ALTSA Provider/Administrator Letters

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Access the archive from calendar years 2014 and prior


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Provider Type Letter Date Subject Status(asc) Notes
ESF 022-025 08/12/2022 Medical Test Site Waiver Education Period and Resource Information Superseded

Superseded by 024-039

ESF 025-024 09/16/2025 LONG-TERM CARE FACILITIES AND KEEPING NALOXONE (NARCAN) IN STOCK Superseded
ESF 025-026 09/22/2025 RCS STAFF MASK WEARING AND RELATED PROCEDURES DURING THE 2025-2026 RESPIRATORY ILLNESS SEASON Superseded
ESF 020-003 02/21/2020 Concerning 2019 Novel Coronavirus Illness (2019-nCOV) Superseded

Superseded by #005

ESF 020-004 03/09/2020 Inspection/Investigation Process in COVID-19 Situations and Suspension of Certain Inspection Activities Superseded

Superseded by #005

ESF 025-031 10/14/2025 CLARIFICATION OF WASHINGTON NAME AND DATE OF BIRTH BACKGROUND CHECKS AND NATIONAL FINGERPRINT-BASED BACKGROUND CHECK REQUIREMENTS Superseded
ESF 022-013 04/08/2022 Medical Test Site Waiver Regulatory Requirements  Superseded

Superseded by 024-039

ESF 022-014 04/22/2022 Medical Test Site Waiver Resource Information Superseded

Superseded by 024-039

ESF 025-008 05/20/2025 Death with Dignity Rule Making Interested Parties Meetings Superseded

Superseded July 11, 2025

ESF 023-021 10/09/2023 RCS Staff Mask Wearing and Related Procedures During the 2023-2024 Respiratory Illness Season Rescinded
ESF 022-018 05/27/2022 Use of Emergency Medical Services by Licensed and Certified Long-Term Care Providers Rescinded
ESF 023-016 05/19/2023 Launch of CareLearn Retention Toolkit Current
ESF 020-015 04/27/2020 Cloth Face Covering Distribution Current
ESF 026-005 01/29/2026 CR-101 FILED TO PROPOSE AMENDING AND ADDING SECTIONS OF WAC CHAPTERS 388-76 ADULT FAMILY HOME MINIMUM LICENSING REQUIREMENTS, 388-78A ASSISTED LIVING FACILITY LICENSING RULES, 388-107 LICENSING REQUIREMENTS FOR ENHANCED SERVICES FACILITIES, 388-101 CERTIFIED COMMUNITY RESIDENTIAL SERVICES AND SUPPORTS Current
ESF 021-051 10/11/2021 Safe Start for LTC Plans Updated Current
ESF 024-022 07/12/2024 Guidance for 911 Outages Current
ESF 020-046 11/17/2020 Visitation Restrictions Required Under Governor Proclamation 20-25.8 Current

Amended 1/4/2021

ESF 022-022 06/30/2022 Prepare for the End of Proclamation 20-10 Related to CPR Training Under Chapter 388-112 WAC Current
ESF 018-004 05/07/2018 ESF Locator Current
ESF 025-011 05/23/2025 CR-101 Filed to Update Background Check Requirements Current

Superseded June 5, 2025

ESF 021-019 04/23/2021 Visual Aid for Understanding LTC Facility Visits Under the Safe Start Plan Current
ESF 023-017 06/08/2023 Precautions for Residents and Staff Related to Heatwave Current
ESF 020-016 04/30/2020 Minor or Simple Edits to Statements of Deficiencies Current
ESF 026-006 02/12/2026 COVID-19 Testing Considerations for Admissions / Move-ins From Hospitals Current
ESF 021-052 10/19/2021 Critical Staffing Management in LTC Settings Current