Chapter 388-76 Adult family home minimum licensing requirements.

The adult family home must involve the following people in developing the negotiated care plan:(1) The resident, to the greatest extent he or she can participate;(2) The resident's family, if approved by the resident;(3) The resident's representative, if the resident has a repres…

The adult family home must ensure that the negotiated care plan is agreed to and signed and dated by the:(1) Resident; and(2) Adult family home.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10375, filed 10/16/07, effective 1/1/08.…

The adult family home must ensure that each resident's negotiated care plan is reviewed and revised as follows:(1) After an assessment for a significant change in the resident's physical or mental condition;(2) When the plan, or parts of the plan, no longer address the resident's…

When the resident's services are paid for by the department, the adult family home must give the department case manager a copy of the negotiated care plan each time the plan is completed or updated, and after it has been signed and dated.[Statutory Authority: RCW 70.128.040 and …

The adult family home must only admit or continue to provide services to a person when:(1) The home can safely and appropriately meet the assessed needs and preferences of the person:(a) With available staff; and(b) Through reasonable accommodation.(2) Admitting the resident does…

(1) The adult family home may only admit a resident to the home without an assessment or a preliminary service plan if a true emergency exists.(2) To establish that a true emergency exists, the home must verify that the resident's life, health or safety is at serious risk due to …

The adult family home must ensure each resident receives:(1) The care and services identified in the negotiated care plan.(2) The necessary care and services to help the resident reach the highest level of physical, mental, and psychosocial well-being consistent with resident cho…

(1) The home must ensure that the following conditions are present for each resident:(a) Privacy in each resident's bedroom, including lockable doors when chosen, with only the resident or residents who live in the room and appropriate staff having the key;(b) Choice of roommates…

If the adult family home identifies that a resident has a need for nursing care and the home is not able to provide the care per chapter 18.79 RCW, the home must:(1) Contract with a nurse currently licensed in the state of Washington to provide the nursing care and service; or(2)…

The adult family home must:(1) Provide laundry services as needed; and(2) Launder sheets and pillowcases weekly or more often if soiled.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10410, filed 10/16/07, effective 1/1/08.]

The adult family home must:(1) Ensure that the safe food handling training requirements of chapter 388-112A WAC are met; and(2) Serve meals:(a) In the home where each resident lives; and(b) That accommodate each resident's:(i) Preferences;(ii) Food allergies and sensitivities;(ii…

The adult family home must:(1) Serve at least three meals:(a) In each twenty-four hour period;(b) At regular times comparable to normal meal times in the community; and(c) That meet the nutritional needs of each resident.(2) Make nutritious snacks available to residents:(a) Betwe…

The adult family home must ensure:(1) Persons preparing food, at a location separate from the home, have a current food handler's permit issued by the department of health;(2) Prepared food transported to the home is in airtight containers; and(3) Food stays at the appropriate an…

(1) If the adult family home admits residents who need medication assistance or medication administration services by a legally authorized person, the home must have systems in place to ensure the services provided meet the medication needs of each resident and meet all laws and …

(1) Each resident has the right to refuse to take medications.(2) If the adult family home is assisting with or administering a resident's medications and the resident refuses to take or does not receive a prescribed medication:(a) The home must notify the resident's practitioner…

(1) The adult family home must:(a) Ensure each resident assessment identifies the amount of assistance the resident needs when taking medications; and(b) Let the practitioner know when the following may affect the resident's ability to take their medications:(i) Resident's physic…

The adult family home must ensure residents who have medication assistance assessed as independent self-administration:(1) Administer their own medications; and(2) Are allowed to keep their prescribed and over-the-counter medications securely locked in either their room or anothe…

(1) For the purposes of this section "enabler" means a physical device used to facilitate a resident's self-administration of a prescribed or over-the-counter medication. Physical devices include, but are not limited to a medicine cup, glass, cup, spoons, bowl, prefilled syringes…

For residents assessed with requiring the administration of medications, the adult family home must ensure medication administration is:(1) Performed by a practitioner as defined in chapter 69.41 RCW; or(2) By nurse delegation per WAC 246-840-910 through 246-840-970; unless(3) Do…

The adult family home must ensure that each resident's negotiated care plan addresses:(1) The amount of medication assistance needed by each resident, including but not limited to:(a) The reasons why a resident needs that amount of medication assistance; and(b) When there is a ne…

For residents who are given psychopharmacologic medications, the adult family home must ensure:(1) The resident assessment indicates that a psychopharmacologic medication is necessary to treat the resident's medical symptoms;(2) The drug is prescribed by a physician or health car…

(1) For the purposes of this section "altering a medication" means the alteration of prescribed or over the counter medications and includes, but is not limited to crushing tablets, cutting tablets in half; opening capsules and mixing powdered medications with food or liquids.(2)…

(1) The adult family home must ensure medications are given:(a) At the specific time(s) ordered by the practitioner; and(b) As follows, when the practitioner does not order a medication to be given at a specific time:(i) One time per day, approximately every twenty four hours;(ii…

The adult family home must:(1) Keep an up-to-date daily medication log for each resident except for residents assessed as medication independent with self-administration.(2) Include in each medication log the:(a) Name of the resident;(b) Name of all prescribed and over-the-counte…

The adult family home must ensure:(1) A licensed nurse, pharmacist, the resident or the resident's family member fills a resident's medication organizer;(2) Prescribed and over-the-counter medications placed in a medication organizer come from the original container labeled for t…

The adult family home must ensure all prescribed and over-the-counter medications are stored:(1) In locked storage;(2) In the original container with legible and original labels; and(3) Appropriately for each medication, such as if refrigeration is required for a medication and t…

(1) For the purposes of this section, "discontinued" means medication that is no longer prescribed or being used to treat a condition, as directed by the resident's physician or health care professional with prescriptive authority.(2) The adult family home must develop and implem…

The department may designate an adult family home to provide specialty care in one or more of the following areas:(1) Developmental disability;(2) Mental illness; and(3) Dementia.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10495…

The department will grant a specialty designation when:(1) The provider, entity representative and resident manager has successfully completed training in one or more of the specialty care designated areas;(2) The home provides the department with written documentation:(a) Of suc…

The adult family home must not admit or keep a resident with specialty care needs, such as developmental disability, mental illness, or dementia as defined in WAC 388-76-10000, if the provider, entity representative, resident manager and staff have not completed the specialty car…

(1) For the purposes of this section "residency agreement" means a legally enforceable written document prepared by the adult family home that contains the rights and responsibilities of the facility and the resident specific to transfer and discharge and is signed by both partie…

The adult family home must ensure that each resident:(1) Receives appropriate necessary services, as identified in the assessment and negotiated care plan;(2) Is treated with courtesy, dignity, and respect;(3) Continues to enjoy basic civil and legal rights;(4) Has the opportunit…

The adult family home must:(1) Protect each resident's right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the home;(2) Protect and promote the rights of each resident and assist the resident to exercise…

The adult family home must fully disclose the home's policy on accepting medicaid or other public funds as a payment source. The policy must:(1) Clearly state the circumstances under which the adult family home provides care for medicaid eligible residents and for residents who b…

The adult family home must post the following in a common use area where they can be easily viewed by anyone in the home, including residents, resident representatives, the department, and visitors:(1) The name, address, and telephone number for the home's regional residential ca…

(1) The adult family home must provide each resident written notice of the resident's rights and services provided in the home in a language the resident understands and before the resident is admitted to the home. The notice must be reviewed at least once every 24 months from th…

(1) The adult family home must complete the department's standardized disclosure of services form.The home must:(a) List on the form the scope of care and services available in the home;(b) Send the completed form to the department when applying for a license; and(c) Provide an u…

(1) The adult family home must inform each resident in advance of changes to services, items, activities, scope of care, or home rules as follows:(a) In writing;(b) At least fourteen days before the effective date of a change due to a substantial and continuing change in the resi…

(1) If the adult family home requires an admission fee, deposit, prepaid charges, or any other fees or charges, by or on behalf of a person seeking admission, the home must include this information on the disclosure of charges form in writing in a language the resident understand…

The adult family home must:(1) Only admit or keep individuals whose needs the home can safely meet:(a) With qualified available staff; and(b) Through the provision of reasonable accommodations required by state and federal law;(2) Not admit an individual before obtaining a comple…

The adult family home must provide the following information in writing to prospective residents before admission and current residents who were admitted before this requirement took effect:(1) Information about the provider, entity representative, and resident manager, including…

(1) Each resident has the right to manage their own financial affairs. The adult family home must not require any resident to deposit their personal funds with the home.(2) If the adult family home agrees to manage a resident's personal funds, the home must:(a) Have a written aut…

(1) Funds in excess of one hundred dollars that are paid to an adult family home as a security deposit or as prepayment for charges beyond the first month's residency must be deposited by the adult family home in an interest bearing account that is separate from any of the home's…

If a resident's personal funds are deposited with the adult family home, the home must give the resident's funds and a final accounting of the funds within thirty days after the resident's death to the individual or probate jurisdiction administering the resident's estate; except…

(1) The adult family home must ensure the right of each resident to personal privacy that includes:(a) The home;(b) Medical treatment;(c) Clinical or resident records;(d) Personal care; and(e) Visits and meetings of family and resident groups; however(2) The resident right to per…

The adult family home must:(1) Ensure each resident's right to voice grievances, including those about care and treatment given or not given that has been furnished as well as that which has not been furnished; and(2) Make prompt efforts to resolve grievances the resident may hav…

The adult family home must place its license to operate and any conditions on the license, in a visible location in a common use area where it can be examined by residents, resident representatives, the department and anyone interested without having to ask for them.[Statutory Au…