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Chapter 388-148 WAC

Last Update: 6/12/14

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

WAC Sections

PURPOSE AND DEFINITIONS
What is the purpose of this chapter?
What definitions do I need to know to understand this chapter?
Am I required to have a license to provide care to children?
When is a license not required if I provide care to children?
How do you decide how many children I may serve in my home or facility?
GENERAL REQUIREMENTS—STAFF QUALIFICATIONS
How old do I have to be to apply for a license to provide care to children?
What personal characteristics do I need to provide care to children?
GENERAL REQUIREMENTS—TRAINING REQUIRED
What first-aid and cardiopulmonary resuscitation (CPR) training is required?
What HIV/AIDS and bloodborne pathogens training is required?
GENERAL REQUIREMENTS—APPLICATION AND LICENSING PROCESS
How do I apply for a license?
How long do I have to complete the licensing application packet?
May I receive more than one in-home family license?
May my relative or I be certified by a child-placing agency to be a foster parent and be an employee of that same agency?
When may I be certified to provide care to children?
Is there a difference between licensing and certification?
May I be licensed with the department and certified by a child-placing agency at the same time?
What may I do if I disagree with the decision of a child-placing agency that I do not meet the licensing requirements?
GENERAL REQUIREMENTS—CORRECTIVE ACTION
Will the department license or continue to license a home or facility if the home or facility does not meet the licensing requirements?
Does the department issue probationary license?
When are licenses denied, suspended or revoked?
When is an employee or volunteer disqualified from having unsupervised access to a child in a licensed home, facility, or agency?
Are there any other reasons that might cause me to lose my license?
How do you notify me if you have modified, denied, suspended, or revoked my license?
What may I do if I disagree with your decision to modify, deny, suspend or revoke my license?
May I appeal the decision of the office of administrative hearings' administrative law judge?
GENERAL REQUIREMENTS—RECORD-KEEPING/REPORTING/PERSONNEL POLICIES/POSTING OF LICENSE
What incidents involving children must I report?
What are my reporting responsibilities when a child is missing from care?
What are your requirements for keeping client records?
What are the requirements for information kept in facility logs for staffed residential homes and group care programs?
What information may I share about a child or a child's family?
What changes to my home or facility must I report to my licensor?
What personnel policies must I have?
Where do I post my license?
GENERAL REQUIREMENTS—HEALTH AND GENERAL SAFETY
Are local ordinances part of the licensing requirements?
What physical structure safety requirements must my home or facility meet?
What measures must I take for pest control?
What are the requirements regarding the location of my home or facility?
What steps must I take to ensure children's safety around outdoor bodies of water?
What are your requirements regarding pets and animals in my home or facility?
Are alcoholic beverages or illegal drugs allowed at my home or facility?
Is smoking permitted around children?
May I have firearms in my home or facility?
What are your requirements for storing dangerous chemicals or other substances?
Do I need first-aid supplies?
What requirements are there for the storage of medications?
What requirements do I need to follow when I transport children?
May I use wheeled baby walkers?
GENERAL REQUIREMENTS—FIRE SAFETY
What fire safety requirements must I follow to qualify for a license?
What fire safety requirements are there for exits?
Are there other fire safety requirements for inside a foster home or staffed residential home licensed for five or fewer children?
What are the requirements for smoke detectors for foster homes and staffed residential homes licensed for five or fewer children?
What are the requirements for fire extinguishers in homes and facilities?
What fire escape measures must be taken for multilevel homes and facilities?
What fire safety instructions must I give to children residing in a home or staffed residential home licensed for five or fewer children?
What are the requirements for a fire evacuation plan?
GENERAL REQUIREMENTS—ROOM REQUIREMENTS
What are the general requirements for bedrooms?
What are additional requirements for bedrooms for more than one person?
What are the requirements for beds?
GENERAL REQUIREMENTS—TELEPHONE/LIGHTING/VENTILATION/WATER/LAUNDRY/SEWAGE
Do I need a telephone at my home or facility?
What are the lighting requirements for my home or facility?
What does the room temperature for my home or facility need to be?
How must I ventilate my home or facility?
What are the requirements for laundry facilities?
What are the requirements for washing clothes?
What are the requirements for toilets, sinks, and bathing facilities?
What are the requirements about drinking water?
What are the requirements for sewage and liquid wastes?
GENERAL REQUIREMENTS—MEDICAL CARE AND MEDICATION MANAGEMENT
Am I required to obtain a child's health history?
When must I get an EPSDT exam for a child under my care?
What are the requirements for immunizations for children?
What must I do to prevent the spread of infections and communicable diseases?
What are the requirements for obtaining consent for medical care for children under my care?
What are the requirements for the management of medication for children in my care?
May I accept medicine from a child's parent or guardian?
When may children take their own medicine?
GENERAL REQUIREMENTS—FOOD/DIET/INFANT CARE
What food and meal guidelines must I follow?
How often must I feed children?
How do I handle a child's special diet?
Are there special requirements for serving milk?
What home-canned foods may I use?
What requirements must I meet for feeding babies?
What are the requirements for diapers and diaper-changing areas?
GENERAL REQUIREMENTS—CLOTHING AND PERSONAL HYGIENE
Do I have responsibility for a child's clothing?
May a child take personal belongings after being discharged from a home or facility?
Do I have responsibility for a child's personal hygiene?
GENERAL REQUIREMENTS—CLIENT RIGHTS
What are the requirements for protecting a child under my care from abuse and neglect?
What are the requirements for privacy for children in out-of-home placements?
What are the requirements about nondiscrimination?
May I take a foster child to church services, temple, mosque or synagogue?
Do I have to admit or retain all children?
What must I consider in assigning work to children in my home or facility?
What toys and activities must I provide to children?
Do I need permission to travel on an overnight trip or out-of-state with my foster child?
GENERAL REQUIREMENTS—SUPERVISION
What requirements do you have for supervising children?
GENERAL REQUIREMENTS—DISCIPLINE
What requirements must I follow when disciplining children?
What types of disciplinary practices are forbidden?
Do you require a written statement describing my discipline methods?
GENERAL REQUIREMENTS—PHYSICAL RESTRAINT
When may a child be restrained?
What types of physical restraint are not acceptable for children?
Are there requirements for time-out or quiet rooms?
Are time-delay mechanisms allowed on windows and doors of a facility or staffed residential home licensed for six?
What must I do following an incident that involved using physical restraint?
FOSTER HOME REQUIREMENTS
What services must a foster parent be able to provide?
What educational support must I provide to children under my care?
FOSTER HOMES—FOSTER PARENT QUALIFICATIONS/TRAINING/CAPACITY ALLOWED
What is the minimum age to be a foster parent?
What are the training requirements for foster parents and prospective foster parents?
How many children may my foster home serve?
FOSTER HOMES—FOSTER PARENT EMPLOYMENT AND RESPITE
May I be employed if I am a foster parent?
Do I need to have income separate from foster care payments?
When may I use respite care?
Excluding respite care, who may provide care to a foster child in the foster home when the foster parent is away from the home?
May a foster child be supervised by someone under eighteen in the foster home?
May I place my foster child with another family temporarily?
May my foster children participate in routine activities without a licensed provider supervising the activity?
REQUIREMENTS FOR ALL LICENSES, EXCEPT FOSTER HOMES—PROGRAM AND SERVICES
Do I need a social summary for children under my care?
Do I need a treatment plan for children under my care?
Do you need to approve the program that I offer for children under my care?
What education and vocational instruction must I provide to the children under my care?
What medical policies and procedures must I have?
What nursing services must I provide?
ALL LICENSES EXCEPT FOSTER HOMES AND GROUP RECEIVING
CENTERS—SOCIAL SERVICE STAFF QUALIFICATIONS AND STAFFING RATIOS
What social service staff do I need?
What clerical, accounting and administrative services do I need for my home or facility?
What support and maintenance staff do I need for my home or facility?
Do I need professional consultants for my program?
Is in-service training required?
What are the required ratios of social service staff to children under care?
GROUP CARE FACILITIES AND STAFFED RESIDENTIAL HOMES LICENSED FOR SIX CHILDREN—FIRE SAFETY REQUIREMENTS
What safety features do I need for hazardous areas?
What other requirements must I follow for smoke detectors?
What fire safety procedures do staff of a group care facility and a staffed residential home licensed for six children need to know?
What are the requirements for fire drills and testing smoke detectors?
Are there different construction and fire safety requirements for facilities that have multiple licenses in the same building?
GROUP CARE FACILITIES AND STAFFED RESIDENTIAL HOMES—FOOD AND MEALS
Do mealtimes need to be established?
Do you have general menu requirements?
GROUP CARE—PROGRAM REQUIREMENTS AND SERVICES
What types of group care programs are licensed to provide care to children?
What basic elements must a group care program include?
Who may a group care program provider serve?
What services must I provide if I have a group care license?
Must I give a child an allowance?
GROUP CARE—STAFF QUALIFICATIONS AND STAFFING RATIOS
What are the qualifications for an executive director for a group care program or child-placing agency?
Do I need an on-site program manager or social service staff at each group care facility?
What are the responsibilities of the on-site program manager or social service staff for a group care facility?
What qualifications must the on-site program manager, or social service staff for a group care program or a CPA program manager have?
What are the responsibilities for child care staff at a group care program?
What are the qualifications for child care staff and case aides?
What are the qualifications for health care staff for a group care program or a child-placing agency caring for medically fragile children?
What is the ratio of child care staff to children in group care facilities?
GROUP CARE—ROOM REQUIREMENTS
Are there room requirements for group care facilities?
What are the kitchen requirements?
SPECIFIC PROGRAM REQUIREMENTS—MATERNITY SERVICES
Who may provide maternity services?
What maternity services must I provide?
How are maternity services delivered?
Do you need to approve daily activities that I offer to expectant or new mothers?
What types of health education must I offer expectant and new mothers?
Is a group care program required to provide child care?
Do expectant and new mothers need to be under a physician's care?
What are my responsibilities if a specialist is required?
MATERNITY SERVICES—STAFF QUALIFICATIONS AND STAFFING RATIOS
What is the proper ratio of staff to children in home or group care facilities offering maternity services?
MATERNITY SERVICES—ROOM REQUIREMENTS
Do you have room requirements for facilities offering maternity services?
How is capacity determined for a maternity services facility?
DAY TREATMENT PROGRAMS—PROGRAM AND SERVICES
What is the purpose of day treatment programs?
DAY TREATMENT PROGRAMS—STAFF QUALIFICATIONS AND STAFFING RATIOS
What staff must my day treatment program have?
What consultants must my day treatment program have?
What is the ratio of counselor and teaching staff to children in a day treatment program?
GROUP CARE PROGRAMS FOR MEDICALLY FRAGILE CHILDREN AND CHILDREN WITH SEVERE DEVELOPMENTAL DISABILITIES—PROGRAM AND SERVICES
What type of care is offered for medically fragile children and children with severe developmental disabilities?
Who provides services for medically fragile children and children with severe developmental disabilities?
What services must be provide for medically fragile children and children with severe developmental disabilities?
Do I need to have a multidisciplinary care plan for medically fragile children and children with severe developmental disabilities?
What must the multidisciplinary care plan for a medically fragile child or a child with severe developmental disabilities include?
What are the requirements for nurses in programs who care for medically fragile children or children with severe developmental disabilities?
When do I use a nurse?
GROUP CARE PROGRAMS FOR MEDICALLY FRAGILE CHILDREN OR CHILDREN WITH SEVERE DEVELOPMENTAL DISABILITIES—ROOM REQUIREMENTS
Do I need to provide a therapy room for children with severe developmental disabilities?
Are there room requirements for group care facilities for medically fragile children less than age six?
GROUP CARE PROGRAMS FOR MEDICALLY FRAGILE CHILDREN AND CHILDREN WITH SEVERE DEVELOPMENTAL DISABILITIES—FOOD AND MEALS
What food requirements exist for medically fragile children and children with severe developmental disabilities?
GROUP CARE PROGRAMS FOR MEDICALLY FRAGILE CHILDREN AND CHILDREN WITH SEVERE DEVELOPMENTAL DISABILITIES—RECORD-KEEPING
What additional record-keeping requirements exist for medically fragile children and children with severe developmental disabilities?
CRISIS RESIDENTIAL CENTERS—PROGRAM/LEVELS OF SECURITY/PLACEMENT AND SERVICES
What types of crisis residential centers may be licensed?
What levels of secure CRCs exist?
What are the requirements for a level-one secure CRC?
What are the requirements for a level-two secure CRC?
What are the requirements for a level three secure CRC?
May a juvenile detention center operate as a separate secure CRC program?
What youth may a CRC serve?
Can law enforcement officers place youth in secure CRCs?
What hours do CRCs have to be open?
What steps must be taken after a youth is admitted into a CRC?
What if a youth seems unlikely to remain in a regular CRC?
What happens when no space exists at a secure CRC?
How is a youth transferred from one type of CRC to another?
What does a youth's orientation to a CRC need to include?
What intervention services must be provided or arranged for by the CRC?
What behavior management practices are required for a CRC?
CRISIS RESIDENTIAL CENTERS—MULTIDISCIPLINARY TEAM
What is the purpose of a multidisciplinary team in a CRC?
When may a multidisciplinary team be requested?
How is a multidisciplinary team convened?
May a parent disband the multidisciplinary team?
CRISIS RESIDENTIAL CENTERS—STAFF QUALIFICATIONS AND STAFFING RATIOS
What qualifications must a crisis residential center executive director have?
Do I need a program manager on-site at each facility?
What qualifications must the on-site program manager for a crisis residential program have?
What additional qualifications must the crisis residential center youth care staff have?
What are the ratio requirements of youth care staff to youth in crisis residential centers?
CRISIS RESIDENTIAL CENTERS—STAFF TRAINING
What training must staff at a crisis residential center have?
CRISIS RESIDENTIAL CENTERS—RECORD-KEEPING
What record keeping is required for crisis residential centers?
What additional record-keeping requirements exist for secure crisis residential centers?
STAFFED RESIDENTIAL HOMES—PROGRAM AND SERVICES
What is the purpose of a staffed residential home?
What must be included in a written program description for a staffed residential home?
What services must a staffed residential home provide?
STAFF RESIDENTIAL HOMES—STAFF QUALIFICATIONS, STAFFING RATIOS, AND CAPACITY
Who must be on the premises when children are under care at a staffed residential home?
What are the qualifications for staff at a staffed residential home?
What is the ratio of child care staff to children in staffed residential homes?
How many children may I serve in my staffed residential home?
STAFFED RESIDENTIAL HOMES—ROOM REQUIREMENTS
Are there room requirements for staffed residential homes?
CHILD-PLACING AGENCIES—PROGRAM AND SERVICES
What services may a child-placing agency provide?
What written information is needed before a child is accepted for care by a child-placing agency?
What health histories need to be provided to foster or adoptive parents?
When may child-placing agencies from outside the state place children in this state?
CHILD-PLACING AGENCY STAFF QUALIFICATIONS
What are the qualifications for an executive director, a program manager/social service staff, and a consultant for a child-placing agency?
What are the qualifications for a case aide for a child-placing agency program?
What are the qualifications for health care staff hired or contracted by a child-placing agency to provide services to children in care?
What are the qualifications or the foster home licensor for a child-placing agency?
CHILD-PLACING AGENCIES—ROOM REQUIREMENTS
Are child-placing agencies required to have office space?
CHILD-PLACING AGENCIES—FOSTER CARE SERVICES
How may my child-placing agency certify a foster home for licensing by the department?
What children may child-placing agency foster homes accept?
May different child-placing agencies share eligible foster parents for placement?
What do I need to consider in making foster care placements?
May I share information about the child with the foster parents?
How often should the case manager contact the foster child and family?
CHILD-PLACING AGENCIES—ADOPTION SERVICES
What are the requirements for providing adoptive services?
What is the process for adoptions?
What requirements exist for specialized adoptive services?
CHILD-PLACING AGENCIES—ADOPTION RECORDS
Must my child-placing agency retain the records of adopted children?
What happens to the adopted children's records if my agency closes?
GROUP CARE FACILITIES—GROUP RECEIVING CENTERS PROGRAM REQUIREMENTS AND SERVICES
What is a group receiving center?
What age children may a center serve?
What hours must a center be open?
What services are provided or arranged for by a group receiving center?
Is a center required to provide an orientation for a child placed?
Does each child need space for personal items at the center?
GROUP RECEIVING CENTERS—STAFF TRAINING
What staff training is required?
GROUP CARE FACILITIES-GROUP RECEIVING CENTERS—STAFFING RATIOS AND SUPERVISION
What is the ratio of child care staff to children at a center?
What are the requirements for supervision of children at a center?
Who must be on the premises while children are in care at a center?
GROUP CARE FACILITY-GROUP RECEIVING CENTERS—RECREATIONAL ACTIVITIES, EQUIPMENT, AND SPACE
What are the requirements for an activity program?
What activities must I provide to children?
What are the requirements for indoor recreation areas?
What are the requirements for an outdoor recreation area?
What are the size requirements for an outdoor recreation area?
What are the requirements for playground equipment?