Washington Administrative Code

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 lim…

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 mu…

(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) Man…

The licensee shall screen all prospective staff with unsupervised 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 sig…

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…

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,…

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;…

The licensee must establish a process to ensure resident rights are protected in compliance with chapter 71.12 RCW, this chapter, and other applicable laws, and are based on the service types provided in the RTF. This process must address how the RTF will:(1) In an understandable…

Nothing in this section applies to an RTF in its licensed capacity to provide pediatric transitional care services according to this chapter.(1) The licensee must establish and implement policies and procedures that:(a) Describe how the licensee meets the residents' health care n…

This section only applies to an RTF in its licensed capacity to provide pediatric transitional care services according to this chapter.(1) The licensee must establish and implement policies and procedures that:(a) Describe how the licensee meets the infants' health care needs by …

This section only applies to an RTF in its licensed capacity to provide pediatric transitional care services according to this chapter.(1) The licensee, in collaboration with the infant's family, and the department of children, youth, and families, if applicable, shall identify p…

(1) An RTF providing substance use disorder services and no mental health services may accept a child or children along with a parent in treatment as long as the parent is not receiving withdrawal management services.(2) If the RTF provides withdrawal management, the child must b…

The licensee must ensure the RTF meets the following requirements:(1) Develop and implement procedures for maintaining current health care records as required by chapter 70.02 RCW and other applicable laws.(2) Health care records may be integrated into a resident's individual ser…

This section does not apply to an RTF in its licensed capacity to provide pediatric transitional care services according to this chapter.(1) The licensee must develop and implement an individual service plan for each resident based on the resident's:(a) Initial health on admissio…

(1) This section only applies to an RTF in its licensed capacity to provide pediatric transitional care services according to this chapter.(2) The licensee must develop, implement, and update at least weekly an individual service plan for each infant receiving pediatric transitio…

The licensee is responsible for implementing policies and procedures for the control and appropriate use of all drugs within the RTF in accordance with all applicable state and federal regulations. The policies and procedures to implement this section must be developed, approved,…

(1) This section only applies to an RTF that uses restraint or seclusion. This section does not apply to an RTF in its licensed capacity to provide pediatric transitional care services according to this chapter, nor are any of the practices described in this section permitted whe…

Meals must meet resident nutritional needs, and are stored, prepared and served in accordance with chapter 246-215 WAC.The licensee shall:(1) Provide food and dietary services managed by a person knowledgeable in food services, and, when needed, consultative services provided by …

The licensee shall:(1) Provide to residents laundry facilities, equipment, handling and processes for linen and laundered items that are clean and in good repair, adequate to meet the needs of residents, and maintained according to the manufacturer's instructions;(2) Provide laun…

In resident rooms used for sleeping, the licensee shall provide furniture appropriate for the age and physical condition of each resident, including:(1) A bed at least thirty-six or more inches wide for adults and appropriate size for children, spaced at least thirty-six inches a…

The licensee must develop and implement policies and procedures that protect the health and safety of residents when service animals or, if allowed, therapy animals or pets are allowed on the premises. Policies and procedures must address:(1) Animal immunizations;(2) Animal behav…

(1) The licensee must maintain the facility, exterior grounds, and component parts such as fences, equipment, outbuildings, and landscape items in a manner that is safe, free of hazards, clean, and in good repair.(2) Each facility must be located on a site which is accessible by …

The RTF shall include rooms for social, educational, and recreational activities, visitation, dining, toileting and bathing, as described in this section.(1) Common areas. Provide at least forty square feet per resident for the total combined area which is used for dining, social…

The facility shall include rooms for individual and group therapy, medical examination when there is routine physical examination of residents, and medication storage if applicable, as described in this section.(1) Therapy room(s). Therapy rooms for individual and group counselin…

This section only applies to an RTF that is approved to use restraint or seclusion. In new construction or modification, each restraint or seclusion room must:(1) Be designed to minimize potential for stimulation, escape, hiding, injury, or death, including:(a) Walls, ceiling, an…

(1) Laundry. RTFs in which on-site laundry services are provided must:(a) Locate laundry equipment in rooms other than those used for open food storage, food preparation, or food service;(b) Equip laundry areas with:(i) A utility sink;(ii) A table or counter for folding clean lau…

(1) The licensee shall provide residents with an accessible, clean, well-maintained room with sufficient space, light, and comfortable furnishings for sleeping and personal activities.(2) Sleeping rooms must include:(a) At least a three-foot clear access aisle from the entry door…

The licensee shall ensure:(1) Water supply and waste disposal in each facility meet the provisions of chapter 246-290 or 246-291 WAC, whichever applies.(2) Tempered water between one hundred and one hundred twenty degrees Fahrenheit in resident areas.(3) Plumbing systems free of …

The licensee shall ensure:(1) Rooms used by residents are able to maintain interior temperatures between sixty-five degrees Fahrenheit and seventy-eight degrees Fahrenheit year-round.(2) Direct evaporative coolers are not used for cooling. In existing facilities, no new or replac…

The licensee shall ensure that lighting, emergency lighting, and electrical outlets are adequate and safe including:(1) Protection of bulbs and tubes against breakage by using canned lights, appropriately fitted shields, or shatter resistant materials in all areas occupied by res…

The licensee shall maintain the facility, equipment, and furnishings in a safe and sanitary condition, and in good repair through the following requirements:(1) Provide sanitary disposal and collection of garbage and refuse by:(a) Use of containers constructed of nonabsorbent mat…

(1) An Indian health care provider as defined in RCW 71.24.025 may attest that its residential treatment facility meets state minimum standards for a licensed residential treatment facility, as described in RCW 71.12.460.(2) A tribe that is pursuing attestation with the departmen…

A licensee must submit the following fees to the department:FEE TYPEAMOUNTAdministrative processing/initial application fee$490.00License bed fee (per bed)$470.00Annual renewal fee (per bed)$470.00Late fee (per bed)$33.00 (up to $660.00)Follow-up compliance survey fee or a comple…

The purpose of this chapter is to implement chapter 70.42 RCW, by establishing licensing standards for medical test sites, consistent with federal law and regulation, related to quality control, quality assurance, records, personnel requirements, proficiency testing, and licensur…

For the purposes of this chapter, the following words and phrases have these meanings unless the context clearly indicates otherwise.(1) "Accreditation organization" means a public or private organization or agency approved by CMS as having standards which are consistent with fed…

After July 1, 1990, any person advertising, operating, managing, owning, conducting, opening, or maintaining a medical test site must first obtain a license from the department. License types are described in Table 020-1.(1) Certificate of waiver.Applicable if the medical test si…

(1) Application procedure.Applicants requesting a medical test site license must:(a) Submit a completed application on forms furnished by the department, signed by the owner or authorized representative;(b) File a separate application for each test site except under the following…

(1) The department will issue a renewal license for a medical test site when the owner:(a) At least thirty days prior to the expiration date of the current license, submits a completed renewal application form, available from the department, in compliance with WAC 246-338-022(1) …

(1) The owner must notify the department in writing at least thirty days prior to the date of opening or closing the medical test site.(2) The owner must notify the department in writing within thirty days of any changes in:(a) Name of site;(b) Director;(c) Location of site;(d) T…

(1) The department may conduct an on-site review of a licensee or applicant at any time to determine compliance with chapter 70.42 RCW and this chapter as described in Table 020-1.(2) The department may at any time examine records of the medical test site to determine compliance …

(1) The department will recognize the accreditation organizations granted deemed status by CMS.(2) The CMS-approved accreditation organizations are:(a) Accreditation Commission for Health Care (ACHC);(b) American Association for Laboratory Accreditation (A2LA);(c) American Societ…

(1) All licensed medical test sites, excluding those granted a certificate of waiver, must:(a) Comply with federal proficiency testing requirements listed in 42 C.F.R. Part 493 - Laboratory Requirements, Subparts H and I; (b) Submit to the department a copy of proficiency testing…

(1) Medical test site owners must:(a) Have a director responsible for the overall technical supervision and management of the test site personnel including oversight of the performance of test procedures and reporting of test results;(b) Have technical personnel, competent to per…

Medical test sites must maintain records as described in this section.(1) REQUISITIONS must include the following information, in written or electronic form:(a) Patient name, identification number, or other method of patient identification;(b) Name and address or other suitable i…

Each medical test site performing moderate complexity (including PPMP) or high complexity testing, or any combination of these tests, must establish and follow written policies and procedures for a comprehensive quality assurance program. The quality assurance program must be des…

The medical test site must use quality control procedures, providing and assuring accurate and reliable test results and reports, meeting the requirements of this chapter.(1) The medical test site must have and follow written procedures and policies available in the work area for…

(1) Pursuant to chapter 34.05 RCW, the department may deny a license to any applicant, or condition, suspend, or revoke the license of any licensee, or in addition to or in lieu thereof, assess monetary penalties of up to ten thousand dollars per violation, if the applicant or li…

(1) A licensee or applicant who contests a disciplinary action shall, within twenty-eight days of service of the notice of disciplinary action, file a request for adjudicative proceeding with the Department of Health, Adjudicative Clerk, P.O. Box 47879, Olympia, WA 98504-7879.(2)…

(1) The department will assess and collect biennial fees for medical test sites as follows:(a) Charge fees, based on the requirements authorized under RCW 70.42.090 and this section;(b) Assess additional fees when changes listed in WAC 246-338-026 occur that require a different t…

The purpose of this chapter is to implement chapter 70.335 RCW by establishing an online public registry and all necessary requirements for registered blood-collecting or distributing blood establishments or organizations that supply blood products for allogeneic transfusion in W…