WAC 110-145-2780

Licensees must:

(1) Report the following incidents involving children and youth in their care to the:

(a) Department intake and the child's or youth's representatives immediately, but no later than 48 hours after the following type of incidents:

(i) Death;

(ii) Injuries or health conditions that carry high risk of mortality or long-term negative impacts on an individual's daily function or quality of life;

(iii) Psychiatric care that requires hospitalization;

(iv) Any time licensees or their personnel suspect physical or sexual abuse, neglect, or exploitation of a child or youth as required in chapter 26.44 RCW;

(v) Disclosure by a child or youth of sexual or physical abuse;

(vi) Sexual contact defined in RCW 9A.44.010 between two or more children or youth, that is not:

(A) Consensual; and

(B) Developmentally appropriate, including not between preschool or teenage peers;

(vii) Suicidal or homicidal attempts or actions;

(viii) Drug or alcohol use in the facility by a child or youth;

(ix) Use of prohibited physical restraints for behavior management;

(x) Physical assault of a child or youth in care that results in injury requiring off-site medical attention or hospitalization;

(xi) Any medication given or consumed incorrectly that requires off-site medical attention; and

(xii) Emergencies on the premises requiring activation of their emergency plan required in WAC 110-145-2580;

(b) LD licensors and the child's or youth's representatives immediately and no later than 48 hours after the following types of incidents:

(i) Disclosure of suicidal or homicidal thoughts or plans, unless a supervision plan is in place that has been approved by their caseworker;

(ii) A child's or youth's self-inflicted physical injury not intended as a suicide attempt that requires off-site medical treatment, unless a supervision plan is in place that has been approved by their caseworker;

(iii) Health problems outside of the usual range of reactions caused by medications that do not require off-site medical attention;

(iv) Any medication incorrectly given or consumed incorrectly;

(v) Use of physical restraint alleged to have been excessive or improperly applied as outlined in WAC 110-145-3200;

(vi) Physical assault between two or more children or youth that results in injury;

(vii) Physical assaults involving employees, volunteers, or other adults by a child or youth in care that results in injury;

(viii) Discovery of contraband on the premises as defined by the licensees' policies and procedures;

(ix) Drug or alcohol use by a child or youth in care off-site;

(x) Any off-site treatment for emergency medical or psychiatric care;

(xi) Any inappropriate sexual behavior by or toward a child or youth;

(xii) Arrest or detainment of the child or youth;

(xiii) Suspected or known gang recruitment of, or activity by, a child or youth;

(xiv) Significant property damage on the licensed premises caused by child or youth; and

(xv) Outbreak of a vaccine-preventable disease in the facility; and

(2) Maintain written records of all reports made that include the:

(a) Date and time the report was made; and

(b) Name of the individual making the report.