Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-71 - Home and community services and programs › ADULT DAY SERVICES › Section 388-71-0738 - What operating policies and procedures does the center need?

Current through Register Vol. 24-14, July 15, 2024
(1) All policies
				  and procedures must include date of initial development and/ or revision along
				  with date of being reviewed and approved on a regular basis, at least annually,
				  by the advisory committee, and conform to the requirements outlined in WAC
				  388-71-0702 through
				  388-71-0774, as
				  applicable.
(2) Policies and
				  procedures must include:
(a) Procedures for
				  evaluations, re-evaluation, and the development of a negotiated care plan with
				  clients and/or representatives, including provisions for the utilization of a
				  multidisciplinary team for this process;
(b) If applicable, research procedures that
				  comply with chapter 388-04 WAC;
(c)
				  Procedure for developing staffing schedules with staff to participant ratios
				  being at a minimum one staff to six participants;
(d) Policy regarding the utilization of
				  community resources;
(e) Gift
				  policy;
(f) Marketing policy and
				  procedures;
(g) Policy and
				  procedure for contracting for services;
(h) Medication policy including but not
				  limited to: disposal of wasted or contaminated medications;
(i) Emergency and evacuation policy and
				  procedures for fire safety as approved by the local fire authority must be
				  adopted and posted, including provisions for fire drills, inspection and
				  maintenance of fire extinguishers, and periodic inspection and training by fire
				  department personnel. The center must conduct and document quarterly fire
				  drills and document the center's ability to meet procedures. Improvements must
				  be based on the fire evaluation drills;
(j) Grievance and complaint policies and
				  procedures for staff and participants;
(k) Admission and discharge criteria policy
				  and procedure. Discharge policies must include specific measurable criteria
				  that establish when the participant is no longer eligible for services and
				  under what circumstances the participant may be discharged. Unless the
				  discharge is initiated by the client's department or authorized case manager,
				  the center must notify the client, client representative if applicable, and
				  case manager in writing of the specific reasons for the discharge. The center
				  must also provide the client with adequate information about appeal and hearing
				  rights. The discharge may occur due to the client's choice, other criteria as
				  defined in the center's policy such as standards of conduct or inappropriate
				  behavior, or changes in circumstances making the client ineligible for services
				  under WAC
				  388-71-0708 or
				  388-71-0710;
(l) Health Insurance Portability and
				  Accountability Act (HIPAA) policy and procedure;
(m) Confidentiality policy and
				  procedure;
(n) Policy regarding how
				  the center will comply with all applicable nondiscrimination laws, including
				  but not limited to age, race, color, gender, religion, national origin, creed,
				  marital status, sexual orientation, Vietnam era or disabled veteran's status,
				  or sensory, physical, or mental handicap;
(o) A policy and procedure to afford the
				  participants' their bill of rights describing the client's rights and
				  responsibilities must be developed, posted, distributed to, and explained to
				  participants, families, staff, and volunteers. Participants will be provided
				  the bill of rights in the language understood by the individual upon
				  request;
(p) Policies and
				  procedures to ensure that the client's record/chart is appropriately organized
				  and thinned according to the center's policy.
(q) Client record policy and procedures for:
(i) Confidentiality and the protection of
				  records that define procedures governing the use and removal, and conditions
				  for release of information contained in the records;
(ii) The release of client information and
				  circumstances under which a signed authorization from the client or client
				  representative is required; and
(iii) The retention, storage and access to
				  records per the agency's contract with the department and/or the department's
				  designee, including contingency plans in the event the center discontinues
				  operation.
(r) The
				  center must have an advance directive policy as required by the Patient Self
				  Determination Act of 1990 (see 42 C.F.R. § 489.102 and
				  chapter
				  70.122 RCW) ;
				  and
(s) A policy and procedure for
				  illness/injury/medical emergency/death must be followed in the event a
				  participant becomes ill, is injured, or dies. The procedures must describe
				  arrangements for hospital inpatient and emergency room service and include
				  directions on how to secure ambulance transportation and complete incident
				  reports.