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 and 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
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 a foster parent, 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 and 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 foster child; or
(i) Use of prohibited physical restraints for
behavior management.
(3)
Programs that provide care to medically fragile children who have nursing care
staff on duty may document the incidents described in WAC
388-147-1540(2)(b) and
(c) in the facility daily logs, rather than
contacting the child's DSHS worker or case manager, if agreed to in the child's
case plan.
