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WASHINGTON |
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Standard or Definition |
Chapter 388-148 WAC
LICENSING REQUIREMENTS FOR CHILD FOSTER HOMES, STAFFED RESIDENTIAL HOMES, GROUP CARE PROGRAMS/FACILITIES, AND AGENCIES
As of July, 2003 |
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Restraint Definition |
No definition given. |
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Restraint Exclusions |
None. |
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Chemical Restraint Definition |
No definition given. |
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Seclusion Definition |
No definition given, however the Chapter specifies that " You must not: Use locked time-out rooms." |
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Seclusion Exclusions |
None. |
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Criteria for Restraint and Seclusion |
The restraint must be reasonable and necessary to:
- Prevent a child on the premises from harming themself or others; or
- Protect property from serious damage.
You must not:
- Use physical restraint as a form of punishment or discipline.
- Use mechanical restraints, such as handcuffs and belt restraints.
- Use physical restraint techniques that restrict breathing, inflict pain as a strategy for behavior control, or that might injure a child. These include, but are not limited to:
- Restriction of body movement by placing pressure on joints, chest, heart, or vital organs;
- Sleeper holds, which are holds used by law enforcement officers to subdue a person;
- Arm twisting;
- Hair holds;
- Choking or putting arms around the throat; or
- Chemical restraints, including but not limited to pepper spray.
You must use efforts other than physical restraint to redirect or deescalate a situation, unless the child's behavior poses an immediate risk to physical safety.In foster homes, in emergencies and only when the child's behavior poses an immediate risk to physical safety may you use physical restraint. The restraint must be reasonable and necessary to:
- Prevent a child on the premises from harming themself or others; or
- Protect property from serious damage.
If your group care program is approved by DLR for the use of physical restraint, the licensee and staff must be trained in the appropriate use of restraining techniques in accordance with the department's behavior management policy before restraining a child.
Medication prescribed by a physician to control behavior must be only given as prescribed. |
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Monitoring Requirements |
No information provided. |
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Ordering and Initiation |
No information provided. |
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In-person Assessment |
No information provided. |
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Debriefing |
No information provided. |
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Family & Guardian Notification |
No information provided. |
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Notification of Rights and Restraint and Seclusion Policies and Procedures at admission |
No information provided.
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Training |
If your group care program is approved by DLR for the use of physical restraint, the licensee and staff must be trained in the appropriate use of restraining techniques in accordance with the department's behavior management policy before restraining a child. |
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Documentation |
The licensee shall document any incident involving the use of physical restraint. |
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Reporting |
- In foster homes, the foster parent must send a copy of the documented use of physical restraint to the child's social worker and licensor within forty-eight hours; or if the foster home is supervised by a child-placing agency to the case manager. The CPA case manager will furnish a copy to the child's DCFS social worker and DLR licensor.
- For group care programs, the director or program supervisor must review any incident with the staff who used physical restraint to ensure that the decision to use physical restraint and its application were appropriate.
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Quality Improvement |
No information provided.
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