Current through Register Vol. 24-18, September 15, 2024
(1) You must report the following incidents
immediately and in no instance later than forty-eight hours after the incident
to your local children's administration intake staff and the child's DSHS
worker or child placing agency (CPA) case manager and the child's tribal Indian
child welfare (ICW) case manager as applicable:
(a) Death, serious illness or injury, or
psychiatric care that requires medical treatment or hospitalization of a child
in care;
(b) Any time you suspect
physical or sexual abuse, neglect, or exploitation of a child as required under
chapter
26.44 RCW;
(c) Sexual contact between two or more
children that is not considered typical play between preschool age
children;
(d) Any disclosure by a
child in care of sexual or physical abuse;
(e) Any child's suicide attempt that results
in injury requiring medical treatment or hospitalization;
(f) Any use of physical restraint alleged to
have been improperly applied or excessive;
(g) Physical assault between two or more
children that results in injury requiring off-site medical attention or
hospitalization;
(h) Physical
assault of an employee, volunteer, or others by a child in care that results in
injury requiring off-site medical attention or hospitalization;
(i) Any medication given or consumed
incorrectly that requires off-site medical attention; or
(j) Property damage that is a safety hazard
and not immediately corrected or may affect the children's health and safety
.
(2) You must report
the following incidents related to a child in care as soon as possible or in no
instance later than forty-eight hours after the incident, to the child's DSHS
worker or CPA case manager and the child's tribal ICW case manager as
applicable:
(a) Suicidal or homicidal
thoughts, gestures, or attempts that do not require professional medical
treatment;
(b) Unexpected health
problems outside the usual range of reactions caused by medications that do not
require professional medical attention;
(c) Any incident of medication incorrectly
administered or consumed;
(d) Any
professional treatment for emergency medical or emergency psychiatric
care;
(e) Physical assault between
two or more children that results in injury but does not require professional
medical treatment;
(f) Physical
assault of a foster parent, employee, volunteer, or others by a child that
results in injury but does not require professional medical
treatment;
(g) Drug or alcohol use
by a child in your care;
(h) Any
inappropriate sexual behavior by or toward a child; or
(i) Use of prohibited physical restraints for
behavior management.
(3)
You must maintain a written record of any report with the date, time, and staff
person who makes the report.
(4)
Programs that provide care to medically fragile children who have nursing care
staff on duty may document the incidents described in subsections (2)(b) and
(c) of this section in the facility daily logs, rather than contacting the DSHS
worker or case manager, if agreed to in the child's case plan.
