reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Fire Safety and Emergency Practices › Section 388-145-1685 - What are the requirements for fire drills?

Current through Register Vol. 24-14, July 15, 2024
(1) You must conduct a fire drill 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 drills were completed.
(3) If you care for non-ambulatory children,
					 you must consult with and follow the WSP/FPB protocol for "simulated" fire
					 drills.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Fire Safety and Emergency Practices › Section 388-145-1690 - What are the requirements for fire extinguishers?

Current through Register Vol. 24-14, July 15, 2024
(1) You must have at least one approved
					 2A10BC-rated 5lb or larger all-purpose (ABC) fire extinguisher readily
					 available at all times. You must maintain and service fire extinguishers
					 according to manufacturer's specifications. Approved 2A10BC-rated means a fire
					 extinguisher with an underwriters' laboratory label on the nameplate
					 classifying the extinguisher as 2A10BC-rated or larger.
(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)
					 You must have at least one fire extinguisher on each floor of a multi-level
					 facility.
(4) Fire extinguishers
					 must:
(a) Be mounted in a bracket or in a
					 fire extinguisher cabinet so that the top of the extinguisher is no more than
					 five feet above the floor; and
(b)
					 Receive an annual 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:
(i)
					 Mechanical parts;
(ii)
					 Extinguishing agent; and
(iii)
					 Expelling means.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Fire Safety and Emergency Practices › Section 388-145-1695 - Are there different construction and fire safety requirements for facilities that have multiple licenses in the same building?

Current through Register Vol. 24-14, July 15, 2024
(1) A facility with multiple Washington state
					 licenses or certifications for the care of children in the same building must
					 comply with the most stringent construction and fire safety requirements for
					 the physical structure, if children share the same space.
(2) If the same facility has multiple
					 Washington state licenses the licensee must notify:
(a) The Washington state patrol fire
					 protection bureau inspector; and
(b) All licensing and certification
					 agents.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Service Planning › Section 388-145-1700 - What must I include in a child's orientation to my facility?

Current through Register Vol. 24-14, July 15, 2024
(1) As part of
					 admission, staff must give an orientation to all children over the age of six
					 (as developmentally appropriate) that includes, but is not limited to:
(a) A description of the program and
					 services;
(b) A map and/or tour of
					 the physical facility;
(c) A review
					 of your fire evacuation plan;
(d)
					 The department-approved policy that states that a child may not have guns and
					 other weapons, alcohol, tobacco, and drugs within the facility;
(e) Orientation on personal protection and
					 personal boundaries; and
(f) The
					 department-approved policy on client visitation that includes access to the
					 youth's attorney and DSHS worker.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Service Planning › Section 388-145-1705 - How does my agency meet the religious needs of children in care?

Current through Register Vol. 24-14, July 15, 2024
(1) You must ensure
					 an environment of tolerance and sensitivity to a child's spiritual and
					 religious beliefs. This includes providing adequate opportunity for spiritual
					 and religious training and participation appropriate to the child's beliefs.
					 You must not require any child to participate in spiritual or religious
					 practices contrary to the child's beliefs.
(2) You must not impose consequences if a
					 child chooses not to participate in particular spiritual or religious
					 practices.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Service Planning › Section 388-145-1710 - What are the requirements about nondiscrimination?

Current through Register Vol. 24-14, July 15, 2024
You must follow all state and federal laws regarding
						nondiscrimination while providing services to children in your care. You must
						treat foster children in your care with dignity and respect regardless of race,
						ethnicity, culture, sexual orientation and gender identity. You must connect a
						child with resources that meets a child's needs regarding race, religion,
						culture, sexual orientation and gender identity.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Service Planning › Section 388-145-1715 - Are there additional considerations in service to Native American children?

Current through Register Vol. 24-14, July 15, 2024
You must make every effort to provide culturally
						relevant and sensitive child welfare services to Native American children and
						their families. You must follow all federal and state laws for any Native
						American children that you have under your care.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Service Planning › Section 388-145-1720 - Do I need a social summary for children under my care (except for interim facilities) ?

Current through Register Vol. 24-14, July 15, 2024
(1) You must
					 develop a written social summary for each child accepted for care within
					 seventy-two hours but no longer than thirty days of the child's placement. The
					 social summary must serve as the basis of the child's admission to your
					 care.
(2) The summary must contain
					 the following information for the child:
(a)
					 Available 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 circumstances that have brought the child
					 into out-of-home care;
(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.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Service Planning › Section 388-145-1725 - Do I need a treatment plan for children under my care?

Current through Register Vol. 24-14, July 15, 2024
(1) If you are providing care to children who
					 are under the care and authority of the department, and you have contracts or
					 agreements to provide treatment or therapeutic services, you must assist in
					 developing and implementing a written treatment plan for each child 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 an ongoing 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.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Service Planning › Section 388-145-1730 - What are the educational and vocational instruction requirements for children placed by the department (except interim facilities) ?

Current through Register Vol. 24-14, July 15, 2024
(1) You must meet the following requirements
					 for providing education and vocational instruction to the children placed by
					 the department. For each child you must:
(a)
					 Follow the educational plan approved by the child's DCFS worker;
(b) Support the child in regular school
					 attendance. If a child is absent from school you must follow the school's
					 reporting requirements. Notify the child's DSHS worker if the child is absent
					 from school more than three consecutive school days;
(c) Receive approval from the child's DCFS
					 worker prior to making any changes to a child's educational plan;
(d) Support the child's educational plan by
					 providing each child with necessary school supplies and a suitable place to
					 study;
(e) Develop a plan for a
					 child's transportation to and from school;
(f) Provide or arrange for independent living
					 skills education for developing self-sufficiency for children over the age of
					 fifteen years; and
(g) Encourage
					 older youth to pursue a post-secondary education when appropriate.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Service Planning › Section 388-145-1735 - What are the requirements for an activity program?

Current through Register Vol. 24-14, July 15, 2024
(1) You must provide an activity program that
					 includes integration of children and youth in the community. Safe and suitable
					 materials must be designed to meet the developmental, cultural, and individual
					 needs of the children served. A schedule of weekly activities must be posted
					 and available to view by residents and others.
(2) Activities must be designed for the
					 developmental stages of the children you serve, 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.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Service Planning › Section 388-145-1740 - Can children in my care receive services through the extended foster care program?

Current through Register Vol. 24-14, July 15, 2024
Your facility can serve youth enrolled in the extended
						foster care program. You must adhere to WAC
						388-25-0500 through
						388-25-0548.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1745 - What are the general well-being requirements for a group care program?

Current through Register Vol. 24-14, July 15, 2024
You must provide a safe and healthy, age-appropriate
						home-like living environment that meets the medical, psychological, physical
						and developmental needs of the children in your care.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1750 - What are the requirements for supervising children?

Current through Register Vol. 24-14, July 15, 2024
(1) You must provide and arrange supervision
					 that is appropriate for the child's age, and developmental level including:
(a) Appropriate adult supervision including
					 ongoing and periodic checks of the children in your facility;
(b) Personal attention;
(c) Emotional support;
(d) Structured daily routines and living
					 experiences; and
(e) Additional
					 supervision as needed and required by the department. This supervision may
					 require auditory or visual supervision at all times.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1755 - What requirements must I follow when I transport children?

Current through Register Vol. 24-14, July 15, 2024
(1) Transportation
					 you provide must be safe, reliable, and in compliance with law and contract
					 requirements.
(2) The driver of the
					 vehicle must:
(a) Have a valid driver's
					 license; and
(b) Be covered under
					 an automobile liability insurance policy.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1760 - What are the travel requirements for children in care?

Current through Register Vol. 24-14, July 15, 2024
You must get written approval from the child's DCFS
						worker for children in the care and custody of the department, or the child's
						parent or guardian for the children not in the department's care and custody
						prior to any travel over seventy-two hours, and any out-of-country
						travel.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1765 - Can children be assigned work in a facility or work outside the facility?

Current through Register Vol. 24-14, July 15, 2024
(1) Children may do
					 regular household tasks without payment, or may be assigned other work that is
					 appropriate to the child's age and developmental level, with monetary
					 compensation.
(2) It may be
					 appropriate for some children to obtain employment when:
(a) Laws regarding minors working are
					 followed; and
(b) The child's work
					 does not interfere with school.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1770 - Can a child earn allowance while in care?

Current through Register Vol. 24-14, July 15, 2024
If a child is placed in your facility over thirty days
						you must give the child an allowance based on age, needs, and the child's
						ability to manage money. You must keep track of allowances given to children in
						a ledger.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1775 - What belongings must be provided to a child leaving my facility?

Current through Register Vol. 24-14, July 15, 2024
(1) You must permit
					 a child who leaves your facility to take their personal belongings with them.
					 This includes belongings the child brought with them or acquired in your care,
					 such as clothing, mementos, bicycles, gifts, and any saved money.
(2) If it is not possible for the child to
					 take their belongings at the time they leave, you are required to secure them
					 for up to thirty days and cooperate with the child's DSHS worker to transfer
					 them to the child, as soon as possible.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1780 - Do I have responsibility for a child's personal hygiene?

Current through Register Vol. 24-14, July 15, 2024
You must provide or arrange for children in your care to
						have items needed for grooming and personal hygiene. You must assist children
						in using these items, based on the child's developmental
						needs.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1785 - What are the requirements for privacy for children in out-of-home placements?

Current through Register Vol. 24-14, July 15, 2024
(1) In
					 general, children in out-of-home placements have the right to privacy of
					 personal mail, electronic 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 and
					 well-being.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1790 - What are the food and meal guideline requirements?

Current through Register Vol. 24-14, July 15, 2024
(1) Food served to children in your care must
					 be properly stored and prepared, and meet children's nutritional, cultural and
					 developmental needs, offering a variety of foods for meal enjoyment.
(2) You must routinely provide an opportunity
					 during mealtimes for socialization for all children.
(3) You must not serve home-canned foods to
					 children.
(4) You must properly
					 store, prepare, and serve food to meet the needs of the children in your care.
					 All food service facilities and food handling practices must comply with rules
					 and regulations of the state board of health governing food service sanitation.
					 This includes a food handler's permit for all staff per chapter 246-215
					 WAC.
(5) You must prepare and date
					 daily menus, including snacks, at least one week in advance. You must keep the
					 menus on file for a minimum of six months so that we can review them.
(6) You must establish and post a schedule of
					 mealtimes.
(7) You must ensure that
					 staff are aware of each child's dietary restrictions, in a manner that ensures
					 the child's privacy.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1795 - How often do children need to be provided meals?

Current through Register Vol. 24-14, July 15, 2024
You must provide all children a minimum of three meals
						and two snacks in each twenty-four hour period. You may vary from this
						guideline only if you have written approval from the child's physician and DSHS
						worker.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1800 - What are the requirements for handling a child's special diet?

Current through Register Vol. 24-14, July 15, 2024
You must have approval of the child's DSHS worker and
						written instructions by a physician, parent or guardian before serving nutrient
						concentrates, nutrient supplements, vitamins, and modified diets (therapeutic
						and allergy diets).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1805 - Are there special requirements for serving milk?

Current through Register Vol. 24-14, July 15, 2024
(1) The milk or milk products you serve must
					 be pasteurized and follow these recommended guidelines:
(a) Children under the age of twelve months
					 must receive formula or breast milk unless written authorization from the
					 child's licensed health care provider requires a different liquid intake;
					 and
(b) Children between the age of
					 twelve and twenty-four months must receive whole milk unless you have written
					 authorization from a licensed health care provider not to serve whole
					 milk.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1810 - Are there special requirements for infants and young children?

Current through Register Vol. 24-14, July 15, 2024
In caring for infants and young children, you must hold
						infants at times other than feeding for the purposes of comfort and attention;
						and allow children plenty of free time outside of a swing, crib or
						playpen.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1815 - Are written policies and procedures required describing a facility's discipline methods?

Current through Register Vol. 24-14, July 15, 2024
(1) You must
					 provide a written statement with your application and re-application for
					 licensure describing the discipline methods you use. This plan must be approved
					 by your DLR licensor.
(2) You and
					 authorized care providers have the responsibility for discipline; you may not
					 delegate that responsibility to a child.
(3) You must not withhold a child's need for
					 necessary services including contact with the child's DSHS worker, case
					 manager, and legal representatives. You must not withhold approved contact with
					 a child's family, without further approval from the child's DSHS
					 worker.
(4) For additional
					 information you may refer to the children's administration's behavior
					 management guide.
(5) If your
					 discipline methods change, you must immediately provide a new statement to your
					 licensor describing your current practice.
(6) You must use positive methods of guidance
					 and discipline that promote self-control, self-responsibility, self-direction,
					 self-esteem and cooperation. Positive methods may include:
(a) Redirecting children;
(b) Giving choices when
					 appropriate;
(c) Time out as a
					 method of guidance, allowing the child time to change his/her
					 behavior;
(d) Planning in order to
					 prevent problems; and
(e) Using
					 positive reinforcement and encouraging children to express their feelings and
					 ideas.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1820 - When may a child be restrained?

Current through Register Vol. 24-14, July 15, 2024
(1)
					 You must use efforts other than physical restraint to redirect or deescalate a
					 situation, unless the child's behavior poses an immediate risk to the physical
					 safety of the child or another person, or of serious property damage. If
					 restraint is necessary, it must be reasonable and necessary to:
(a) Prevent a child from harming self or
					 others; or
(b) Protect property
					 from serious damage.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1825 - What must I do following an incident that involved using physical restraint?

Current through Register Vol. 24-14, July 15, 2024
(1) Your
					 executive 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 the
					 criteria listed in WAC
					 388-145-1535.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Daily Care, Behavior Management › Section 388-145-1830 - Are there requirements for time-out or quiet rooms?

Current through Register Vol. 24-14, July 15, 2024
(1) Locked time-out or locked de-escalation
					 rooms are prohibited in all facilities. In certain circumstances, facilities
					 may have time-out rooms or de-escalation rooms that allow for securing the
					 youth in a room, requiring a staff to be present, holding the door closed so
					 the youth may not exit. In these cases you must meet the following
					 requirements:
(a) Have a window that allows
					 for visual monitoring of all areas of the room;
(b) Have 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;
(c) Have approval from
					 the DLR licensor stating the facility is in compliance with the children's
					 administration's behavior management guidelines; and
(d) Have current written approval of the DLR
					 administrator.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1835 - Am I required to assess a child's need for immediate medical attention?

Current through Register Vol. 24-14, July 15, 2024
(1) When a child
					 first enters out-of-home care (other than overnight youth shelters) you must
					 ensure that a child receives an initial health screen or physical exam as soon
					 as possible but no later than five days after the child enters your program.
					 The initial health screen involves a review of the child for any health needs
					 requiring immediate attention. You do not need to take a child to get this
					 screen if you received the child directly from a hospital, pediatric interim
					 care, or the child is receiving services through a child advocacy center or
					 sexual assault clinic.
(2) You must
					 also make reasonable attempts to obtain the following health history:
(a) Allergies;
(b) All currently prescribed medications;
					 and
(c) Any special physical or
					 mental health issues.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1840 - When must I get an EPSDT exam for a child?

Current through Register Vol. 24-14, July 15, 2024
Children who are in out-of-home care must receive an
						early and periodic screening, diagnosis and treatment (EPSDT) exam within
						thirty days, unless they have had an EPSDT exam in the previous thirty days,
						except for overnight youth shelters and children placed by DDA through a
						voluntary placement agreement. Children also receive subsequent periodic EPSDT
						exams; information on these required exams may be obtained from the child's
						DCFS worker.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1845 - What are the requirements for obtaining consent for emergent and routine medical care?

Current through Register Vol. 24-14, July 15, 2024
(1) The department
					 is the legal custodian for children it places in care. We have the authority to
					 consent to emergent and routine medical services on behalf of a child under the
					 age of eighteen. Youth in care over the age of eighteen must consent to their
					 own medical care or have an identified person who has been granted the legal
					 authority to consent on their behalf. We delegate some of the authority to
					 providers. You must contact the child's DSHS worker or children's
					 administration intake for specific information for each child.
(2) 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.
(3) In case of medical
					 emergency, contact the child's DSHS worker or children's administration intake
					 as soon as possible.
(4) It is your
					 responsibility to ensure that a child receives the necessary medical attention
					 if injured or harmed. In the event of a life-threatening medical emergency, you
					 must contact 911 prior to transporting the child to a medical
					 facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1850 - What requirements are there for the storage of medications?

Current through Register Vol. 24-14, July 15, 2024
(1) Prescription
					 and over-the-counter medications must be kept in a locked container in a manner
					 that minimizes the risks for medication errors.
(2) Human medication and animal medication
					 must be kept separate from each other and in locked containers.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1855 - What are the general requirements for managing a child's medication?

Current through Register Vol. 24-14, July 15, 2024
(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, a
					 licensed foster parent, or another authorized care provider, such as a respite
					 provider, are allowed to have access to medications for a child in your
					 care.
(3) You must not use
					 medication in an amount or frequency other than that prescribed by an
					 appropriately licensed health care provider or psychiatrist.
(4) You must not reduce or stop a child's
					 prescribed medication without the written approval of the child's physician.
					 You must report this information to the child's DSHS worker. In addition to the
					 physician, you must coordinate starting or stopping a child's psychotropic
					 medication with the child's social worker to determine what consent is needed.
					 The social worker may need to obtain consent from the child age thirteen or
					 older, the parent, or the court.
(5) You must follow the direction of the
					 agency or court regarding giving or applying prescription and nonprescription
					 medications if you care for children in the custody of another agency, or
					 tribal or other court. If this is in conflict with children's administration
					 policy, you must notify the child's DCFS worker.
(6) You must not give medications to a child
					 that has been prescribed for someone else.
(7) You must keep a record of all
					 prescription and non-prescription medications given to children in care. This
					 documentation includes:
(a) Child's
					 name;
(b) Time of
					 medication;
(c) Dosage of
					 medication; and
(d) Name of person
					 administering medication.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1860 - How do I manage a child's non-prescription medications?

Current through Register Vol. 24-14, July 15, 2024
(1) You or another
					 authorized care provider must give non-prescription medications:
(a) Only as specified in the instructions;
					 or
(b) As otherwise approved by a
					 physician or another person legally authorized to prescribe
					 medication.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1865 - Can I give a child non-prescription medications with prescription medications?

Current through Register Vol. 24-14, July 15, 2024
You must give prescription and over the counter
						medications as specified on the medication label or as prescribed by persons
						legally authorized to prescribe medication. This includes herbal supplements
						and remedies, vitamins, or minerals.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1870 - How do I dispose of medications?

Current through Register Vol. 24-14, July 15, 2024
(1)
					 You must consult with a pharmacist or other health professional on the proper
					 disposal of medications that are no longer being taken or have expired. 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 for whom the medication was prescribed;
(c) The amount disposed;
(d) The name of the person disposing of the
					 medication; and
(e) The name of the
					 person witnessing the disposal.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1875 - Can I accept medication from a child's parent or guardian?

Current through Register Vol. 24-14, July 15, 2024
(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 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.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1880 - When may children take their own medicine?

Current through Register Vol. 24-14, July 15, 2024
(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;
(b) You monitor that the
					 youth is taking the medication according to the prescription or manufacturer's
					 instructions to ensure proper amount and frequency; and
(c) You must keep the written approval by the
					 child's DSHS worker in your records.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Medical Safety › Section 388-145-1885 - What are the immunization regulations?

Current through Register Vol. 24-14, July 15, 2024
(1) Immunization standards for all children
					 in your facility are based on the advisory committee for immunizations
					 practices of the Center for Disease Control (ACIP/ CDC). Children placed in
					 your care by the department are required to be immunized according to advisory
					 committee on immunization practices as established in the recommended
					 immunization schedule for persons Aged 0-18 Years, United States, 2012 and as
					 amended each subsequent year, except for rotavirus and human papilloma
					 virus.
(2) Except for overnight
					 youth shelters, if a child who has not received all recommended immunizations
					 is placed in your care, you must take the child to a health care provider as
					 soon as medically possible for catch-up immunizations according to the ACIP/CDC
					 catch-up schedule.
(3) You must
					 contact each child's DSHS worker and your licensor if a serious infection or a
					 communicable disease is a threat to the children in your care. The department
					 may remove a foster child from your facility when the threat of a serious
					 infection or communicable disease creates a risk to the health of any child
					 placed in your facility.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Crises Residential Centers (CRC - Regular and Secure) › Section 388-145-1890 - What type of crisis residential center (CRC) facilities may be licensed?

Current through Register Vol. 24-14, July 15, 2024
(1) You may be
					 licensed as a semi-secure CRC or a secure CRC.
(2) Semi-secure CRCs are not locked
					 facilities, but are operated in a way that reasonably assures that youth placed
					 there will not run away. Regular CRCs are also known as semi-secure CRCs, as
					 referred to in
					 RCW
					 13.32A.030(16).
(3) A secure CRC is designed and operated to
					 prevent a youth from leaving without permission of the staff, as referred to in
					 RCW
					 13.32A.030(15).
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Crises Residential Centers (CRC - Regular and Secure) › Section 388-145-1895 - What hours must I be available to receive youth?

Current through Register Vol. 24-14, July 15, 2024
You must be open and available to receive youth
						twenty-four hours a day, seven days a week.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Crises Residential Centers (CRC - Regular and Secure) › Section 388-145-1900 - What residents are admitted to a semi-secure CRC?

Current through Register Vol. 24-14, July 15, 2024
(1) Semi-secure CRCs provide emergency,
					 temporary residence to youth ages twelve through seventeen who meet one of the
					 following criteria:
(a) Are beyond the
					 control of their parents or guardians and behave in a way that endangers any
					 person's welfare;
(b) Need
					 assistance getting food, shelter, health care, clothing, educational services,
					 and/or resolving family conflicts;
(c) Need temporary protective custody;
					 or
(d) Have parents who are not
					 able or willing to continue efforts to keep the family together.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Crises Residential Centers (CRC - Regular and Secure) › Section 388-145-1905 - What residents are admitted to a secure CRC?

Current through Register Vol. 24-14, July 15, 2024
(1) Secure CRCs provide emergency, temporary
					 residence to youth ages twelve through seventeen who meet one of the following
					 criteria:
(a) Youth ordered by the court to
					 be placed for contempt on CHINS, ARP, or truancy orders. These youth may be
					 ordered into a secure CRC that is co-located with a detention facility;
					 or
(b) Youth placed by law
					 enforcement officers who are runaways, are in dangerous situations or are in
					 violation of curfew.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Crises Residential Centers (CRC - Regular and Secure) › Section 388-145-1910 - What are the ratio requirements of staff to youth in crisis residential centers?

Current through Register Vol. 24-14, July 15, 2024
(1)
Semi-secure CRCs
(a) At all
					 times, you must have at least one direct care staff on duty and must maintain a
					 staffing ratio of one staff for every four youth in care when youth are
					 present.
(b) During waking hours of
					 youth, you must have at least two awake direct care staff on duty when youth
					 are present.
(c) During sleeping
					 hours of youth, at least one of your staff must be awake. 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.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Crises Residential Centers (CRC - Regular and Secure) › Section 388-145-1915 - What are the requirements for secure CRCs?

Current through Register Vol. 24-14, July 15, 2024
(1) Secure CRCs must meet each of these
					 requirements:
(a) Be a free-standing
					 facility, separate unit, or separate building within a campus;
(b) Maintain a recreation area as outlined in
					 WAC 388-145-1570 and
					 388-145-1575.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Crises Residential Centers (CRC - Regular and Secure) › Section 388-145-1920 - What are additional physical requirements for secure CRCs?

Current through Register Vol. 24-14, July 15, 2024
(1) Your secure CRC
					 must ensure that no youth is kept in a locked room that isolates the youth from
					 the general population or staff.
(2) You must also limit exit by one of the
					 following methods:
(a) Have windows and doors
					 that allow exit, but have a non-scalable perimeter fence around the facility
					 property. This fence shall be designed to not cause injury, avoiding use of
					 electrification, razor wire or concertina wire; or
(b) Have egress-control devices which meet or
					 exceed current state building codes for facilities with special
					 egress-controlled devices (rather than locking windows and doors or a perimeter
					 fence), that prevent unauthorized exit.
Washington Administrative Code › Title 388 - Social and Health Services, Department of › CHILD CARE AGENCIES/LICENSING REQUIREMENTS › Chapter 388-145 - Licensing requirements for group care facilities and services › PROGRAM ACTIVITIES AND TOYS › Crises Residential Centers (CRC - Regular and Secure) › Section 388-145-1925 - May a juvenile detention center operate as a separate secure CRC program?

Current through Register Vol. 24-14, July 15, 2024
(1) A juvenile
					 detention center may operate 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.