Washington Administrative Code

The service provider must provide training within the first four weeks of employing a staff person to include:(1) The service provider's mission statement;(2) Policies and procedures; and(3) On-the-job training.[WSR 16-14-058, recodified as § 388-101D-0100, filed 6/30/16, effecti…

The service provider must ensure that each employee keeps their first-aid training, CPR certification, and bloodborne pathogens training current.[WSR 16-14-058, recodified as § 388-101D-0110, filed 6/30/16, effective 8/1/16. Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022,…

(1) The service provider must ensure the following instruction and support services staff meet the training requirements of this chapter:(a) Administrators who may provide instruction and support services to clients or may supervise instruction and support services staff; and(b) …

Clients have the same legal rights and responsibilities guaranteed to all other individuals by the United States Constitution, federal and state law unless limited through legal processes. Service providers must promote and protect all of the following client rights, including bu…

Service providers must treat clients with dignity and consideration, respecting the client's civil and human rights at all times.[WSR 16-14-058, recodified as § 388-101D-0130, filed 6/30/16, effective 8/1/16. Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022, § 388-101-3330,…

The service provider must not subcontract any service without prior written approval from the department. The service provider must ensure that all required terms, conditions, assurances and certifications are included in all subcontracts.[WSR 16-14-058, recodified as § 388-101D-…

The service provider must use the following department residential guidelines when providing services to each client:(1) Health and safety;(2) Personal power and choice;(3) Competence and self-reliance;(4) Positive recognition by self and others;(5) Positive relationships; and(6)…

Service providers must provide each client instruction and/or support to the degree the individual support plan identifies the service provider as responsible. Instruction and/or support to the client may include but are not limited to the following categories: (1) Home living ac…

The service provider must provide instruction and/or support as identified in the individual support plan and as required in this chapter to assist the client with:(1) Accessing health, mental health, and dental services;(2) Medication management, administration, and assistance;(…

(1) For purposes of this section the term "medical device" means any piece of medical equipment used to treat a client's assessed need.(2) Use of some medical devices poses a safety risk for clients. Examples of medical devices with known safety risks are transfer poles, helmets,…

(1) Service provider staff must not perform a delegated nursing task for the client before the delegating nurse has obtained consent from the client or person authorized to give consent.(2) The service provider must not allow an employee to perform any nursing task that violates …

(1) The service provider must meet the client's transportation needs by:(a) Not charging the client for transportation costs except as specified in the client's individual support plan;(b) Using the client's medicaid coupons for covered transportation, if available; and(c) Ensuri…

(1) Crisis diversion support service providers are exempt from the requirements in this section.(2) The service provider must ensure that the following home safety requirements are met for each client unless otherwise specified in the client's individual support plan:(a) A safe a…

Before providing services to nonclients in the same household with clients, the service provider must:(1) Provide the department with a written description of the household composition;(2) Obtain written approval from the division of developmental disabilities; and(3) Obtain writ…

Before allowing a community protection program client to live in the same household with supported living clients who are not in the community protection program, the service provider must:(1) Provide the department with a written description of the household composition;(2) Part…

(1) The service provider must notify the case manager if the client's health and safety is adversely affected by the client's refusal to participate in services.(2) Service providers must document each client's refusal to participate in: (a) Physical and safety requirements, as o…

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 und…

(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 provid…

(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) DD…

(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 hos…

(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 l…

(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 ot…

(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…

The service provider must use the client's current individual support plan in the development of the individual instruction and support plan.[WSR 16-14-058, recodified as § 388-101D-0205, filed 6/30/16, effective 8/1/16. Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022, § 3…

(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,…

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 ref…

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 sup…

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) Repre…

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 …

(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 h…

(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 suppor…

(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.(2) For any client funds managed by the service provider, the service provider must:(a) Sep…

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 …

(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.(2) The ser…

The service provider must not combine client funds with any service provider funds, such as agency operating funds.[WSR 16-14-058, recodified as § 388-101D-0260, filed 6/30/16, effective 8/1/16. Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022, § 388-101-3560, filed 12/21/0…

(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:…

(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 stateme…

(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 thi…

(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.(3) The pr…

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.[WSR 16-14-058, reco…

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.[WSR 16-14-058, recodified as § 388-101D-0290, filed 6/30/16, effective 8/1/16. Statutory Aut…

(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 …

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 administrati…

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.[WSR 16-14-058, recodified as § 388-101D-0305,…

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…

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.[W…

(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.[WSR 16…

(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 t…

(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 chemic…

(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.(2) Service providers providing medication assistanc…