WSR 04-08-073

PERMANENT RULES

DEPARTMENT OF

SOCIAL AND HEALTH SERVICES
(Children's Administration)

[ Filed April 5, 2004, 3:28 p.m. ]

     Date of Adoption: April 2, 2004.

     Purpose: The amendments and additions to chapter 388-148 WAC clarify and add flexibility to the licensing requirements for homes, facilities, and child-placing agencies licensed by Children's Administration, including licensing requirements for a new type of facility, Group Receiving Centers. The changes improve Children's Administration's ability to claim federal funding under the Social Security Act and enhance health and safety for children and youth. See below for a list of new, amended and repealed rules affected by this notice.

     Citation of Existing Rules Affected by this Order:


New

Amended

or Repealed

WAC # Caption
Amended 388-148-0005 What is the purpose of this chapter?
Amended 388-148-0010 What definitions do I need to know to understand this chapter?
Amended 388-148-0015 Am I required to have a license to provide care to children?
Amended 388-148-0025 How do you decide how many children I may serve in my home or facility?
Amended 388-148-0035 What personal characteristics do I need to provide care to children?
Amended 388-148-0040 What first aid and cardiopulmonary resuscitation (CPA) training is required?
Amended 388-148-0045 What HIV/AIDS training is required?
Amended 388-148-0050 How do I apply for a license?
Amended 388-148-0055 How long do I have to complete the licensing application packet?
Amended 388-148-0058 May I receive more than one in-home family license?
Amended 388-148-0060 May my relative or I be certified by a child-placing agency to be a foster parent and be an employee of that same agency?
Amended 388-148-0065 When may I be certified to provide care to children?
Amended 388-148-0070 Is there a difference between licensing and certification?
Amended 388-148-0075 May I be licensed with the department and certified by a child-placing agency at the same time?
Amended 388-148-0085 Will the department license or continue to license a home or facility if the home or facility does not meet the licensing requirements?
Amended 388-148-0090 Does the department issue a probationary license?
Amended 388-148-0095 When are licenses denied, suspended or revoked?
New 388-148-0098 When is an employee or volunteer disqualified from having unsupervised access to a child at a licensed home, facility, or agency?
Amended 388-148-0100 Are there any other reasons that might cause me to lose my license?
Amended 388-148-0110 What may I do if I disagree with your decision to modify, deny, suspend or revoke my license?
Amended 388-148-0120 What incidents involving children must I report?
Amended 388-148-0125 What are your requirements for keeping client records?
New 388-148-0127 What are the requirements for information kept in facility logs for staffed residential homes and group care programs?
Amended 388-148-0130 What information may I share about a child or a child's family?
Amended 388-148-0135 What changes to my home or facility must I report to my licensor?
Amended 388-148-0140 What personnel policies must I have?
Amended 388-148-0150 Are local ordinances part of the licensing requirements?
Amended 388-148-0165 What are the requirements about the location of my home or facility?
Amended 388-148-0170 What steps must I take to ensure children's safety around outdoor bodies of water?
Amended 388-148-0180 Are alcoholic beverages or illegal drugs allowed at my home or facility?
Amended 388-148-0185 Is smoking permitted around children?
Amended 388-148-0200 Do I need first-aid supplies?
Amended 388-148-0220 What fire safety requirements must I follow to qualify for a license?
Amended 388-148-0225 What safety requirements are there for exits?
Amended 388-148-0230 Are there other fire safety requirements for inside a foster home or staffed residential home licensed for five or fewer children?
Amended 388-148-0235 What are the requirements for smoke detectors for foster homes and staffed residential homes licensed for five or fewer children?
Amended 388-148-0240 What are the requirements for fire extinguishers in homes and facilities?
Amended 388-148-0245 What fire escape measures must be taken for multi-level homes and facilities?
Amended 388-148-0250 What fire safety instructions must I give to children residing in a home or facility?
Amended 388-148-0255 What are the requirements for a fire evacuation plan?
Amended 388-148-0260 What are the general requirements for bedrooms?
Amended 388-148-0265 What are additional requirements for bedrooms for more than one person?
Amended 388-148-0270 What are the requirements for beds?
Amended 388-148-0275 Do I need a telephone at my home or facility?
Repealed 388-148-0285 Do I need a housekeeping sink?
Amended 388-148-0300 How must I ventilate my home or facility?
Amended 388-148-0305 What are the requirements for laundry facilities?
Amended 388-148-0315 What are the requirements for toilets, sinks, and bathing facilities?
Amended 388-148-0320 What are the requirements about drinking water?
Amended 388-148-0325 What are the requirements for sewage and liquid wastes?
Amended 388-148-0335 When must I get a physical exam for a child under my care?
Amended 388-148-0340 What are the requirements for immunizations for children?
Amended 388-148-0345 What must I do to prevent the spread of infections and communicable diseases?
Amended 388-148-0350 What are the requirements for obtaining consent for medical care for children under my care?
New 388-148-0352 What are the requirements for the management of medication for children in my care?
Amended 388-148-0355 May I accept medicine from a child's parent or guardian?
Repealed 388-148-0360 Whom do I notify about medication changes and reactions?
Amended 388-148-0365 When may children take their own medicine?
Amended 388-148-0375 How often must I feed children?
Amended 388-148-0380 How do I handle a child's special diet?
Amended 388-148-0395 What requirements must I meet for feeding babies?
Amended 388-148-0400 What are the requirements for diapers and diaper-changes areas?
New 388-148-0422 What are the requirements for privacy for children in out-of-home placements?
Amended 388-148-0425 What are the requirements about nondiscrimination?
Repealed 388-148-0427 Are there specific requirements regarding Native American children?
Amended 388-148-0430 May I take a foster child to church services, temple, mosque, or synagogue?
Amended 388-148-0445 What toys and activities must I provide to children?
Repealed 388-148-0450 What types of toys must I provide to children?
Amended 388-148-0455 Do I need permission to travel on an overnight trip, or out-of-state with my foster child?
Amended 388-148-0460 What requirements do you have for supervising children?
Amended 388-148-0470 What types of disciplinary practices are forbidden?
Amended 388-148-0480 When may a child be physically restrained?
Amended 388-148-0485 What types of physical restraint are not acceptable for children?
New 388-148-0487 What are the requirements for time-out or quiet rooms?
New 388-148-0488 Are time-delay mechanisms allowed on windows and doors of a facility or staffed residential home licensed for six?
Amended 388-148-0490 What must I do following an incident that involved using physical restraint?
Repealed 388-148-0500 May I receive more than one in-home care license?
Amended 388-148-0520 What are the training requirements for foster parents and prospective foster parents?
Amended 388-148-0525 How many children may my foster home serve?
Amended 388-148-0535 Do I need to have income separate from foster care payments?
Amended 388-148-0540 When may I use respite care?
New 388-148-0551 Who may provide care to a foster child in the foster home when the foster parent is away from the home?
New 388-148-0542 May someone under eighteen supervise a foster child in the foster home?
Amended 388-148-0555 Do I need a social summary for children under my care?
Amended 388-148-0560 Do I need a treatment plan for children under my care?
Amended 388-148-0585 What social service staff do I need?
Amended 388-148-0600 Do I need professional consultants for my program?
Amended 388-148-0605 Is in-service training required?
Amended 388-148-0610 What are the required ratios of social service staff to children under care?
Amended 388-148-0615 Are there specific fire safety requirements for the care of nonambulatory children?
Amended 388-148-0620 What safety features do I need for hazardous areas?
Amended 388-148-0625 What other requirements must I follow for smoke detectors?
Repealed 388-148-0630 What fire prevention measures must I take?
Repealed 388-148-0635 What are the requirements for fire sprinkler systems?
Amended 388-148-0640 What fire safety procedures do staff of a group care facility and a staffed residential home licensed for six children need to know?
Amended 388-148-0645 What are the requirements for fire drills and testing smoke detectors?
Repealed 388-148-0650 What requirements do you have regarding windows in staffed residential homes and group care facilities?
Amended 388-148-0655 Are there different construction and fire safety requirements for facilities that have multiple licenses in the same building?
Amended 388-148-0660 Do mealtimes need to be established?
Amended 388-148-0670 What types of group care programs are licensed to provide care to children?
Amended 388-148-0685 Who may I serve as a group care program provider?
Amended 388-148-0695 Must I give a child an allowance?
Amended 388-148-0700 What are the qualifications for an executive director for a group care program or child-placing agency?
Amended 388-148-0705 Do I need an on-site program manager or social service staff at each group care facility?
Amended 388-148-0710 What are the responsibilities of the on-site program manager or social services staff for a group care facility?
Amended 388-148-0715 What qualifications must the on-site program manager for a group care program or a CPA program manager have?
New 388-148-0718 What are the responsibilities for child care staff at a group care program?
Amended 388-148-0720 What are the qualifications for child care staff or case aides for a group care program and a child-placing agency?
New 388-148-0722 What are the qualifications for health care staff for a group care program or a child-placing agency caring for medically fragile children?
Amended 388-148-0725 What is the ratio of child care staff to children in group care facilities?
Amended 388-148-0730 Are there room requirements for group care facilities?
Repealed 388-148-0735 When do I need a special care room?
Amended 388-148-0750 What maternity services must I provide?
Amended 388-148-0765 What types of health education must I offer expectant and new mothers?
Amended 388-148-0775 Do expectant and new mothers need to be under a physician's care?
Amended 388-148-0785 What is the proper ratio of staff to children in home or group care facilities offering maternity services?
Amended 388-148-0795 How is capacity determined for a maternity services facility?
Amended 388-148-0800 What is the purpose of day treatment programs?
Amended 388-148-0805 What staff must my day treatment program have?
Amended 388-148-0810 What consultants must my day treatment program have?
Amended 388-148-0830 What services must I provide for medically fragile children and children with severe developmental disabilities?
Amended 388-148-0860 Are there room requirements for group care facilities for medically fragile children under age six?
Amended 388-148-0870 What additional record-keeping requirements exist for medically fragile children and children with severe developmental disabilities?
Amended 388-148-0875 What types of crisis residential centers may be licensed?
Amended 388-148-0880 What levels of secure CRCs exist?
Amended 388-148-0885 What are the requirements for a level-one secure CRC?
Amended 388-148-0890 What are the requirements for a level-two secure CRC?
New 388-148-0892 What are the requirements for a level-three secure CRC?
Amended 388-148-0895 May a juvenile detention center operate a separate secure CRC program?
Amended 388-148-0900 What youth may a CRC serve?
Amended 388-148-0905 Can law enforcement officers place youth in secure CRC?
Amended 388-148-0915 What steps must be taken after a youth is admitted into a CRC?
Repealed 388-148-0935 How long may a youth stay at a CRC?
Amended 388-148-0995 What are the ratio requirements of youth care staff to youth in crisis residential centers?
Repealed 388-148-1020 Must a staffed residential home operate in conjunction with another program?
Amended 388-148-1025 What must be included in a written program description for a staffed residential home?
Amended 388-148-1030 What services must a staffed residential home provide?
Amended 388-148-1035 Who must be on the premises when children are under care at a staffed residential home?
Amended 388-148-1045 What is the ratio of child care staff to children in staffed residential homes?
Amended 388-148-1050 How many children may I serve in my staffed residential home?
Amended 388-148-1060 What services may a child-placing agency provide?
Repealed 388-148-1065 Do child-placing agency foster homes and group care facilities need to be licensed before placements?
New 388-148-1066 What written information is needed before a child is accepted for care by a child-placing agency?
Amended 388-148-1070 What health histories need to be provided to adoptive parents?
New 388-148-1076 What are the qualifications for an executive director, a program manager/social service staff, and a consultant for a child-placing agency?
New 388-148-1077 What are the qualifications for a case aide for a child-placing agency program?
New 388-148-1078 What are the qualifications for health care staff hired or contracted by a child-placing agency to provide services to children in care?
New 388-148-1097 What are the qualifications for a foster home licensor for a child-placing agency?
Amended 388-148-1085 How may my child-placing agency certify a foster home for licensing by the department?
Amended 388-148-1115 What are the requirements for providing adoptive services?
Amended 388-148-1120 What is the process for adoptions?
New 388-148-1205 What is a group receiving center?
New 388-148-1210 What age children may a center serve?
New 388-148-1215 What hours must a center be open?
New 388-148-1220 What services are provided or arranged for by a group receiving center?
New 388-148-1225 Is a center required to provide an orientation for a child placed?
New 388-148-1230 Does each child need space for personal items at the center?
New 388-148-1235 What staff training is required?
New 388-148-1240 What is the ratio of child care staff to children at a center?
New 388-148-1245 What are the requirements for supervision of children at a center?
New 388-148-1250 Who must be on the premises while children are in care at a center?
New 388-148-1255 What are the requirements for an activity program?
New 388-148-1260 What activities must I provide to children?
New 388-148-1265 What are the requirements for indoor recreation areas?
New 388-148-1270 What are the requirements for an outdoor recreation area?
New 388-148-1275 What are the size requirements for an outdoor recreation area?
New 388-148-1280 What are the requirements for playground equipment?

     Statutory Authority for Adoption: RCW 74.15.030.

     Other Authority: Chapter 74.15 RCW.

      Adopted under notice filed as WSR 04-03-116 on January 21, 2004.

     Changes Other than Editing from Proposed to Adopted Version: The text of the adopted rule varies from the text of the proposed rule (WSR 04-03-116 filed January 21, 2004). The changes (other than editing changes) were made in response to comments and to provide clarity. Language added is underlined; language deleted is struck-through.

     WAC 388-148-0025 (1)(e). The certification of occupancy from the Washington state patrol fire protection bureau department of health if your facility is a group care program or a staffed residential home licensed for six children.

     WAC 388-148-0125(2). For foster homes, if the child is in the department's custody, at the end of the child's placement, reports and information written by ((others)) the department about the child or the child's family must be returned to the child's social worker.

     WAC 388-148-0130(3). You may check with your child's social worker for guidance about sharing information with the child's teacher, counselor, or doctor, respite care provider, or any other professional, or others involved in the case plan.

     WAC 388-148-0165(4). A licensing safety and supervision plan must be written for each child in care if the department determines that hazardous conditions are present.

     WAC 388-148-0170(8). Foster homes with pools must have a written licensing safety and supervision plan for each child.

     WAC 388-148-0180(1). If alcohol is on the premises of a foster home the issue must be addressed in the child's licensing safety and supervision plan.

     WAC 388-148-0250. What fire safety instructions must I give to children residing in a home or facility a staffed residential home licensed for five or fewer children?

     (1) You must instruct children, under your care, who are capable of understanding and following emergency evacuation procedures ((and)) how to exit the building in case of fire.

     (2) For foster homes and staffed residential homes licensed for five or fewer children, Yyou must conduct fire drills at quarterly intervals or as required by WAC 212-12-044 by the WSP/FPB to test and practice evacuation procedures.

     WAC 388-148-0335. When must I get an EPSDT physical exam for a child under my care?

     (1) An physical early and periodic screening, diagnosis and treatment exam (EPSDT) must be completed for any child in care more than thirty days, who within the past year has not had a physical exam by a physician, a physician's assistant, or an advanced registered nurse practitioner (ARNP).

     (2) In consultation with the child's social worker and physician, you must schedule an early and periodic screening, diagnosis and treatment (EPSDT) exam by a physician, a physician's assistant, or an advanced registered nurse practitioner (ARNP) according to the published frequency schedule.

     WAC 388-148-0380. You must have approval of the child's social worker and written instructions by a physician, parent or guardian before serving nutrient concentrates, nutrient supplements, vitamins, and modified diets (therapeutic and allergy diets).

     WAC 388-148-0541(2). Occasionally, and for less than twenty-four hours, a foster parent, at their own expense, may allow a friend, or a relative to provide care to a foster child in the foster home when the conditions that follow are met. The foster parent must:

     WAC 388-148-0720. What are the qualifications for child care staff or and case aides for a group care program and a child-placing agency? The department requires that child care staff and case aides: of each group care program and child-placing agency program:

     WAC 388-148-0795. The capacity of a group care facility providing maternity services is determined by the WSP/FPB department of health representative.

     WAC 388-148-1030(2). You must provide a safety and supervision plan for each children you serve considering their his or her ages and physical conditions.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 32, Amended 123, Repealed 12; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 32, Amended 123, Repealed 12.
     Effective Date of Rule: Thirty-one days after filing.

April 2, 2004

Brian H. Lindgren, Manager

Rules and Policies Assistance Unit

3304.6
Chapter 388-148 WAC

LICENSING REQUIREMENTS FOR CHILD FOSTER HOMES, STAFFED RESIDENTIAL HOMES, GROUP RESIDENTIAL FACILITIES, AND CHILD-PLACING AGENCIES


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0005   What is the purpose of this chapter?   The department issues or denies a license or certification on the basis of compliance with licensing requirements. This chapter defines general and specific licensing requirements for foster homes, staffed residential homes, group facilities, and child-placing agencies. We include licensing requirements for people who operate foster homes, group care programs and facilities, staffed residential homes, and child-placing agencies. In addition, we describe our requirements for specialized services offered in these homes and facilities, including: maternity services, day treatment services, crisis residential centers, group receiving centers services for children with severe developmental disabilities and programs for medically fragile children. Unless noted otherwise, these requirements apply to people who want to be licensed, certified, relicensed and re-certified.

     The department is committed to ensuring that the children who receive care experience health, safety, and well-being. We want these children's experiences to be beneficial to them not only in the short run, but also in the long term. Our licensing requirements reflect our commitment to children.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0005, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0010   What definitions do I need to know to understand this chapter?   The following definitions are for the purpose of this chapter and are important to understand these rules:

     "Abuse or neglect" means the injury, sexual abuse, sexual exploitation, negligent treatment or mistreatment of a child where the child's health, welfare and safety are harmed.

     "Agency" is defined in RCW 74.15.020(1).

     "Assessment" means the appraisal or evaluation of a child's physical, mental, social and/or emotional condition.

     "Capacity" means the maximum number of children that a home or facility is licensed to care for at a given time.

     "Care provider" means any licensed or certified person or organization or staff member of a licensed organization that provides twenty-four-hour care for children.

     "Case manager" means the private agency employee who coordinates the planning efforts of all the persons working on behalf of a child. ((They)) Case managers are responsible for implementing the child's case plan, assisting in achieving those goals, and assisting with day-to-day problem solving.

     "Certification" means:

     (1) Department approval of a person, home, or facility that does not legally need to be licensed, but wishes to have evidence that ((they met)) it meets the minimum licensing requirements; or

     (2) Department licensing of a child-placing agency to certify that a foster home ((and/or a group care program)) meets licensing requirements.

     "Children" or "youth," for this chapter, means individuals who are:

     (1) Under eighteen years old, including expectant mothers under eighteen years old; or

     (2) Up to twenty-one years of age and ((enrolled in)) pursuing a high school, equivalent course of study((,)) (GED), or ((educational)) vocational program;

     (3) Up to twenty-one years of age with developmental disabilities; or

     (4) Up to twenty-one years of age if under the custody of the Washington state juvenile rehabilitation administration.

     "Child-placing agency" means an agency licensed to place children for temporary care, continued care or adoption.

     "Crisis residential center (CRC)" means an agency under contract with DSHS that provides temporary, protective care to children in a foster home, regular (semi-secure) or secure group setting.

     "Compliance agreement" means a written licensing improvement plan to address deficiencies in specific skills, abilities or other issues of a fully licensed home or facility in order to maintain and/or increase the safety and well-being of children in their care.

     "DCFS" means the division of children and family services.

     "DDD" means division of developmental disabilities.

     "Department" means the department of social and health services (DSHS).

     "Developmental ((disabilities)) disability" ((means the language used by DSHS, division of developmental disabilities)) is a disability as defined in RCW 71A.10.020.

     "DLR" means the division of licensed resources.

     "Firearms" means guns or weapons, including but not limited to the following: BB guns, pellet guns, air rifles, stun guns, antique guns, bows and arrows, handguns, rifles, and shotguns.

     "Foster-adopt" means placement of a child with a foster parent(s) who intends to adopt the child, if possible.

     "Foster home or foster family home" means person(s) licensed to regularly ((providing)) provide care on a twenty-four-hour basis to one or more children in the person's home.

     "Full licensure" means an entity meets the requirements established by the state for licensing or approved as meeting state minimum licensing requirements.

     "Group care facility for children" means a location maintained and operated for a group of children on a twenty-four-hour basis.

     "Group receiving center" or "GRC" means a facility providing the basic needs of food, shelter, and supervision for more than six children placed by the department, generally for thirty or fewer days. A group receiving center is considered a group care program and must comply with the group care facility licensing requirements.

     "Hearing" means the ((department's)) administrative review process.

     "I" refers to anyone who operates or owns a foster home, staffed residential home, and group facilities, including group homes, child-placing agencies, maternity homes, day treatment centers, and crisis residential centers.

     (("Infants")) "Infant" means ((children)) a child under one year of age.

     "License" means a permit issued by the department affirming that a home or facility meets the minimum licensing requirements.

     "Licensor" means:

     (1) A division of licensed resources (DLR) employee at DSHS who:

     (a) Approves licenses or certifications for foster homes ((and)), group facilities, and child-placing agencies; and

     (b) Monitors homes and facilities to ensure that they continue to meet minimum health and safety requirements.

     (2) An employee of a child-placing agency who:

     (a) Attests that ((a)) foster ((home and/or group home facility)) homes supervised by the child-placing agency meets licensing requirements; and

     (b) Monitors ((the)) those foster homes ((and facilities)) to ensure they continue to meet the minimum licensing standards ((for the health and safety of the children in care)).

     "Maternity service" ((means an individual, program or facility providing or arranging for care for:

     (1) Expectant mothers before and during pregnancy; and

     (2) Mothers and their infants after pregnancy.

     These services are provided to mothers who are under eighteen years of age)) as defined in RCW 74.15.020.

     "Medically fragile" means the condition of a child who has a chronic illness or severe medical disabilities requiring regular nursing visits, ((regular)) extraordinary medical ((check-ups, or under a)) monitoring, or on-going (other than routine) physician's care.

     "Multidisciplinary teams (MDT)" means groups formed to assist children who are considered at-risk youth or children in need of services, and their parents.

     "Nonambulatory" means not able to walk or traverse a normal path to safety without the physical assistance of another individual.

     (("Nonmobile" refers to children who are not yet walking, are unable to walk, or unable to use a wheelchair or other device to move about freely.))

     "Out-of-home placement" means a child's placement in a home or facility other than the child's parent, guardian, or legal custodian.

     "Premises" means a facility's buildings and adjoining grounds that are managed by a person or agency in charge.

     "Probationary license" means a license issued as part of a disciplinary ((measure)) action to an individual or agency that has previously been issued a full license but is out of compliance with minimum licensing ((standards)) requirements and has entered into an agreement aimed at correcting deficiencies to minimum licensing requirements.

     "Psychotropic medication" means a type of medicine that is prescribed to affect or alter thought processes, mood, sleep, or behavior. These include anti-psychotic, antidepressants and anti-anxiety medications.

     "Relative" means a person who is related to the child as defined in RCW 74.15.020 (4)(a)(i), (ii), (iii), and (iv) only.

     "Respite" means brief, temporary relief care provided to a child and his or her parents, legal guardians, or foster parents with the respite provider fulfilling some or all of the functions of the care-taking responsibilities of the parent, legal guardian, or foster parent.

     "Secure facilities" means a crisis residential center that has locking doors and windows, or secured perimeters intended to prevent children from leaving without permission.

     "Service plan" means a description of the services to be provided or performed and who has responsibility to provide or perform the activities for a child or child's family.

     "Severe developmental disabilities" means significant disabling, physical and/or mental condition(s) that cause a child to need external support for self-direction, self-support and social participation.

     "Social service staff" means ((child placing agency or group care program staff)) a clinician, program manager, case manager, consultant, or other staff person who is an employee of the agency or hired to ((provide consultation on developing and implementing)) develop and implement the child's individual service and treatment plans.

     "Staffed residential home" means a licensed home providing twenty-four-hour care for six or fewer children or expectant mothers. The home may employ staff to care for children or expectant mothers. It may or may not be a family residence.

     "Standard precautions" is a term relating to procedures designed to prevent transmission of blood borne pathogens in health care and other settings. Under standard precautions, blood or other potentially infectious materials of all people should always be considered potentially infectious for HIV and other pathogens. Individuals should take appropriate precautions using personal protective equipment like gloves to prevent contact with blood or other bodily fluids.

     "Washington state patrol fire protection bureau" or "WSP/FPB" means the state fire marshal.

     "We" or "our" refers to the department of social and health services, including DLR licensors and DCFS social workers.

     "You" refers to anyone who operates a foster home, staffed residential home, and group facilities, including group homes, maternity programs, day treatment programs, crisis residential centers, group receiving centers, and child-placing agencies.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0010, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0015   Am I required to have a license to provide care to children?   (1) If you regularly provide care on a twenty-four hour basis to a child who is not related to you, you must be licensed.

     (2) The types of homes or facilities that need a license include:

     (a) Foster homes;

     (b) Group care programs;

     (c) Programs for medically fragile children and children with severe developmental disabilities;

     (d) Maternity services;

     (e) Day treatment programs;

     (f) Crisis residential centers;

     (g) Staffed residential homes; ((and))

     (h) Child-placing agencies; and

     (i) Group receiving centers.

     Note: Homes and facilities offering maternity services, day treatment, crisis residential centers, group receiving centers, services to medically fragile children and/or children with severe developmental disabilities will need to follow the specific program requirements outlined in this chapter as well.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0015, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0020   When is a license not required if I provide care to children?   The department does not require licenses for people providing care in any of the situations as defined in RCW 74.15.020(2).

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0020, filed 8/28/01, effective 9/28/01.]

     Reviser's note: The above section was filed as an amendatory section; however, there were no amendments made. Pursuant to the requirements of RCW 34.08.040 it is published in the same form as filed by the agency.
AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0025   How do you decide how many children I may serve in my home or facility?   (1) The department approves the number of children that a home or facility may serve, based on an evaluation of these factors:

     (a) Physical accommodations in your home or facility;

     (b) The number of staff, family members and volunteers available for providing care;

     (c) Your skills and the skills of your staff; ((and))

     (d) The ages and characteristics of the children you are serving; and

     (e) The certification of occupancy from the Washington state department of health if your facility is a group care program, or a staffed residential home licensed for six children.

     (2) Based on the evaluation, the department may license you for the care of fewer children than you normally would serve in your category of care.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0025, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0035   What personal characteristics do I need to provide care to children?   If you are requesting a license, certification, or a position as an employee, volunteer, intern, or contractor in a foster home, group care facility, staffed residential home, or child-placing agency you must have the following specific personal characteristics:

     (1) You must demonstrate that you have the understanding, ability, physical health, emotional stability and personality suited to meet the physical, mental, emotional, and social needs of the children under your care.

     (2) You must not have been disqualified by our background check (chapter 388-06 WAC) prior to having unsupervised access to children.

     (3) You have not had a license denied or revoked from an agency that regulates the care of children or vulnerable adults, unless the department determines that you do not pose a risk to a child's safety, well being, and long-term stability.

     (4) You must not have been found to have committed abuse or neglect of a child or vulnerable adult, unless the department determines that you do not pose a risk to a child's safety, well being, and long-term stability.

     (5) You must have the ability to furnish the child with a nurturing, respectful, supportive, and responsive environment.

     (((4))) (6) The department may require you to give additional information. We may request this information at any time and it may include, but is not limited to:

     (a) Substance and alcohol abuse evaluations and/or documentation of treatment;

     (b) Psychiatric or psychological evaluations;

     (c) Psycho-sexual evaluations; and

     (d) Medical evaluations and/or medical records.

     (((5))) (7) Any evaluation requested under WAC 388-148-0035 (((4)))(6)(a)-(d) will be at the applicant/licensees expense.

     (((6))) (8) The licensor must be given permission to speak with the evaluator/provider prior to and after the evaluation.

     (9) Misrepresentation by a prospective employee, intern, or volunteer may be grounds for termination or denial of employment or volunteer service by that individual.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0035, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0040   What first-aid and cardiopulmonary resuscitation (CPR) training is required?   ((You and your staff must have the following first-aid training:))

     (1) If you have a home or facility that provides licensed care, ((the care givers)) you, your staff, interns, volunteers, and any individual who may at any time be the sole caregiver, must have ((current training in:

     (a))) basic standard first aid((;)) and

     (((b))) age-appropriate cardiopulmonary resuscitation (CPR) training.

     (2) The approved first((-)) aid and CPR training must be in accordance with a nationally recognized standard(( such as the American Red Cross or American Heart Association)).

     (3) For ((any)) licensed facilities ((other than foster)) and homes, ((the)) a person with first((-)) aid and CPR training must be on the premises ((at all times)) when children are present.

     (4) The ((requirement for)) CPR training ((may be waived for persons)) is not required for licensees with a statement from their physician that the training is not advised for medical reasons. However, another person with current CPR training must be on the premises when children are present.

     (5) You must keep records in your home or facility showing who has completed current first-aid and CPR training.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0040, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0045   What HIV/AIDS and blood borne pathogens training is required?   (1) You must provide or arrange for training for yourself ((and any of)), your staff, and any individual who may at anytime be the sole caregiver, on the prevention((,)) and transmission((, and treatment)) of HIV ((and))/AIDS, and blood borne pathogens. Such training must include infection control ((requirements)) standards.

     (2) You must use infection control requirements and educational material consistent with the current approved curriculum Know - HIV/AIDS Prevention Education for Health Care Facility Employees, published by the department of health, office on HIV/AIDS.

     (((3) The staff of group care programs are required to complete blood borne pathogen training.))

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0045, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0050   How do I apply for a license?   License applications are available from the division of licensed resources and licensed child placing agencies.

     (1) To apply for a license, the person or legal entity responsible for your home or facility must ((follow these procedures:

     (1) You must send the application form to your licensor at DLR or a child-placing agency.

     (2))) include with the application ((form, you must send)) the following(( information)):

     (a) Written verification for ((applicant of)) each applicant(s), staff, interns, volunteers and individuals who may have unsupervised access to children in care of the following information:

     (i) A negative tuberculosis test or an X ray, unless you can demonstrate a religious ((reasons)) or a medical reason prohibiting the test;

     Note: Written documentation from your physician that indicates you are free of the signs and symptoms of tuberculosis may be accepted for individuals with a religious or a medical prohibition to the TB test.

     (ii) First aid and cardio-pulmonary resuscitation (CPR) training appropriate to the age of the children in care; and

     (iii) HIV/AIDS and blood borne pathogens training including infection control standards.

     (((b))) (2) You must send a completed background check form ((for each applicant, family member, staff person, board member, intern or volunteer)) to your licensor on anyone on the premises having unsupervised access to children who:

     (((i))) (a) Is at least sixteen years old or older;

     (((ii))) (b) Is not a foster child; ((and

     (iii) Has unsupervised access to children)) or

     (c) An individual eighteen through twenty years old authorized to remain in foster care (see chapter 388-06 WAC).

     (((c) If you have lived in Washington state less than three years,))

     (3) You must ((provide us with)) send a completed FBI fingerprint form on any individual in your home or facility who has lived outside Washington state within the last three years and meets WAC 388-148-0050 (2)(a)(b).

     (((d) We may require additional information from you including, but not limited to:

     (i) Substance and alcohol abuse evaluations and/or documentation of completed treatment;

     (ii) Psychiatric evaluations;

     (iii) Psycho-sexual evaluations; and

     (iv) Medical evaluations and/or medical records.

     (3) Except foster homes, if you are applying for a license renewal, you must send the application form to your licensor at least ninety days prior to the expiration of your current license))

     (4) A group care facility or staffed residential home licensed for six is required to meet the health and fire safety requirements to receive a certificate of compliance from the department of health and the Washington state patrol fire protection bureau.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0050, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0055   How long do I have to complete the licensing application packet?   (1) You must complete your licensing application with supporting documents, such as training certificates, within ninety days of first applying for your license. If you fail to meet this deadline and have not contacted your licensor, your licensor may consider your application withdrawn.

     (2) If you are applying for a license renewal, other than as a foster home, you must send the application form to your licensor at least ninety days prior to the expiration of your current license.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0055, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-0058   May I receive more than one in-home family license?   (1) The department does not issue licenses for both a foster home and another kind of in-home family care, except in rare situations.

     (2) In rare situations, a family that has demonstrated exceptional abilities in relation to meeting the special needs of children to be cared for may be granted approval to be licensed for foster care and another type of in-home family care. Approval may be granted if it appears to be in the best interest of the child and would not jeopardize the health and safety of children in the home.

     (3) The following conditions apply to a home with more than one in-home family license:

     (a) It must be clear that one type of care does not interfere with the health and safety of any child while providing the other type of care; and

     (b) The total number of children in all categories of care must not exceed te number permitted by the most stringent capacity standards for the licensed care of children.

     (4) The approval for more than one in-home family license must be in writing and signed by the director of the division of licensed resources or designee and the appropriate authority of the other division.

[]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0060   ((When am I not allowed to receive a license from)) May my relative or I be certified by a child-placing agency to be a foster parent and be an employee of that same agency?   (1) You or your relative(s), are not allowed to be certified by a child-placing agency as a foster home, if you or your relative is in an administrative or supervisory role, or directly involved in:

     (a) Foster home certification((,));

     (b) Placement((,));

     (c) Case management; or

     (d) Authorization of payment to yourself or your relative for that same child-placing agency.

     (2) ((You or your relative may apply to a different)) A foster parent certified by a child-placing agency ((for a license.

     (3) Licensed foster parents who become)) who becomes employed by ((the department or a child-placing agency must be relicensed)) that agency, in one of the roles listed in WAC 388-148-0060(1) must be recertified through an agency other than their employer or licensed directly by DLR within six months of employment.

     Note: Relative as defined under RCW 74.15.020 (4)(i) through (iv).

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0060, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0065   When may I be certified to provide care to children?   When you meet the licensing requirements, you may apply for certification of your home or facility by the department rather than a license, if ((you)) the following conditions apply:

     (1) You are exempt from needing a license (per chapter 74.15 RCW); and

     (2) ((Meet the licensing requirements; and

     (3))) You wish to serve department-funded children; or

     (3) You are licensed by authority of an Indian tribe within the state under RCW 74.15.190.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0065, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0070   Is there a difference between licensing and certification?   (1) The department has the sole legal authority to license or approve homes and facilities for the care of children in out-of-home placement.

     (2) The department may license a child-placing agency, including a Tribal CPA, to operate foster home, staffed residential home, and/or group care facilities.

     (3) The child-placing agency is only authorized to "certify" or attest to the department that the foster home ((or facility)) meets the licensing requirements.

     (4) The certification requirements are the same as the licensing ((and certification)) requirements ((are the same)) and are contained in this chapter.

     (5) The department has the final approval for licensing the home or facility that the CPA will be supervising.

     (6) The department's representative signs the license of the home or facility.

     (7) A home "certified" by a child-placing agency (CPA) and licensed by the department must be supervised by that CPA to have a valid license ((to care for children)).

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0070, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0075   May I be licensed with the department and certified by a child-placing agency at the same time?   You may not be licensed directly by the department to provide foster care to children ((at the same time by both the department)) and be certified and supervised by a child-placing agency, at the same time.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0075, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0085   Will the department license or continue to license a home or facility if the home or facility does not meet the licensing requirements?   (1) At its discretion, the department may make exceptions and license or continue to license a home or facility that does not meet the minimum licensing requirements.

     (2) Exceptions are approved for nonsafety requirements only.

     (3) The safety and well-being of the children receiving care must not be compromised.

     (4) The request for an exception to the licensing requirements must be in writing.

     (5) You must keep a copy of the approved exception to the licensing requirements for your files.

     (6) Along with an exception to the licensing requirements, the department may limit or restrict a license issued to you and/or require you to enter into a compliance agreement to ensure the safety and well-being of the children in your care.

     (7) You do not have appeal rights if the department in its discretion denies your request for an exception to ((our)) the minimum licensing requirements.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0085, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0090   Does the department issue probationary license?   (1) The department may issue a probationary license as part of a corrective action plan with a licensed provider.

     (2) The department ((must)) will base its decision as to whether a probationary license will be issued on a consideration of the following:

     (a) Intentional or negligent noncompliance with the licensing rules;

     (b) A history of noncompliance with the rules;

     (c) Current noncompliance with the rules;

     (d) Evidence of a good faith effort to comply; and

     (e) Any other factors relevant to the specific situation.

     (3) A probationary license may be issued for up to six months. At its discretion, the department may extend the probationary license for an additional six months. A decision not to issue a probationary license is not subject to appeal.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0090, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0095   When are licenses denied, suspended or revoked?   (1) A license must be denied, suspended or revoked if the department decides that you cannot provide care for children in a way that ensures their safety, health and well-being.

     (2) The department must, also, disqualify you for any of the following reasons ((that follow.)):

     (a) You have been disqualified by your background check (see chapter 388-06 WAC).

     (b) You have been found to have committed child abuse or neglect or you treat, permit or assist in treating children in your care with cruelty, indifference, abuse, neglect, or exploitation, unless the department determines that you do not pose a risk to a child's safety, well-being, and long-term stability.

     (c) You or anyone living on the premises had a license denied or revoked from an agency that ((provided)) regulates care ((to)) of children or vulnerable adults, unless the department determines that you do not pose a risk to children or vulnerable adults.

     (d) You try to get a license by deceitful means, such as making false statements or ((leaving out important)) omitting critical information on the application.

     (e) You commit, permit or assist in an illegal act on the premises of a home or facility providing care to children.

     (f) You are using illegal drugs, or excessively using alcohol and/or prescription drugs.

     (g) You knowingly allowed employees or volunteers who made false statements or omit critical information on their applications to work at your agency.

     (h) You knowingly allowed employees or volunteers who use illegal drugs, alcohol, or prescription drugs that affect their ability to perform their job duties to work at your agency or be on the premises when children are present.

     (i) You repeatedly lack qualified or an adequate number of staff to care for the number and types of children under your care. Repeatedly means more than twice during a six-month period.

     (((i))) (j) You have refused to allow our authorized staff and inspectors to have requested information or access to your facility, child and program files, and/or your staff and clients.

     (((j))) (k) You are unable to properly manage the property, fiscal responsibilities, or staff in your agency.

     (((k))) (l) You have failed to comply with the federal and state laws for any Native American children that you have under care.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0095, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-0098   When is an employee or volunteer disqualified from having unsupervised access to a child in a licensed home, facility, or agency?   The department must disqualify an employee or volunteer of a licensed home, facility, or agency from having unsupervised access to a child(ren) when he or she:

     (1) Has a disqualifying background check (see chapter 388-06 WAC);

     (2) Has been found to have committed child abuse or neglect or have treated, permitted, or assisted in treating children with cruelty, indifference, abuse, neglect, or exploitation;

     (3) Had a license denied or revoked from an agency that regulates the care of children or vulnerable adults;

     (4) Attempted to become employed, volunteer, or otherwise have unsupervised access to children by deceitful means, such as making false statements or omitting critical information on an application to work or volunteer at a licensed home, facility, or agency;

     (5) Used illegal drugs, alcohol, or prescription drugs that affected their ability to perform their job duties while on the premises when children are present; or

     (6) Has committed, permitted, or assisted in an illegal act on the premises of a home or facility providing care to children.

[]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0100   Are there any other reasons that might cause me to lose my license?   (((1))) The department may suspend or revoke your home or facility license if you:

     (1) Exceed the conditions of your home or facility license by:

     (a) Having more children than the license allows;

     (b) Having children with ages or genders different than the license allows;

     (c) Failing to provide a safe, healthy and nurturing environment for children under your care; or

     (d) Failing to comply with any of ((our)) the other licensing requirements((; or

     (e) Failing)).

     (2) Fail to meet the health and safety requirements to receive a certificate of compliance as required by the department of health and/or ((office of the state Fire Marshal.

     (2) The department must suspend your license to provide care to children, if we receive a notice from the division of child support that you are not in compliance with a support order.

     Note: The governing authority is RCW 43.20A.205 and 74.20A.320.

     (3) The suspension of your license for noncompliance of a support order would be effective the date you receive a notice that we received the certificate of noncompliance from the division of child support.

     (4) Your license would remain suspended until you provide proof that you are in compliance with the child support order.

     (5) You would not have a right to an administrative hearing based on a suspension of your license due to noncompliance of a child support order)) the Washington state patrol fire protection bureau.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0100, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0110   What may I do if I disagree with your decision to modify, deny, suspend or revoke my license?   You have the right to appeal any decision the department makes to deny, modify, suspend, or revoke your license.

     (1) You may request ((a department)) an administrative hearing to disagree with the department's decision to modify, suspend, revoke or deny your license.

     (2) You must request ((a department)) an administrative hearing within twenty-eight days of receiving a certified letter with the department's decision (see chapter 34.05 RCW).

     (3) You must send a letter to the office of administrative hearings, P.O. Box ((42489)) 42488, Olympia, Washington ((98504-2489)) 98504-2488, 1-800-583-8271 requesting an administrative hearing. The letter must have the following attachments:

     (a) A specific statement of your reasons for disagreeing with the department decision and any laws that relate to your reasons; and

     (b) A copy of the certified letter from the department that you are disputing.

     (4) The administrative hearing will take place before an ((employee of)) administrative law judge employed by the office of administrative hearings.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0110, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0120   What incidents involving children must I report?   (1) You or your staff must report ((any of the following incidents immediately)) the incidents contained in WAC 388-148-0120(2), as soon as possible and in no instance later than forty-eight hours to your local:

     (a) Children's administration intake staff, and

     (b) The child's social worker or case manager.

     (2) The incidents to be reported include:

     (a) Any reasonable cause to believe that a child has suffered child abuse or neglect;

     (b) Any violations of the licensing or certification requirements where the health and safety of a foster child is at risk and the violations are not corrected immediately;

     (c) Death of a child;

     (d) Any child's suicide attempt that results in injury requiring medical treatment or hospitalization;

     (e) Any use of physical restraint that is alleged ((improper)) improperly applied or excessive;

     (f) Sexual contact between two or more children that is not considered typical play between preschool age children;

     (g) Any disclosures of sexual or physical abuse by a child in care;

     (h) Physical assaults between two or more children that result in injury requiring off-site medical ((treatment)) attention or hospitalization;

     (i) ((Unexpected health problems that require)) Physical assaults of foster parent or staff by children that result in injury requiring off-site medical ((treatment)) attention or hospitalization;

     (j) Any medication that is given incorrectly and requires off-site medical ((treatment;)) attention; or

     (k) Serious property damage or other significant licensing requirement that is a safety hazard and is not immediately corrected((; or

     (l) Any emergent medical care)) or may compromise the continuing health and safety of children.

     (((2))) (3) You or your staff must report ((immediately)) the following incidents as soon as possible or in no instance later than forty-eight hours, ((any of the following incidents)) to the child's social worker, if the child is in the department's custody or to the case manager if placed with a child-placing agency program:

     (a) Suicidal/homicidal ideations, gestures, or attempts that do not require professional medical treatment;

     (b) Unexpected health problems outside the anticipated range of reactions caused by medications, that do not require professional medical ((treatment)) attention;

     (c) Any incident of medication incorrectly administered;

     (d) Physical assaults between two or more children that result in injury but did not require professional medical ((treatment)) attention;

     (e) Runaways; ((and))

     (f) Any emergent medical or psychiatric care that requires off-site attention; and

     (g) Use of prohibited physical restraints for ((routine)) behavior management as described in WAC 388-148-0485.

     (4) Programs providing care to medically fragile children who have nursing care staff on duty may document the incidents described in WAC 388-148-0120 (3)(b)(c) in the facility daily logs, rather than contacting the social worker or case manager, if agreed to in the child's ISSP.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0120, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0125   What are your requirements for keeping client records?   (1) Any identifying and personal information about a child and the child's family must be kept confidential.

     (2) You must keep records about children and their families in a secure place. For foster homes, if the child is in the department's custody, at the end of the child's placement, reports ((written by others)) and information about the child or the child's family must be returned to the child's social worker.

     (3) During a placement in your foster home, your records must be kept at your home and contain, if available, at a minimum, the following information:

     (a) The child's name, birth date, and legal status;

     (b) Name and telephone number of the social worker for each child in care;

     (c) Names, address and telephone numbers of parents or persons to be contacted in case of emergency;

     (d) Information on specific cultural needs of the child;

     (e) Medical history including any medical problems, name of doctor, type of medical coverage and provider;

     (f) Mental health history and any current mental health, chemical dependency, and behavioral issues, including medical and psychological reports when available;

     (g) Other pertinent information related to the child's health, including dental records;

     (h) ((Record of)) Immunizations((.)) are not required to be current for children placed in:

     (i) Receiving and interim care homes and facilities ((do not need to keep records of immunizations for children in their care less than thirty days.));

     (ii) Crisis residential centers(( do not need to keep records of immunizations for children in their care;)); and

     (iii) A foster home licensed by a child-placing agency to provide emergency respite services to parents on a voluntary placement agreement.

     Note: If a child's placement extends beyond thirty days, you must obtain the child's immunization records. If the child is not current with immunization, they must be updated as soon as medically possible.

     (i) Child's school records, report cards, school pictures, and individual education plans (IEP);

     (j) Special instructions including supervision requirements and suggestions for managing problem behavior;

     (k) Inventory of the child's personal belongings at the time of placement; and

     (l) The child's visitation plan.

     (4) During a child's placement in a ((staffed residential home or a group care program, your recprds)) home or facility, the child's record must be kept secure at ((your)) the site and contain, at a minimum, the following information in addition to the information in subsection (3)(a) through (l) of this section:

     (a) Written consent from the child placing agency, if any, for providing medical care and emergency surgery (unless that care is authorized by a court order);

     (b) Names, addresses, and telephone numbers of persons authorized to take the child under care out of the facility;

     (c) A copy of the court order or voluntary placement agreement that gives approval to place the child;

     (d) Case plans, such as children's administration's "individual service and safety plan (ISSP);" and

     (e) ((Daily logs)) Documentation of therapy treatment received by children with the signature of the person making the entry ((in the log)) to the therapy or progress notes.

     (5) If you operate a group care program, staffed residential home, or child-placing agency and have client files with information not returned to the department, you must keep them for six years following the termination or expiration of any contract you have with the department.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0125, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-0127   What are the requirements for information kept in facility logs for staffed residential homes and group care programs?   (1) Staffed residential homes and group care programs must document the following information for each shift:

     (a) Serious child health or safety issues;

     (b) Dates and illnesses or accidents while in care;

     (c) Medications and treatments given with the child's name;

     (d) After-hours telephone number of the supervisor;

     (e) On-call and relief staff on premises during emergencies; and

     (f) The signature of the staff person reviewing the log.

     (2) Staffed residential homes and group care programs must keep current:

     (a) Medication logs;

     (b) Incident logs, including a copy of any suspected child abuse and/or neglect referrals made to children's administration; and

     (c) Daily or shift logs.

[]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0130   What information may I share about a child or a child's family?   (1) Information about a child or the child's family is confidential and must only be shared with people directly involved in the case plan for a child. ((Confidential information must not be shared with:

     (a) Friends,

     (b) Relatives,

     (c) Neighbors.))

     (2) You may discuss information about the child, the child's family and the case plan only with:

     (a) A representative of the department, including staff from DCFS and DLR; department of health and the office of the state fire marshal;

     (b) A child-placing agency case manager assigned to the child;

     (c) The child's assigned guardian ad litem or court-appointed special advocate; or

     (d) Others designated by the child's social worker.

     (3) You may check with your child's social worker for guidance about sharing information with the child's teacher, counselor ((or)), doctor, respite care provider ((or)), any other professional, or others involved in the case plan.

     (4) Child-placing agencies and the department must share with the child's care provider any information about the child and child's family related to the case plan.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0130, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0135   What changes to my home or facility must I report to my licensor?   (1) You must report to your licensor immediately any changes in the original licensing application. Changes include any of the following:

     (a) Changes in your location or designated space, including address;

     (b) Changes in your phone number;

     (c) Changes in the maximum number, age ranges, and sex of children you wish to serve;

     (d) Changes in the structure of your facility or premises from events causing damage, such as a fire, or from remodeling;

     (e) Addition of any new staff person, employee, intern, contractor, or volunteer, who might have unsupervised contact with the children in care; or

     (f) Changes in household composition, such as:

     (i) A marriage, separation or divorce;

     (ii) Incapacity or serious physical or mental illness of a foster parent or member of the household;

     (iii) The death of anyone in the household;

     (iv) A change in employment status or significant change in income; or

     (v) A change in who resides in the household or is on the premises for more than fourteen days.

     (g) Any arrests or convictions that occur between the date of your license and the expiration date of your license for you or anyone sixteen years or older residing at your home.

     (2) A license is valid only for the person or organization named on the license ((at a)) and only for the specific address listed on the license. If you operate a group facility or child-placing agency, you must also report any of the following changes to your licensor:

     (a) A change of your agency's executive director or any staff changes;

     (b) The death, retirement, or incapacity of the person who holds the license;

     (c) A change in the name of a licensed corporation, or the name by which your facility is commonly known; or

     (d) Changes in an agency's articles of incorporation and bylaws.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0135, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0140   What personnel policies must I have?   (1) You must ((follow the)) comply with federal and state anti-discrimination laws related to personnel ((requirements listed below, at any home or facility we license)) policies and procedures.

     (((1) Each employee, intern, contractor, or volunteer who has unsupervised access to children must have completed an application for employment and signed a form enabling us to do a)) You must keep a background check (((chapter 388-06 WAC))) log that contains information on dates of request and completion of the checks.

     (2) ((Misrepresentation by the prospective employee, interns, or volunteer will be grounds for termination or denial of employment or volunteer service.

     (3))) If you have five or more staff, volunteers, or interns you must have written policies covering qualifications, training, and duties for employees, interns, and volunteers.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0140, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0150   Are local ordinances part of ((your)) the licensing requirements?   (1) You are responsible for complying with local ordinances (laws), such as zoning regulations and local building codes((, fall outside the scope of our licensing requirements)).

     (2) ((We)) The department may require you to provide proof that you ((have met)) are complying with local ordinances.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0150, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0165   ((Do I need to be concerned about)) What are the requirements regarding the location of my home or facility?   (1) Your address must be clearly visible on the home, facility, or mailbox so that firefighters or medics can easily find your location.

     (2) Your home or facility must be accessible to emergency vehicles.

     (3) Your home or facility must be located on a well-drained site, free from hazardous conditions. The safety of the children in care is paramount. You must discuss with the licensor any potential hazardous conditions, considering the children's ages, behaviors, and abilities.

     (4) A licensing safety and supervision plan must be written ((for the children in care if it is decided )) if the department determines that hazardous conditions are present. Some examples of hazards are natural or man-made water hazards such as lakes or streams, steep banks, ravines, and busy streets.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0165, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0170   What steps must I take to ensure children's safety around outdoor bodies of water?   (1) You must ensure children in your care or placed in your home or facility are safe around bodies of water.

     (2) You must daily empty and clean any portable wading pool that children use.

     (3) Children under twelve must be in continuous visual or auditory range at all times, when ((they)) the children are swimming, wading, or boating, by an adult with current age appropriate first aid and CPR.

     (4) You must ensure age and developmentally appropriate supervision of any child that uses hot tubs, swimming pools, spas, and around man-made and natural bodies of water.

     (5) All safety devices and rescue equipment, such as personal flotation devices must meet state and federal water safety regulation.

     (6) You must lock or secure hot tub and spa areas when they are not in use.

     (((6))) (7) You must place a fence designed to discourage climbing and have a locking gate around a pool or have another DLR approved safety device. The pool must be inaccessible to children when not in use.

     (8) Foster homes with pools must have a written licensing safety and supervision plan.

     (9) Individuals supervising children in foster homes and staffed residential homes licensed for five or fewer children must know how and be able to use rescue equipment or have a current life-saving certification, when children are using a pool on the premises.

     (10) All group care facilities and staffed residential homes licensed for six children must have a person with current life-saving certification on-duty when children are using a pool at the facility.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0170, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0180   Are alcoholic beverages or illegal drugs allowed at my home or facility?   (1) In a foster home, you may have alcoholic beverages on the premises as long as they are inaccessible to children. If alcohol is on the premises of a foster home the issue must be addressed in the licensing safety and supervision plan.

     (2) ((Any other)) Licensed homes and facilities must not have illegal drugs on the premises.

     (3) A group care facility or staffed residential home must not have alcohol or illegal drugs on the premises. The staff of these facilities may not consume alcohol or illegal drugs on the premises or during breaks.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0180, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0185   Is smoking permitted around children?   (1) You must prohibit smoking in the living space of any home or facility caring for children and in motor vehicles while transporting children.

     (2) You may permit adults to smoke outdoors away from children.

     (3) Nothing in this section is meant to interfere with traditional or spiritual Native American or religious ceremonies involving the use of tobacco.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0185, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0200   Do I need first-aid supplies?   (1) You must keep first-aid supplies, and additional medications recommended by a child's physician, on hand for immediate use((, including unexpired syrup of ipecac that is to be used only when following the instruction of the poison control center)). You must keep the telephone number of the poison control center with the first aid supplies and you must post the number on or near your telephone.

     (2) The following first-aid supplies must be kept on hand:

     (a) Barrier gloves and one-way resuscitation mask;

     (b) Bandages;

     (c) Scissors and tweezers;

     (d) Ace bandage;

     (e) Gauze; and

     (f) Thermometer.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0200, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0210   What requirements do I need to follow when I transport children?   When you transport children under your care, you must follow these requirements.

     (1) The vehicle must be kept in a safe operating condition.

     (2) The driver must have a valid driver's license.

     (3) There must be at least one adult other than the driver in a vehicle when:

     (a) There are more than five preschool-aged children in the vehicle;

     (b) Staff-to-child ratio guidelines or your contract require a second staff person; or

     (c) The child's specific needs require a second adult person.

     (4) The driver or owner of the vehicle must be covered under an automobile liability ((and)) insurance policy.

     (5) Your vehicles must be equipped with, seat belts, car seats and booster seats, and/or other appropriate safety devices for all passengers as required by law.

     (6) The number of passengers must not exceed the vehicle's seat belts.

     (7) Buses approved by the state patrol are not required to have seat belts.

     (8) All persons in the vehicle must use seat belts or approved child passenger restraint systems, as appropriate for age, whenever the vehicle is in motion.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0210, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0220   What fire safety requirements must I follow to qualify for a license?   (1) If you operate a ((program or )) group care facility ((other than a foster home,)) or a staffed residential home((, or child-placing agency)) licensed for six children, you must ((follow)) comply with the regulations developed by the chief of the Washington state ((Fire Marshal's office)) patrol through the director of the fire protection bureau (WSP/FPB). The regulations are minimum requirements for protecting life and property against fire. ((You can find these)) They are contained in the current ((Uniform Fire Code with)) adopted fire code and Washington state amendments as adopted by the state of Washington. Contact the WSP/FPB for specific requirements.

     (2) All foster homes and those staffed residential homes ((need)) licensed for five or fewer children must have inspections by ((fire marshal or)) WSP/FPB or the local fire ((department if)) authority only if, either:

     (a) ((Licensors)) The licensor request the inspections due to questions of fire safety; or

     (b) Local ordinances or WSP/FPB require these inspections.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0220, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0225   What fire safety requirements are there for exits?   ((You)) (1) Group care facilities and staffed residential home licensed for six children must comply with the Washington state patrol protection bureau regulations regarding exits.

     (2) All foster homes and those staffed residential home licensed for five or fewer children must comply with the fire safety requirements that follow concerning ((exists)) exits from homes ((and facilities)).

     (((1))) (a) Exit doors and rescue windows must be easily and quickly opened ((to the fully open position)) from the inside without requiring a key or special instructions.

     (((2) Locks on outside exit doors must automatically unlock when the doorknob is turned from the inside.

     (3) Except in foster homes, night latches, dead bolts, security chains, manually operated edge or surface-mounted flush bolts and surface bolts must not be used.

     (4))) (b) Each home and facility must have at least one swinging exit door that is pivoted or hinged on the side.

     (((5) Other exit doors in your home or facility may be sliding doors.

     (6))) (c) Each home or facility must have two ((exits, located at opposite ends of the building or)) means of exit, from the apartment, house, or facility, with at least one exit on each floor. The requirement for one of the two exits may be deleted if:

     (((a))) (i) A residential sprinkler system (complying with the ((state fire Marshal standards)) WSP/FPB regulations and the currently adopted edition of the National Fire Protection Association (N.F.P.A.) #13) is provided throughout the entire building; and

     (((b))) (ii) The remaining exit is a door.

     (((7))) (d) Every occupied area must have access to ((at least)) one exit ((that does not pass through rooms or spaces that can)). Such exits may not be locked or blocked from the opposite side.

     (((8))) (e) Obstacles must not be placed in corridors, aisles, doorways, exit doors, stairways, ramps, or ((rescue)) windows that could delay exiting in case of emergency.

     (((9))) (f) Barriers to exiting must be restricted to baby gates or ((other)) DLR-approved electronic monitoring devices that ((are easily opened and)) do not delay exiting in case of emergency.

     (((10))) (g) Stoves or heaters must not block escape or exit routes.

     (((11))) (h) Flammable, combustible, or poisonous material must be stored away from exits and away from areas that are accessible to children under care.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0225, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0230   Are there other fire safety requirements for inside a foster home or ((facility)) staffed residential home licensed for five or fewer children?   ((You)) All foster homes and those staffed residential homes licensed for five or fewer children must comply with the fire safety requirements that follow.

     (1) Every ((room)) bedroom used by children under care must have easy entry and exit, including one of these features:

     (a) Two separate doors; or

     (b) One door leading to an area with an exit; and

     (c) A window that opens to the outside and is large enough for emergency ((escape or rescue)) personnel or rescuer access.

     (2) No space may be lived-in by the children in care that is accessible only by a ladder, folding stairs, or a trap door.

     (3) Every bathroom door lock must be designed to permit the opening of the locked door from the outside.

     (4) Every closet door latch must be designed to be opened from the inside.

     (5) Open-flame devices and fireplaces, heating and cooking appliances, and products capable of igniting clothing must not be left unattended or used incorrectly.

     (6) Fireplaces, wood stoves and other heating systems that have a surface hot enough to cause a burn must have a barrier to prevent access by children under age six years.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0230, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0235   What are ((your)) the requirements for smoke detectors for foster homes and staffed residential homes licensed for five or fewer children?   (1) ((You)) All foster homes and those staffed residential homes licensed for five or fewer children must place a smoke detector in good working condition in each bedroom or in areas close to where children sleep, such as a hallway. If the smoke detector is mounted on the wall, it must be twelve inches from the ceiling and a corner.

     (2) If a sleeping or napping room has a ceiling height that is at least twenty-four inches higher than its adjoining hallway, you must install a smoke detector in both the hallway and the sleeping or napping room.

     (3) ((In foster homes,)) Smoke detectors must be tested twice a year to ensure they are in working order.

     (4) Document date and time of test.

     (5) If questions arise concerning fire danger, the local fire protection authority must be consulted.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0235, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0240   What are ((your)) the requirements for fire extinguishers in homes and facilities?   (1) ((You)) All homes and facilities must have readily available at least one approved 2A10BC-rated or larger all purpose (ABC) fire extinguisher.

     Note: Approved 2A10BC-rated means a fire extinguisher with an Underwriters' Laboratory label on the nameplate classifying the extinguisher as 2A10BC-rated. These extinguishers are usually multipurpose, five-pound dry chemical units.

     (2) Approved fire extinguisher(s) must be located in the area of the normal path of exiting. The maximum travel distance to an extinguisher from any place on the premises must not exceed seventy-five feet. When the travel distance exceeds seventy-five feet, additional extinguisher(s) are required.

     (3) Fire extinguishers must be ready for use at all times.

     (4) Fire extinguishers must be kept on a shelf or mounted in a bracket so that the top of the extinguisher is not more than five feet above the floor.

     (5) Fire extinguishers must receive a maintenance certification by a licensed firm specializing in this work, based on the manufacturer's recommended schedule. Maintenance means a thorough check of the extinguisher for:

     (a) Mechanical parts;

     (b) Extinguishing agent; and

     (c) Expelling means.

     (6) Exception: New fire extinguishers do not need to receive an additional certification test during the first year.

     (7) For all foster homes and staffed residential homes licensed for five or fewer children, if local fire authorities require installation of a different type or size of fire extinguisher, those requirements apply instead of the departments, as long as at least the minimum size is maintained.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0240, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0245   What fire escape measures must be taken for multilevel ((dwellings)) homes and facilities?   (1) Multilevel ((dwellings)) homes and facilities must have a means of escape from an upper floor.

     (2) If a fire ladder is needed to escape from an upper story window, it must be functional and stored in a location that is easily accessible.

     (3) For all foster homes and those staffed residential homes((, a)) licensed for five or fewer children, the local fire ((department official)) authority may be consulted to determine if a fire ladder is needed to ensure adequate safety.

     (4) For group care programs((, this determination is made by the state fire marshal)) and staffed residential homes licensed for six children fire escape measures from multi-level buildings is determined by the WSP/FPB representative.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0245, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0250   What fire safety instructions must I give to children residing in a home or staffed residential home licensed for five or fewer children?   (1) You must instruct children, under your care, who are capable of understanding and following emergency evacuation procedures ((and)) how to exit the building in case of fire.

     (2) For foster homes and staffed residential homes licensed for five or fewer children, you must conduct fire drills at ((regular)) quarterly intervals or as required by WAC 212-12-044 by the WSP/FPB to test and practice ((the)) evacuation procedures.

     (3) Any simulated fire drills for medically fragile or nonambulatory children must meet WAC 212-12-005 as required by the WSP/FPB.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0250, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0255   What are the requirements for a fire evacuation plan?   (1) You must develop a written fire evacuation plan for your home or facility. The evacuation plan must include an evacuation floor plan, identifying exit doors and windows. Except in foster homes, the plan must be posted at each exit door.

     (2) You must ensure that the plan includes:

     (a) Action to take by the person discovering a fire;

     (b) Methods for sounding an alarm on the premises;

     (c) Action to take for evacuating the building that ensures responsibility for the children; ((and))

     (d) Action to take while waiting for the fire department; and

     (e) If the use of a fire ladder is part of the evacuation plan it must be inspected at least annually to ensure it is in working order.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0255, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0260   What are the general requirements for bedrooms?   You must meet all of the following requirements for bedrooms if you provide full-time care in a home or facility.

     (1) An adult must be on the same floor or within easy hearing distance and ((accessibility)) access to where children under six years of age are sleeping . Infants under age one year must be on the same floor as an adult.

     (2) You must use only bedrooms that have unrestricted direct access to hallways, corridors, living rooms, day rooms, or other such common use areas.

     (3) You must not use hallways, kitchens, living rooms, dining rooms, and unfinished basements as bedrooms.

     (4) For facilities licensed after December 31, 1986, bedrooms must have both:

     (a) Adequate ceiling height for the safety and comfort of the occupants. Normally, this would be seven and a half feet; and

     (b) A window ((of not less than one-tenth of the required floor space)) that can open into the outside, allowing natural light into the bedroom and permitting emergency access or exit.

     (5) ((For any)) Foster children ((six years of age and over, you must furnish separate sleeping quarters for each)) must not share the same bedroom with children six years or older of a different gender.

     (6) Children in care must not share the same bed.

     (7) In group care facilities and staffed residential homes licensed for six children, single occupancy bedrooms must provide at least fifty square feet of floor space.

     (8) In foster homes and staffed residential homes licensed for five or fewer children, single occupancy bedrooms must provide adequate floor space for the safety and comfort of the child. Normally, this would be at least fifty square feet of floor space, not including closets.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0260, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0265   What are additional requirements for bedrooms ((having)) for more than one person?   (1) You must not allow a child over one year of age to share a bedroom with an adult who is not the child's parent. A foster child over one year may share the bedroom of the foster parent(s) for close supervision due to the child's medical or developmental condition. A written recommendation of the child's physician is required.

     (2) There must be no more than four persons to a bedroom.

     (3) Multiple occupancy bedrooms must provide adequate floor space for safety and comfort of the children. Normally this would be at least fifty square feet of floor space per occupant, not including closets.

     (4) When a mother and her infant sleep in the same room, the room must contain at least eighty square feet of usable floor space.

     (5) You must allow only one mother and her newborn infant(s) to occupy a bedroom.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0265, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0270   What are the requirements for beds?   (1) Each child in care must have a bed of his or her own.

     (2) For each child in care, you must provide a bed at least ((thirty)) twenty-seven inches wide with a clean and comfortable mattress in good condition, pillow, sheets, blankets, and pillowcases. Each child's pillow must be covered with waterproof material or be washable.

     (3) Bedding must be clean.

     (4) You must provide waterproof mattress covers or moisture resistant mattresses, if needed.

     (5) You must provide an infant with a crib that ensures the safety of the infant and complies with chapter 70.111 RCW, Infant Crib Safety Act.

     (6) Cribs must have no more than two and three-eighths inches space between vertical slats when used for infants under six months of age.

     (7) Cribs, infant beds, bassinets, and playpens must:

     (a) Have clean, firm, snug fitting mattresses covered with waterproof material that is easily sanitized; and

     (b) Be made of wood, metal, or approved plastic with secure latching devices.

     (8) Crib bumpers, stuffed toys and pillows must not be used in cribs, infant beds, bassinets, or playpens with an infant unless advised differently by the child's physician.

     (9) You must follow the recommendation of the American Academy of Pediatrics, 1-800-505-CRIB, placing infants on their backs each time for sleep, unless advised differently by the child's physician.

     (10) You may use toddler beds with a standard crib mattress that is sufficient in length and width for the comfort of children under six years of age.

     (11) You must not allow children to use the loft style beds or upper bunks of double-deck beds if using them due to age, development or condition could hurt them. Examples: Preschool ((age)) children, expectant mothers, and children with ((disabilities)) a disability.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0270, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0275   Do I need a telephone at my home or facility?   The department has two requirements for the telephone that you must meet at your home or facility.

     (1) You must have at least one telephone on the premises for incoming and outgoing calls. The telephone must be accessible for emergency use at all times.

     (2) You must post emergency phone numbers next to the phone, or at a specified place for easy access.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0275, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0300   How must I ventilate my home or facility?   You must ensure that your physical facility is ventilated for the health and comfort of the persons under your care. ((A mechanical exhaust to the outside must ventilate toilets and bathrooms that do not have windows opening to the outside.))

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0300, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0305   What are ((your)) the requirements for laundry facilities?   The department has specific requirements for laundry facilities at your home or facility.

     (1) You must have separate and adequate facilities for storing soiled and clean linen.

     (2) You must provide adequate laundry and drying equipment, or make other arrangements for getting laundry done on a regular basis.

     (3) Except for foster homes, you must locate laundry equipment in an area separate from the kitchen and child care areas ((unless you are doing foster care in your home)).

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0305, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0315   What are ((your)) the requirements for toilets, sinks, and bathing facilities?   You must meet certain requirements for toilets, sinks, and bathing facilities.

     (1) You must provide at least one indoor flush-type toilet, one nearby hand-washing sink with hot and cold running water, and a bathing facility.

     (2) You must comply with all of the following requirements for toilet and bathing facilities:

     (a) Toilet and bathing facilities must allow privacy for children who are five years of age or older and opposite genders.

     (b) Toilet, urinals, and hand-washing sinks must be the appropriate height for the children served, or have a safe and easily cleaned step stool or platform that is water-resistant.

     (c) Hand-washing and bathing facilities must be provided with hot running water that does not exceed one hundred twenty degrees.

     (d) All bathing facilities must have a conveniently located grab bar unless we approve other safety measures, such as nonskid pads.

     (e) You must provide potty-chairs and toilet training equipment for toddlers. You must regularly maintain this equipment and keep it in sanitary condition. You must put potty-chairs, when in use, on washable, water-resistant surfaces.

     (f) In group care facilities, whenever urinals are provided, the number of urinals must not replace more than one-third of the total number of required toilets.

     (g) You must provide soap and clean towels, disposable towels or other approved hand-drying devices to the persons under your care.

     (h) In programs providing care to expectant mothers:

     (i) Bathing facilities must have adequate grab bars in convenient places; and

     (ii) Except in foster homes, all sleeping areas must have at least one toilet and hand-washing sink on the same floor.

     (3) ((There shall be at least one indoor flush-type toilet and one nearby handwashing sink with hot and cold or tempered running water.)) The following ratios of persons normally on the premises to bathrooms at the facilities shall apply:


Toilets Handwashing Sinks Bathing

Facilities

Group care ((programs and)) facilities and SRH licensed for six children Two minimum and 1:8 ratio Two minimum and 1:8 ratio One minimum and 1:8 ratio
Foster ((family home)) homes and staffed residential ((home)) homes licensed for five or fewer children One minimum One minimum One minimum

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0315, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0320   What are the requirements about drinking water?   (((1))) You must provide the following:

     (((a))) (1) A public water supply or a private water supply approved by the local health authority at the time of licensing or relicensing; and

     (((b))) (2) Disposable paper cups, individual drinking cups or glasses, or angled jet type drinking fountains.

     (((2) You must not use bubbler type fountains or common drinking cups.))

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0320, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0325   What are the requirements for sewage and liquid wastes?   You must discharge sewage and liquid wastes into a public sewer system or into a functioning septic system, or department of health approved alternative system.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0325, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0335   When must I get ((medical exams for the children)) an EPSDT exam for a child under my care?   (1) ((You, together with the child's social worker, must schedule a medical exam for any child who, within the past year, has not:

     (a) Been under regular medical supervision; or

     (b) Had a physical exam by a physician, a physician's assistant, or an advanced registered nurse practitioner (ARNP).

     (2) A physical exam)) An early and periodic screening, diagnosis and treatment (EPSDT) exam must be completed ((within)) for any child in care more than thirty days ((of placement and annually thereafter)), who within the past year, has not had a physical exam by a physician, a physician's assistant, or an advanced registered nurse practitioner (ARNP).

     (2) In consultation with the child's social worker and physician, you must schedule an EPSDT exam by a physician, a physician's assistant, or an advanced registered nurse practitioner (ARNP) according to the published frequency schedule.

     Note: You may contact the child's social worker for information on this.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0335, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0340   What are ((your)) the requirements for immunizations for children?   (1) ((To receive care from you, children must have proof of current immunizations.)) Contact the child's social worker before beginning any immunization schedule to avoid duplication of immunizations.

     (2) You may accept a child who has not received all immunizations on a conditional basis if immunizations are started as soon as medically possible.

     (3) If you are providing care and have minor children of your own who are on the premises of a home or facility, your children must have proof of current immunizations.

     (4) The department may give conditional approval for any of your own children who have not received all immunizations as long as their immunizations are started soon as medically possible.

     (5) The department may grant exceptions to this requirement for immunizations for your children in two situations:

     (a) You, as parent or guardian, have signed a statement indicating your religious, philosophical or personal objections to the requirement; or

     (b) You have a physician's statement indicating that a valid medical reason exists for not obtaining immunizations for your own child.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0340, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0345   What must I do to prevent the spread of infections and communicable diseases?   You must take precautions to guard against infections and communicable diseases infecting the children under care in your home or facility.

     General communicable diseases and infections

     (1) In each home or facility, other than a foster home, staff with a reportable communicable disease or notifiable disease condition, as defined by the department of health, in chapter 246-101 WAC, in an infectious stage must not be on duty until they have a physician's approval for returning to work.

     (2) Each home or facility, other than a foster home, that cares for ((severely and multiple-handicapped)) medically fragile children and children with a severe developmental disability must have an infection control program supervised by a registered nurse.

     (3) Foster homes ((with)) and staffed residential homes licensed for five or fewer children who are medically fragile ((children)) may use other alternatives, such as in-home nursing services, to consult on infection control procedures.

     Tuberculosis

     (4) Applicants for a license or adults authorized to have unsupervised access to children in a home or facility must have a tuberculin (TB) skin test by the Mantoux method of testing. They must have this skin test upon being employed or licensed unless:

     (a) The person has evidence of testing within the previous twelve months;

     (b) The person has evidence that they have a negative chest X ray since a previously positive skin test;

     (c) The person has evidence of having completed adequate preventive therapy or adequate therapy for active tuberculosis.

     (5) The department does not require a tuberculin skin test if:

     (a) A person has a tuberculosis skin test that has been documented as negative within the past twelve months; or

     (b) A physician indicates that the test is medically unadvisable.

     (6) Persons whose tuberculosis skin test is positive must have a chest X ray within thirty days following the skin test.

     (7) The department does not require retesting for license renewals unless a person believes they have been exposed to someone with tuberculosis or if testing is recommended by their health care provider.

     (8) The facility must keep the results of the applicant and employees TB test results in the personnel file available for review by DLR.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0345, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0350   ((How do I manage medications)) What are the requirements for obtaining consent for medical care for children under my care?   (((1) You must meet the department's requirements for managing prescription and nonprescription medication for children under your care.

     (2) If you care for children in the custody of a tribal court you must follow the direction of that court regarding giving or applying prescription and nonprescription medications or ointments.

     (3) Only you or another authorized care provider may give or have access to medications for the child under your care;

     (4) Give medications, prescription and nonprescription, only on the written approval of a parent, person or agency having authority by court order to approve medical care;

     (5) Except for foster homes, keep a record of all medications you give a child;

     (6) Foster homes must keep a record of all prescription medication given to foster children; and

     (7) Properly dispose of medications that are no longer being taken or have expired.

     Prescription medications

     (8) You or another authorized care provider must:

     (a) Give prescription medications:

     (i) Only as specified on the prescription label; or

     (ii) As otherwise approved by a physician or another person legally authorized to prescribe medication.

     (b) Check with the physician or pharmacist about possible side effects for any prescription medications and interactions with nonprescription drugs the child is taking.

     Psychotropic medications

     (9) Care providers must not approve giving psychotropic medications to a child in care. Approval can only be given by one of these:

     (a) The child's parent;

     (b) Dependency guardians;

     (c) A court order; or

     (d) The child's social worker, if:

     (i) The child is legally free and in the permanent custody of the department; or

     (ii) It is impossible to obtain informed parental consent after normal work hours, on weekends, or on holidays.

     (10) Children who are at least thirteen years old may decline to take prescription psychotropic medication. If this happens contact the child's social worker immediately.

     Nonprescription medications

     (11) Children taking psychotropic medications must have the prescribing physician's authorization before any nonprescription drugs are given.

     (12) You or another authorized care provider must follow these requirements for nonprescription medications. You must:

     (a) Give certain classifications of nonprescribed medications, only with the dose and directions on the manufacturer's label for the age and/or weight of the child needing the medication. These nonprescribed medications include but are not limited to:

     (i) Nonaspirin antipyretics/analgesics, fever reducers/pain relievers;

     (ii) Nonnarcotic cough suppressants;

     (iii) Decongestants;

     (iv) Antacids and anti-diarrhea medication;

     (v) Anti-itching ointments or lotions intended specifically to relieve itching;

     (vi) Shampoo for the removal of lice;

     (vii) Diaper ointments and powders intended specifically for use in the diaper area of children;

     (viii) Sun screen; and

     (ix) Antibacterial ointments for first-aid use.

     (b) Give any other nonprescription medications only when approved in writing by a physician. These nonprescription medications may be given with a physician's standing order. Physician's standing orders must be patient specific)) (1) In general, the department is the legal custodian of a child in foster care. The department has the authority to consent to emergent and routine medical services on behalf of the child. The department delegates some of that authority to out-of-home placement providers (both foster parents and facility-based programs). You must contact the child's social worker or children's administration intake (emergency placements) for specific information for each child.

     (2) In case of medical emergency, contact children's administration intake as soon as possible.

     (3) If you care for children in the custody of another agency, tribal court or other court you must follow the direction of that agency or court regarding permission to provide consent for medical care.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0350, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-0352   What are the requirements for the management of medication for children in my care?   General medication management requirements

     (1) Medication must not be used for behavior control, unless prescribed for that purpose by a physician or another person legally authorized to prescribe medication.

     (2) Only you or another authorized care provider (such as a respite provider) are allowed to have access to medications for a child under your care.

     (3) You or another authorized care provider must give prescription and nonprescription medications:

     (a) Only as specified on the prescription label; or

     (b) As otherwise approved by a physician or another person legally authorized to prescribe medication.

     (4) If you care for children in the custody of another agency, tribal or other court you must follow the direction of that agency or court regarding giving or applying prescription and nonprescription medications.

     (5) Foster homes must keep a record of all prescription medication given to a foster child.

     (6) All licensees, except foster homes, must keep a record of all prescription and nonprescription medications given to children in care.

     Nonprescription medications

     (7) You or another authorized care provider may give the following nonprescription medications according to product instructions, without prior approval of the department:

     (a) Nonaspirin antipyretics/analgesics, fever reducers/pain relievers;

     (b) Nonnarcotic cough suppressants;

     (c) Decongestants;

     (d) Antacids and anti-diarrhea medication;

     (e) Anti-itching ointments or lotions intended specifically to relieve itching;

     (f) Shampoo for the removal of lice;

     (g) Diaper ointments and powders intended specifically for use in the diaper area of children;

     (h) Sun screen for children over six months; and

     (i) Antibacterial ointments.

     Note: Other nonprescription medications may be given with a physician's standing order, if the order is child specific.

     Prescription medications

     (8) Children taking prescription medications, internally, must have the prescribing physician's written authorization before any other medications, herbal supplements, remedies, vitamins, or minerals are given.

     (9) You must notify the child's social worker of changes in prescribed medications.

     (10) Except for foster homes, the disposal of any prescription medication must be documented and contain the following information:

     (a) What medication was disposed;

     (b) The name of the child the medication was prescribed for;

     (c) The amount disposed;

     (d) The name of the individual disposing of the medication; and

     (e) The name of the individual witnessing the disposal.

     Note: You may consult with a pharmacist on the proper disposal of medications that are no longer being taken or have expired.

     Psychotropic medications

     (11) Care providers must not consent to giving or stopping a psychotropic medication. Consent to begin or to stop a psychotropic medication for a child can only be given by one of these:

     (a) The child's parent;

     (b) Dependency guardians based on the authority of the dependency guardianship court order;

     (c) A court order; or

     (d) The child's social worker, if:

     (i) The child is legally free and in the permanent custody of the department; or

     (ii) It is impossible to obtain informed parental consent after normal work hours, on weekends, or on holidays.

[]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0355   May I accept medicine from a child's parent or guardian?   (1) The only medicine you may accept from the child's parent, guardian, or responsible relative is medicine in the original container labeled with:

     (a) The child's first and last ((names)) name;

     (b) The date the prescription was filled;

     (c) The medication's expiration date; and

     (d) Legible instructions for administration (manufacturer's instructions or prescription label) of the medication.

     (2) You must notify the child's social worker when you receive a prescription from a child's parent or guardian.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0355, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0365   When may children take their own medicine?   (1) You may permit children under your care to take their own medicine as long as:

     (a) They are physically and mentally capable of properly taking the medicine; and

     (b) ((The social worker or guardian if they have custody, approves in writing.

     (2))) You must keep the written approval by the child's social worker in your records.

     (((3))) (2) When a child is taking their own medication, the medication and medical supplies must be kept locked ((so they are)) or inaccessible to unauthorized persons.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0365, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0375   How often must I feed children?   (1) You must provide all children a minimum of three meals in each twenty-four-hour period. You may vary from this guideline only if you ((write to your licensor requesting a change and the request is approved by the department)) have written approval from the child's physician and social worker.

     (2) The time interval between the evening meal and breakfast must not be more than fourteen hours.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0375, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0380   How do I handle a child's special diet?   You must have approval of the child's social worker and written instructions by a physician, parent or guardian before serving nutrient concentrates, nutrient supplements, vitamins, and modified diets (therapeutic and allergy diets).

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0380, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0385   ((Do you have)) Are there special requirements for serving milk?   You must follow these requirements for serving milk:

     (1) Serve only pasteurized milk or a pasteurized milk product.

     (2) Not serve the following types of milk to any child less than twenty-four months of age unless you have written permission by a physician:

     (a) Skim milk;

     (b) Reconstituted nonfat dry milk; and

     (c) One and two percent butterfat milk.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0385, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0395   What requirements must I meet for feeding babies?   You must meet the following requirements for feeding babies:

     (1) In group care settings, all formulas must be in sanitized bottles with nipples and labeled with the child's name and date prepared if more than one child is bottle-fed.

     (2) You must refrigerate filled bottles if bottles are not used immediately and contents must be discarded if not used within twenty-four hours.

     (3) If you reuse bottles and nipples, you must sanitize them.

     (4) If breast milk is provided by anyone other than a baby's biological mother, approval must be obtained from the child's social worker.

     (5) Infants who are six months of age or over may hold their own bottles as long as an adult remains in the room and within observation range. You must take bottles from the child when the child finishes feeding or when the bottle is empty, or when the child falls asleep.

     (6) You must not prop bottles while feeding infants.

     (7) To prevent uneven heating, formula must not be warmed in a microwave oven in the bottle that will be used for feeding the baby.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0395, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0400   What are ((your)) the requirements for diapers and diaper-changing areas?   In a foster home or group care program you must follow the requirements for diapers, diaper-changing rooms and ((potty-chairs)) toilet-training equipment.

     (1) You must separate diaper-changing areas from food preparation areas.

     (2) You must sanitize diaper-changing areas and toilet-training equipment between each use or you must use a nonabsorbent, disposable covering that is discarded after each use.

     (3) For cleaning children, you must use either disposable towels or clean cloth towels that have been laundered between each use.

     (4) You and any caregiver must wash hands before and after diapering each child.

     (5) In group care programs, you must use disposable diapers, a commercial diaper service, or reusable diapers supplied by the child's family.

     (6) In group care programs, diaper-changing procedures must be posted at the changing areas.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0400, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-0422   What are the requirements for privacy for children in out-of-home placements?   (1) In general, children in out-of-home placement have the right to privacy of personal mail and phone calls.

     (2) The department and its delegates may censor the child's mail and monitor telephone calls to the extent necessary and in the manner specified by the court order for the child's safety or well-being.

[]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0425   What are the requirements about nondiscrimination?   You ((must)) are expected to follow all state and federal laws regarding nondiscrimination while providing services to children in your care.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0425, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0430   May I take a foster child to church services, temple, mosque or synagogue?   (1) You may have a child attend church services, temple, mosque, or synagogue, if the child chooses to participate.

     (2) You must respect the religious ((rights)) backgrounds or preferences of the children under your care.

     (3) Children have the right to practice their own faith.

     (4) Children have the right not to practice your faith without consequences.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0430, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0445   What toys and activities must I provide to children?   You must provide children with safe and suitable toys and activities that contribute to developing their physical, mental, social, and emotional skills. Activities must be designed for the developmental stages of the children you serve.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0445, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0455   Do I need permission to travel on an overnight trip or out-of-state with my foster child?   Contact the child's social worker with the agency having legal custody of the child for written permission prior to overnight trips, out-of-state, or out-of-country travel.

     ((Note: The social worker with the agency having legal custody of the child is the contact person.))

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0455, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0460   What requirements do you have for supervising children?   (1) For all homes and facilities you must provide or arrange for care and supervision that is appropriate for the child's age, developmental skill level, and condition.

     (2) ((You must supervise children who help with food preparation in the kitchen, based on their age and skills.

     (3))) Preschool children and children with severe developmental disabilities must not be left unattended in a bathtub or shower.

     (((4))) (3) Foster parents and facility staff must provide the children in their care with appropriate adult supervision, emotional support, personal attention, and structured daily routines and living experiences.

     (((5))) (4) Except group receiving centers, children in group care ((children)) must be supervised during sleeping hours by at least one awake staff when:

     (a) There are more than six children in care; and

     (b) The major focus of the program is behavioral rather than the development of independent living skills such as a teen parent program or responsible living skills program; or

     (c) The youth's behavior poses a risk to self or others.

     (((6))) (5) In foster homes and staffed residential homes, children must be supervised during sleeping hours by at least one awake staff only when it is part of the child's written supervision plan ((with the child's social worker)).

     (((7))) (6) Adequate supervision should be arranged and maintained during times of crisis when one or more family members or staff members may be unavailable to provide the necessary supervision or coverage for other children in care.

     (((8))) (7) When special supervision is required and agreed upon between the department and the agency or foster parent, the agency or foster parent provides the necessary supervision. This supervision may require auditory or visual supervision at all times.

     (((9))) (8) When a child has exhibited behavior in a previous placement or the placement agency believes the child poses a risk to other children the agency must inform the provider and jointly develop a plan to address the risk.

     (((10) When a child exhibits behavior that poses a safety risk to other children in care, the child must not share a bedroom with other children.))

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0460, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0470   What types of disciplinary practices are forbidden?   (1) You must not use cruel, unusual, frightening, unsafe or humiliating discipline practices, including but not limited to:

     (a) Spanking children with a hand or object;

     (b) Biting, jerking, kicking, hitting, or shaking the child;

     (c) Pulling the child's hair;

     (d) Throwing the child;

     (e) Purposely inflicting pain as a punishment;

     (f) Name calling, using derogatory comments;

     (g) Threatening the child with physical harm;

     (h) Threatening or intimidating the child; or

     (i) Placing or requiring a child to stand under a cold water shower.

     (2) You must not use methods that interfere with a child's basic needs. These include, but are not limited to:

     (a) Depriving the child of sleep;

     (b) Providing inadequate food, clothing, living space, or shelter;

     (c) Restricting a child's breathing;

     (d) Interfering with a child's ability to take care of their own hygiene and toilet needs; or

     (e) Providing inadequate medical or dental care.

     (3) You must not use methods that deprive a child of necessary services. These include, but are not limited to, contacting:

     (a) The assigned social worker;

     (b) The assigned legal representative;

     (c) Parents or other family members who are identified in the ((case)) service plan; or

     (d) Individuals providing the child with therapeutic activities as part of the child's ((case)) service plan.

     (4) You must not use medication in an amount or frequency other than that prescribed by a physician or psychiatrist.

     (5) You must not use medications for a child that ((has)) have been prescribed for someone else.

     (((6) You must not physically lock doors or windows in a way that prohibits a child from exiting.))

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0470, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0480   ((What types of physical restraint are acceptable for children in homes and group care settings)) When may a child be restrained?   (1) You must use efforts other than physical restraint to redirect or de((-))escalate a situation, unless the child's behavior poses an immediate risk to physical safety.

     (2) ((In foster homes, in emergencies and only when the)) When a child's behavior poses an immediate risk to physical safety you may you use physical restraint. The restraint must be reasonable and necessary to:

     (a) Prevent a child ((on the premises)) from harming ((themself)) him or herself, or others; or

     (b) Protect property from serious damage.

     (3) If ((your)) a group care program is approved by DLR for the use of physical restraint, the licensee and staff must be trained in the appropriate use of restraining techniques in accordance with the ((department's)) children's administration's behavior management policy before restraining a child.

     (4) Medication prescribed by a physician to control behavior must be only given as prescribed.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0480, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0485   What types of physical restraint are not acceptable for children?   Homes and facilities must follow these requirements. You must not:

     (1) Use physical restraint as a form of punishment or discipline.

     (2) Use mechanical restraints, such as handcuffs and belt restraints, unless ordered by the child's physician, such as a belt restraint for an infant with reflux who must be secured to a wedge.

     (3) ((Use locked time-out rooms.

     (4))) Use physical restraint techniques that restrict breathing, inflict pain as a strategy for behavior control, or that ((might injure)) is likely to cause injury that is more than transient to a child. These include, but are not limited to:

     (a) Restriction of body movement by placing pressure on joints, chest, heart, or vital organs;

     (b) Sleeper holds, which are holds used by law enforcement officers to subdue a person;

     (c) Arm twisting;

     (d) Hair holds;

     (e) Choking or putting arms around the throat; or

     (f) Chemical restraints, including but not limited to pepper spray.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0485, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-0487   Are there requirements for time-out or quiet rooms?   (1) Locked time-out or quiet rooms are prohibited in foster homes and staffed residential homes licensed for five or fewer children.

     (2) Locked time-out or quiet rooms are prohibited in group care facilities and staffed residential homes licensed for six unless, the group facility or staffed residential home:

     (a) Has approval from the Washington state patrol fire protection bureau or a certificate of compliance stating that the facility is in compliance with the fire codes with Washington state amendments;

     (b) Has approval from the DLR licensor stating the facility is in compliance with the children's administration's behavior management guidelines; and

     (c) Has current written approval of the DLR director.

[]


NEW SECTION
WAC 388-148-0488   Are time-delay mechanisms allowed on windows and doors of a facility or staffed residential home licensed for six?   The use of time-delay mechanisms that meet the fire codes with Washington state amendments of the Washington state patrol fire protection bureau for fire and life safety may be approved for group care facilities and staffed residential homes licensed for six children, if:

     (1) There is an exterior door(s) that ensures egress when the building needs to be evacuated;

     (2) The time-delay mechanism(s) automatically unlocks when the fire alarm goes off;

     (3) The licensee has approval from the DLR licensor stating that the program is in compliance with the children's administration's behavior management guidelines; and

     (4) The licensee has current written approval of the DLR director.

[]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0490   What must I do following an incident that involved using physical restraint?   (1) In foster homes, the foster parent must send a copy of the documented use of physical restraint to the child's social worker and licensor within forty-eight hours; or if the foster home is supervised by a child-placing agency to the case manager.

     (2) The CPA case manager ((will)) must furnish a copy of the incident report to the child's DCFS social worker and DLR licensor.

     (((2))) (3) For group care programs and all staffed residential homes, the director or program supervisor must:

     (a) Review any incident with the staff who used physical restraint to ensure that the decision to use physical restraint and its application were appropriate; and

     (b) Report the incident if it meets criteria in WAC 388-148-0120.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0490, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0520   What are the training requirements for foster parents and prospective foster parents?   At least one foster parent must:

     (1) ((To receive a foster home license, you must)) Attend required orientation and preservice training programs that the department sponsors, or that your licensed child-placing agency offers((.)); and

     (2) ((You need proof of completion of current first-aid/CPR training that is geared for the ages of the foster children you want in your home.

     (3) You need proof of completion of HIV/AIDS training.

     (4) The primary care givers must)) Complete all other required DLR-approved training after licensing.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0520, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0525   How many children may my foster home serve?   (1) The department may restrict the number, age range, or gender of children a foster home is licensed to serve up to the maximum listed below. The age of the foster and birth applicant or licensee's children, and the physical and emotional condition of the children are considered in making this decision. These requirements are for all foster homes, including those that only have foster children for a short time (sometimes called a "receiving home").

     (2) In a two-parent household, the maximum number of children in your home ((is restricted to)) may be no more than six children, including your own children.

     (3) In a single parent household, the ((total)) maximum number of children in your home ((is restricted to)) may be no more than four children, including your own children.

     (4) A home may at the discretion of the department be licensed for the care of at least one child when the foster parent(s) have more of their own children than specified in subsection (2) and (3) of this section, if they meet the other licensing requirements.

     (5) You may have only two children under two years of age in your home at a time. This includes foster children and your own children.

     (6) The capacity restrictions in this section may at the discretion of the department be exceeded in extraordinary situations, such as to place a sibling group, to place a child with a relative, or because the foster family has demonstrated exceptional abilities in relation to the special needs of a foster child, if this appears to be in the best interest of the child and would not jeopardize the health and safety of the other children in the home. Approval to exceed the capacity restrictions must be in writing and signed by the DLR manager or designee.

     (7) The department may license a foster home for up to three medically fragile foster children ((with mental or physical disabilities)) that are severe enough to need semi-skilled maintenance or supportive services if:

     (a) Your training and/or experience qualifies you to provide proper care;

     (b) The children's treatment requires nursing service oversight; and

     (c) The ((total)) maximum number of medically fragile children ((with mental or physical disabilities)) in your home is three or fewer; and

     (d) You have a written plan on how you will evacuate children in case of fire or other emergency.

     (8) The department may license a foster family for up to two nonmobile children.

     (9) While providing respite care, you may only exceed the number of children you are licensed to serve with prior approval by the DLR director or designee.

     (10) The department may license a foster home to serve up to four children with developmental disabilities as defined in RCW 71A.10.020, at any one time.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0525, filed 8/28/01, effective 9/28/01.]

     Reviser's note: The typographical error in the above section occurred in the copy filed by the agency and appears in the Register pursuant to the requirements of RCW 34.08.040.

     Reviser's note: RCW 34.05.395 requires the use of underlining and deletion marks to indicate amendments to existing rules. The rule published above varies from its predecessor in certain respects not indicated by the use of these markings.FOSTER HOMES -- FOSTER PARENT EMPLOYMENT AND RESPITE
AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0535   Do I need to have income separate from foster care payments?   You must have sufficient regular income, at least, an amount that meets current TANF standards for the number of persons in your home, to maintain your own family, without the foster care payments made for the children in care.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0535, filed 8/28/01, effective 9/28/01.]

((FOSTER HOMES -- RESPITE CARE PROVIDED))
AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0540   When may I use respite care?   (1) Foster families may arrange for respite (brief temporary relief) care ((only with the prior)) with the consent of the child's social worker.

     (2) Respite care may be arranged in advance or on an emergency basis.    

     (3) Respite care may be arranged to support the care a foster parent is providing or to provide substitute care in the absence of foster parents.

     (4) Respite care given outside the foster parent's home must be provided by licensed providers.

     (5) While providing respite, licensees must not exceed their licensed capacity and must maintain compliance with the licensing requirements.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0540, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-0541   Excluding respite care, who may provide care to a foster child in the foster home when the foster parent is away from the home?   (1) Occasionally, and for less than twenty-four hours, the foster parent, at their own expense, may use a friend or a relative as a substitute caregiver in the foster home, without verifying criminal and founded child abuse/neglect history when the foster parent has no reason to suspect the substitute caregiver:

     (a) Has a criminal or founded child abuse or neglect history that would disqualify them from caring for a department child; or

     (b) Would be a risk to the foster child while in the substitute's care.

     (2) The foster parent must:

     (a) Be familiar and comfortable with the individual who will be caring for the foster child;

     (b) Meet with the substitute caregiver and review the expectations regarding supervision and discipline of the foster child, including the requirement that no physical discipline is used on foster children;

     (c) Be responsible for providing the caregiver any special care instructions;

     (d) Provide information on how to be contacted by the substitute caregiver; and

     (e) Ensure the child has a safety plan.

     (3) If the care by the friend or relative is a regular arrangement, the foster parents must have written approval of the social worker for the arrangement and provide the social worker with evidence from the substitute caregiver of:

     (a) Current first aid and age-appropriate CPR training;

     (b) HIV/AIDS and blood borne pathogens training;

     (c) A nondisqualifying background check; and

     (d) A tuberculosis test.

[]


NEW SECTION
WAC 388-148-0542   May a foster child be supervised by someone under eighteen in the foster home?   (1) A foster parent, at their own expense, may use a friend or relative who is sixteen or seventeen to supervise (baby sit) a foster child under the following conditions:

     (a) The foster parent knows the youth babysitter to be reliable and mature enough to provide appropriate care to the foster child.

     (b) The youth babysitter has completed a background check within the past year. Exception: For occasional care of less than twenty-four hours, the verification of the background check is not required, as provided in WAC 388-148-0541 (1)(a)(b).

     (c) The youth babysitter must not be responsible for more than three children.

     (2) If the care by the youth babysitter is a regular arrangement, the foster parents must have the written approval of the social worker and provide the social worker with evidence from the youth babysitter of:

     (a) Current first aid and age-appropriate CPR training;

     (b) HIV/AIDS training including blood borne pathogens training;

     (c) A nondisqualifying background check; and

     (d) A tuberculosis test.

[]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0555   Do I need a social summary for children under my care?   (1) Except for foster homes and group receiving centers, all programs must develop a written diagnostic social summary for each child accepted for care.

     (2) The social summary must serve as the basis of the child's admission to care.

     (3) If a child needs to be accepted for emergency care, such as placement in a crisis residential center, the department does not require the social study to be completed prior to admission. In these cases, if the child remains in care beyond thirty days, a summary must be completed as soon as possible.

     (4) The study must contain the following information for the child:

     (a) Copies of psychological or psychiatric evaluations, if any, on the child under care.

     (b) A narrative description of the child's background and family that identifies the immediate and extended family resources;

     (c) The child's interrelationships and the problems and behaviors that have required care away from his or her own home;

     (d) The child's primary and alternate permanency plan;

     (e) Previous placement history, if any; and

     (f) An evaluation of the child's need for the particular services and type of care you provide.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0555, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0560   Do I need a treatment plan for children under my care?   (1) ((If you operate a)) Except group receiving centers, all group care programs, staffed residential ((home or a group care program you)) homes, and foster homes of child-placing agencies that have contracts or agreements with the department to provide treatment or therapeutic services to dependent children, must assist in developing and implementing a written treatment plan for each child ((accepted for care in any of the programs you provide)) by the thirtieth day in care.

     (2) The treatment plan must:

     (a) Identify the service needs of the child, parent or guardian;

     (b) Describe the treatment goals and strategies for achieving those goals;

     (c) Include a running account of the treatment received by the child and others involved in the treatment plan, such as any group treatment or individual counseling; and

     (d) Be updated at least quarterly to show the progress toward meeting goals and list barriers to the permanent plan.

     (3) A social service staff person must review and sign approving the child's treatment plan.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0560, filed 8/28/01, effective 9/28/01.]

ALL LICENSES EXCEPT FOSTER HOMES AND GROUP RECEIVING CENTERS -- SOCIAL SERVICE STAFF QUALIFICATIONS AND STAFFING RATIOS
AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0585   What social service staff do I need ((for my home or facility))?   (1) Except for foster homes, group receiving centers, and juvenile detention facilities, you must provide or arrange for social services by qualified persons who ((have specific educational training. Except for juvenile detention facilities, social service staff must)) meet the education and training requirements that follow:

     (((1))) (a) One person who provides social services must have a master's degree in social work or a closely related field from an accredited school.

     (((2))) (b) Social service staff without a master's degree in social work or closely related field must have a bachelor's degree in social work or a closely related field from an accredited school. A person with a master's degree must consult ((at least eight hours per month)) with any social service staff who ((have)) has only a bachelor's degree one hour for every twenty hours the staff person works.

     (((3))) (2) When social services are provided by another agency, you must have a written agreement with the agency describing the scope of service they provide. ((Written agreements must meet the requirements of this rule.

     (4) A social service staff person must review and sign approving the child's treatment plan.

     (5) A social service staff person must review and sign approving licensing application packets before they are submitted to DLR.))

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0585, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0600   Do I need professional consultants for my program?   (1) Except for foster homes, you must have consultants available((,)) as needed, to work with your staff, the children you serve, and the children's families. The consultants that are used by your program must meet the full professional competency and requirements and academic training in their respective fields. The consultant or consultants must have:

     (a) A master's degree from a recognized school of social work or ((similar academic training in the)) closely related field ((they will be advising));

     (b) The training, experience, knowledge and demonstrated skills in each area that he or she will be supervising or advising; and

     (c) The ability to ensure ((your)) staff develop their skills and understanding needed to effectively manage their cases.

     (2) Consultants may be hired as staff or operate under a contract with ((your)) the program.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0600, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0605   Is in-service training required?   If you have employees in your home or facility, you must offer in-service training programs for developing and upgrading staff skills.

     (1) If you have five or more employees or volunteers, your training plan must be in writing.

     (2) You must discuss with the staff your policies and procedures as well as the rules contained in this chapter.

     (3) You must provide or arrange for your staff to have training for the services that you provide to children under your care.

     (4) Your training on behavioral management must be approved by DLR and must include nonphysical age-appropriate methods of redirecting and controlling behavior, as described in ((the department's)) children's administration's guidelines on behavior management ((policy)).

     (5) You must record the amount of time and type of training provided to staff.

     (6) This information must be kept in each employee's file or in a separate training file.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0605, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0610   What are the required ratios of social service staff to children under care?   You must meet the minimum ratios of social service staff to children under care as shown in the chart below:


Type of ((Program)) Facility Minimum Ratio of Full-Time Social Service Staff to Children Under Care
Day treatment program 1 to 15
Group homes 1 to 25
Child-placing agency 1 to 25
Maternity services 1 to 25
Regular and secure crisis residential centers 1 to 5

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0610, filed 8/28/01, effective 9/28/01.]

((ALL LICENSES, EXCEPT FOSTER HOMES AND CHILD-PLACING AGENCIES)) GROUP CARE FACILITIES AND STAFFED RESIDENTIAL HOMES LICENSED FOR SIX CHILDREN -- FIRE SAFETY REQUIREMENTS
AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0620   What safety features do I need for hazardous areas?   The department requires hazardous areas in ((your)) a group care facility or a staffed residential home ((or group care facility to have certain safety features.

     (1) Hazardous areas must be separated from the staffed residential home or group care facility by at least a "one-hour" fire-resistant wall. Hazardous areas include rooms or spaces containing:

     (a) A commercial-type cooking kitchen;

     (b) A boiler;

     (c) A maintenance shop;

     (d) A janitor closet;

     (e) A woodworking shop;

     (f) Flammable or combustible materials; or

     (g) Painting operations.

     (2) We do not require a fire-resistant wall when:

     (a) A kitchen contains only a domestic cooking range; and

     (b) Food preparation does not produce smoke or grease-laden vapors)) licensed for six children meet the facility fire and life safety requirements as developed by the chief of the Washington state patrol through the director of the fire protection bureau.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0620, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0625   What other requirements must I follow for smoke detectors?   (1) Group care facilities and staffed residential homes licensed for six children must have smoke detectors ((must have a UL approval sticker and sound an alarm that is audible in all sleeping and napping areas.

     (2) In new construction, required smoke detectors must receive their primary power from building wiring from a commercial source. Wiring must be permanent, with a disconnecting switch only for overcurrent protection.

     (3) Smoke detectors must also:

     (a) Be equipped with a battery backup; and

     (b) Emit a signal when the batteries are low.

     (4) If installed in existing buildings or buildings without commercial power, smoke detectors may be solely battery operated.

     (5) Single-station smoke detectors must be tested at monthly intervals or in a manner specified by the manufacturer. Records of such testing must be maintained upon the premises)) that are UL or Factory Mutual approved.

     (2) Smoke detectors must have a strobe and be in compliance with the Americans with Disabilities Act (ADA).

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0625, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0640   What fire safety procedures ((to)) do staff of a group care facility and a staffed residential home ((and group care program staff)) licensed for six children need to know?   You and your staff at ((the)) a group care facility and a staffed residential home ((or group care facility)) licensed for six children must be familiar with safety procedures related to fire prevention.

     (1) You and your staff must be familiar with all aspects of the fire drill.

     (2) You and your staff must be able to:

     (a) Operate all fire extinguishers installed on the premises;

     (b) Test smoke detectors (single station types); and

     (c) Conduct frequent inspections of the home or facility to identify fire hazards and take action to correct any hazards noted during the inspection.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0640, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0645   What are the requirements for fire drills and testing smoke detectors?   (1) You must conduct a fire drill in your staffed residential home licensed for six children or group care facility at least once each month at varying times of the day and night so that staff on all shifts practice the procedures.

     (((2))) You must maintain a written record on the premises that indicates the date and time that all drill practices were completed.

     (2) Single-station smoke detectors must be tested monthly or in a manner specified by the manufacturer. You must maintain a written record of such testing on the premises that indicates the date and time the test was completed.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0645, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0655   Are there different construction and fire safety requirements for facilities that have ((mixed groups)) multiple licenses in the same building?   (1) ((If a facility, such as a regular or a secure crisis residential center (CRC) or group home and a CRC, has mixed groups)) A facility with multiple Washington state licenses or certifications for the care of children in the same building((, the facility)) must ((follow)) comply with the most stringent construction and fire safety requirements ((of the two groups)) for the physical structure, if children share the same space.

     (2) If ((a)) the same facility ((is certified by the department of health, such as a secure residential treatment center, the facility must meet construction and fire safety standards for psychiatric hospital security rooms when they have a secure CRC or a secure residential treatment center within the physical structure)) has multiple Washington state licenses the licensee must notify:

     (a) The Washington state patrol fire protection bureau inspector; and

     (b) All of the licensing and certification agents.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0655, filed 8/28/01, effective 9/28/01.]

((ALL LICENSES, EXCEPT FOSTER HOMES AND CHILD-PLACING AGENCIES)) GROUP CARE FACILITIES AND STAFFED RESIDENTIAL HOMES -- FOOD AND MEALS
AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0660   Do mealtimes need to be established?   ((You)) Group care facilities and staffed residential homes must establish and post a schedule of mealtimes.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0660, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0670   What types of group care programs are licensed to provide care to children?   (1) The following types of programs may be licensed as group care to provide care for children on a twenty-four-hour basis:

     (((1))) (a) Group ((home)) residential programs;

     (((2))) (b) Independent living skills programs;

     (((3))) (c) Maternity services;

     (((4))) (d) Services to children with severe developmental disabilities and medically fragile children; ((and

     (5))) (e) Crisis residential centers and secure crisis residential centers; ((and

     (6))) (f) Group receiving centers; and

     (g) Day treatment programs. Day treatment programs are considered group care programs under this chapter, though they are not twenty-four-hour residential programs.

     (2) If your group care facility provides services named in WAC 388-148-0670 (1)(c) through (g) you will need to comply with the licensing requirements specific to those programs. A license may be issued for that specific type of care, such as a crisis residential center in addition to the group care license.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0670, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0685   Who may ((I serve as)) a group care program provider serve?   (1) If you are a group care program provider, you may serve children who are at least six years of age and meet one of the following conditions:

     (a) Have behavior that cannot be safely or effectively managed in foster care;

     (b) Need temporary placement awaiting a more permanent placement;

     (c) Need emergency placement during a temporary disruption of a current placement;

     (d) Have emotional, physical, or mental disabilities; ((or))

     (e) Need a transitional living setting;

     (f) Need respite care from a licensed provider; or

     (g) Are age sixteen or older and need to acquire independent living skills.

     (2) If your group care program serves children with severe developmental disabilities, medically fragile children, maternity services, or is a group receiving center or meets RCW 74.15.020 (2)(m), the children may be younger than six years of age.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0685, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0695   Must I give a child an allowance?   Group care facilities, except group receiving centers, must give the children under their care allowances based on age, needs and ability to handle money. These facilities must keep track of allowances given to children in a ledger.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0695, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0700   What are the qualifications for an executive director for a group care program or child-placing agency?   (((1))) A group care program, child-placing agency executive director, or person responsible for the agency administration, agency oversight, and fiscal operation must meet, at a minimum, the requirements that follow.

     (((a))) (1) Be able to communicate to the department the roles, expectations and purposes of the program; ((and

     (b))) (2) Work with representatives of other agencies((.

     (2) They must also meet one of these education or experience requirements:

     (a) Have a bachelor's degree in social science or closely related field from an accredited school; or

     (b) Have a minimum of two years of successful, full-time relevant experience, such as working in a group care facility; or

     (c) Have a minimum of two years as a foster parent with a letter of recommendation from the licensing agency and supervising agency)); and

     (3) Have appropriate education and four years of successful experience with similar duties and responsibilities for the administration oversight, and fiscal management of an agency.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0700, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0705   Do I need an on-site program manager or social service staff at each group care facility?   Each group care facility must have an on-site program manager, social service staff, or person with the equivalent training and experience of an on-site program manager at each facility during business hours.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0705, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0710   What are the responsibilities of the on-site program manager or social service staff for a group care ((program)) facility?   The on-site program manager or social service staff has the following responsibilities:

     (1) Coordinates the day-to-day operations of the program;

     (2) Supervises the child care staff;

     (3) Oversees the completion of each child's plan of care and treatment.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0710, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0715   What qualifications must the on-site program manager, or social service staff for a group care program or a CPA program manager have?   (1) Each on-site program manager or social service staff for group care and CPA program manager must have the following qualifications:

     (((1))) (a) A bachelor's degree in a social ((science)) services or closely ((allied)) related field from an accredited school; or

     (((2))) (b) Five years of successful full-time experience in a relevant field; and

     (((3))) (c) Supervisory abilities that promote effective staff performance; and

     (((4))) (d) Relevant experience, training, and demonstrated skills in each area that he or she will be supervising or managing.

     (((5))) (2) The same person may have the responsibilities of the executive director and the group care on-site program manager, social service staff or a CPA program manager, if that person meets the qualifications for both positions.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0715, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-0718   What are the responsibilities for child care staff at a group care program?   The child care staff responsibilities at a group care program includes care, supervision, and behavior management of the children under care.

[]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0720   What are the qualifications ((must the)) for child care staff ((for a group care program have)) and case aides?   ((The child care staff person is responsible for the care, supervision, and behavior management of children under your care.)) The department requires ((the)) child care staff ((of each group care program)) and case aides:

     (1) Be at least twenty-one years old;

     (2) Exception: Child care staff may be eighteen to twenty years old if enrolled and participating in an internship or practicum program with an accredited college or university; and supervised by staff twenty-one years or older;

     (3) Have a high school diploma or GED;

     (4) Have one year of experience working with children;

     (5) Have the skills and abilities to work successfully with the challenging behaviors of children in care; and

     (6) Have effective communication and problem solving skills.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0720, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-0722   What are the qualifications for health care staff for a group care program or a child-placing agency caring for medically fragile children?   (1) The health care staff, such as a licensed practical nurse (LPN) and nurse assistant certified, must meet the full professional competency requirements in their respective field when working in a group care facility or a CPA program for medically fragile children.

     (2) The health care staff must maintain their certification or licensure as required by the department of licensing.

[]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0725   What is the ratio of child care staff to children in group care facilities?   The department has specific requirements for the ratio of child care staff to children in group care.

     (1) The ratio for group ((homes)) care is at least one child care staff member on site for every eight children during waking and sleeping hours.

     Note: Crisis residential centers, group receiving centers, staffed residential homes, maternity programs, and programs for children with severe developmental disabilities have different requirements.

     (2) At least two adults, including at least one child care staff person, must be on site whenever more than eight children are on the premises.

     (3) To keep the proper ratio of staff to children, the executive director, health care staff, on-site program manager, support staff and maintenance staff may serve temporarily as child care staff if they ((have adequate)) meet all other child care staff qualifications and training.

     (4) During sleeping hours of youth, at least one staff person must be awake in all group home programs when:

     (a) There are more than six youth in care; and

     (b) The major focus of the program is behavioral change rather than the development of independent living skills, such as teen parent and independent living skills programs; or

     (c) The youth's behavior poses a safety risk to self or others.

     (5) When only one child care staff is on site, a second staff must be on call.

     (6) You must have relief staff so that all staff can have the equivalent of two days off a week.

     (7) If you have more than one program in one building, such as a group care program and a crisis residential center, you must follow the most stringent staffing ratio requirements.

     (8) For ((certified)) juvenile detention facilities certified as meeting the minimum licensing requirements, at least one child care staff member must be on duty for every ten children in care during the sleeping and waking hours.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0725, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0730   ((Do you have)) Are there room requirements for group care facilities?   You must meet the following room requirements to operate a group care facility.

     (1) You must provide rooms that are ample in size and properly furnished for the number of children you serve.

     (2) You must have a comfortably furnished living room.

     (3) You must have a dining room area that is ample in size and suitably furnished for your residents.

     (4) ((Exception:)) Juvenile detention facilities, certified as meeting the licensing requirements, are not required to meet these first three standards, (WAC 388-148-0730 (1)(2)(3)).

     (5) With more than twelve children, you must provide at least one separate indoor recreation area. Its size and location must be sufficient for the age and number of the children to engage in recreational and informal education activities.

     (6) You must provide a room or area that is used as an administrative office. In addition, suitable offices must be provided for social service staff. In facilities caring for fewer than thirteen children, these offices may be combined with the administrative office.

     (7) You must provide a space that can be used as a visiting area.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0730, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0750   What maternity services must I provide?   If you operate a licensed program for expectant mothers and new mothers with infants, you must provide or arrange for the following services:

     (1) Information and referral services to every expectant and new mother who applies for care.

     (2) Individual or group counseling sessions, if necessary, about the following topics:

     (a) Pregnancy counseling;

     (b) Independent living education;

     (c) Infant and child care training;

     (d) Living arrangements;

     (e) Medical care planning;

     (f) Legal issues;

     (g) Vocational or educational guidance;

     (h) Plans for the child;

     (i) Financial, emotional or psychological problems;

     (j) Relations with parents and birth father; and

     (k) Home management and consumer education.

     (3) An expectant mother's delivery in a licensed hospital or licensed birthing facility.

     (4) Postpartum medical examinations, as prescribed by a physician, to a new mother.

     (5) Childcare, as needed.

     (6) Case management services.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0750, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0765   What types of health education must I offer expectant and new mothers?   You need to offer or arrange health education for expectant and new mothers that includes the following areas:

     (1) ((Pregnancy)) Hygiene;

     (2) Suitable preparation for childbirth;

     (3) The physiological changes during pregnancy;

     (4) Examinations and childbirth procedures;

     (5) Postnatal and pediatrics care;

     (6) Contraception and family planning;

     (7) Nutritional requirements for mother and child;

     (8) Child health and development; and

     (9) Psychological and emotional changes during and after pregnancy.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0765, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0775   Do expectant and new mothers need to be under a physician's care?   A program providing maternity services to expectant and new mothers must ((be under)) provide or assist them in obtaining a physician's care for ((prenatal care to receive maternity services from programs or facilities licensed by the department)) pre- and post-natal care.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0775, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0785   What is the proper ratio of staff to children in home or group care facilities offering maternity services?   Residential programs provide twenty-four-hour care to expectant mothers and to new mothers with infants.

     (1) These programs must employ sufficient numbers of residential staff to meet the physical, safety, health and emotional needs of the residents. Residential staff are in charge of supervising the day-to-day living situation for youth.

     Note: Child care staff may carry out any maintenance tasks that do not detract from their primary function.

     (2) When youth are on the premises, the ratio of staff to residents must be as follows:

     (a) At least one residential staff member must be on duty for every eight mothers.

     (b) When more than eight ((persons (including mothers and children))) mothers are on the premises, at least two adults, including at least one child care staff must be on duty.

     (((3) You must have relief staff so that all staff can have the equivalent of two days off a week.))

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0785, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0795   How is capacity determined for a maternity services facility?   We count the number of mothers and children in determining capacity. The space required for a mother and infant bedroom needs to be considered when determining the capacity of a group care facility ((or home (see WAC 388-148-0670))) providing maternity services is determined by the department of health representative.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0795, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0800   What is the purpose of day treatment programs?   (1) A day treatment program must provide educational and therapeutic group experiences for emotionally disturbed children who are not in need of residential care. These services are provided during part of the twenty-four-hour day, usually during a five-day week.

     (2) Day treatment is for children who are:

     (a) Unable to adjust to school programs due to disruptive behavior, family stress, learning disabilities or other serious emotional disabilities; and/or

     (b) ((Are unable to profit from outpatient child guidance clinic services and related programs)) Have intensive needs, which can not be adequately met through out-patient community mental health services.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0800, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0805   What staff must my day treatment program have?   (1) Your day treatment program must have an executive director to manage the financial and administrative operations of the program and an on-site program manager to supervise the child care staff and the treatment program at the facility.

     Note: The executive director and on-site program manager may be the same person if that person is qualified for both positions.

     (2) Either the executive director or on-site program manager must be on the premises while the children are in care. Another competent person may be left in charge during the director's and/or program supervisor's temporary absence.

     (3) The qualifications for executive director and on-site program manager are ((outline)) outlined in WAC 388-148-0700 and 388-148-0715, respectively.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0805, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0810   What consultants must my day treatment program have?   If you operate a day treatment program, you must use psychiatrists, psychologists, teachers, and group counselors for children under care as follows. Your day treatment program must:

     (1) Receive regular consultation from a child psychiatrist;

     (2) Provide or arrange for a psychologist for psychological testing and related services if the child's school does not provide these services;

     (3) Provide or arrange for teaching by certified teachers qualified by training or experience in remedial education; and

     (4) Use group counselors who are qualified by training or by experience in the care of emotionally disturbed children.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0810, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0830   What services must ((you)) be provide for medically fragile children and children with severe developmental disabilities?   (1) If you care for medically fragile children and children with severe developmental disabilities you must ensure the following services are provided, if prescribed by a physician:

     (a) An individualized treatment plan suited to the unique needs of each child in care; and

     (b) Care by physicians, including surgeons, general and family practitioners, and specialists in the child's particular diagnosis on either a referral, consultative, or ongoing treatment basis.

     (2) You must also provide the following nursing services, if prescribed by a physician, if you care for medically fragile children, or children with severe developmental disabilities unless these children are in a foster home:

     (a) Sufficient licensed nursing staff to meet the nursing care needs of the children; or

     (b) Regular nursing consultation that includes at least one weekly on-site visit by a registered nurse.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0830, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0860   Are there ((additional)) room requirements ((if I serve children with severe developmental disabilities)) for group care facilities for medically fragile children less than age six?   If you operate a group care program that serves medically fragile children ((with severe developmental disabilities)) less than age six, you must follow these additional room requirements.

     (1) If you are licensed to care for thirteen or more children, you must provide separate, safe play areas for children ((under)) less than one year ((of age)) or children not walking. The department must approve the rooms or areas.

     (2) Children ((under)) less than one year ((of age)) must be cared for in rooms or areas separate from older children.

     (3) No more than eight children ((under)) less than one year of age may be in the room at a time.

     (4) Hand-washing facilities must be available ((in these rooms)) nearby.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0860, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0870   What additional record-keeping requirements exist for medically fragile children and children with severe developmental disabilities?   (1) In addition to meeting standard requirements for keeping records (see WAC 388-148-0120 through 388-148-0140), you must also keep the following information for any medically fragile child and child with a severe developmental ((disabilities)) disability:

     (a) Information you received upon admission including family background, current diagnosis and medical status, an inventory of personal belongings, medical history, and a report of a physical examination and diagnosis by a physician;

     (b) Information about the child's daily care including treatment plans, medications, observations, medical examinations, physicians' orders, allergic responses, consent authorizations, releases, diagnostic reports, and revisions of assessments;

     (c) Upon discharge, a summary including diagnoses, treatments, and prognosis by the person responsible for providing care, and any instructions and referrals for continuity of care; and

     (d) Evidence of meeting criteria for eligibility for services from the division of developmental disabilities.

     (2) If the child has died, you must also have the following information:

     (a) The time and date of death;

     (b) Apparent cause of death;

     (c) Notification of the physician and relevant others (including the coroner if necessary); and

     (d) Regarding the disposal of the child's body and how the child's personal effects will be dealt with.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0870, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0875   What types of crisis residential centers may be licensed?   (1) A facility may be licensed as a regular crisis residential center (CRC) or a secure crisis residential center.

     (2) A foster home may be licensed as a family CRC. The foster home licensed, as a CRC, must meet the licensing standards for foster homes outlined in this chapter.

     (3) Family CRCs and regular CRCs are not locked facilities, but are operated in a way that reasonably assures that youth placed there will not run away.

     Note: Regular CRCs are also known as semi-secure CRCs, as referred to in RCW 13.32A.030 (((13) and (14))) (16).

     (4) A secure facility is designed and operated to prevent a youth from leaving without permission of the staff. ((This facility has locking doors, locking windows, or secured perimeters.))

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0875, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0880   What levels of secure CRCs exist?   The department licenses ((two)) three types of secure crisis residential centers (CRCs): Level one ((and)), level two, and level three. Level one is the most secure facility and level ((two)) three is the least secure facility.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0880, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0885   What are the requirements for a level-one secure CRC?   A level-one crisis residential center (CRC) must meet each of these requirements:

     (1) Be a free-standing facility, separate unit, or separate building within a campus with windows and exterior doors that prevent exit.

     (2) Meet or exceed the current state building code when locking doors and windows prevent exit.

     (3) Ensure that no youth is kept in a locked room that isolates the youth from the general population and/or staff.

     (4) Maintain a recreation area, within the secured facility or secured on the property of the facility, that can support youth's vigorous physical activity. ((())Any fences used to secure the recreation area must meet or exceed the specifications of the level-two CRC referenced in WAC 388-148-0890(3)(())).

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0885, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0890   What are the requirements for a level-two secure CRC?   A level-two secure crisis residential center (CRC) must meet each of these requirements:

     (1) ((Prevent)) Be a free-standing facility, separate unit, or separate building within a campus that prevents unauthorized entering and exiting with a nonscalable fence around the perimeter of the facility property;

     (2) Not prevent exit by locking facility doors or windows;

     (3) Design the nonscalable fence so that it does not cause injury, such as avoiding use of electrification, razor wire or concertina wire;

     (4) Ensure that no youth is kept in a locked room that isolates him or her from the general population and/or staff; and

     (5) Maintain a recreation area surrounded by a nonscalable fence that can support youth's vigorous physical activity.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0890, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-0892   What are the requirements for a level three secure CRC?   A level-three secure crisis residential center (CRC) must meet each of these requirements:

     (1) Be a free-standing facility, separate unit or separate building within a campus with exterior doors that have special egress-control devices;

     (2) Meet or exceed the current state building code for facilities with special egress-control devices; and

     (3) Maintain a recreation area, within the secured facility or secured on the property of the facility, that can support youth's vigorous physical activity. Any fences used to secure the recreation area must meet or exceed the specifications of the level-two secure CRC referenced in WAC 388-148-0890(3).

[]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0895   May a juvenile detention center operate as a separate secure CRC program?   (1) A juvenile detention center may operate ((as)) a separate secure crisis residential center (CRC) program. The physical facility must be operated so that no direct communication or physical contact can be made between a resident of the secure crisis residential center and a person held in the detention facility.

     (2) Staff assigned to the secure crisis residential center youth must not be simultaneously assigned to the juvenile detention center residents on the same shift.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0895, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0900   What youth may a CRC serve?  

     All CRCs

     A crisis residential center (CRC) provides emergency, temporary residence to youth ages twelve through seventeen who meet one of the following criteria:

     (1) Are beyond the control of their parents or guardians and behave in a way that endangers any person's welfare;

     (2) Need assistance getting food, shelter, health care, clothing, educational services, and/or resolving family conflicts;

     (3) Need temporary protective custody; or

     (4) Have parents who are not able or willing to continue efforts to keep the family together.

     Secure CRCs

     (5) Youth ordered by the court to serve time for contempt on CHINS, ((APY)) ARP, or truancy orders may be ordered into a secure CRC that is co-located with a detention facility.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0900, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0905   Can law enforcement officers place youth in secure CRCs?   Law enforcement officers ((must)) may place youth in secure crisis residential centers (CRCs), when available, when youth:

     (1) Are runaways;

     (2) Are in dangerous situations; or

     (3) Are in violation of curfew.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0905, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0915   What steps must be taken after a youth is admitted into a CRC?  

     All CRCs

     (1) The director or designee of a crisis residential center (CRC) must immediately notify the parents of the youth who has been admitted.

     (2) If the director or designee of any CRC is unable to contact the youth's parents within, forty-eight hours, he or she must:

     (a) Contact the department and request that the case be reviewed for dependency filing under chapter 13.34 RCW or "child in need of services" filing under chapter 13.32A RCW; and

     (b) Document the contact with the department in the youth's case record.

     Secure CRCs

     (3) Within the first twenty-four hours after admitting a youth to a secure crisis residential center, and each twenty-four hours after, the director or designee must assess the youth's risk of running.

     (4) The secure CRC director or designee must determine what type of CRC, regular or secure, would be best for the youth.

     (5) The secure CRC director or designee must use the following criteria in making the decision, considering the safety, health and welfare of the youth and others:

     (a) The youth's age and maturity;

     (b) The youth's physical, mental, and emotional condition upon arrival at the center;

     (c) The circumstances that led to the youth's placement at the facility;

     (d) The youth's behavior;

     (e) The youth's history of running away;

     (f) The youth's willingness to cooperate in conducting the assessment;

     (g) The youth's need for continued assessment, protection, and intervention services in a CRC; and

     (h) The likelihood the youth will remain at a CRC.

     (6) The secure CRC director or designee must put the decision about the youth's status in writing in the youth's file.

     (7) After a youth is admitted, the secure CRC director or designee must ensure that a youth is assessed for any health needs requiring immediate attention.

     (8) By the first school day after admission, the crisis residential center staff must:

     (a) Notify the youth's school district about the youth's placement; and

     (b) Assess the youth for any educational needs as a part of the assessment process for inclusion in the discharge summary.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0915, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-0995   What are the ratio requirements of youth care staff to youth in crisis residential centers?   (1) You must ensure the safety of the youth that are residing in crisis residential centers (CRCs) by maintaining staffing ratios. This may require a staffing ratio higher than the minimum listed if necessary for the health and safety of youth and/or staff.

     Regular CRCs

     (2) At all times, regular crisis residential centers must have at least one youth care staff on duty for every four youth in care when youth are present.

     (3) Regular crisis residential centers must have at least two awake youth care staff on duty during waking hours of the youth when youth are present.

     (4) Regular crisis residential centers must have at least one awake youth care staff on duty during sleeping hours of the youth. One or more additional (back-up) staff must be on the premises during sleeping hours to maintain staffing ratios.

     Under extraordinary circumstances, the DLR director may approve an alternative back-up plan.

     Secure CRCs

     (5) At all times, secure crisis residential centers must have at least two staff on duty ((at all times)) when youth are present.

     (6) At all times, secure crisis residential centers not co-located with a detention center must have at least one youth care staff on duty for every three youth in care.

     (7) At all times, secure crisis residential centers that are located in the same facility as a detention ((facilities)) center must have ((the)) at least one awake youth care staff on duty for every four youth in care.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-0995, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-1025   What must be included in a written ((agreement to provide services as)) program description for a staffed residential home?   (1) A written ((agreement with the department)) program description to provide services to children at a staffed residential home must be submitted for department approval.

     (2) The program description must include but is not limited to:

     (((1))) (a) The number of children served at one time;

     (((2))) (b) The expectations of services to be provided;

     (((3))) (c) The steps to be taken to include the child's family;

     (((4))) (d) The plan on how coordination will occur with community partners;

     (((5))) (e) The plan on how permanency planning for the children will take place;

     (((6))) (f) A safety and supervision plan for each child; and

     (((7))) (g) A behavior management plan for each child, as appropriate.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-1025, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-1030   What services must a staffed residential home provide?   (1) A staffed residential home must be able to provide the specialized services required by the group that is served in the staffed residential home. These services may be provided through your own program or through using other community resources.

     (2) You must provide ((care)) a safety and supervision ((for children you serve in a staffed residential home,)) plan for each child you serve considering ((their ages)) his or her age and physical ((conditions)) condition.

     (3) ((You must submit a written program description for department approval that includes:

     (a))) A list of services that you will provide to children and their families must include but is not limited to:

     (a) The steps to be taken to include the child's family in the services;

     (b) Who and how these services will be carried out; and

     (c) A schedule of typical daily activities for the children under your care.

     (4) Services for children must include:

     (a) Transportation;

     (b) Teaching social and living skills;

     (c) Opportunities for play and recreation; and

     (d) Opportunities to participate in community and cultural activities.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-1030, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-1035   Who must be on the premises when children are under care at a staffed residential home?   The on-site program manager or a person meeting the same qualifications must be on the premises of the staffed residential home during business hours when children are under care if:

     (1) The major focus of the program is behavioral rather than the development of independent living skills such as a teen parent program or responsible living skills program; and

     (2) ((The)) A youth's behavior poses a risk to self or others.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-1035, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-1045   What is the ratio of child care staff to children in staffed residential homes?   (1) You must meet the minimum ratios of child care staff to children under care at a staffed residential home.

     (2) To keep the proper ratio of staff to children, the director, support staff and maintenance staff may serve as child care staff if they have adequate training.

     (3) The ratio for staffed residential homes is, at least, one child care staff for every six children during waking hours of children.

     (4) During sleeping hours of youth, at least, one staff person must be awake when:

     (a) There is a written supervision agreement or a contract with the department of social and health services specifying an awake staff is needed for either the program or a specific child; ((or))

     (b) ((The)) A youth's behavior poses a safety risk to self and/or others; or

     (c) A child's medical condition requires constant monitoring.

     (5) The need for overnight supervision must be documented in each child's treatment plan, if awake supervision is necessary.

     (6) You may only be licensed for maximum of three pregnant or parenting youth.

     (7) When only one child care staff person is on duty, a second person must be on call and available to respond within one half-hour.

     (8) You must have relief staff so that all staff can have the equivalent of two days off a week. This is not required for family members if the staffed residential home is a family residence.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-1045, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-1050   How many children may I serve in my staffed residential home?   The department restricts the number of children that a licensed staffed residential home may serve.

     (1) The department may license a staffed residential home for six or fewer children. The ((total)) maximum number of children in your home or facility must not exceed six at any time.

     (2) The department may restrict the number of children in a staffed residential home according to the age and needs of the children.

     (3) If only one staff person is on duty at a staffed residential home providing maternity services, that home must not care for more than four persons under the age of eighteen. An additional staff person is required to care for more than four ((children)) persons under the age of eighteen.

     (4) Except for maternity program, you may have only two children under two years of age in your home at a time.

     (5) The department may license a staffed residential home for up to three children with mental or physical disabilities that are severe enough to require nursing care if you meet the following conditions:

     (a) You provide staff that are qualified by training and experience to provide proper care, including necessary medical procedures; and

     (b) The children's treatment is under the supervision of physicians.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-1050, filed 8/28/01, effective 9/28/01.]

CHILD PLACING AGENCIES -- PROGRAM AND SERVICES ((OUT-OF-STATE PLACEMENTS))
AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-1060   What services may a child-placing agency provide?   The department licenses child-placing agencies to provide:

     (1) Certification of eligible foster homes meeting full licensing requirements, including respire care foster homes;

     (2) Maternity services to expectant mothers;

     (3) Specialized (treatment) foster care;

     (4) Residential care programs, such as group homes, crisis residential centers, and independent living skills programs; and

     (5) Adoption services.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-1060, filed 8/28/01, effective 9/28/01.]


NEW SECTION
WAC 388-148-1066   What written information is needed before a child is accepted for care by a child-placing agency?   Before accepting a child for care from a parent or legal guardian, a child-placing agency must obtain the following written consent and information from the parent or legal guardian:

     (1) Permission from the child's parent or legal guardian authorizing the placement of the child;

     (2) Permission to seek emergency medical care or surgery on behalf of the child;

     (3) Permission to transport the child;

     (4) Basic family information, including address, telephone numbers, and emergency contacts; and

     (5) Basic medical information, including current medication, immunization history (if available), known allergies, and at-risk behaviors of the child.

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AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-1070   What health histories need to be provided to foster or adoptive parents?   (((1) To meet department requirements, your)) A child-placing agency must provide adoptive (((see WAC 388-25-0330), or foster)) parents with ((the following)) information ((when available, at the time of placement:

     (a) The mental and physical health histories of the birth parents;

     (b) A written health history for each child prior to placement, including a history of immunizations, allergies, previous illnesses, and conditions that may adversely affect the child's health; and

     (c) The developmental and psychological history for the adoptive children.

     Note: You must arrange for the child's medical examinations, immunizations, and health care as required by WAC 388-148-0335 and 388-148-0340.

     (2) The adoptive parent(s) must sign one copy of the report, showing that they have received the information. You must retain this signed copy in the child's permanent file.

     (3) When the child is being placed for adoption, your report must not contain information that might identify the birth parents)) that meets the federal and state statutes on full disclosure of health information.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-1070, filed 8/28/01, effective 9/28/01.]

CHILD-PLACING AGENCY STAFF QUALIFICATIONS
NEW SECTION
WAC 388-148-1076   What are the qualifications for an executive director, a program manager/social service staff, and a consultant for a child-placing agency?   The qualifications of child-placing agency staff are as follows:

     (1) The executive director of a child-placing agency must meet the executive director qualifications outlined for programs and agencies in WAC 388-148-0700.

     (2) A program manager/social service staff for a child-placing agency must meet the program manager qualifications outlined in WAC 388-148-0715.

     (3) A consultant for a child-placing agency must meet the consultant qualifications outlined in WAC 388-148-0600.

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NEW SECTION
WAC 388-148-1077   What are the qualifications for a case aide for a child-placing agency program?   The qualifications for a case aide at a child-placing agency program must meet the qualifications for the child care staff at a group care program, outlined in WAC 388-148-0720.

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NEW SECTION
WAC 388-148-1078   What are the qualifications for health care staff hired or contracted by a child-placing agency to provide services to children in care?   A child-placing agency health care staff, such as licensed practical nurses (LPN) and nursing assistants-certified must meet the health care staff qualifications outlined in WAC 388-148-0722.

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NEW SECTION
WAC 388-148-1079   What are the qualifications or the foster home licensor for a child-placing agency?   A child-placing agency licensor responsible for the certification of foster homes supervised by their child-placing agency must meet, at a minimum, the requirements that follow:

     (1) Be at least twenty-one years old;

     (2) Have a bachelor's degree in social services or related field; or

     (3) Four years of relevant full-time experience serving children may be substituted for the bachelor's degree with DLR administrative approval.

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AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-1085   How may my child-placing agency certify a foster home for licensing by the department?   (1) To certify a foster home for licensing by the department, you must use applications, home study forms, and procedures that are approved by the department (see WAC 388-148-0050 through 388-148-0080).

     (2) A foster home must be certified by your child-placing agency as meet the licensing requirements your child-placing in order to be licensed by the department.

     (3) A social service staff person must review and sign approving the foster home licensing application packet before the application is submitted to DLR.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-1085, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-1115   ((Do you have)) What are the requirements for providing adoptive services?   (1) As a child-placing agency providing adoption services, you must((meet the department's requirements under chapter 388-25 WAC.

     (2) You must)):

     (a) Comply with federal and state adoption and adoption support laws and policies;

     (b) Recruit potential adoptive families that reflect the diversity of children in your community((.

     (3) You must)); and

     (c) Provide adoptive applicants with the following services, at a minimum:

     (((a))) (i) Information about the adoption process;

     (((b))) (ii) Adoption support programs;

     (iii) Your agency's policies, practices and legal procedures;

     (((c))) (iv) Types of children available for adoption and implications for parenting different types of children; and

     (((d))) (v) Information on adoption support programs.

     (((4))) (2) You must document that you provided this information to the adoptive applicant in the applicant's file.

     (3) You must have contact with each adoptive home of all adoptive placements at least once every thirty days, until the adoption is finalized. Contact may include a home visit, telephone call, or office visit.

     (4) Every ninety days you must complete a face-to-face visit in the adoptive home to observe the parent and child and complete a health and safety check.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-1115, filed 8/28/01, effective 9/28/01.]


AMENDATORY SECTION(Amending WSR 01-18-037, filed 8/28/01, effective 9/28/01)

WAC 388-148-1120   What is the process for adoptions?   You must go through the following steps to place a child for adoption.

     (1) The applicants must submit an application (including a completed background inquiry form) to the child-placing agency.

     (2) Once you have received an application, but before you ((have)) sign a contract for services, you must give the applicants a written statement about:

     (a) The adoption agency's fixed fees and fixed charges to be paid by the applicant;

     (b) An estimate of additional itemized expenses to be paid by applicant; and

     (c) Specific services covered by fees that you offer for child placement or adoption.

     (3) Your staff must complete an adoptive home study as required in RCW 26.33.190 with the participation of the applicant(s). For the study, your staff and the applicants ((need to decide about)) must decide the following:

     (a) The suitability of the applicant(s) to be adoptive parent(s) including completion of background checks of the applicant(s) independent of the department; and

     (b) The type of child(ren) for which the applicant or applicants are best suited.

     (4) Your staff must accept or deny the application and give an explanation for your decision.

     (5) You must file preplacement (home study) reports with the court (as required by RCW 26.33.180 through 26.33.190).

     (6) Your staff must prepare the potential adoptive parent(s) for placement of a specific child by:

     (a) Locating and providing information about the child and the birth family to the prospective adoptive family ((as described in chapter 388-25 WAC)) provided under federal and state statute;

     (b) Discussing the likely implications of the child's background for adjusting in the adoptive family.

     (7) Your staff must reevaluate the applicant(s) suitability for adopting a child each time an adoptive placement is considered.

     (8) You must advise the family of the existence of the adoption support program and procedures for applying.

[Statutory Authority: RCW 74.15.030. 01-18-037, § 388-148-1120, filed 8/28/01, effective 9/28/01.]

GROUP CARE FACILITIES -- GROUP RECEIVING CENTERS PROGRAM REQUIREMENTS AND SERVICES
NEW SECTION
WAC 388-148-1205   What is a group receiving center?   A group receiving center is a facility licensed by the division of licensed resources for the care of more than six children placed by the department, generally for thirty days or less.

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NEW SECTION
WAC 388-148-1210   What age children may a center serve?   Group receiving centers may provide care for children from age two through seventeen. There may be situations when a group receiving center would be licensed for children less than two years of age to accommodate sibling groups.

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NEW SECTION
WAC 388-148-1215   What hours must a center be open?   A group receiving center must be open twenty-four hours a day, seven days a week.

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NEW SECTION
WAC 388-148-1220   What services are provided or arranged for by a group receiving center?   (1) A group receiving center must provide direct receiving care and assessment or an appraisal of a child in terms of his or her physical, mental, social, and emotional condition.

     (2) A group receiving center may provide transportation and/or family support services, such as the supervision of family visits.

     (3) Arrange for or provide transportation for each school-age child in care to attend school.

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NEW SECTION
WAC 388-148-1225   Is a center required to provide an orientation for a child placed?   (1) As part of admission to a center, the staff must provide an orientation to children, as age-appropriate that includes, but is not limited to:

     (a) A description of the program and services;

     (b) The physical facility;

     (c) The department-approved policy that states that youth may not have guns or other weapons, alcohol, tobacco, or illegal drugs within the facility; and

     (d) The department-approved policy on client visitation that includes access to the youth's attorney and social worker.

     (2) Written documentation of this orientation must be in each child's file.

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NEW SECTION
WAC 388-148-1230   Does each child need space for personal items at the center?   You must provide separate space for the storage of personal items such as clothing, radios, and toys for each child at your group receiving center.

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GROUP RECEIVING CENTERS -- STAFF TRAINING
NEW SECTION
WAC 388-148-1235   What staff training is required?   (1) All group receiving center staff must complete a minimum of sixteen hours of pre-service job orientation prior to beginning unsupervised child care responsibilities. Training must include:

     (a) Presentation of the group receiving centers policies and procedures as well as the standards contained in this chapter;

     (b) Behavior management techniques;

     (c) Crisis intervention techniques;

     (d) Family dynamics and family intervention techniques;

     (e) Child abuse and neglect reporting requirements;

     (f) Youth supervision requirements; and

     (g) HIV/AIDS/blood borne pathogen training.

     (2) Staff must complete a minimum of twenty-four hours of on-going education and in-service training annually. This training must include:

     (a) Crisis intervention techniques, including verbal de-escalation, positive behavior support, and physical response/restraint training as approved by the department;

     (b) Behavior management techniques;

     (c) Substance abuse;

     (d) Suicide assessment and intervention;

     (e) Family intervention techniques;

     (f) Cultural diversity;

     (g) Mental health issues and interventions;

     (h) Mediation skills;

     (i) Conflict management/problem-solving skills;

     (j) Physical and sexual abuse identification;

     (k) Characteristics and management of sexually aggressive and physically assaultive behavior; and

     (l) Monthly fire drill proactive and disaster training for each staff.

     (3) You must record the amount of time and type of training provided to staff.

     (4) This information must be kept in each employee' file or in a separate training file.

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GROUP CARE FACILITIES-GROUP RECEIVING CENTERS -- STAFFING RATIOS AND SUPERVISION
NEW SECTION
WAC 388-148-1240   What is the ratio of child care staff to children at a center?   The department has specific requirements for the ratio of child care staff to children at group receiving centers.

     (1) At least two staff, including at least one child care staff person, must be on site whenever children are on the premises.

     (2) The ratio for a group receiving center is at least one child care staff person on site for every four children who are under age six, during waking and sleeping hours.

     (3) The ratio for a group receiving center is at least one child care staff person on site for every six children age six years and older, during waking and sleeping hours.

     (4) If a DLR-approved safety plan addressing the age groups is in effect, the center may provide care for more than one of the following age groups:

     (a) Age two through five;

     (b) Six through twelve; and

     (c) Thirteen through seventeen.

     (5) If the center provides care for children under age six and children six and older, you may allow common activities for the children of different age groups provided you maintain the staffing ratio designated for the youngest child in the group and have an approved safety plan in place.

     (6) To keep the proper ratio of staff to children, the executive director, on-site program manager, support staff, and maintenance staff may serve temporarily as child care staff if they have adequate training and are performing child care staff duties.

     (7) You must have relief staff so that all staff can have the equivalent of two days off a week.

     (8) If you have more than one program in one building, such as a group receiving center and a crisis residential center, you must follow the most stringent staffing ratio requirements, if the same staff are supervising both programs.

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NEW SECTION
WAC 388-148-1245   What are the requirements for supervision of children at a center?   (1) A group receiving center must operate under a DLR-approved, written supervision and safety plan for the children in care.

     (2) At a group receiving center, children under age six must be within visual range at all times during waking hours.

     (3) You must ensure that the staff providing direct care and supervision of the children is free of other duties at the time of care.

     (4) When a child has exhibited behavior that posed a safety risk to other children in a previous placement or the placing agency believes the child poses a risk to other children the placing agency must inform the provider and jointly develop a plan to address the risk.

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NEW SECTION
WAC 388-148-1250   Who must be on the premises while children are in care at a center?   (1) The director or on-site program manager at a group receiving center must normally be on the premises during business hours when children are in care.

     (2) If temporarily absent (for two hours or less) from the center, the director and on-site program manager must leave a competent, designated staff person in charge. This person must meet the qualifications of a child care staff person.

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GROUP CARE FACILITY-GROUP RECEIVING CENTERS -- RECREATIONAL ACTIVITIES, EQUIPMENT, AND SPACE
NEW SECTION
WAC 388-148-1255   What are the requirements for an activity program?   (1) You must provide an activity program at a group receiving center that is designed to meet the developmental, cultural, and individual needs of the children served at your group receiving center.

     (2) You must ensure that group receiving center's activity program allows time for children to have daily opportunities for small and large muscle activities and outdoor play, as appropriate to the weather conditions.

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NEW SECTION
WAC 388-148-1260   What activities must I provide to children?   (1) Activities must be designed for the developmental stages of the children you serve at a group receiving center, allowing a balance between:

     (a) Child-initiated and staff-initiated activities;

     (b) Free play and organized events;

     (c) Individual and group activities; and

     (d) Quiet and active experiences.

     (2) You must ensure that children at a group receiving center are grouped to ensure the safety of the children.

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NEW SECTION
WAC 388-148-1265   What are the requirements for indoor recreation areas?   (1) Depending on the number and age range of children served, the group receiving center's indoor premises must contain:

     (a) Adequate area for the child play; and

     (b) Sufficient space to house a developmentally appropriate program.

     (2) You must provide a minimum of thirty-five square feet of usable floor space per child, not counting bathrooms, hallways, and closets.

     (3) You may use and consider the napping area as child care space, if there are not beds or cots on the floor space.

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NEW SECTION
WAC 388-148-1270   What are the requirements for an outdoor recreation area?   (1) You must provide a safe and securely-fenced or department-approved, enclosed outdoor recreation area at a group receiving center.

     (2) The fenced or approved enclosed outdoor recreation must prevent child access to roadways and other dangers.

     (3) The fence or enclosure must protect the play area from unauthorized exit or entry. Any fence or enclosure must be designed to discourage climbing.

     (4) The outdoor recreation area must adjoin directly the indoor premises or be reachable by a safe route and method.

     (5) The outdoor recreation area must promote the child's active play, physical development, and coordination.

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NEW SECTION
WAC 388-148-1275   What are the size requirements for an outdoor recreation area?   (1) You must ensure the recreation area at a group receiving center contains a minimum of seventy-five usable square feet per child.

     (2) If not all of the children are using the outdoor recreation area at the same time, you may reduce the size to the number of children normally using the area at one time.

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NEW SECTION
WAC 388-148-1280   What are the requirements for playground equipment?   (1) You must provide a variety of age-appropriate play equipment for climbing, pulling, pushing, riding, and balancing activities at a group receiving center.

     (2) You must design, construct, arrange, and maintain equipment and ground cover to prevent child injury.

     (3) The quantity of outdoor play equipment must offer a child a range of outdoor recreation options.

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REPEALER

     The following sections of the Washington Administrative Code are repealed:
WAC 388-148-0285 Do I need a housekeeping sink?
WAC 388-148-0360 Whom do I notify about medication changes and reactions?
WAC 388-148-0450 What types of toys must I provide to children?
WAC 388-148-0500 May I receive more than one in-home care license?
WAC 388-148-0615 Are there specific fire safety requirements for the care of nonmobile children?
WAC 388-148-0630 What fire prevention measures must I take?
WAC 388-148-0635 What are the requirements for fire sprinkler systems?
WAC 388-148-0650 What requirements do you have regarding windows in staffed residential homes and group care facilities?
WAC 388-148-0735 When do I need a special care room?
WAC 388-148-0935 How long may a youth stay at a CRC?
WAC 388-148-1020 Must a staffed residential home operate in conjunction with another program?
WAC 388-148-1065 Do child-placing agency foster homes and group care facilities need to be licensed before placements?

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