Washington Administrative Code › Title 110 - Children, Youth, and Families, Department of › Chapter 110-60A - Domestic violence perpetrator treatment program standards › CERTIFICATION AND APPLICATION REQUIREMENTS › Section 110-60A-0110 - Required documentation for certification and recertification - What must be included in an application to provide domestic violence assessments or treatment?

Current through Register Vol. 24-14, July 15, 2024
(1) For
				programs applying for initial certification or recertification the program's
				director must submit the following documentation with the program's
				application:
(a) A written statement signed
				by the program's director that the program complies with the standards
				contained in this chapter;
(b) A
				copy of the current business license that authorizes the program, or its
				governing agency, to do business in Washington state at the physical address
				indicated on the application;
(c) A
				list of any off-site locations where the program will be providing
				services;
(d) A list of all direct
				treatment staff at the program;
(e)
				Results of current criminal history background checks conducted by the
				Washington state patrol for all current direct treatment program staff;
(i) If the program staff has lived outside of
				the state of Washington in the last ten years, then a background check that
				covers each state they lived in prior to Washington for the last ten years must
				be included with the application; and
(ii) The results of an FBI or other national
				criminal background check can be used in place of the Washington state patrol
				check if it documents the state of Washington, and any other state they lived
				in for the past ten years was part of the background check search;
(f) An attestation for each
				current paid or volunteer staff person, documented in the application, whether
				the staff person has ever been a party to any civil proceedings involving
				domestic violence or crimes of moral turpitude;
(g) If the staff person has been party to any
				civil proceedings involving domestic violence or crimes of moral turpitude, the
				application must also include the legal findings of each incident along with
				the staff person's written explanation (see WAC
				388-60A-0210(2)(b));
(h) Proof that each direct
				treatment staff is currently registered or licensed as a counselor with the
				Washington state department of health; and
(i) Written documentation that the program
				maintains cooperative and collaborative relationships with agencies providing
				services related to domestic violence which must include, at a minimum, all of
				the following:
(i) One item of documentation
				showing that the program has established and continues to maintain a
				cooperative relationship with another local program or agency involved in the
				provision of direct or ancillary services related to domestic violence
				including, but not limited to, probation services, legal services, a domestic
				violence intervention treatment program, or a victim services
				program;
(ii) One item of
				documentation showing that the program regularly attends and participates in a
				local domestic violence task force, intervention committee, coordinated
				community response group, or workgroup if one exists in their
				community;
(iii) One item of
				documentation showing that the program has a collaborative relationship, either
				electronic or in person, with another Washington state certified domestic
				violence intervention treatment program which includes:
(A) Written documentation of regularly
				scheduled opportunities for confidential case staffing; and
(B) Written documentation of regularly
				scheduled opportunities for collaboration in the delivery of domestic violence
				intervention treatment services and procedures for victim safety (the program
				can find a current list of certified domestic violence intervention treatment
				programs in the state of Washington online at
				https://www.dshs.wa.gov/ca/domestic-violence/domestic-violence-perpetrator-treatment);
				and
(iv) A current list
				of all the local domestic violence victim services programs in the program's
				area as reasonably available.