Washington Administrative Code

Designated crisis responder (DCR) services are services provided by a DCR to evaluate an individual in crisis and determine if involuntary services are required. An agency providing DCR services must do all of the following:(1) Ensure that services are provided by a DCR;(2) Ensur…

An agency providing opioid treatment program services must comply with the following:(1) All applicable requirements, including those specific to medication units, of 21 C.F.R. §§ 1300, 1301, 1304, and 1306, and 42 C.F.R. Part 8, in effect as of April 2024. Copies of the incorpor…

(1) Substance use disorder withdrawal management services are provided to assist in the process of withdrawal from psychoactive substances in a safe and effective manner that includes medical management or medical monitoring. Substance use disorder withdrawal management services …

(1) Agencies certified for behavioral health residential and inpatient services provide behavioral health intervention, assessment and treatment services in a residential treatment facility or hospital. Residential and inpatient services under this certification include:(a) In ac…

Residential substance use disorder treatment services provide substance use disorder treatment for an individual in a facility with 24 hours a day supervision.(1) An agency providing residential and inpatient substance use disorder treatment services must:(a) Provide education to…

(1) An agency providing residential and inpatient mental health services must develop and implement an individualized annual training plan for agency staff members, to include at least:(a) Least restrictive alternative options available in the community and how to access them;(b)…

All individuals have a right to make an informed decision regarding the use of antipsychotic medication consistent with the provisions of RCW 71.05.215 and 71.05.217. The provider must develop and maintain a written protocol for the involuntary administration of antipsychotic med…

(1) Agencies certified for involuntary behavioral health residential and inpatient services provide behavioral health intervention, assessment and treatment services in a residential treatment facility or hospitals to individuals subject to a civil commitment or court-order under…

(1) Evaluation and treatment services are provided for individuals who are held for 120-hour detention or on 14-day, 90-day, or 180-day civil commitment orders according to chapters 71.05 and 71.34 RCW. An agency providing evaluation and treatment services may choose to serve ind…

Secure withdrawal management and stabilization services are provided to an involuntary individual to assist in the process of withdrawal from psychoactive substances in a safe and effective manner, or medically stabilize an individual after acute intoxication, in accordance with …

(1) Intensive behavioral health treatment services are intended to assist individuals in transitioning to lower levels of care, including individuals on a less restrictive alternative order. These services are provided for individuals with behavioral health conditions whose impai…

An agency certified to provide crisis stabilization unit services must meet all of the following criteria:(1) If a crisis stabilization unit is part of a jail, the unit must be located in an area of the building that is physically separate from the general population. "Physically…

A behavioral health agency may provide competency evaluation and restoration treatment services to individuals under chapter 10.77 RCW when the department certifies the services.(1) In addition to meeting the agency licensure, certification, administration, personnel, and clinica…

(1) An agency providing competency evaluation and restoration treatment services must develop a statement of individual participant rights to ensure an individual's rights are protected. The statement must incorporate at a minimum all of the following. You have the right to:(a) R…

(1) An individual receiving either competency evaluation or restoration treatment services, or both has the right to be free from seclusion and restraint, including chemical restraint except as otherwise provided in this section or otherwise provided by law. The agency must do al…

(1) Each agency licensed by the department to provide problem gambling and gambling disorder services that includes diagnostic screening and assessment, and individual, group, couples, and family counseling and case management must ensure the following requirements are met:(a) Me…

Applied behavior analysis (ABA) services assist individuals and their families using the practice of behavior analysis as defined in RCW 18.380.010.(1) An agency providing ABA services must:(a) Conduct an assessment that determines functional relations between behavior and enviro…

The purpose of this rule is to establish consistent standards and a process for the department to designate crisis centers as 988 contact hubs. To qualify for designation as a 988 contact hub, a crisis center must comply with this chapter and any other state or federal requiremen…

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "988 contact hub" means a state-designated contact center that streamlines clinical interventions and access to resources for people experiencing a behavioral health cr…

A crisis center must meet the requirements of this section in order to be designated as a 988 contact hub. At a minimum, a crisis center must:(1) Obtain and maintain an active agreement with the administrator of the 988 Suicide and Crisis Lifeline and remain in substantial compli…

(1) The department may issue a 988 contact hub designation to a crisis center that demonstrates to the satisfaction of the department that it meets the standards under this chapter.(2) To apply for designation, a crisis center shall submit to the department an application on form…

(1) Purpose. This chapter is adopted by the Washington state department of health to implement the provisions of chapter 70.114A RCW and RCW 43.70.334 through 43.70.340, and establish minimum health and safety requirements for temporary worker housing and cherry harvest camps.(2)…

The following definitions apply throughout this chapter unless the context clearly indicates otherwise:(1) "Agricultural employee" means any person who renders personal services to, or under the direction of, an agricultural employer in connection with the employer's agricultural…

(1) The department of health or the department of labor and industries may provide technical assistance to assist in compliance with this chapter if requested by an operator.(2) The department of health may charge a fee for construction review technical assistance in accordance w…

(1) Any operator providing TWH shall apply for a TWH operating license from the department of health when:(a) The TWH consists of:(i) Five or more dwelling units; or(ii) Any combination of dwelling units, or spaces that house ten or more occupants;(b) Compliance with the Migrant …

Except for an operator of a cherry harvest camp, an operator meeting the requirements provided in this section may participate in the self-survey program.(1) The cycle of the self-survey program is as follows:(a) The operator may qualify to conduct self-surveys for up to two cons…

Any violation of this section will be cause for the department of health to proceed with legal action, to assess a civil fine, or modify, suspend, or revoke the license.(1) An operator shall comply with all applicable laws and regulations.(2) When the department of health finds a…

(1) The department of health shall investigate complaints concerning unlicensed operation of TWH when a valid operating license is required under RCW 43.70.335(1) and this chapter.(2) The department of health may assess a civil fine for failure or refusal to obtain a license prio…

(1) Operator-supplied dwelling unit capacity will be based on:(a) The square footage of the floor space in habitable rooms provided for sleeping purposes as described in WAC 246-358-075 (12) and (13) and Table 1 of this section; and(b) The number of bathing, food-handling, handwa…

(1) Conditions may exist in operations that a state standard will not have practical use. The operator may request a variance. The director of the department of labor and industries may issue a variance from the requirements of the standard when another means of providing equal p…

The operator shall:(1) To prevent a health or safety hazard, locate and operate a TWH site that is:(a) Adequately drained and any drainage from and through the TWH must not endanger any domestic or public water supply;(b) Free from periodic flooding and depressions in which water…

(1) An operator shall develop and implement a written TWH management plan that must include:(a) A safety plan that includes:(i) Emergency information, including site name and address, emergency contact phone numbers, location of local emergency services, and the department of hea…

The operator shall:(1) Provide a safe and reliable supply of drinking water from an approved Group A or Group B public water system meeting the requirements of:(a) WAC 246-358-025 (2)(d) and chapter 246-290 WAC, or chapter 246-291 WAC; or(b) Local board of health rules.(2) Ensure…

The operator shall:(1) Provide sewage disposal systems in accordance with local health jurisdictions.(2) Connect all drain, waste, and vent systems from buildings to:(a) Public sewers, if available; or(b) Approved on-site sewage disposal systems that are designed, constructed, an…

The operator shall ensure that:(1) Electricity is supplied to all dwelling units and common facilities, except chemical toilets.(2) All electrical wiring, fixtures, and electrical equipment must:(a) Comply with the electrical standards of the department of labor and industries re…

An operator shall:(1) Provide TWH dwelling units, including common facilities, that meet the following requirements:(a) Protect against the elements;(b) The State Building Code, chapter 19.27 RCW or the TWH construction standard, chapter 246-359 WAC; and(c) State and local ordina…

(1) If the TWH facility or building has a mechanical ventilation system, the operator shall maintain it according to the manufacturer's specifications and operate the system to provide fresh and filtered air. The operator shall have building maintenance staff or mechanical ventil…

(1) Only cherry harvest camps may use tents as TWH.(2) Each tent must be constructed to sleep no more than 15 occupants.(3) Tents must provide protection from the elements, insects, and animals.(4) Structural stability and floors.(a) Tents and their supporting framework must be a…

(1) An operator shall provide and maintain working carbon monoxide alarms that are:(a) Located in each dwelling unit with a sleeping area; and(b) Installed in accordance with the manufacturer's recommendations and in compliance with the building code, WAC 51-51-0315.(2) An operat…

An operator shall:(1) Provide laundry facilities that include:(a) One laundry tray or tub or one mechanical washing machine for every thirty occupants;(b) Adequate facilities for drying clothes; and(c) Sloped, coved floors of nonslip impervious materials with screened floor drain…

The operator shall:(1) Provide toilet facilities adequate for the maximum capacity of the TWH according to Table 1 of WAC 246-358-029.(2) Not provide or allow the use of pit privies.(3) Fill all abandoned pit privies with earth.(4) Meet the following general requirements for all …

An operator shall:(1) Provide handwashing and bathing facilities adequate for the maximum capacity of the TWH according to Table 1 of WAC 246-358-029.(2) Meet the following general requirements for all handwashing and bathing facilities:(a) Provide cleanable, nonabsorbent waste c…

The operator shall:(1) Provide sanitary facilities for storing and preparing food.(2) Provide all food-handling facilities with:(a) Covered and enclosed or screened cooking and food-handling facilities for all occupants;(b) Covered and enclosed or screened eating facilities with …

The operator shall:(1) Provide beds, cots, or bunks furnished with clean mattresses in good condition for the maximum occupancy approved by the department of health for operator-supplied housing.(2) Ensure cots are sturdy and stable and without:(a) Mold;(b) Rips or tears;(c) Inse…

The operator shall:(1) Comply with chapters 15.58 and 17.21 RCW, chapter 16-228 WAC, chapter 296-307 WAC, Parts I and J, and pesticide label instructions when using pesticides in and around the TWH.(2) Prohibit, in the TWH area, the use, storage, or mixing of flammable, volatile,…

The operator shall:(1) Comply with local sanitation codes for removing and disposing of refuse from TWH areas.(2) Protect against rodent harborage, insect breeding, and other health hazards while storing, collecting, transporting, and disposing of refuse.(3) Store refuse in fly-t…

The operator shall take effective measures to prevent and control insect and rodent infestation.[Statutory Authority: Chapter 70.114A RCW and RCW 43.70.334 through 43.70.340. WSR 15-13-091, § 246-358-165, filed 6/15/15, effective 7/16/15. Statutory Authority: RCW 70.114A.065 and …

The operator shall:(1) Cooperate with the local health jurisdiction and department of health in the investigation and control of cases, suspected cases, outbreaks, and suspected outbreaks of communicable diseases or notifiable conditions.(2) Report immediately to the local health…

(1) The department shall charge the following fees prior to issuing a TWH operating license:(a) $170 for the administrative portion of licensing plus $14 per occupant at maximum annual occupancy for the facility portion. The maximum annual occupancy is the greatest number of occu…

(1) Purpose. The purpose of this chapter is to provide minimum requirements to safeguard the health and general welfare of occupants of temporary worker housing (TWH) by regulating and controlling the design, construction, materials, location and maintenance of all buildings and …