Washington Administrative Code

(1) The provider must regulate the facility's water temperature no higher than 120 degrees Fahrenheit.(2) The provider must complete and document monthly water temperature checks.[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 25-11-094, s 388-826-0390, filed 5/21/25, ef…

(1) The provider must have written policies and procedures about the control of infections. These must include, but are not limited to, the following areas:(a) Isolation of sick individuals;(b) Germ control procedures;(c) Hygiene, including hand washing, toileting, and laundering…

(1) The provider must conduct a fire drill at least once each month at varying times of the day and night so that staff on all shifts practice the procedures with the clients they support.(2) The provider must maintain a written record on the premises that indicates the date and …

(1) The provider must display an emergency evacuation plan in a common area on every floor of the home.(2) The emergency evacuation plan must include:(a) A floor plan of the home with clearly marked exits;(b) Emergency evacuation routes; and(c) The location for the clients to mee…

(1) The provider must safely secure cleaning supplies, flammables, and other combustible materials, toxic or poisonous substances, and aerosols.(2) If a container is filled with a toxic substance from a bulk supply, the provider must clearly label the container.[Statutory Authori…

(1) The provider must store a client's medication:(a) In a locked container, such as a lockbox;(b) Separate from food and toxic chemicals;(c) Under proper conditions for sanitation, temperature, and ventilation; and(d) In the original medication container with the pharmacist-prep…

(1) The provider must follow the Food and Drug Administration guidelines on proper disposal of medications.(2) When disposing a client's medication, the provider must list the:(a) Client's name;(b) Medication name;(c) Amount disposed; and(d) Date of disposal.(3) Two people must v…

If a client refuses a prescribed medication, the provider must:(1) Document the refusal, including the time, date, and medication refused;(2) Inform the client of the benefit of the medication;(3) Consult a pharmacist or licensed medical provider with prescription authority to de…

(1) The provider must be located in an area with public fire protection.(2) The provider must have working smoke and carbon monoxide detectors installed. Each smoke and carbon monoxide detector must address the needs of clients who are deaf or hard of hearing.(3) Smoke detectors …

(1) The provider must maintain buildings, premises, and equipment in a clean and sanitary condition, free of hazards, and in good repair. The provider must ensure the facility has:(a) Handrails for steps, stairways, and ramps if identified as a safety need.(b) Appropriate furnish…

(1) The provider must develop and implement an individual instruction and support plan for each client they support.(2) The provider must develop and implement a client's instruction and support plan no more than 30 days after the client begins receiving services.(3) The provider…

The individual instruction and support plan must:(1) Describe habilitation goals that the provider and client will work on together while the provider supports the client;(2) List the instruction and support activities the provider will provide to the client and explain how those…

(1) A client in the out-of-home services program in a child foster home may be eligible for respite services under chapter 388-828 WAC.(2) A client in the out-of-home services program in a staffed residential, children's SOLA, or group home for medically fragile children is not e…

(1) A quarterly report from a staffed residential provider, a children's SOLA, or group care facility for medically fragile children must:(a) Be submitted to DDA and sent to the client's parent or legal representative no more than 10 business days after the end of each quarter; a…

The provider must maintain current, written property records. The record must consist of:(1) A list of personal possessions with a value of at least $25.00 that the client owns when moving into the program;(2) A list of personal possessions with a value of $75.00 or more per item…

(1) The provider must keep the following in the client's record:(a) Referral packet contents;(b) Service notes;(c) The client's individual instruction and support plan;(d) The client's positive behavior support plan;(e) Signed out-of-home services acknowledgment;(f) Child and fam…

(1) The out-of-home services (OHS) acknowledgment is a document that outlines the rights and responsibilities of the client, parent or legal representative, and the provider while a client is in the OHS program. The OHS acknowledgment is signed annually by the client's parent or …

(1) A child and family engagement plan is a written agreement between the client's parent or legal representative and the provider.(2) A child and family engagement plan must:(a) Outline the parent or legal representative's role while their child is in the out-of-home services pr…

(1) Enrollment in the out-of-home services (OHS) program does not affect the legal rights and responsibilities of a client's parent or legal representative.(2) When a client enrolls in the OHS program, neither DSHS nor DDA takes custodial responsibility of the client.[Statutory A…

When a client receives services through the out-of-home services program, DDA must:(1) Facilitate the development of the child and family engagement plan under WAC 388-826-0560 before the start of service and at each annual assessment;(2) Visit the client in their setting at leas…

When a client is in the out-of-home services program, the provider must:(1) Ensure the health and safety of the client;(2) Provide adequate staff to meet the needs of clients as identified in the rate assessment;(3) Develop and implement an individual instruction and support plan…

While a client is in the out-of-home services program, the client's parent or legal representative must:(1) Maintain weekly contact with the client and actively participate in care planning;(2) Participate in the development and ongoing assessment of the client's individual educa…

(1) To receive services in a staffed residential home, a children's SOLA, or a group care facility for medically fragile children, a client may be required to pay client responsibility as required under this section.(2) DDA determines the amount of client responsibility and parti…

(1) To receive services in a child foster home, a client must pay the provider a fixed monthly amount referred to as basic expenses, which must be outlined in a basic expense agreement.(2) The written basic-expense agreement must include:(a) Monthly amounts for rent, utilities, a…

While their child is in the out-of-home services program, a parent or legal representative remains financially responsible for all expenses for their minor child that are not included in client responsibility.[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 25-11-094, ame…

(1) For a client residing in a staffed residential home, a children's SOLA, or a group care facility for medically fragile children, DDA pays the cost of services minus the amount of client responsibility under WAC 388-826-0610.(2) For a client residing in a child foster home, DD…

The representative payee:(1) Manages the client's social security or supplemental security income;(2) Uses the client's income to contribute toward the cost of the client's participation;(3) Places the client's personal needs allowance and any conserved funds in a payee account; …

(1) DDA determines the rate that is paid to support a client in a child foster home by conducting a child foster home rate assessment.(2) DDA conducts the child foster home rate assessment with the child foster home provider before services begin.[Statutory Authority: RCW 71A.12.…

(1) The child foster home rate assessment consists of 13 questions.(2) Scores are based on the parent or legal representative's report, natural supports available, documented support plans (e.g., nursing, physical therapy, occupational therapy), and report of care provided by the…

(1) The following are the assessed levels based on the range of aggregate scores:LevelLow ScoreHigh Score10320232161636171501415022085520862751627529999999(2) A standardized rate for out-of-home services is assigned to levels one through six. (3) The standardized rate is publishe…

(1) If a client who is receiving services in a child foster home experiences a significant change, DDA conducts:(a) A reassessment under WAC 388-828-1500; and(b) A child foster home rate assessment.(2) If the child foster home rate assessment results in a rate change, the foster …

A child foster home rate is not appealable through the administrative hearing process.[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 25-11-094, recodified as s 388-826-0700, filed 5/21/25, effective 7/1/25. Statutory Authority: RCW 71A.12.030 and chapters 71A.28, 74.13 …

(1) DDA determines the rate to support a client in a staffed residential home by assessing the client's identified needs.(2) DDA completes a rate assessment, which consists of four cost centers:(a) Administrative and nonstaff costs, including transportation and damage reimburseme…

(1) To support a client receiving services in a group care facility for medically fragile children, DDA pays the provider a DDA-established, per-person, monthly rate.(2) Program services must not replace or duplicate services or benefits available through private insurance, medic…

(1) If a provider decides to stop providing services to a client, the provider must:(a) Notify the client's parent or legal representative, and DDA in writing at least 30 days before the termination;(b) Provide one of the following reasons:(i) The provider cannot meet the needs o…

(1) A client, parent, or legal representative requesting a change in provider must notify the DDA social service specialist and provider.(2) DDA will work with the parent or legal representative to determine whether the parent or legal representative's concerns can be addressed w…

(1) DDA may terminate a client's services if the client is receiving services in a hospital, nursing facility, intermediate care facility for individuals with intellectual disabilities, or other institution for 30 consecutive days or longer. (2) DDA must terminate services if:(a)…

A client, the client's parent, or the client's legal representative may appeal DDA decisions under WAC 388-825-120.[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 25-11-094, amended and recodified as s 388-826-0760, filed 5/21/25, effective 7/1/25. Statutory Authority: R…

(1) The state supplementary payment is a state-paid cash assistance program for eligible clients of the developmental disabilities administration.(2) There are five types of state supplementary payment:(a) Children's legacy care;(b) Home and community based services waiver;(c) Pr…

(1) The developmental disabilities administration (DDA) must not enroll you in state supplementary payments after the effective date of this section, unless you are eligible for a state supplementary payment for prevocational legacy.(2) To be eligible for a state supplementary pa…

(1) The developmental disabilities administration (DDA) may deny, reduce, or terminate a state supplementary payment if one or more of the following is true:(a) You do not meet the eligibility requirements under WAC 388-827-0105;(b) You do not cooperate with DDA during:(i) Servic…

(1) If the developmental disabilities administration (DDA) denies, reduces, or terminates a state supplementary payment, you may request an administrative hearing, an exception to rule under WAC 388-440-0001, or both.(2) To request an administrative hearing, see WAC 388-825-120 t…

(1) If you are authorized to receive a state supplementary payment for residential habilitation:(a) DDA will base your payment on your residential need as identified in your current person-centered service plan.(b) DDA will reassess your need and may adjust your payment amount if…

(1) You may choose to have DDA send your state supplementary payment through:(a) Electronic funds transfer; or(b) The U.S. Postal Service.(2) If you are under age eighteen, the developmental disabilities administration (DDA) sends your supplementary payment to your representative…

(1) A representative payee is a person or entity that receives and manages your state supplementary payments on your behalf.(2) If the Social Security Administration assigned a representative payee to you, the developmental disabilities administration (DDA) will send your state s…

(1) An overpayment occurs if you or your representative payee receive state supplementary payment funds and at the time the developmental disabilities administration (DDA) paid the funds:(a) You were not eligible to receive the funds under WAC 388-827-0105; or(b) The sum DDA paid…

This chapter establishes rules governing the developmental disabilities administration (DDA) assessment of people determined eligible to be clients of the administration per chapter 71A.16 RCW.[Statutory Authority: RCW 71A.12.030 and 71A.16.050. WSR 21-19-093, § 388-828-1000, fil…