reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0455 - Mechanical and chemical restraints

Current through Register Vol. 24-14, July 15, 2024
(1)
				The service provider must protect each client's right to be free from
				mechanical and chemical restraints and involuntary seclusion.
(2) The service provider must use the least
				restrictive alternatives needed to protect the client, others, or
				property.
(3) If needed, mechanical
				restraints may only be used for needed medical or dental treatment and only
				under the direction of a licensed physician or dentist.
(4) Restraints used as allowed by subsection
				(3) of this section must be justified and documented in the client's
				record.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3950,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0460 - Monitoring physical and mechanical restraints

Current through Register Vol. 24-14, July 15, 2024
(1) The service provider must ensure that any
				client who is being physically or mechanically restrained is continuously
				observed to ensure that risks to the client's health and safety are
				minimized.
(2) The service provider
				must keep documentation that includes:
(a) A
				description of events immediately preceding the client's behavior which led to
				the use of the restraint;
(b) The
				type of restraint used;
(c) Length
				of time the client was restrained;
(d) The client's reaction to the
				restraint;
(e) Staff that were
				involved; and
(f) Injuries
				sustained by anyone during the intervention.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0465 - Community protection-Approval

Current through Register Vol. 24-14, July 15, 2024
In order to provide support to community protection clients,
				  the community protection service provider must, in addition to the other
				  requirements in this chapter:
(1) Be
				approved by the division of developmental disabilities to serve community
				protection clients;
(2) Have
				security precautions reasonably available to enhance protection of neighbors,
				children, vulnerable adults, animals, and others;
(3) Have for each client an integrated
				treatment plan with goals, objectives, and therapeutic interventions to assist
				the client to avoid offending or reoffending; and
(4) Collaborate and coordinate between
				division of developmental disabilities staff, the treatment team, and community
				agencies and members.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3970,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0470 - Community protection-Policies and procedures

Current through Register Vol. 24-14, July 15, 2024
A community protection service provider must, in addition to
				  other policy and procedure requirements listed in this chapter, develop, train
				  to, and implement the following procedures:
(1) Client security and
				supervision;
(2) Use of a chaperone
				agreement that describes who will supervise the client when the client is not
				under the direct supervision of the community protection service
				provider;
(3) Compliance with state
				laws requiring sex offender registration with law enforcement;
(4) Reporting to the division of
				developmental disabilities the client's refusal to comply with the treatment
				plan; and
(5) Reporting to the
				division of developmental disabilities and law enforcement client actions that
				violate the law or a court order.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3980,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0475 - Community protection-Treatment team meetings

Current through Register Vol. 24-14, July 15, 2024
The community protection service provider must participate in
				  treatment team meetings quarterly or more frequently as
				  needed.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3990,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0480 - Community protection-Staff training

Current through Register Vol. 24-14, July 15, 2024
In addition to the staff training requirements in this
				  chapter and the residential services contract, the community protection service
				  provider must ensure that community protection program staff receive training
				  specific to:
(1) Community protection
				within ninety calendar days of working with a community protection client;
				and
(2) The needs, supports, and
				services for clients to whom they are assigned.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-4000,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0485 - Community protection-Treatment plan

Current through Register Vol. 24-14, July 15, 2024
The community protection service provider must implement the
				  client's treatment plan as written by a qualified professional/therapist in
				  accordance with any procedures published by the department.
Statutory Authority:
					 RCW 71A.12.080. WSR
					 10-03-065, §
											388-101-4010,
					 filed 1/15/10, effective 2/15/10. Statutory Authority: Chapter 71A.12 RCW. WSR
					 08-02-022, §
											388-101-4010,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0490 - Community protection-Client records

Current through Register Vol. 24-14, July 15, 2024
In addition to all other client record requirements in this
				  chapter community protection service providers must include the following in
				  the client's record:
(1) Psychosexual
				and/or psychological evaluations and risk assessments;
(2) Plans and assessments including:
(a) The written individual plan;
(b) The functional assessment;
(c) The positive behavior support plan;
				and
(d) A therapist approved
				treatment plan.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0495 - Community protection-Client transportation

Current through Register Vol. 24-14, July 15, 2024
In addition to the other client transportation requirements
				  defined in this chapter, community protection service providers must provide or
				  ensure supervised transportation as needed, including but not necessarily
				  limited to, medical emergencies, appointments, to and from the day program
				  site, and community activities.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-4020,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0500 - Community protection-Client home location

Current through Register Vol. 24-14, July 15, 2024
(1) When assisting a client in selecting a
				home, the provider must conduct and document site checks of the proposed
				residence at different days and times of the week.
(2) After selecting a home, and before the
				client moves into the home, the provider must document and provide to DDA:
(a) The address of the home;
(b) The reasons the home is appropriate
				considering the client's specific risk factors;
(c) Restrictive procedures and security
				precautions the provider will implement; and
(d) Approval from the provider's
				administrator.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0505 - Community protection-Reducing a client's restrictions

Current through Register Vol. 24-14, July 15, 2024
The community protection service provider must participate in
				  any treatment team meetings held to review and consider a reduction in client
				  restrictions.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-4050,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0510 - Community protection-Leaving the program against treatment team advice

Current through Register Vol. 24-14, July 15, 2024
(1) The community
				protection service provider must immediately notify the division of
				developmental disabilities when the client leaves the community protection
				program against treatment team advice; and
(2) Document the client's departure in the
				client's record.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-4060,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0515 - Crisis diversion-Access to services

Current through Register Vol. 24-14, July 15, 2024
The crisis diversion services provider must:
(1) Be approved by the department to provide
				crisis diversion services; and
(2)
				Make crisis diversion services available to clients twenty-four hours per
				day.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-4070,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0520 - Crisis diversion bed services-Location

Current through Register Vol. 24-14, July 15, 2024
The crisis diversion bed services provider must:
(1) Provide those services in a residence
				that is maintained by the crisis diversion bed services provider;
(2) Provide a private, furnished bedroom for
				each crisis diversion client; and
(3) Support only one client in each
				residence.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-4080,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0525 - Crisis diversion bed services-Services and activities

Current through Register Vol. 24-14, July 15, 2024
The crisis diversion bed services provider must provide the
				  following services and activities:
(1)
				Support staff, twenty-four hour per day, seven days a week, to meet the
				client's needs as identified in the client's assessment;
(2) Access to the instruction and support
				services identified in the client's individual support plan;
(3) Three meals per day plus
				snacks;
(4) The following items at
				no cost to the client:
(a) Toiletries and
				personal care items;
(b) Bedding
				and towels;
(c) Access to laundry
				facilities; and
(d) Access to local
				telephone calls.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0530 - Crisis diversion bed services-Treatment plan

Current through Register Vol. 24-14, July 15, 2024
(1) Crisis diversion bed services providers
				must develop a crisis services treatment plan within forty-eight hours of the
				client's placement.
(2) The
				treatment plan must include:
(a) The supports
				and services that must be provided; and
(b) Client discharge goals.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0535 - Crisis diversion bed and support service providers-Client records

Current through Register Vol. 24-14, July 15, 2024
(1) Crisis
				diversion bed and support service providers must keep the following information
				in client records:
(a) Client's name,
				address, and Social Security number;
(b) Name, address, and telephone number of
				the client's relative or legal representative; and
(c) Progress notes and incident reports on
				clients.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0540 - Crisis diversion bed services-Client records

Current through Register Vol. 24-14, July 15, 2024
(1) Crisis diversion bed services providers
				must maintain a record for each client admitted to the crisis diversion
				bed.
(2) The client record must
				include the following information when available:
(a) Basic demographic information;
(b) Referral process and intake
				information;
(c) Medication
				records;
(d) Psychiatric
				records;
(e) Crisis diversion bed
				services provider notes;
(f) The
				crisis services treatment plan;
(g)
				Cross systems crisis plan;
(h)
				Disposition at the client's discharge;
(i) Dates of admission and
				discharge;
(j) Incident
				reports;
(k) Copies of legal
				representative and guardianship papers;
(l) Health records including the name,
				address, and telephone number of the client's:
(i) Physician;
(ii) Dentist;
(iii) Mental health service provider;
				and
(iv) Any other health care
				service providers.
(m)
				Health care service providers' instructions, if any, about health care tasks
				and date of next appointment;
(n)
				Written documentation that the health care service providers' instructions have
				been followed; and
(o) A record of
				known major health events, including surgeries.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0545 - Crisis diversion support services-Location

Current through Register Vol. 24-14, July 15, 2024
The crisis diversion support services provider must provide
				  those services in the client's own home.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-4130,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0550 - Crisis diversion support services-Services and activities

Current through Register Vol. 24-14, July 15, 2024
The crisis diversion support services provider must provide
				  the following services and activities:
(1) Therapeutic interventions to help
				stabilize the client's behavioral symptoms;
(2) Assistance with referral to mental health
				services if needed; and
(3)
				Technical assistance to the client's caregivers on support
				strategies.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-4140,
					 filed 12/21/07, effective 2/1/08.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0560 - What is a group training home?

Current through Register Vol. 24-14, July 15, 2024
"Group training home" means a nonprofit facility certified
				  under this chapter and chapter 388-101 WAC. A group training home provides
				  twenty-four-hour community-based instruction and support services to two or
				  more adults.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0565 - What are the physical requirements for a group training home bedroom?

Current through Register Vol. 24-14, July 15, 2024
(1) The group
				training home must ensure each client's bedroom:
(a) Is a private room, unless the client
				requests to share a room;
(b) Has a
				window or door that provides natural light, is covered with a screen, and
				allows for emergency exit;
(c) Has
				a closet or wardrobe, which must not be considered part of the usable square
				footage;
(d) Has a locking door,
				unless the client's person-centered service plan indicates that it is unsafe
				for the client to have a locking door;
(e) Has direct, unrestricted access to common
				areas;
(f) Has adequate space for
				mobility aids, such as a wheelchair, walker, or lifting device; and
(g) Is at least eighty square feet of usable
				floor space for a single-occupancy room, one hundred and forty square feet for
				a double-occupancy room.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0570 - What are the physical requirements for a group training home bathroom?

Current through Register Vol. 24-14, July 15, 2024
(1) The group
				training home must provide handwashing sinks with hot and cold running water in
				the ratio of one for every five clients.
(2) The group training home must provide
				toilets in the ratio of one for every five clients.
(3) The group training home must provide
				bathing options, with hot and cold running water, for clients that meet the
				needs identified in their person-centered service plans.
(4) A client must have access to a toilet and
				shower or tub without going through another client's room.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0575 - How must a group training home manage food and maintain its kitchen?

Current through Register Vol. 24-14, July 15, 2024
A group training home must manage food and maintain its
				  kitchen under chapter 246-215 WAC if the group training home:
(1) Supports more than six clients;
				and
(2) Was certified after January
				1, 2019.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0580 - Must the group training home adapt the home to suit a client's needs?

Current through Register Vol. 24-14, July 15, 2024
If a client's needs change, the group training home must
				  make a reasonable attempt to adapt the home to meet the needs identified in the
				  client's person-centered service plan.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0585 - What building codes apply to group training homes?

Current through Register Vol. 24-14, July 15, 2024
(1) A group training home must meet state and
				local building codes in effect at the time of their:
(a) Initial licensure as an adult family home
				or assisted living facility; or
(b)
				Initial certification as a group training home.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0590 - When must a group training home be inspected by a local building official?

Current through Register Vol. 24-14, July 15, 2024
The group training home must be inspected by a local
				  building official:
(1) Before initial
				certification; and
(2) After any
				construction that:
(a) Affects a client's
				ability to enter or exit the home; or
(b) Makes a significant structural change to
				the home.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0595 - What steps must be taken before moving a client out of the home during construction?

Current through Register Vol. 24-14, July 15, 2024
(1) Before
				moving a client out of the group training home during planned construction, the
				home must provide thirty days' written notice to the client, the client's
				guardian if they have one, DDA, and residential care services.
(2) The notice must include:
(a) The client's temporary address;
(b) A plan for delivering services to the
				client while temporarily out of the home;
(c) A transition plan to support the client
				while moving out of and returning home; and
(d) The projected completion date for the
				construction project.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0600 - Who is responsible for cleaning and maintaining a group training home?

Current through Register Vol. 24-14, July 15, 2024
(1) The group
				training home's fixtures, furnishings, exterior, and interior, including the
				client's bedroom, must be safe, sanitary, and well maintained.
(2) The group training home staff must
				provide housekeeping instruction and support to a client in accordance with the
				client's person-centered service plan.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0605 - How must a group training home protect clients from risks associated with bodies of water?

Current through Register Vol. 24-14, July 15, 2024
(1) Any body of
				water at the group training home over twenty-four inches deep must be enclosed
				by a fence at least forty-eight inches high.
(2) Any door or gate that directly leads to
				the body of water must have an audible alarm.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0610 - What requirements must a group training home's fireplaces, heaters, and stoves meet?

Current through Register Vol. 24-14, July 15, 2024
(1) The group
				training home must not use a space heater unless it has an underwriters
				laboratories (UL) rating.
(2) Any
				hot surface, such as a fireplace or wood-burning or pellet stove, must have a
				stable barrier that prevents accidental client contact.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0615 - What requirements must the group training home's smoke detectors and fire extinguishers meet?

Current through Register Vol. 24-14, July 15, 2024
(1)
				The group training home must install approved automatic smoke detectors:
(a) In every client's bedroom;
(b) On every floor of the home; and
(c) In an interconnected manner so when one
				alarm is triggered, the whole system reacts.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0620 - How must a group training home prepare for emergency evacuations?

Current through Register Vol. 24-14, July 15, 2024
(1) The group
				training home must display an emergency evacuation plan in a common area on
				every floor of the home.
(2) The
				emergency evacuation plan must include:
(a) A
				floor plan of the home with clearly marked exits;
(b) Emergency evacuation routes;
				and
(c) The location for the
				clients to meet outside the home.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0625 - How much emergency food and drinking water must be kept in the group training home?

Current through Register Vol. 24-14, July 15, 2024
(1) The group
				training home must keep an emergency food supply on-site to meet the needs of
				the clients and staff for at least seventy-two hours. The food supply must meet
				the dietary needs of each client.
(2) The group training home must keep at
				least three gallons of water on-site for each client and staff member, which
				must be:
(a) In sealed, food-grade
				containers;
(b) Stored in a cool,
				dry location away from direct sunlight; and
(c) Chlorinated or commercially
				bottled.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0630 - What must a group training home consider when providing nutritional services?

Current through Register Vol. 24-14, July 15, 2024
(1) The group
				training home must:
(a) Serve breakfast,
				lunch, and dinner each day;
(b)
				Provide twenty-four hour access to snacks and beverages, including nutritious
				options and options preferred by the client;
(c) Provide a special diet, if ordered by a
				healthcare professional, such as low sodium, general diabetic, and mechanical
				soft food diets;
(d) Provide
				prescribed nutrient concentrates and supplements when prescribed in writing by
				a healthcare practitioner; and
(e)
				Maintain a sufficient supply of food at all times.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0635 - What requirements must an employee or volunteer meet to prepare meals and snacks in a group training home?

Current through Register Vol. 24-14, July 15, 2024
(1)
				If a group training home employee prepares food for clients, the employee must:
(a) Complete safe food handling training
				requirements under chapter 388-829 WAC;
(b) Prepare food for clients in a safe and
				sanitary manner; and
(c) Have a
				food worker card under chapter 246-217 WAC.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0640 - When may a pet live in a group training home?

Current through Register Vol. 24-14, July 15, 2024
A pet living in the group training home must:
(1) Not compromise any client rights,
				preferences, or medical needs;
(2)
				Be clean and healthy with proof of current vaccinations; and
(3) Pose no significant health or safety
				risks to any client residing in the home.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0645 - What infection control practices must a group training home implement?

Current through Register Vol. 24-14, July 15, 2024
(1) The group
				training home must implement occupational safety and health administration
				(OSHA) universal precautions to limit the spread of infections when:
(a) Providing client care and
				services;
(b) Cleaning the
				home;
(c) Washing laundry;
				and
(d) Managing infectious
				waste.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0650 - What must a group training home do to detect and manage tuberculosis?

Current through Register Vol. 24-14, July 15, 2024
To detect and manage tuberculosis, a group training home
				  must:
(1) Ensure each employee has a
				tuberculin test no more than three days after beginning to work with clients
				unless otherwise exempt under this chapter;
(2) Implement policies and procedures that
				comply with tuberculosis standards set by the Centers for Disease Control and
				Prevention and applicable state laws;
(3) Comply with the Washington Industrial
				Safety and Health Act (WISHA) standards for respiratory protection;
				and
(4) Comply with chapter 296-842
				WAC requirements to protect the health and safety of clients who may come into
				contact with people who have infectious tuberculosis.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0655 - What type of tuberculin test must a group training home employee complete?

Current through Register Vol. 24-14, July 15, 2024
(1) A group
				training home employee required to complete a tuberculin test must complete:
(a) A tuberculin skin test with results read
				by a qualified medical professional between forty-eight and seventy-two hours
				after placing the test; or
(b)
				Another FDA-approved tuberculin test.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0660 - When is a group training home employee not required to complete a tuberculin test?

Current through Register Vol. 24-14, July 15, 2024
(1) A group
				training home employee is not required to complete a tuberculin test if the
				employee:
(a) Has documentation of an
				FDA-approved tuberculin test with negative results from within the last twelve
				months;
(b) Has documentation of a
				positive FDA-approved tuberculin test with documented evidence of:
(i) Adequate therapy for active disease; or
(ii) Completion of treatment for
				latent tuberculosis infection preventive therapy;
(c) Self-reports a history of positive test
				results under subsection (2) or (3) of this section.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0665 - When must a group training home employee complete a one-step tuberculin test?

Current through Register Vol. 24-14, July 15, 2024
A group training home employee must complete a one-step
				  tuberculin test if the employee:
(1)
				Has a documented history of a negative result from a previous two-step skin
				test; or
(2) Is tested using an
				FDA-approved tuberculin test that does not require a two-step testing
				process.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0670 - When must a group training home employee complete a two-step tuberculin test?

Current through Register Vol. 24-14, July 15, 2024
A group training home employee must complete a two-step
				  tuberculosis skin test if the employee:
(1) Has never had a tuberculosis skin
				test;
(2) Cannot demonstrate proof
				of a previous negative two-step skin test; or
(3) Completed a one-step skin test more than
				twelve months ago.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0675 - What happens if a group training home employee receives a positive tuberculin test result?

Current through Register Vol. 24-14, July 15, 2024
If a group training home employee receives a positive result
				  to tuberculosis skin or blood testing, the group training home must:
(1) Ensure the employee completes a chest
				X-ray within seven days;
(2)
				Evaluate the employee for signs and symptoms of tuberculosis immediately and
				annually thereafter; and
(3) Follow
				the recommendations of the employee's medical provider.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0680 - Must a group training home employee complete follow-up testing?

Current through Register Vol. 24-14, July 15, 2024
A group training home employee with negative tuberculin test
				  results may be required by a public health provider or licensing authority to
				  complete follow-up testing:
(1) After
				exposure to active tuberculosis;
(2) When tuberculosis symptoms are present;
				or
(3) Periodically as determined
				by the public health provider.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0685 - What must a group training home do when a client or employee has tuberculosis symptoms or receives a positive chest x-ray result?

Current through Register Vol. 24-14, July 15, 2024
If a group training home client or employee has tuberculosis
				  symptoms or receives a positive chest x-ray result, the group training home
				  must:
(1) Report the client or
				employee with tuberculosis symptoms or a positive chest x-ray to an appropriate
				medical provider or public health provider;
(2) Follow the infection control and safety
				measures ordered by the client or employee's medical provider or a public
				health provider;
(3) Implement
				appropriate infection control measures;
(4) Apply living or work restrictions if the
				client or employee poses an infection risk to others; and
(5) Ensure an employee caring for a client
				who has active tuberculosis complies with the Washington Industrial Safety and
				Health Act (WISHA) standards for respiratory protection under chapter 296-842
				WAC.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0690 - What records must a group training home maintain related to tuberculin testing?

Current through Register Vol. 24-14, July 15, 2024
A group training home must:
(1) Keep the records of tuberculin test
				results, reports of X-ray findings, and any medical provider or public health
				provider orders in the group training home;
(2) Provide the records to a public health
				provider or licensing agency upon request;
(3) Retain the records for at least two years
				after the date the employee quits or is terminated; and
(4) Provide an employee a copy of the
				employee's tuberculin test results.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0695 - What rights and protections does a client living in a group training home have?

Current through Register Vol. 24-14, July 15, 2024
(1) In addition to
				the client rights under WAC 388-101D-0125 and WAC
				388-823-1095,
				a client living in a group training home has the right to:
(a) A locking bedroom door, unless it is
				unsafe for the client and is documented in their person-centered service
				plan;
(b) Share their bedroom only
				if they consent;
(c) Furnish and
				decorate their bedroom within the terms of their written agreement with the
				group training home;
(d) Retain and
				use personal possessions, including furniture and clothing, as space
				permits;
(e) Control their own
				schedule, with support if indicated in their person-centered service
				plan;
(f) Meet privately at any
				time with visitors of their choosing;
(g) Access and review the group training
				home's certification review results and corrective action plans;
(h) View copies of the group training home's
				policies and procedures at any time;
(i) View copies of the certification results,
				inspection reports, and the group training home's plans of correction at any
				time;
(j) Receive written notice
				from the group training home of enforcement action that places a hold on
				referrals for new clients or is related to provisional certification;
				and
(k) A setting that meets
				requirements under
				42 C.F.R.
				441.301(c)(4).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0700 - What notice requirements must a group training home meet?

Current through Register Vol. 24-14, July 15, 2024
If a client's group training home services are terminated
				  and the client is evicted, before evicting the client the group training home
				  must follow:
(1) Notice requirements
				under WAC 388-101D-0200; and
(2)
				Applicable legal processes, such as unlawful detainer under chapters 59.12 or
				59.16 RCW.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-101D - Requirements for providers of residential services and supports › Section 388-101D-0705 - What requirements under this chapter is a group training home provider exempt from?

Current through Register Vol. 24-14, July 15, 2024
A group training home provider contracted with DDA before
				  January 1, 2019 is exempt from requirements under WAC 388-101D-0565,
				  388-101D-0575, 388-101D-0605, 388-101D-0615.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-102 - ONLINE REGISTRY OF CONTINUING CARE RETIREMENT COMMUNITIES (CCRC) › Section 388-102-0100 - Online registry

Current through Register Vol. 24-14, July 15, 2024
(1) The
				department of social and health services will establish an online registry as
				required by chapter 18.390 RCW.
(2)
				To be eligible to be registered as a continuing care retirement community
				(CCRC) and listed on the department's CCRC online registry, an entity must:
(a) Complete the application; and
(b) Pay the registration fee.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-103 - Adult protective services › Section 388-103-0001 - What definitions apply to this chapter?

Current through Register Vol. 24-14, July 15, 2024
In addition to the definitions found in chapter 74.34 RCW,
				  the following definitions apply to this chapter:
(1) With respect to "abuse", the following
				definitions apply:
(a) Intentional. A person's
				action or inaction is intentional when the person's objective or purpose is to
				inflict injury, unreasonable confinement, intimidation, or punishment on a
				vulnerable adult.
(b) Willful.
				Willful is synonymous to knowing. A person's action or inaction is knowing when
				the person is aware that his or her action or inaction would inflict injury,
				unreasonable confinement, intimidation, or punishment on a vulnerable adult.
(c) Reckless. A person is reckless
				or acts recklessly when he or she knows of and disregards a substantial risk
				that his or her action or inaction is likely to inflict injury, unreasonable
				confinement, intimidation, or punishment on a vulnerable adult, and his or her
				disregard of such substantial risk is a gross deviation from conduct that a
				reasonable person would exercise in the same situation.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-103 - Adult protective services › Section 388-103-0002 - What additional definitions apply when the facility is a nursing facility or skilled nursing facility?

Current through Register Vol. 24-14, July 15, 2024
(1) This
				section incorporates those definitions under 42 C.F.R. Sec. 488.301 into this
				chapter.
(2) In addition to the
				definitions in WAC 388-103-0001 and
				RCW
				74.34.020, the definitions in this section
				apply to this chapter when:
(a) The alleged
				victim is a resident of a nursing facility or skilled nursing facility;
				and
(b) The alleged perpetrator is
				an individual used by such facility to provide services to residents.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-103 - Adult protective services › Section 388-103-0010 - What is the purpose of an adult protective services investigation?

Current through Register Vol. 24-14, July 15, 2024
The purpose of an adult protective services investigation is
				  to:
(1) Investigate allegations of
				abandonment, abuse, financial exploitation, misappropriation of resident
				property, neglect, or self-neglect.
(2) Provide protective services to the
				alleged victim, with the consent of the alleged victim or their legal
				representative, when the protective services could assist in ending or
				preventing of the harm to the alleged victim.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-103 - Adult protective services › Section 388-103-0020 - When does adult protective services respond to a report?

Current through Register Vol. 24-14, July 15, 2024
The department will initiate a response to a report of
				  suspected abandonment, abuse, financial exploitation, misappropriation of
				  resident property, neglect, or self-neglect of a vulnerable adult when the
				  alleged facts and circumstances reasonably fit the definition of abandonment,
				  abuse, financial exploitation, misappropriation of resident property, neglect,
				  or self-neglect as defined in
				  RCW
				  74.34.020 or this chapter.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-103 - Adult protective services › Section 388-103-0030 - What state-only funded services may be offered to an alleged victim?

Current through Register Vol. 24-14, July 15, 2024
(1) Subject to
				available funding, adult protective services (APS) may arrange for, and provide
				referrals to, state-only funded services for an alleged victim.
(2) Services may include:
(a) In-home personal care, household
				services, or both; and
(b)
				Emergency referral options for a department-licensed and -contracted adult
				family home, assisted living facility, or nursing home.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-103 - Adult protective services › Section 388-103-0040 - When does adult protective services notify the alleged perpetrator of an initial substantiated finding?

Current through Register Vol. 24-14, July 15, 2024
(1)
				Adult protective services (APS) will notify the alleged perpetrator in writing
				on or before the tenth working day after making an initial substantiated
				finding.
(2) APS may notify the
				alleged perpetrator after the tenth working day if time is needed to translate
				the notification letter, or if time is needed to provide for the safety of the
				alleged victim.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-103 - Adult protective services › Section 388-103-0050 - How will adult protective services give the alleged perpetrator notice of the initial substantiated finding?

Current through Register Vol. 24-14, July 15, 2024
(1)
				Adult protective services (APS) will notify the alleged perpetrator of the
				initial substantiated finding using one of the following methods:
(a) Personal service of the notice as
				described under
				RCW 4.28.080;
				or
(b) Sending a copy of the notice
				by first-class mail and certified mail, return receipt requested, to the
				alleged perpetrator's last known mailing address.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-103 - Adult protective services › Section 388-103-0060 - When is notice to the alleged perpetrator complete?

Current through Register Vol. 24-14, July 15, 2024
Notice is complete when:
(1) Personal service is made; or
(2) First-class mail and certified mail,
				return receipt requested, are both properly stamped, addressed, and deposited
				in the United States mail.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-103 - Adult protective services › Section 388-103-0070 - What proves that adult protective services provided notice of the initial substantiated finding to the alleged perpetrator?

Current through Register Vol. 24-14, July 15, 2024
Adult protective services may prove notice was provided to
				  the alleged perpetrator by any of the following:
(1) A sworn statement, certification, or
				declaration of personal service;
(2) A sworn statement, certification, or
				declaration of mailing; or
(3) The
				certified mail receipt confirming the notice was delivered.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › AGING AND ADULT SERVICES › Chapter 388-103 - Adult protective services › Section 388-103-0080 - Will adult protective services notify anyone other than the alleged perpetrator of the initial substantiated finding?

Current through Register Vol. 24-14, July 15, 2024
(1) Facilities.
(a) If the incident occurred in a facility,
				adult protective services (APS) will inform the facility owner, manager, or
				administrator of the initial substantiated finding.
(b) If abuse, neglect, or misappropriation of
				resident property occurred in a nursing home, APS will inform the administrator
				of the nursing home of the initial substantiated finding.