Registrations and filings required for businesses - Department of Social and Health Services

You may be required to have a license, registration, or permit from the list below based on the business activity you selected from the Business Licensing Wizard. For more information, please contact the Department of Social and Health Services at 360-725-2400.

Adult Family Home (AFH) License

Purpose

To allow people or entities to provide personal care, special care, room, and board to more than one but not more than six adults not related to the caregiver. Change in law in 2020 allows homes to increase to eight licensed beds after meeting specific criteria.

How to submit

Submit the completed/signed application (online), required application materials, and the application fee.

Processing time

60 days or more.

Fees

$2,750 - Initial / relocation application
$700 - Change of ownership
$225 - Per bed annual license (Eff. Jul. 1, 2015)
$455 - Increase in license capacity to eight beds

License renewals

None. Annual license fee required.

Assisted Living Facility (ALF) License

Purpose

To promote the safety and well-being of assisted living facility residents to specific standards for assisted living facility operators. To also further establish requirements for the operation of assisted living facilities.

How to submit

Submit the completed/signed application, required application materials, and the application fee multiplied by the number of beds to be licensed in the facility. Assisted Living Facility website

Processing time

Four to six months

Fees

$116 - Annual fee per licensed bed
Application fee is based on bed count

License renewals

Annual

Certified Community Residential Services and Supports - State Certification for Service Provider

Purpose

To certify provision of supports and services to clients with developmental disabilities in community residential settings. Clients live in their own homes with one to three others and receive instruction and supported from contracted service providers. Individuals pays for their own rent, food, and other personal expenses.

How to submit

Submit the completed/signed application and materials.

Processing time

60 days or more.

Fees

$859 - Certification per client begins FY 2021

License renewals

Regular certification for up to two years. Extend for an additional period up to 180 days.

Enhanced Service Facilities (ESF) License

Purpose

To allow entities to operate a facility specifically designed to provide behavioral health clients who are discharged from hospital settings (Western and Eastern State Hospitals, and acute and psychiatric hospitals). The goal is to provide services for clients whose behavioral needs exceed those found in traditional residential settings.

How to submit

Submit the completed/signed application and the application materials.

Processing time

Four to 12 months.

Fees

$1,040 - Per licensed bed

License renewals

Annual

Intermediate Care Facilities for Individuals with Intellectual Disabilities - Federal Certification

Purpose

To allow persons or entities to operate certified Medicare and/or Medicaid Intermediate Care Facilities for individuals with intellectual disabilities. An institution providing active treatment serving four or more beds for people with intellectual disabilities or related conditions. (No state licensure except for those licensed as nursing homes).

How to submit

Contact the Business Analysis and Applications Unit at P.O. Box 45600, Olympia, WA 98504, or by phone at 360-725-2420.

Submit the completed/signed application and the application materials.

Processing time

Not applicable since applications haven't been submitted for more than 25 years.

Fees

None

License renewals

None

Nursing Home (NH) License

Purpose

To allow individuals or entities to operate a nursing home. A business operating or maintaining facilities providing convalescent and/or chronic care for over twenty-four consecutive hours, for three or more patients not related by blood or marriage to the operator, who are unable to properly care for themselves.

How to submit

Submit the completed/signed application and the application materials.

Processing time

90 days

Fees

$359 - Annual fee per licensed bed
Application fee is also based on bed count.

License renewals

Annual