reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT ASSESSMENT › Section 388-76-10330 - Resident assessment

Current through Register Vol. 24-14, July 15, 2024
The adult family home must:
(1) Obtain a written assessment that contains
				  accurate information about the prospective resident's current needs and
				  preferences before admitting a resident to the home;
(2) Not admit a resident without an
				  assessment except in cases of a genuine emergency;
(3) Ensure the assessment contains all of the
				  information required in WAC
				  388-76-10335 unless the assessor
				  can not:
(a) Obtain an element of the required
				  assessment information; and
(b) The
				  assessor documents the attempt to obtain the information in the
				  assessment.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT ASSESSMENT › Section 388-76-10335 - Resident assessment topics

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure that each resident's
					 assessment includes the following minimum information:
(1) Recent medical history;
(2) Current prescribed medications, and
				  contraindicated medications, including but not limited to, medications known to
				  cause adverse reactions or allergies;
(3) Medical diagnosis reported by the
				  resident, the resident representative, family member, or by a licensed medical
				  professional;
(4) Medication
				  management:
(a) The ability of the resident
				  to be independent in managing medications;
(b) The amount of medication assistance
				  needed;
(c) If medication
				  administration is required; or
(d)
				  If a combination of the elements in (a) through (c) above is
				  required.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT ASSESSMENT › Section 388-76-10340 - Preliminary service plan

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure that each resident has a
					 preliminary service plan that includes:
(1) The resident's specific problems and
				  needs identified in the assessment;
(2) The needs for which the resident chooses
				  not to accept or refuses care or services;
(3) What the home will do to ensure the
				  resident's health and safety related to the refusal of any care or
				  service;
(4) Resident defined goals
				  and preferences; and
(5) How the
				  home will meet the resident's needs.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10340, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT ASSESSMENT › Section 388-76-10345 - Assessment - Qualified assessor - Required

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure the person performing
					 resident assessments is:
(1) A
				  qualified assessor; or
(2) For a
				  resident who receives care and services paid for by the department, an
				  authorized department case manager.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10345, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT ASSESSMENT › Section 388-76-10350 - Assessment-Updates required

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  department amended portions of this rule from January 18, 2022, through June 8,
				  2023, in response to the state of emergency related to the COVID-19 pandemic.
				  For requirements in place during that time, see WAC
				  388-76-10351.
(2) The adult family home must ensure each
				  resident's assessment is reviewed and updated to document the resident's
				  ongoing needs and preferences as follows:
(a)
				  When there is a significant change in the resident's physical or mental
				  condition;
(b) When the resident's
				  negotiated care plan no longer reflects the resident's current status, needs,
				  and preferences;
(c) At the
				  resident's request or at the request of the resident's representative;
				  or
(d) At least every 12
				  months.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT ASSESSMENT › Section 388-76-10351 - Assessment-Updates required-Requirements in effect from January 18, 2022, through June 8, 2023, in response to the state of emergency related to COVID-19

Current through Register Vol. 24-14, July 15, 2024
(1) In response to
				  the state of emergency related to the COVID-19 pandemic, the department adopted
				  emergency rules under
				  RCW
				  34.05.320 on January 18, 2022, to amend a
				  portion of WAC
				  388-76-10350. The emergency rules
				  remained in effect until June 8, 2023. The amended rules in place at that time
				  were:
(2) The adult family home
				  must ensure each resident's assessment is reviewed and updated to document the
				  resident's ongoing needs and preferences as follows:
(a) When there is a significant change in the
				  resident's physical or mental condition;
(b) When the resident's negotiated care plan
				  no longer reflects the resident's current status, needs, and
				  preferences;
(c) At the resident's
				  request or at the request of the resident's representative; or
(d) At least every 12 months, except
				  beginning January 18, 2022, assessments for residents whose care is state
				  funded may be extended an additional 12 months during the COVID-19 public
				  health emergency.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › NEGOTIATED CARE PLAN › Section 388-76-10355 - Negotiated care plan

Current through Register Vol. 24-14, July 15, 2024
The adult family home must use the resident assessment and
					 preliminary care plan to develop a written negotiated care plan. The home must
					 ensure each resident's negotiated care plan includes:
(1) A list of the care and services to be
				  provided;
(2) Identification of who
				  will provide the care and services;
(3) When and how the care and services will
				  be provided;
(4) How medications
				  will be managed, including how the resident will get their medications when the
				  resident is not in the home;
(5)
				  The resident's activities preferences and how the preferences will be
				  met;
(6) Other preferences and
				  choices about issues important to the resident, including, but not limited to:
(a) Food;
(b) Daily routine;
(c) Grooming; and
(d) How the home will accommodate the
				  preferences and choices.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › NEGOTIATED CARE PLAN › Section 388-76-10360 - Negotiated care plan - Timing of development - Required

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure the negotiated care plan
					 is developed and completed within thirty days of the resident's
					 admission.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10360, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › NEGOTIATED CARE PLAN › Section 388-76-10365 - Negotiated care plan - Implementation - Required

Current through Register Vol. 24-14, July 15, 2024
The adult family home must implement each resident's
					 negotiated care plan.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10365, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › NEGOTIATED CARE PLAN › Section 388-76-10370 - Negotiated care plan - Persons involved in development

Current through Register Vol. 24-14, July 15, 2024
The adult family home must involve the following people in
					 developing the negotiated care plan:
(1) The resident, to the greatest extent he
				  or she can participate;
(2) The
				  resident's family, if approved by the resident;
(3) The resident's representative, if the
				  resident has a representative;
(4)
				  Professionals involved in the care of the resident;
(5) Other individuals the resident wants
				  included; and
(6) The department
				  case manager, if the resident is receiving care and services paid for by the
				  department.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10370, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › NEGOTIATED CARE PLAN › Section 388-76-10375 - Negotiated care plan - Signatures - Required

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure that the negotiated care
					 plan is agreed to and signed and dated by the:
(1) Resident; and
(2) Adult family home.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10375, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › NEGOTIATED CARE PLAN › Section 388-76-10380 - Negotiated care plan - Timing of reviews and revisions

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure that each resident's
					 negotiated care plan is reviewed and revised as follows:
(1) After an assessment for a significant
				  change in the resident's physical or mental condition;
(2) When the plan, or parts of the plan, no
				  longer address the resident's needs and preferences;
(3) At the request of the resident or the
				  resident representative; or
(4) At
				  least every twelve months.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10380, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › NEGOTIATED CARE PLAN › Section 388-76-10385 - Negotiated care plan - Copy to department case manager - Required

Current through Register Vol. 24-14, July 15, 2024
When the resident's services are paid for by the
					 department, the adult family home must give the department case manager a copy
					 of the negotiated care plan each time the plan is completed or updated, and
					 after it has been signed and dated.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10385, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › CARE AND SERVICES › Section 388-76-10390 - Admission and continuation of services

Current through Register Vol. 24-14, July 15, 2024
The adult family home must only admit or continue to
					 provide services to a person when:
(1)
				  The home can safely and appropriately meet the assessed needs and preferences
				  of the person:
(a) With available staff;
				  and
(b) Through reasonable
				  accommodation.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › CARE AND SERVICES › Section 388-76-10395 - Emergency admissions

Current through Register Vol. 24-14, July 15, 2024
(1) The adult
				  family home may only admit a resident to the home without an assessment or a
				  preliminary service plan if a true emergency exists.
(2) To establish that a true emergency
				  exists, the home must verify that the resident's life, health or safety is at
				  serious risk due to circumstances in the resident's current place of residence
				  or harm to the resident has occurred.
(3) After establishing that a true emergency
				  exists, the home must:
(a) Ensure the
				  assessment and preliminary service plan are completed within five working days
				  after admitting the resident, if the resident pays for services with private
				  funds; or
(b) Obtain approval from
				  an authorized department case manager before admission if the resident's care
				  and services are paid by the department or health care authority; and
(c) If approval is obtained verbally,
				  document the time, date, and name of the case manager who gave
				  approval.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › CARE AND SERVICES › Section 388-76-10400 - Care and services

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure each resident
					 receives:
(1) The care and services
				  identified in the negotiated care plan.
(2) The necessary care and services to help
				  the resident reach the highest level of physical, mental, and psychosocial
				  well-being consistent with resident choice, current functional status and
				  potential for improvement or decline.
(3) The care and services in a manner and in
				  an environment that:
(a) Actively supports,
				  maintains or improves each resident's quality of life;
(b) Actively supports the safety of each
				  resident; and
(c) Reasonably
				  accommodates each resident's individual needs and preferences except when the
				  accommodation endangers the health or safety of the individual or another
				  resident.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › CARE AND SERVICES › Section 388-76-10401 - Home and community-based setting requirements

Current through Register Vol. 24-14, July 15, 2024
(1) The home must ensure that the following
				  conditions are present for each resident:
(a)
				  Privacy in each resident's bedroom, including lock-able doors when chosen, with
				  only the resident or residents who live in the room and appropriate staff
				  having the key;
(b) Choice of
				  roommates;
(c) Freedom to decorate
				  and furnish their room within the terms of the notice of rights and service
				  agreement;
(d) Freedom and support
				  to control their own schedule;
(e)
				  Access to food and water at any time; and
(f) Having visitors at any time, although
				  nothing in this section requires an adult family home to provide a visitor with
				  food or a place to sleep.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › CARE AND SERVICES › Section 388-76-10405 - Nursing care

Current through Register Vol. 24-14, July 15, 2024
If the adult family home identifies that a resident has a
					 need for nursing care and the home is not able to provide the care per chapter
					 18.79 RCW, the home must:
(1) Contract
				  with a nurse currently licensed in the state of Washington to provide the
				  nursing care and service; or
(2)
				  Hire or contract with a nurse to provide nurse delegation.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10405, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › CARE AND SERVICES › Section 388-76-10410 - Laundry services

Current through Register Vol. 24-14, July 15, 2024
The adult family home must:
(1) Provide laundry services as needed;
				  and
(2) Launder sheets and
				  pillowcases weekly or more often if soiled.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10410, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › FOOD SERVICES › Section 388-76-10415 - Food services

Current through Register Vol. 24-14, July 15, 2024
The adult family home must:
(1) Ensure that the safe food handling
				  training requirements of chapter 388-112A WAC are met; and
(2) Serve meals:
(a) In the home where each resident lives;
				  and
(b) That accommodate each
				  resident's:
(i) Preferences;
(ii) Food allergies and
				  sensitivities;
(iii) Caloric
				  needs;
(iv) Cultural and ethnic
				  background; and
(v) Physical
				  condition that may make food intake difficult such as being hard for the
				  resident to chew or swallow.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › FOOD SERVICES › Section 388-76-10420 - Meals and snacks

Current through Register Vol. 24-14, July 15, 2024
The adult family home must:
(1) Serve at least three meals:
(a) In each twenty-four hour
				  period;
(b) At regular times
				  comparable to normal meal times in the community; and
(c) That meet the nutritional needs of each
				  resident.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › FOOD SERVICES › Section 388-76-10425 - Offsite food preparation

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure:
(1) Persons preparing food, at a location
				  separate from the home, have a current food handler's permit issued by the
				  department of health;
(2) Prepared
				  food transported to the home is in airtight containers; and
(3) Food stays at the appropriate and safe
				  temperature:
(a) During transportation;
				  and
(b) When served.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10430 - Medication system

Current through Register Vol. 24-14, July 15, 2024
(1) If the adult
				  family home admits residents who need medication assistance or medication
				  administration services by a legally authorized person, the home must have
				  systems in place to ensure the services provided meet the medication needs of
				  each resident and meet all laws and rules relating to medications.
(2) When providing medication assistance or
				  medication administration for any resident, the home must ensure each resident:
(a) Assessment indicates the amount of
				  medication assistance needed by the resident;
(b) Negotiated care plan identifies the
				  medication service that will be provided to the resident;
(c) Medication log is kept current as
				  required in WAC
				  388-76-10475;
(d) Receives medications as
				  required.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10435 - Medication refusal

Current through Register Vol. 24-14, July 15, 2024
(1) Each resident
				  has the right to refuse to take medications.
(2) If the adult family home is assisting
				  with or administering a resident's medications and the resident refuses to take
				  or does not receive a prescribed medication:
(a) The home must notify the resident's
				  practitioner; unless
(b) The
				  provider, entity representative, resident manager or caregiver is a nurse or
				  other health professional, acting within their scope of practice, is able to
				  make a judgment about the impact of the resident's refusal.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10440 - Medication - Assessment - Identification of amount of assistance needed when taking medications

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  adult family home must:
(a) Ensure each
				  resident assessment identifies the amount of assistance the resident needs when
				  taking medications; and
(b) Let the
				  practitioner know when the following may affect the resident's ability to take
				  their medications:
(i) Resident's physical or
				  mental limitations; and
(ii) The
				  setting or environment where the resident lives.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10445 - Medication - Independent - Self-administration

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure residents who have
					 medication assistance assessed as independent self-administration:
(1) Administer their own medications;
				  and
(2) Are allowed to keep their
				  prescribed and over-the-counter medications securely locked in either their
				  room or another agreed upon area if documented in the resident negotiated care
				  plan.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10445, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10450 - Medication - Self-administration with assistance

Current through Register Vol. 24-14, July 15, 2024
(1) For the purposes of this section
				  "enabler" means a physical device used to facilitate a resident's
				  self-administration of a prescribed or over-the-counter medication. Physical
				  devices include, but are not limited to a medicine cup, glass, cup, spoons,
				  bowl, prefilled syringes, syringes used to measure oral liquids, specially
				  adapted table surfaces, drinking straw, piece of cloth, and the resident's
				  hand.
(2) The adult family home
				  must ensure that the resident can:
(a) Put
				  the medication into their own mouth; or
(b) Apply, inject, or instill the
				  medications.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10455 - Medication - Administration

Current through Register Vol. 24-14, July 15, 2024
For residents assessed with requiring the administration of
					 medications, the adult family home must ensure medication administration
					 is:
(1) Performed by a practitioner as
				  defined in
				  chapter
				  69.41 RCW; or
(2) By nurse delegation per WAC
				  246-840-910 through
				  246-840-970; unless
(3) Done by a family member or legally
				  appointed resident representative.
Statutory Authority:
						RCW
						70.128.040. 10-03-064, § 388-76-10455,
						filed 1/15/10, effective 2/15/10. Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10455, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10460 - Medication - Negotiated care plan

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure that each resident's
					 negotiated care plan addresses:
(1)
				  The amount of medication assistance needed by each resident, including but not
				  limited to:
(a) The reasons why a resident
				  needs that amount of medication assistance; and
(b) When there is a need for the resident to
				  have more than one type of medication assistance.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10463 - Medication-Psychopharmacologic

Current through Register Vol. 24-14, July 15, 2024
For residents who are given psychopharmacologic
					 medications, the adult family home must ensure:
(1) The resident assessment indicates that a
				  psychopharmacologic medication is necessary to treat the resident's medical
				  symptoms;
(2) The drug is
				  prescribed by a physician or health care professional with prescriptive
				  authority;
(3) The resident's
				  negotiated care plan includes strategies and modifications of the environment
				  and staff behavior to address the symptoms for which the medication is
				  prescribed;
(4) Changes in
				  medication only occur when the prescriber decides it is medically necessary;
				  and
(5) The resident or resident
				  representative is aware the resident is taking the psychopharmacologic
				  medication and its purpose.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10465 - Medication - Altering - Requirements

Current through Register Vol. 24-14, July 15, 2024
(1) For the purposes of this section
				  "altering a medication" means the alteration of prescribed or over the counter
				  medications and includes, but is not limited to crushing tablets, cutting
				  tablets in half; opening capsules and mixing powdered medications with food or
				  liquids.
(2) The adult family home
				  must consult with the practitioner or pharmacist before altering a medication
				  and if the practitioner or pharmacist agrees with altering a medication, record
				  the:
(a) Time;
(b) Date; and
(c) Name of the person who provided the
				  consultation.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10470 - Medication - Timing - Special directions

Current through Register Vol. 24-14, July 15, 2024
(1) The adult family home must ensure
				  medications are given:
(a) At the specific
				  time(s) ordered by the practitioner; and
(b) As follows, when the practitioner does
				  not order a medication to be given at a specific time:
(i) One time per day, approximately every
				  twenty four hours;
(ii) Two times a
				  day, approximately twelve hours apart;
(iii) Three times a day, approximately six
				  hours apart; and
(iv) Four times a
				  day, approximately four hours apart.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10475 - Medication - Log

Current through Register Vol. 24-14, July 15, 2024
The adult family home must:
(1) Keep an up-to-date daily medication log
				  for each resident except for residents assessed as medication independent with
				  self-administration.
(2) Include in
				  each medication log the:
(a) Name of the
				  resident;
(b) Name of all
				  prescribed and over-the-counter medications;
(c) Dosage of the medication;
(d) Frequency which the medications are
				  taken; and
(e) Approximate time the
				  resident must take each medication.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10480 - Medication organizers

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure:
(1) A licensed nurse, pharmacist, the
				  resident or the resident's family member fills a resident's medication
				  organizer;
(2) Prescribed and
				  over-the-counter medications placed in a medication organizer come from the
				  original container labeled for the resident by the pharmacist or pharmacy
				  service;
(3) Each resident and
				  anyone giving care to a resident can readily identify medications in the
				  medication organizer;
(4)
				  Medication organizer labels clearly show the following:
(a) The name of the resident;
(b) A list of all prescribed and
				  over-the-counter medications;
(c)
				  The dosage of each medication;
(d)
				  The frequency which the medications are given.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10485 - Medication storage

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure all prescribed and
					 over-the-counter medications are stored:
(1) In locked storage;
(2) In the original container with legible
				  and original labels; and
(3)
				  Appropriately for each medication, such as if refrigeration is required for a
				  medication and the medication is kept in refrigerator in locked
				  storage.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10485, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT MEDICATIONS › Section 388-76-10490 - Medication disposal - Written policy - Required

Current through Register Vol. 24-14, July 15, 2024
The adult family home must have and implement a written
					 policy addressing the disposal of unused or expired resident medications.
					 Unused and expired medication must be disposed of in a safe manner for:
(1) Current residents living in the adult
				  family home; and
(2) Residents who
				  have left the home.
Statutory Authority:
						RCW
						70.128.040. 10-03-064, § 388-76-10490,
						filed 1/15/10, effective 2/15/10. Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10490, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › SPECIALTY CARE › Section 388-76-10495 - Specialty care - Designations

Current through Register Vol. 24-14, July 15, 2024
The department may designate an adult family home to
					 provide specialty care in one or more of the following areas:
(1) Developmental disability;
(2) Mental illness; and
(3) Dementia.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10495, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › SPECIALTY CARE › Section 388-76-10500 - Granting specialty care designation - Requirements

Current through Register Vol. 24-14, July 15, 2024
The department will grant a specialty designation
					 when:
(1) The provider, entity
				  representative and resident manager has successfully completed training in one
				  or more of the specialty care designated areas;
(2) The home provides the department with
				  written documentation:
(a) Of successful
				  completion of the required specialty care training or challenge test for each
				  person in subsection (1) of this section; and
(b) For the specialty care training for all
				  caregivers in the adult family home provided by a person knowledgeable in
				  specialty care.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › SPECIALTY CARE › Section 388-76-10505 - Specialty care-Admitting and retaining residents

Current through Register Vol. 24-14, July 15, 2024
The adult family home must not admit or keep a resident
					 with specialty care needs, such as developmental disability, mental illness, or
					 dementia as defined in WAC
					 388-76-10000, if the
					 provider, entity representative, resident manager and staff have not completed
					 the specialty care training required by chapter 388-112A WAC.
Statutory Authority:
						RCW
						70.128.040. 10-04-008, § 388-76-10505,
						filed 1/22/10, effective 2/22/10. Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10505, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10510 - Resident rights-Basic rights

Current through Register Vol. 24-14, July 15, 2024
The adult family home must ensure that each
					 resident:
(1) Receives appropriate
				  necessary services, as identified in the assessment and negotiated care
				  plan;
(2) Is treated with courtesy,
				  dignity, and respect;
(3) Continues
				  to enjoy basic civil and legal rights;
(4) Has the opportunity to exercise control
				  over life decisions, such as making the resident's own choices about daily
				  life, participation in services or activities, care, and privacy;
(5) Has the opportunity to engage in
				  religious, political, civic, recreational, and other social activities of their
				  choice;
(6) Is cared for in a
				  manner that enhances or maintains the resident's quality of life;
(7) Is cared for in an environment that is
				  safe, clean, comfortable, and homelike; and
(8) Has the freedom to have and use their
				  personal belongings to the extent possible.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10510, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10515 - Resident rights-Exercise of rights

Current through Register Vol. 24-14, July 15, 2024
The adult family home must:
(1) Protect each resident's right to a
				  dignified existence, self-determination, and communication with and access to
				  persons and services inside and outside the home;
(2) Protect and promote the rights of each
				  resident and assist the resident to exercise the rights of a resident of the
				  home and the state of Washington.
(3) Be free of interference, coercion,
				  discrimination, and retaliation from the home in exercising the resident's
				  rights; and
(4) Ensure the
				  resident's right to choose a representative who may exercise the resident's
				  rights to the extent provided by law.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10515, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10520 - Resident rights - General notice

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						70.128.040. 10-03-064, § 388-76-10520,
						filed 1/15/10, effective 2/15/10. Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10520, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10522 - Resident rights-Notice-Policy on accepting medicaid as a payment source

Current through Register Vol. 24-14, July 15, 2024
The adult family home must fully disclose the home's policy
					 on accepting medicaid or other public funds as a payment source. The policy
					 must:
(1) Clearly state the
				  circumstances under which the adult family home provides care for medicaid
				  eligible residents and for residents who become eligible for medicaid after
				  admission;
(2) Be provided both
				  orally and in writing in a language the resident understands;
(3) Be provided to all prospective residents,
				  before admission to the home;
(4)
				  Be provided to any current residents who were admitted before this requirement
				  took effect or who did not receive copies prior to admission;
(5) Be A written document that is separate
				  from other documents and use a type font that is at least fourteen point;
				  and
(6) Be signed and dated by the
				  resident and kept in the resident record after signature.
Statutory Authority:
						RCW
						70.128.040. 10-03-064, § 388-76-10522,
						filed 1/15/10, effective 2/15/10.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10525 - Resident rights-Postings

Current through Register Vol. 24-14, July 15, 2024
The adult family home must post the following in a common
					 use area where they can be easily viewed by anyone in the home, including
					 residents, resident representatives, the department, and visitors:
(1) The name, address, and telephone number
				  for the home's regional residential care services licensing office;
(2) The department's poster that includes the
				  complaint resolution unit hotline and the telephone number for the state ombuds
				  program; and
(3) The poster from
				  the agency designated as the protection and advocacy system for residents with
				  disabilities.
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10525, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10530 - Resident rights-Notice of rights and services

Current through Register Vol. 24-14, July 15, 2024
(1) The adult family home must provide each
				  resident written notice of the resident's rights and services provided in the
				  home in a language the resident understands and before the resident is admitted
				  to the home. The notice must be reviewed at least once every twenty-four months
				  from the date of the resident's admission and must include the following:
(a) Information regarding resident rights,
				  including rights under chapter 70.129 RCW;
(b) A complete description of the services,
				  items, and activities customarily available in the home or arranged for by the
				  home as permitted by the license;
(c) A complete description of the charges for
				  those services, items, and activities, including charges for services, items,
				  and activities not covered by the home's per diem rate or applicable public
				  benefit programs;
(d) The monthly
				  or per diem rate charged to private pay residents to live in the
				  home;
(e) Rules of the home, which
				  must not violate resident rights in chapter 70.129 RCW;
(f) How the resident can file a complaint
				  concerning alleged abandonment, abuse, neglect, or financial exploitation with
				  the state hotline; and
(g) If the
				  home will be managing the resident's funds, a description of how the home will
				  protect the resident's funds.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10532 - Resident rights-Department standardized disclosure forms

Current through Register Vol. 24-14, July 15, 2024
(1) The adult
				  family home must complete the department's standardized disclosure of services
				  form.
The home must:
(a) List on the form the scope of care and
				  services available in the home;
(b)
				  Send the completed form to the department when applying for a license;
				  and
(c) Provide an updated form to
				  the department thirty days prior to changing services, except in emergencies,
				  when the scope of care and services is changing.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10535 - Resident rights-Notice of change to services

Current through Register Vol. 24-14, July 15, 2024
(1) The adult family home must inform each
				  resident in advance of changes to services, items, activities, scope of care,
				  or home rules as follows:
(a) In writing;
(b) At least fourteen days before
				  the effective date of a change due to a substantial and continuing change in
				  the resident's condition that necessitates substantially greater or lesser
				  services, items, or activities;
(c)
				  At least thirty days before the effective date of a change that decreases the
				  scope of care, services, or activities due to circumstances beyond the home's
				  control; and
(d) At least ninety
				  days before the effective date the home voluntarily decreases the scope of
				  care, services, or activities the home provides, if the change will result in
				  the discharge of at least one resident.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10540 - Resident rights-Disclosure of charges-Notice requirements-Deposits

Current through Register Vol. 24-14, July 15, 2024
(1) If the adult
				  family home requires an admission fee, deposit, prepaid charges, or any other
				  fees or charges, by or on behalf of a person seeking admission, the home must
				  include this information on the disclosure of charges form in writing in a
				  language the resident understands prior to its receipt of any funds.
(2) The disclosure must include:
(a) A statement of the amount of any
				  admissions fees, security deposits, prepaid charges, minimum stay fees, or any
				  other fees or charges specifying what the funds are paid for and the basis for
				  retaining any portion of the funds if the resident dies, is hospitalized,
				  transferred, or discharged from the home;
(b) The home's advance notice or transfer
				  requirements; and
(c) The amount of
				  the security deposits, admission fees, prepaid charges, minimum stay fees, or
				  any other fees or charges that the home will refund to the resident if the
				  resident leaves the home.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10545 - Resident rights-Admitting and keeping residents

Current through Register Vol. 24-14, July 15, 2024
The adult family home must:
(1) Only admit or keep individuals whose
				  needs the home can safely meet:
(a) With
				  qualified available staff; and
(b)
				  Through the provision of reasonable accommodations required by state and
				  federal law;
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10550 - Resident rights-Adult family home staffing-Notification required

Current through Register Vol. 24-14, July 15, 2024
The adult family home must provide the following
					 information in writing to prospective residents before admission and current
					 residents who were admitted before this requirement took effect:
(1) Information about the provider, entity
				  representative, and resident manager, including:
(a) Availability in the home, including a
				  general statement about how often they each are in the home;
(b) Education and training relevant to
				  resident caregiving;
(c) Caregiving
				  experience;
(d) Primary
				  responsibilities, including which general care management decisions they will
				  make and which will be made by the resident or their representative;
				  and
(e) How to contact the
				  provider, entity representative, and resident manager when not in the
				  home.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10555 - Resident rights - Financial affairs

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority:
						RCW
						70.128.040 and chapters 70.128 and
						74.34 RCW. 07-21-080, §
						388-76-10555, filed 10/16/07, effective
						1/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-76 - TANF/SFA five-year time limit › RESIDENT RIGHTS › Section 388-76-10560 - Resident rights-Adult family home management of resident financial affairs

Current through Register Vol. 24-14, July 15, 2024
(1) Each resident
				  has the right to manage their own financial affairs. The adult family home must
				  not require any resident to deposit their personal funds with the
				  home.
(2) If the adult family home
				  agrees to manage a resident's personal funds, the home must;
(a) Have a written authorization from the
				  resident;
(b) Develop and maintain
				  a system that assures a full, complete, and separate accounting of each
				  resident's personal funds given to the home on the resident's behalf;
(c) Ensure the resident's funds are not mixed
				  with the home's funds or with the funds of any person other than another
				  resident. If funds are pooled accounts, there must be a separate accounting for
				  each resident's share;
(d) Deposit
				  a resident's personal funds in excess of one hundred dollars in an
				  interest-bearing account(s) separate from any of the home's operating accounts
				  and that credits all interest earned on residents' funds to that
				  account;
(e) Ensure that the
				  account or accounts are held in a financial institution as defined in
				  RCW 30A.22.040, and
				  notify each resident in writing of the name, address, and location of the
				  depository.
(f) Keep a resident's
				  personal funds that do not exceed one hundred dollars in a noninterest-bearing
				  account, interest-bearing account, or petty cash fund; and
(g) Provide an individual financial record
				  when requested by the resident or the resident's legal
				  representative.