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Chapter 388-145 WAC

Last Update: 12/11/14

LICENSING REQUIREMENTS FOR GROUP CARE FACILITIES AND SERVICES

WAC Sections

PURPOSE AND DEFINITIONS
What is the purpose of this chapter?
What definitions do I need to know to understand this chapter?
LICENSING PROCESS
Am I required to have a license to provide care to children?
When will the department grant me a license?
How old do I have to be to apply for a license to provide care to children?
What is required to apply for a group care facility license?
How does the department determine my suitability to become a licensed provider?
What additional steps must I complete prior to licensing?
How long do I have to complete the licensing application process?
How long is my license valid?
Who shall have access to my facility?
Am I required to comply with local ordinances?
What children may I serve in my group care program?
How does the department decide which children will be placed in my care?
Do I have to admit or retain all children?
What happens when licensing requirements differ from contract requirements?
May a group care facility be issued more than one type of license?
When may I be certified to provide care to children?
RULE VIOLATIONS AND CORRECTIVE ACTIONS
Will you license or continue to license me if I violate licensing regulations?
Are there exceptions made if I do not meet the licensing regulations?
Can employees, volunteers and subcontractors be disqualified from having access to the children in my facility?
What can I do if I disagree with your decision to modify, deny, suspend or revoke my license, or to disqualify my background check?
How do I appeal the decision of the office of administrative hearings' administrative law judge?
Can I be issued a probationary license?
STAFF QUALIFICATIONS AND REQUIREMENTS
Who must I employ at my facility?
What are the qualifications of an executive director or administrator?
What are the requirements of an on-site program manager?
What if my on-site program manager must be off-site temporarily when youth are present?
What are the requirements of case management staff?
What are the qualifications of direct care staff?
What additional qualifications must the crisis residential center direct care staff have?
If I have health care staff, what qualifications are required?
Do I need to employ consultants at my facility?
What additional supports do I need for my group care facility?
Can one staff person have different responsibilities?
What are the requirements for volunteers working directly with children/youth at my facility?
What are the general ratios of staff to children under care?
May I have more than one licensed program at my facility?
TRAINING AND PROFESSIONAL DEVELOPMENT
What is the preservice training requirement for staff and volunteers having direct care responsibility to children/youth?
What is the in-service training requirement for staff and volunteers having responsibility to provide care to children/youth?
What first-aid and cardiopulmonary resuscitation (CPR) training is required?
What HIV/AIDS and bloodborne pathogens training is required?
MANAGING RECORDS AND REPORTING
What personnel records must I keep at my facility?
What are the requirements for information kept in facility shift logs for group care facilities?
What are the requirements for children's records?
How long should my facility keep the child records?
What information can be shared about a child or a child's family?
What incidents involving children must I report?
What are my reporting responsibilities when a child is missing from care (except for overnight youth shelters)?
What are my reporting requirements in my licensed facility serving runaway or homeless youth?
What changes must I report to my licensor?
ENVIRONMENT, SPACE AND EQUIPMENT
What does the department require for my buildings and property?
What toilet and bathing facilities are required?
What is the ratio of persons normally on the premises to bathrooms at my facility?
What are the requirements for indoor recreation areas?
What are the requirements for outdoor recreation areas?
What are your requirements for storing dangerous chemicals or other substances?
What are the requirements for water, garbage, and sewer?
How must I keep children safe around bodies of water?
Are there room requirements for a group care facility?
What are the general requirements for bedrooms?
What are the requirements for sharing bedrooms?
What are the requirements for beds in a facility?
What are the requirements for laundering and storage of clothing and linen?
What are the requirements for diapers and diaper changing areas?
What are the requirements for the use of electronic monitors to monitor children?
Are time-delay mechanisms allowed on windows and doors?
What are the requirements for the prevention of the spread of infections and communicable disease?
Am I required to keep first-aid supplies?
What are the requirements regarding pets and animals in my facility?
Are alcoholic beverages, marijuana or illegal drugs allowed on a facility's property?
Is smoking permitted around children?
Are guns allowed on a licensed facility's property?
FIRE SAFETY AND EMERGENCY PRACTICES
What are the fire safety requirements for all group residential facilities?
Do I need a written emergency plan?
What requirements must be followed for smoke detectors?
What requirements must be followed for carbon monoxide detectors?
What are the requirements for fire drills?
What are the requirements for fire extinguishers?
Are there different construction and fire safety requirements for facilities that have multiple licenses in the same building?
SERVICE PLANNING
What must I include in a child's orientation to my facility?
How does my agency meet the religious needs of children in care?
What are the requirements about nondiscrimination?
Are there additional considerations in service to Native American children?
Do I need a social summary for children under my care (except for interim facilities)?
Do I need a treatment plan for children under my care?
What are the educational and vocational instruction requirements for children placed by the department (except interim facilities)?
What are the requirements for an activity program?
Can children in my care receive services through the extended foster care program?
DAILY CARE, BEHAVIOR MANAGEMENT
What are the general well-being requirements for a group care program?
What are the requirements for supervising children?
What requirements must I follow when I transport children?
What are the travel requirements for children in care?
Can children be assigned work in a facility or work outside the facility?
Can a child earn allowance while in care?
What belongings must be provided to a child leaving my facility?
Do I have responsibility for a child's personal hygiene?
What are the requirements for privacy for children in out-of-home placements?
What are the food and meal guideline requirements?
How often do children need to be provided meals?
What are the requirements for handling a child's special diet?
Are there special requirements for serving milk?
Are there special requirements for infants and young children?
Are written policies and procedures required describing a facility's discipline methods?
When may a child be restrained?
What must I do following an incident that involved using physical restraint?
Are there requirements for time-out or quiet rooms?
MEDICAL SAFETY
Am I required to assess a child's need for immediate medical attention?
When must I get an EPSDT exam for a child?
What are the requirements for obtaining consent for emergent and routine medical care?
What requirements are there for the storage of medications?
What are the general requirements for managing a child's medication?
How do I manage a child's nonprescription medications?
Can I give a child nonprescription medications with prescription medications?
How do I dispose of medications?
Can I accept medication from a child's parent or guardian?
When may children take their own medicine?
What are the immunization regulations?
LICENSED FACILITIES AND SPECIALIZED SERVICES
 
Crises Residential Centers (CRC - Regular and Secure)
What type of crisis residential center (CRC) facilities may be licensed?
What hours must I be available to receive youth?
What residents are admitted to a semi-secure CRC?
What residents are admitted to a secure CRC?
What are the ratio requirements of staff to youth in crisis residential centers?
What are the requirements for secure CRCs?
What are additional physical requirements for secure CRCs?
May a juvenile detention center operate as a separate secure CRC program?
What steps must be taken after a youth is admitted into any CRC?
What additional steps must be taken after a youth is admitted into a secure CRC?
How long may a youth stay in a CRC?
What happens when no space exists in a secure CRC?
How is a youth transferred from one type of CRC to another?
What intervention services must I provide or arrange for at a CRC?
What additional record keeping is required for all CRCs?
What is the purpose of a CRC multidisciplinary team?
When should I convene a CRC multidisciplinary team?
How is a CRC multidisciplinary team convened?
May a parent disband the CRC multidisciplinary team?
Day Treatment Programs
Who is eligible to attend my day treatment program?
What are the required ratios of staff to children in day treatment centers?
What consultants must I use for my day treatment program?
Emergency Respite Centers (ERC - Crisis Nurseries)
Can my emergency respite center have more than one type of license?
What are the required ratios of staff to children in an ERC?
Who are the residents served at my emergency respite center?
Who may place children at my emergency respite center?
What information must I obtain before accepting a child for care at my emergency respite center?
May services I provide at my emergency respite center substitute for other types of care?
Are there additional bed requirements at my emergency respite center?
Group Homes
What are the required ratios of staff to children in group homes?
Group Receiving Centers (GRC)
Who are the residents at my group receiving center?
What are the required ratios of staff to children in group receiving centers?
When do I accept placements at my group receiving center?
What services must I provide at my group receiving center?
What are the requirements for supervision of children at my group receiving center?
Programs for Medically Fragile Children
What services must I provide for medically fragile children?
What record keeping requirements exist for medically fragile children?
What are additional food requirements if I care for medically fragile children?
Overnight Youth Shelters (OYS)
What age groups may I serve in my overnight youth shelter?
How are youth admitted to my overnight youth shelter?
What are the required ratios of staff to children under care in overnight youth shelters?
What steps must I take when a youth first enters an overnight youth shelter?
What services must be offered at an overnight youth shelter?
What are the additional requirements for bedrooms in overnight youth shelters?
What are additional bedding requirements in my overnight youth shelter?
Do I need a citizens' board for my overnight youth shelter?
Pregnant and Parenting Youth Programs and Maternity Services
What services shall be provided to pregnant and parenting youth?
How are services for pregnant and parenting youth delivered?
What types of health education must a facility offer to pregnant and parenting mothers?
How is capacity determined for a facility that provides services to pregnant and parenting youth?
What are the required ratios of staff to children in pregnant and parenting youth programs and programs providing maternity services?
What are the facility and room requirements for programs offering services for pregnant and parenting youth?
Resource and Assessment Centers (RAC)
What is the purpose of a resource and assessment center (RAC)?
What must I demonstrate to be licensed for an RAC?
What is the ratio of direct care staff/volunteers to children at an RAC?
Who are the residents at my RAC?
How long can a child stay at an RAC?
When am I required to be available for services?
Who may place children at an RAC?
What services are provided or arranged for at an RAC?
Staffed Residential Homes (SRH)
How many children may be served in my staffed residential home?
What are the required ratios of staff to children under care in an SRH?
Who is eligible to manage my staffed residential home?