Wash. Admin. Code § 388-60A-0140 - Change of address-What must be sent to the department when a program changes the physical location of where they provide assessments or groups?
(1) When a
certified domestic violence intervention treatment program relocates to another
address, the department requires the program to submit a completed change of
address form found online at
https://www.dshs.wa.gov/ca/domestic-violence/certification-processor
requested by mail from:
Domestic violence intervention
treatment program manager
Department of social and
health services (DSHS)
P.O. Box 45710
Olympia, Washington 98504-5710
(2) The program must provide the department
with:
(a) The effective date and physical
address of the program's new location;
(b) Notification of any changes to direct
service staff members or supervisor(s), who must receive department approval
before providing any direct client services;
(c) A statement regarding the management of
all participant and victim records in accordance with applicable state and
federal laws; and
(d) An
attestation that the new location complies with facility requirements under WAC
388-60A-0125.
(3) The
program must receive a certification for the new location's address before
providing any assessments or any level of domestic violence intervention
treatment service at that address.
(a) An
exception may be granted at the discretion of the department if the program had
to move suddenly due to an emergency or danger in the previous facility;
and
(b) The department may conduct
an on-site review prior to approving or issuing a new certificate for the new
location.
Notes
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