Washington Administrative Code

The service provider must maintain a written record of all medications administered to, assisted with, monitored, or refused by the client.[WSR 16-14-058, recodified as § 388-101D-0340, filed 6/30/16, effective 8/1/16. Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022, § 388…

(1) The service provider or his/her designee must properly dispose of all medications that are discontinued, out of date, or superseded by another.(2) When disposing client medications the service provider must list the:(a) Medication;(b) Amount; and(c) Date that it was disposed.…

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 symp…

(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 t…

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.[WSR 16-14-058, recodified as § 388-101D-0365, filed 6/30…

(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 repre…

(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…

(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.[WSR 16-14-058, recodified a…

(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…

(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) …

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.[WSR 16-14-058, recodified as § 388-101D-039…

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 sup…

(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) Suicid…

(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…

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.[WSR 16-14-058, recodified as § 388-101D-0415, filed 6/30/1…

(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 …

(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.(2) The service provide…

(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) Indicat…

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 res…

(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 in…

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 regardi…

(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.(2) Each staff designated to supervise…

(1) The service provider must protect each client's right to be free from mechanical and chemical restraints and involuntary seclusion.(2) The service provider must use the least restrictive alternatives needed to protect the client, others, or property.(3) If needed, mechanical …

(1) The service provider must ensure that any client who is being physically or mechanically restrained is continuously observed to ensure that risks to the client's health and safety are minimized.(2) The service provider must keep documentation that includes:(a) A description o…

In order to provide support to community protection clients, the community protection service provider must, in addition to the other requirements in this chapter:(1) Be approved by the division of developmental disabilities to serve community protection clients;(2) Have security…

A community protection service provider must, in addition to other policy and procedure requirements listed in this chapter, develop, train to, and implement the following procedures:(1) Client security and supervision;(2) Use of a chaperone agreement that describes who will supe…

The community protection service provider must participate in treatment team meetings quarterly or more frequently as needed.[WSR 16-14-058, recodified as § 388-101D-0475, filed 6/30/16, effective 8/1/16. Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022, § 388-101-3990, fil…

In addition to the staff training requirements in this chapter and the residential services contract, the community protection service provider must ensure that community protection program staff receive training specific to:(1) Community protection within ninety calendar days of…

The community protection service provider must implement the client's treatment plan as written by a qualified professional/therapist in accordance with any procedures published by the department.[WSR 16-14-058, recodified as § 388-101D-0485, filed 6/30/16, effective 8/1/16. Stat…

In addition to all other client record requirements in this chapter community protection service providers must include the following in the client's record:(1) Psychosexual and/or psychological evaluations and risk assessments;(2) Plans and assessments including:(a) The written …

In addition to the other client transportation requirements defined in this chapter, community protection service providers must provide or ensure supervised transportation as needed, including but not necessarily limited to, medical emergencies, appointments, to and from the day…

(1) When assisting a client in selecting a home, the provider must conduct and document site checks of the proposed residence at different days and times of the week.(2) After selecting a home, and before the client moves into the home, the provider must document and provide to D…

The community protection service provider must participate in any treatment team meetings held to review and consider a reduction in client restrictions.[WSR 16-14-058, recodified as § 388-101D-0505, filed 6/30/16, effective 8/1/16. Statutory Authority: Chapter 71A.12 RCW. WSR 08…

(1) The community protection service provider must immediately notify the division of developmental disabilities when the client leaves the community protection program against treatment team advice; and(2) Document the client's departure in the client's record.[WSR 16-14-058, re…

The crisis diversion services provider must:(1) Be approved by the department to provide crisis diversion services; and(2) Make crisis diversion services available to clients twenty-four hours per day.[WSR 16-14-058, recodified as § 388-101D-0515, filed 6/30/16, effective 8/1/16.…

The crisis diversion bed services provider must:(1) Provide those services in a residence that is maintained by the crisis diversion bed services provider;(2) Provide a private, furnished bedroom for each crisis diversion client; and(3) Support only one client in each residence.[…

The crisis diversion bed services provider must provide the following services and activities:(1) Support staff, twenty-four hour per day, seven days a week, to meet the client's needs as identified in the client's assessment;(2) Access to the instruction and support services ide…

(1) Crisis diversion bed services providers must develop a crisis services treatment plan within forty-eight hours of the client's placement.(2) The treatment plan must include:(a) The supports and services that must be provided; and(b) Client discharge goals.[WSR 16-14-058, reco…

(1) Crisis diversion bed and support service providers must keep the following information in client records:(a) Client's name, address, and Social Security number;(b) Name, address, and telephone number of the client's relative or legal representative; and(c) Progress notes and …

(1) Crisis diversion bed services providers must maintain a record for each client admitted to the crisis diversion bed.(2) The client record must include the following information when available:(a) Basic demographic information;(b) Referral process and intake information;(c) Me…

The crisis diversion support services provider must provide those services in the client's own home.[WSR 16-14-058, recodified as § 388-101D-0545, filed 6/30/16, effective 8/1/16. Statutory Authority: Chapter 71A.12 RCW. WSR 08-02-022, § 388-101-4130, filed 12/21/07, effective 2/…

The crisis diversion support services provider must provide the following services and activities:(1) Therapeutic interventions to help stabilize the client's behavioral symptoms;(2) Assistance with referral to mental health services if needed; and(3) Technical assistance to the …

"Group training home" means a nonprofit facility certified under this chapter and chapter 388-101 WAC. A group training home provides twenty-four-hour community-based instruction and support services to two or more adults.[Statutory Authority: RCW 71A.12.030, 71A.12.120, 71A.12.0…

(1) The group training home must ensure each client's bedroom:(a) Is a private room, unless the client requests to share a room;(b) Has a window or door that provides natural light, is covered with a screen, and allows for emergency exit;(c) Has a closet or wardrobe, which must n…

(1) The group training home must provide handwashing sinks with hot and cold running water in the ratio of one for every five clients.(2) The group training home must provide toilets in the ratio of one for every five clients.(3) The group training home must provide bathing optio…

A group training home must manage food and maintain its kitchen under chapter 246-215 WAC if the group training home:(1) Supports more than six clients; and(2) Was certified after January 1, 2019.[Statutory Authority: RCW 71A.12.030, 71A.12.120, 71A.12.040 and 71A.22.010. WSR 18-…

If a client's needs change, the group training home must make a reasonable attempt to adapt the home to meet the needs identified in the client's person-centered service plan.[Statutory Authority: RCW 71A.12.030, 71A.12.120, 71A.12.040 and 71A.22.010. WSR 18-23-101, § 388-101D-05…

(1) A group training home must meet state and local building codes in effect at the time of their:(a) Initial licensure as an adult family home or assisted living facility; or(b) Initial certification as a group training home.(2) A group training home may be required to modify th…

The group training home must be inspected by a local building official:(1) Before initial certification; and(2) After any construction that:(a) Affects a client's ability to enter or exit the home; or(b) Makes a significant structural change to the home.[Statutory Authority: RCW …

(1) Before moving a client out of the group training home during planned construction, the home must provide thirty days' written notice to the client, the client's guardian if they have one, DDA, and residential care services.(2) The notice must include:(a) The client's temporar…