(1) Licensees must follow these requirements for their personnel:

(a) Demonstrate competency, good judgment, and self-control in the presence of children and youth in care and when performing duties;

(b) Know and comply with rules established in this chapter as well as all other applicable laws;

(c) Develop and follow communication policies and procedures approved by the department detailing how individuals on all shifts will communicate with:

(i) Children and youth in care appropriate to their language and developmental capabilities;

(ii) The department;

(iii) Health care providers; and

(iv) Other service providers;

(d) Submit completed background authorization forms as outlined in chapter 110-04 WAC;

(e) Not allow individuals to work at the facility until the department issues a background check clearance authorization for them; and

(f) Report suspected abuse, neglect, and exploitation to the department intake.

(2) Health care personnel working and performing health care duties at a GCF must:

(a) Meet the full professional competency requirements in their respective field; and

(b) Maintain their certification or licensure as required.

(3) Licensees providing clinical services in their facility to children or youth in their care must follow the DOH licensing requirements.

(4) Licensees must use the department's TB screening form to screen personnel for TB, except for licensees who care for medically fragile children and youth, at the following times:

(a) Prior to licensure; or

(b) Upon hire; and

(c) At license renewal.

(5) Licensees caring for medically fragile children and youth must follow DOH licensing requirements for TB screening.

(6) Licensees caring for children under two years old must have documentation on-site verifying they have current pertussis and influenza vaccinations.

(7) The department may grant an exception to subsection (6) of this section for individuals who provide documentation from a licensed health care provider stating that the influenza vaccination would result in severe medical consequences and that there is no safe alternative form of the influenza vaccine available.