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Chapter 110-145 WAC

LICENSING REQUIREMENTS FOR GROUP CARE FACILITIES (GCF)

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Last update: 3/23/26

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(Formerly: Chapter 388-145 WAC)WAC Sections
PURPOSE, DEFINITIONS, AND NONDISCRIMINATION
HTMLPDF110-145-2300Purpose and legal basis for group care facilities (GCFs).
HTMLPDF110-145-2310Definitions.
HTMLPDF110-145-2320Nondiscrimination.
REQUIRED LICENSES
HTMLPDF110-145-2330License required to care for children and youth.
HTMLPDF110-145-2340Multiple licenses in the same building.
HTMLPDF110-145-2350Licensing and contract requirements.
LICENSING PROCESS
HTMLPDF110-145-2360License application requirements.
HTMLPDF110-145-2370Determining applicants' and licensees' suitability.
HTMLPDF110-145-2380Disqualification of applicants and licensees.
HTMLPDF110-145-2390Determining license capacity.
HTMLPDF110-145-2400License renewal requirements.
HTMLPDF110-145-2410Department access to facilities.
ENVIRONMENT, SPACE, AND FURNISHINGS
HTMLPDF110-145-2420Certificates, zoning, and codes regulations.
HTMLPDF110-145-2430Building and premises general requirements.
HTMLPDF110-145-2440Firearms, ammunition, and other weapons.
HTMLPDF110-145-2450Storing dangerous chemicals and toxic substances.
HTMLPDF110-145-2460Location tracking and electronic monitoring of children and youth.
HTMLPDF110-145-2470Time-delay mechanisms on windows and doors.
HTMLPDF110-145-2480Water, garbage, and sewer.
HTMLPDF110-145-2490Laundry and clothing.
HTMLPDF110-145-2500Bathrooms and bathing facilities.
HTMLPDF110-145-2510Bedrooms and sleeping areas.
HTMLPDF110-145-2520Shared bedrooms.
HTMLPDF110-145-2530Sleeping equipment and bedding.
HTMLPDF110-145-2540Indoor areas for recreation, informal educational activities, and physical or occupational therapy.
HTMLPDF110-145-2550Outdoor recreation areas.
HTMLPDF110-145-2560Swimming pools and other bodies of water on the premises.
HTMLPDF110-145-2570Pets and animals.
EMERGENCY PRACTICES AND FIRE SAFETY
HTMLPDF110-145-2580Emergency and evacuation plans.
HTMLPDF110-145-2590First-aid supplies.
HTMLPDF110-145-2600Fire safety.
HTMLPDF110-145-2610Smoke detectors.
HTMLPDF110-145-2620Carbon monoxide detectors.
HTMLPDF110-145-2630Fire extinguishers.
HTMLPDF110-145-2640Fire drills.
DUTIES AND QUALIFICATIONS FOR LICENSEES AND PERSONNEL
HTMLPDF110-145-2650General requirements for licensees.
HTMLPDF110-145-2660Duties and qualifications for executive directors or administrators in GCFs.
HTMLPDF110-145-2670Duties and qualifications for program managers in GCFs.
HTMLPDF110-145-2680Duties and qualifications for care coordinators in GCFs.
HTMLPDF110-145-2690Duties and qualifications of direct care staff and direct care volunteers in GCFs.
HTMLPDF110-145-2700Duties and qualifications of nondirect care staff and nondirect care volunteers in GCFs.
HTMLPDF110-145-2710Personnel records.
HTMLPDF110-145-2720Personnel fulfilling roles in multiple positions.
HTMLPDF110-145-2730Additional personnel to support GCFs.
TRAINING REQUIREMENTS
HTMLPDF110-145-2740Preservice training.
HTMLPDF110-145-2750In-service training.
HTMLPDF110-145-2760Bloodborne pathogens training.
HTMLPDF110-145-2770First-aid and CPR training.
REPORTING
HTMLPDF110-145-2780Reporting incidents.
HTMLPDF110-145-2790Reporting children and youth missing from care.
HTMLPDF110-145-2800Alternate reporting requirements for licensed facilities serving runaway and homeless children and youth.
HTMLPDF110-145-2810Reporting facility, program, and licensee changes.
STAFFING RATIOS AND SUPERVISION
HTMLPDF110-145-2820Staffing ratios.
HTMLPDF110-145-2830Supervising children and youth.
HTMLPDF110-145-2840Enhanced supervision for high-risk activities, including bodies of water.
ADMISSION AND RETAINING CHILDREN AND YOUTH
HTMLPDF110-145-2850Orientation for children, youth, and parents or guardians.
HTMLPDF110-145-2860Admission and general recordkeeping.
HTMLPDF110-145-2870Refusal to admit or retain a child or youth.
HTMLPDF110-145-2880Caring for children's and youth's personal belongings.
RECORDS FOR CHILDREN AND YOUTH
HTMLPDF110-145-2890Children's and youth's well-being files.
HTMLPDF110-145-2900Sharing records or information about children, youth, or their families.
HTMLPDF110-145-2910Medical records requirements.
HTMLPDF110-145-2920Retention of children's and youth's records after facility closure.
HEALTH PRACTICES
HTMLPDF110-145-2930Medical consent and care.
HTMLPDF110-145-2940Evaluating children's and youth's medical needs at admission.
HTMLPDF110-145-2950Immunization requirements for children and youth.
HTMLPDF110-145-2960Prevention of communicable disease.
HTMLPDF110-145-2970Accepting, storing, and disposing of medication.
HTMLPDF110-145-2980Medication administration and documentation.
HTMLPDF110-145-2990Alcohol, marijuana, and illegal drugs.
HTMLPDF110-145-3000Smoking and vaping.
DAILY CARE
HTMLPDF110-145-3010Records for each shift.
HTMLPDF110-145-3020Communication privacy for children and youth.
HTMLPDF110-145-3030Maintaining connections with family and supportive individuals.
HTMLPDF110-145-3040Supporting peer relationships and participating in activities.
HTMLPDF110-145-3050Cultural needs.
HTMLPDF110-145-3060Additional requirements when caring for Indian children.
HTMLPDF110-145-3070Technology use.
HTMLPDF110-145-3080Education and vocational requirements.
HTMLPDF110-145-3090Allowance, chores, and employment.
HTMLPDF110-145-3100Personal hygiene.
HTMLPDF110-145-3110Food storage and preparation.
HTMLPDF110-145-3120Meals, snacks, and menus.
HTMLPDF110-145-3130Milk, breast milk, and formula.
HTMLPDF110-145-3140Infant and toddler care.
HTMLPDF110-145-3150Diapers, incontinence supplies, and toileting equipment.
HTMLPDF110-145-3160Transportation.
HTMLPDF110-145-3170Travel.
HTMLPDF110-145-3180EFC program.
BEHAVIOR MANAGEMENT
HTMLPDF110-145-3190Behavior management.
HTMLPDF110-145-3200Physical restraint.
ADDITIONAL REQUIREMENTS FOR SPECIFIC LICENSE TYPES OR PROVIDING SPECIALIZED SERVICES
CRCs
HTMLPDF110-145-3210Staffing qualifications and ratios in CRCs.
HTMLPDF110-145-3220CRC age and length-of-stay requirements.
HTMLPDF110-145-3230CRC admission requirements.
HTMLPDF110-145-3240CRCs transferring youth.
HTMLPDF110-145-3250CRC documentation requirements.
HTMLPDF110-145-3260CRC intervention services.
HTMLPDF110-145-3270CRC multidisciplinary teams.
HTMLPDF110-145-3280Building and premises requirements for secure CRCs.
HTMLPDF110-145-3290Secure CRCs colocated with juvenile detention centers.
ERCs
HTMLPDF110-145-3300ERC admission requirements.
HTMLPDF110-145-3310ERC services.
GRCs
HTMLPDF110-145-3320GRC staffing.
HTMLPDF110-145-3330GRC ages served.
HTMLPDF110-145-3340GRC services.
OYSs
HTMLPDF110-145-3350Ages served in OYSs.
HTMLPDF110-145-3360Requirements when admitting youth to an OYS.
HTMLPDF110-145-3370OYS hours of operation.
HTMLPDF110-145-3380OYS services.
HTMLPDF110-145-3390Sleeping areas and equipment in OYSs.
HTMLPDF110-145-3400Storage of ammunition and other weapons in OYSs.
HTMLPDF110-145-3410OYS citizen's board.
RACs
HTMLPDF110-145-3420RAC hours of operation and staffing requirements.
HTMLPDF110-145-3430RAC services.
SRHs
HTMLPDF110-145-3440SRH capacity.
Medically Fragile Children and Youth
HTMLPDF110-145-3450Staffing requirements to serve medically fragile children and youth.
HTMLPDF110-145-3460Care and services for medically fragile children and youth.
HTMLPDF110-145-3470Dietary needs of medically fragile children and youth.
HTMLPDF110-145-3480Diaper use for medically fragile children.
HTMLPDF110-145-3490Medical records for medically fragile children and youth.
Pregnant and Parenting Youth
HTMLPDF110-145-3500Pregnant and parenting services.
HTMLPDF110-145-3510Pregnant and parenting health education.
HTMLPDF110-145-3520Determining capacity when providing pregnant and parenting services.
HTMLPDF110-145-3530Building and premises general requirements when providing pregnant and parenting services.
COMPLIANCE AND ENFORCEMENT
HTMLPDF110-145-3540Compliance agreements and exceptions.
HTMLPDF110-145-3550Probationary licenses.
HTMLPDF110-145-3560Enforcement actions, notices, and appeals.