Washington Administrative Code

(1) The assisted living facility must allow a resident to arrange to receive on-site care and services from:(a) A practitioner, licensed under Title 18 RCW regulating health care professions; and(b) A home health, hospice, or home care agency licensed under chapter 70.127 RCW.(2)…

(1) The assisted living facility must coordinate services with external health care providers to meet the residents' needs, consistent with the resident's negotiated service agreement.(2) The assisted living facility must develop, implement and inform residents of the assisted li…

(1) The assisted living facility may, but is not required to, provide an adult day services program for nonresidents.(2) If adult day services are provided, the assisted living facility must:(a) Ensure each adult day services client receives appropriate supervision and agreed upo…

(1) The facility must develop and document their functional programing, under WAC 388-78A-2852, during the project development and planning process. This document must inform the design process and be provided to the department of health construction review services consistent wi…

(1) The assisted living facility must, to the fullest extent reasonably possible, obtain for each resident who has symptoms consistent with dementia as assessed per WAC 388-78A-2090(7):(a) Information regarding the resident's significant life experiences, including:(i) Family mem…

The assisted living facility must:(1) Investigate and document investigative actions and findings for any alleged or suspected abuse, neglect, or financial exploitation; or accident or incident jeopardizing or affecting a resident health or life;(2) Determine the circumstances of…

An assisted living facility must ensure all of the following conditions are present before moving residents into units or buildings with exits that may restrict a resident's egress:(1) Each resident, or a person authorized under RCW 7.70.065 to provide consent on behalf of the re…

(1) When planning for new construction, renovations or change of service to include memory care services, the facility must document design considerations appropriate to residents with dementia, mental health issues, or cognitive and developmental disabilities within its function…

The assisted living facility must maintain adequate records concerning residents to enable the assisted living facility:(1) To effectively provide the care and services agreed upon with the resident;(2) To allow the resident to communicate with family, medical providers, and othe…

The assisted living facility must:(1) Maintain a systematic and secure method of identifying and filing resident records for easy access;(2) Maintain resident records and preserve their confidentiality in accordance with applicable state and federal statutes and rules, including …

The assisted living facility must organize and maintain resident records in a format that the assisted living facility determines to be useful and functional to enable the effective provision of care and services to each resident. Active resident records must include the followin…

(1) The assisted living facility must maintain on the assisted living facility premises in a resident's active record(s) all relevant information and documentation necessary for meeting a resident's current assessed needs.(2) The assisted living facility may remove outdated infor…

(1) The assisted living facility must assemble all records pertaining to a resident and make them available to a resident within twenty-four hours of the resident's or the resident's representative's request to review the resident's records per RCW 70.129.030.(2) The assisted liv…

(1) Resident register:(a) The assisted living facility must regularly maintain in the assisted living facility a single current registry of all assisted living facility residents, their roommates, and identification of the rooms in which such persons reside or sleep, as required …

(1) Each assisted living facility must provide sufficient, trained staff persons to:(a) Furnish the services and care needed by each resident consistent with their negotiated service agreement;(b) Maintain the assisted living facility free of safety hazards; and(c) Implement fire…

(1) To ensure the proper delivery of services and the maintenance and improvement in quality of care through self-review, any assisted living facility licensed under this chapter may maintain a quality assurance committee that, at a minimum, includes:(a) A licensed registered nur…

(1) Background checks conducted by the department and required in this chapter include:(a) Washington state name and date of birth background checks; and(b) After January 7, 2012, a national fingerprint background check in accordance with RCW 74.39A.056.(2) Nothing in this chapte…

(1) Applicants for an assisted living facility license, as defined in WAC 388-78A-2740, must have the following background checks before licensure:(a) A Washington state name and date of birth background check; and(b) A national fingerprint background check.(2) The assisted livin…

Before the assisted living facility employs, directly or by contract, an administrator, staff person or caregiver, or accepts any volunteer, or student, the home must:(1) Require the person to complete a DSHS background authorization form; and (2) Submit to the department's backg…

Unless the individual is eligible for an exception under WAC 388-113-0040, if the results of the Washington state name and date of birth background check indicate the person has a disqualifying criminal conviction or a pending charge for a disqualifying crime under chapter 388-11…

(1) Administrators and all caregivers who are hired after January 7, 2012 and are not disqualified by the Washington state name and date of birth background check, must complete a national fingerprint background check and follow department procedures.(2) After receiving the resul…

(1) After receiving the results of the Washington state name and date of birth background check, the assisted living facility must:(a) Inform the person of the results of the background check;(b) Inform the person that they may request a copy of the results of the background chec…

(1) A Washington state name and date of birth background check is valid for two years from the initial date it is conducted. The assisted living facility must ensure:(a) A new DSHS background authorization form is submitted to the department's background check central unit every …

In accordance with RCW 43.43.832 a health care facility may share Washington state background check results with other health care facilities under certain circumstances. Results of the national fingerprint checks may not be shared. For the purposes of this section health care fa…

The assisted living facility may conditionally hire an administrator, caregiver, or staff person directly or by contract, pending the result of the Washington state name and date of birth background check, provided that the assisted living facility:(1) Submits the background auth…

The assisted living facility may provisionally employ a caregiver and an administrator hired after January 7, 2012 for one hundred and twenty-days and allow the caregiver or administrator to have unsupervised access to residents when:(1) The caregiver or administrator is not disq…

(1) The assisted living facility must require each administrator, caregiver, staff person, volunteer and student, prior to starting his or her duties, to make disclosures of any crimes or findings consistent with RCW 43.43.834(2). The disclosures must be in writing and signed by …

(1) The assisted living facility must not employ an administrator, caregiver, or staff person, to have unsupervised access to residents, as defined in RCW 43.43.830, if the individual has a disqualifying criminal conviction or pending charge for a disqualifying crime under chapte…

(1) If the background check results show that an employee or prospective employee has a criminal conviction or pending charge for a crime that is not a disqualifying crime under chapter 388-113 WAC, then the assisted living facility must determine whether the person has the chara…

The assisted living facility must ensure that all disclosure statements, background authorization forms, background check results and related information are:(1) Maintained on-site in a confidential and secure manner;(2) Used for employment purposes only;(3) Not disclosed to anyo…

(1) The assisted living facility must ensure staff persons hired before January 7, 2012 meet training requirements in effect on the date hired, including requirements in chapter 388-112A WAC.(2) The assisted living facility must ensure all assisted living facility administrators,…

(1) The assisted living facility must develop and implement a system to ensure each staff person is screened for tuberculosis within three days of employment.(2) For purposes of WAC 388-78A-2481 through 388-78A-2489, "staff person" means any assisted living facility employee or t…

The assisted living facility must ensure that all tuberculosis testing is done through either:(1) Intradermal (Mantoux) administration with test results read:(a) Within forty-eight to seventy-two hours of the test; and(b) By a trained professional; or(2) A blood test for tubercul…

The assisted living facility is not required to have a staff person tested for tuberculosis if the staff person has:(1) A documented history of a previous positive skin test, with ten or more millimeters induration;(2) A documented history of a previous positive blood test; or(3)…

The assisted living facility is only required to have a staff person take one test if the staff person has any of the following:(1) A documented history of a negative result from a previous two step skin test done no more than one to three weeks apart; or(2) A documented negative…

Unless the staff person meets the requirement for having no skin testing or only one test, the assisted living facility choosing to do skin testing, must ensure that each staff person has the following two-step skin testing:(1) An initial skin test within three days of employment…

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

The assisted living facility may be required by the public health provider or licensing authority to ensure that staff persons with negative test results have follow-up testing in certain circumstances, such as:(1) After exposure to active tuberculosis;(2) When tuberculosis sympt…

The assisted living facility must ensure that a staff person take the blood test for tuberculosis if they decline the skin test.[Statutory Authority: Chapter 18.20 RCW. WSR 13-13-063, § 388-78A-2487, filed 6/18/13, effective 7/19/13; WSR 10-03-066, § 388-78A-2487, filed 1/15/10, …

The assisted living facility must:(1) Report any staff 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 staff person's hea…

The assisted living facility must:(1) Keep the records of tuberculin test results, reports of X-ray findings, and any physician or public health provider orders in the assisted living facility;(2) Make the records readily available to the appropriate health provider and licensing…

The assisted living facility must ensure completion of specialized training, consistent with chapter 388-112A WAC, to serve residents with developmental disabilities, whenever at least one of the residents in the assisted living facility has a developmental disability as defined …

The assisted living facility must ensure completion of specialized training, consistent with chapter 388-112A WAC, to serve residents with mental illness, whenever at least one of the residents in the assisted living facility has a mental illness that is the resident's primary sp…

The assisted living facility must ensure completion of specialized training, consistent with chapter 388-112A WAC, to serve residents with dementia, whenever at least one of the residents in the assisted living facility has a dementia that is the resident's primary special need a…

(1) The licensee must appoint an administrator who is:(a) At least twenty-one years old;(b) Not a resident of the assisted living facility; and(c) Qualified to perform the administrator's duties specified in WAC 388-78A-2560.(2) The licensee must only appoint as an assisted livin…

As used in WAC 388-78A-2522 through 388-78A-2527, an individual obtains certification of training as follows. The individual has certification of completing a recognized administrator training course that consists of a minimum of twenty-four hours of instruction or equivalent onl…

The individual was actively employed as an assisted living facility administrator and met existing qualifications on September 1, 2004.[Statutory Authority: Chapter 18.20 RCW. WSR 13-13-063, § 388-78A-2522, filed 6/18/13, effective 7/19/13; WSR 10-03-066, § 388-78A-2522, filed 1/…