reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-330 - Ambulatory surgical facilities › Part I - OPERATIONAL RULES › Section 246-330-205 - Patient care services

Current through Register Vol. 24-14, July 15, 2024
This section guides the development of a plan for patient
					 care. The ambulatory surgical facility accomplishes this by supervising staff,
					 establishing, monitoring, and enforcing policies and procedures that define and
					 outline the use of materials, resources, and promote the delivery of
					 care.
An ambulatory surgical facility must:
(1) Provide personnel, space, equipment,
				  reference materials, training, and supplies for the appropriate care and
				  treatment of patients;
(2) Have a
				  registered nurse available for consultation in the ambulatory surgical facility
				  at all times patients are present;
(3) Adopt, implement, review and revise
				  patient care policies and procedures designed to guide staff that address:
(a) Criteria for patient admission;
(b) Reliable method for personal
				  identification of each patient;
(c)
				  Conditions that require patient transfer to outside facilities;
(d) Patient safety measures;
(e) Staff access to patient care
				  areas;
(f) Use of physical and
				  chemical restraints or seclusion consistent with C.F.R. 42.482;
(g) Use of preestablished patient care
				  guidelines or protocols. When used, these must be documented in the medical
				  record and be preapproved or authenticated by an authorized practitioner or
				  advanced registered nurse practitioner;
(h) Care and handling of patients whose
				  condition require special medical consideration;
(i) Preparation and administration of blood
				  and blood products; and
(j)
				  Discharge planning.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-330 - Ambulatory surgical facilities › Part I - OPERATIONAL RULES › Section 246-330-210 - Surgical services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the development and
					 management of surgical services.
An ambulatory surgical facility must:
(1) Adopt and implement policies and
				  procedures that:
(a) Identify areas where
				  surgery and invasive procedures may be performed;
(b) Define staff access to areas where
				  surgery and invasive procedures are performed;
(c) Identify practitioner and advanced
				  registered nurse practitioner's privileges for operating room staff;
				  and
(d) Define staff qualifications
				  and oversight.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-330 - Ambulatory surgical facilities › Part I - OPERATIONAL RULES › Section 246-330-215 - Anesthesia services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving anesthesia and sedation.
An ambulatory surgical facility must:
(1) Adopt and implement policies and
				  procedures that:
(a) Identify the types of
				  anesthesia and sedation that may be used;
(b) Identify areas where each type of
				  anesthesia and sedation may be used; and
(c) Define the staff qualifications and
				  oversight for administering each type of anesthesia and sedation used in the
				  facility.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-330 - Ambulatory surgical facilities › Part I - OPERATIONAL RULES › Section 246-330-220 - Recovery care

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management of
					 patients recovering from anesthesia and sedation.
An ambulatory surgical facility must:
(1) Adopt and implement policies and
				  procedures that define the qualifications and oversight of staff delivering
				  recovery services;
(2) Assure a
				  physician or advanced registered nurse practitioner capable of managing
				  complications and providing cardiopulmonary resuscitation is immediately
				  available for patients recovering from anesthesia; and
(3) Assure a registered nurse trained and
				  current in advanced cardiac life support measures is immediately available for
				  patients recovering from anesthesia.
Statutory Authority: Chapter 70.230 RCW. 09-09-032,
						§ 246-330-220, filed 4/7/09, effective
						5/8/09.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-330 - Ambulatory surgical facilities › Part I - OPERATIONAL RULES › Section 246-330-225 - Emergency services

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to guide the management and
					 care of patients receiving emergency services.
An ambulatory surgical facility must:
(1) Develop, implement and maintain a
				  facility safety and emergency training program that includes:
(a) On-site equipment, medication and trained
				  personnel to manage any medical emergency that may arise from the services
				  provided or sought;
(b) A written
				  and signed transfer agreement with one or more local hospitals that has been
				  approved by the ambulatory surgical facility's medical staff;
(c) Policies and a procedural plan for
				  handling medical emergencies; and
(d) Define the qualifications and oversight
				  of staff delivering emergency care services.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-330 - Ambulatory surgical facilities › Part II - ENVIRONMENT OF CARE › Section 246-330-230 - Management of environment for care

Current through Register Vol. 24-14, July 15, 2024
The purpose of this section is to manage environmental
					 hazards and risks, prevent accidents and injuries, and maintain safe conditions
					 for patients, visitors, and staff.
(1)
				  An ambulatory surgical facility must create and follow an environment of care
				  management plan that addresses safety, security, hazardous materials and waste,
				  emergency preparedness, fire safety, medical equipment, utility systems and
				  physical environment.
(2) An
				  ambulatory surgical facility must assure the environment of care management
				  plan contains the following items:
(a)
				  Safety:
(i) Policies and procedures on
				  safety-related issues such as but not limited to physical hazards and injury
				  prevention;
(ii) Method to educate
				  and periodically review with staff the safety policies and
				  procedures;
(iii) Process to
				  investigate, correct and report safety-related incidents; and
(iv) Process to keep the physical environment
				  free of hazards.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-330 - Ambulatory surgical facilities › Part III - NEW CONSTRUCTIONS › Section 246-330-500 - Applicability of WAC 246-330-500 through 246-330-510

Current through Register Vol. 24-14, July 15, 2024
The purpose of the new construction regulations is to
					 provide minimum standards for the construction, maintenance and operation of
					 ambulatory surgical facilities and the establishment of a safe and adequate
					 care and treatment environment. These rules are consistent with other
					 accrediting organizations and federal agency rules and regulations without
					 redundancy and contradictory requirements. Compliance with these new
					 construction regulations does not relieve an ambulatory surgical facility of
					 the need to comply with applicable state and local building and zoning
					 codes.
(1) These regulations apply to
				  ambulatory surgical facilities as defined in
				  RCW
				  70.230.010:
(a) New buildings to be licensed as an
				  ambulatory surgical facility;
(b)
				  Conversion of an existing building or portion thereof for use as an ambulatory
				  surgical facility;
(c) Additions to
				  an existing ambulatory surgical facility;
(d) Alterations to an existing ambulatory
				  surgical facility.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-330 - Ambulatory surgical facilities › Part III - NEW CONSTRUCTIONS › Section 246-330-505 - Department responsibilities - Construction review, approval of plans

Current through Register Vol. 24-14, July 15, 2024
(1) This section
				  identifies the actions and responsibilities of the department for reviewing and
				  approving new construction of ambulatory surgical facilities.
(2) Before issuing an approval of plans, the
				  department will verify compliance with chapter 70.230 RCW and this chapter
				  which includes, but is not limited to:
(a)
				  Review of all construction documents for compliance with these standards and
				  other applicable federal and state regulations;
(b) Assure the issuance of a certificate of
				  need, when needed, as provided in chapter 70.38 RCW;
(c) Receipt of the application for
				  construction review services and a full plan review fee based on chapter
				  246-314 WAC;
(d) Approval by the
				  local jurisdiction has been obtained;
(e) Approval of the initial license
				  application;
(f) Verify compliance
				  with the applicable chapters of the
2006 Guidelines for the Design and
				  Construction of Healthcare Facilities
.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-330 - Ambulatory surgical facilities › Part III - NEW CONSTRUCTIONS › Section 246-330-510 - Design, construction review, and approval of plans

Current through Register Vol. 24-14, July 15, 2024
(1) Drawings and specifications for new
				  construction, must be prepared by, or under the direction of, an architect
				  registered under chapter 18.08 RCW. The services of a consulting engineer
				  registered under chapter 18.43 RCW must be used for the various branches of the
				  work where appropriate. The services of a registered professional engineer may
				  be used in lieu of the services of an architect if work involves engineering
				  only.
(2) An ambulatory surgical
				  facility must submit construction documents for proposed new construction to
				  the department for review and approval prior to new construction as required in
				  RCW
				  70.230.050(1)(b).
(3) The facility must submit:
(a) A written functional program containing,
				  at a minimum:
(i) Information concerning
				  surgical services to be provided and operational methods to be used;
				  and
(ii) Description of work,
				  patient, soiled waste and clean processing flows.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-001 - Scope and purpose (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-001, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-010 - Applicability (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-010, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-015 - Definitions (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 04-01-197, §
					 246-335-015, filed 12/24/03, effective 1/24/04; 02-18-026, § 246-335-015,
					 filed 8/23/02, effective 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-020 - License required (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-020, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-025 - Initial application (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-025, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-030 - Renewal (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-030, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-035 - Change of ownership (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-035, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-040 - Applicant or licensee rights and responsibilities (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-040, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-045 - Department responsibilities (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-045, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-050 - Deemed status (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-050, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-055 - Plan of operation (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-055, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-060 - Delivery of services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 04-01-197, §
					 246-335-060, filed 12/24/03, effective 1/24/04; 02-18-026, § 246-335-060,
					 filed 8/23/02, effective 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-065 - Personnel, contractor, and volunteer policies (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-065, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-070 - Personnel, contractor and volunteer records (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-070, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-075 - Bill of rights (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-075, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-080 - Home health plan of care (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-080, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-085 - Hospice plan of care (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-085, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-090 - Home care plan of care (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-090, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-095 - Supervision of home health care (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-095, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-100 - Supervision of hospice care (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-100, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-105 - Supervision of home care (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-105, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-110 - Patient/client records (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-110, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-115 - Quality improvement (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-115, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-120 - Home medical supplies and equipment (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-120, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-125 - Exemptions and alternative methods (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-125, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-130 - Applicability (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-130, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-135 - Definitions (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-135, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-140 - License required (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-140, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-145 - Initial application (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-145, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-150 - Renewal (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-150, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-155 - Other general hospice care center licensing requirements (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-155, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-160 - Nutritional services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-160, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-165 - Infection control (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-165, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-170 - Emergency preparedness (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-170, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-175 - Pharmaceutical services (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-175, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-180 - Applicability (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-180, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-185 - Application and approval (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-185, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-190 - Construction and design codes (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-190, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-195 - Construction documents (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-195, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-200 - Site and site development (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-200, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-205 - General requirements (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-205, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-210 - Furnishings (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-210, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-220 - Pharmaceutical services area (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-220, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-225 - Food preparation (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-225, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-230 - Linen handling facilities (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-230, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-235 - Laundry facilities (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-235, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-240 - Utility rooms (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-240, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-245 - Plumbing (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-245, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-250 - Medical gases (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-250, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-255 - Heating, ventilating and air conditioning (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-255, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-260 - Electrical service and distribution (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-260, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-265 - Patient rooms (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-265, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-270 - Patient toilets and bathing facilities (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-270, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-275 - Family, personnel, volunteer, contractor, and public areas (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-275, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-280 - Environmental services facilities (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-280, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-285 - Maintenance facilities (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-285, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-290 - Receiving, storage and distribution facilities (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-290, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Section 246-335-295 - Exemptions and alternative methods (Repealed)

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 70.127 RCW. 02-18-026, §
					 246-335-295, filed 8/23/02, effective
					 10/1/02.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-300 - Scope and purpose

Current through Register Vol. 24-14, July 15, 2024
(1) These rules
				  implement chapter 70.127 RCW which requires the department of health to set
				  minimum health and safety standards for in-home services agencies licensed to
				  provide home care, home health, hospice, or hospice care center
				  services.
(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 70.127 RCW as provided in
				  RCW
				  70.127.040 and
				  70.127.050.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-305 - Applicability

Current through Register Vol. 24-14, July 15, 2024
The requirements in WAC
					 246-335-300 through 246-335-660
					 apply to in-home services agencies licensed to provide home care, home health,
					 and/or hospice services unless otherwise noted in the specific sections. The
					 requirements in WAC
					 246-335-705 through
					 246-335-768 apply to hospice care
					 centers. The fee requirements in WAC
					 246-335-990 apply to all in-home
					 services agencies licensed to provide home care, home health, hospice, and
					 hospice care center services.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-315 - License required

Current through Register Vol. 24-14, July 15, 2024
A person must possess a current license issued by the
					 department before advertising, operating, managing, conducting, opening or
					 maintaining an in-home services agency unless exempt under
					 RCW
					 70.127.040 or
					 70.127.050. Any person who employs
					 or contracts with two or more individuals to provide any one or combination of
					 in-home services as defined by chapter 70.127 RCW and this chapter is subject
					 to licensure.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-320 - Initial application

Current through Register Vol. 24-14, July 15, 2024
An applicant for initial licensure must:
(1) Complete a department sponsored in-home
				  services orientation class prior to submitting a state licensing application.
				  The purpose of the orientation class is to provide prospective applicants an
				  overview of the state licensing process, explain the differences between home
				  care, home health, and hospice service categories, and department expectations
				  of licensees providing care to vulnerable persons.
(2) Submit to the department:
(a) A completed initial licensing application
				  on forms provided by the department;
(b) Evidence of current commercial general
				  liability insurance indicating the following minimum coverage:
(i) Bodily injury, property damage, and
				  contractual liability, in the amount of one million dollars per occurrence;
				  or
(ii) Combined single limit
				  coverage of two million dollars.
(c) A completed and signed full-time
				  equivalent employee worksheet on forms provided by the department;
(d) Copies of criminal history background
				  checks and disclosure statements in accordance with the following:
(i)RCW
				  43.43.830 through
				  43.43.842;
(A) For home care agencies, copies are
				  required for the administrator and the supervisor of direct care
				  services;
(B) For home health
				  agencies and hospice agencies, copies are required for the administrator and
				  the director of clinical services;
(ii) Criminal history background checks must
				  be processed through the Washington state patrol;
(iii) Disclosure statements must be approved
				  by the department; and
(iv)
				  Criminal history background checks and disclosure statements must be obtained
				  within three months of the application date.
(e) A description of the agency's
				  organizational structure. For example, an organizational chart or narrative
				  describing key positions and duties;
(f) A copy of the current business
				  license(s);
(g) Policies and
				  procedures addressing the content of this chapter for the service category(ies)
				  to be provided. Policies and procedures must clearly demonstrate compliance
				  with the applicable chapter requirements.
(i)
				  Home care agency policies and procedures will not reference federal medicare
				  requirements and may only reference an accrediting organization's requirements
				  if they are accredited by that organization.
(ii) Home health and hospice agency policies
				  and procedures may only reference federal medicare requirements or accrediting
				  organization requirements if they are medicare certified or
				  accredited;
(h) A copy
				  of the in-home services orientation class certificate of completion;
(i) Other information as required by the
				  department; and
(j) Fees specified
				  in WAC 246-335-990.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-325 - License renewal

Current through Register Vol. 24-14, July 15, 2024
At least thirty days before the expiration date of the
					 current license, the licensee must submit to the department:
(1) A completed renewal licensing application
				  on forms provided by the department;
(2) Evidence of continuing insurance coverage
				  according to WAC
				  246-335-320(2)(b);
(3) A completed and signed full-time
				  equivalent employee worksheet on forms provided by the department;
(4) Copies of the most current criminal
				  history background checks and disclosure statements for the administrator,
				  director of clinical services, or supervisor of direct care services in
				  accordance with WAC
				  246-335-320(2)(d).
				  All criminal history background checks and disclosure statements required under
				  this chapter must be renewed within two years from the date of the previous
				  check;
(5) A description of the
				  agency's current organizational structure. For example, an organizational chart
				  or narrative describing key positions and duties;
(6) Documentation required under WAC
				  246-335-350, if initially
				  applying or reapplying for substantial equivalency status;
(7) Other information as required by the
				  department; and
(8) Fees specified
				  in WAC 246-335-990.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-330 - Change of ownership

Current through Register Vol. 24-14, July 15, 2024
A change of ownership on an in-home services agency
					 includes any of the following:
(1)
				  Transferring ownership, either whole or part, to a new owner;
(2) Dissolving a partnership or
				  corporation;
(3) Merging with
				  another entity taking on that entity's identity;
(4) Consolidating with another entity,
				  creating a new identity; or
(5) A
				  change of the unified business identifier number and/or federal employer
				  identification number.
(6) At least
				  thirty days prior to changing ownership of an in-home services agency, the
				  licensee must submit to the department a change of ownership form as provided
				  by the department. The form must include:
(a)
				  The full name, address and phone number of the current and prospective
				  owner;
(b) The name, address, and
				  phone number of the currently licensed in-home services agency and the name
				  under which the prospective agency will operate; and
(c) Date of the proposed change of
				  ownership.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-335 - Applicant or licensee responsibilities

Current through Register Vol. 24-14, July 15, 2024
An applicant or licensee must:
(1) Comply with the provisions of chapter
				  70.127 RCW and this chapter;
(2)
				  Maintain at least one in-state office location where records are kept, secured,
				  and accessible;
(3) Display the
				  license issued by the department in an area within the main office that is
				  visible to the public, including branch office locations if
				  applicable;
(4) Cooperate with the
				  department during surveys which may include reviewing licensee records and
				  conducting on-site visits with client or patient consent;
(5) Notify the department in writing within
				  thirty days of any of the following:
(a)
				  Changes of administrator, director of clinical services, or supervisor of
				  direct care services;
(b) Beginning
				  or ceasing operation of any office location(s);
(c) Ceasing operation of home care, home
				  health, hospice, or hospice care centers services;
(d) Decreasing home care, home health, or
				  hospice service areas; and
(e)
				  Survey or monitoring decisions and findings from a department approved
				  accrediting organization, DSHS, or area agency on aging for agencies approved
				  through substantial equivalency according to WAC
				  246-335-350.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-340 - Survey and investigation

Current through Register Vol. 24-14, July 15, 2024
To ensure compliance with chapters 246-335 WAC and 70.127
					 RCW, the department may:
(1) Conduct
				  unannounced surveys at any time and at least once during a licensure period,
				  except for agencies approved through substantial equivalency according to WAC
				  246-335-350;
(2) Survey a licensee at any time if the
				  department has reason to believe the licensee is providing unsafe,
				  insufficient, inadequate or inappropriate client or patient care;
(3) Investigate any person suspected of
				  advertising, operating, managing, conducting, opening or maintaining an in-home
				  services agency or providing in-home services, including hospice care center
				  services, without a license unless exempt from licensure under
				  RCW
				  70.127.040 and
				  70.127.050;
(4) Investigate complaints against in-home
				  services licensees that allege noncompliance with chapter 70.127 RCW and this
				  chapter;
(5) Investigate
				  allegations of noncompliance with
				  RCW
				  43.43.830 through
				  43.43.842, and, when necessary, in
				  consultation with law enforcement personnel; and
(6) Require the licensee to complete
				  additional criminal history background checks and disclosure statements for an
				  individual associated with the licensee or having direct contact with children
				  under sixteen years of age, people with developmental disabilities, or
				  vulnerable persons if the department has reason to believe that offenses
				  specified under
				  RCW
				  43.43.830 have occurred since completion of
				  the previous disclosure statement and criminal background inquiry.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-345 - Statement of deficiencies, plan of correction, and enforcement action

Current through Register Vol. 24-14, July 15, 2024
To ensure compliance with chapters 246-335 WAC and 70.127
					 RCW, the department may:
(1) Issue a
				  statement of deficiencies following a survey which identifies noncompliance
				  with chapter 70.127 RCW and this chapter. The statement of deficiencies will
				  include a brief statement of what is required to achieve compliance, the date
				  by which the department requires compliance to be achieved, contact information
				  for any technical assistance services provided by the department, and notice of
				  the process and timeline for requesting an extension of time for good cause to
				  achieve compliance.
(2) Require
				  licensee to submit a written plan of correction within ten working days of
				  receipt of the statement of deficiencies to address deficiencies that are
				  determined to not be significant, broadly systemic, or recurring.
(a) Under this chapter, a "plan of
				  correction" is a form developed by the department and completed by the licensee
				  that describes:
(i) How each deficiency will
				  be or was corrected;
(ii) What
				  measures or monitors will be put in place to ensure the deficiencies do not
				  recur;
(iii) Who is responsible for
				  correcting each deficiency; and
(iv) When each deficiency will be or has been
				  corrected.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-350 - Substantial equivalency to the state survey requirement

Current through Register Vol. 24-14, July 15, 2024
To ensure compliance with chapters 246-335 WAC and 70.127
					 RCW, the following substantial equivalency options apply that satisfy the state
					 survey requirement:
(1) An in-home
				  services licensee that is approved to provide home health or hospice services
				  and is certified by the federal medicare program is not subject to the state
				  survey requirement when the following have been met:
(a) The department has determined that the
				  applicable survey standards of the certification program are substantially
				  equivalent to those required by this chapter and chapter 70.127 RCW;
(b) Verification that an on-site medicare
				  survey has been conducted during the previous twenty-four months; and
(c) The licensee or the federal medicare
				  program submits to the department the information required in subsection (4) of
				  this section.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 1 - General Requirements Applicable to All Service Categories › Section 246-335-355 - Exemptions and alternative methods

Current through Register Vol. 24-14, July 15, 2024
To request an exemption from specific requirements in this
					 chapter, the applicant or licensee must submit a written request to the
					 department including:
(1) A
				  description of the requested exemption and alternatives, if
				  appropriate;
(2) Rationale for the
				  exemption;
(3) Impact of the
				  exemption on public health and safety; and
(4) Any other information the department
				  requests.
(5) The department may
				  grant the applicant or licensee an exemption from a requirement of this chapter
				  if:
(a) The department determines the
				  exemption will not jeopardize public health or safety; and
(b) The exemption is not contrary to the
				  intent of chapter 70.127 RCW and the requirements of this chapter.