Chapter 246-320 WAC
HOSPITAL LICENSING REGULATIONS
Last Update: 8/18/10

WAC SECTIONS

246-320-001 Purpose and applicability of chapter.
246-320-010 Definitions.
246-320-011 Department responsibilities -- Licensing -- Adjudicative proceeding.
246-320-016 Department responsibilities -- On-site survey and complaint investigation.
246-320-021 Department responsibilities -- General.
246-320-026 Department role -- Exemptions, interpretations, alternative methods.
246-320-031 Criminal history, disclosure, and background inquiries -- Department responsibility.
246-320-036 Department responsibility, refund initial license fee.
LICENSING
246-320-101 Application for license -- Annual update of hospital information -- License renewal -- Right to contest a license decision.
246-320-106 Application for license, specialty hospital -- Annual update of hospital information -- License renewal -- Right to contest a license decision.
246-320-111 Hospital responsibilities.
246-320-116 Specialty hospital responsibilities.
246-320-121 Requests for exemptions, interpretations, alternative methods.
246-320-126 Criminal history, disclosure, and background inquiries -- Hospital responsibility.
246-320-131 Governance.
246-320-136 Leadership.
246-320-141 Patient rights and organizational ethics.
246-320-146 Adverse health events and incident reporting system.
246-320-151 Reportable events.
246-320-156 Management of human resources.
246-320-161 Medical staff.
246-320-166 Management of information.
246-320-171 Improving organizational performance.
246-320-176 Infection control program.
246-320-199 Fees.
PATIENT CARE
246-320-201 Food and nutrition services.
246-320-206 Linen and laundry services.
246-320-211 Pharmaceutical services.
246-320-216 Laboratory, imaging, and other diagnostic, treatment or therapeutic services.
246-320-221 Safe patient handling.
246-320-226 Patient care services.
246-320-231 Patient care unit or area.
246-320-236 Surgical services.
246-320-241 Anesthesia services.
246-320-246 Recovery care.
246-320-251 Obstetrical services.
246-320-256 Neonatal and pediatric services.
246-320-261 Critical or intensive care services.
246-320-266 Alcohol and chemical dependency services.
246-320-271 Psychiatric services.
246-320-276 Long-term care services.
246-320-281 Emergency services.
246-320-286 Emergency contraception.
246-320-291 Dialysis services.
246-320-296 Management of environment for care.
246-320-500 Applicability of WAC 246-320-500 through 246-320-600.
246-320-505 Design, construction review, and approval of plans.
246-320-600 Washington state amendments.
DISPOSITIONS OF SECTIONS FORMERLY CODIFIED IN THIS CHAPTER
246-320-025 On-site licensing survey. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-025, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-045 Application for license -- License expiration dates -- Notice of decision -- Adjudicative proceeding. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-045, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-065 Exemptions, alternative methods, and interpretations. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-065, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-085 Single license to cover two or more buildings--When permissible. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-085, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-105 Criminal history, disclosure, and background inquiries. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-105, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-125 Governance. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-125, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-145 Leadership. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-145, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-165 Management of human resources. [Statutory Authority: Chapter 70.41 RCW. 08-14-023, § 246-320-165, filed 6/20/08, effective 7/21/08. Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-165, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-185 Medical staff. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-185, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-205 Management of information. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-205, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-225 Improving organizational performance. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-225, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-245 Patient rights and organizational ethics. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-245, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-265 Infection control program. [Statutory Authority: Chapter 70.41 RCW. 08-14-023, § 246-320-265, filed 6/20/08, effective 7/21/08. Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-265, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-285 Pharmacy services. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-285, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-305 Food and nutrition services. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-305, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-325 Laboratory, imaging, and other diagnostic, treatment or therapeutic services. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-325, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-345 Inpatient care services. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-345, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-365 Specialized patient care services. [Statutory Authority: Chapter 70.41 RCW. 08-14-023, § 246-320-365, filed 6/20/08, effective 7/21/08. Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-365, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-370 Emergency contraception. [Statutory Authority: RCW 70.41.350 and 70.41.030. 04-11-057, § 246-320-370, filed 5/17/04, effective 6/17/04.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-385 Outpatient care services. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-385, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-405 Management of environment for care. [Statutory Authority: Chapter 70.41 RCW. 08-14-023, § 246-320-405, filed 6/20/08, effective 7/21/08. Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-405, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-515 Site and site development. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-515, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-525 General design. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-525, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-535 Support facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-535, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-545 Maintenance, engineering, mechanical, and electrical facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-545, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-555 Admitting, lobby, and medical records facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-555, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-565 Receiving, storage, and distribution facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-565, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-575 Central processing service facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-575, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-585 Environmental services facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-585, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-595 Laundry and/or linen handling facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-595, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-605 Food and nutrition facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-605, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-615 Pharmacy. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-615, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-625 Laboratory and pathology facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-625, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-635 Surgery facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-635, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-645 Recovery/post anesthesia care unit (PACU). [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-645, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-655 Obstetrical delivery facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-655, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-665 Birthing/delivery rooms, labor, delivery, recovery (LDR) and labor, delivery, recovery, postpartum (LDRP). [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-665, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-675 Interventional service facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-675, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-685 Nursing unit. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-685, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-695 Pediatric nursing unit. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-695, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-705 Newborn nursery facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-705, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-715 Intermediate care nursery and neonatal intensive care nursery. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-715, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-725 Critical care facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-725, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-735 Alcoholism and chemical dependency nursing unit. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-735, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-745 Psychiatric facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-745, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-755 Rehabilitation facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-755, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-765 Long-term care and hospice unit. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-765, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-775 Dialysis facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-775, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-785 Imaging facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-785, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-795 Nuclear medicine facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-795, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-805 Emergency facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-805, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-815 Outpatient care facilities. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-815, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW. 
246-320-990 Fees. [Statutory Authority: Chapter 70.41 RCW. 08-14-023, § 246-320-990, filed 6/20/08, effective 7/21/08. Statutory Authority: RCW 43.70.250. 07-17-174, § 246-320-990, filed 8/22/07, effective 9/22/07; 05-18-073, § 246-320-990, filed 9/7/05, effective 10/8/05. Statutory Authority: RCW 43.70.250, 18.46.030, 43.70.110, 71.12.470. 04-19-141, § 246-320-990, filed 9/22/04, effective 10/23/04. Statutory Authority: RCW 43.70.250 and 70.38.105(5). 03-22-020, § 246-320-990, filed 10/27/03, effective 11/27/03. Statutory Authority: RCW 43.70.250. 02-13-061, § 246-320-990, filed 6/14/02, effective 7/15/02. Statutory Authority: RCW 70.41.100, 43.20B.110, and 43.70.250. 01-20-119, § 246-320-990, filed 10/3/01, effective 11/3/01; 99-24-096, § 246-320-990, filed 11/30/99, effective 12/31/99. Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-990, filed 1/28/99, effective 3/10/99.]  Repealed by 09-07-050, filed 3/11/09, effective 4/11/09. Statutory Authority: Chapter 70.41 RCW and RCW 43.70.040. 
246-320-99902 Appendix B--Dates of documents adopted by reference in chapter 246-320 WAC. [Statutory Authority: RCW 70.41.030 and 43.70.040. 99-04-052, § 246-320-99902, filed 1/28/99, effective 3/10/99.]  Repealed by 08-14-023, filed 6/20/08, effective 7/21/08. Statutory Authority: Chapter 70.41 RCW.