Washington Administrative Code

Client means a person who has a developmental disability as defined in RCW 71A.10.020 and who has been determined DDA-eligible under chapter 388-823 WAC.Community inclusion activities means person-centered activities where clients engage with others in their local community.Court…

A person is eligible for the RHDY program if the person's legal representative requests residential habilitation services and the person:(1) Is DDA-eligible under chapter 388-823 WAC;(2) Is eligible for the core waiver under chapter 388-845 WAC;(3) Is age 8-17 at the time they en…

(1) To determine whether they can safely meet a client's needs, the RHDY provider must review available client information, such as:(a) The client's referral packet;(b) Information gathered from the client, collateral contacts, or case manager;(c) Client placement and legal histo…

(1) A client age 18 or older may continue in the RHDY program if the client is:(a) Under the age of 21;(b) Accessing the RHDY program the day before their 18th birthday;(c) Enrolled in extended foster care; and(d) Pursuing a high school or equivalency course of study (GED/HSEC) o…

To be a RHDY program provider, an entity must be one of the following:(1) A children's state-operated living alternative; or(2) A staffed residential home contracted with the developmental disabilities administration and licensed under chapter 74.15 RCW.[Statutory Authority: RCW …

A RHDY provider must be certified by DDA.[Statutory Authority: RCW 71A.12.030, 71A.12.380, 71A.12.380(1), and 42 C.F.R. 441.301. WSR 25-15-103, s 388-842-0030, filed 7/17/25, effective 8/17/25.]

(1) To be a certified provider, a RHDY provider must participate in site visits.(2) During a site visit, DDA verifies the provider's compliance with the following safety requirements:(a) The common areas of the home are unrestricted.(b) All entrances and exits are unblocked.(c) T…

(1) To provide direct support to a client in the RHDY program, a direct support professional at a children's state-operated living alternative must complete:(a) Training and continuing education required under chapter 388-829 WAC;(b) Training according to the timelines in chapter…

To support a client in the RHDY program, a direct support professional of a staffed residential home must complete:(1) Training required under chapter 110-145 WAC;(2) Training and continuing education required under chapter 388-829 WAC;(3) Client-specific training based on the in…

(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, 71A.12.380, 71A.12.380(1), and 42 C.F.R. 441.301. WSR 25-15-103…

(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 store cleaning supplies, flammables, and other combustible materials, toxic or poisonous substances, and aerosols in a locked container.(2) If a container is filled with a toxic substance from a bulk supply, the provider must clearly label the contain…

(1) The provider must store a client's medication:(a) So they are not readily available to other clients;(b) In a locked container, such as a lockbox;(c) Separate from food and toxic chemicals;(d) Under proper conditions for sanitation, temperature, and ventilation; and(e) In the…

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

(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 RHDY services.(3) The pro…

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…

A staffed residential provider or a children's SOLA provider must complete a quarterly report. The quarterly report must:(1) 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; and(2) Include:(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 RHDY acknowledgment;(f) RHDY engagement plan;(g) Log …

(1) The RHDY acknowledgment is a document that outlines the rights and responsibilities of the client, DCYF, and the provider while a client is receiving services from a RHDY provider. The RHDY acknowledgment is signed by the client's legal representative, client if over 18, and …

(1) A RHDY engagement plan is a written agreement between DCYF and the provider.(2) A RHDY engagement plan must include:(a) A schedule of court-ordered family time or a copy of the family time plan.(b) A safety plan for any documented safety issues.(c) Identification of any legal…

When a client is in the RHDY program, DDA must:(1) Facilitate the development of the RHDY engagement plan under WAC 388-842-0170 before the start of service and at each annual assessment;(2) Visit the client in their licensed or certified setting at least every 90 days;(3) Develo…

(1) When a client is in the RHDY program, the licensed or certified provider must:(a) Ensure the health and safety of the client, which includes access to routine medical care;(b) Provide adequate staff to meet the needs of the client as identified in the rate assessment;(c) Deve…

When a client is in the RHDY program, DCYF must:(1) Provide DDA with a court order authorizing DCYF to pursue and consent to residential habilitation services. This is not required if DDA obtains consent directly from the parent or guardian.(2) Ensure that youth under age 16 have…

(1) The provider is responsible for partnering with a client's legal representative to obtain medical care for the client.(2) The legal representative must provide a copy of the court order authorizing the recommended medical care, or signed parent consent, to the RHDY provider b…

(1) The provider is not required to:(a) Participate in dependency court proceedings;(b) Provide court reports and other documentation; or(c) Provide testimony.(2) The provider must ensure that a client is available for scheduled dependency court hearings and court-related appoint…

DDA determines the amount of client responsibility and room and board a client must pay under WAC 182-515-1510.[Statutory Authority: RCW 71A.12.030, 71A.12.380, 71A.12.380(1), and 42 C.F.R. 441.301. WSR 25-15-103, s 388-842-0205, filed 7/17/25, effective 8/17/25.]

(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 non-staff costs, including transportation and damage reimbursem…

When a client is in the RHDY program, DCYF must pay for the client's:(1) Basic expenses (including maintenance) and supervision.(2) Essential daily living expenses, which includes hygiene products, clothing, school-related expenses, and other personal care items. These items are …

For a client in the RHDY program, the HCBS waiver covers the cost of the RHDY program services minus maintenance, supervision, and client responsibility.[Statutory Authority: RCW 71A.12.030, 71A.12.380, 71A.12.380(1), and 42 C.F.R. 441.301. WSR 25-15-103, s 388-842-0220, filed 7/…

(1) If a provider decides to stop providing services to a client, the provider must:(a) Notify DDA and DCYF at least 30 days before the effective date;(b) Provide one of the following reasons:(i) The provider cannot meet the needs of the client;(ii) The client's safety or the saf…

(1) A client is no longer eligible for the RHDY program if the client's dependency status changes and the dependency is closed, or the placement is changed to in-home.(2) DDA will meet with the parent or legal representative (or client if over 18) and the DCYF caseworker to deter…

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, 71A.12.380, 71A.12.380(1), and 42 C.F.R. 441.301. WSR 25-15-103, s 388-842-0250, filed 7/17/25, effective 8/17/25.]

A youth transitional care facility is a staff-secure, voluntary, and transitional treatment facility that:(1) Specializes in services for youth who:(a) Must have an intellectual or developmental disability, or autism spectrum disorder;(b) Must have a severe psychiatric diagnosis;…

Admission team means an interdisciplinary group at a youth transitional care facility who reviews a youth's application and supporting documentation to determine if there is capacity to safely serve the youth at the facility and to establish an admission date.Behavioral health se…

(1) A youth is eligible for specialized treatment at a youth transitional care facility if the dedicated review committee determines or verifies the youth:(a) Is DDA-eligible under chapter 388-823 WAC or is assessed to have a diagnosed neurodevelopmental disorder, or another neur…

(1) To determine if the facility is able to support the youth, the admission team will review:(a) The application and supporting documentation to evaluate the youth's treatment needs;(b) Staffing needed to meet the youth's assessed treatment needs; and(c) Bed capacity.(2) Eligibi…

A youth transitional care facility may deny admission of an eligible youth if:(1) The youth or legal representative does not engage in the preadmission evaluation or admission process; or(2) The youth has a treatment recommendation for a level of care that is unavailable at the f…

While a youth receives services at a youth transitional care facility, the youth's parent or legal representative must:(1) Collaborate with the facility and local school district to support timely access to appropriate educational services, including: Enroll the youth in the loca…

While a dependent youth receives services at a youth transitional care facility, the department of children, youth, and families (DCYF) must:(1) Collaborate with the facility, the relevant school districts, and the youth's educational decision maker to support continuous access t…

When a youth is approved for admission to the youth transitional care facility, the facility must:(1) Provide adequate staff to meet the youth's assessed treatment needs;(2) Develop and implement an individualized treatment plan;(3) Collaborate with the school, legal representati…

(1) The youth transitional care facility may discharge a youth if:(a) The youth turns 18; or(b) The youth or the youth's legal representative requests discharge.(2) The youth transitional care facility may discharge a youth if the facility determines:(a) The youth no longer requi…