Washington Administrative Code

Facilities caring for medically fragile children and youth must:(1) In addition to the requirements in WAC 110-145-2670, require their program manager to be an RN licensed by Washington state who has at least one year of full-time experience that can be applied to or transferable…

(1) Licensees providing care and services for medically fragile children and youth must:(a) Use licensed health care providers to provide care that meets the child's or youth's unique needs;(b) Have sufficient nursing personnel to meet the nursing care needs of the children and y…

Licensees caring for medically fragile children and youth must meet their dietary needs by:(1) Following the dietary plan for each child and youth as prescribed by their licensed health care provider;(2) Using the services of a dietician who meets current registration requirement…

Licensees caring for medically fragile children that use diapers:(1) Must follow DOH hand hygiene guidelines for diaper changing; and(2) May launder reusable diapers either:(a) As outlined in WAC 110-145-3150; or(b) Using in-house laundry services following CDC environment infect…

Licensees providing care for medically fragile children and youth must meet the following documentation requirements in addition to the requirements in WAC 110-145-2900:(1) Obtain documentation when children or youth have been in care for more than 30 calendar days of:(a) A physi…

(1) Licensees providing pregnant and parenting services must:(a) Develop a daily activities program for the youth and their infants;(b) Provide or arrange for services including, but not limited to:(i) Information and referral services, including referrals for prenatal and postna…

Licensees that provide pregnant and parenting services must offer or arrange for health education including, but not limited to, the following topics:(1) Hygiene;(2) Preparation for childbirth;(3) Physiological changes during pregnancy;(4) Medical after care for the birthing pare…

In addition to the requirements in WAC 110-145-2390, the department determines capacity for facilities providing pregnant and parenting services by counting the number of parents and children and considering the space required for their bedroom as follows:(1) Bedrooms must have a…

Facilities providing pregnant and parenting services must, in addition to the requirements in WAC 110-145-2430, have:(1) A separate, adequately-equipped examination room with adequate nursing equipment if they offer medical clinics at their facility; and(2) At least one toilet an…

(1) The department may:(a) Take one or both of the following actions for the health, safety, and well-being of the children and youth in care:(i) Limit or restrict a license; or(ii) Require licensees to enter into a compliance agreement; and(b) Make exceptions to license an appli…

(1) The department:(a) May issue a probationary license to correct a deficiency as outlined in RCW 74.15.125; and(b) Will consider the following when deciding whether to issue a probationary license:(i) Intentional or negligent violation of licensing requirements;(ii) History of …

The department:(1) May take action against a licensee's license:(a) Including:(i) Modification;(ii) Denial;(iii) Suspension; or(iv) Revocation; and(b) When licensees:(i) Do not meet the minimum licensing requirements in this chapter;(ii) Have not met the background check requirem…

The legal basis for the department licensing RPSs' living accommodations is RCW 74.15.325.[Statutory Authority: 2023 c 441 s 3, RCW 74.15.020, and chapter 43.216 RCW. WSR 26-03-054, s 110-146-0010, filed 1/15/26, effective 2/15/26.]

(1) The licensing division (LD) is responsible for:(a) Licensing and monitoring of the care provided to residential students at RPSs with living accommodations; and(b) Verifying RPSs meet the minimum licensing requirements in this chapter.(2) This chapter contains licensing requi…

The following definitions apply to this chapter:"Abuse or neglect" means the same as defined in RCW 26.44.020."Administer medication" means the direct application of a drug to the body or an individual by injection, inhalation, ingestion, or any other means."Adults" means individ…

(1) RPSs with living accommodations and places of public accommodation must:(a) Comply with chapter 49.60 RCW and federal laws regarding the Americans with Disabilities Act (ADA);(b) Support and engage students in the RPSs care with dignity and respect regardless of their actual …

(1) RPSs must have a license for their living accommodations to provide care on a 24-hour basis to residential students, except as outlined in RCW 74.15.325.(2) The department:(a) Will license the living accommodations provided by the RPSs as outlined in RCW 74.15.325 when applic…

(1) The department will:(a) Send RPSs written notice explaining why a license is required and the consequences for not establishing a license, per RCW 43.216.325;(b) Verify the application materials have been received by the deadline in subsection (2)(a) of this section;(c) Compl…

(1) RPSs must complete a monitoring review with the department midway through each three-year licensing cycle.(2) The department will:(a) Send renewal notices and materials to licensees prior to their license expiration date; and(b) Put the current RPS licenses in pending status …

(1) RPSs must allow the department:(a) Access to the living accommodations; and(b) The ability to meet privately with personnel working with residential students.(2) The department will obtain consent from parents or guardians to interview residential students for licensing purpo…

RPSs must complete the following to meet personnel coverage requirements:(1) Maintain appropriate personnel coverage;(2) Develop and follow department-approved policies and procedures that include personnel coverage requirements for the supervision and protection of the residenti…

RPSs must complete the following for personnel records:(1) Allow the department access to all personnel records for personnel working in the living accommodations and, if applicable, other individuals residing in the living accommodations, to verify the safety and welfare of resi…

RPSs must meet the following requirements for sharing, securing, and retaining residential students' records:(1) Store and secure residential student records by:(a) Keeping any identifying and personal information about residential students and their families:(i) Confidential; an…

RPSs must obtain the following information for residential student records:(1) The residential student's name and birth date;(2) The date families were given initial orientation documentation;(3) Any documented incident reports involving the student as outlined in this chapter;(4…

RPSs must:(1) Meet the following living accommodations requirements:(a) Provide the department with:(i) A certificate of occupancy or equivalent approval; and (ii) Documentation that their residential facilities comply with the:(A) State fire marshal or their designee;(B) DOH or …

(1) RPSs with living accommodations must provide each residential student a single or shared bedroom with:(a) Privacy and space that meets each student's developmental needs and ADA requirements, if applicable;(b) Adequate ceiling height for the safety and comfort of the occupant…

(1) RPSs must:(a) Provide each residential student with privacy regarding:(i) Sleeping areas;(ii) Toileting;(iii) Bathing;(iv) Personal mail;(v) Electronic messages;(vi) Online communications;(vii) Phone calls; and(viii) Access to:(A) Parents;(B) Guardians;(C) Medical and communi…

RPSs with living accommodations must provide storage for residential students' clothing and personal belongings. The storage must be:(1) In adequate condition; and(2) Separate from other students' clothing and personal belongings.[Statutory Authority: 2023 c 441 s 3, RCW 74.15.02…

RPSs with living accommodations must develop and follow medical policies and procedures approved by the department that include, but are not limited to, the following:(1) Steps for disbursing medicine, including when and by whom, per RCW 28A.210.260;(2) How over-the-counter and p…

RPSs must provide:(1) Residential students with access to culturally appropriate items needed for grooming and personal hygiene; and(2) Opportunities for residential students' health and wellness during noninstructional hours that include:(a) Developmentally appropriate physical …

RPSs must develop and follow mental health awareness and suicide prevention policies and procedures approved by the department that document the following:(1) The mental health resources available on-site;(2) How to access mental health resources in the community;(3) Instructions…

RPSs must complete the following when providing meals and snacks to residential students:(1) Properly store, prepare, and serve food that meets the nutritional needs of residential students as outlined in chapter 246-215 WAC;(2) Confirm that all:(a) Cultural and developmental nee…

RPSs must:(1) Develop and follow behavior management policies and procedures that are approved by the department. Behavior management policies must include personnel:(a) Using positive methods of guidance and behavior management that promote self-control, self-responsibility, sel…

RPSs must document when restraints are used on residential students in the living accommodations and include:(1) The date and time of the incident;(2) Parental or guardian notification;(3) The name and job title of the individual who administered the restraint;(4) A description o…

RPSs must:(1) Report the following incidents involving residential students to the department intake immediately and no later than 24 hours:(a) Death or near death;(b) Serious illness or injuries;(c) Psychiatric care that requires hospital admission or medical treatment;(d) Any t…

The department:(1) May take action against a licensee's license:(a) Including:(i) Denial;(ii) Suspension; or(iii) Revocation; and(b) When licensees:(i) Do not meet the minimum licensing requirements in this chapter;(ii) Have not met the background check requirements;(iii) Have be…

(1) This chapter contains licensing requirements for all child placing agencies and the people who operate these programs. This chapter also includes regulations for adoption services provided by child placing agencies. These licensing regulations are designed to ensure children …

The following words and terms are for the purpose of this chapter and are important to understanding these requirements:"Abuse or neglect" means the same as defined in RCW 26.44.020."Adult" means a person 18 years old or older, not in the care of the department."Agency" is define…

You must be licensed if you provide care on a twenty-four hour basis to a child who is not related to you. Exceptions to this rule are listed in RCW 74.15.020 or by order of the court under chapters 26.10 RCW or RCW 13.34.065.[WSR 18-14-078, recodified as § 110-147-1310, filed 6/…

(1) We issue you a CPA license when you, your staff and volunteers, property and premises meet the regulations contained in this chapter, and all required documents are in the department's licensing file. Documents required under this section must be submitted to the department t…

You must be at least twenty-one years old to apply for a license to provide care to children.[WSR 18-14-078, recodified as § 110-147-1320, filed 6/29/18, effective 7/1/18. 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.…

(1) You must submit an application using the department's licensing provider portal; and(2) You, your executive director, agency staff, consultants, interns, volunteers, and anyone who may have unsupervised access to children per chapter 110-04 WAC are required to:(a) Submit a co…

(1) The department determines your suitability as a licensed provider after receiving:(a) Your application through the licensing provider portal;(b) Background authorizations for persons listed in WAC 110-147-1325(2); and(c) All documentation required under this chapter.(2) You, …

(1) You must submit through the licensing provider portal a detailed written program description for LD approval. This description must outline:(a) Your mission and goals;(b) A description of the services you will provide to children and their families;(c) Your written policies c…

(1) You must submit a complete licensing application and background authorization forms for your CPA license, and for licensed foster families or kinship caregivers certified by your CPA, to LD through the licensing provider portal.(2) For your CPA license:(a) Once you receive ba…

(1) We license CPAs, including tribal CPAs, to supervise foster homes and kinship homes. You are authorized to certify to the department that a:(a) Foster home meets the licensing regulations contained in chapter 110-148 WAC; or(b) Kinship home meets the licensing regulations con…

(1) You must use applications, home study forms, and procedures that are approved by the department.(2) A foster home must be certified by your CPA as meeting the licensing requirements in chapter 110-148 WAC in order to be licensed by the department.(3) A kinship home must be ce…

(1) Your license is issued for a three-year period.(2) Your license is valid only for the person or organization named on the license and only for the specific address listed on the license.(3) Your CPA license must be posted where the public can easily view it.[WSR 18-14-078, re…

The department must have access to your agency, staff, foster homes, kinship homes, and the children in your care at any time. You must allow us to meet privately with staff or children in your care, at our request. We must also have access to the documents related to your progra…

You are responsible for following all local and state regulations such as zoning regulations, community covenants, local building codes and fire codes. The department may require you to provide proof that you are complying with these regulations.[WSR 18-14-078, recodified as § 11…