reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 5 - Requirements Specific to Licensing and Operation of Hospice Care Centers › Section 246-335-712 - License required

Current through Register Vol. 24-14, July 15, 2024
(1) A person
				  must possess a current license issued by the department before advertising,
				  operating, managing, conducting, opening or maintaining a hospice care
				  center.
(2) Prior to being approved
				  to provide hospice care center services, an applicant must:
(a) Be licensed under chapter 70.127 RCW as
				  an in-home services agency licensed to provide hospice services;
(b) Submit to the department an application
				  to add hospice care center services to their existing in-home services
				  license;
(c) Submit to the
				  department fees specified in WAC
				  246-335-990;
(d) Obtain a certificate of need under
				  chapter 70.38 RCW. A separate application and fee is required to go through the
				  certificate of need process;
(e)
				  Complete the department's construction review services process. A separate
				  application and fee is required to go through the construction review services
				  process;
(f) Receive a certificate
				  of occupancy by local building officials;
(g) Develop and operationalize policies and
				  procedures addressing the content of this chapter for the service category(ies)
				  to be provided and consistent with WAC
				  246-335-320(2)(g);
(h) Provide other information as required by
				  the department; and
(i) Meet the
				  requirements of this chapter as determined by an initial survey completed by
				  the department.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 5 - Requirements Specific to Licensing and Operation of Hospice Care Centers › Section 246-335-714 - General licensing requirements

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Initial application. To apply for a hospice care center license, an applicant
				  must meet the initial application requirements in WAC
				  246-335-320(2)(a) through (g), (i), and
				  (j), WAC
				  246-335-712(2),
				  and submit documentation that no more than forty-nine percent of patient care
				  days, in the aggregate on a biennial basis, will be provided in a hospice care
				  center, as required under
				  RCW
				  70.127.280(1)(d).
(2) A hospice care center licensee must meet
				  the renewal requirements in WAC
				  246-335-325.
(3) Change of ownership. A hospice care
				  center licensee must meet the change of ownership requirements in WAC
				  246-335-330.
(4) Applicant or licensee responsibilities. A
				  hospice care center applicant or licensee must meet the applicant or licensee
				  responsibilities requirements in WAC
				  246-335-335.
(5) Survey and investigation. The
				  department's survey and investigation responsibilities in WAC
				  246-335-340 apply to hospice care
				  center applicants and licensees.
(6) Plan of operation. A hospice care center
				  applicant or licensee must meet the plan of operation requirements in WAC
				  246-335-615, and ensure pets or
				  animals living on the premises:
(a) Have
				  regular examinations and immunizations, appropriate for the species, by a
				  veterinarian licensed in Washington state;
(b) Be veterinarian certified as free of
				  diseases transmit-table to humans;
(c) Are restricted from food preparation
				  areas; and
(d) Include only those
				  customarily considered domestic pets.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 5 - Requirements Specific to Licensing and Operation of Hospice Care Centers › Section 246-335-716 - Nutritional services

Current through Register Vol. 24-14, July 15, 2024
(1) Nutritional
				  services must be supervised by an RN or dietitian or nutritionist as defined in
				  WAC 246-335-610(4).
(2) Appropriate nutritional consultation must
				  be provided to the patient and family regarding the patient's dietary
				  needs.
(3) Food must be prepared
				  and served at intervals appropriate to the needs of patients, recognizing the
				  unique dietary needs and changes of the terminally ill.
(4) Nutritional services must either be
				  provided directly or through written agreement with a food service
				  company.
(5) Food service
				  sanitation must meet the requirements of chapter 246-215 WAC.
(6) Policies and procedures on nutritional
				  services must include:
(a) Food
				  storage;
(b) Food
				  preparation;
(c) Food service;
				  and
(d) Scheduled cleaning of all
				  food service equipment and work areas.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 5 - Requirements Specific to Licensing and Operation of Hospice Care Centers › Section 246-335-718 - Infection control

Current through Register Vol. 24-14, July 15, 2024
A hospice care center applicant or licensee must develop
					 and implement written policies and procedures addressing infection control
					 pertinent to the hospice care center and consistent with WAC
					 246-335-625(14).
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 5 - Requirements Specific to Licensing and Operation of Hospice Care Centers › Section 246-335-720 - Emergency preparedness

Current through Register Vol. 24-14, July 15, 2024
A hospice care center applicant or licensee must:
(1) Develop and operationalize written
				  policies and procedures governing emergency preparedness and fire
				  protection;
(2) Develop a written
				  emergency preparedness plan, rehearsed at least annually with personnel,
				  contractors, and volunteers that addresses service delivery when natural
				  disasters, man-made incidents, or public health emergencies occur that prevent
				  normal facility operation. Include, at minimum: Risk assessment and emergency
				  planning, communication plan, subsistence needs, evacuation plans, sheltering
				  in place, care of casualties, tracking patients and staff during an emergency,
				  and staff training and drills to test emergency plan; and
(3) Develop a fire protection plan to
				  include:
(a) Instruction for all personnel,
				  contractors or volunteers in use of alarms, firefighting equipment, methods of
				  fire containment, evacuation routes and procedures for calling the fire
				  department and the assignment of specific tasks to all personnel, contractors
				  and volunteers in response to an alarm; and
(b) Fire drills for each shift of
				  personnel.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 5 - Requirements Specific to Licensing and Operation of Hospice Care Centers › Section 246-335-722 - Pharmaceutical services

Current through Register Vol. 24-14, July 15, 2024
The licensee must ensure that all pharmaceutical services
					 are provided consistent with chapter 246-865 WAC and the following
					 requirements:
(1) Pharmaceutical
				  services must be available twenty-four hours per day to provide medications and
				  supplies through a licensed pharmacy;
(2) A licensed pharmacist must provide
				  sufficient on-site consultation to ensure that medications are ordered,
				  prepared, disposed, secured, stored, accounted for and administered in
				  accordance with the policies of the center and chapter 246-865 WAC;
(3) Medications must be administered only by
				  individuals authorized to administer medications;
(4) Medications may be self-administered in
				  accordance with WAC 246-865-060(7)(f);
(5) Drugs for external use must be stored
				  apart from drugs for internal use;
(6) Poisonous or caustic medications and
				  materials including housekeeping and personal grooming supplies must show
				  proper warning or poison labels and must be stored safely and separately from
				  other medications and food supplies;
(7) The hospice care center must maintain an
				  emergency medication kit appropriate to the needs of the center;
(8) Medications brought into the hospice care
				  center by patients to be administered by an appropriate health care
				  professional while in the center must be specifically ordered by an authorizing
				  practitioner and must be identified by a pharmacist or licensed nurse with
				  pharmacist consultation prior to administration;
(9) Drugs requiring refrigeration must be
				  kept in a separate refrigeration unit;
(10) Schedule II through IV controlled
				  substances must be:
(a) Kept in a separate
				  keyed storage unit;
(b) When heat
				  sensitive, be kept in a locked refrigeration unit; and
(c) When no longer needed by the patient,
				  disposed of in compliance with chapter 246-865 WAC;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 5 - Requirements Specific to Licensing and Operation of Hospice Care Centers › Section 246-335-724 - Exemptions and alternative methods

Current through Register Vol. 24-14, July 15, 2024
Hospice care centers applying for an exemption to any of
					 the requirements in WAC
					 246-335-705 through
					 246-335-724 must comply with the
					 requirements in WAC
					 246-335-355.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 6 - Physical Environment Requirements › Section 246-335-726 - Applicability

Current through Register Vol. 24-14, July 15, 2024
The purpose of the following construction regulations in
					 WAC 246-335-726 through
					 246-335-768 is to provide minimum
					 standards for a safe, homelike, and effective patient care environment in
					 hospice care centers consistent with other applicable rules without redundancy
					 and contradictory requirements. Rules allow flexibility in achieving desired
					 outcomes and enable hospice care centers to respond to changes in technologies
					 and health care innovations. Compliance with these rules do not relieve the
					 hospice of the need to comply with applicable state and local building and
					 zoning codes. Where differences in interpretations occur, the hospice will
					 follow the most stringent requirement.
(1) These rules apply to all construction as
				  defined in WAC
				  246-335-710.
(2) The requirements in WAC 246-335-726
				  through 246-335-768 in effect at the time
				  the application, fee, and construction documents are submitted to the
				  department for review will apply for the duration of the construction
				  project.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 6 - Physical Environment Requirements › Section 246-335-728 - Construction and design codes

Current through Register Vol. 24-14, July 15, 2024
A hospice care center applicant must, through its design,
					 construction, and necessary permits demonstrate compliance with the following
					 codes and local jurisdiction standards:
(1) The state building code as adopted by the
				  state building code council under the authority of chapter 19.27 RCW;
(2) The National Fire Protection Association,
				  Life Safety Code, NFPA 101, as adopted by the Centers for Medicare and Medicaid
				  Services;
(3) The National Fire
				  Protection Association, Health Care Facilities Code, NFPA 99, as adopted by the
				  Centers for Medicare and Medicaid Services; and
(4) Ventilation of health care facilities,
				  American National Standards Institute; American Society of Heating,
				  Refrigerating and Air-conditioning Engineers; American Society for Healthcare
				  Engineering Standard 170-2013.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 6 - Physical Environment Requirements › Section 246-335-732 - Site and site development

Current through Register Vol. 24-14, July 15, 2024
A hospice care center applicant or licensee must provide a
					 site with utilities that meet state building code and local regulations
					 including:
(1) Potable water supply
				  meeting requirements in chapters 246-270, 246-290, and 246-291 WAC;
(2) Natural drainage or properly
				  designed/engineered drainage system;
(3) An approved public sewer system or
				  on-site sanitary sewage system meeting requirements in chapter 246-272A or
				  246-272B WAC;
(4) Physical access
				  to community emergency services;
(5) Parking area, drives, and walkways:
(a) Convenient for patients, personnel,
				  contractors, volunteers, and visitors, while avoiding interference with patient
				  privacy and comfort;
(b) With
				  surfaces useable in all weather and traffic conditions; and
(c) Illuminated at night.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 7 - General Design Requirements › Section 246-335-734 - General requirements

Current through Register Vol. 24-14, July 15, 2024
A hospice care center applicant or licensee must meet the
					 following general design elements for patient and family care and support areas
					 as described in this chapter.
(1)
				  Design of the hospice care center must take into account:
(a) The number of patient rooms planned which
				  must not include more than twenty patient beds;
(b) The requirements for patient rooms as
				  specified in WAC
				  246-335-756; and
(c) The family, personnel and public area
				  requirements for space, which may include multiuse areas, as specified in WAC
				  246-335-760.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 7 - General Design Requirements › Section 246-335-736 - Furnishings

Current through Register Vol. 24-14, July 15, 2024
Furnishings of the hospice care center must be homelike
					 and include lounge furniture in addition to furnishings in patient rooms.
					 Accessories such as wallpaper, bedspreads, carpets and lamps must be:
(1) Selected to create a homelike atmosphere;
				  and
(2) Installed per manufacturer
				  installation standards.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 7 - General Design Requirements › Section 246-335-738 - Pharmaceutical services area

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Pharmaceutical services area(s) must be accessible only to authorized
				  personnel.
(2) A hospice care
				  center must provide pharmacy services area(s) consistent with WAC 246-865-050
				  which include adequate space for:
(a) A work
				  counter;
(b) A handwash
				  sink;
(c) A soap and paper towel
				  dispenser;
(d) Drug storage units
				  constructed of metal, solid wood, or plywood which provide:
(i) Locked storage for all drugs;
(ii) Separate keyed storage for Schedule II
				  through IV controlled substances;
(iii) Segregated storage for each patient's
				  drugs;
(e) A lockable
				  refrigerator for storage of heat sensitive drugs; and
(f) Other storage needed according to the
				  hospice care center's functional program.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 7 - General Design Requirements › Section 246-335-740 - Food preparation

Current through Register Vol. 24-14, July 15, 2024
(1) A hospice
				  care center applicant or licensee must:
(a)
				  Locate food preparation areas to prevent objectionable heat, noise and odors to
				  patient rooms;
(b) Provide a
				  nourishment center for use by patients and family with:
(i) A refrigerator capable of maintaining
				  45°F or less;
(ii) A
				  two-compartment sink;
(iii) A range
				  with exhaust hood and/or microwave;
(iv) Work surfaces;
(v) Storage for single service utensils and
				  food items;
(vi) Soap and paper
				  towel dispensers or equivalent;
(vii) Space for waste containers;
				  and
(viii) A self-dispensing ice
				  machine if not provided elsewhere in the hospice care center.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 7 - General Design Requirements › Section 246-335-742 - Linen handling facilities

Current through Register Vol. 24-14, July 15, 2024
A hospice care center applicant or licensee must provide
					 linen handling facilities with the capacity for receiving, holding, sorting,
					 and separating soiled and clean linens either in:
(1) Clean and soiled utility rooms meeting
				  the requirements of WAC
				  246-335-746; or
(2) In a separate linen handling facility
				  meeting the following requirements:
(a) Floor
				  drain(s) located in the soiled linen area;
(b) Handwash sink in soiled and clean
				  processing areas;
(c) Negative air
				  pressure gradient with direction of air flow from clean side of room to dirty
				  side of room is shared;
(d) A
				  folding area on clean side of room; and
(e) Separate clean linen storage located to
				  avoid sources of moist or contaminated air with:
(i) Storage for reserve supply of linens,
				  blankets, and pillows; and
(ii)
				  Space for carts or shelves.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 7 - General Design Requirements › Section 246-335-744 - Laundry facilities

Current through Register Vol. 24-14, July 15, 2024
A hospice care center applicant or licensee must provide
					 laundry service through the use of:
(1) A commercial laundry service;
				  or
(2) On-site laundry facilities
				  with:
(a) A system to avoid through traffic
				  or excessive heat, noise or odors to travel to patient rooms;
(b) Equipment capacity for processing
				  laundry;
(c) Arrangement for
				  uninterrupted work flow from soiled to clean function;
(d) Washing machine(s);
(e) Floor drains as required for
				  equipment;
(f) Dryer(s);
(g) Dryer exhaust to the exterior and make-up
				  air; and
(h) A handwash
				  sink.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 7 - General Design Requirements › Section 246-335-746 - Utility rooms

Current through Register Vol. 24-14, July 15, 2024
(1) A hospice care
				  center applicant or licensee must provide a clean utility room with no direct
				  connection to soiled utility services, including:
(a) Sufficient clean storage and handling
				  area(s);
(b) Closed storage for
				  clean and sterile supplies and equipment;
(c) A work surface;
(d) A handwash sink;
(e) Soap and towel dispenser; and
(f) A self-closing door.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 8 - Specific Design Requirements › Section 246-335-748 - Plumbing

Current through Register Vol. 24-14, July 15, 2024
An applicant must design and install plumbing,
					 including:
(1) Backflow prevention.
				  Devices on plumbing fixtures, equipment, facilities, buildings, premises, or
				  areas which may cause actual or potential cross-connections of systems in order
				  to prevent the backflow of water or other liquids, gases, mixtures, or
				  substances into a water distribution system or other fixtures, equipment,
				  facilities, buildings, or areas;
(2) Trap primers in floor drains and stand
				  pipes subject to infrequent use;
(3) Wrist, knee or foot faucet controls or
				  equivalent and gooseneck spouts on handwash sinks;
(4) Insulation on:
(a) Hot water piping systems;
(b) Cold water and drainage piping;
				  and
(c) Piping exposed to outside
				  temperatures.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 8 - Specific Design Requirements › Section 246-335-750 - Medical gases

Current through Register Vol. 24-14, July 15, 2024
If oxygen is stored or used on the premises, the following
					 must apply in addition to other codes and regulations:
(1) Electrical equipment used in
				  oxygen-enriched environments must be properly designed for use with oxygen and
				  should be labeled for use with oxygen; and
(2) "No smoking" signs must be posted where
				  oxygen is being administered.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 8 - Specific Design Requirements › Section 246-335-752 - Heating, ventilating and air conditioning

Current through Register Vol. 24-14, July 15, 2024
(1) Hospice care centers must have systems to
				  provide individual temperature control for patient rooms to ensure patient
				  preference and comfort. The hospice care center must have the capacity to
				  maintain:
(a) Patient rooms at 70°F in
				  summer and 80°F in winter; and
(b) Nonpatient care areas at 75°F in
				  summer and 70°F in winter.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 8 - Specific Design Requirements › Section 246-335-754 - Electrical and communication systems

Current through Register Vol. 24-14, July 15, 2024
A hospice care center applicant or licensee must provide
					 general electrical service including:
(1) Tamper proof receptacles in patient
				  rooms, toilets, and bathing facilities, and family and public areas;
(2) Ground fault circuit interrupter (GFCI)
				  receptacle when located within five feet of water source and above counters
				  that contain sinks;
(3) Emergency
				  electrical service with:
(a) Adequate
				  emergency lighting in patient rooms;
(b) At a minimum, provisions must be made for
				  emergency lighting for means of egress; and
(c) Power, appropriate to provide continuous
				  operation of life support equipment.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 9 - Patient Areas › Section 246-335-756 - Patient rooms

Current through Register Vol. 24-14, July 15, 2024
(1) A hospice care
				  center applicant or licensee must locate patient rooms to exclude through
				  traffic and minimize the penetration of objectionable odors and noise from
				  other areas of the center.
(2)
				  Hospice care centers must ensure each patient room is:
(a) Directly accessible from a corridor;
				  and
(b) A minimum of one hundred
				  square feet for private rooms and one hundred sixty square feet for rooms
				  allowing a roommate.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 9 - Patient Areas › Section 246-335-758 - Patient toilets and bathing facilities

Current through Register Vol. 24-14, July 15, 2024
(1) Each patient toilet must adjoin the
				  patient room and include:
(a) Bedpan flushing
				  equipment if bedpan flushing equipment is not located in a soiled utility
				  room;
(b) A handwash
				  sink;
(c) Single service soap and
				  towel dispensers;
(d) Slip
				  resistant floor surfaces;
(e) A
				  toilet paper holder;
(f) Backing to
				  support mounting of all accessories; and
(g) Mirror and shelving or equivalent at each
				  handwash sink.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 10 - Family, Personnel, Volunteer, Contractor, and Public Areas › Section 246-335-760 - Family, personnel, volunteer, contractor, and public areas

Current through Register Vol. 24-14, July 15, 2024
(1) A hospice care
				  center applicant or licensee must provide family use areas with:
(a) A minimum of two hundred square
				  feet;
(b) Comfortable seating for
				  several family members;
(c)
				  Provision for families and patients to share meals;
(d) Drinking water;
(e) A public telephone;
(f) Information desk or directory signage;
				  and
(g) Exterior, clear glass
				  windows with a maximum sill height of thirty-six inches.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 11 - Facility Support › Section 246-335-762 - Environmental services facilities

Current through Register Vol. 24-14, July 15, 2024
(1)
				  The hospice care center must provide a waste handling area including storage
				  area in a separate area designed to maintain pest control, or in an outside,
				  enclosed space with:
(a) A handwash sink
				  located adjacent to the path of travel back into patient care areas;
(b) If planned, an interior waste container
				  wash area with floor drain connected to a sanitary sewage system and hose bibs
				  with hot and cold water;
(c) If
				  planned, an exterior waste dumpster and compactor storage area with hose bibs
				  for cold water.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 11 - Facility Support › Section 246-335-764 - Maintenance facilities

Current through Register Vol. 24-14, July 15, 2024
A hospice care center applicant or licensee must:
(1) If planning a maintenance shop, ensure it
				  is located and designed for easy delivery and removal of equipment and to
				  minimize noise and dust to the rest of the hospice care center with:
(a) Storage for solvents, flammable and
				  combustible liquids; and
(b)
				  Storage for supplies and equipment.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 11 - Facility Support › Section 246-335-766 - Receiving, storage and distribution facilities

Current through Register Vol. 24-14, July 15, 2024
A hospice care center applicant or licensee must:
(1) Provide bulk and general supply storage
				  constructed to control pests and prevent spoilage, contamination, damage, and
				  corrosion of goods including:
(a) Protection
				  against inclement weather;
(b)
				  Secured spaces with appropriate environmental conditions in accordance with
				  federal and state laws and rules on supplies and medication storage if
				  pharmaceuticals are stored; and
(c)
				  Off-floor storage when required to prevent contamination and water damage to
				  stores.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 12 - Exemptions and Alternative Methods › Section 246-335-768 - Exemptions and alternative methods

Current through Register Vol. 24-14, July 15, 2024
Hospice care centers applying for an exemption to any of
					 the requirements in WAC
					 246-335-726 through
					 246-335-766 must comply with the
					 requirements in WAC
					 246-335-355.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-335 - In-home services agencies › Part 13 - Fees › Section 246-335-990 - Fees

Current through Register Vol. 24-14, July 15, 2024
(1) Initial
				  license. An applicant shall submit to the department an initial twelve-month
				  license fee of three thousand two hundred eighty-three dollars for each service
				  category (home care, home health, hospice) for persons not currently licensed
				  to provide in-home services in Washington state.
(2) Adding new service categories to existing
				  license. A licensee shall submit to the department an initial twelvemonth
				  license fee of three thousand two hundred eighty-three dollars for each new
				  service category (home care, home health, hospice, hospice care center) for
				  licensees not currently licensed in that category to provide in-home services
				  in Washington state.
(3) Renewal
				  license. A licensee shall submit to the department a twenty-four month renewal
				  fee for home care, home health and hospice agencies, based on the number of
				  full-time equivalents (FTEs), which is a measurement based on a forty hour week
				  and is applicable to paid agency personnel or contractors, according to Table 1
				  of this section. The department will assume a minimum of 1 FTE for each
				  approved service area per service category. The licensee shall submit to the
				  department a twenty-four month renewal fee for hospice care centers, based on
				  the number of beds, according to Table 1 of this section:
(a) For licenses with a single service
				  category:
Table 1 - Renewal Fees
# of FTEs
Home Care
Home Health
Hospice
# of Beds
Hospice Care Center
5 or less
$1,530.00
$3,283.00
$1,642.00
5 or less
$1,642.00
6 to 15
$1,783.00
$4,618.00
$1,856.00
6 to 10
$2,190.00
16 to 50
$1,916.00
$5,256.00
$2,383.00
11 to 15
$3,283.00
51 to 100
$2,244.00
$6,623.00
$4,120.00
16 to 20
$4,378.00
101 or more
$2,408.00
$6,820.00
$4,335.00
(b)
				  For licenses with multiple service categories:
(i) One hundred percent of the home health
				  category fee and seventy-five percent of the appropriate service category fee
				  for each additional service category (home care, hospice, hospice care center);
				  or
(ii) One hundred percent of the
				  hospice category fee and seventy-five percent of the appropriate service
				  category fee for each additional service category (home care, hospice care
				  center).
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-001 - Scope and purpose

Current through Register Vol. 24-14, July 15, 2024
(1) This chapter
				implements chapter 71.12 RCW and sets the minimum health and safety standards
				for licensure and operations of twenty-four hour private, county or municipal
				residential treatment facilities (RTF) providing health care services to
				persons with mental disorders or substance use disorders.
(2) These rules are intended to supplement
				other applicable federal, state and local laws, rules and ordinances. If any
				provision of this chapter is more restrictive than local codes and ordinances
				this chapter shall prevail over any less restrictive provision.
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-001, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-005 - Definitions

Current through Register Vol. 24-14, July 15, 2024
The definitions in this section apply throughout this chapter
				  unless the context clearly indicates otherwise:
(1) "Administrator" means an individual
				person responsible for managing the day-to-day operations of the residential
				treatment facility.
(2) "Adult"
				means an individual eighteen years of age or older.
(3) "Authorized" means mandated or permitted,
				in writing, by the administrator to perform an act that is within a health care
				provider's lawful scope of practice, or that was lawfully delegated to the
				health care provider or to the unlicensed staff member.
(4) "Bathroom" means a room containing at
				least one bathtub or shower.
(5)
				"Child" or "minor" means an individual under the age of eighteen. A child or
				minor may include an infant as defined in subsection (17) of this
				section.
(6) "Communicable disease"
				means a disease caused by an infectious agent that can be transmitted from one
				person, animal, or object to another individual by direct or indirect means
				including transmission via an intermediate host or vector, food, water or
				air.
(7) "Confidential" means
				information that may not be disclosed except under specific conditions
				permitted or mandated by law or legal agreement between the parties
				concerned.
(8) "Construction"
				means:
(a) The erection of a
				facility;
(b) An addition,
				modification, alteration or change of an approved use to an existing facility;
				or
(c) The conversion of an
				existing facility or portion of a facility for use as an RTF.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-010 - Licensing

Current through Register Vol. 24-14, July 15, 2024
An applicant may not open or operate an RTF until all
				  requirements for licensure set forth in this section are met and the department
				  has issued an initial, renewed, or amended RTF license listing the service
				  type(s) approved to be provided in the RTF.
(1) Initial licensure. An applicant for an
				initial RTF license must submit to the department:
(a) A completed application on form(s)
				provided by the department, signed by the owner or legal designee;
(b) Disclosure statements and criminal
				history background checks obtained within the previous three months of the
				application date for the administrator in accordance with WAC
				246-337-055;
(c) The license fee specified in WAC
				246-337-990;
(d) Policies and procedures in compliance
				with chapter 71.12 RCW and this chapter for review and approval by the
				department;
(e) A completed
				construction review application and fee, and functional program plan according
				to WAC 246-337-040;
(f) Written approval of the chief of the
				Washington state patrol, through the director of fire protection, as required
				by RCW
				71.12.485 and chapter 212-12 WAC;
				and
(g) Other information as
				required by the department.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-015 - Service types

Current through Register Vol. 24-14, July 15, 2024
A licensee must provide one or more of the following types of
				  services in the RTF:
(1) Mental health
				services;
(2) Substance use
				disorder services;
(3)
				Co-occurring services; or
(4)
				Pediatric transitional care services.
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-015, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-020

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-020, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-021 - On-site surveys, complaint investigations, and enforcement

Current through Register Vol. 24-14, July 15, 2024
(1) To determine
				compliance with chapter 71.12 RCW and this chapter, the department may:
(a) Conduct unannounced on-site surveys after
				initial licensure; and
(b)
				Investigate complaints alleging noncompliance with chapter 71.12 RCW and this
				chapter.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-025 - Exemptions or alternative means and methods of compliance

Current through Register Vol. 24-14, July 15, 2024
(1) An applicant or
				licensee may request an exemption or alternative means or methods of compliance
				from any part of this chapter by submitting a written request to the department
				that includes:
(a) The specific section, or
				sections, of rules for which the exemption or alternative means or methods of
				compliance is requested;
(b) An
				explanation of the circumstances involved;
(c) A proposed alternative that would ensure
				the safety and health of residents meeting the intent of the rule;
				and
(d) Any supporting research or
				other documentation.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-030 - Retroactivity

Current through Register Vol. 24-14, July 15, 2024
(1) Except as
				provided in subsections (2) and (3) of this section, any construction on or
				after August 20, 2005, must comply with this chapter.
(2) RTFs that are licensed and operating on
				August 20, 2005, may continue to operate without modifications to the facility,
				unless specifically required under this chapter, or as deemed necessary by
				either the local building official, the department, other licensing regulators,
				the state fire marshal, for the general safety and welfare of the occupants and
				public.
(3) Facilities providing
				pediatric transitional care services in a licensed capacity before January 1,
				2019, are not subject to construction review by the department for an initial
				department of health license according to this chapter.
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-030, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-035

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-035, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-040 - Construction review services requirements

Current through Register Vol. 24-14, July 15, 2024
(1) Prior to beginning any construction or
				remodeling, the applicant or licensee must submit an application and fee
				specified in chapter 246-314 WAC, if applicable, to the department and receive
				written authorization by the department to proceed.
(2) The requirements of chapter 246-337 WAC
				in effect at the time the application and fee are submitted to the department,
				and the project number as assigned by the department, apply for the duration of
				the construction project.
(3) All
				facilities seeking to be licensed and existing licensed facilities seeking to
				renovate, alter, add, or relocate shall comply with the state building code as
				adopted by the state building code council under the authority of chapter 19.27
				RCW.
(4) In addition to subsection
				(3) of this section, facilities, or any portion of the facility, licensed in
				their capacity to provide mental health, substance use disorder, or
				co-occurring services must follow physical environmental requirements in this
				chapter for new construction.
(5)
				In addition to subsection (3) of this section, facilities, or any portion of
				the facility, licensed in their capacity to provide pediatric transitional care
				services shall comply with the following physical environmental standards:
(a) The 2014 edition of the
Guidelines for Design and Construction of Hospitals and Outpatient
				Facilities
as developed by the Facilities Guidelines Institute and
				published by the American Society for Healthcare Engineering of the American
				Hospital Association, 155 North Wacker Drive, Chicago, IL 60606 for new
				construction; and
(b) The following
				specific construction standards:
(i) All doors
				accessing the pediatric transitional care services unit are locked doors in
				accordance with the Washington state adopted building code;
(ii) All resident sleeping rooms have windows
				in the hallway wall or door to promote high visibility;
(iii) Security cameras, video only, installed
				at all entry points into the PTCS unit, in hallways outside all resident
				sleeping rooms, and in all designated parent visitation areas;
(iv) Telephones installed in all resident
				sleeping rooms;
(v) A communication
				system, wired or wireless, that provides staff the means to summon on-duty
				staff assistance from key areas such as resident sleeping rooms, common rooms,
				corridors, nurse station, and administrative offices; and
(vi) Emergency power. The licensee must have
				an emergency generator that:
(A) Meets the
				definition in the NFPA 99, Health care facilities, as adopted by the state
				building code council; and
(B)
				Provides a minimum of seventy-two hours of effective facility
				operation.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-045 - Governance and administration

Current through Register Vol. 24-14, July 15, 2024
The licensee must establish a governing body with
				  responsibility for operating and maintaining the RTF. The governing body must
				  provide organizational guidance and oversight to ensure that resources support
				  and staff provides safe and adequate resident care including, but not limited
				  to:
(1) Adopting, periodically
				reviewing, and updating as necessary, policies that:
(a) Govern the organization and functions of
				the RTF including:
(i) A brief narrative
				explaining the scope of services provided;
(ii) An organization chart specifying the
				governing body, staff positions, and number of full-or part-time persons for
				each position; and
(iii) A policy
				addressing the provision of sufficient resources such as personnel, facilities,
				equipment, and supplies to meet the needs of the population served;
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-048 - Quality improvement program

Current through Register Vol. 24-14, July 15, 2024
The licensee must establish policies and procedures to ensure
				  ongoing maintenance of a coordinated quality improvement program to improve the
				  quality of care provided to residents and to identify and prevent serious or
				  unanticipated resident and facility outcomes. The licensee must:
(1) Establish a written performance
				improvement plan that is periodically evaluated.
(2) Collect, measure, and assess data on
				policies and procedures, and outcomes related to resident care and the
				environment including:
(a) Medication
				administration errors;
(b)
				Allegations of abuse;
(c)
				Death;
(d) Suicide;
(e) Injuries which result in serious or
				unanticipated outcomes;
(f)
				Restraint or seclusion use;
(g)
				Resident grievances;
(h) Security
				incidents; and
(i) Disruption of
				services through internal or external emergency or disaster event.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-050 - Management of human resources

Current through Register Vol. 24-14, July 15, 2024
(1)
				The licensee must ensure residents receive care from qualified staff authorized
				and competent to carry out assigned responsibilities.
(2) A sufficient number of staff must be
				present on a twenty-four hour per day basis to:
(a) Meet the care needs of the residents
				served;
(b) Manage emergency
				situations;
(c) Provide crisis
				intervention;
(d) Implement
				individual service plans; and
(e)
				Carry out required monitoring activities.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-055 - Personnel criminal history, disclosure, and background inquiries

Current through Register Vol. 24-14, July 15, 2024
The licensee shall screen all prospective staff with
				  unsuper-vised access to residents for criminal history disclosure and
				  background requirements using a Washington state patrol background check
				  consistent with
				  RCW
				  43.43.830 through
				  43.43.842. All background check
				  reports and signed disclosure statements must be made available to the
				  department upon request.
Statutory Authority: Chapter 71.12 RCW. 05-15-157, §
					 246-337-055, filed 7/20/05, effective
					 8/20/05.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-060 - Infection control

Current through Register Vol. 24-14, July 15, 2024
The licensee must implement and maintain an infection control
				  program that prevents the transmission of infections and communicable disease
				  among residents, staff, and visitors by:
(1) Developing written policies and
				procedures for:
(a) Hand hygiene;
(b) Cleaning and disinfection;
(c) Standard precautions to prevent
				transmission of bloodborne pathogens in accordance with chapter 296-823
				WAC;
(d) Resident
				hygiene;
(e) Preventing
				transmission of tuberculosis consistent with the department's
Washington State Tuberculosis Services Manual
, DOH 343-071
				June 2012, and chapter 246-170 WAC;
(f) Management of staff with a communicable
				disease in an infectious stage;
(g)
				Environmental management; and
(h)
				Housekeeping functions.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-065 - Safety and security

Current through Register Vol. 24-14, July 15, 2024
The licensee must protect resident safety and security by
				  developing written policies and procedures that are consistent with the
				  requirements of this chapter and address:
(1) Management of disorderly residents,
				visitors, or staff.
(2) The safety
				of residents during transportation, including:
(a) Disorderly residents;
(b) Minimum qualifications for transport
				staff;
(c) Any additional
				equipment in transport vehicles to ensure safety such as car seats for infants
				and children, and first-aid kits; and
(d) Transportation that is safe, reliable,
				and in conformance with state and federal safety laws.
Washington Administrative Code › Title 246 - Health, Department of › FACILITY STANDARDS AND LICENSING › Chapter 246-337 - Residential treatment facility › Section 246-337-070 - Emergency disaster plan

Current through Register Vol. 24-14, July 15, 2024
The licensee must establish and implement an emergency
				  disaster plan designed to respond to internal and external emergency
				  situations.
(1) The emergency disaster
				plan must:
(a) Be specific to each building
				that comprises the facility;
(b) Be
				communicated to the residents and staff;
(c) Be coordinated with local emergency
				plans;
(d) Address actions the
				licensee will take if residents cannot return to the facility;
(e) Be posted or readily available to all
				staff and residents; and
(f)
				Include emergency phone numbers.