# Washington — Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees

For Washington, which rule this is is one caregiver aged 18 or over, CPR and first-aid certified, present whenever residents are on the premises and on off-site activities; type of staffing rule is flat presence requirement; minimum staffing requirement is Ensure at least one caregiver, who is 18 years of age or older and has current cardiopulmonary resuscitation and first-aid cards, is present and available to assist residents at all times; regulatory citation is WAC 388-78A-2450, recorded from its source on 2026-08-19.

- **State:** Washington _(our reading, not quoted from the source)_
- **Which rule this is:** one caregiver aged 18 or over, CPR and first-aid certified, present whenever residents are on the premises and on off-site activities _(our reading, not quoted from the source)_
- **Type of staffing rule:** flat presence requirement _(our reading, not quoted from the source)_
- **Minimum staffing requirement:** Ensure at least one caregiver, who is 18 years of age or older and has current cardiopulmonary resuscitation and first-aid cards, is present and available to assist residents at all times _(verified: appears in the quote below)_
- **Regulatory citation:** WAC 388-78A-2450 _(verified: appears in the quote below)_

## What the source says

> (f) Ensure at least one caregiver, who is 18 years of age or older and has current cardiopulmonary resuscitation and first-aid cards, is present and available to assist residents at all times: (i) When one or more residents are present on the assisted living facility premises; and (ii) During assisted living facility activities off of the assisted living facility premises.

## Source

- https://app.leg.wa.gov/WAC/default.aspx?cite=388-78A-2450

Last verified: 2026-08-19. Review by: 2027-08-19.
Part of [Assisted living facility minimum staffing requirements by US state — how many staff must be on duty, and what that guarantees](https://referencesource.org/assisted-living-facility-staffing-ratios-by-state/).