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(g) Community residential cost reports that are submitted by or 1 on behalf of contracted agency providers are required to include 2 information about agency staffing including health insurance, wages, 3 number of positions, and turnover. 4 (h) Sufficient appropriations are provided to continue community 5 alternative placement beds that prioritize the transition of clients 6 who are ready for discharge from the state psychiatric hospitals, but 7 who have additional long-term care or developmental disability needs. 8 (i) Community alternative placement beds include enhanced service 9 facility beds, adult family home beds, skilled nursing facility beds, 10 shared supportive housing beds, state operated living alternative 11 beds, and assisted living facility beds. 12 (ii) Each client must receive an individualized assessment prior 13 to leaving one of the state psychiatric hospitals. The individualized 14 assessment must identify and authorize personal care, nursing care, 15 behavioral health stabilization, physical therapy, or other necessary 16 services to meet the unique needs of each client. It is the 17 expectation that, in most cases, staffing ratios in all community 18 alternative placement options described in (h)(i) of this subsection 19 will need to increase to meet the needs of clients leaving the state 20 psychiatric hospitals. If specialized training is necessary to meet 21 the needs of a client before he or she enters a community placement, 22 then the person centered service plan must also identify and 23 authorize this training. 24 (iii) When reviewing placement options, the department must 25 consider the safety of other residents, as well as the safety of 26 staff, in a facility. An initial evaluation of each placement, 27 including any documented safety concerns, must occur within thirty 28 days of a client leaving one of the state psychiatric hospitals and 29 entering one of the community placement options described in (h)(i) 30 of this subsection. At a minimum, the department must perform two 31 additional evaluations of each placement during the first year that a 32 client has lived in the facility. 33 (iv) In developing bed capacity, the department shall consider 34 the complex needs of individuals waiting for discharge from the state 35 psychiatric hospitals. 36 (i) Sufficient appropriations are provided for discharge case 37 managers stationed at the state psychiatric hospitals. Discharge case 38 managers will transition clients ready for hospital discharge into 39 less restrictive alternative community placements. The transition of 40 p. 904 ESSB 5187.SL