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PDFWAC 388-826-0071

What are the responsibilities of the licensed or certified provider supporting a client receiving out-of-home services?

(1) When a client is receiving out-of-home services, the licensed or certified provider must:
(a) Ensure the health and safety of the client;
(b) Provide adequate staff to meet the needs of clients as identified in the rate assessment;
(c) Meet the requirements of each contract entered into with the department;
(d) Develop and implement an individual instruction and support plan, unless the client is receiving out-of-home services from a child foster home provider or a group care facility for medically fragile children;
(e) Complete quarterly reports under subsection (2) or subsection (3) of this section;
(f) Participate in the development of the child and family engagement plan with the client, the client's parent or legal guardian, and social service specialist;
(g) Implement the child and family engagement plan;
(h) Support the client in regular school attendance, including following the school's reporting requirements when the client is absent or has an appointment during the school day;
(i) Participate in the client's individualized education program;
(j) Attend all school-related meetings;
(k) With the parent or legal guardian's consent, maintain regular communication with school representatives;
(l) Maintain regular communication with the client's parent or legal guardian;
(m) Develop evacuation plans in case of fire, natural disaster, or other emergencies in accordance with:
(i) WAC 110-145-1670 for staffed residential and group care facilities for medically fragile children; or
(ii) WAC 110-148-1460 for child foster homes;
(n) Maintain a client rights policy in accordance with chapter 71A.26 RCW;
(o) If the client is in a staffed residential home or children's SOLA:
(i) Discuss and schedule community inclusion activity options with the client; and
(ii) Track, and make available to the department upon request, the client's participation in community inclusion activities, including:
(A) Date of each activity;
(B) Cost of each activity; and
(C) A running balance of the client's community inclusion activities funds;
(p) Request an assessment for nurse delegation if the client needs medication administration.
(2) Quarterly reports from a staffed residential provider, a children's SOLA, or group care facility for medically fragile children must:
(a) Be submitted to DDA and sent to the client's parent or legal guardian no more than ten business days after the end of each quarter; and
(b) Include:
(i) A summary of the client's progress toward habilitation goals identified in the individual instruction and support plan;
(ii) An update regarding the child and family engagement plan, including a summary of family visits;
(iii) A summary of incident reports, if any;
(iv) School progress, including individualized education program updates;
(v) Any significant changes in the client's condition or prescribed medications; and
(vi) A summary of the client's participation in community inclusion activities.
(3) Quarterly reports from a child foster home provider must:
(a) Be submitted to DDA and sent to the client's parent or legal guardian no more than ten business days after the end of each quarter; and
(b) Include:
(i) The client's progress toward their habilitation goal;
(ii) A list of community and other activities the client has participated in;
(iii) An update regarding the child and family engagement plan, including a summary of family visits;
(iv) School progress, including individualized education program updates; and
(v) Any significant changes in the client's condition or prescribed medications.
[Statutory Authority: RCW 71A.12.030 and chapters 71A.28, 74.13 RCW. WSR 21-15-059, § 388-826-0071, filed 7/15/21, effective 8/15/21. Statutory Authority: RCW 71A.12.030 and 74.13.350. WSR 18-23-004, § 388-826-0071, filed 11/7/18, effective 12/8/18.]
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