Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-110 - Contracted residential care services › Part I - ALL CONTRACTED RESIDENTIAL CARE SERVICE › Section 388-110-020 - Definitions

Current through Register Vol. 24-14, July 15, 2024
"Adult residential care"
is a package of
					 services provided by an assisted living facility that is licensed under chapter
					 18.20 RCW and that has a contract with the department under
					 RCW
					 74.39A.020 to provide personal care services
					 in accordance with Parts I and IV of this chapter.
"Applicant"
means the individual, partnership,
					 corporation or other entity which has applied for a contract with the
					 department to provide assisted living services, enhanced adult residential
					 care, enhanced adult residential care-specialized dementia care services, or
					 adult residential care to state funded residents in a licensed assisted living
					 facility.
"Assisted living services"
is a package of
					 services provided by an assisted living facility that has a contract with the
					 department under
					 RCW
					 74.39A.010 to provide personal care services,
					 intermittent nursing services, and medication administration services in
					 accordance with Parts I and II of this chapter. Assisted living services
					 include housing for the resident in a private apartment-like unit.
Assisted Living Facility" means any home or other
					 institution, however named, which is advertised, announced, or maintained for
					 the express or implied purpose of providing housing, basic services, and
					 assuming general responsibility for the safety and well-being of the residents,
					 and may also provide domiciliary care, consistent with this chapter to seven or
					 more residents after July 1, 2000. However, an assisted living facility that is
					 licensed for three to six residents prior to or on July 1, 2000, may maintain
					 its assisted living facility license as long as it is continually licensed as
					 an assisted living facility. "Assisted living facility" does not include
					 facilities certified as group training homes pursuant to
					 RCW
					 71A.22.040, nor any home, institution or
					 section thereof which is otherwise licensed and regulated under the provisions
					 of state law providing specifically for the licensing and regulation of such
					 home, institution or section thereof. Nor shall it include any independent
					 senior housing, independent living units in continuing care retirement
					 communities, or other similar living situations including those subsidized by
					 the Department of Housing and Urban Development. "Assisted living facility" may
					 also include persons associated with the assisted living facility to carry out
					 its duties under this chapter.
"Case manager"
means the department staff
					 person or designee assigned to negotiate, monitor, and facilitate a service
					 plan for residents receiving services fully or partially paid for by the
					 department.
"Contractor"
means the individual,
					 partnership, corporation, or other entity which is licensed by the department
					 or tribe to operate the assisted living facility and contracts with the
					 department to provide assisted living services, enhanced adult residential
					 care, enhanced adult residential care-specialized dementia care services, or
					 adult residential care to state funded residents in a licensed assisted living
					 facility.
"Department"
means the Washington state
					 department of social and health services (DSHS).
"Dignity"
means the quality or condition of
					 being esteemed and respected in such a way as to validate the self-worth of the
					 resident.
"Enhanced adult residential care"
is a package
					 of services provided by an assisted living facility that is licensed under
					 chapter 18.20 RCW and that has a contract with the department to provide
					 personal care services, intermittent nursing services, and medication
					 administration services in accordance with Parts I and III of this
					 chapter.
"Enhanced adult residential care-specialized dementia
					 care services"
is a package of service, including specialized dementia
					 care assessment and care planning, personal care services, intermittent nursing
					 services, medication administration services, specialized environmental
					 features and accommodations, and activity programming. Enhanced adult
					 residential care-specialized dementia care services are delivered only
					 within:
(1) Contracted assisted living
				  facilities that are dedicated solely to the care of individuals with dementia,
				  including Alzheimer's disease, and that meet the requirements of parts I and
				  III of this chapter; or
(2)
				  Designated, separate units located within contracted assisted living facilities
				  that are dedicated solely to the care of individuals with dementia, including
				  Alzheimer's disease, and that meet the requirements of parts I and III of this
				  chapter.
"Homelike"
means an environment having the
					 qualities of a home, including privacy, comfortable surroundings, and the
					 opportunity to decorate one's living area and arrange furnishings to suit one's
					 individual preferences. A homelike environment provides residents with an
					 opportunity for self-expression, and encourages interaction with the community,
					 family and friends.
"Independence"
means free from the control of
					 others and being able to assert one's own will, personality and
					 preferences.
"Individuality"
means the quality of being
					 unique; the aggregate of qualities and characteristics that distinguishes one
					 from others. Individuality is supported by modifying services to suit the needs
					 or wishes of a specific individual.
"Medication administration"
means the direct
					 application of a prescribed medication, whether by injection, inhalation,
					 ingestion, or any other means, to the body of a resident by a person legally
					 authorized to do so.
"Personal care services"
means the same as
					 physical or verbal assistance with activities of daily living included under
					 "personal care services" described in WAC
					 388-106-0010. Personal care
					 services do not include assistance with instrumental activities of daily living
					 described in WAC
					 388-106-0010, nor assistance with
					 tasks that must be performed by a licensed health professional.
"Resident"
means a person residing in an
					 assisted living facility for whom services are paid for, in whole or in part,
					 by the department under a contract for assisted living services, enhanced adult
					 residential care, enhanced adult residential care-specialized dementia care
					 services, or adult residential care.
"Resident"
includes former
					 residents when examining complaints about admissions, readmissions, transfers
					 or discharges. For decision-making purposes, the term
"resident"
includes the resident's surrogate decision maker in accordance with state law
					 or at the resident's request.
Statutory Authority:
						RCW
						74.08.090,
						74.09.520,
						74.39A.010 and
						74.39A.020. 06-05-022, §
						388-110-020, filed 2/6/06, effective 3/9/06. Statutory Authority:
						RCW
						74.39A.010,
						74.39A.020,
						74.39A.060,
						74.39A.070, and chapter 74.39A
						RCW. 04-16-063 and 04-18-001, § 388-110-020, filed 7/30/04 and 8/19/04,
						effective 9/19/04. Statutory Authority:
						RCW
						74.08.090,
						74.09.520, and
						74.39A.090. 02-21-098, §
						388-110-020, filed 10/21/02, effective 11/21/02. Statutory Authority:
						RCW
						74.39A.010,
						74.39A.020,
						74.39A.060,
						74.39A.080,
						74.39A.170,
						18.88A.210 -[18.88A.]240
						and70.129.040 . 96-11-045 (Order 3979), § 388-110-020, filed 5/8/96,
						effective 6/8/96.