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.