Washington Administrative Code

(1) The enhanced services facility must ensure all staff who have any interaction with the residents successfully complete the mental health and dementia specialized trainings, consistent with chapter 388-112A WAC, prior to working in the enhanced services facility.(2) The facili…

All home care aides certified staff must have ten of their twelve hours of annual continuing education cover relevant education regarding the population served in the enhanced services facility.[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0660, filed 9/12/14,…

All nursing assistant certified staff must have ten of their twelve hours of annual continuing education cover relevant education regarding the population served in the enhanced services facility.[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0670, filed 9/12/1…

In addition to the annual continuing education requirements for individual staff, the enhanced services facility must provide three hours of training per quarter relevant to the needs of the population being served.[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107…

If the enhanced services facility provides continuing education, in-service education or quarterly staff education, the educators must be approved by the department prior to educational intervention, in accordance with chapter 388-112A WAC.[Statutory Authority: Chapter 70.97 RCW.…

(1) The department of health construction review services will review the following general, code, program submittal and minimum requirements to ensure that the facility is in compliance with enhanced services facility physical plant basic requirements.(2) The enhanced service fa…

(1) If the department licenses part or all of a currently licensed nursing home under chapter 18.51 RCW, assisted living facility under chapter 18.20 RCW, or adult family home under chapter 70.128 RCW, as an enhanced services facility, the facility is deemed to meet the applicabl…

New construction includes but is not limited to:(1) New structures:(a) A new building to be licensed as an enhanced services facility; or(b) An addition to a building currently licensed as an enhanced services facility.(2) Existing buildings:(a) Conversion of another building to …

New construction of enhanced services facilities must:(1) Through its design, construction and necessary permits demonstrate compliance with this chapter, the following codes and local jurisdiction standards.(2) Obtain all local permits before construction and maintain on file at…

(1) The facility must submit plans to construction review services as directed by the department of health construction review services for approval prior to beginning any construction or conversion of an existing facility or a portion of an existing facility. The approved plans …

The facility must:(1) Provide one copy of the functional program;(2) Provide an analysis of likely adverse impacts on current residents and plans to eliminate or mitigate such adverse impacts;(3) Provide for the health, safety, and comfort of residents during construction project…

The facility must implement a functional program. The functional program must clearly define the level, type and scope of care provided. The functional program will cover, but is not limited to the following:(1) Scope of the project;(2) Type of residents to be admitted to the fac…

The enhanced services facility must ensure that:(1) The facility is designed to provide safety and security appropriate for the specific type of service or program provided as well as the age level, acuity, and risk of the residents served for geriatric, acute psychiatric, or for…

(1) Except as provided in this section or in WAC 388-107-0790, the facility must not use the following in the facility:(a) Audio monitoring equipment; or(b) Video monitoring equipment if it includes an audio component.(2) The facility may video monitor and video record activities…

(1) The facility must not use audio or video monitoring equipment to monitor any resident unless:(a) The resident has requested the monitoring; and(b) The monitoring is only used in the sleeping room of the resident who requested the monitoring.(2) If the resident requests audio …

(1) The enhanced services facility must have adequate equipment, supplies, and space to carry out all functions and responsibilities of the facility.(2) Safe and sanitary areas for:(a) Storage and handling of clean and sterile nursing equipment and supplies; and(b) Cleaning and d…

The facility must ensure that each resident sleeping room:(1) Has a maximum capacity of one resident;(2) May be locked by the resident provided that:(a) Appropriate staff have a readily accessible means to unlock the room when the door is locked; and(b) An unlocked door is not an…

The facility will ensure:(1) Toilet room doors:(a) Are equipped with keyed locks that allow staff to control access to the toilet room, where indicated by the resident safety risk assessment;(b) Swing outward or be double-acting; and(c) For accessible resident toilet rooms, provi…

The facility must provide access to a bathtub or shower for every resident. The facility must ensure:(1) Bathing facilities are designed and located for resident convenience and privacy;(2) At least one bathing unit for every four residents, or fraction thereof, who are located i…

The facility must ensure:(1) All staff have a readily available means of unlocking lockable toilet facilities and bathrooms from the outside; and(2) Locks are operable from the inside with a single motion.[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0840, fil…

The facility must ensure:(1) Each resident has, within his or her room, a separate wardrobe (for hanging garments), locker, or closet for storing personal effects.(2) Shelves for folded garments may be used instead of arrangements for hanging garments if acceptable to the residen…

The facility must ensure:(1) Private space:(a) For the use of individual residents, family, and caregivers to discuss the specific resident's needs or private family matters;(b) With a minimum clear floor area of one hundred forty-four square feet; and(c) Furnished with comfortab…

The facility must ensure that all residents have access to common areas throughout the facility including, but not limited to, dining rooms, day rooms, and activity areas.[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-0870, filed 9/12/14, effective 10/13/14.]

(1) The facility must provide one or more rooms designated for resident dining and activities that is:(a) Well lighted;(b) Well ventilated;(c) Adequately furnished;(d) Large enough to accommodate all residents; and(e) Large enough to accommodate all resident activities.(2) The fa…

(1) The enhanced services facility must provide a safe, protected outdoor area for resident use.(2) The facility must ensure the outdoor area:(a) Has areas protected from direct sunshine and rain throughout the day;(b) Can be accessed by the resident;(c) Has walking surfaces that…

The facility must provide laundry and linen services on the premises, or by contract with a commercial laundry. If laundry services are provided on-site, the facility must ensure that laundry facilities, equipment, handling and processes provide residents with linen and laundered…

The facility must ensure:(1) There is a janitor's closet with a service sink and adequate storage space for housekeeping equipment, cleaning chemicals and supplies.(2) The janitor's closet meets the ventilation requirements in WAC 388-107-1000.(3) The janitor's closet must remain…

The facility must provide food service on the premises or by contract with a commercial kitchen. If the facility provides food service on-site, the facility must ensure food service areas are in compliance with chapter 246-215 and 246-217 WAC, state board of health rules governin…

The enhanced services facility must:(1) Ensure that all sewage and waste water drain into a municipal sewage disposal system according to chapter 246-271 WAC, if available; or(2) Provide on-site sewage disposal systems designed, constructed, and maintained as required by chapters…

The enhanced services facility must:(1) Provide an adequate number of garbage containers to store refuse generated by the enhanced services facility:(a) Located in a storage area convenient for resident and staff use;(b) Constructed of nonabsorbent material; and(c) Cleaned and ma…

(1) The enhanced services facility must be designed to prevent injury and promote resident safety.(2) The facility must ensure that:(a) Doorways are at least thirty-six inches wide;(b) Door swings for private resident bathrooms or shower areas swing out to allow for staff emergen…

When an enhanced services facility's functional program states that it plans to admit a resident, or the licensee or applicant identifies a current resident who is at risk of suicide or self-harm, or both the licensee or applicant must submit a risk assessment to the department o…

The facility must:(1) Provide handrails on each side of all corridors and stairwells accessible to residents and ensure that:(a) Ends of handrails are returned to the walls;(b) Handrails are mounted thirty to thirty-four inches above the floor; and(c) Handrails terminate not more…

The facility must provide the following:(1) Water meeting the provisions of chapter 246-290 WAC, Group A public water supplies or chapter 246-291 WAC, Group B public water systems;(2) Hot and cold water under adequate pressure readily available throughout the enhanced services fa…

The facility must provide all sinks in resident rooms, toilet rooms and bathrooms, and bathing fixtures used by residents with hot water between one hundred five degrees (105°) Fahrenheit and one hundred twenty degrees (120°) Fahrenheit at all times.[Statutory Authority: Chapter …

The facility must ensure:(1) The heating system is capable of maintaining a temperature of seventy-five degrees Fahrenheit for areas occupied by residents and seventy degrees Fahrenheit for nonresident areas.(2) Resident rooms must have individual temperature control which may be…

The facility must have:(1) A mechanical cooling system capable of maintaining a temperature of seventy-five degrees Fahrenheit for areas occupied by residents; and(2) A cooling system that has mechanical refrigeration equipment to provide summer air conditioning to resident areas…

The facility must ensure:(1) Ventilation of all rooms is designed to prevent objectionable odors, condensation, and direct drafts on the residents;(2) All habitable space is mechanically ventilated including air supply and air exhaust systems;(3) All heating, ventilation, and air…

(1) The enhanced services facility must maintain electric light fixtures and lighting necessary for the comfort and safety of residents and for the activities of residents and staff.(2) The enhanced services facility must provide enough lighting in each resident's room to meet th…

The facility must provide a system that meets the following standards:(1) A wired or wireless communication system that notifies at the staff work station. The system must be equipped to receive resident calls from:(a) The bedside of each resident;(b) Every common area, dining an…

The facility must provide 24-hour access to a telephone for resident use per RCW 70.97.195, which:(1) Provides auditory privacy;(2) Is accessible to a resident with a disability and accommodates a resident with sensory impairment;(3) Is not located in a staff office or at a nurse…

In areas accessed by residents, the facility must have:(1) Electrical receptacles that are tamper-resistant or equipped with ground fault circuit interrupters.(2) Lights designed to prevent unauthorized access and tampering.[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, …

(1) The facility must have an alternate source of power and automatic transfer equipment to connect the alternate source within ten seconds of the failure of the normal source.(2) The facility must ensure the alternate source is a generator:(a) With on-site fuel supply;(b) That i…

An enhanced services facility must:(1) Be licensed by the department;(2) May be granted a contract by the department; and(3) Admit and keep residents whose care is paid for under a department contract.[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1040, filed 9…

Operation of a facility without a license in violation of this chapter and discrimination against medicaid recipients are a matter vitally affecting the public interest for the purpose of applying the Consumer Protection Act, chapter 19.86 RCW. Operation of an enhanced services f…

A person operating or maintaining a facility without a license under this chapter is guilty of a misdemeanor and each day of a continuing violation after conviction must be considered a separate offense.[Statutory Authority: Chapter 70.97 RCW. WSR 14-19-071, § 388-107-1060, filed…

Notwithstanding the existence or use of any other remedy, the department may, in the manner provided by law, maintain an action in the name of the state for an injunction, civil penalty, or other process against a person to restrain or prevent the operation or maintenance of a fa…