Section 388-877-0320 - Agency licensure and certification-On-site reviews and plans of correction To obtain and maintain a department-issued license and to continue to provide department-certified behavioral health services, each agency is subject to an on-site review to determine if the agency is in compliance with the minimum licensure and certification standards.
(1) A department review team representative(s) conducts an entrance conference with the agency and an on-site review that may include: (a) A review of: (i) Agency policies and procedures;(iv) Facility accessibility;(v) The agency's internal quality management plan, process, or both, that demonstrates how the agency evaluates program effectiveness and individual participant satisfaction; and(vi) Any other information, including the criteria in WAC 388-877-0335(1)(b), that the department determines to be necessary to confirm compliance with the minimum standards of this chapter; and(b) Interviews with: (i) Individuals served by the agency; and(ii) Agency staff members.(2) The department review team representative(s) concludes an on-site review with an exit conference that includes, if applicable: (a) A discussion of findings;(b) A statement of deficiencies requiring a plan of correction; and(c) A plan of correction signed by the agency's designated official and the department review team representative.(3) The department requires the agency to correct the deficiencies listed on the plan of correction: (a) By the negotiated time frame agreed upon by the agency and the department review team representative; or(b) Immediately if the department determines health and safety concerns require immediate corrective action.Wash. Admin. Code § 388-877-0320
Amended by WSR 18-06-043, Filed 3/1/2018, effective 4/1/2018Statutory Authority: Chapters 70.02, 70.96A, 71.05, 71.24, 71.34, 74.50 RCW, RCW 74.08.090, 43.20A.890, and 42 C.F.R. Part 8. WSR 13-12-054, § 388-877-0320, filed 5/31/13, effective 7/1/13.