WAC 388-76-10355   Negotiated care plan.  The adult family home must use the resident assessment and preliminary care plan to develop a written negotiated care plan. The home must ensure each resident's negotiated care plan includes:

     (1) A list of the care and services to be provided;

     (2) Identification of who will provide the care and services;

     (3) When and how the care and services will be provided;

     (4) How medications will be managed, including how the resident will get their medications when the resident is not in the home;

     (5) The resident's activities preferences and how the preferences will be met;

     (6) Other preferences and choices about issues important to the resident, including, but not limited to:

     (a) Food;

     (b) Daily routine;

     (c) Grooming; and

     (d) How the home will accommodate the preferences and choices.

     (7) If needed, a plan to:

     (a) Follow in case of a foreseeable crisis due to a resident's assessed needs;

     (b) Reduce tension, agitation and problem behaviors;

     (c) Respond to resident's special needs, including, but not limited to medical devices and related safety plans;

     (d) Respond to a resident's refusal of care or treatment, including when the resident's physician or practitioner should be notified of the refusal;

     (8) Identification of any communication barriers the resident may have and how the home will use behaviors and nonverbal gestures to communicate with the resident;

     (9) A statement of the ability for resident to be left unattended for a specific length of time; and

     (10) A hospice care plan if the resident is receiving services for hospice care delivered by a licensed hospice agency.



[Statutory Authority: RCW 70.128.040. 09-03-029, § 388-76-10355, filed 1/12/09, effective 2/12/09. Statutory Authority: RCW 70.128.040 and chapters 70.128 and 74.34 RCW. 07-21-080, § 388-76-10355, filed 10/16/07, effective 1/1/08.]