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fiscal year 2025, and $25,267,000 of the general fund—federal 1 appropriation are provided solely for the implementation of an 2 agreement reached between the governor and the adult family home 3 council under the provisions of chapter 41.56 RCW for the 2023-2025 4 fiscal biennium, as provided in section 907 of this act. 5 (h) The department may authorize a one-time waiver of all or any 6 portion of the licensing and processing fees required under RCW 7 70.128.060 in any case in which the department determines that an 8 adult family home is being relicensed because of exceptional 9 circumstances, such as death or incapacity of a provider, and that to 10 require the full payment of the licensing and processing fees would 11 present a hardship to the applicant. In these situations the 12 department is also granted the authority to waive the required 13 residential administrator training for a period of 120 days if 14 necessary to ensure continuity of care during the relicensing 15 process. 16 (i) Community residential cost reports that are submitted by or 17 on behalf of contracted agency providers are required to include 18 information about agency staffing including health insurance, wages, 19 number of positions, and turnover. 20 (j) Sufficient appropriations are provided to continue community 21 alternative placement beds that prioritize the transition of clients 22 who are ready for discharge from the state psychiatric hospitals, but 23 who have additional long-term care or developmental disability needs. 24 (i) Community alternative placement beds include enhanced service 25 facility beds, adult family home beds, skilled nursing facility beds, 26 shared supportive housing beds, state operated living alternative 27 beds, and assisted living facility beds. 28 (ii) Each client must receive an individualized assessment prior 29 to leaving one of the state psychiatric hospitals. The individualized 30 assessment must identify and authorize personal care, nursing care, 31 behavioral health stabilization, physical therapy, or other necessary 32 services to meet the unique needs of each client. It is the 33 expectation that, in most cases, staffing ratios in all community 34 alternative placement options described in (j)(i) of this subsection 35 will need to increase to meet the needs of clients leaving the state 36 psychiatric hospitals. If specialized training is necessary to meet 37 the needs of a client before he or she enters a community placement, 38 then the person centered service plan must also identify and 39 authorize this training. 40 p. 167 ESSB 5187.SL