reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-220 - Laboratory services

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Provide access to laboratory services to
				meet emergency and routine needs of patients;
(2) Ensure laboratory services are provided
				by licensed or waivered medical test sites in accordance with chapter 70.42 RCW
				and chapter 246-338 WAC; and
(3)
				Maintain each medical test site in the hospital in a safe, clean, and sanitary
				condition.
Statutory Authority: Chapter 71.12 RCW and RCW 43.60.040.
					 95-22-012, § 246-322-220, filed 10/20/95, effective
					 11/20/95.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-230 - Food and dietary services

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Comply with chapters 246-215 and 246-217
				WAC, food service;
(2) Designate an
				individual responsible for managing and supervising dietary/food services
				twenty-four hours per day, including:
(a)
				Incorporating ongoing recommendations of a dietitian;
(b) Serving at least three meals a day at
				regular intervals with fifteen or less hours between the evening meal and
				breakfast, unless the licensee provides a nutritious snack between the evening
				meal and breakfast;
(c) Providing
				well-balanced meals and nourishments that meet the current recommended dietary
				allowances of the
National Research Council,
10th edition,
				1989, adjusted for patient age, sex and activities unless
				contraindicated;
(d) Making
				nourishing snacks available as needed for patients, and posted as part of the
				menu;
(e) Preparing and serving
				therapeutic diets according to written medical orders;
(f) Preparing and serving meals under the
				supervision of food service staff;
(g) Maintaining a current diet manual,
				approved in writing by the dietitian and medical staff, for use in planning and
				preparing therapeutic diets;
(h)
				Ensuring all menus:
(i) Are written at least
				one week in advance;
(ii) Indicate
				the date, day of week, month and year;
(iii) Include all foods and snacks served
				that contribute to nutritional requirements;
(iv) Provide a variety of foods;
(v) Are approved in writing by the
				dietitian;
(vi) Are posted in a
				location easily accessible to all patients; and
(vii) Are retained for one year;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-240 - Laundry

Current through Register Vol. 24-14, July 15, 2024
The licensee shall provide:
(1) Laundry and linen services, on the
				premises or by commercial laundry;
(2) Storage and sorting areas for soiled
				laundry in well-ventilated areas, separate from clean linen handling
				areas;
(3) A clean area with an
				adequate supply of clean linen;
(4)
				When laundry is washed on the premises:
(a)
				An adequate water supply and a minimum water temperature of 140°F in
				washing machines; and
(b) Laundry
				facilities in areas separate from food preparation and dining; and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-250 - Construction

Current through Register Vol. 24-14, July 15, 2024
(1) The applicant
				or licensee shall comply with chapter 31 of the Washington State Building Code
				for all construction.
(2) Prior to
				starting construction, the applicant or licensee shall submit the following
				documentation to the department:
(a) A
				completed application form, a copy of which is provided in the
Submissions Guide for Health and Residential Facility Construction
				Projects,
which may be obtained from the department;
(b) The fee specified in chapter 246-314
				WAC;
(c) A functional program which
				describes the services and operational methods affecting the hospital building,
				premises, and patients;
(d) One set
				of preliminary documents including, when applicable:
(i) Plot plans drawn to scale showing:
(A) Streets, driveways, parking, vehicle and
				pedestrian circulation;
(B) Site
				utilities, water service system, sewage disposal system, electrical service
				system, elevations; and
(C)
				Location of existing and new buildings and other fixed equipment;
(ii) Building plans drawn to scale
				showing:
(A) Floor plans designating function
				of each room and fixed equipment;
(B) Typical building sections and exterior
				elevations;
(iii)
				Outline specifications generally describing the construction and materials
				including mechanical and electrical systems; and
(e) Three sets of final construction
				drawings, stamped by a Washington state licensed architect or engineer,
				complying with the requirements of this chapter including, when applicable:
(i) Plot plans drawn to scale showing all
				items required in the preliminary plan in final form;
(ii) Building plans drawn to scale showing:
(A) Floor plans designating function of each
				room and fixed equipment;
(B)
				Interior and exterior elevations;
(C) Building sections and construction
				details;
(D) Schedules of room
				finishes, doors, finish hardware and windows;
(E) Mechanical, including plumbing, heating,
				venting and air conditioning; and
(F) Electrical, including lighting, power and
				communication systems; and
(iii) Specifications fully describing the
				workmanship and finishes;
(f) One copy of specifications and the
				radiant panel test report for each carpet type used in corridors and
				exitways;
(g) Three copies of fire
				sprinkler system shop drawings, hydraulic calculations and equipment
				specifications, stamped by the fire sprinkler contractor; and
(h) Three copies of fire alarm system shop
				drawings and equipment specifications.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-260 - Adverse health events reporting requirements

Current through Register Vol. 24-14, July 15, 2024
The National Quality Forum identifies and defines twenty-nine
				  serious reportable events (adverse health events) as updated and adopted in
				  2011.
(1) Psychiatric hospitals must
				report adverse health events to the department.
(2) Psychiatric hospitals must comply with
				the reporting requirements under chapter 246-302 WAC.
(3) Adverse health events are listed in
				chapter 246-02 WAC.
Statutory Authority: Chapter 70.56 RCW. 12-16-057, §
					 246-322-260, filed 7/30/12, effective 10/1/12; 09-07-051, § 246-322-260,
					 filed 3/11/09, effective 4/11/09.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-500 - Exemptions

Current through Register Vol. 24-14, July 15, 2024
(1) A licensee
				wishing to request an exemption from a requirement in this chapter shall submit
				a written request to the department, including:
(a) A description of the requested
				exemption;
(b) Reason for the
				exemption; and
(c) Impact of the
				exemption on patient or public health and safety.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-322 - Private psychiatric and alcoholism hospitals › Section 246-322-990 - Private psychiatric hospital fees

Current through Register Vol. 24-14, July 15, 2024
This section establishes the initial licensure and annual
				  renewal fees for private psychiatric hospitals licensed under chapter 71.12
				  RCW.
(1) Applicants and licensees
				shall:
(a) Submit to the department an initial
				licensure fee of four hundred ninety-five dollars for each bed space within the
				licensed bed capacity of the hospital;
(b) Submit to the department an annual
				renewal fee of four hundred ninety-five dollars for each bed space within the
				licensed bed capacity of the hospital to the department;
(c) Include all bed spaces and rooms
				complying with physical plant and movable equipment requirements of this
				chapter for twenty-four-hour assigned patient rooms;
(d) Include bed spaces assigned for less than
				twenty-four-hour patient use as part of the licensed bed capacity when:
(i) Physical plant requirements of this
				chapter are met without movable equipment; and
(ii) The private psychiatric hospital
				currently possesses the required movable equipment and certifies this fact to
				the department.
(e)
				Limit licensed bed spaces as required under chapter 70.38 RCW;
(f) Submit applications for bed additions to
				the department for review and approval under chapter 70.38 RCW subsequent to
				department establishment of the private psychiatric hospital's licensed bed
				capacity;
(g) Set up
				twenty-four-hour assigned patient beds only within the licensed bed capacity
				approved by the department.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-010 - Definitions

Current through Register Vol. 24-14, July 15, 2024
For the purpose of this chapter, the following words and
				  phrases shall have the following meanings unless the context clearly indicates
				  otherwise.
(1) "Abuse" means an act by
				any individual which injures, exploits or in any way jeopardizes a patient's
				health, welfare, or safety, including but not limited to:
(a) Physically damaging or potentially
				damaging nonaccidental acts;
(b)
				Emotionally damaging verbal behavior and harassment or other actions which may
				result in emotional or behavioral problems; and
(c) Sexual use, exploitation and mistreatment
				through inappropriate touching, inappropriate remarks or encouraging
				participation in pornography or prostitution.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-020 - Licensure - Initial, renewal, modifications

Current through Register Vol. 24-14, July 15, 2024
(1) A person shall have a current license
				issued by the department before operating or advertising a private alcohol and
				chemical dependency hospital.
(2)
				An applicant for initial licensure shall submit to the department, forty-five
				days or more before commencing business:
(a) A
				completed application on forms provided by the department;
(b) Certificate of need approval according to
				the provisions of chapter 246-310 WAC for the number of beds indicated on the
				application;
(c) Verification of
				department approval of facility plans submitted for construction review
				according to the provisions of WAC
				246-324-250;
(d) A criminal history background check in
				accordance with WAC
				246-324-030(2);
(e) Verification of approval as a private
				alcohol and chemical dependency hospital from the state director of fire
				protection according to
				RCW
				71.12.485;
(f) The fee specified in WAC
				246-324-990; and
(g) Other information as required by the
				department.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-025 - Responsibilities and rights - Licensee and department

Current through Register Vol. 24-14, July 15, 2024
(1) The licensee shall:
(a) Comply with the provisions of chapter
				71.12 RCW and this chapter;
(b)
				Post the private alcohol and chemical dependency hospital license in a
				conspicuous place on the premises;
(c) Maintain the bed capacity at or below the
				licensed bed capacity;
(d)
				Cooperate with the department during on-site surveys and
				investigations;
(e) Respond to a
				statement of deficiencies by submitting to the department, according to the
				dates specified on the statement of deficiencies form:
(i) A written plan of correction for each
				deficiency stated in the report and date to be completed; and
(ii) A progress report stating the dates
				deficiencies were corrected;
(f) Obtain department approval before
				changing the bed capacity;
(g)
				Obtain department approval before starting any construction or making changes
				in department-approved plans or specifications;
(h) Notify the department immediately upon a
				change of administrator or governing body;
(i) When assuming ownership of an existing
				hospital, maintain past and current clinical records, registers, indexes, and
				analyses of hospital services, according to state law and regulations;
				and
(j) Obtain department approval
				of a plan for storing and retrieving patient records and reports prior to
				ceasing operation as a hospital.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-030 - Criminal history, disclosure, and background inquiries

Current through Register Vol. 24-14, July 15, 2024
(1) The licensee or license applicant shall
				require a disclosure statement as defined in
				RCW
				43.43.834 for each prospective employee,
				volunteer, contractor, student, and any other individual associated with the
				hospital having direct contact with vulnerable adults as defined under
				RCW
				43.43.830.
(2) The license applicant having direct
				contact with vulnerable adults shall obtain a Washington state patrol criminal
				history background disclosure statement and submit it to the department with
				the initial application for licensure.
(3) The licensee or license applicant shall:
(a) Require a Washington state patrol
				criminal history background inquiry, as specified in
				RCW
				43.43.842(1), from the
				Washington state patrol or the department of social and health services for
				each:
(i) Staff person, student, and any
				other individual currently associated with the hospital having direct contact
				with vulnerable adults, when engaged on or since July 22, 1989; and
(ii) Prospective staff person, student, and
				individual applying for association with the hospital prior to allowing the
				individual direct contact with vulnerable adults, except as allowed by
				subsection (4) of this section;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-035 - Policies and procedures

Current through Register Vol. 24-14, July 15, 2024
(1) The
				licensee shall develop and implement the following written policies and
				procedures consistent with this chapter and services provided:
(a) Criteria for admitting and retaining
				patients;
(b) Methods for assessing
				each patient's physical and mental health prior to admission;
(c) Providing or arranging for the care and
				treatment of patients;
(d) Assuring
				patient rights according to chapters 71.05 and 71.34 RCW, including posting
				those rights in a prominent place for the patients to read;
(e) Protecting against abuse and neglect and
				reporting suspected incidents according to the provisions of chapters 71.05,
				71.34, 74.34 and 26.44 RCW;
(f)
				Fire and disaster plans, including:
(i)
				Accessing patient-occupied sleeping rooms, toilet rooms and
				bathrooms;
(ii) Summoning internal
				or external resource agencies or persons, such as a poison center, fire
				department, and police;
(g) Emergency medical care, including:
(i) Physician orders;
(ii) Staff actions in the absence of a
				physician; and
(iii) Storing and
				accessing emergency supplies and equipment;
(h) Managing assaultive, self-destructive, or
				out-of-control behavior, including:
(i)
				Immediate actions and conduct; and
(ii) Documenting in the clinical
				record;
(i) Pharmacy and
				medication services consistent with WAC
				246-324-210;
(j) Infection control as required by WAC
				246-324-100;
(k) Staff actions upon:
(i) Patient elopement;
(ii) A serious change in a patient's
				condition, and immediately notifying family according to chapters 71.05 and
				71.34 RCW;
(iii) Accidents or
				incidents potentially harmful or injurious to patients, and documentation in
				the clinical record; and
(iv)
				Patient death;
(l)
				Smoking on the hospital premises;
(m) Responsibility for patients' personal
				property, including recording any valuables left on deposit with the
				hospital;
(n) Allowing patients to
				work on the premises, according to WAC
				246-324-180;
(o) Maintenance and housekeeping functions,
				including schedules;
(p) Cleaning,
				inspecting, repairing and calibrating electrical, biomedical and therapeutic
				equipment, and documenting actions;
(q) Transporting patients for:
(i) Diagnostic or treatment
				activities;
(ii) Hospital connected
				business and programs; and
(iii)
				Medical care services not provided by the hospital;
(r) Transferring patients to other health
				care facilities or agencies;
(s)
				Obtaining and retaining criminal history background checks and disclosure
				statements consistent with WAC
				246-324-030;
(t) Research involving patients;
(u) Clinical records consistent with WAC
				246-324-200, the Uniform Medical
				Records Act, chapter 70.02 RCW and Title 42 C.F.R., chapter 1, Part 2,
				10/1/89;
(v) Food service
				consistent with chapter 246-215 WAC and WAC
				246-324-230.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-040 - Governing body and administration

Current through Register Vol. 24-14, July 15, 2024
The governing body shall:
(1) Adopt written policies concerning the
				purposes, operation and maintenance of the hospital, and the safety, care and
				treatment of patients;
(2) Provide
				staff, facilities, equipment, supplies and services to meet the needs of
				patients within the purposes of the hospital;
(3) Establish and maintain a current written
				organizational plan delineating positions, responsibilities, authorities, and
				relationships of positions within the hospital;
(4) Appoint an administrator responsible for
				implementing the policies adopted by the governing body;
(5) Appoint a physician as medical director
				responsible for directing and supervising medical treatment and patient care
				twenty-four hours per day;
(6)
				Maintain an organized professional staff accountable to the governing
				body;
(7) Appoint and periodically
				reappoint the professional staff;
(8) Require and approve professional staff
				bylaws and rules concerning, at a minimum:
(a) Organization of the professional
				staff;
(b) Delineation of
				privileges;
(c) Requirements for
				membership;
(d) Specific mechanisms
				for appointing and reappointing members;
(e) Granting, renewing and revising clinical
				privileges;
(f)
				Self-government;
(g) Required
				functions;
(h) Accountability to
				the governing body; and
(i)
				Mechanisms to monitor and evaluate quality of care and clinical performance;
				and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-050 - Staff

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Employ sufficient, qualified staff to:
(a) Provide adequate patient
				services;
(b) Maintain the hospital
				free of safety hazards; and
(c)
				Implement fire and disaster plans.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-060 - HIV/AIDS education and training (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71.12 RCW and RCW 43.60.040.
					 95-22-013, § 246-324-060, filed 10/20/95, effective
					 11/20/95.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-100 - Infection control

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Establish and implement an effective
				hospital-wide infection control program, which includes at a minimum:
(a) Written policies and procedures
				describing:
(i) Types of surveillance used to
				monitor rates of nosocomial infections;
(ii) Systems to collect and analyze data;
				and
(iii) Activities to prevent and
				control infections;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-120 - Physical environment

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Provide a safe and clean environment for
				patients, staff and visitors;
(2)
				Provide ready access and equipment to accommodate individuals with physical and
				mental disabilities;
(3) Provide
				adequate lighting in all areas;
(4)
				Provide natural or mechanical ventilation sufficient to remove odors, smoke,
				excessive heat and condensation from all habitable rooms;
(5) Provide a heating system operated and
				maintained to sustain a comfortable, healthful temperature in all habitable
				rooms;
(6) Provide an adequate
				supply of hot and cold running water under pressure meeting the standards in
				chapters 246-290 and 246-291 WAC, with:
(a)
				Devices to prevent backflow into the potable water supply system; and
(b) Water temperature not exceeding 120°F
				automatically regulated at all plumbing fixtures used by patients;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-140 - Patient living areas

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Provide patient sleeping rooms with:
(a) A minimum of eighty square feet of
				useable floor space in a single bedroom;
(b) A minimum of seventy square feet of
				useable floor space per bed in a multipatient room;
(c) A minimum ceiling height of seven feet
				six inches over the required floor area;
(d) A maximum capacity of four
				patients;
(e) A floor elevation no
				lower than three feet six inches below grade, with grade extending horizontally
				ten or more feet from the building;
(f) Direct access to and from a corridor,
				common-use activity room, or other common-use area;
(g) A clear window area on an outside wall
				equal to or greater than one-tenth the floor area with a minimum of ten square
				feet;
(h) Sufficient room
				furnishings maintained in safe and clean condition including:
(i) A bed for each patient at least
				thirty-six inches wide or appropriate to the special needs and size of the
				patient;
(ii) A cleanable, firm
				mattress; and
(iii) A cleanable or
				disposable pillow;
(i)
				At least three feet between beds, and adequate space between furnishings to
				allow easy entrance, exit, and traffic flow within the room;
(j) A means to assure patient privacy when
				appropriate;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-150 - Clinical facilities

Current through Register Vol. 24-14, July 15, 2024
The licensee shall provide:
(1) An adequate number of counseling or
				treatment rooms for group or individual therapy programs with reasonable
				sound-proofing to maintain confidentiality;
(2) One or more physical examination rooms,
				with or without an exterior window, equipped with:
(a) An examination table;
(b) Examination light;
(c) Storage for medical supplies and
				equipment; and
(d) A readily
				accessible handwashing sink, soap dispenser, and acceptable single-use
				hand-drying device; and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-160 - Bathrooms, toilet rooms and handwashing sinks

Current through Register Vol. 24-14, July 15, 2024
The licensee shall provide:
(1) One toilet, handwashing sink and bathing
				fixture for each six patients, or fraction thereof, on each patient-occupied
				floor of the hospital, with:
(a) Provisions
				for privacy during toileting, bathing, showering, and dressing;
(b) Separate toilet rooms for each sex if the
				toilet room contains more than one toilet;
(c) Separate bathrooms for each sex if the
				bathroom contains more than one bathing fixture; and
(d) One or more grab bars at each toilet and
				bathing fixture appropriate to the needs of patients;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-170 - Patient care services

Current through Register Vol. 24-14, July 15, 2024
(1) The
				licensee shall:
(a) Provide an initial
				physical and dependency assessment by a physician, advanced registered nurse
				practitioner, or physician assistant;
(b) Admit only those patients for whom the
				hospital is qualified by staff, services and equipment to give adequate care;
				and
(c) Provide appropriate
				transfer and acceptance of a patient needing medical care services not provided
				by the hospital, by:
(i) Transferring
				relevant data with the patient;
(ii) Obtaining written or verbal approval by
				the receiving facility prior to transfer; and
(iii) Immediately notifying the patient's
				family.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-180 - Patient safety

Current through Register Vol. 24-14, July 15, 2024
(1) The licensee
				shall provide adequate emergency supplies and equipment, including airways, bag
				resuscitators, intravenous fluids, oxygen, sterile supplies, and other
				equipment identified in the policies and procedures, easily accessible to
				patient-care staff;
(2) When
				research is proposed or conducted involving patients, the licensee shall:
(a) Document an initial and continuing review
				process by a multidisciplinary treatment team;
(b) Require approval by the patient prior to
				participation;
(c) Allow the
				patient to discontinue participation at any time; and
(d) Ensure policies and procedures are in
				accordance with Title 42 Code of Federal Regulations, chapter 1, Part 2,
				10/1/89 edition.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-190 - Provisions for patients with tuberculosis

Current through Register Vol. 24-14, July 15, 2024
A licensee providing inpatient services for patients with
				  suspected or known infectious tuberculosis shall:
(1) Design patient rooms with:
(a) Ventilation to maintain a negative
				pressure condition in each patient room relative to adjacent spaces, except
				bath and toilet areas, with:
(i) Air movement
				or exhaust from the patient room to the out-of-doors with the exhaust grille
				located over the head of the bed;
(ii) Exhaust at the rate of six air changes
				per hour; and
(iii) Make-up or
				supply air from adjacent ventilated spaces for four or less air changes per
				hour, and tempered outside air for two or more air changes per hour;
(iv) Ultraviolet generator irradiation as
				follows:
(A) Use of ultraviolet fluorescent
				fixtures with lamps emitting wave length of 253.7 nanometers;
(B) The average reflected irradiance less
				than 0.2 microwatts per square centimeter in the room at the five foot
				level;
(C) Wall-mount type of
				fixture installed over the head of the bed, as close to the ceiling as possible
				to irradiate the area of the exhaust grille and the ceiling; and
(D) Lamps changed as recommended by the
				manufacturer; and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-200 - Clinical records

Current through Register Vol. 24-14, July 15, 2024
(1) The licensee
				shall establish and maintain an organized clinical record service, consistent
				with recognized principles of record management, directed, staffed, and
				equipped to:
(a) Ensure timely, complete and
				accurate identification, checking, processing, indexing, filing, and retrieval
				of records;
(b) Facilitate
				compilation, maintenance, analyses, and distribution of patient care
				statistics; and
(c) Protect records
				from undue deterioration and destruction.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-220 - Laboratory services

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Provide access to laboratory services to
				meet emergency and routine needs of patients;
(2) Ensure laboratory services are provided
				by licensed or waivered medical test sites in accordance with chapter 70.42 RCW
				and chapter 246-338 WAC; and
(3)
				Maintain each medical test site in the hospital in a safe, clean, and sanitary
				condition.
Statutory Authority: Chapter 71.12 RCW and RCW 43.60.040.
					 95-22-013, § 246-324-220, filed 10/20/95, effective
					 11/20/95.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-230 - Food and dietary services

Current through Register Vol. 24-14, July 15, 2024
The licensee shall:
(1) Comply with chapters 246-215 and 246-217
				WAC, food service;
(2) Designate an
				individual responsible for managing and supervising dietary/food services
				twenty-four hours per day, including:
(a)
				Incorporating ongoing recommendations of a dietitian;
(b) Serving at least three meals a day at
				regular intervals with fifteen or less hours between the evening meal and
				breakfast, unless the licensee provides a nutritious snack between the evening
				meal and breakfast;
(c) Providing
				well-balanced meals and nourishments that meet the current recommended dietary
				allowances of the
National Research Council
, 10th edition,
				1989, adjusted for patient age, sex and activities unless
				contraindicated;
(d) Making
				nourishing snacks available as needed for patients, and posted as part of the
				menu;
(e) Preparing and serving
				therapeutic diets according to written medical orders;
(f) Preparing and serving meals under the
				supervision of food service staff;
(g) Maintaining a current diet manual,
				approved in writing by the dietitian and medical staff, for use in planning and
				preparing therapeutic diets;
(h)
				Ensuring all menus:
(i) Are written at least
				one week in advance;
(ii) Indicate
				the date, day of week, month and year;
(iii) Include all foods and snacks served
				that contribute to nutritional requirements;
(iv) Provide a variety of foods;
(v) Are approved in writing by the
				dietitian;
(vi) Are posted in a
				location easily accessible to all patients; and
(vii) Are retained for one year;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-240 - Laundry

Current through Register Vol. 24-14, July 15, 2024
The licensee shall provide:
(1) Laundry and linen services, on the
				premises or by commercial laundry;
(2) Storage and sorting areas for soiled
				laundry in well-ventilated areas, separate from clean linen handling
				areas;
(3) A clean area with an
				adequate supply of clean linen;
(4)
				When laundry is washed on the premises:
(a)
				An adequate water supply and a minimum water temperature of 140°F in
				washing machines; and
(b) Laundry
				facilities in areas separate from food preparation and dining; and
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-250 - Construction

Current through Register Vol. 24-14, July 15, 2024
(1) The applicant
				or licensee shall comply with chapter 31 of the
Washington State
				Building Code
for all construction.
(2) Prior to starting construction, the
				applicant or licensee shall submit the following documentation to the
				department:
(a) A completed application form,
				a copy of which is provided in the
Submissions Guide for Health and
				Residential Facility Construction Projects
, which may be obtained from
				the department;
(b) The fee
				specified in chapter 246-314 WAC;
(c) A functional program which describes the
				services and operational methods affecting the hospital building, premises, and
				patients;
(d) One set of
				preliminary documents including, when applicable:
(i) Plot plans drawn to scale showing:
(A) Streets, driveways, parking, vehicle and
				pedestrian circulation;
(B) Site
				utilities, water service system, sewage disposal system, electrical service
				system, elevations; and
(C)
				Location of existing and new buildings and other fixed equipment;
(ii) Building plans drawn to scale
				showing:
(A) Floor plans designating function
				of each room and fixed equipment;
(B) Typical building sections and exterior
				elevations;
(iii)
				Outline specifications generally describing the construction and materials
				including mechanical and electrical systems; and
(e) Three sets of final construction
				drawings, stamped by a Washington state licensed architect or engineer,
				complying with the requirements of this chapter including, when applicable:
(i) Plot plans drawn to scale showing all
				items required in the preliminary plan in final form;
(ii) Building plans drawn to scale showing:
(A) Floor plans designating function of each
				room and fixed equipment;
(B)
				Interior and exterior elevations;
(C) Building sections and construction
				details;
(D) Schedules of room
				finishes, doors, finish hardware and windows;
(E) Mechanical, including plumbing, heating,
				venting and air conditioning; and
(F) Electrical, including lighting, power and
				communication systems; and
(iii) Specifications fully describing the
				workmanship and finishes;
(f) One copy of specifications and the
				radiant panel test report for each carpet type used in corridors and
				exitways;
(g) Three copies of fire
				sprinkler system shop drawings, hydraulic calculations and equipment
				specifications, stamped by the fire sprinkler contractor; and
(h) Three copies of fire alarm system shop
				drawings and equipment specifications.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-500 - Exemptions

Current through Register Vol. 24-14, July 15, 2024
(1) A licensee
				wishing to request an exemption from a requirement in this chapter shall submit
				a written request to the department, including:
(a) A description of the requested
				exemption;
(b) Reason for the
				exemption; and
(c) Impact of the
				exemption on patient or public health and safety.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-324 - Private alcohol and chemical dependency hospitals › Section 246-324-990 - Fees

Current through Register Vol. 24-14, July 15, 2024
This section establishes the initial licensure and annual
				  fees for private alcohol and chemical dependency hospitals licensed under
				  chapter 71.12 RCW.
(1) Applicants and
				licensees shall submit to the department:
(a)
				An initial licensure fee of one hundred thirty-five dollars for each bed space
				within the proposed licensed bed capacity; and
(b) An annual fee of one hundred thirty-five
				dollars for each licensed bed space.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-329 - Childbirth centers › Section 246-329-005 - Scope and purpose

Current through Register Vol. 24-14, July 15, 2024
(1) These rules
				implement chapter 18.46 RCW which requires the department of health to set
				minimum health and safety standards for childbirth centers.
(2) Applicants and licensees must meet the
				requirements of this chapter and other applicable state and local
				laws.
(3) This chapter does not
				apply to services provided by persons exempt from requirements of chapter 18.46
				RCW.
(4) A childbirth center may
				not provide services unless the childbirth center is licensed under this
				chapter.
Statutory Authority: Chapter 18.46 RCW and RCW 43.70.040.
					 07-07-075, § 246-329-005, filed 3/16/07, effective
					 4/16/07.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-329 - Childbirth centers › Section 246-329-020 - Licensure

Current through Register Vol. 24-14, July 15, 2024
A person must possess a current birth center license issued
				  by the department before advertising, operating, managing, conducting, opening
				  or maintaining a childbirth center unless exempt under chapter 18.46
				  RCW.
(1) Application for license. An
				applicant for initial licensure of a childbirth center must:
(a) Submit a completed application on forms
				provided by the department;
(b)
				Submit disclosure statements and criminal history background checks no older
				than three months preceding the application date for the administrator, owner
				and director of services in accordance with
				RCW
				43.43.830 through
				43.43.845;
(c) Submit the following information:
(i) Name of managing personnel, officers,
				administrator, director of clinical services or supervisor of clinical
				services, and partners or individuals owning ten percent or more of the
				applicant's voting stock;
(ii) A
				description of the organizational structure;
(iii) Name, address, and phone numbers of all
				office locations that provide services within the state;
(iv) A copy of the current business
				license(s);
(d) Submit
				evidence of completion of the department's construction review
				process;
(e) Submit evidence of
				compliance with local codes and ordinances;
(f) Submit evidence of approval of the state
				fire marshal as required per
				RCW
				18.46.110;
(g) Submit evidence that a certificate of
				occupancy by the local building official has been approved and
				issued;
(h) Submit other
				information as required by the department;
(i) Submit fees as specified in WAC
				246-329-990;
(j) Furnish to the department full and
				complete information and promptly report any changes which would affect the
				current accuracy of this information as to the identity of each officer and
				director of the corporation, if the birth center is operated by a legally
				incorporated entity, profit or nonprofit, and of each partner if the birth
				center is operated through a legal partnership;
(k) Develop and approve policies and
				procedures addressing the content of this chapter; and
(l) Meet the requirements of this chapter as
				determined by an initial survey conducted by the department.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-329 - Childbirth centers › Section 246-329-025 - Exemptions, alternative methods, and interpretations

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to provide birth centers a
				  mechanism to request an interpretation, exemption, or approval to use an
				  alternative method. This chapter is not intended to prevent use of any systems,
				  materials, alternate design, or methods of construction as alternatives to
				  those prescribed by these rules.
(1) A
				birth center requesting exemption from this chapter must submit a written
				request to the department asking for an exemption. The request must specify the
				section or sections, explain the reason for the exemption and, when
				appropriate, include supporting documentation.
(2) A birth center requesting approval for
				use of alternative materials, design, and methods must submit a written request
				to the department asking for approval to use an alternative. The request must
				explain the reason(s) for the use of an alternative and must be supported by
				technical documentation.
(3) The
				department may:
(a) Exempt a birth center
				from complying with portions of this chapter when:
(i) The exemption is not contrary to the
				intent of chapter 18.46 RCW and the requirements of these rules.
(ii) After review and consideration, the
				department determines the exemption will not:
(A) Negate the purpose and intent of these
				rules;
(B) Place the safety or
				health of the patients in the birth center in jeopardy;
(C) Lessen any fire and life safety or
				infection control provision of other codes or regulations; and
(D) Affect any structural integrity of the
				building;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-329 - Childbirth centers › Section 246-329-030 - Governance

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to provide organizational
				  guidance and oversight and to ensure resources and staff to support safe and
				  adequate patient care.
(1) The birth
				center shall have a governing body.
(2) The governing body shall be responsible
				for providing personnel, facilities, equipment, supplies, and special services
				to meet the needs of the clients.
(3) The governing body shall adopt policies
				for the care of clients within or on the premises of the birth
				center.
(4) The governing body
				shall appoint an administrator or director responsible for implementing the
				policies adopted by the governing body.
(5) The governing body shall establish and
				maintain a current written organizational plan which includes all positions and
				delineates responsibilities, authority, and relationship of positions within
				the birth center.
(6) The governing
				body shall have the authority and responsibility for appointments and
				reappointments of clinical staff, approval of written contracts and appointment
				of contractors, approval of clinical bylaws and to ensure that only members of
				the clinical staff admit clients to the birth center.
(a) Each birth center shall have access to
				physician consultation and appropriate clinical services as defined in WAC
				246-329-095(2).
(b) Each physician and midwife, including
				contractors, appointed to the clinical staff shall provide evidence of current
				licensure in the state of Washington.
(c) Members of the clinical staff shall
				develop and adopt bylaws, policies, and procedures subject to the approval of
				the governing body including requirements for clinical staff membership;
				delineation of clinical privileges and the organization of clinical
				staff.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-329 - Childbirth centers › Section 246-329-045 - Applicant or licensee rights and responsibilities

Current through Register Vol. 24-14, July 15, 2024
This section describes the applicant or licensee's
				  responsibilities in the fulfillment of the requirements of this chapter.
(1) An applicant or licensee must:
(a) Comply with chapter 18.46 RCW and this
				chapter;
(b) Establish, implement
				and periodically review all policies and procedures which address the contents
				of this chapter;
(c) Display the
				license issued by the department in an area accessible to the public;
(d) Notify the department in writing:
(i) Within thirty days of changes of an
				administrator, owner or the director of clinical services;
(ii) Thirty or more days before ceasing
				operations;
(e)
				Cooperate with the department during surveys which may include reviewing
				licensee and client records and conducting client interviews with client
				consent;
(f) Respond to a statement
				of deficiencies by submitting to the department:
(i) A written plan of correction, within ten
				working days of receipt. The applicant or licensee must complete all
				corrections within sixty days after the survey exit date, unless otherwise
				specified by the department; and
(ii) A progress report describing corrections
				made and ongoing monitoring actions, within ninety days after the survey exit
				date, unless the department specifies another date.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-329 - Childbirth centers › Section 246-329-055 - Department responsibilities

Current through Register Vol. 24-14, July 15, 2024
This section describes the department's responsibilities in
				  the fulfillment of the requirements of this chapter:
(1) The department may, in accordance with
				chapter 18.46 RCW:
(a) Issue an initial
				license for twelve months following submission of a completed application and
				appropriate fee, and following a survey that documents the applicant meets all
				the requirements of this chapter;
(b) Issue a renewal license for the
				twelve-month period following submission of a completed application and
				appropriate fee;
(c) Issue a
				license for change of ownership to the new license for the remainder of the
				current license period following submission of the required information and
				appropriate fee, under WAC
				246-329-990.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-329 - Childbirth centers › Section 246-329-065 - New construction - Major alterations

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to provide minimum standards
				  for a safe and efficient patient care environment consistent with other rules.
				  The rules are intended to allow flexibility in achieving desired outcomes and
				  enable birth centers to respond to changes in technologies and health care
				  innovations.
(1) When a licensee or
				applicant is contemplating new construction or major alteration, the licensee
				or applicant shall:
(a) Under chapters 70.40
				RCW and 246-329 WAC, submit an application and construction documents to the
				department's construction review services program for all new construction and
				major alterations, as defined in WAC
				246-329-010. In addition to the
				application and construction documents, the construction review services
				program may require documentation of approval from local zoning commissions,
				fire departments, and building departments, if applicable;
(b) Respond in writing when the department
				requests additional or corrected construction documents;
(c) Not begin construction until the
				construction documents are approved by the local jurisdictions and same local
				jurisdictions have issued any required permits;
(d) Complete construction consistent with the
				final "department approved" documents;
(e) Notify the department in writing when
				construction is completed; and
(f)
				Submit to the department a copy of the local jurisdictions' certificate of
				occupancy.