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-0190 - What must a provider do if a client experiences a change in support needs?

Current through Register Vol. 24-14, July 15, 2024
If a client experiences a change in support needs, the
				  provider must:
(1) Coordinate with the
				client to the maximum extent possible to:
(a)
				Review the client's individual instruction and support plan (IISP) to determine
				whether the IISP meets the client's needs and requirements under chapter
				388-101D WAC, and update if needed;
(b) Review the client's positive behavior
				support plan (PBSP), if the client has one, to determine whether the PBSP meets
				the client's needs and requirements under chapter 388-101D WAC, and update if
				needed;
(c) Review the client's
				person-centered service plan (PCSP) and, if necessary, notify DDA that changes
				to the PCSP may be needed;
(d)
				Participate in a significant change assessment, if one occurs, unless requested
				by the client not to do so; and
(e)
				Implement the new PCSP, if updated.
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-0195 - What must a provider do when a client's support needs remain unmet?

Current through Register Vol. 24-14, July 15, 2024
(1) If the client's
				support needs remain unmet after following the procedures in WAC
				388-101D-0190, the provider must
				submit a written request to the client's case manager for assistance with
				addressing the unmet need.
(2) No
				more than five working days after receipt of the provider's request, DDA must
				respond to address the unmet need, which might include identification of a
				critical case.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3440,
					 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-0196 - What is the client critical case protocol?

Current through Register Vol. 24-14, July 15, 2024
(1) The client critical case protocol is a
				formal, person-centered process for addressing unmet residential support needs
				for a client receiving services from a contracted supported living provider,
				which, if unaddressed might result in a disruption in residential
				services.
(2) DDA must include in
				the client critical case protocol:
(a) The
				client, if they choose to participate;
(b) The client's legal representative, if the
				client has one, and if they choose to participate;
(c) A representative from the client's
				current supported living agency; and
(d) DDA.
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-0197 - Who may request a client critical case protocol and when is it initiated?

Current through Register Vol. 24-14, July 15, 2024
(1) A client,
				the client's legal representative, or the provider may request a critical case
				protocol if:
(a) The client is at risk of
				losing their home;
(b) The client
				is at risk of losing their supported living provider;
(c) The client is medically cleared for
				discharge from a hospital but does not have a discharge plan;
(d) The client's person-centered service plan
				or positive behavior support plan cannot be implemented as written;
				or
(e) There is other indication of
				a critical case.
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-0198 - Who must attend a critical case conference and when must the conference occur?

Current through Register Vol. 24-14, July 15, 2024
(1) The client's
				critical case conference must be attended by:
(a) The client, if the client chooses to
				attend;
(b) The client's legal
				representative, if the client has one, and if the legal representative chooses
				to attend;
(c) A representative
				from the client's current supported living agency; and
(d) DDA.
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-0200 - When may a provider terminate a client's services?

Current through Register Vol. 24-14, July 15, 2024
(1) A provider must not terminate a client's
				services unless the provider determines and documents that:
(a) The provider cannot meet the client's
				needs;
(b) The client's safety or
				the safety of other people in the residence is endangered;
(c) The client's health or the health of
				other people in the residence would otherwise be endangered; or
(d) The provider ceases to operate.
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-0201 - When may the provider suspend a client's services?

Current through Register Vol. 24-14, July 15, 2024
(1) A contracted supported living provider
				may immediately suspend a client's services if:
(a) The provider cannot safely meet the
				client's needs;
(b) The actions or
				continued presence of the client endangers the health or safety of the client,
				other clients, those working with the client, or member of the public;
				and
(c) The client is in a:
(i) Hospital;
(ii) Jail;
(iii) Health care facility; or
(iv) Other setting that can address the
				client's needs.
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-0205 - Individual support plan

Current through Register Vol. 24-14, July 15, 2024
The service provider must use the client's current individual
				  support plan in the development of the individual instruction and support
				  plan.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3460,
					 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-0210 - Development of the individual instruction and support plan

Current through Register Vol. 24-14, July 15, 2024
(1) The service
				provider must develop and implement an individual instruction and support plan
				for each client that incorporates the department's residential guidelines in
				developing instruction and support activities.
(2) In developing the individual instruction
				and support plan, the service provider must:
(a) Work with the client to develop goals
				based on the individual support plan that will be worked on during the
				implementation of the individual instruction and support plan for the upcoming
				year;
(b) Identify how the
				instruction and/or support activities will be provided to meet the assessed
				needs of the client as described in the individual support plan;
(c) Ensure that the individual instruction
				and support plan contains or refers to other applicable support and/or service
				information; and
(d) Include the
				participation and agreement of the client and other individuals the client
				wants included.
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-0215 - Documentation of the individual instruction and support plan

Current through Register Vol. 24-14, July 15, 2024
For each client the service provider must:
(1) Develop and keep a written record of the
				individual instruction and support plan that includes the elements required in
				WAC
				388-101-3470;
(2) Include a section or page in the
				individual instruction and support plan that provides or references all
				applicable support or service information pertaining to the client;
(3) Review and update the plan to reflect
				changes in the assessed needs as described in the individual support
				plan;
(4) Sign and date the plan's
				documents; and
(5) Document the
				client's agreement with the plan as well as the client's legal representative
				if applicable.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3480,
					 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-0220 - Implementation of the individual instruction and support plan

Current through Register Vol. 24-14, July 15, 2024
The service provider must:
(1) Oversee the progress made on each
				client's individual instruction and support plan;
(2) Coordinate with other staff, and other
				providers serving the client, and other interested persons as needed, in
				implementing the individual instruction and/or support plan; and
(3) Revise and update the plan as the
				client's assessed needs change.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3490,
					 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-0225 - Accessibility of the individual instruction and support plan

Current through Register Vol. 24-14, July 15, 2024
The service provider must make the individual instruction and
				  support plan accessible at all times to:
(1) Staff to provide direction on what they
				are to do to instruct and/or support the client;
(2) The client receiving service;
(3) The client's legal representative;
				and
(4) Representatives of the
				department.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3500,
					 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-0230 - Ongoing updating of the individual instruction and support plan

Current through Register Vol. 24-14, July 15, 2024
The service provider must:
(1) Review and revise the individual
				instruction and support plan as goals are achieved or as client assessed needs
				change in order to reflect the client's current needs, goals, and preferences:
(a) At least semi-annually; and
(b) At any time requested by the client or
				the client's legal representative.
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-0235 - Shared expenses and client related funds

Current through Register Vol. 24-14, July 15, 2024
(1) For purposes of this section "common
				household expenses" means costs for rent, shared food and household supplies,
				and utilities, including but not limited to water, garbage, cable
				television/radio, telephone, and electricity.
(2) The service provider must ensure that
				common household expenses are shared equitably among all clients living in the
				household.
(3) If the service
				provider receives funds for the client from any source, the service provider
				must be able to show that all the funds received are:
(a) Given to the client or the client's legal
				representative;
(b) Deposited to
				the client's account; or
(c) Used
				only for the client.
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-0240 - Individual financial plan

Current through Register Vol. 24-14, July 15, 2024
(1) The
				service provider must develop and implement an individual financial plan with
				client participation when the client's individual support plan:
(a) Identifies that the client needs support
				to manage funds; and
(b) Designates
				the service provider as responsible for that support; or
(c) Indicates the service provider manages
				any portion of the client's funds.
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-0245 - Managing client funds

Current through Register Vol. 24-14, July 15, 2024
(1) Before
				managing a client's funds the service provider must either:
(a) Obtain written consent from the client or
				the client's legal representative; or
(b) Become the representative
				payee.
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-0250 - Using client funds for health services

Current through Register Vol. 24-14, July 15, 2024
The service provider must document all denials for client
				  health services from the health care authority, the department, and medical
				  insurance companies. The service provider:
(1) Must notify the case manager of the
				denial in writing; and
(2) May use
				client funds for the client's health services if no other funding is
				available.
Statutory Authority:
					 RCW
					 71A.12.030 and [71A.12].080. WSR 12-02-048,
					 §
											388-101-3545,
					 filed 12/30/11, effective 1/30/12. Statutory Authority: Chapter 71A.12 RCW. WSR
					 08-02-022, §
											388-101-3545,
					 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-0255 - Reconciling and verifying client accounts

Current through Register Vol. 24-14, July 15, 2024
(1) For any client funds managed by the
				service provider, the service provider must:
(a) Reconcile the client's bank accounts to
				the client's bank statements each month;
(b) Reconcile the client's cash account each
				month; and
(c) Verify the accuracy
				of the reconciliation.
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-0260 - Combining service provider and client funds

Current through Register Vol. 24-14, July 15, 2024
The service provider must not combine client funds with any
				  service provider funds, such as agency operating funds.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3560,
					 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-0265 - Client bankbooks and bankcards

Current through Register Vol. 24-14, July 15, 2024
(1)
				For clients who manage their own funds, the service provider must document in
				the client's record when the client asks the provider to hold the client's
				bankbooks and bankcards.
(2) When
				the service provider holds the client's bankcards or bankbooks as requested by
				the client:
(a) It is not assumed that the
				service provider is managing the client's funds; and
(b) The client must continue to have access
				to his or her own funds.
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-0270 - Client financial records

Current through Register Vol. 24-14, July 15, 2024
(1) For
				client funds that the service provider manages, the service provider must
				retain documentation including documentation for bank and cash
				accounts.
(2) The service provider
				must also keep the following documentation for client financial transactions:
(a) Monthly bank statements and
				reconciliations;
(b) Checkbook
				registers and bankbooks;
(c)
				Deposit receipts;
(d) Receipts for
				purchases over twenty-five dollars;
(e) A ledger showing deposits, withdrawals,
				and interest payments to each client; and
(f) A control journal for trust
				accounts.
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-0275 - Transferring client funds

Current through Register Vol. 24-14, July 15, 2024
(1) When
				the service provider manages a client's funds and the client changes service
				providers, the previous service provider must transfer all of the client's
				funds, except funds necessary to pay unpaid bills, to the client or designee as
				soon as possible but no longer than thirty days.
(2) When transferring funds, the previous
				provider must:
(a) Have an agreement with the
				client regarding the amount of money to be withheld to pay bills;
(b) Inform the client's case manager about
				any agreement in subsection (2)(a) of this section;
(c) Give the client and the client's legal
				representative a written accounting of all known client funds;
(d) When applicable, give the new service
				provider a written accounting of all transferred client funds;
(e) Obtain a written receipt from the client
				and legal representative for all transferred funds; and
(f) When applicable, obtain the new service
				provider's written receipt for the transferred funds.
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-0280 - Client loans

Current through Register Vol. 24-14, July 15, 2024
(1) The service
				provider may loan funds to a client from the service provider's funds and
				collect the debt from the client in installments.
(2) The client's service provider must not:
(a) Charge the client interest for any money
				loaned; or
(b) Borrow funds from
				the client.
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-0285 - Client reimbursement

Current through Register Vol. 24-14, July 15, 2024
The service provider must pay the client the total amount
				  involved when:
(1) The service
				provider or staff has stolen, misplaced, or mismanaged client funds;
				or
(2) Service charges are incurred
				on a trust account that the service provider manages for the client.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3610,
					 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-0290 - Client payment

Current through Register Vol. 24-14, July 15, 2024
When the client performs work for the service provider, the
				  service provider must pay the client:
(1) At least the current minimum wage;
				and
(2) According to state and
				federal requirements.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3620,
					 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-0295 - Medication services-General

Current through Register Vol. 24-14, July 15, 2024
(1) If the
				service provider supports a client with a prescribed or over-the-counter
				medication, as identified in the client's person-centered service plan, the
				service provider must do all of the following:
(a) Have systems in place to ensure that
				medications are given as ordered and in a manner that safeguards the client's
				health and safety.
(b) Ensure that
				each client receives their medication as prescribed, except as provided for in
				the medication refusal section or in the medication assistance section
				regarding altering medication.
(c)
				Ensure each medication has a legible:
(i)
				Pharmacist-prepared label; or
(ii)
				Manufacturer label with the name of the client for whom the medication is
				prescribed added to the container.
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-0300 - Medication-Types of support

Current through Register Vol. 24-14, July 15, 2024
The service provider must provide medication support as
				  specified in the client's individual support plan. Types of client support
				  include:
(1) Self-administration of
				medication;
(2) Medication
				assistance;
(3) Nurse delegated
				medication administration; and
(4)
				Medication administration by a practitioner.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3640,
					 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-0305 - Medication-Self-administration

Current through Register Vol. 24-14, July 15, 2024
If a client is assessed as independent in self-administration
				  of medications the service provider must inform the client's case manager if
				  they have a reason to suspect that the client is no longer safe to
				  self-administer medications.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3650,
					 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-0310 - Medication assistance

Current through Register Vol. 24-14, July 15, 2024
If the client is assessed as needing assistance with
				  medication, the service provider may assist the client to take medications in
				  any of the following ways:
(1)
				Communicating the prescriber's order to the client in such a manner that the
				client self-administers his/her medication properly;
(2) Reminding or coaching the client when it
				is time to take a medication;
(3)
				Opening the client's medication container;
(4) Handing the client the medication
				container;
(5) Placing the
				medication in the client's hand;
(6) Transferring medication from one
				container to another for the purpose of an individual dose (e.g., pouring a
				liquid medication from the container to a calibrated spoon or medication cup or
				using adaptive devices);
(7)
				Altering a medication by crushing or mixing:
(a) Only if the client is aware that the
				medication is being altered or added to food or beverage; and
(b) A pharmacist or other qualified
				practitioner has determined it is safe to alter medication; and
(c) It is documented on the prescription
				container or in the client's record.
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-0315 - Medication administration-Nurse delegation

Current through Register Vol. 24-14, July 15, 2024
If a client is assessed as requiring medication
				  administration and the service provider is not a practitioner, the service
				  provider must ensure the assistance is provided by a licensed health care
				  professional or under nurse delegation as per chapters 246-840 WAC and 18.79
				  RCW.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3670,
					 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-0320 - Medication administration

Current through Register Vol. 24-14, July 15, 2024
(1) If a
				service provider is a licensed health care professional, the licensed
				professional may administer the client's medication.
(2) Service providers may only administer
				medication under the order of a physician or a health care professional with
				prescriptive authority.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3680,
					 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-0325 - Medication refusal

Current through Register Vol. 24-14, July 15, 2024
(1) When a client
				who is receiving medication support from the service provider chooses to not
				take his or her medications, the service provider must:
(a) Respect the client's right to choose not
				to take the medication(s) including psychoactive medication(s); and
(b) Document the time, date and medication
				the client did not take.
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-0330 - Storage of medications

Current through Register Vol. 24-14, July 15, 2024
(1) The service
				provider must keep a client's medications so they are not readily available to
				other clients.
(2) The service
				provider must store medications:
(a) Under
				proper conditions for sanitation, temperature, moisture, and ventilation, and
				separate from food or toxic chemicals; and
(b) In the original medication container with
				a pharmacist-prepared label, a manufacturer's label in accordance with WAC
				388-101D-0295, or in a medication organizer clearly labeled with the:
(i) Name of the client for whom the
				medication is prescribed;
(ii) Name
				of each medication;
(iii)
				Medication dose and frequency to be given; and
(iv) Route each medication is to be
				administered.
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-0335 - Medication organizers

Current through Register Vol. 24-14, July 15, 2024
(1) Service
				providers may allow medication organizers maintained by the individual when the
				organizers are filled by:
(a) The
				client;
(b) A licensed
				pharmacist;
(c) An RN; or
(d) The client's legal representative or a
				family member.
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-0340 - Medications-Documentation

Current through Register Vol. 24-14, July 15, 2024
The service provider must maintain a written record of all
				  medications administered to, assisted with, monitored, or refused by the
				  client.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3720,
					 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-0345 - Disposal of medications

Current through Register Vol. 24-14, July 15, 2024
(1) The
				service provider or his/her designee must properly dispose of all medications
				that are discontinued, out of date, or superseded by another.
(2) When disposing client medications the
				service provider must list the:
(a)
				Medication;
(b) Amount;
				and
(c) Date that it was
				disposed.
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-0350 - Psychoactive medication assessment

Current through Register Vol. 24-14, July 15, 2024
If a client displays symptoms of mental illness and/or
				  persistent challenging behavior, the service provider must:
(1) Refer the client for a professional
				assessment;
(2) Prior to the
				referral, prepare a psychiatric referral summary, including the frequency and
				severity of the symptoms or behaviors, and take or send this document to the
				treatment professional conducting the assessment;
(3) Respect the client's preference to visit
				the treatment professional independently; and
(4) If drugs are prescribed, have the
				prescribing professional assess the client at least annually to review the
				continued need for the medication(s) and possible dosage reduction.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3740,
					 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-0355 - What must a client record contain if the client is prescribed a psychotropic medication?

Current through Register Vol. 24-14, July 15, 2024
(1) If the
				client is prescribed psychotropic medication, the client's record must contain:
(a) The date the client met with the
				prescriber;
(b) Whether the
				provider was present when the prescriber examined the client;
(c) Any medical or behavioral information the
				provider conveyed to the prescriber;
(d) Any instructions the provider received
				from the prescriber;
(e) The drug
				information sheet obtained from the prescriber or dispensing pharmacy for the
				psychotropic medication prescribed;
(f) The date the provider sent the client's
				legal representative a copy of the psychotropic drug information sheet, if
				requested; and
(g) Any
				documentation required under WAC
				388-101D-0340.
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-0360 - Psychoactive medication monitoring

Current through Register Vol. 24-14, July 15, 2024
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3760,
					 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-0365 - Psychoactive medications-Other

Current through Register Vol. 24-14, July 15, 2024
If psychoactive medications are used for diagnoses other than
				  mental illness or persistent challenging behavior, the service provider must
				  follow the general medication requirements in WAC
				  388-101-3630
				  through
				  388-101-3730.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3770,
					 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-0370 - Confidentiality of client records

Current through Register Vol. 24-14, July 15, 2024
(1) The
				service provider must:
(a) Keep all client
				record information confidential;
(b) Ensure the department's right to have
				access to and copies of any records as requested or needed; and
(c) Provide access to and copies of client
				records to the client, or the client's legal representative upon their
				request.
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-0375 - Charging for searching and duplicating records

Current through Register Vol. 24-14, July 15, 2024
(1) The service provider:
(a) Must not charge the department or the
				client for any searching or duplication of records requested or needed;
				and
(b) May charge the client's
				legal representative acting on behalf of the client for searching and
				duplication of records at a cost not to exceed twenty-five cents a
				page.
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-0380 - Retention of client records

Current through Register Vol. 24-14, July 15, 2024
(1) While
				supporting a client, a service provider must keep all of the client's records
				for at least four years.
(2) After
				a client's participation with a service provider ends, the service provider
				must keep the client's records for at least six years.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3800,
					 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-0385 - Contents of client records

Current through Register Vol. 24-14, July 15, 2024
(1) Crisis
				diversion service providers are exempt from the client record requirements
				specified in this section.
(2)
				Service providers must keep, in each client's record, information including but
				not limited to the following:
(a) Client's
				name, address, and Social Security number;
(b) Name, address, and telephone number of
				the client's involved family members, guardian or legal
				representative;
(c) Copies of legal
				guardianship papers, if provided;
(d) Client health records, including:
(i) Name, address, and telephone number of
				the client's physician, dentist, mental health service provider, and any other
				current health care service provider;
(ii) Current health care service providers'
				instructions about health care needed, including appointment dates and date of
				next appointment if appropriate;
(iii) Written documentation that the health
				care service providers' instructions have been followed; and
(iv) Record of major health events and
				surgeries when known.
(e) Copy of the client's most recent
				individual support plan;
(f)
				Client's individual instruction and support plan including:
(i) Instruction and support activities for
				each client as a basis for review and evaluation of client's
				progress;
(ii) Semiannual review of
				the individual instruction and support plan;
(iii) Consultation with other service
				providers and other interested persons;
(iv) Individual instruction and support plan
				revisions and changes; and
(v)
				Other activities relevant to the client that the client wants
				included.
(g) Progress
				notes and incident reports;
(h) The
				client's financial records for funds managed by the service provider,
				including:
(i) Receipts, ledgers and records
				of the client's financial transactions; and
(ii) Client's related bankbooks, checkbooks,
				bank registers, tax records and bank statements.
(i) Burial plans and wills.
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-0390 - Client's property records

Current through Register Vol. 24-14, July 15, 2024
(1) Crisis
				diversion support service providers are exempt from the requirements in this
				section.
(2) The service provider
				must assist clients in maintaining current, written property records unless
				otherwise specified in the individual support plan. The record must consist of:
(a) A list of personal possessions with a
				value of at least twenty-five dollars that the client owns when moving into the
				program;
(b) A list of personal
				possessions with a value of seventy-five dollars or more per item after the
				client moves into the program;
(c)
				Description and identifying numbers, if any, of the property;
(d) The date the client purchased the items
				after moving into the program;
(e)
				The date and reason for addition or removal from the record; and
(f) The signature of the staff or client
				making the entry.
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-0395 - Record entries

Current through Register Vol. 24-14, July 15, 2024
The service provider must ensure that all record entries
				  are:
(1) Documented in ink;
(2) Written legibly at the time of or
				immediately following the occurrence of the event recorded; and
(3) Signed and dated by the person making the
				entry.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3830,
					 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-0400 - Positive behavior support

Current through Register Vol. 24-14, July 15, 2024
Positive behavior support means a recognized approach to
				  supporting clients with challenging behaviors. Positive behavior support
				  focuses on changing the client's environment, skills, and other factors that
				  contribute to the client's challenging behavior(s). Positive behavior support
				  uses a functional assessment to help build respectful plans for clients with
				  challenging behavior(s).
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3840,
					 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-0405 - When is a functional assessment required?

Current through Register Vol. 24-14, July 15, 2024
(1) The provider must complete a functional
				assessment of a client's behavior if:
(a) The
				exceptional behavior support needs section of the client's person-centered
				service plan indicates extensive support is necessary to prevent:
(i) Self-injury;
(ii) Sexual aggression;
(iii) Suicide attempt;
(iv) Emotional outburst;
(v) Property destruction;
(vi) Assault or injury to others;
				or
(vii) A behavior identified in
				the client's person-centered service plan under "prevention of other serious
				behavior problem(s)-specify";
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-0410 - When is a positive behavior support plan required?

Current through Register Vol. 24-14, July 15, 2024
(1) If a client requires a functional
				assessment under WAC
				388-101D-0405,
				the provider must train to and implement a written individualized positive
				behavior support plan based on that functional assessment.
(2) The client's positive behavior support
				plan must:
(a) Describe:
(i) The target behavior;
(ii) Actions that may be taken to prevent the
				target behavior;
(iii) Actions that
				may be taken in response to the target behavior;
(iv) Actions that may be taken if the target
				behavior increases in frequency, duration, or impact;
(v) The replacement behavior that matches the
				target behavior's function;
(vi)
				How to teach the replacement behavior;
(vii) How to respond to the replacement
				behavior; and
(viii) Benchmarks to
				evaluate the positive behavior support plan's effectiveness; and
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-0415 - Client protection

Current through Register Vol. 24-14, July 15, 2024
While the functional assessment and positive behavior support
				  plan are being developed, the service provider must:
(1) Protect the client and others;
				and
(2) Document in the client's
				record how the protection is being done.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3870,
					 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-0420 - Group home providers

Current through Register Vol. 24-14, July 15, 2024
(1) When
				considering restrictive procedures, group home providers licensed as assisted
				living facilities must comply with all requirements in chapter 388-78A WAC
				regarding restraints.
(2) When
				considering restrictive procedures, group home providers licensed as adult
				family homes must comply with all requirements in chapter 388-76 WAC regarding
				restraints.
Statutory Authority:
					 RCW
					 71A.12.030 and [71A.12].080. WSR 14-10-028,
					 §
											388-101-3880,
					 filed 4/28/14, effective 5/29/14. Statutory Authority: Chapter 71A.12 RCW. WSR
					 08-02-022, §
											388-101-3880,
					 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-0425 - Restrictive procedures

Current through Register Vol. 24-14, July 15, 2024
(1) The service
				provider may:
(a) Only use restrictive
				procedures for the purpose of protecting the client, others, or property;
				and
(b) Not use restrictive
				procedures for the purpose of changing behavior in situations where no need for
				protection is present.
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-0430 - Restrictive procedures approval

Current through Register Vol. 24-14, July 15, 2024
(1)
				The service provider must have documentation of the proposed intervention
				strategy that:
(a) Lists the risks of the
				challenging behavior(s);
(b) Lists
				the risks of the proposed restrictive procedure(s);
(c) Explains why less restrictive procedures
				are not recommended;
(d) Indicates
				nonrestrictive alternatives to the recommendation that have been tried but were
				unsuccessful; and
(e) Includes
				space for the client and/or the client's legal representative to write comments
				and opinions regarding the plan and the date of those comments.
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-0435 - Physical intervention systems

Current through Register Vol. 24-14, July 15, 2024
Service providers who are using physical interventions with
				  clients must have a physical intervention techniques system that includes at
				  least the following:
(1) Discussion of
				the need for positive behavior support;
(2) Communication styles that help the client
				to calm down and resolve problems;
(3) Techniques to prevent escalation of
				behavior before it reaches the stage of physical assault;
(4) Techniques for staff to use in response
				to clients and their own fear, anger, aggression, or other negative
				feelings;
(5) Cautions that
				physical intervention technique(s) may not be changed except as needed for
				individual disabilities, medical, health, and safety issues. A health care
				professional and a program trainer must approve all modifications;
(6) Evaluation of the safety of the physical
				environment;
(7) Issues of respect
				and dignity of the client;
(8) Use
				of the least restrictive physical interventions depending upon the
				situation;
(9) Identification of
				division of developmental disabilities approved and prohibited physical
				intervention techniques;
(10) The
				need to release clients from physical restraint as soon as possible;
(11) Instruction on how to support physical
				interventions as an observer, recognizing signs of:
(a) Distress by the client; and
(b) Fatigue by the staff; and
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-0440 - Physical interventions

Current through Register Vol. 24-14, July 15, 2024
(1) The
				service provider must use the least restrictive intervention needed to protect
				each client, others, and property.
(2) The service provider may only use
				physical interventions with a client when positive or less restrictive
				techniques have been tried and determined to be insufficient to:
(a) Protect the client;
(b) Protect others; or
(c) Prevent property damage.
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-0445 - Restrictive physical interventions

Current through Register Vol. 24-14, July 15, 2024
Prior to implementing restrictive physical interventions with
				  a client, the provider must:
(1)
				Provide documentation to the division of developmental disabilities regarding
				the proposed intervention;
(2)
				Involve the client and the client's legal representative in discussion
				regarding the need for physical intervention;
(3) Determine the kind of notification the
				client's legal representative wants to receive when physical interventions are
				used; and
(4) Comply with the
				requirements defined under WAC
				388-101-3890.
Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,
					 §
											388-101-3930,
					 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-0450 - Physical intervention training

Current through Register Vol. 24-14, July 15, 2024
(1)
				Before using physical interventions with a client, the provider must train all
				staff who will be implementing those interventions in:
(a) The use of physical
				interventions;
(b) Crisis
				prevention techniques; and
(c)
				Positive behavior support.