reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › MEDICAL SAFETY › Section 110-145-1865 - Can I give a child nonprescription 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.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
					 RCW
					   74.15.030(2),
					 74.15.311(2),
					 74.13.032,
					 13.04.011,
					 74.13.020,
					 13.34.030,
					 74.13.031,
					 13.34.145,
					 74.15.311,
					 74.15.030,
					 and 2013 c 105. WSR 15-01-069, §
											388-145-1865,
					 filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › MEDICAL SAFETY › Section 110-145-1870 - 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 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › MEDICAL SAFETY › Section 110-145-1875 - 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 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › MEDICAL SAFETY › Section 110-145-1880 - 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 DCYF caseworker in your records.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › MEDICAL SAFETY › Section 110-145-1885 - 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 DCYF caseworker and your LD 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.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
					 RCW
					   74.15.030(2),
					 74.15.311(2),
					 74.13.032,
					 13.04.011,
					 74.13.020,
					 13.34.030,
					 74.13.031,
					 13.34.145,
					 74.15.311,
					 74.15.030,
					 and 2013 c 105. WSR 15-01-069, §
											388-145-1885,
					 filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1890 - 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).
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-1890,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1895 - 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.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-1895,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1900 - 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 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1905 - 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 colocated 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 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1910 - 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 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1915 - What are the requirements for secure CRCs?

Current through Register Vol. 24-14, July 15, 2024
Secure CRCs must meet each of these requirements:
(1) Be a free-standing facility, separate
				  unit, or separate building within a campus;
(2) Maintain a recreation area as outlined in
				  WAC
				  110-145-1570
				  and
				  110-145-1575.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-1915,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1920 - 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 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1925 - 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.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-1925,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1930 - What steps must be taken after a youth is admitted into any CRC?

Current through Register Vol. 24-14, July 15, 2024
(1) You must notify
				  the parents or guardians of the youth who has been admitted to the CRC if the
				  youth is not under the care and authority of the department. If you are unable
				  to contact the youth's parents or guardians within 48 hours, you 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 this information in the youth's
				  case file.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1935 - What additional steps must be taken after a youth is admitted into a secure CRC?

Current through Register Vol. 24-14, July 15, 2024
(1) You must make
				  an assessment of the youth's risk of running, within the first twenty-four
				  hours after admitting a youth to a secure crisis residential center, and each
				  twenty-four hours thereafter.
(2)
				  You must determine what type of CRC, (semi-secure or secure,) would be best for
				  the youth.
(3) You 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.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1940 - How long may a youth stay in a CRC?

Current through Register Vol. 24-14, July 15, 2024
(1) Youth may stay in a semi-secure CRC or a
				  secure CRC not located in a detention center, for no longer than fifteen
				  consecutive days, including Saturdays, Sundays and holidays.
(2) Youth admitted to a secure CRC located in
				  a juvenile detention center must remain in the facility for at least
				  twenty-four hours after admission but for no more than five consecutive days
				  per admission, including Saturdays, Sundays and holidays.
(3) If a youth has been transferred between
				  secure and semi-secure crisis residential centers, the total number of
				  consecutive days spent in a secure CRC located in a detention facility may not
				  exceed five days and the total number of consecutive days spent in all crisis
				  residential centers may not exceed fifteen days per admission.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-1940,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1945 - What happens when no space exists in a secure CRC?

Current through Register Vol. 24-14, July 15, 2024
(1) If space is not available in a secure
				  crisis residential center (CRC), you or your designee may transfer a different
				  youth from that facility to a semi-secure CRC as long as the youth:
(a) Has been in the secure facility for at
				  least twenty-four hours; and
(b) Is
				  considered likely to remain at a semi-secure CRC facility.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1950 - How is a youth transferred from one type of CRC to another?

Current through Register Vol. 24-14, July 15, 2024
(1) After deciding
				  that a youth needs to be transferred from one type of CRC to another, you must
				  take the following steps:
(a) Obtain the
				  department's agreement with the transfer decision;
(b) Communicate with the CRC where the youth
				  is being relocated;
(c) Make sure
				  that space for the youth is available to support the transfer;
(d) Assure mutual agreement with the transfer
				  decision; and
(e) Document all
				  communication related to the transfer into the youth's file.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1955 - What intervention services must I provide or arrange for at a CRC?

Current through Register Vol. 24-14, July 15, 2024
(1) You must
				  provide a safe environment that supports the reduction of high risk behaviors
				  and an increase of stable behaviors of the youth.
(2) You must also provide or arrange, at a
				  minimum, the following services:
(a)
				  Assessment of the family in order to develop a treatment plan for the
				  youth;
(b) Family counseling
				  focused on communication skills development and problem solving;
(c) Individual and/or group
				  counseling;
(d) School
				  participation;
(e) Safety and
				  transition plans to address the youth's high risk behaviors; and
(f) Referrals to transition the family to
				  community-based support services.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1960 - What additional recordkeeping is required for all CRCs?

Current through Register Vol. 24-14, July 15, 2024
(1) In addition to
				  meeting the reporting requirements listed in WAC
				  110-145-1535
				  through
				  110-145-1550,
				  you must also maintain for a minimum of six years, the following:
(a) Hourly logs of where the child is
				  physically located;
(b) Records of
				  a multidisciplinary team, if convened;
(c) The time and date a placement is
				  made;
(d) The names of the person
				  and agency making the placement; and
(e) Reasons for the placement.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1965 - What is the purpose of a CRC multidisciplinary team?

Current through Register Vol. 24-14, July 15, 2024
(1) The purpose of the multidisciplinary team
				  is to evaluate the youth and the youth's family and when agreed to by the
				  family, assist with any of the following services:
(a) Developing a plan for accessing available
				  social and health-related services;
(b) Obtaining referrals to a chemical
				  dependency specialist and/or county-designated mental health
				  professional;
(c) Recommending no
				  further intervention because the youth and family have worked out the problems
				  that were causing family conflicts; and
(d) Reconciling the youth and
				  family.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1970 - When should I convene a CRC multidisciplinary team?

Current through Register Vol. 24-14, July 15, 2024
(1) After a youth
				  is admitted into a CRC, you must advise the parent or guardian and the youth of
				  their rights to request a multidisciplinary team, and make arrangements to
				  convene that team.
(2) You may set
				  up a multidisciplinary team when you believe that the youth is a "child in need
				  of services" under
				  RCW
				    13.32A.030 and the parent is unavailable or
				  unwilling to continue efforts to maintain the family structure.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-1970,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1975 - How is a CRC multidisciplinary team convened?

Current through Register Vol. 24-14, July 15, 2024
(1) You must notify the members of the
				  multidisciplinary team of the need to convene and you must:
(a) Tell the youth's parents or guardians
				  about the multidisciplinary team if the parents did not make the initial
				  request to form a team;
(b) Advise
				  the parents of their right to select additional members; and
(c) Assist in getting prompt involvement of
				  additional persons that the parent or youth have requested to be added to the
				  multidisciplinary team.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Crises Residential Centers (CRC - Regular and Secure) › Section 110-145-1980 - May a parent disband the CRC multidisciplinary team?

Current through Register Vol. 24-14, July 15, 2024
(1) Parents may
				  disband the multidisciplinary team:
(a) Unless
				  a dependency petition has been filed (under
				  RCW
				    13.32A.140); or
(b) After a dispositional hearing has taken
				  place ordering out-of-home placement for the youth.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Day Treatment Programs › Section 110-145-1985 - Who is eligible to attend my day treatment program?

Current through Register Vol. 24-14, July 15, 2024
(1) Day treatment is for children who are
				  unable to adjust to school programs due to disruptive behavior, family stress,
				  learning disabilities or other serious emotional disabilities; and/or
(2) Have intensive needs, which cannot be
				  adequately met through out-patient community mental health services.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-1985,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Day Treatment Programs › Section 110-145-1990 - What are the required ratios of staff to children in day treatment centers?

Current through Register Vol. 24-14, July 15, 2024
(1) There must
				  be one counselor or teacher for every six children in a day treatment program;
				  and
(2) Either the executive
				  director or on-site program manager must be on the premises while the children
				  are in care.
(3) Another competent
				  person may be left in charge during the director's and/or program manager's
				  temporary absence (two hours or less).
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-1990,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Day Treatment Programs › Section 110-145-1995 - What consultants must I use for my day treatment program?

Current through Register Vol. 24-14, July 15, 2024
(1) You must use
				  consultants, including psychiatrists, psychologists, teachers, and group
				  counselors, for children under care as follows:
(a) Receive regular consultation from a child
				  psychiatrist; and
(b) Provide or
				  arrange for a psychologist for psychological testing and related services if
				  the child's school does not provide these services.
(c) Provide or arrange for teaching by
				  certified teachers qualified by training or experience in remedial education;
				  and
(d) Use group counselors who
				  are qualified by training or by experience in the care of emotionally disturbed
				  children.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Emergency Respite Centers (ERC - Crisis Nurseries) › Section 110-145-2000 - Can my emergency respite center have more than one type of license?

Current through Register Vol. 24-14, July 15, 2024
If you are licensed by LD as an emergency respite center,
					 you may also be licensed as a child care center under the provisions of chapter
					 110-300 WAC. You must meet the requirements for both licenses and have written
					 department approval to hold dual licenses.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2000,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Emergency Respite Centers (ERC - Crisis Nurseries) › Section 110-145-2005 - What are the required ratios of staff to children in an ERC?

Current through Register Vol. 24-14, July 15, 2024
(1) At all times,
				  emergency respite centers must have the following minimum staffing ratios:
(a) At least two staff on duty when children
				  are present; and
(b) One direct
				  care staff providing visual or auditory supervision for every four children in
				  care.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Emergency Respite Centers (ERC - Crisis Nurseries) › Section 110-145-2010 - Who are the residents served at my emergency respite center?

Current through Register Vol. 24-14, July 15, 2024
(1) An emergency
				  respite center may provide care for:
(a)
				  Children from birth through seventeen years; and
(b) Persons eighteen through twenty years of
				  age when the person has intellectual and developmental disabilities and
				  admitted with a sibling who is under eighteen.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Emergency Respite Centers (ERC - Crisis Nurseries) › Section 110-145-2015 - Who may place children at my emergency respite center?

Current through Register Vol. 24-14, July 15, 2024
A parent or legal guardian of a child may voluntarily place
					 a child in an emergency respite center to prevent abuse and neglect for up to
					 seventy-two hours.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2015,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Emergency Respite Centers (ERC - Crisis Nurseries) › Section 110-145-2020 - What information must I obtain before accepting a child for care at my emergency respite center?

Current through Register Vol. 24-14, July 15, 2024
(1)
				  Before accepting a child for care at an emergency respite center you must
				  obtain the following:
(a) Permission from the
				  child's parent or guardian authorizing placement and emergency medical care or
				  surgery on behalf of the child;
(b)
				  Basic family information, including address, telephone numbers, and emergency
				  contacts; and
(c) Basic medical
				  information, including current medication, known allergies, and at risk
				  behaviors of the child.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Emergency Respite Centers (ERC - Crisis Nurseries) › Section 110-145-2025 - May services I provide at my emergency respite center substitute for other types of care?

Current through Register Vol. 24-14, July 15, 2024
(1) The services
				  provided by an emergency respite center may not substitute for those provided
				  by:
(a) Crisis residential centers;
(b) HOPE centers; or
(c) Any other services required under chapter
				  13.32A (family reconciliation services) RCW or chapter 13.34 RCW (Juvenile
				  court act).
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Emergency Respite Centers (ERC - Crisis Nurseries) › Section 110-145-2030 - Are there additional bed requirements at my emergency respite center?

Current through Register Vol. 24-14, July 15, 2024
(1) If a cot is
				  used as a bed you must ensure the child's cot is:
(a) Sufficient in length and width,
				  constructed to provide adequate comfort for the child to sleep; and
(b) Is made of material that can be cleaned
				  with a detergent solution, disinfected, and allowed to dry.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Group Homes › Section 110-145-2035 - What are the required ratios of staff to children in group homes?

Current through Register Vol. 24-14, July 15, 2024
You must have at least one direct care staff on site while
					 children are present for every eight children in your group home. If you have
					 both a license and a contract for services, you must adhere to the most
					 stringent staffing ratios.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2035,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Group Receiving Centers (GRC) › Section 110-145-2040 - Who are the residents at my group receiving center?

Current through Register Vol. 24-14, July 15, 2024
(1) You are limited to one of the following
				  age groups:
(a) Age two through
				  five;
(b) Six through twelve;
				  or
(c) Thirteen through
				  seventeen.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Group Receiving Centers (GRC) › Section 110-145-2045 - What are the required ratios of staff to children in group receiving centers?

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  department has the following specific requirements for the ratio of direct care
				  staff to children at group receiving centers:
(a) At least two staff, including at least
				  one direct care staff person, must be on site whenever children are on the
				  premises; and
(b) If you have at
				  least one child under the age of six in placement, the ratio for a group
				  receiving center is at least one direct care staff person on site during waking
				  and sleeping hours, for every four children.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Group Receiving Centers (GRC) › Section 110-145-2050 - When do I accept placements at my group receiving center?

Current through Register Vol. 24-14, July 15, 2024
A group receiving center must accept placements twenty-four
					 hours a day, seven days a week.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2050,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Group Receiving Centers (GRC) › Section 110-145-2055 - What services must I provide at my group receiving center?

Current through Register Vol. 24-14, July 15, 2024
(1) A group
				  receiving center must provide direct receiving care and assessment 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)
				  You must arrange or provide transportation for each school-age child in care to
				  attend school.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2055,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Group Receiving Centers (GRC) › Section 110-145-2060 - What are the requirements for supervision of children at my group receiving center?

Current through Register Vol. 24-14, July 15, 2024
(1) Children
				  must be within visual or auditory range at all times during waking
				  hours.
(2) You must ensure that
				  staff providing direct care and supervision of the children are free of other
				  administrative duties at the time of care.
(3) When a child is known to have exhibited
				  behavior that poses a safety risk to other children, you must develop a safety
				  and supervision plan with the child's DCYF caseworker to address the
				  risk.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2060,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Programs for Medically Fragile Children › Section 110-145-2065 - What services must I provide for medically fragile children?

Current through Register Vol. 24-14, July 15, 2024
(1) Your licensed
				  group home or staffed residential facility may also provide specialized care,
				  to medically fragile children who need intensive personal care. The children
				  may require skilled health care, physical therapy, or other forms of
				  therapy.
(2) If you are serving
				  this population as a specialty, 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;
(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;
(c) Sufficient
				  nursing staff to meet the nursing care needs of the children, including at
				  least one registered nurse licensed by the state of Washington;
(d) Regular nursing consultation that
				  includes at least one weekly on-site visit by a registered nurse, who initially
				  assesses each child and updates the assessments as needed on subsequent visits.
				  These assessments and updates must be documented. You must also keep records of
				  the weekly on-site visits;
(e) Your
				  nursing consultant must advise you and your staff on your infant care program,
				  if applicable, and develop a written agreement with you about your child health
				  program. The consultant must also advise and assist nonmedical staff at your
				  facility in maintaining child health records, meeting daily health needs, and
				  caring for children with minor illnesses and injuries;
(f) The nurse's name and telephone number
				  must be posted or otherwise available in your home or facility;
(g) If you care for four or more infants, you
				  must arrange for monthly on-site visits with a registered nurse that is trained
				  or experienced in the care of young children; and
(h) If you care for children with
				  intellectual and developmental disabilities requiring nursing services, you
				  must have a registered nurse on staff or under contract.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Programs for Medically Fragile Children › Section 110-145-2070 - What recordkeeping requirements exist for medically fragile children?

Current through Register Vol. 24-14, July 15, 2024
In addition to meeting standard requirements for keeping
					 records per WAC
					 110-145-1520
					 and
					 110-145-1525,
					 you must also keep the following information for medically fragile children
					 that have been in placement for more than 30 days in your facility:
(1) Report of a physical examination and
				  diagnosis by a physician and information about the child's daily care including
				  treatment plans, medications, observations, medical examinations, physicians'
				  orders, proper treatment for allergic reactions, consent authorizations,
				  releases, diagnostic reports, and revisions of assessments;
(2) 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
(3) Evidence of meeting criteria for
				  eligibility for services from the developmental disabilities administration, if
				  appropriate.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2070,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Programs for Medically Fragile Children › Section 110-145-2075 - What are additional food requirements if I care for medically fragile children?

Current through Register Vol. 24-14, July 15, 2024
You must follow the dietary plan for each child as
					 prescribed by the child's physician. You must use the services of a dietitian
					 who meets current registration requirements of the American dietetic
					 association if offering modified diets. You must document in the child's file
					 that staff are following the physician's order.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2075,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Overnight Youth Shelters (OYS) › Section 110-145-2080 - What age groups may I serve in my overnight youth shelter?

Current through Register Vol. 24-14, July 15, 2024
Youth shelters may be licensed to provide care for youth
					 from thirteen through seventeen years of age or youth sixteen through twenty
					 years of age.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2080,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Overnight Youth Shelters (OYS) › Section 110-145-2085 - How are youth admitted to my overnight youth shelter?

Current through Register Vol. 24-14, July 15, 2024
(1) Youth are self-referred to overnight
				  youth shelters.
(2) Foster parents
				  may not place foster children in an overnight youth shelter.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2085,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Overnight Youth Shelters (OYS) › Section 110-145-2090 - What are the required ratios of staff to children under care in overnight youth shelters?

Current through Register Vol. 24-14, July 15, 2024
(1) An
				  OYS licensed for youth who are thirteen through seventeen years old must have
				  one staff person to every eight youth.
(2) An OYS licensed for youth who are sixteen
				  through twenty years old must have one staff person to every six
				  youth.
(3) An OYS must maintain the
				  staffing ratio while youth are asleep. At least one staff must remain awake
				  while youth are asleep. Other staff may be asleep, but must be available in the
				  shelter in case of emergency.
(4)
				  Whenever only one staff is required to be on duty, a second staff person must
				  be on call and available to respond within thirty minutes.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2090,
						filed 12/11/14, effective 1/11/15.
Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-145 - Licensing requirements for group care facilities › LICENSED FACILITIES AND SPECIALIZED SERVICES › Overnight Youth Shelters (OYS) › Section 110-145-2095 - What steps must I take when a youth first enters an overnight youth shelter?

Current through Register Vol. 24-14, July 15, 2024
When a youth first enters an overnight youth shelter, you
					 must:
(1) Determine whether the
				  parents or guardians are aware of the whereabouts of the youth;
(2) Follow reporting requirements in WAC
				  110-145-1545;
				  and
(3) Notify the police or DCYF
				  intake (either the local CPS number or toll-free 1-886-ENDHARM) of any youth 12
				  years of age or younger who is unaccompanied by an adult and is requesting
				  service, and you are unable to serve the child due to their age.
Statutory Authority: Chapters 13.34 and 74.13 RCW,
						RCW
						  74.15.030(2),
						74.15.311(2),
						74.13.032,
						13.04.011,
						74.13.020,
						13.34.030,
						74.13.031,
						13.34.145,
						74.15.311,
						74.15.030,
						and 2013 c 105. WSR 15-01-069, §
												388-145-2095,
						filed 12/11/14, effective 1/11/15.