Washington Administrative Code

The adult family home must:(1) Protect each resident's right to a dignified existence, self-determination, and communication with and access to persons and services inside and outside the home;(2) Protect and promote the rights of each resident and assist the resident to exercise…

The adult family home must fully disclose the home's policy on accepting medicaid or other public funds as a payment source. The policy must:(1) Clearly state the circumstances under which the adult family home provides care for medicaid eligible residents and for residents who b…

The adult family home must post the following in a common use area where they can be easily viewed by anyone in the home, including residents, resident representatives, the department, and visitors:(1) The name, address, and telephone number for the home's regional residential ca…

(1) The adult family home must provide each resident written notice of the resident's rights and services provided in the home in a language the resident understands and before the resident is admitted to the home. The notice must be reviewed at least once every 24 months from th…

(1) The adult family home must complete the department's standardized disclosure of services form.The home must:(a) List on the form the scope of care and services available in the home;(b) Send the completed form to the department when applying for a license; and(c) Provide an u…

(1) The adult family home must inform each resident in advance of changes to services, items, activities, scope of care, or home rules as follows:(a) In writing;(b) At least fourteen days before the effective date of a change due to a substantial and continuing change in the resi…

(1) If the adult family home requires an admission fee, deposit, prepaid charges, or any other fees or charges, by or on behalf of a person seeking admission, the home must include this information on the disclosure of charges form in writing in a language the resident understand…

The adult family home must:(1) Only admit or keep individuals whose needs the home can safely meet:(a) With qualified available staff; and(b) Through the provision of reasonable accommodations required by state and federal law;(2) Not admit an individual before obtaining a comple…

The adult family home must provide the following information in writing to prospective residents before admission and current residents who were admitted before this requirement took effect:(1) Information about the provider, entity representative, and resident manager, including…

(1) Each resident has the right to manage their own financial affairs. The adult family home must not require any resident to deposit their personal funds with the home.(2) If the adult family home agrees to manage a resident's personal funds, the home must:(a) Have a written aut…

(1) Funds in excess of one hundred dollars that are paid to an adult family home as a security deposit or as prepayment for charges beyond the first month's residency must be deposited by the adult family home in an interest bearing account that is separate from any of the home's…

If a resident's personal funds are deposited with the adult family home, the home must give the resident's funds and a final accounting of the funds within thirty days after the resident's death to the individual or probate jurisdiction administering the resident's estate; except…

(1) The adult family home must ensure the right of each resident to personal privacy that includes:(a) The home;(b) Medical treatment;(c) Clinical or resident records;(d) Personal care; and(e) Visits and meetings of family and resident groups; however(2) The resident right to per…

The adult family home must:(1) Ensure each resident's right to voice grievances, including those about care and treatment given or not given that has been furnished as well as that which has not been furnished; and(2) Make prompt efforts to resolve grievances the resident may hav…

The adult family home must place its license to operate and any conditions on the license, in a visible location in a common use area where it can be examined by residents, resident representatives, the department and anyone interested without having to ask for them.[Statutory Au…

(1) The adult family home must place a copy of the following documents in a common use area where they can be easily viewed by residents, resident representatives, the department, and anyone interested without having to ask for them:(a) The most recent inspection report, any rela…

The adult family home must ensure that each resident:(1) Receives information from client advocate agencies; and(2) Has opportunities to contact client advocate agencies.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10590, filed 1…

The adult family home must not interfere with each resident's right to have access to and from:(1) Any representative of the state;(2) The resident's own physician;(3) The state long-term care ombuds programs;(4) The agency responsible for the protection and advocacy system for o…

(1) In circumstances in which limitations must be placed on resident visitation due to a public health emergency or other threat to the health and safety of the residents and staff of a facility or nursing home, residents must still be allowed access to an essential support perso…

The adult family home must ensure each resident's right to privacy in communications, including the right to:(1) Send and receive unopened mail without delay;(2) Have writing paper, postage, and pens or pencils available that have been paid for by the resident; and(3) Have twenty…

The adult family home must ensure each resident's right to keep and use personal possessions, including furnishings, and appropriate clothing, as space permits, unless to do so would infringe upon the rights or health and safety of other residents.[Statutory Authority: RCW 70.128…

The adult family home must not ask the resident for, or make the resident sign waivers of:(1) Potential liability for losses of personal property or injury; and(2) Residents' rights set forth in chapters 70.128, 70.129, 74.34 RCW, this chapter or in the applicable licensing laws.…

(1) The adult family home must allow each resident to stay in the home and not transfer or discharge the resident unless:(a) The transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in the home;(b) The safety or health of individual…

(1) Before a home transfers or discharges a resident, the home must give the resident and the resident's representative a written thirty day notification informing them of the transfer or discharge. The home must also make a reasonable effort to notify, if known, any interested f…

For residents with medicaid as a payor, in addition to the requirements in WAC 388-76-10616, the adult family home must do the following when issuing a written notice of transfer or discharge:(1) Include in the notice contact information provided by the department for the legal s…

(1) The adult family home must promote care for residents in a manner and in an environment that maintains or enhances each resident's dignity and respect in full recognition of his or her individuality.(2) The home may design home rules that protect the rights and quality of lif…

The adult family home must ensure:(1) A resident's right to:(a) Organize and take part in resident groups in the home;(b) Have family meet in the home with the families of other residents; and(c) Have staff or visitors attend meetings at the group's invitation.(2) The home must p…

When a resident or family group exists, the adult family home must listen to the views and act upon the grievances and recommendations of residents and families about proposed policy and operational decisions affecting resident care and life in the home.[Statutory Authority: RCW …

The adult family home must respect the resident's right to refuse to perform services for the home except as voluntarily agreed to by the resident and the home and documented in the resident's negotiated care plan.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34…

The adult family home must ensure each resident's right to join in social, religious, and community activities that do not interfere with the rights of other residents in the home.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-1064…

The adult family home must ensure each resident:(1) Receives reasonable accommodation to meet the needs and preferences of the resident, except when the reasonable accommodation endangers the health or safety of the individual or other residents; and(2) Has the ability to share a…

(1) The adult family home must not use a medical device with a known safety risk as a restraint or for staff convenience.(2) Before a medical device with a known safety risk is used by a resident, the home must:(a) Ensure an assessment has been completed that identifies the resid…

The adult family home must ensure:(1) Each resident's right to be free from physical and mechanical restraints used for discipline or convenience;(2) Prior to the use of physical or mechanical restraints, less restrictive alternatives have been tried and documented in the residen…

(1) "Chemical restraint(s)" cannot be used for discipline or convenience.(2) Must only be used within the guidelines as "chemical restraint" is defined.[Statutory Authority: Chapter 70.128 RCW. WSR 17-01-002, § 388-76-10660, filed 12/7/16, effective 1/7/17; WSR 16-06-004, § 388-7…

The adult family home must ensure a resident's right to be free from involuntary seclusion or isolation of the resident against his or her will.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10665, filed 10/16/07, effective 1/1/08.…

The adult family home must:(1) Meet the requirements of chapter 74.34 RCW;(2) Ensure each resident's right to be free from abandonment, verbal, sexual, physical and mental abuse, exploitation, financial exploitation, neglect, and involuntary seclusion;(3) Protect each resident wh…

(1) In accordance with chapter 74.34 RCW, all providers, entity representatives, resident managers, owners, caregivers, staff, and students that provide care and services to residents, are mandated reporters and must immediately report to the department when there is:(a) A reason…

The adult family home must develop and implement written rules and policies that:(1) Do not allow abandonment, abuse, neglect of any resident, exploitation or financial exploitation of any resident;(2) Require staff to report possible abuse, and other related incidents, as requir…

The adult family home must ensure that staff do not abandon, abuse, neglect, seclude, exploit, or financially exploit any resident.[Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. WSR 07-21-080, § 388-76-10680, filed 10/16/07, effective 1/1/08.]

The adult family home must meet all of the following requirements:(1) Ensure each resident's bedroom is an outside room that allows entrance of natural light.(2) Ensure window and door screens:(a) Do not hinder emergency escape; and(b) Prevent entrance of flies and other insects.…

(1) For the purposes of this section "vestibule" means a small room or hall between an outer door and the main part of the resident bedroom.(2) The adult family home must ensure each resident bedroom has a minimum usable floor space as follows, excluding the floor space for toile…

(1) For single family dwellings used as an adult family home after July 1, 2007, the home must ensure the building meets the requirements of WAC 51-51-0330 if the building is:(a) New; or(b) An existing building converted for use as an adult family home.(2) For buildings licensed …

The adult family home must have the building inspected and approved for use as an adult family home by the local building official:(1) Before licensing; and(2) After any construction changes that:(a) Affect resident's ability to exit the home; or(b) Change, add or modify a reside…

(1) For the purposes of this section, common use areas:(a) Are areas and rooms of the adult family home that residents use each day for tasks such as eating, visiting, and leisure activities; and(b) Include but are not limited to dining and eating rooms, living and family rooms, …

Before moving all residents out of the adult family home for construction or remodeling, the home must:(1) Notify the residents of the move date and the resident's options consistent with chapter 70.129 RCW;(2) Notify the department at least thirty days before the anticipated mov…

The adult family home must ensure:(1) Every bedroom and bathroom door opens from the inside and outside;(2) Every closet door opens from the inside and outside;(3) At least one door leading to the outside is designated as an emergency exit. In homes licensed after January 1, 2016…

(1) Except as provided in this section or in WAC 388-76-10725, the adult family home must not use the following in the home or on the premises:(a) Audio monitoring equipment; or(b) Video monitoring equipment if it includes an audio component.(2) The home may video monitor and vid…