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shared supportive housing beds, state operated living alternative 1 beds, assisted living facility beds, adult residential care beds, and 2 specialized dementia beds. 3 (b) Each client must receive an individualized assessment prior 4 to leaving one of the state psychiatric hospitals. The individualized 5 assessment must identify and authorize personal care, nursing care, 6 behavioral health stabilization, physical therapy, or other necessary 7 services to meet the unique needs of each client. It is the 8 expectation that, in most cases, staffing ratios in all community 9 alternative placement options described in (a) of this subsection 10 will need to increase to meet the needs of clients leaving the state 11 psychiatric hospitals. If specialized training is necessary to meet 12 the needs of a client before he or she enters a community placement, 13 then the person centered service plan must also identify and 14 authorize this training. 15 (c) When reviewing placement options, the department must 16 consider the safety of other residents, as well as the safety of 17 staff, in a facility. An initial evaluation of each placement, 18 including any documented safety concerns, must occur within thirty 19 days of a client leaving one of the state psychiatric hospitals and 20 entering one of the community placement options described in (a) of 21 this subsection. At a minimum, the department must perform two 22 additional evaluations of each placement during the first year that a 23 client has lived in the facility. 24 (d) In developing bed capacity, the department shall consider the 25 complex needs of individuals waiting for discharge from the state 26 psychiatric hospitals. 27 (19) The annual certification renewal fee for community 28 residential service businesses is $859 per client in fiscal year 2024 29 and $859 per client in fiscal year 2025. The annual certification 30 renewal fee may not exceed the department's annual licensing and 31 oversight activity costs. 32 (20) $5,094,000 of the general fund—state appropriation for 33 fiscal year 2024 and $5,094,000 of the general fund—state 34 appropriation for fiscal year 2025 are provided solely for services 35 and support to individuals who are deaf, hard of hearing, or deaf- 36 blind. 37 (21) $63,938,000 of the general fund—state appropriation for 38 fiscal year 2024, $40,714,000 of the general fund—state appropriation 39 p. 186 ESSB 5187.SL