) Labeled
				  according to your policy including prescribed and over the counter
				  medications;
(ii) Kept in a locked
				  storage area organized so client's medications are not mixed together;
				  and
(iii) If refrigeration is
				  necessary, medications should be in a locked box, if not in a separate
				  refrigerator dedicated to medication refrigeration.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0766 - What are the adult day centers' facility requirements?

Current through Register Vol. 24-14, July 15, 2024
(1) Selection of a location for a center must
				  be based on information about potential participants in the service area and be
				  made in consultation with other agencies, organizations, and institutions
				  serving older individuals and those with functional impairments, as well as
				  considering the availability of a suitable location.
(2) Centers must have available a current
				  floor plan of the facility indicating usage of space with interior
				  measurements, building inspection report from the local, city or county,
				  building department, if applicable, fire department inspection report, and the
				  local health department kitchen inspection report and permit if operating an
				  on-site kitchen.
(3) When possible,
				  the facility should be located at street level. If the facility is not located
				  at street level, it is essential to have a ramp and/or elevators. All new adult
				  day service centers contracted with the department after February 1, 2014 must
				  have a ramp, at least a 1:12 slope, for emergency evacuation if the center has
				  any steps or stairs to be navigated during an emergency evacuation. An
				  evacuation plan for relocation of participants to another building must also be
				  in place in the event of an emergency. The center must post a floor plan of the
				  center and indicate the evacuation route from each room to the outside meeting
				  place.
(4) Each adult day center
				  co-located in a facility housing other services must have its own separate
				  identifiable space for main activity areas during operational hours. Certain
				  space can be shared, such as the kitchen and therapy rooms.
(5) Each center must provide appropriate
				  hardware on doors of storage rooms, closets, bathrooms, and other rooms to
				  prevent participants from being accidentally locked in.
(6) When possible, the location should be
				  within a transit authority's core service area.
(7) The facility must have:
(a) Sufficient space to accommodate a full
				  range of programs and activities necessary for participant needs;
(b) Be adaptable to accommodate variations of
				  activities for group and individual services;
(c) Maintain essential space when providing
				  services to protect the privacy and dignity of each participant in a respectful
				  manner;
(d) Sufficient space
				  available for private discussions; and
(e) Private and designated space allowing
				  staff to work without interruption.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0768 - Adult day centers-Physical environment requirements (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						74.04.050,
						74.04.057,
						74.04.200,
						74.08.090,
						74.09.520, and
						74.39A.030. 03-06-024, §
						388-71-0768, filed 2/24/03, effective
						7/1/03.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0770 - What are the adult day centers' food and nutrition service requirements?

Current through Register Vol. 24-14, July 15, 2024
Centers must provide meal service to all participants as
					 outlined in WAC
					 388-71-0704
					 and
					 388-71-0706.
(1) All meals provided are to meet one-third
				  of the minimum required daily allowance or dietary reference intake as
				  determined by the Food and Nutrition Board of the Institute of
				  Medicine.
(2) The center must
				  ensure that food served meets nutritional needs, takes into consideration
				  individual and ethnic preferences to the extent reasonably possible, caloric
				  need, special dietary requirements, and any physical condition making food
				  intake difficult.
(3) The center
				  must provide a variety of foods and not repeat menus for a minimum of three
				  weeks.
(4) Participant input must
				  be gathered when planning meals.
(5) Menus must be posted at least one week in
				  advance; indicate the month, year, date, day of the week; and include food and
				  snack choices served that contribute to nutritional requirements.
(6) Nutrient concentrates, supplements, and
				  dysphagia-modified diets related to a choking or aspiration risk, are to be
				  served only with the written approval of the participant's authorizing
				  practitioner.
(7) Safe and sanitary
				  handling, storage, preparation, and serving of food must be assured. If meals
				  are prepared on the premises, kitchen appliances, food preparation area, and
				  equipment must meet state and local requirements and pass inspections
				  annually.
(8) All staff and
				  volunteers handling or serving meals must have the appropriate food handler's
				  permits, if applicable.
(9) In the
				  event meals are prepared at a separate kitchen facility, the adult day center
				  must ensure that persons preparing food have a food handler's permit and that
				  the food is transported in airtight containers to prevent
				  contamination.
(10) The center must
				  ensure that the food is transported and served at the appropriate and safe
				  temperature.
Statutory Authority:
						RCW
						74.04.050,
						74.04.057,
						74.04.200,
						74.08.090,
						74.09.520, and
						74.39A.030. 03-06-024, §
						388-71-0770, filed 2/24/03, effective
						7/1/03.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0772 - What are the adult day centers' emergency procedures requirements?

Current through Register Vol. 24-14, July 15, 2024
(1) A written
				  emergency/disaster/earthquake plan must be readily available to all staff at
				  each program site and in all program owned vehicles. Staff must be trained to
				  ensure smooth implementation of the emergency plan.
(2) All staff and volunteers must be trained
				  in evacuation/fire safety procedures.
(3) The center's written
				  illness/injury/medical emergency/death procedure must be followed in the event
				  a participant becomes ill, is injured, or dies. The procedures must be readily
				  available to all staff during program hours and must be explained to staff,
				  volunteers, and participants.
(4)
				  Procedures for fire safety as approved by the local fire authority must be
				  adopted and readily available to all staff, including provisions for fire
				  drills, inspection and maintenance of fire extinguishers, and periodic
				  inspection and training by fire department personnel. The center must conduct
				  and document quarterly fire drills and document the center's ability to meet
				  procedures. Improvements must be based on the fire drill evaluation. The center
				  must post their building's floor plan with evacuation route from each room to
				  the outside pre-determined meeting place. Smoke detectors must also be used and
				  serviced on a routine basis per the center's policy.
(5) Each center must provide adequate
				  emergency lighting or flashlights in all areas.
(6) Each center must provide and maintain
				  first aid kits with manuals in adequate numbers to meet the needs of the
				  participant and staff.
(7) Each
				  center must ensure, in accordance with local emergency procedures, that
				  supplies, food, water and equipment are available in the event power, heat
				  and/or electricity are not available during an emergency.
Statutory Authority:
						RCW
						74.04.050,
						74.04.057,
						74.04.200,
						74.08.090,
						74.09.520, and
						74.39A.030. 03-06-024, §
						388-71-0772, filed 2/24/03, effective
						7/1/03.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0774 - What are the adult day centers' quality assurance plan requirements?

Current through Register Vol. 24-14, July 15, 2024
(1) All adult day
				  centers must develop an annual quality improvement plan that identifies
				  specific concerns regarding the quality of care and services to clients. The
				  plan must also include a description of the plan of action that would address
				  the concerns. The plan must have specific measurable objectives, designed to
				  meet requirements of any licensing, funding sources, professional standards, or
				  regulatory compliance.
(2) Policies
				  and procedures for monitoring program quality and determining further action
				  must be developed by the administrator with the advice of the multidisciplinary
				  staff team and the advisory committee, and with the approval of the governing
				  body and center clients and/or representatives.
(3) Quality assurance and improvement plans
				  may include but are not limited to annual program evaluations, utilization
				  reviews, participants' and former participants' satisfaction surveys, and
				  sampling participant care plans to audit for assurances of meeting the WAC
				  requirements.
Statutory Authority:
						RCW
						74.04.050,
						74.04.057,
						74.04.200,
						74.08.090,
						74.09.520, and
						74.39A.030. 03-06-024, §
						388-71-0774, filed 2/24/03, effective
						7/1/03.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0776 - Effective date

Current through Register Vol. 24-14, July 15, 2024
WAC
					 388-71-0702 through
					 388-71-0776 is effective February
					 1, 2014.
Reviser's note:
RCW
						34.05.395 requires the use of underlining and
						deletion marks to indicate amendments to existing rules. The rule published
						above varies from its predecessor in certain respects not indicated by the use
						of these markings.
Statutory Authority:
						RCW
						74.04.050,
						74.04.057,
						74.04.200,
						74.08.090,
						74.09.520, and
						74.39A.030. 03-06-024, §
						388-71-0776, filed 2/24/03, effective
						7/1/03.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › TRAINING › Section 388-71-0837 - How does DSHS determine a long-term care worker's date of hire and when may a long-term care worker be eligible to have the date of hire reset?

Current through Register Vol. 24-14, July 15, 2024
(1) The department
				  determines a long-term care worker's date of hire according to the first day
				  the long-term care worker is employed by any employer.
(2) The date of hire is specific to each
				  long-term care worker. A long-term care worker, including an individual or
				  agency provider who has worked as a long-term care worker in the past, but who
				  did not complete the training or certification that was required at the time,
				  and a worker who is not currently certified or eligible to reactivate an
				  expired credential, shall receive a new date of hire when beginning work with
				  either a new employer or returning to a former employer after prior employment
				  has ended.
(3) This section does
				  not apply to background check requirements under this chapter.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › TRAINING › Section 388-71-0839 - Which long-term care workers are exempt from the 70-hour, 30-hour, nine-hour, or seven-hour basic training requirements?

Current through Register Vol. 24-14, July 15, 2024
The following long-term care workers are exempt from the
					 70hour, 30-hour, nine-hour, or seven-hour basic training requirement:
(1) An individual employed as a long-term
				  care worker on January 6, 2012, who complied with the basic training
				  requirements in effect on the date of hire;
(2) An individual previously employed as a
				  long-term care worker who completed the basic training requirements in effect
				  on the date of hire, and was employed as a long-term care worker at some point
				  between January 1, 2011, and January 6, 2012;
(3) Registered nurses, licensed practical
				  nurses, and advanced registered nurse practitioners licensed under chapter
				  18.79 RCW;
(4) Nursing assistants
				  certified under chapter 18.88A RCW and persons in an approved training program
				  for certified nursing assistants under chapter 18.88A RCW provided that they
				  complete the training program within 120 days of the date of hire and the
				  department of health has issued a nursing assistant certified credential within
				  200 days of the date of hire;
(5) A
				  home health aide who was employed by a medicare certified home health agency
				  within the year before being hired as a long-term care worker and has met the
				  requirements of 42 C.F.R.,
				  Sec. 484.36;
(6) An individual with special education
				  training who has an endorsement granted by the Washington state superintendent
				  of public instruction as described in
				  RCW
				  28A.300.010; and
(7) A home care aide (HCA) certified under
				  chapter 18.88B RCW.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520. 13-02-023, §
						388-71-0839, filed 12/20/12, effective
						1/20/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ORIENTATION AND SAFETY TRAINING › Section 388-71-0841 - What is orientation training, who should complete it, and when should it be completed?

Current through Register Vol. 24-14, July 15, 2024
(1) Long-term
				  care worker orientation is two hours of orientation training regarding the
				  long-term care worker's role and the applicable terms of employment.
				  Individuals required to complete the 70-hour home care aide basic training must
				  complete long-term care worker orientation before providing care to a
				  client.
(2) Long-term care worker
				  orientation training, unless taken through a department approved online
				  training program, must be provided by qualified instructors who meet the
				  requirements of WAC
				  388-71-1060.
(3) The department must approve orientation
				  curricula and instructors.
(4)
				  There is no competency test for long-term care worker orientation.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520. 13-02-023, §
						388-71-0841, filed 12/20/12, effective
						1/20/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ORIENTATION AND SAFETY TRAINING › Section 388-71-0846 - What content must be included in long-term care worker orientation?

Current through Register Vol. 24-14, July 15, 2024
(1) For long-term
				  care worker orientation required of those individuals identified in WAC
				  388-71-0860, long-term care
				  worker orientation is a two hour training that must include introductory
				  information in the following areas:
(a) The
				  care setting and the characteristics and special needs of the population
				  served;
(b) Basic job
				  responsibilities and performance expectations;
(c) The care plan or negotiated service
				  agreement, including what it is and how to use it;
(d) The care team;
(e) Process, policies, and procedures for
				  observation, documentation, and reporting;
(f) Resident rights protected by law,
				  including the right to confidentiality and the right to participate in care
				  decisions or to refuse care and how the long-term care worker will protect and
				  promote these rights;
(g) Mandatory
				  reporter law and worker responsibilities as required under chapter 74.34 RCW;
				  and
(h) Communication methods and
				  techniques that may be used while working with a resident or guardian and other
				  care team members.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ORIENTATION AND SAFETY TRAINING › Section 388-71-0850 - What is safety training, who must complete it, and when should it be completed?

Current through Register Vol. 24-14, July 15, 2024
(1) Safety
				  training is part of the long-term care worker requirements. It is a three hour
				  training that must meet the requirements as described in WAC
				  388-71-0855, and includes basic
				  safety precautions, emergency procedures, and infection control. Safety
				  training must be completed prior to providing care to the client.
(2) All long-term care workers who are not
				  exempt from home care aide certification as described in
				  RCW
				  18.88B.041 hired after January 7, 2012, must
				  complete three hours of safety training. This safety training must be provided
				  by qualified instructors who meet the requirements in WAC
				  388-71-1060.
(3) The department must approve safety
				  training curricula and instructors.
(4) There is no competency test for safety
				  training.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520. 13-02-023, §
						388-71-0850, filed 12/20/12, effective
						1/20/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ORIENTATION AND SAFETY TRAINING › Section 388-71-0855 - What content must be included in safety training?

Current through Register Vol. 24-14, July 15, 2024
Safety training consists of introductory information in the
					 following areas:
(1) Safety planning
				  and accident prevention, including but not limited to:
(a) Proper body mechanics;
(b) Fall prevention;
(c) Fire safety;
(d) In-home hazards;
(e) Long-term care worker safety;
				  and
(f) Emergency and disaster
				  preparedness.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ORIENTATION AND SAFETY TRAINING › Section 388-71-0860 - Who must complete orientation and safety, by when, and when does an orientation and safety training attestation process need to be completed?

Current through Register Vol. 24-14, July 15, 2024
(1) Unless exempted
				  in WAC 388-71-0839(1) through
				  (7), all long-term care workers must complete
				  orientation and safety training prior to providing care to a client.
(2) All individual providers must contact the
				  training partnership and follow the required procedures to confirm that they
				  have completed the orientation and safety training, once it is
				  completed.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520. 13-02-023, §
						388-71-0860, filed 12/20/12, effective
						1/20/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0870 - What is the 70-hour home care aide basic training?

Current through Register Vol. 24-14, July 15, 2024
(1) The 70-hour home care aide basic training
				  is in addition to orientation and safety training. It is 70 hours and includes:
(a) The core competencies and skills that
				  long-term care workers need in order to provide personal care services
				  effectively and safely;
(b)
				  Practice and demonstration of skills; and
(c) Population specific
				  competencies.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0873 - What are the minimum requirements for training programs to provide remote skills training?

Current through Register Vol. 24-14, July 15, 2024
(1) A training
				  program offering remote skills training must meet the following minimum
				  requirements:
(a) Provide students with:
(i) The opportunity to practice, review, and
				  receive coaching for every skill;
(ii) Virtual classroom demonstrations or
				  videos of each skill;
(iii) Access
				  to all supplies and materials required for practice;
(iv) Reasonable alternatives for skills when
				  a live partner would not be safe or practical;
(v) Clearly outlined student performance
				  guidelines for each skill that provide definitions for the levels of
				  performance, such as:
(A) Excellent - Exceeds
				  expectations;
(B) Satisfactory -
				  Meets expectations;
(C) Developing
				  - Approaching expectations;
(D)
				  Potential for harm - Fails to meet expectations.
(vi) The opportunity to receive
				  individualized feedback on every skill within seven business days unless other
				  mutual arrangements are made;
(vii)
				  The ability to receive instructional support through multiple formats such as
				  by phone, chat, text, or email, or using the technology provided through a
				  learning management system;
(viii)
				  Equal access to knowledge acquisition through such methods as providing
				  materials in multiple formats, allowing access through different devices, and
				  providing learner-centered approaches for individual situations;
(ix) Accessible instructions for all
				  technology skills required;
(x)
				  Technical support for any technology that students need to access the
				  training;
(xi) The ability to
				  communicate with an instructor, peer mentor, or basic support team in real time
				  to answer questions scheduled with varying hours to accommodate students who
				  may work different shifts;
(xii)
				  Downloadable and printable step-by-step guides for each skill taught.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0875 - Who must complete the 70-hour basic training and by when?

Current through Register Vol. 24-14, July 15, 2024
Unless exempt from training in WAC
					 388-71-0839(1) through
					 (7), all long-term care workers must complete
					 core and population specific competencies within 120 days of the date of hire
					 as described in WAC
					 388-71-0837.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520. 13-02-023, §
						388-71-0875, filed 12/20/12, effective
						1/20/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0876 - When must long-term care workers who were working or hired during the COVID-19 public health emergency complete training, including required specialty training?

Current through Register Vol. 24-14, July 15, 2024
(1) Unless
				  exempt from training as described in WAC
				  388-71-0839
				  or WAC
				  388-112A-0090,
				  a long-term care worker affected by the COVID-19 public health emergency must
				  complete training, including required specialty training, as follows:
Worker hired or rehired during the time frame
								of:
Must complete basic training no later
								than:
8/17/2019 to 9/30/2020
10/31/2022
10/1/2020 to 4/30/2021
1/31/2023
5/1/2021 to 3/31/2022
4/30/2023
4/1/2022 to 9/30/2022
8/31/2023
10/1/2022 - 12/31/2022 or the end of the COVID-19
								training waivers established by gubernatorial proclamation, whichever is
								later
9/30/2023 or within 120 days after the end of the
								COVID-19 training waivers established by gubernatorial proclamation, whichever
								is later
After the end of the COVID-19 training waivers
								established by gubernatorial proclamation or beginning 1/1/2023, whichever is
								later
Standard training
(2) Unless exempt from certification as
				  described in WAC
				  246-980-025,
				  a worker affected by the COVID-19 public health emergency who is required to be
				  certified as a home care aide must obtain certification as follows:
Worker hired or rehired during the time frame
								of:
Must be certified as a home care aide no
								later than:
8/17/2019 to 9/30/2020
1/19/2023
10/1/2020 to 4/30/2021
4/21/2023
5/1/2021 to 3/31/2022
7/19/2023
4/1/2022 to 9/30/2022
11/19/2023
10/1/2022 - 12/31/2022 or the end of the COVID-19
								training waivers established by gubernatorial proclamation, whichever is
								later
12/19/2023 or within 200 days after the end of the
								COVID-19 training waivers established by gubernatorial proclamation, whichever
								is later
After the end of the COVID-19 training waivers
								established by gubernatorial proclamation or beginning 1/1/2023, whichever is
								later
Standard training
(3) "Hired" and "rehired" as used in this
				  section mean the date of hire as defined in chapter 246-980 WAC. A long-term
				  care worker is considered rehired if they held previous employment as a
				  long-term care worker and did not have an active home care aide credential when
				  hired during the time frames outlined in section (1) of this section.
(4) If a long-term care worker is
				  limited-English proficient, the worker may request an additional 60 days to
				  obtain certification.
(5) Nothing
				  in this section prevents a long-term care worker hired between 8/17/2019 and
				  9/30/2022 from completing training or obtaining certification in advance of the
				  deadlines stipulated in subsections (1) or (2) of this section.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0880 - Who must complete the 30-hour basic training and by when must it be completed?

Current through Register Vol. 24-14, July 15, 2024
Unless exempt from the basic training requirements under
					 WAC 388-71-0839 (1) through
					 (7), the following individuals must complete
					 the 30-hour basic training under WAC
					 388-71-0885 within 120 days of
					 the date of hire as described in WAC
					 388-71-0837:
(1) An individual provider who only cares for
				  that provider's:
(a) biological, step, or
				  adoptive child, or parent; or
(b)
				  sibling, aunt, uncle, cousin, niece, nephew, grandparent, or grandchild,
				  including when related by marriage or domestic partnership; or
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0885 - What is the thirty hour training?

Current through Register Vol. 24-14, July 15, 2024
The thirty hour training is a subset of the seventy hour
					 basic training that must include core and population specific basic training.
					 Topics completed in the subset must be on topics relevant to the care needs of
					 the client(s). There is no challenge test for the thirty hour
					 training.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520. 13-02-023, §
						388-71-0885, filed 12/20/12, effective
						1/20/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0888 - When do the 70-hour basic training and certification requirements apply to an individual whose required basic training was previously less than 70 hours?

Current through Register Vol. 24-14, July 15, 2024
(1) The following
				  individual providers must complete 70 hours of basic training and become a
				  certified home care aide under WAC
				  388-71-0523:
(a) Individual providers who previously
				  provided no more than 20 hours of nonrespite care in any calendar month for one
				  person who is not the provider's:
(i)
				  biological, step, or adoptive child or parent;
(ii) sibling, aunt, uncle, cousin, niece,
				  nephew, grandparent, or grandchild, including when related by marriage or
				  domestic partnership; or
(iii)
				  spouse or registered domestic partner and funded through the United States
				  department of veterans' affairs home and community-based programs;
(A) who continue to work for one unrelated
				  client whose authorized monthly hours fluctuate above 20 hours per month;
				  or
(B) who begin to work for a
				  second client.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0890 - What are the training requirements for parent providers who are individual providers for their adult children through DDA?

Current through Register Vol. 24-14, July 15, 2024
Unless exempt from the basic training requirements as
					 defined in WAC
					 388-71-0839(1)
					 through (7), a biological, step, or adoptive
					 parent who is the individual provider for his or her adult child receiving
					 services through the DSHS developmental disabilities administration must
					 complete the twelve hour parent provider training, as described in WAC
					 388-71-0895,
					 within one hundred twenty days from the begin date of the authorization to
					 provide department paid, in-home services.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520. 13-02-023, §
						388-71-0890, filed 12/20/12, effective
						1/20/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0893 - Who must complete the nine-hour basic training and by when must it be completed?

Current through Register Vol. 24-14, July 15, 2024
(1) Unless
				  exempt from the basic training requirements under WAC
				  388-71-0839 (1) through
				  (7), an individual provider must complete
				  orientation and safety training and nine hours of training within 120 days of
				  the date of hire as described in WAC
				  388-71-0837 if the provider meets
				  the following criteria:
(a) Provides respite
				  services for individuals with developmental disabilities receiving services
				  under Title 71A RCW; and
(b) Works
				  300 hours or less of respite in any calendar year.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0895 - What is the twelve hour parent provider training?

Current through Register Vol. 24-14, July 15, 2024
(1) The twelve hour parent provider training
				  must include five hours of orientation and safety training as described in WAC
				  388-71-0841 and
				  388-71-0850. The remaining seven
				  hours will cover the following topics:
(a)
				  Medicaid personal care;
(b)
				  Assessments completed by the division of developmental disabilities;
(c) Community resources;
(d) State and federal benefits;
(f) Networking; and
(g) Client self-determination.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0906 - What topics must be taught in the core competencies of the 70-hour home care aide basic training?

Current through Register Vol. 24-14, July 15, 2024
Basic training must include all of the competencies under
					 WAC 388-71-0911 for the following
					 topics:
(1) Communication
				  skills;
(2) Long-term care worker
				  self-care;
(3) Problem
				  solving;
(4) Client rights and
				  maintaining dignity;
(5) Abuse,
				  abandonment, neglect, financial exploitation, and mandatory
				  reporting;
(6) Client directed
				  care;
(7) Cultural
				  sensitivity;
(8) Body
				  mechanics;
(9) Fall
				  prevention;
(10) Skin and body
				  care;
(11) Long-term care worker
				  roles and boundaries;
(12)
				  Supporting activities of daily living;
(13) Food preparation and handling;
(14) Medication assistance;
(15) Infection control and bloodborne
				  pathogens; and
(16) Grief and
				  loss.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520. 13-02-023, §
						388-71-0906, filed 12/20/12, effective
						1/20/13.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0911 - What are the core competencies and learning objectives for the 70-hour home care aide basic training?

Current through Register Vol. 24-14, July 15, 2024
Home care aide basic training includes core competencies
					 that describe the behavior and skills that a long-term care worker must exhibit
					 when working with clients and the learning objectives associated with each
					 competency as follows:
(1) Communicate
				  effectively and in a respectful and appropriate manner with clients, family
				  members, and care team members:
(a) Recognize
				  how verbal and nonverbal cues impact communication with the client and care
				  team;
(b) Engage and respect the
				  client through verbal and nonverbal communication;
(c) Listen attentively and determine that the
				  client, when able, understands what has been communicated;
(d) Recognize and acknowledge clients'
				  communication including indicators of pain, confusion, or
				  misunderstanding;
(e) Utilize
				  communication strategies to deal with difficult situations; and
(f) Recognize common barriers to effective
				  communication and identify how to eliminate them.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › BASIC TRAINING › Section 388-71-0916 - What is the population specific component of the 70-hour home care aide training and what required training may be used as population specific training?

Current through Register Vol. 24-14, July 15, 2024
(1) Population
				  specific basic training is training on topics unique to the care needs of the
				  population that the home or provider serves. Topics may include but are not
				  limited to:
(a) Dementia;
(b) Mental health;
(c) Developmental disabilities;
(d) Young adults with physical disabilities;
				  and
(e) Aging and older
				  adults.