reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ASSISTED LIVING FACILITY SERVICES › Service Delivery and Monitoring › Dementia Care › Section 388-78A-2370 - Dementia care

Current through Register Vol. 24-14, July 15, 2024
(1) The boarding
						home must, to the fullest extent reasonably possible, obtain for each resident
						who has symptoms consistent with dementia as assessed per WAC
						388-78A-2090(7):
(a) Information regarding the resident's
						significant life experiences, including:
(i)
						Family members or other significant relationships;
(ii) Education and training;
(iii) Employment and career
						experiences;
(iv) Religious or
						spiritual preferences;
(v) Familiar
						roles or sources of pride and pleasure.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ASSISTED LIVING FACILITY SERVICES › Service Delivery and Monitoring › Dementia Care › Section 388-78A-2371 - Investigations

Current through Register Vol. 24-14, July 15, 2024
The assisted living facility must:
(1) Investigate and document investigative
						actions and findings for any alleged or suspected abuse, neglect, or financial
						exploitation; or accident or incident jeopardizing or affecting a resident
						health or life;
(2) Determine the
						circumstances of the event;
(3)
						When necessary, institute and document appropriate measures to prevent similar
						future situations if the alleged incident is substantiated; and
(4) Protect residents during the course of
						the investigation.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ASSISTED LIVING FACILITY SERVICES › Service Delivery and Monitoring › Dementia Care › Section 388-78A-2380 - Freedom of movement

Current through Register Vol. 24-14, July 15, 2024
An assisted living facility must ensure all of the
						  following conditions are present before moving residents into units or
						  buildings with exits that may restrict a resident's egress:
(1) Each resident, or a person authorized
						under RCW
						7.70.065 to provide consent on behalf of the
						resident, consents to living in such unit or building.
(2) Each resident assessed as being
						cognitively and physically able to safely leave the assisted living facility is
						able to do so independently without restriction consistent with the resident's
						negotiated service agreement.
(3)
						The assisted living facility must have a system in place to inform and permit
						visitors, staff persons and appropriate residents how they may exit without
						sounding the alarm.
(4) The
						installation of access and egress controls that does not restrict the movement
						of residents who are cogni-tively and physically able to safely leave the
						facility independently;
(5) In new
						construction, access and egress controlled doors that are installed as
						permitted by the building code adopted by the Washington state building code
						council;
(6) Existing access and
						egress controlled doors that meet and are maintained to the requirements of the
						building code at the time of construction; and
(7) Buildings from which egress is restricted
						have:
(a) A system in place to inform and
						permit visitors, staff persons, and appropriate residents freedom of movement;
						and
(b) A secured outdoor space per
						WAC 388-78A-2381.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ASSISTED LIVING FACILITY SERVICES › Service Delivery and Monitoring › Dementia Care › Section 388-78A-2381 - General design requirements for memory care

Current through Register Vol. 24-14, July 15, 2024
(1) When planning for new construction,
						renovations or change of service to include memory care services, the facility
						must document design considerations appropriate to residents with dementia,
						mental health issues,or cognitive and developmental disabilities within its
						functional program consistent with WAC
						388-78A-2380.
(2) The facility must provide common areas,
						including at least one resident accessible common area outdoors. Such common
						areas should accommodate and offer the opportunity of social interaction,
						stimulate activity, contain areas with activity supplies and props to encourage
						engagement, and have safe outdoor paths to encourage exercise and movement.
(a) These areas must have a residential
						atmosphere and must accommodate and offer opportunities for individual or group
						activity including:
(i) Giving residents
						opportunities for privacy, socialization, and common spaces that account for
						wandering behaviors;
(ii) Ensuring
						any public address system in the area of specialized dementia care services is
						used only for emergencies;
(iii)
						Encouraging residents' individualized spaces to be furnished and decorated with
						personal items based on resident needs and preferences; and
(iv) Ensuring residents have access to their
						own rooms at all times without staff assistance.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ASSISTED LIVING FACILITY SERVICES › Service Delivery and Monitoring › Resident Records › Section 388-78A-2390 - Resident records

Current through Register Vol. 24-14, July 15, 2024
The boarding home must maintain adequate records
						  concerning residents to enable the boarding home:
(1) To effectively provide the care and
						services agreed upon with the resident; and
(2) To respond appropriately in emergency
						situations.
Statutory Authority:
							 RCW
							 18.20.090 (2004 c 142 § 19) and chapter
							 18.20 RCW. WSR 04-16-065, § 388-78A-2390, filed 7/30/04, effective
							 9/1/04.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ASSISTED LIVING FACILITY SERVICES › Service Delivery and Monitoring › Resident Records › Section 388-78A-2400 - Protection of resident records

Current through Register Vol. 24-14, July 15, 2024
The boarding home must:
(1) Maintain a systematic and secure method
						of identifying and filing resident records for easy access;
(2) Maintain resident records and preserve
						their confidentiality in accordance with applicable state and federal statutes
						and rules, including
						chapters
						70.02 and 70.129
						RCW;
(3) Allow authorized
						representatives of the department and other authorized regulatory agencies
						access to resident records;
(4)
						Provide any resident or other individual or organization access to resident
						records upon written consent of the resident or the resident's representative,
						unless state or federal law provide for broader access;
(5) Allow authorized agents, such as a
						management company, to use resident records solely for the purpose of providing
						care and services to residents and ensure that agents do not disclose such
						records except in a manner consistent with law; and
(6) Maintain ownership and control of
						resident records, except that resident records may be transferred to a
						subsequent person licensed by the department to operate the boarding
						home.
Statutory Authority:
							 RCW
							 18.20.090 (2004 c 142 § 19) and chapter
							 18.20 RCW. WSR 04-16-065, § 388-78A-2400, filed 7/30/04, effective
							 9/1/04.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ASSISTED LIVING FACILITY SERVICES › Service Delivery and Monitoring › Resident Records › Section 388-78A-2410 - Content of resident records

Current through Register Vol. 24-14, July 15, 2024
The boarding home must organize and maintain resident
						  records in a format that the boarding home determines to be useful and
						  functional to enable the effective provision of care and services to each
						  resident. Active resident records must include the following:
(1) Resident identifying information,
						including resident's:
(a) Name;
(b) Birth date;
(c) Move-in date; and
(d) Sleeping room identification.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ASSISTED LIVING FACILITY SERVICES › Service Delivery and Monitoring › Resident Records › Section 388-78A-2420 - Record retention

Current through Register Vol. 24-14, July 15, 2024
(1) The boarding
						home must maintain on the boarding home premises in a resident's active
						record(s) all relevant information and documentation necessary for meeting a
						resident's current assessed needs.
(2) The boarding home may remove outdated
						information from the resident's active records that is no longer significant or
						relevant to the resident's current assessed service and care needs, and
						maintain it in an inactive record that must remain on the boarding home
						premises as long as the resident remains in the boarding home.
(3) The boarding home must maintain all
						documentation filed in a closed resident record, on the boarding home premises
						for six months after the date the resident leaves the boarding home and on the
						boarding home premises or another location for five years after the date the
						resident leaves the boarding home.
(4) All active, inactive, and closed resident
						records must be available for review by department staff and other authorized
						persons.
(5) If a boarding home
						ceases to operate as a licensed boarding home, the most recent licensee must
						make arrangements to ensure that the former residents' records are retained
						according to the times specified in this section and are available for review
						by department staff and other authorized individuals.
Statutory Authority:
							 RCW
							 18.20.090 (2004 c 142 § 19) and chapter
							 18.20 RCW. WSR 04-16-065, § 388-78A-2420, filed 7/30/04, effective
							 9/1/04.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ASSISTED LIVING FACILITY SERVICES › Service Delivery and Monitoring › Resident Records › Section 388-78A-2430 - Resident review of records

Current through Register Vol. 24-14, July 15, 2024
(1) The
						boarding home must assemble all records pertaining to a resident and make them
						available to a resident within twenty-four hours of the resident's or the
						resident's representative's request to review the resident's records per
						RCW
						70.129.030.
(2) The boarding home must provide to the
						resident or the resident's representative, photocopies of the records or any
						portions of the records pertaining to the resident, within two working days of
						the resident's or resident's representative's request for the records.
(a) For the purposes of this section,
						"working days" means Monday through Friday, except for legal
						holidays.
(b) The boarding home may
						charge the resident or the resident's representative a fee not to exceed
						twenty-five cents per page for the cost of photocopying the resident's
						record.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ASSISTED LIVING FACILITY SERVICES › Service Delivery and Monitoring › Resident Records › Section 388-78A-2440 - Resident register

Current through Register Vol. 24-14, July 15, 2024
(1) The assisted
						living facility must maintain in the assisted living facility a single current
						register of all assisted living facility residents, their roommates and
						identification of the rooms in which such persons reside or sleep.
(2) The assisted living facility must
						maintain a readily available permanent, current book, computer file, or
						register with entries in ink or typewritten, of all individuals who resided in
						the assisted living facility within the past five years, including:
(a) Move-in date;
(b) Full name;
(c) Date of birth;
(d) Date of moving out;
(e) Reason for moving out; and
(f) Location and address to which the
						resident was discharged.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2450 - Staff

Current through Register Vol. 24-14, July 15, 2024
(1) Each assisted
					 living facility must provide sufficient, trained staff persons to:
(a) Furnish the services and care needed by
					 each resident consistent with his or her negotiated service
					 agreement;
(b) Maintain the
					 assisted living facility free of safety hazards; and
(c) Implement fire and disaster
					 plans.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2460 - Quality assurance committee

Current through Register Vol. 24-14, July 15, 2024
(1)
					 To ensure the proper delivery of services and the maintenance and improvement
					 in quality of care through self-review, any assisted living facility licensed
					 under this chapter may maintain a quality assurance committee that, at a
					 minimum, includes:
(a) A licensed registered
					 nurse under chapter 18.79 RCW;
(b)
					 The administrator; and
(c) Three
					 other members from the staff of the assisted living facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2461 - Background checks - General

Current through Register Vol. 24-14, July 15, 2024
(1)
					 Background checks conducted by the department and required in this chapter
					 include:
(a) Washington state name and date
					 of birth background checks; and
(b)
					 After January 7, 2012, a national fingerprint background check in accordance
					 with RCW
					 74.39A.056.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2462 - Background checks - Who is required to have

Current through Register Vol. 24-14, July 15, 2024
(1) Applicants for a boarding home license,
					 as defined in WAC
					 388-78A-2740, must have the
					 following background checks before licensure:
(a) A Washington state name and date of birth
					 background check; and
(b) A
					 national fingerprint background check.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2464 - Background checks-Process-Background authorization form

Current through Register Vol. 24-14, July 15, 2024
Before the assisted living facility employs, directly or
						by contract, an administrator, staff person or caregiver, or accepts any
						volunteer, or student, the home must:
(1) Require the person to complete a DSHS
					 background authorization form; and
(2) Submit to the department's background
					 check central unit, including any additional documentation and information
					 requested by the department.
Statutory Authority: Chapter 18.20 RCW. WSR 12-21-070,
						  § 388-78A-2464, filed 10/18/12, effective 11/18/12. Statutory Authority:
						  Chapters 18.20 and 74.39A RCW. WSR 10-16-085, § 388-78A-2464, filed
						  7/30/10, effective 1/1/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-24641 - Background checks-Washington state name and date of birth background check

Current through Register Vol. 24-14, July 15, 2024
Unless the individual is eligible for an exception under
						WAC 388-113-0040, if the results of
						the Washington state name and date of birth background check indicate the
						person has a disqualifying criminal conviction or a pending charge for a
						disqualifying crime under chapter 388-113 WAC, or a disqualifying negative
						action under WAC
						388-78A-2470, then the assisted
						living facility must:
(1) Not employ,
					 directly or by contract, a caregiver, administrator, or staff person;
					 and
(2) Not allow a volunteer or
					 student to have unsuper-vised access to residents.
Statutory Authority: Chapter 18.20 RCW. 12-21-070,
						  § 388-78A-24641, filed 10/18/12, effective
						  11/18/12.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-24642 - Background checks-National fingerprint background check

Current through Register Vol. 24-14, July 15, 2024
(1) Administrators and all caregivers who are
					 hired after January 7, 2012 and are not disqualified by the Washington state
					 name and date of birth background check, must complete a national fingerprint
					 background check and follow department procedures.
(2) After receiving the results of the
					 national fingerprint background check the assisted living facility must not
					 employ, directly or by contract, an administrator or caregiver who has a
					 disqualifying criminal conviction or pending charge for a disqualifying crime
					 under chapter 388-113 WAC, or that is disqualifying under WAC
					 388-78A-2470.
(3) The assisted living facility may accept a
					 copy of the national fingerprint background check results letter and any
					 additional information from the department's background check central unit from
					 an individual who previously completed a national fingerprint check through the
					 department's background check central unit, provided the national fingerprint
					 background check was completed after January 7, 2012.
Statutory Authority: Chapter 18.20 RCW. WSR 12-21-070,
						  § 388-78A-24642, filed 10/18/12, effective
						  11/18/12.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2465 - Background check-Results-Inform

Current through Register Vol. 24-14, July 15, 2024
(1)
					 After receiving the results of the Washington state name and date of birth
					 background check, the assisted living facility must:
(a) Inform the person of the results of the
					 background check;
(b) Inform the
					 person that they may request a copy of the results of the background check. If
					 requested, a copy of the background check results must be provided within ten
					 days of the request; and
(c) Notify
					 the department and other appropriate licensing or certification agency of any
					 person resigning or terminated as a result of having a disqualifying criminal
					 conviction or pending charge for a disqualifying crime under chapter 388-113
					 WAC, or a negative action that is disqualifying under WAC
					 388-78A-2470.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2466 - Background checks - Washington state name and date of birth background check - Valid for two years - National fingerprint background check - Valid indefinitely

Current through Register Vol. 24-14, July 15, 2024
(1) A
					 Washington state name and date of birth background check is valid for two years
					 from the initial date it is conducted. The boarding home must ensure:
(a) A new DSHS background authorization form
					 is submitted to the department's background check central unit every two years
					 for all administrators, caregivers, staff persons, volunteers and students;
					 and
(b) There is a valid Washington
					 state name and date of birth background check for all administrators,
					 caregivers, staff persons, volunteers and students.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2467 - Background check-Sharing by health care facilities

Current through Register Vol. 24-14, July 15, 2024
In accordance with
						RCW
						43.43.832 a health care facility may share
						Washington state background check results with other health care facilities
						under certain circumstances. Results of the national fingerprint checks may not
						be shared. For the purposes of this section health care facility means a
						nursing home licensed under
						chapter
						18.51 RCW, an assisted
						living facility licensed under chapter 18.20 RCW, or an adult family home
						licensed under chapter 70.128 RCW.
(1)
					 The health care facility may, upon request from another health care facility,
					 share completed Washington state background check results only if:
(a) The health care facility sharing the
					 background check information is reasonably known to be the person's most recent
					 employer;
(b) No more than twelve
					 months has elapsed between the date the individual was last employed at a
					 licensed health care facility and the date of the individual's current
					 employment application;
(c) The
					 background check is no more than two years old; and
(d) The assisted living facility has no
					 reason to believe the individual has a disqualifying criminal conviction or
					 pending charge for a disqualifying crime under chapter 388-113 WAC, a negative
					 action that is disqualifying under WAC
					 388-78A-2470.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2468 - Background checks-Employment-Conditional hire-Pending results of Washington state name and date of birth background check

Current through Register Vol. 24-14, July 15, 2024
The assisted living facility may conditionally hire an
						administrator, caregiver, or staff person directly or by contract, pending the
						result of the Washington state name and date of birth background check,
						provided that the assisted living facility:
(1) Submits the background authorization form
					 for the person to the department no later than one business day after he or she
					 starts working;
(2) Requires the
					 person to sign a disclosure statement indicating if he or she has a
					 disqualifying criminal conviction or pending charge for a disqualifying crime
					 under chapter 388-113 WAC, or a negative action that is disqualifying under WAC
					 388-78A-2470;
(3) Has received three positive references
					 for the person;
(4) Does not allow
					 the person to have unsupervised access to any resident;
(5) Ensures direct supervision of the
					 administrator, all caregivers, and staff persons; and
(6) Ensures that the person is competent, and
					 receives the necessary training to perform assigned tasks and meets the
					 training requirements under chapter 388-112 WAC.
Statutory Authority: Chapter 18.20 RCW. WSR 12-21-070,
						  § 388-78A-2468, filed 10/18/12, effective 11/18/12. Statutory Authority:
						  Chapters 18.20 and 74.39A RCW. WSR 10-16-085, § 388-78A-2468, filed
						  7/30/10, effective 1/1/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-24681 - Background checks - Employment - Provisional hire - Pending results of national fingerprint background check

Current through Register Vol. 24-14, July 15, 2024
The boarding home may provisionally employ a caregiver
						and an administrator hired after January 7, 2012 for one hundred and
						twenty-days and allow the caregiver or administrator to have unsupervised
						access to residents when:
(1) The
					 caregiver or administrator is not disqualified based on the results of the
					 Washington state name and date of birth background check; and
(2) The results of the national fingerprint
					 background check are pending.
Statutory Authority: Chapter 18.20 RCW. WSR 12-21-070,
						  § 388-78A-24681, filed 10/18/12, effective
						  11/18/12.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2469 - Background check-Disclosure statement

Current through Register Vol. 24-14, July 15, 2024
(1) The assisted living facility must require
					 each administrator, caregiver, staff person, volunteer and student, prior to
					 starting his or her duties, to make disclosures of any crimes or findings
					 consistent with
					 RCW
					 43.43.834(2). The
					 disclosures must be in writing and signed by the person under penalty of
					 perjury.
(2) The department may
					 require the assisted living facility or any administrator, caregiver, staff
					 person, volunteer or student to complete additional disclosure statements or
					 background authorization forms if the department has reason to believe that a
					 disqualifying criminal conviction or pending charge for a disqualifying crime
					 under chapter 388-113 WAC, or a negative action that is disqualifying under WAC
					 388-78A-2470 have occurred since
					 completion of the previous disclosure statement or background check.
Statutory Authority: Chapter 18.20 RCW. WSR 12-21-070,
						  § 388-78A-2469, filed 10/18/12, effective 11/18/12. Statutory Authority:
						  Chapters 18.20 and 74.39A RCW. WSR 10-16-085, § 388-78A-2469, filed
						  7/30/10, effective 1/1/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2470 - Background check-Employment- disqualifying information-Disqualifying negative actions

Current through Register Vol. 24-14, July 15, 2024
(1) The assisted
					 living facility must not employ an administrator, caregiver, or staff person,
					 to have unsupervised access to residents, as defined in RCW 43.43.-830, if the
					 individual has a disqualifying criminal conviction or pending charge for a
					 disqualifying crime under chapter 388-113 WAC, unless the individual is
					 eligible for an exception under WAC
					 388-113-0040.
(2) The assisted living facility must not
					 employ an administrator, caregiver, or staff person, or allow an administrator,
					 caregiver, or staff person to have unsupervised access to residents, as defined
					 in RCW
					 43.43.830, if the individual has one or more
					 of the following disqualifying negative actions:
(a) A court has issued a permanent
					 restraining order or order of protection, either active or expired, against the
					 person that was based upon abuse, neglect, financial exploitation, or
					 mistreatment of a child or vulnerable adult;
(b) The individual is a registered sex
					 offender;
(c) The individual is on
					 a registry based upon a final finding of abuse, neglect or financial
					 exploitation of a vulnerable adult, unless the finding was made by Adult
					 Protective Services prior to October 2003;
(d) A founded finding of abuse or neglect of
					 a child was made against the person, unless the finding was made by Child
					 Protective Services prior to October 1, 1998;
(e) The individual was found in any
					 dependency action to have sexually assaulted or exploited any child or to have
					 physically abused any child;
(f)
					 The individual was found by a court in a domestic relations proceeding under
					 Title
					 26 RCW, or under any comparable
					 state or federal law, to have sexually abused or exploited any child or to have
					 physically abused any child;
(g)
					 The person has had a contract or license denied, terminated, revoked, or
					 suspended due to abuse, neglect, financial exploitation, or mistreatment of a
					 child or vulnerable adult; or
(h)
					 The person has relinquished a license or terminated a contract because an
					 agency was taking an action against the individual related to alleged abuse,
					 neglect, financial exploitation or mistreatment of a child or vulnerable
					 adult.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-24701 - Background checks-Employment-Nondisqualifying information

Current through Register Vol. 24-14, July 15, 2024
(1) If the
					 background check results show that an employee or prospective employee has a
					 criminal conviction or pending charge for a crime that is not a disqualifying
					 crime under chapter 388-113 WAC , then the assisted living facility must
					 determine whether the person has the character, competence and suitability to
					 work with vulnerable adults in long-term care.
(2) Nothing in this section should be
					 interpreted as requiring the employment of any person against the better
					 judgment of the assisted living facility.
Statutory Authority: Chapter 18.20 RCW. 12-21-070,
						  § 388-78A-24701, filed 10/18/12, effective
						  11/18/12.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2471 - Background check - Confidentiality - Use restricted - Retention

Current through Register Vol. 24-14, July 15, 2024
The boarding home must ensure that all disclosure
						statements, background authorization forms, background check results and
						related information are:
(1)
					 Maintained on-site in a confidential and secure manner;
(2) Used for employment purposes
					 only;
(3) Not disclosed to anyone
					 except to the individual, authorized state and federal employees, the
					 Washington state patrol auditor, persons or health care facilities authorized
					 by chapter 43.43
					 RCW; and
(4) Retained and available
					 for department review during the individual's employment or association with a
					 facility and for at least two years after termination of the employment or
					 association.
Statutory Authority: Chapters 18.20 and 74.39A RCW. WSR
						  10-16-085, § 388-78A-2471, filed 7/30/10, effective
						  1/1/11.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2474 - Training and home care aide certification requirements

Current through Register Vol. 24-14, July 15, 2024
(1) The assisted living facility must ensure
					 staff persons hired before January 7, 2012 meet training requirements in effect
					 on the date hired, including requirements in chapter 388-112A WAC.
(2) The assisted living facility must ensure
					 all assisted living facility administrators, or their designees, and
					 caregiv-ers hired on or after January 7, 2012 meet the long-term care worker
					 training requirements of chapter 388-112A WAC, including but not limited to:
(a) Orientation and safety;
(b) Basic;
(c) Specialty for dementia, mental illness
					 and/or developmental disabilities when serving residents with any of those
					 primary special needs;
(d)
					 Cardiopulmonary resuscitation and first aid; and
(e) Continuing education.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2480 - Tuberculosis - Testing - Required

Current through Register Vol. 24-14, July 15, 2024
(1)
					 The boarding home must develop and implement a system to ensure each staff
					 person is screened for tuberculosis within three days of employment.
(2) For purposes of WAC
					 388-78A-2481 through
					 388-78A-2489, "staff person"
					 means any boarding home employee or temporary employee of the boarding home,
					 excluding volunteers and contractors.
Statutory Authority: Chapter 18.20 RCW. WSR 10-03-066,
						  § 388-78A-2480, filed 1/15/10, effective 2/15/10. Statutory Authority:
						  RCW
						  18.20.090. WSR 06-24-073, §
						  388-78A-2480, filed 12/4/06, effective 1/4/07; WSR 06-01-047, §
						  388-78A-2480, filed 12/15/05, effective 1/15/06. Statutory Authority:
						  RCW
						  18.20.090 (2004 c 142 § 19) and chapter
						  18.20 RCW. WSR 04-16-065, § 388-78A-2480, filed 7/30/04, effective
						  9/1/04.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2481 - Tuberculosis - Testing method - Required

Current through Register Vol. 24-14, July 15, 2024
The boarding home must ensure that all tuberculosis
						testing is done through either:
(1)
					 Intradermal (Mantoux) administration with test results read:
(a) Within forty-eight to seventy-two hours
					 of the test; and
(b) By a trained
					 professional; or
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2482 - Tuberculosis - No testing

Current through Register Vol. 24-14, July 15, 2024
The boarding home is not required to have a staff person
						tested for tuberculosis if the staff person has:
(1) A documented history of a previous
					 positive skin test, with ten or more millimeters induration;
(2) A documented history of a previous
					 positive blood test; or
(3)
					 Documented evidence of:
(a) Adequate therapy
					 for active disease; or
(b)
					 Completion of treatment for latent tuberculosis infection preventive
					 therapy.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2483 - Tuberculosis - One test

Current through Register Vol. 24-14, July 15, 2024
The boarding home is only required to have a staff person
						take one test if the staff person has any of the following:
(1) A documented history of a negative result
					 from a previous two step skin test done no more than one to three weeks apart;
					 or
(2) A documented negative result
					 from one skin or blood test in the previous twelve months.
Statutory Authority: Chapter 18.20 RCW. WSR 10-03-066,
						  § 388-78A-2483, filed 1/15/10, effective
						  2/15/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2484 - Tuberculosis - Two step skin testing

Current through Register Vol. 24-14, July 15, 2024
Unless the staff person meets the requirement for having
						no skin testing or only one test, the boarding home choosing to do skin
						testing, must ensure that each staff person has the following two-step skin
						testing:
(1) An initial skin test
					 within three days of employment; and
(2) A second test done one to three weeks
					 after the first test.
Statutory Authority: Chapter 18.20 RCW. WSR 10-03-066,
						  § 388-78A-2484, filed 1/15/10, effective
						  2/15/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2485 - Tuberculosis - Positive test result

Current through Register Vol. 24-14, July 15, 2024
When there is a positive result to tuberculosis skin or
						blood testing the boarding home must:
(1) Ensure that the staff person has a chest
					 X ray within seven days;
(2) Ensure
					 each resident or staff person with a positive test result is evaluated for
					 signs and symptoms of tuberculosis; and
(3) Follow the recommendation of the resident
					 or staff person's health care provider.
Statutory Authority: Chapter 18.20 RCW. WSR 10-03-066,
						  § 388-78A-2485, filed 1/15/10, effective
						  2/15/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2486 - Tuberculosis - Negative test result

Current through Register Vol. 24-14, July 15, 2024
The boarding home may be required by the public health
						provider or licensing authority to ensure that staff persons with negative test
						results have follow-up testing in certain circumstances, such as:
(1) After exposure to active
					 tuberculosis;
(2) When tuberculosis
					 symptoms are present; or
(3) For
					 periodic testing as determined by the public health provider.
Statutory Authority: Chapter 18.20 RCW. WSR 10-03-066,
						  § 388-78A-2486, filed 1/15/10, effective
						  2/15/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2487 - Tuberculosis - Declining a skin test

Current through Register Vol. 24-14, July 15, 2024
The boarding home must ensure that a staff person take
						the blood test for tuberculosis if they decline the skin
						test.
Statutory Authority: Chapter 18.20 RCW. WSR 10-03-066,
						  § 388-78A-2487, filed 1/15/10, effective
						  2/15/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2488 - Tuberculosis - Reporting - Required

Current through Register Vol. 24-14, July 15, 2024
The boarding home must:
(1) Report any staff person or resident with
					 tuberculosis symptoms or a positive chest X ray to the appropriate health care
					 provider, or public health provider;
(2) Follow the infection control and safety
					 measures ordered by the staff person's health care provider including a public
					 health provider;
(3) Institute
					 appropriate infection control measures;
(4) Apply living or work restrictions where
					 residents or staff persons are, or may be, infectious and pose a risk to other
					 residents and staff persons; and
(5) Ensure that staff person's caring for a
					 resident with suspected tuberculosis comply with the WISHA standard for
					 respiratory protection found in chapter 296-842 WAC.
Statutory Authority: Chapter 18.20 RCW. WSR 10-03-066,
						  § 388-78A-2488, filed 1/15/10, effective
						  2/15/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Staff › Section 388-78A-2489 - Tuberculosis - Test records

Current through Register Vol. 24-14, July 15, 2024
The boarding home must:
(1) Keep the records of tuberculin test
					 results, reports of X-ray findings, and any physician or public health provider
					 orders in the boarding home;
(2)
					 Make the records readily available to the appropriate health provider and
					 licensing agency,
(3) Retain the
					 records for at least two years after the date the staff person either quits or
					 is terminated; and
(4) Provide the
					 staff person a copy of his/her test results.
Statutory Authority: Chapter 18.20 RCW. WSR 10-03-066,
						  § 388-78A-2489, filed 1/15/10, effective
						  2/15/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Specialized Training › Section 388-78A-2490 - Specialized training for developmental disabilities

Current through Register Vol. 24-14, July 15, 2024
The assisted living facility must ensure completion of
						specialized training, consistent with chapter 388-112A WAC, to serve residents
						with developmental disabilities, whenever at least one of the residents in the
						assisted living facility has a developmental disability as defined in WAC
						388-823-0040,
						that is the resident's primary special need.
Statutory Authority: Chapters 18.20 and 74.39A RCW. WSR
						  10-16-085, § 388-78A-2490, filed 7/30/10, effective 1/1/11. Statutory
						  Authority:
						  RCW
						  18.20.090. WSR 06-01-047, §
						  388-78A-2490, filed 12/15/05, effective 1/15/06. Statutory Authority:
						  RCW
						  18.20.090 (2004 c 142 § 19) and chapter
						  18.20 RCW. WSR 04-16-065, § 388-78A-2490, filed 7/30/04, effective
						  9/1/04.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Specialized Training › Section 388-78A-2500 - Specialized training for mental illness

Current through Register Vol. 24-14, July 15, 2024
The assisted living facility must ensure completion of
						specialized training, consistent with chapter 388-112A WAC, to serve residents
						with mental illness, whenever at least one of the residents in the assisted
						living facility has a mental illness that is the resident's primary special
						need and is a person who has been diagnosed with or treated for an Axis I or
						Axis II diagnosis, as described in the
Diagnostic and Statistical
						Manual of Mental Disorders, Fourth Edition, Text Revision
, and:
(1) Who has received the diagnosis or
					 treatment within the previous two years; and
(2) Whose diagnosis was made by, or treatment
					 provided by, one of the following:
(a) A
					 licensed physician;
(b) A mental
					 health professional;
(c) A
					 psychiatric advanced registered nurse practitioner; or
(d) A licensed psychologist.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Specialized Training › Section 388-78A-2510 - Specialized training for dementia

Current through Register Vol. 24-14, July 15, 2024
The assisted living facility must ensure completion of
						specialized training, consistent with chapter 388-112A WAC, to serve residents
						with dementia, whenever at least one of the residents in the assisted living
						facility has a dementia that is the resident's primary special need and has
						symptoms consistent with dementia as assessed per WAC
						388-78A-2090(7).
Statutory Authority: Chapters 18.20 and 74.39A RCW. WSR
						  10-16-085, § 388-78A-2510, filed 7/30/10, effective 1/1/11. Statutory
						  Authority:
						  RCW
						  18.20.090. WSR 06-01-047, §
						  388-78A-2510, filed 12/15/05, effective 1/15/06. Statutory Authority:
						  RCW
						  18.20.090 (2004 c 142 § 19) and chapter
						  18.20 RCW. WSR 04-16-065, § 388-78A-2510, filed 7/30/04, effective
						  9/1/04.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Administrator › Section 388-78A-2520 - Administrator qualifications - General

Current through Register Vol. 24-14, July 15, 2024
(1)
					 The licensee must appoint an administrator who is:
(a) At least twenty-one years old;
(b) Not a resident of the boarding home;
					 and
(c) Qualified to perform the
					 administrator's duties specified in WAC
					 388-78A-2560.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Administrator › Section 388-78A-2521 - Certification of training

Current through Register Vol. 24-14, July 15, 2024
As used in WAC
						388-78A-2522 through
						388-78A-2527, an individual
						obtains certification of training as follows. The individual has certification
						of completing a recognized administrator training course that consists of a
						minimum of twenty-four hours of instruction or equivalent online training, or
						certification of passing an administrator examination from or endorsed by a
						department-recognized national accreditation health or personal care
						organization such as:
(1) The American
					 association of homes and services for the aging;
(2) The American college of health care
					 administrators;
(3) The American
					 health care association;
(4) The
					 assisted living federation of America; or
(5) The national association of board of
					 examiners of long term care administrators.
Statutory Authority: Chapter 18.20 RCW. 10-03-066,
						  § 388-78A-2521, filed 1/15/10, effective
						  2/15/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Administrator › Section 388-78A-2522 - Administrator qualifications - Prior to 2004

Current through Register Vol. 24-14, July 15, 2024
The individual was actively employed as a boarding home
						administrator and met existing qualifications on September 1,
						2004.
Statutory Authority: Chapter 18.20 RCW. WSR 10-03-066,
						  § 388-78A-2522, filed 1/15/10, effective
						  2/15/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-78A - Assisted living facility licensing rules › ADMINISTRATION › Administrator › Section 388-78A-2523 - Administrator qualifications - NH administrator license

Current through Register Vol. 24-14, July 15, 2024
The individual holds a current Washington state nursing
						home administrator license in good standing.
Statutory Authority: Chapter 18.20 RCW. 10-03-066,
						  § 388-78A-2523, filed 1/15/10, effective
						  2/15/10.