Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-107 - Licensing requirements for enhanced services facilities › Building Elements › Section 388-107-0945 - Resident suicide and self-harm prevention

Current through Register Vol. 24-14, July 15, 2024
When an enhanced services facility's functional program
					 states that it plans to admit a resident, or the licensee or applicant
					 identifies a current resident who is at risk of suicide or self-harm, or both
					 the licensee or applicant must submit a risk assessment to the department of
					 health construction review services, identifying the risks in the physical
					 environment. The licensee or applicant must ensure that the facility meets all
					 or part of the following standards as determined by the department of health's
					 review of the risk assessment:
(1)
				  Ceilings in resident bathrooms are secured to prevent resident access and
				  ceiling systems of a non-secured (non-clipped down) lay-in ceiling tile design
				  are not permitted;
(2) Ceilings in
				  resident bedrooms and bathrooms are designed to eliminate tie-off point(s) or
				  are at least nine feet in height;
(3) Door swings for private resident
				  bathrooms or shower areas swing out to allow for staff emergency
				  access;
(4) Door closers are not
				  used unless required by the building code and if required on the resident room
				  door, the closer must be mounted on the public side of the door rather than the
				  private resident's side of the door;
(5) Door hinges are designed to minimize
				  points for hanging, such as cut hinge type, and are consistent with the level
				  of care for the resident;
(6) Door
				  lever handles are specifically designed anti-ligature hardware and all hardware
				  has tamper-resistant fasteners;
(7)
				  Windows located in areas accessible to residents are designed to limit the
				  opportunities for breakage;
(8) All
				  glazing, both interior and exterior, and glass mirrors are fabricated with
				  laminated safety glass or equivalent;
(9) Use of tempered glass for interior
				  windows is permitted;
(10)
				  Break-away window coverings are used for visual privacy;
(11) Special design considerations for injury
				  and suicide prevention must be given to shower, bath, toilet, and sink hardware
				  and accessories, including grab bars and toilet paper holders;
(12) Towel bars and shower curtain rods are
				  not permitted;
(13) Where grab bars
				  are provided in resident rooms, resident toilet rooms, resident bathing rooms
				  or other nonpublic space, the space between the bar and the wall must be filled
				  to prevent the grab bar from becoming a ligature point; and
(14) The facility must include an overall
				  design for anti-ligature including, but not limited to, grab bars, towel hooks,
				  levers, handles, sprinkler heads, and other protrusions that meet the following
				  criteria:
(a) In unsupervised resident areas,
				  sprinkler heads must be recessed or of a design to minimize resident
				  access;
(b) In resident bathrooms,
				  lighting fixtures, sprinkler heads, electrical outlets, and other fixtures must
				  be the tamper-resistant type;
(c)
				  Call system may not use cords; and
(d) All hardware fixtures that are fastened
				  with exposed fasteners must use tamper resistant screws.