Washington Administrative Code

(1) A companion home provider is a mandated reporter under chapter 74.34 RCW.(2) As a mandated reporter, the companion home provider must notify adult protective services and law enforcement as required under chapter 74.34 RCW.(3) A companion home provider must complete incident …

A companion home provider must immediately report suspected abandonment, abuse, financial exploitation or neglect of a vulnerable adult:(1) As required under chapter 74.34 RCW; and(2) In compliance with the DDA residential reporting requirements in the companion home contract.[St…

To provide the client health care support the companion home provider must:(1) Schedule or assist the client in scheduling appointments and any follow-up appointments for dental, mental, and physical health services; (2) Ensure the client receives an annual physical and dental ex…

A companion home provider may provide medication assistance under chapter 246-888 WAC if the client:(1) Is able to put the medication into their mouth or apply or instill the medication; and(2) Is aware that they are taking medication.[Statutory Authority: RCW 71A.12.030, 71A.10.…

(1) A companion home provider may administer medication and perform delegated nursing tasks if the provider is:(a) A registered nurse or licensed practical nurse; or(b) Delegated to perform nursing care tasks by a registered nurse.(2) To provide delegated nursing tasks, the compa…

(1) The companion home provider must meet requirements for nurse delegation no more than thirty days after the client's need for medication administration or a delegated nursing task is identified by a delegating nurse when a change in the client's health or ability to manage the…

(1) Respite is a scheduled break in caregiving to provide relief for the companion home provider. (2) A companion home client may receive:(a) Waiver-funded respite under chapter 388-845 WAC;(b) Overnight planned respite services under chapter 388-829R WAC; and(c) Planned respite …

(1) The companion home provider must review with the respite provider:(a) The support needs identified in the client's person-centered service plan;(b) The need for the client to have access to their money as identified in their plan; and(c) Record keeping requirements.(2) The co…

For waiver-funded respite, DDA determines a companion home client's annual respite allocation by adding the client's companion home services support score under WAC 388-828-6010 to their adjusted companion home services support score under WAC 388-828-6011.[Statutory Authority: R…

(1) If DDA approves waiver-funded respite hours in addition to the client's annual respite allocation, DDA will reduce the companion home daily rate.(2) To reduce the provider's daily rate, DDA:(a) Converts the provider's daily rate into an hourly rate;(b) Multiplies the hourly r…

DDA may reduce a companion home daily rate if the client receives state-funded overnight planned respite services or state-funded planned respite at a residential habilitation center.[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 23-13-030, § 388-829C-235, filed 6/12/23…

(1) The companion home provider may transport a client if the provider has:(a) A valid driver's license under chapter 46.20 RCW; and(b) Automobile insurance under chapters 46.29 and 46.30 RCW.(2) The companion home provider must ensure all transportation needs identified in the c…

A companion home provider may manage a client's funds if the provider:(1) Has written consent from the client, or the client's legal representative if the client has one; or(2) Is the client's representative payee.[Statutory Authority: RCW 71A.12.030, 71A.10.020 and 71A.12.040. W…

(1) The companion home provider must develop and implement an individual financial plan if:(a) The client's person-centered service plan identifies that the client needs support to manage their funds; and(b) The companion home provider manages any portion of the client's funds.(2…

(1) When managing a client's funds, the companion home provider must:(a) Protect the client's financial interests;(b) Include the client to the highest degree possible in decision making about how their funds are spent;(c) Maintain a detailed ledger with a running balance for eac…

(1) Mismanagement of client funds includes any action or inaction by the companion home provider when managing a client's funds that results in:(a) Interest charges;(b) Late payment fees;(c) Overdraft and nonsufficient funds fees;(d) A violation of the room and board agreement;(e…

(1) If a client chooses a new provider and the current provider manages the client's funds, the current provider must:(a) Establish a written agreement with the client, before the client moves, that states the amount of money the provider may withhold to cover any unpaid bills an…

(1) A client who receives residential habilitation services in a companion home must pay monthly room and board to the companion home provider. (2) The monthly room and board the client pays to the provider must be specified in a room and board agreement that includes:(a) Rent;(b…

(1) A provider violates the room and board agreement if the provider:(a) Requests the client's room and board payment earlier than the due date established in the room and board agreement; or(b) Requests a payment other than the amount established in the room and board agreement.…

(1) A companion home must:(a) Be accessible to the client;(b) Provide the client direct, unrestricted access to all common areas;(c) Have adequate space for mobility aids, such as a wheelchair, walker, or lifting device;(d) Have unblocked exits;(e) Be maintained, inside and outsi…

The companion home provider must:(1) Maintain the water temperature in the home no higher than 120 degrees Fahrenheit;(2) Check the water temperature when the client moves into the home and monthly thereafter; and(3) Document compliance with this requirement under WAC 388-829C-34…

A companion home provider must maintain all of the following client records:(1) The client's name, address, and Social Security number.(2) The name, address, and telephone number of the client's legal representative, if the client has one, and any of the client's relatives that t…

The companion home provider must maintain:(1) Client records under WAC 388-829C-340;(2) Water temperature monitoring records under WAC 388-829C-330;(3) Provider training records under WAC 388-829C-110;(4) An evacuation plan and practice records under WAC 388-829C-320;(5) An emerg…

(1) The companion home provider must submit a quarterly report to DDA that describes the instruction and support activities performed as identified in the person-centered service plan.(2) The quarterly report must:(a) Be submitted every three months and upon DDA's request;(b) Inc…

(1) The companion home provider must ensure all record entries are:(a) Made at the time of or immediately following the event;(b) Made electronically or written legibly in ink;(c) Signed and dated by the person making the entry;(d) Stored securely; and(e) Kept confidential.(2) To…

(1) The companion home provider must document when a client declines to participate in:(a) Monthly evacuation drills under WAC 388-829C-320;(b) Health care support under WAC 388-829C-160; and(c) Tasks assigned to the provider in the client's person-centered service plan, includin…

When a client who is receiving medication support from the provider declines to take a prescribed medication, the provider must:(1) Respect the client's right to choose not to take the medication;(2) Document the reason for the decline, if provided;(3) Document the time, date, an…

(1) A companion home provider must assist a client to maintain a current, written record of the client's property. (2) The property record must include:(a) A descriptive list of items with an original purchase price of twenty-five dollars or more that the client owned when reside…

To transfer or access information about a client, the provider must have a legally valid authorization for release of information.[Statutory Authority: RCW 71A.12.030, 71A.10.020 and 71A.12.040. WSR 18-22-106, § 388-829C-390, filed 11/6/18, effective 12/7/18. Statutory Authority:…

A companion home provider must keep client and provider records for six years.[Statutory Authority: RCW 71A.12.030, 71A.10.020 and 71A.12.040. WSR 18-22-106, § 388-829C-400, filed 11/6/18, effective 12/7/18. Statutory Authority: RCW 71A.12.30 [71A.12.030] and Title 71A RCW. WSR 0…

(1) The companion home provider must develop an emergency response plan and practice it with the client.(2) In a medical emergency, the companion home provider must:(a) Immediately call 911 in a life threatening emergency;(b) Provide first aid or CPR if necessary, unless limited …

DDA must immediately decertify a companion home provider if the provider or another person age sixteen or older living in the companion home:(1) Has been convicted of, or has a pending charge for a crime that is disqualifying under chapter 388-113 WAC; or(2) Has a negative action…

(1) If a companion home provider fails to comply with any part of this chapter or the companion home contract, the provider and DDA resource management must develop a plan of correction.(2) The plan of correction must:(a) Outline methods for the provider to complete corrective ac…

DDA must deny payment to a companion home provider if the provider:(1) Is no longer providing paid services to the client; or(2) Fails to maintain certification as a companion home provider.[Statutory Authority: RCW 71A.12.030, 71A.12.040, 71A.12.110, and 71A.12.120. WSR 25-11-09…

DDA may withhold payment to a provider if the provider fails to:(1) Timely submit records when requested by DDA; or(2) Correct a DDA-identified issue of noncompliance within the specified timeline.[Statutory Authority: RCW 71A.12.030, 71A.12.040, 71A.12.110, and 71A.12.120. WSR 2…

(1) If a companion home provider is no longer willing or able to provide services to a client, they must provide a sixty-day written notice to:(a) The client;(b) The client's legal representative if the client has one; and (c) DDA.(2) If a companion home provider must terminate s…

A client has the right to an administrative hearing to appeal department decisions under WAC 388-825-120.[Statutory Authority: RCW 71A.12.030, 71A.10.020 and 71A.12.040. WSR 18-22-106, § 388-829C-490, filed 11/6/18, effective 12/7/18. Statutory Authority: RCW 71A.12.30 [71A.12.03…

(1) A primary caregiver or legal representative remains financially responsible for all expenses for the client that the overnight planned respite services provider is not required to provide under this chapter.(2) For a client subject to a dependency action who is court ordered …

The following definitions apply to this chapter:"Administrator" means the person responsible for daily management and operation of the overnight planned respite services site. The administrator may also be the owner."Authorization" means DDA approval of funding for a service as i…

This chapter establishes rules for overnight planned respite services administered by DDA.[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 20-08-033, § 388-829R-010, filed 3/24/20, effective 5/1/20. Statutory Authority: RCW 71A.12.030, 71A.12.120, and 2015 3rd sp.s. c 4. …

To be eligible to receive overnight planned respite services, a person must:(1) Be DDA-eligible under chapter 388-823 WAC;(2) Be 18 or older;(3) Live at home with a primary caregiver and not currently receive: (a) Community first choice residential services; or(b) Residential hab…

The case resource manager assists the client or the client's primary caregiver to complete a respite application and submit it to the respite services committee.[Statutory Authority: RCW 71A.12.030 and 71A.12.040. WSR 20-08-033, § 388-829R-012, filed 3/24/20, effective 5/1/20.]

The adult respite services committee will consider the following factors when reviewing a respite request:(1) Whether the client is eligible to receive overnight planned respite services under WAC 388-829R-011;(2) Whether the client's needs can be safely met in the respite settin…

(1) A client must not receive overnight planned respite services more than fourteen days in a calendar year.(2) A provider must not provide overnight planned respite services to more than one unrelated client per respite home at a time.[Statutory Authority: RCW 71A.12.030 and 71A…

An overnight planned respite services provider must:(1) Meet the requirements of this chapter;(2) Deliver the service on the dates approved by DDA;(3) Complete the overnight planned respite services individualized agreement with the client or the client's primary caregiver before…

To be eligible to contract with DDA to provide overnight planned respite services, a provider must:(1) Be approved as a contractor by the department; and(2) Obtain initial certification in accordance with WAC 388-825A-0040.[Statutory Authority: RCW 71A.12.030, 71A.12.040, 71A.12.…

A provider of overnight planned respite services must be certified by DDA under chapter 388-825A WAC.[Statutory Authority: RCW 71A.12.030, 71A.12.040, 71A.12.110, and 71A.12.120. WSR 25-12-001, s 388-829R-026, filed 5/21/25, effective 7/1/25.]