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WASHINGTON · CARE PROGRAM

Assisted Living Facilities

Administrators and caregivers (state and fingerprint checks), and other staff, managers, contractors, volunteers and students with unsupervised access (state check), under chapter 388-78A WAC.

ALF · ON FILE
Registries named
6
Required
2
Expected
4
Screened by ezOIG
4 of 6
Rules checked
October 16, 2026

Required checks

Named by a regulation, a statute or the state's Medicaid agency

  1. DSHS background check (Background Check Central Unit)

    Department of Social and Health Services, Background Check Central Unit

    NOT SCREENED YET Requires an employer account
    WHEN
    AT HIRE Before unsupervised access, then every two years; FBI fingerprint check at hire for administrators and caregivers
    BASIS
    WAC 388-78A-2462, 388-78A-2466, 388-78A-2470; RCW 74.39A.056(2)(a)

    (1) A Washington state name and date of birth background check is valid for two years from the initial date it is conducted. The assisted living facility must ensure: (a) A new DSHS background authorization form is submitted to the department's background check central unit every two years for all administrators, caregivers, staff persons, volunteers and students; and

    Read the source app.leg.wa.gov

  2. Provider Credential Search

    Washington State Department of Health

    SCREENED BY EZOIG License verification
    WHEN
    AT HIRE Before hiring, every required licence, certification or registration (nurses, nursing assistants, home care aides)
    BASIS
    WAC 388-78A-2450(2)(c), (5)(d)(iii)

    (c) Verify prior to hiring that staff persons have the required licenses, certification, registrations, or other credentials for the position, and that such licenses, certifications, registrations, and credentials are current and in good standing;

    Read the source app.leg.wa.gov

Expected checks

Standard practice, or implied by a provider's enrollment duties; no rule names them outright

  1. List of Excluded Individuals/Entities

    HHS Office of Inspector General

    SCREENED BY EZOIG Federal exclusion check against the HHS-OIG list
    WHEN
    MONTHLY At hire and monthly
    BASIS
    CMS State Medicaid Director Letter #09-001; no Washington rule found for assisted living facilities

  2. Provider Termination and Exclusion List

    Washington State Health Care Authority and Department of Social and Health Services

    SCREENED BY EZOIG State Medicaid exclusion list check
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice for facilities serving Medicaid residents

  3. Washington State Registered Sex and Kidnapping Offender website

    Washington Association of Sheriffs and Police Chiefs

    NOT SCREENED YET The registry blocks automated access
    WHEN
    AT HIRE At hire
    BASIS
    Implied by WAC 388-78A-2470(2)(b): a registered sex offender may not be employed

  4. SAM.gov exclusions

    General Services Administration

    SCREENED BY EZOIG Federal exclusion check against SAM.gov
    WHEN
    MONTHLY At hire and monthly
    BASIS
    Standard practice for Medicaid providers; no Washington rule names it

Also required

Not registry lookups; ezOIG doesn't run these
  • National fingerprint background check through BCCU for administrators and caregivers hired after 7 January 2012 (WAC 388-78A-2462(2)(b), 388-78A-2466(2))
  • Background check disclosure statement (WAC 388-78A-2469)
  • Work references verified before hiring (WAC 388-78A-2450(2)(b))
  • Long-term care worker training and home care aide certification (WAC 388-78A-2450(5)(d)(i); chapter 388-112A WAC)

Why some registries are not screened yet

The registry blocks automated access
The registry's website turns away automated lookups. We don't work around that, so for now your staff search it themselves.
Requires an employer account
Searches go through the employer's own account with the agency, so ezOIG doesn't run them for you.

Guidance, not legal advice

This page summarizes ezOIG's research into Washington's rules for this program, checked against the regulations as of October 16, 2026. Rules change, and an agency's own contract or license can add to them. Confirm what applies to you with Washington State Health Care Authority (Apple Health) or your own counsel before relying on it.

Screen for Washington ALF.

Choose this program when you set up your organization, and ezOIG runs the registries it screens on your schedule.

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