The licensee or designee is required to track each child's immunization status in accordance with WAC 246-105-060. The child care program must:

(1) Keep all DOH approved forms described in WAC 246-105-050 for each enrolled child.

(2) Keep a list of currently enrolled children with an immunization exemption authorized under RCW 28A.210.080 and 28A.210.090. This list must be sent to the local health department upon request.

(3) Return the department of health certificate of immunization status (CIS) or applicable form to the parent when the child is withdrawn from the child care program. A child care program may not withhold from the parent a child's health department-approved form for any reason, including nonpayment of child care program fees.

(4) Provide access to immunization records of each child enrolled to agents of the state or local health department.