Washington Administrative Code

Unless the person meets the requirement for having no skin testing or only one test, the adult family home, choosing to do skin testing, must ensure that each person has the following two-step skin testing:(1) An initial skin test within three days of employment; and(2) A second …

When there is a positive result to tuberculosis skin or blood testing the adult family home must:(1) Ensure that the person has a chest X-ray within seven days;(2) Ensure each resident or employee with a positive test result is evaluated for signs and symptoms of tuberculosis; an…

The adult family home may be required by the public health provider or licensing authority to ensure that persons with negative test results have follow-up testing in certain circumstances, such as:(1) After exposure to active tuberculosis;(2) When tuberculosis symptoms are prese…

The adult family home must ensure that a person take the blood test for tuberculosis if they decline the skin test.[Statutory Authority: RCW 70.128.040. WSR 10-03-064, § 388-76-10300, filed 1/15/10, effective 2/15/10. Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74…

The adult family home must:(1) Report any person or resident with tuberculosis symptoms or a positive chest X-ray to the appropriate health care provider or public health provider;(2) Follow the infection control and safety measures ordered by the person's health care provider, i…

The adult family home must:(1) Keep the records of tuberculin test results, reports of X-ray findings, and any physician or public health provider orders in the adult family home;(2) Make the records readily available to the appropriate health authority and licensing agency;(3) P…

The adult family home must:(1) Create, maintain, and keep records for residents in the home where the resident lives and ensure that the records:(a) Contain enough information so home can provide the needed care and services to each resident;(b) Be in a format useful to the home;…

The adult family home must ensure that each resident record contains, at a minimum, the following information:(1) Identifying information about the resident, including, but not limited to:(a) Name;(b) Bedroom they reside in;(c) Telephone number, if available; and(d) Email address…

When available, the adult family home must obtain copies of the following legal documents for the resident's records:(1) Any powers of attorney granted by the resident, including for health care decision making and financial; and(2) Court order of guardianship for the resident.[S…

The adult family home must:(1) Obtain a written assessment that contains accurate information about the prospective resident's current needs and preferences before admitting a resident to the home;(2) Not admit a resident without an assessment except in cases of a genuine emergen…

The adult family home must ensure that each resident's assessment includes the following minimum information:(1) Recent medical history;(2) Current prescribed medications, and contraindicated medications, including but not limited to, medications known to cause adverse reactions …

The adult family home must ensure that each resident has a preliminary service plan that includes:(1) The resident's specific problems and needs identified in the assessment;(2) The needs for which the resident chooses not to accept or refuses care or services;(3) What the home w…

The adult family home must ensure the person performing resident assessments is:(1) A qualified assessor; or(2) For a resident who receives care and services paid for by the department, an authorized department case manager.[Statutory Authority: RCW 70.128.040 and chapters 70.128…

(1) The department amended portions of this rule from January 18, 2022, through June 8, 2023, in response to the state of emergency related to the COVID-19 pandemic. For requirements in place during that time, see WAC 388-76-10351.(2) The adult family home must ensure each reside…

(1) In response to the state of emergency related to the COVID-19 pandemic, the department adopted emergency rules under RCW 34.05.320 on January 18, 2022, to amend a portion of WAC 388-76-10350. The emergency rules remained in effect until June 8, 2023. The amended rules in plac…

The adult family home must use the resident assessment and preliminary care plan to develop a written negotiated care plan. The home must ensure each resident's negotiated care plan includes:(1) A list of the care and services to be provided;(2) Identification of who will provide…

The adult family home must ensure the negotiated care plan is developed and completed within thirty days of the resident's admission.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10360, filed 10/16/07, effective 1/1/08.]

The adult family home must implement each resident's negotiated care plan.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10365, filed 10/16/07, effective 1/1/08.]

The adult family home must involve the following people in developing the negotiated care plan:(1) The resident, to the greatest extent he or she can participate;(2) The resident's family, if approved by the resident;(3) The resident's representative, if the resident has a repres…

The adult family home must ensure that the negotiated care plan is agreed to and signed and dated by the:(1) Resident; and(2) Adult family home.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10375, filed 10/16/07, effective 1/1/08.…

The adult family home must ensure that each resident's negotiated care plan is reviewed and revised as follows:(1) After an assessment for a significant change in the resident's physical or mental condition;(2) When the plan, or parts of the plan, no longer address the resident's…

When the resident's services are paid for by the department, the adult family home must give the department case manager a copy of the negotiated care plan each time the plan is completed or updated, and after it has been signed and dated.[Statutory Authority: RCW 70.128.040 and …

The adult family home must only admit or continue to provide services to a person when:(1) The home can safely and appropriately meet the assessed needs and preferences of the person:(a) With available staff; and(b) Through reasonable accommodation.(2) Admitting the resident does…

(1) The adult family home may only admit a resident to the home without an assessment or a preliminary service plan if a true emergency exists.(2) To establish that a true emergency exists, the home must verify that the resident's life, health or safety is at serious risk due to …

The adult family home must ensure each resident receives:(1) The care and services identified in the negotiated care plan.(2) The necessary care and services to help the resident reach the highest level of physical, mental, and psychosocial well-being consistent with resident cho…

(1) The home must ensure that the following conditions are present for each resident:(a) Privacy in each resident's bedroom, including lockable doors when chosen, with only the resident or residents who live in the room and appropriate staff having the key;(b) Choice of roommates…

If the adult family home identifies that a resident has a need for nursing care and the home is not able to provide the care per chapter 18.79 RCW, the home must:(1) Contract with a nurse currently licensed in the state of Washington to provide the nursing care and service; or(2)…

The adult family home must:(1) Provide laundry services as needed; and(2) Launder sheets and pillowcases weekly or more often if soiled.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10410, filed 10/16/07, effective 1/1/08.]

The adult family home must:(1) Ensure that the safe food handling training requirements of chapter 388-112A WAC are met; and(2) Serve meals:(a) In the home where each resident lives; and(b) That accommodate each resident's:(i) Preferences;(ii) Food allergies and sensitivities;(ii…

The adult family home must:(1) Serve at least three meals:(a) In each twenty-four hour period;(b) At regular times comparable to normal meal times in the community; and(c) That meet the nutritional needs of each resident.(2) Make nutritious snacks available to residents:(a) Betwe…

The adult family home must ensure:(1) Persons preparing food, at a location separate from the home, have a current food handler's permit issued by the department of health;(2) Prepared food transported to the home is in airtight containers; and(3) Food stays at the appropriate an…

(1) If the adult family home admits residents who need medication assistance or medication administration services by a legally authorized person, the home must have systems in place to ensure the services provided meet the medication needs of each resident and meet all laws and …

(1) Each resident has the right to refuse to take medications.(2) If the adult family home is assisting with or administering a resident's medications and the resident refuses to take or does not receive a prescribed medication:(a) The home must notify the resident's practitioner…

(1) The adult family home must:(a) Ensure each resident assessment identifies the amount of assistance the resident needs when taking medications; and(b) Let the practitioner know when the following may affect the resident's ability to take their medications:(i) Resident's physic…

The adult family home must ensure residents who have medication assistance assessed as independent self-administration:(1) Administer their own medications; and(2) Are allowed to keep their prescribed and over-the-counter medications securely locked in either their room or anothe…

(1) For the purposes of this section "enabler" means a physical device used to facilitate a resident's self-administration of a prescribed or over-the-counter medication. Physical devices include, but are not limited to a medicine cup, glass, cup, spoons, bowl, prefilled syringes…

For residents assessed with requiring the administration of medications, the adult family home must ensure medication administration is:(1) Performed by a practitioner as defined in chapter 69.41 RCW; or(2) By nurse delegation per WAC 246-840-910 through 246-840-970; unless(3) Do…

The adult family home must ensure that each resident's negotiated care plan addresses:(1) The amount of medication assistance needed by each resident, including but not limited to:(a) The reasons why a resident needs that amount of medication assistance; and(b) When there is a ne…

For residents who are given psychopharmacologic medications, the adult family home must ensure:(1) The resident assessment indicates that a psychopharmacologic medication is necessary to treat the resident's medical symptoms;(2) The drug is prescribed by a physician or health car…

(1) For the purposes of this section "altering a medication" means the alteration of prescribed or over the counter medications and includes, but is not limited to crushing tablets, cutting tablets in half; opening capsules and mixing powdered medications with food or liquids.(2)…

(1) The adult family home must ensure medications are given:(a) At the specific time(s) ordered by the practitioner; and(b) As follows, when the practitioner does not order a medication to be given at a specific time:(i) One time per day, approximately every twenty four hours;(ii…

The adult family home must:(1) Keep an up-to-date daily medication log for each resident except for residents assessed as medication independent with self-administration.(2) Include in each medication log the:(a) Name of the resident;(b) Name of all prescribed and over-the-counte…

The adult family home must ensure:(1) A licensed nurse, pharmacist, the resident or the resident's family member fills a resident's medication organizer;(2) Prescribed and over-the-counter medications placed in a medication organizer come from the original container labeled for t…

The adult family home must ensure all prescribed and over-the-counter medications are stored:(1) In locked storage;(2) In the original container with legible and original labels; and(3) Appropriately for each medication, such as if refrigeration is required for a medication and t…

(1) For the purposes of this section, "discontinued" means medication that is no longer prescribed or being used to treat a condition, as directed by the resident's physician or health care professional with prescriptive authority.(2) The adult family home must develop and implem…

The department may designate an adult family home to provide specialty care in one or more of the following areas:(1) Developmental disability;(2) Mental illness; and(3) Dementia.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10495…

The department will grant a specialty designation when:(1) The provider, entity representative and resident manager has successfully completed training in one or more of the specialty care designated areas;(2) The home provides the department with written documentation:(a) Of suc…