PROPOSED RULES
SOCIAL AND HEALTH SERVICES
(Economic Services Administration)
Original Notice.
Preproposal statement of inquiry was filed as WSR 02-14-158.
Title of Rule: Minimum licensing requirements for child care centers in proposed new chapter 388-295 WAC, and repealing rules in existing chapter 388-150 WAC.
Purpose: The Department of Social and Health Services' Economic Services Administration (ESA) is proposing to repeal all sections of chapter 388-150 WAC, Minimum licensing requirements for child day care centers, and replace those with new chapter 388-295 WAC, Minimum licensing requirements for child care centers.
Statutory Authority for Adoption: Chapters 74.12 and 74.15 RCW.
Statute Being Implemented: Chapters 74.12 and 74.15 RCW.
Summary: The Department of Social and Health Services' Economic Services Administration is rewriting the WACs for the minimum licensing requirements (MLRs) for child care centers under new chapter 388-295 WAC. The child care center MLRs explains DSHS' responsibilities in licensing child care centers, as well as the minimum standards that those entities must comply with in order to become and remain licensed to provide child care. This chapter has been rewritten in clear rule-writing style, with a question and answer format, to make it more understandable to ESA's customers. In addition, rules pertaining to the health aspect of child care requirements have been included in this chapter.
Name of Agency Personnel Responsible for Drafting, Implementation and Enforcement: Elizabeth Egge, Licensing Policy Program Manager, 1009 College S.E., Lacey, WA 98504, (360) 413-3268.
Name of Proponent: Department of Social and Health Services, governmental.
Rule is not necessitated by federal law, federal or state court decision.
Explanation of Rule, its Purpose, and Anticipated Effects: The Department of Social and Health Services' Economic Services Administration (ESA) is proposing to repeal all sections of chapter 388-150 WAC, Minimum licensing requirements for child day care centers, and replace those with new chapter 388-295 WAC, Minimum licensing requirements for child care centers.
Proposal Changes the Following Existing Rules: The sections of chapter 388-150 WAC have been reorganized and rewritten in clear rule-writing language and components of each section clarified. The intent of moving these rules is to reorganize and clarify the minimum licensing requirements (MLRs) to make it easier for child care providers to follow the MLRs. In addition, rules pertaining to the health aspect of child care requirements have been included in this chapter.
No small business economic impact statement has been prepared under chapter 19.85 RCW. These rules do not have an economic impact on small businesses. This rule revision does not contain any requirements that would result in an increase in costs to the licensed child care providers that are not already in the rules that are currently in effect.
RCW 34.05.328 does not apply to this rule adoption. The department has evaluated the proposed rules and has determined that they do not meet the definition of "significant legislative rules" per RCW 34.05.328 (5)(c)(iii).
Hearing Location: Office Building 2 Auditorium (DSHS Headquarters) (public parking at 11th and Jefferson), 1115 Washington, Olympia, WA 98504, on June 10, 2003, at 10:00 a.m.
Assistance for Persons with Disabilities: Contact Andy Fernando, DSHS Rules Coordinator, by June 4, 2003, phone (360) 664-6094, TTY (360) 664-6178, e-mail FernAX@dshs.wa.gov.
Submit Written Comments to: Identify WAC Numbers, DSHS Rules Coordinator, Rules and Policies Assistance Unit, P.O. Box 45850, Olympia, WA 98504-5850, fax (360) 664-6185, e-mail fernaax@dshs.wa.gov, by 5:00 p.m., June 10, 2003.
Date of Intended Adoption: Not earlier than June 11, 2003.
March 26, 2003
Brian H. Lindgren, Manager
Rules and Policies Assistance Unit
3215.3MINIMUM LICENSING REQUIREMENTS FOR CHILD CARE CENTERS
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(1) A member or eligible for membership in a federally recognized Indian tribe, or who is Eskimo, Aleut, or other Alaska Native and a member of an Alaskan native regional corporation or Alaska Native Village;
(2) Determined or eligible to be found to be Indian by the Secretary of the Interior, including through issuance of a certificate of degree of Indian blood, or by the Indian health service;
(3) Considered to be Indian by a federally recognized or nonfederally recognized Indian Tribe; or
(4) A member or entitled to be member of a Canadian tribe or band, Metis community, or nonstatus Indian community from Canada.
"Anti-bias" is an approach that works against biases and recognizes when others are treated unfairly or oppressively based on race, color, national origin, marital status, gender, sexual orientation, class, religion, creed, disability, or age.
"Capacity that you are licensed for" means the maximum number of children that you are authorized to have on the premises of the child care at any one time.
"Center" means the same as "child care center."
"Certification" means department approval of a person, home, or facility that does not legally need to be licensed, but wants evidence that they meet the minimum licensing requirements (also see "Tribal certification").
"Child abuse or neglect" means the physical abuse, sexual abuse, sexual exploitation, abandonment or negligent treatment or maltreatment of a child by any person indicating the child's health, welfare, and safety is harmed.
"Child-accessible" means areas where children regularly have access such as: entrances and exits to and from the center, classrooms or child care areas, playground area including equipment and fencing, parking areas, walkways, decks, platforms, stairs and any items available for children to use in these areas.
"Child care center" means the same as a "child day care center" or a facility providing regularly scheduled care for a group of children one month of age through twelve years of age for periods less than twenty four hours.
"Clean" means to remove dirt and debris from a surface by scrubbing and washing with a detergent solution and rinsing with water. This process must be accomplished before sanitizing a surface.
"CACFP" means child and adult care food program established by congress and funded by the United States Department of Agriculture (USDA).
"Commercial kitchen equipment" means equipment designed for business purposes such as restaurants.
"Communicable disease" means a disease caused by a microorganism (bacterium, virus, fungus, or parasite) that can be transmitted from person to person via an infected body fluid or respiratory spray, with or without an intermediary agent (such as a louse, or mosquito) or environmental object (such as a table surface).
"Cultural relevancy" creates an environment that reflects home cultures, communities and lives of children enrolled in the program.
"Department," "we," "us," or "our" refers to and means the state department of social and health services (DSHS), including but not limited to the division of child care and early learning (DCCEL) licensors and health specialists.
"Developmentally appropriate practice":
(1) Means that the provider should interact with each child in a way that recognizes and respects the child's chronological and developmental age;
(2) Is based on knowledge about how children grow and learn; and
(3) Reflects the developmental level of the individual child, and interactions and activities must be planned with the needs of the individual child in mind.
"Director" means the person responsible for the overall management of the center's facility and operation.
"Disinfect" means to eliminate virtually all germs from inanimate surfaces through the use of chemicals or physical agents.
"Domestic kitchen" means a kitchen equipped with residential appliances.
"External medication" means a medication that is not intended to be swallowed or injected but is to be applied to the external parts of the body, such as medicated ointments, lotions, or liquids applied to the skin or hair.
"I," "you," and "your" refer to and mean the licensee or applicant for a child care license.
"Inaccessible to children" means stored or maintained in a manner preventing children from reaching, entering, or using potentially hazardous items or areas. Examples include but are not limited to: quantities of water, sharp objects, medications, chemicals, electricity, fire, mechanical equipment, entrapment or fall areas.
"Individual plan of care" means that the center's health policies and procedures do not cover the needs of the individual child so an individual plan is needed. Examples may include children with allergies, asthma, down's syndrome, tube feeding, diabetes care such as blood glucose monitoring, or nebulizer treatments.
"Infant" means a child one-month through eleven months of age.
"Lead teacher" means the person who is the lead child care staff person in charge of a child or group of children and implementing the activity program.
"License" means a permit issued by the department authorizing you by law to operate a child care center and certifying that you meet the minimum requirements under licensure.
"Licensee" or "you" means the person, organization, or legal entity responsible for operating the center.
"Maximum potential capacity based on square footage" is the maximum number of children you can be licensed for based on the amount of useable space (square footage) in your center. You may be licensed for less than the maximum potential capacity. You may not be licensed for more than the maximum potential capacity.
"Moisture impervious" or "moisture resistant" means a surface incapable of being penetrated by water or liquids.
"Parent" means birth parent, custodial parent, foster parent, legal guardian, those authorized by the parent or other entity legally responsible for the welfare of the child.
"Pesticides" means chemicals that are used to kill weeds, pests, particularly insects.
"Potentially hazardous food" means any food or ingredient that requires temperature control because it supports rapid growth of infectious or toxin forming microorganisms.
"Potable water" means water suitable for drinking by the public as determined by the state department of health or local health jurisdiction.
"Premises" means the building where the center is located and the adjoining grounds over which you have control.
"Preschool age child" means a child thirty months through five years of age not attending kindergarten or elementary school.
"Program supervisor" means the person responsible for planning and supervising the center's learning and activity program.
"Sanitize" means a surface must be clean and the number of germs reduced to a level that disease transmissions by that surface are unlikely. This procedure is less vigorous than disinfection.
"Satellite kitchen" means a food service establishment approved by a local health jurisdiction where food is stored, prepared, portioned or packaged for service elsewhere.
"School-age child" means a child not less than five years through twelve years of age who has begun attending kindergarten or elementary school.
"Staff" means a child care giver or group of child care givers employed by the licensee to supervise children served at the center.
"The Washington state training and registry system (STARS)" means the entity approved by the department to determine the classes, courses, and workshops licensees and staff may take to satisfy training requirement.
"Toddler" means a child twelve months through twenty-nine months of age.
"Terminal room cleaning" means thorough cleaning of walls, ceiling, floor and all equipment, and disinfecting as necessary, in a room which has been used by a person having a communicable disease before it is occupied by another person.
"Tribal certification" means that the department has certified the tribe to receive state payment for children eligible to receive child care subsidies.
"Useable space" means the areas that are available at all times for use by the children that do not cause a health or safety hazard.
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(a) Blood relatives;
(b) Adoptive parents;
(c) Stepparents or stepsiblings;
(d) "Extended family members" as defined by law or custom of the Indian child's tribe;
(e) Legal guardians;
(f) Nursery schools or kindergartens that are engaged primarily in educational work with preschool children and in which no child is enrolled on a regular basis for more than four hours a day;
(g) Seasonal day camps of three months' or less duration engaged primarily in recreational or educational activities;
(h) Private schools or kindergartens;
(i) An agency located on a military reservation;
(j) An agency operated by a unit of local, state, or federal government;
(k) An agency licensed by an Indian tribe, located within the boundaries of a federally recognized Indian reservation; and
(l) A facility where the parent remains on the premises for reasons other than employment.
(2) The person or organization operating a child care center and qualifying for an exemption to licensing under RCW 74.15.020(2) is not subject to licensure. The person or organization claiming an exemption must provide us with proof of right to the exemption if we request it.
(3) RCW 74.15.020 (2)(d) exempts facilities from licensing where parents on a mutually cooperative basis exchange care of one another's children. To qualify for this cooperative exemption:
(a) At least one parent or guardian of each child attending the facility regularly must be involved in the direct care of children at the facility;
(b) Parents or guardians must be involved in the direct care of children on a relatively equal basis; and
(c) A person other than a parent or guardian of a child at the facility must not be involved in the care of children or the operation of the facility.
(4) We do not license a center that is legally exempt from licensing per RCW 74.15.020(2). However, if the applicant requests it, we will follow all licensing regulations to investigate and may certify the center as meeting licensing and other pertinent requirements. In such a case, all our licensing requirements and procedures apply equally to certification.
(5) We may certify a child care center for payment without further investigation if the center is:
(a) Licensed by an Indian tribe;
(b) Certified by the Federal Department of Defense; or
(c) Approved by the superintendent of public instruction's office.
(6) The center listed in subsection (5)(a), (b), or (c) of this section must be licensed, certified, or approved in accordance with national or state standards, or standards approved by us. It must be operated on the premises where the entity operating the center has jurisdiction.
(7) We must not license a department employee or a member of their household when the employee is involved directly, or in an administrative or supervisory capacity, in the:
(a) Licensing or certification process;
(b) Placement of a child in a licensed or certified center; or
(c) Authorization of payment for the child in care.
(8) We may license a center located in a private family residence when the portion of the residence accessible to the child is:
(a) Used exclusively for the child during the center's operating hours or while the child is in care; or
(b) Separate from the family living quarters.
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(1) Be licensed or certified;
(2) Be a seasonal camp that has a contract with us and is certified by the American Camping Association;
(3) Follow billing policies and procedure in Child Care Subsidies: A Booklet for Licensed and Certified Child Care Providers, DSHS 22-877(X);
(4) Bill us at your customary rate or the DSHS rate, whichever is less; and
(5) Keep the attendance records as described in WAC 388-295-7060 and the invoices for state-paid children on-site for at least five years.
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(a) Have a certificate of occupancy issued by your local building department; and
(b) Be inspected by the state fire marshal.
(2) In addition to the requirements of this chapter, you are also responsible for complying with any local building ordinances. Local officials are responsible for enforcing city ordinances and county codes, such as zoning and building regulations. You must contact your local building jurisdiction to determine if local ordinances are different than our standards. If you encounter conflicts or differing interpretations, contact us immediately.
(3) We must notify the local planning office of your intention to operate a child care center within the local jurisdiction.
(4) Other state agencies such as labor and industries, the Fire Marshal and the department of health have regulations that apply to child care centers. You are responsible to contact those agencies to obtain their regulations. The other agencies are responsible to monitor and enforce their regulations.
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(a) Submit the request in writing to us;
(b) Explain in detail the reason you need the waiver; and
(c) Can demonstrate that you have an alternative method of meeting the intent of the requirement.
(2) If the waiver is approved, you must retain a copy of the written waiver approval on the child care premises.
(3) We will approve a waiver request if:
(a) You have a good reason;
(b) We determine that approval of the waiver request will not endanger the safety or welfare of the child or take away from the quality of your service;
(c) The request and approval is for a specific purpose or child; and
(d) The waiver request is for a specific period of time, which must not go beyond the date the license expires.
(4) We can limit or restrict a license issued to you in combination with a waiver.
(5) You have no appeal rights to the denial of a waiver request under chapter 34.05 RCW.
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(1) Issue a child care center license to you having a license involving full-time care; or
(2) Permit simultaneous care for the child and adolescent or adult on the same premises if you:
(a) Demonstrate evidence that care of one client category will not interfere with the quality of services provided to another category of clients;
(b) Maintain the most stringent maximum capacity limitation for the clients categories concerned;
(c) Request and obtain a waiver permitting dual licensure; and
(d) Request and obtain a waiver to subsection (2)(b) of this section, if applicable.
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(a) Be twenty-one years of age or older;
(b) The applicant and director must attend the orientation programs the we provide, arrange or approve;
(c) Submit to us a completed and signed application for a child care center license or certification using our forms (with required attachments).
(2) The application package must include the following attachments:
(a) The annual licensing fee. The fee is based on your licensed capacity, and is forty-eight dollars for the first twelve children plus four dollars for each additional child;
(b) A completed criminal history and background inquiry form for yourself and for each staff person or volunteer who has regular or unsupervised access to the children in care; and
(c) A copy of your:
(i) Photo identification issued by a government entity; and
(ii) Social Security card or verification of your employer identification number.
(d) An employment and education resume for:
(i) The person responsible for the active management of the center; and
(ii) The program supervisor.
(e) Diploma or education transcript copies of the program supervisor;
(f) Three professional references each, for yourself, the director, and the program supervisor;
(g) Articles of incorporation if you choose to be incorporated;
(h) List of staff (form is provided in the application);
(i) Written parent communication (child care handbook);
(j) Copy of transportation insurance policy (liability and medical);
(k) In-service training program (for agencies employing more than five persons);
(l) A floor plan of the facility drawn to scale;
(m) A copy of your health care plan reviewed and signed by an advisory physician, physician's assistant, or registered nurse;
(n) A copy of your policies and procedures that you give to parents;
(o) A copy of your occupancy permit; and
(p) A copy of your health care plan signed by an advisory physician, physician's assistant, or registered nurse.
(3) You must submit your application and reapplication ninety or more calendar days before:
(a) The date you expect to open your new center;
(b) The expiration date of your current license;
(c) The date you expect to relocate your center;
(d) The date you expect to change licensee; or
(e) The date you expect a change in your license category.
(4) You must provide to us any additional reports or information regarding you, any assistants, volunteers, or any other person having access to the child in care. This would include but not limited to:
(a) Sexual deviancy evaluations;
(b) Substance abuse evaluations;
(c) Psychiatric evaluations; and
(d) Medical evaluations.
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(a) The understanding, ability, physical health, emotional stability, good judgment and personality suited to meet the physical, intellectual, mental, emotional, and social needs of the children under your care;
(b) Be qualified by our background inquiry check (chapter 388-06 WAC) prior to having unsupervised access to children; and
(c) Be able to furnish the child in your care with a healthy, safe, nurturing, respectful, supportive, and responsive environment.
(2) We can require you or your staff to provide us with additional information if any of those individuals are not able to meet the requirements in chapter 388-295 WAC. This information may include, but is not limited to:
(a) Substance and alcohol abuse evaluations and/or documentation of treatment;
(b) Psychiatric/psychological evaluations;
(c) Psychosexual evaluations; and
(d) Medical evaluations and/or medical records.
(3) Any evaluation requested under WAC 388-295-0070 (2)(a) through (d) will be at the expense of the person being evaluated.
(4) We must be given permission to speak with the evaluator in WAC 388-295-0070 (2)(a) through (d) prior to and after the evaluation.
(5) We investigate staff and volunteers, including accessing criminal histories and law enforcement files.
(6) We can also investigate members of your household and members of your staffs and volunteers households if we have reason to believe they have access to a child in care. This includes accessing criminal histories and law enforcement files.
(7) We can investigate any other person who has access to a child in care, including accessing criminal history and law enforcement files.
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(a) Fifty square feet of useable floor space per infant (includes crib, playpen, infant bed and bassinets);
(b) Thirty-five square feet of useable floor space for each toddler or older child that is dedicated to the children during child care hours; and
(c) Fifteen additional square feet must be provided for each toddler using a crib or playpen when cribs are located in the sleeping and play area.
(2) The areas included in your square footage must be available at all times for the children. The following areas will not be included in determining the useable square footage for each child:
(a) Food preparation areas of the kitchen;
(b) Laundry areas;
(c) All bath, toilet rooms and hand washing areas;
(d) Hallways, diaper changing areas (includes the changing table, sink and twenty-four inches of floor space around the changing table and sink), stairways, closets, offices, staff rooms, lockers and custodial areas;
(e) Furnace rooms, hot water heater rooms, storage rooms, or mop sink rooms; and
(f) Cabinets, storage, and fixed shelving spaces unless accessible to and used by children (for example, cubbies, shelves for storing toys and puzzles, bookshelves, etc.). If the children do not have access to their cubbies or toy storage areas, it is not included in the square footage.
(3) You can use a multipurpose room and gymnasium for multiple purposes such as playing, dining, napping, and learning activities, and before and after school programs when the room:
(a) Meets the square footage requirements for the purpose and number of children to be served; and
(b) Is being used for one purpose and does not interfere with usage of the room for another purpose.
(4) You may use and consider the napping area as child care space if staff remove mats and cots when they are not in use and the children then have free access to the area.
(5) We will not issue you a license to care for more children than the rules in this chapter permit.
(6) We may issue you a license to care for fewer children than the center's maximum capacity.
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(1) We may issue you an initial license to provide care when you can show that you are following the rules regarding the child's health and safety.
(2) The initial license may be issued if you have not yet opened for business, and so are not yet able to show that you are complying with the rules pertaining to:
(a) Staff to child interactions;
(b) Group size and staff to child ratios;
(c) Behavior management and discipline;
(d) Activity programs;
(e) Child records and information; and
(f) Other rules that require us to observe your facility's ability to comply with rules.
(3) You must provide us with a plan to comply with the rules listed in subsection (2)(a) through (f) of this section. We must approve of that plan.
(4) An initial license can be issued to an applicant for a period not to exceed six months, renewable for a period not to exceed two years.
(5) We will evaluate your ability to comply with all rules contained in this chapter during the period of initial licensure prior to issuing a full license.
(6) We may issue a full license to you when you have demonstrated compliance with chapter 388-295 WAC at any time during the period of initial licensure.
(7) We will not issue a full license to you if you do not demonstrate the ability to comply with all rules contained in chapter 388-295 WAC during the initial licensure.
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(2) If more than one person applies for a license or is licensed under this chapter to provide child care at the same facility:
(a) We will consider qualifications separately and together.
(b) We will deny the license application, or suspend or revoke the license if one person fails to meet the minimum licensing requirements.
(3) We will deny, suspend, or revoke your license if you:
(a) Have been found to have abused, neglected, or sexually exploited a child as defined in chapter 26.44 RCW and WAC 388-295-0330;
(b) Have a disqualifying criminal history as listed in chapter 388-06 WAC;
(c) Have had a license denied, suspended, or revoked for the care of adults or children in this state or any other state. However, if you demonstrate by clear and convincing evidence that you have taken enough corrective action and rehabilitation to justify the public trust to operate the center according to the rules of this chapter, we will consider issuing you a license;
(d) Commit or allow an illegal act to be committed on the licensed premises;
(e) Allow children in your care to be abused, neglected, exploited, or treated with cruelty or indifference;
(f) Use illegal drugs;
(g) Use alcohol to the extent that it interferes with your ability to provide care for the children as required by this chapter;
(h) Refuse to permit an authorized representative of the department, state fire marshal, or state auditor's office with official identification to:
(i) Inspect the premises;
(ii) Access your records related to the centers operation; or
(iii) Interview staff or children in care.
(i) Refuse to provide us a copy of your:
(i) Photo identification issued by a government entity; and
(ii) Social Security card or verification of your employer identification number.
(4) We will deny, suspend, or revoke your license if you:
(a) Try to get or keep a license by making false statements or leaving out important information on your application;
(b) Do not provide enough staff in relation to the numbers, ages, or characteristics of children in care;
(c) Allow a person who is not qualified by training, experience or temperament to care for or be in contact with children in care;
(d) Fail to provide adequate supervision to children in care;
(e) Do not exercise fiscal responsibility and accountability while operating the center;
(f) Knowingly allow an employee or volunteer on the premises that has made false statements on an application for employment or volunteer service;
(g) Refuse to supply additional information requested by us;
(h) Fail to comply with the minimum licensing requirements set forth in this chapter or any provision of chapter 74.15 RCW; or
(i) Provide care on the premises for children of an age different from the ages for which the center is licensed.
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(a) A description of the violation and a quote of the law or rule that you have failed to meet;
(b) A statement of what you must do to come into compliance;
(c) The date by which we require compliance;
(d) Information about the maximum allowable penalty we can impose if you do not come into compliance by the given date;
(e) How you can get technical assistance services provided by us or by others; and
(f) Information about how you can to request an extension to the date you must be in compliance, if we decide you have a good reason.
(2) The length of time we establish for you to come into compliance depends on:
(a) The seriousness of the violation;
(b) The potential threat to the health, safety and welfare of children in your care; or
(c) If you have had previous opportunities to correct the deficiency and have not done so.
(3) We will use the following criteria to determine if we will impose a civil fine based on, but not limited to, these reasons:
(a) The child care center has previously been subject to an enforcement action for the same or similar type of violation for the same statute or rule; or
(b) The child care center has previously been given notice of the same or similar type of violation of the same law or rule; or
(c) The violation represents a potential threat to the health, safety, and/or welfare of children in care.
(4) We can impose a civil fine in addition to or at the same time as other disciplinary actions against a child care center. These include probation, suspension, or other action.
(5) You must pay any civil fines no more than twenty-eight days after you receive the notice that you have a fine. We may specify a later date.
(6) We can waive the fine if your center comes into compliance during the notification period.
(7) You must post the final notice of a civil fine in a noticeable place in your center. The notice must remain posted until we notify you that we have received your payment.
(8) Civil fines are set at two hundred fifty dollars per violation per day. We can assess and collect the fine with interest for each day that you fail to come into compliance.
(9) Each violation of a law or rule is a separate violation. We can penalize each violation. We can impose a penalty for each day the violation continues or as a flat amount of the maximum allowable penalty.
(10) If you fail to pay your fine within ten days after the assessment becomes final, we can suspend, revoke, or not renew your license.
(11) You have the right to a hearing when we assess a civil fine under RCW 43.20A.215.
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(1) If we determine that an agency or child care center is operating without a license we can assess a fine of two hundred fifty dollars per day for each day unlicensed child care is provided. The fine would be effective and payable within thirty days of receipt of the notification.
(2) When we impose a civil monetary penalty per WAC 388-295-0120, we can impose a civil monetary fine of two hundred fifty dollars per violation per day. The department can assess and collect the fine with interest for each day that you fail to come into compliance.
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(2) We will contact you, send you a letter, or make an on-site visit to your center to determine whether you are operating without a license.
(3) If we determine that you personally or on behalf of another person are operating a child care center without a license, we will send written notification by certified mail or other method showing proof of service to the owner of the unlicensed center. This notification must contain the following:
(a) Notice to the center owner our basis for determination that the owner is providing child care without a license and the need for us to license the center;
(b) Citation of the applicable law;
(c) The assessment of two hundred fifty dollars per day fine for each day the agency provides unlicensed care. The fine is effective and payable within thirty days of the agency's receipt of the notification;
(d) Information about how to contact the division of child care and early learning;
(e) The requirement of the unlicensed center owner's need to submit an application for a license to the division of child care and early learning within thirty days of receipt of our notification to the owner;
(f) That we can forgive the fine if the center submits an application within thirty days of the notification; and
(g) The unlicensed center owner's right to an adjudicative proceeding (fair hearing) as a result of the assessment of a monetary fine and how to request an adjudicative proceeding.
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(a) Your willful or negligent failure to comply with the regulations;
(b) Your history of noncompliance with the regulations;
(c) How far you deviate from the regulations;
(d) Evidence of your good faith effort to comply with the regulations; and
(e) Any other factors relevant to your unique situation.
(2) We can issue a probationary license to you when the willful or negligent violation of the licensing requirements does not present an immediate threat to the health and well being of the children, but would be likely to do so if allowed to continue. We can also issue civil fines or other sanctions in this case. Such situations can include:
(a) Substantiation that a child or children was abused or neglected while in the care of the center;
(b) A fire safety inspection or health/sanitation inspection report that has been disapproved;
(c) Use of unauthorized space for child care;
(d) Inadequate supervision of children;
(e) Understaffing for the number of children in care; and
(f) Noncompliance with requirements addressing children's health, proper nutrition, discipline, emergency medical plan, sanitation and personal hygiene practices.
(3) You are required to notify parents when a probationary license is issued. You must:
(a) Notify the parents or guardians of all children in care that the center is in probationary status. This notification must be within five working days of your receiving notification of being placed on probationary status or being issued a probationary license;
(b) Notify the parents or guardians in writing. The notification must be approved by us before being sent; and
(c) Provide documentation to us that parents or guardians of all children in care have been notified. You must provide this documentation within ten working days of being notified that you have been issued a probationary license.
(4) A probationary license can be issued for up to six months and can be extended at our discretion for an additional six months.
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(a) On an environmentally safe site;
(b) In a neighborhood free of a condition detrimental to the child's welfare; and
(c) In a location accessible to other services to carry out the program.
(2) Your child care must be located in an area that is serviced by emergency fire, medical and police during the hours the children are in care.
(3) The location of your site must be approved by the local planning department, your state fire marshal, and us.
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STAFFING(1) Be at least twenty-one years of age or older;
(2) Have knowledge of child development as evidenced by professional reference, education, experience, and on-the-job performance;
(3) Have written proof of education including:
(a) A current child development associate certificate (CDA); or
(b) The following minimum number of college quarter* credits or combination of college quarter credits and department-approved clock hours (ten clock hours equals one college credit) in early childhood education or child development:
| If your center is licensed for this number of children: | Then the director must have completed at lease this number of college quarter credits in early childhood education: | Of the total credits required, the minimum number that must be college quarter credits is: | And of the total credits required, the maximum number that can be department-approved clock hours is: |
| (i) Twelve or less | 10 | 7 | 30 (replacing 3 college quarter hours) |
| (ii) Thirteen through 24 | 25 | 17 | 80 (replacing 8 college quarter hours) |
| (iii) Twenty-five or more | 45 | 30 | 150 (replacing 15 college quarter hours) |
*Note: One college semester credit equals one and one half (1.5) college quarter hours
(4) Have at least two years experience working with children the same age level as the center serves;
(5) Not let the provision of child care interfere with their management or supervisory responsibilities;
(6) Be on the premises for the majority of the hours that care is provided and designate a person to be in charge that meets the qualifications of a lead teacher when not present; or
(7) Meet the STARS requirement and be listed in the state training and registry system (STARS).
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(a) Meets all the qualifications of WAC 388-295-1010;
(b) Oversees the planning and supervising of the center's learning and activity program to ensure that practices meet the WAC, are varied and developmentally appropriate; and
(c) Performs on-site program supervisory duties twenty hours or more a week and is not included in the staff to child ratio.
(2) In such case, the director does not meet the minimum requirements in WAC 388-295-1010 the director shall have had at least one three credit college class in early childhood education or development.
(3) One person may be both the director and the program supervisor when qualified for both positions. The director or program supervisor must be on the premises for the majority of the hours that care is provided. If temporarily absent from the center, the director or program supervisor must leave a competent, designated staff person in charge who meets the qualifications of a lead staff person.
(4) The director or program supervisor may also serve as child care staff when such role does not interfere with the director's or program supervisor's management and supervisory responsibilities.
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(1) Be at least eighteen years of age or older;
(2) Have completed a high school education or the equivalent; and
(3) Have documented child development education or work experience; or
(4) Complete STARS training within six months of becoming a lead teacher.
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(1) The assistant or aide must be:
(a) At least sixteen years of age; and
(b) Under the direct supervision of a lead child care staff person.
(2) An eighteen years of age or older assistant or aide may be assigned to care for a child or a group of children under direct supervision of a lead staff person. This person may have sole responsibility for a group of children without direct supervision by a superior for a brief period of time.
(3) A person under the age of eighteen years must not be assigned sole responsibility for a group of children.
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(a) Be at least sixteen years of age or older; and
(b) Care for children under the direct supervision of a lead child care staff person at all times.
(2) You may count the volunteer in the staff-child ratio when the volunteer meets staff qualification requirements and is sixteen years of age or older.
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(1) Twenty clock hours or two college quarter credits of basic training approved by the Washington state training registry system (STARS);
(2) Current child development associate certificate (CDA) or equivalent credential, or twelve or more college credits in early childhood education or child development; or
(3) Associate of Arts (AA), Associate of Arts and Sciences or higher college degree in early childhood education or child development.
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(2) The director must have five of the ten hours in program management and administration for the first two years in the director position. Each additional year, three of the ten hours required must be in program management and administration.
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(1) Minimum licensing requirements;
(2) Planned daily activities and routines;
(3) Child guidance and behavior management methods;
(4) Child abuse and neglect prevention, detection, and reporting policies and procedures;
(5) Health policies and procedures;
(6) Communicable disease recognition and prevention;
(7) Bloodborne pathogens;
(8) Fire prevention, disaster plan and safety procedures;
(9) Special health and developmental needs of the individual child;
(10) Personnel policies, when applicable;
(11) Limited restraint techniques;
(12) Cultural relevancy; and
(13) Age and developmentally appropriate practices and expectations for the age group the staff will work with.
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(2) At a minimum, your staff and volunteers must have on-going training when there are changes:
(a) In your policies and procedures;
(b) In the equipment that you use;
(c) In the types of services you provide; or
(d) To health care plans for specific children.
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(2) The person providing the first aid and CPR training must be knowledgeable about current national first aid and CPR standards. The trainer must:
(a) Be in the medical field;
(b) Be in the emergency field such as an emergency medical technician or firefighter;
(c) Complete a "train the trainer" course from a reputable program such as the American Red Cross, American Heart Association, National Safety Council or labor and industries; or
(d) Work for a company that specializes in first aid and CPR training.
(3) First aid and CPR training must be updated as required on the card or certificate received by you or your staff person. The first aid and CPR cards or certificates must have a date of expiration.
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(2) You are responsible to be aware of the labor and industries rules under chapter 296-823 WAC that apply to you.
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(2) New employees and volunteers do not need a TB skin test if they have written proof of:
(a) A negative Mantoux TB test in the twelve months prior to you hiring them;
(b) A previously positive Mantoux TB test with documented proof of treatment or a negative chest x-ray; or
(c) Medication therapy to treat TB.
(3) Your staff and volunteers must be re-tested for TB when you are notified that any of the staff or volunteers have been exposed to TB. They must comply with the direction of the local health jurisdictions.
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PROGRAM(1) Provide a variety of easily accessible learning and play materials of sufficient quantity to implement the centers program and meet the developmental needs of children in care.
(2) Have a current daily schedule of activities and lesson plans that are designed to meet the children's developmental, cultural, and individual needs. The toys, equipment and schedule must be:
(a) Specific for each age group of children; and
(b) Include at least one activity daily for each of the following (you can combine several of the following for one activity):
(i) Child initiated activity (free play);
(ii) Staff initiated activity (organized play);
(iii) Individual choices for play;
(iv) Creative expression;
(v) Group activity;
(vi) Quiet activity;
(vii) Active activity;
(viii) Large and small muscle activities; and
(ix) Indoor and outdoor play.
(3) You must ensure the lesson plan, daily schedule of events, available toys and equipment contains a range of learning experiences to allow each child the opportunity to:
(a) Gain self-esteem, self-awareness, self-control, and decision-making abilities;
(b) Develop socially, emotionally, intellectually, and physically;
(c) Learn about nutrition, health, and personal safety; and
(d) Experiment, create, and explore.
(4) Post the daily schedule and lesson in each room for easy reference by parents and by caregivers;
(5) Keep the daily schedule of events and lesson plans for the past six months on site for inspection;
(6) Maintain staff-to-child ratios and group size during transitions from one activity to another during the day;
(7) Plan for smooth transitions by:
(a) Establishing familiar routines; and
(b) Using transitions as a learning experience.
(8) Ensure the center's program affords the child daily opportunities for small and large muscle activities and outdoor play; and
(9) Afford staff classroom planning time.
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(1) Ensure staff interact with children using positive communication (for example, children are given options of what to do rather than being told what not to do);
(2) Support the child's development in understanding themselves and others by assisting the child to share ideas, experiences, and feelings;
(3) Provide age-appropriate opportunities for the child to grow and develop intellectually. Examples include:
(a) Reading readiness skills;
(b) Language skills development;
(c) Encouraging the child to ask questions;
(d) Counting;
(e) Matching objects;
(f) Differentiating between large and small; and
(g) Sorting.
(4) Help each child solve problems with intervention as necessary;
(5) Encourage children to be creative in their projects;
(6) Allow independence in selecting routine activities and projects;
(7) Show tolerance for mistakes;
(8) Encourage children to try new activities; and
(9) Honor all children's race, religion, culture, gender, physical ability and family structure.
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(1) Develop and implement written behavior management and guidance practices for the center;
(2) Guide the child's behavior based on an understanding of the individual child's needs and stage of development;
(3) Promote the child's developmentally appropriate social behavior, self-control, and respect for the rights of others;
(4) Ensure behavior management and guidance practices that are fair, reasonable, consistent, and related to the child's behavior;
(5) Prevent and prohibit any person on the premises from using cruel, unusual, hazardous, frightening, or humiliating discipline, including but not limited to:
(a) Corporal punishment including biting, jerking, shaking, spanking, slapping, hitting, striking, kicking, pinching, flicking or any other means of inflicting physical pain or causing bodily harm to the child;
(b) Verbal abuse such as yelling, shouting, name calling, shaming, making derogatory remarks about a child or the child's family, or using language that threatens, humiliates or frightens a child;
(c) The use of a physical restraint method injurious to the child, locked time-out room, or closet for disciplinary purposes; and
(d) The using or withholding of food or liquids as punishment.
(6) In emergency situations, a staff person may use limited physical restraint when:
(a) Protecting a person on the premises from serious injury;
(b) Obtaining possession of a weapon or other dangerous object; or
(c) Protecting property from serious damage.
(7) Staff who use limited restraint must complete an incident report. A copy of the incident report must be:
(a) Placed in the child's individual record; and
(b) Given to the parent.
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(1) Offer a supervised rest period to the child who is:
(a) Five years of age or younger and in care for more than six hours; or
(b) Showing a need for rest.
(2) Allow a child twenty-nine months of age or younger to follow an individual sleep schedule, and plan alternative quiet activities for the child who does not need rest.
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(1) Adapt the program, equipment, and staffing pattern to meet the physical and emotional needs of the child away from home at night such as:
(a) In centers operating past midnight, you must provide for each child a crib, mat or cot, or mattress pad, that is easily sanitized;
(b) Make arrangements for bathing as needed;
(c) Make arrangements for personal hygiene including tooth brushing;
(d) Have individual bedding appropriate for overnight sleeping; and
(e) Have separate dressing and sleeping areas for boys and girls ages six years and older or younger children demonstrating a need for privacy.
(2) Maintain the same staff-to-child ratio that is in effect during daytime care;
(3) Keep the child within continuous visual and auditory range at all times;
(4) Ensure that the staff in charge during evening and nighttime hours meets the requirements of a lead teacher; and
(5) Ensure all staff attending to children in care are awake.
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(2) The parent's consent may be:
(a) For a specific date or trip; or
(b) A blanket authorization describing the full range of trips the child may take. If that is the case, you must notify the parent in writing at least twenty-four hours in advance about any specific trip.
(3) When transportation is provided by the center for children in care:
(a) The driver must have a valid Washington state driver's license to operate the type of vehicle being driven;
(b) The number of passengers cannot exceed the seating capacity of the vehicle;
(c) Either the center owner or the driver must have liability and medical insurance; and
(d) The driver, parent volunteer, or staff supervising the children being transported in each vehicle must have current CPR and first-aid training written documentation on file.
(4) When you transport children, the vehicle used must:
(a) Have a current license and registration according to Washington state transportation laws;
(b) Be maintained in good repair and safe operating condition; and
(c) Be equipped with:
(i) At least one first-aid kit that meets the requirements of WAC 388-295-5010;
(ii) Vehicle emergency reflective triangles or other devices to alert other drivers of an emergency;
(iii) The health history and emergency information for each child in the vehicle; and
(iv) A method to call for emergency help.
(5) You must meet the child passenger restraint system requirements in RCW 46.61.687 when transporting children. Contact your local state patrol office for more information.
(6) When you transport children, you must maintain the staff-to-child ratio established for the youngest child in the group; and
(7) Staff or driver must not leave the children unattended in the motor vehicle.
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(a) Explained to the parent the centers policies and procedures;
(b) Discussed the centers philosophy, program and facilities;
(c) Advised the parent of the child's progress and issues relating to the child's care and individual practices concerning the child's special needs; and
(d) Encouraged parent participation in center activities.
(2) You must also give the parent the following written policy and procedure information:
(a) Enrollment and admission requirements;
(b) The fee and payment plan;
(c) A typical activity schedule, including hours of operation;
(d) Meals and snacks served, including guidelines on food brought from the child's home;
(e) Permission for free access by the child's parent to all center areas used by the child;
(f) Signing in and signing out requirements;
(g) Child abuse reporting law requirements;
(h) Behavior management and discipline;
(i) Nondiscrimination statement;
(j) Religious and cultural activities, if any;
(k) Transportation and field trip arrangements;
(l) Practices concerning an ill child;
(m) Medication management;
(n) Medical emergencies;
(o) Disaster preparedness plans; and
(p) If licensed for the care of an infant or toddler:
(i) Diapering;
(ii) Toilet training; and
(iii) Feeding.
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| If the age of the children is: | Then the staff to child ratio is: | And the maximum group size is: |
| (a) One month, through 11 months (infant) | 1:4 | 8 |
| (b) Twelve months through 29 months (toddler) | 1:7 | 14 |
| (c) Thirty months through 5 years (preschooler) | 1:10 | 20 |
| (d) Five years and 12 years (school-age child) | 1:15 | 30 |
(2) In centers licensed for twelve or fewer children, you may combine children of different age groups, provided you:
(a) Maintain the staff-to-child ratio designated for the youngest child in the mixed group; and
(b) Provide a separate care area when four or more infants are in care. In such case the maximum group size shall be eight infants.
(3) You must conduct activities for each group in a specific room or other defined space within a larger area.
(4) You must ensure each group is under the direct supervision of a qualified staff person or team of staff involved in directing the child's activities.
(5) We may approve reasonable variations to group size limitations if you maintain required staff-to-child ratios, dependent on:
(a) Staff qualifications;
(b) Program structure; and
(c) Useable square footage.
(6) After consulting with the child's parent, you may place the individual child in a different age group and serve the child within the different age group's required staff-to-child ratio based on the child's:
(a) Developmental level; and
(b) Individual needs.
(7) You may briefly combine children of different age groups provided you maintain the staff-to-child ratio and group size designated for the youngest child in the mixed group.
(8) In centers licensed for thirteen or more children, you may group ambulatory children between one year, and two years of age with older children, provided:
(a) The total number of children in the group does not exceed twelve; and
(b) Two staff are assigned to the group.
(9) You must ensure the staff person providing direct care and supervision of the child is free of other duties at the time of care.
(10) You must maintain required staff-to-child ratios indoors, outdoors, on field trips, and during rest periods. During rest periods, staff may be involved in other activities if:
(a) Staff remain on the premises;
(b) Each child is within continuous visual and auditory range of a staff person.
(11) You must ensure staff:
(a) Attend to the group of children at all times; and
(b) Keep each child (including school age children) within continuous visual and auditory range of center staff. Toilet trained children using the toilet must be within auditory range of a center staff member.
(12) When only one staff person is present, you must ensure a second staff person is readily available in case of emergency.
(13) When only one caregiver is required to meet the staff to child ratio, you must be sure there is coverage for emergencies to meet both ratios and worker qualifications by either:
(a) Posting the name, address, and telephone number of a person who meets the qualifications of at least a lead teacher, who has agreed in writing to be available to provide emergency relief and who can respond immediately; or
(b) Having a second person that meets the qualifications of at least a lead teacher on the premises who is not needed for the staff to child ratio, but is available to provide emergency relief.
(14) Service staff, such as cooks, janitors, or bus drivers, must not be counted in the required staff to child ratio unless they:
(a) Meet child care worker qualifications; and
(b) Are acting as a child care provider and are giving full attention to the children.
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(a) Maintain the staff to child ratio for the youngest child in the mixed group; and
(b) Provide a separate area when infants are in care.
(2) You must conduct activities for each group in a specific room or other specifically defined space within a larger area;
(3) Excluding infants, you may place an individual child in a different age group and serve the child within the different age group's required staff to child ratio, based on the child's individual needs and developmental level. You must consult with the child's parent prior to making the change;
(4) Excluding infants, you may briefly combine children of different age groups such as at the beginning of the day and the end of the day provided you maintain the staff to child ratio and group size designated for the youngest child in the mixed group;
(5) You may have nine infants in a classroom with appropriate square footage if you maintain a ratio of one staff to three infants; and
(6) You can request a waiver to group size limitations. If we approve variations to group size limitations, you must maintain the required staff-to-child ratios. Our approval will depend on but is not limited to:
(a) Staff qualifications;
(b) Program structure;
(c) Square footage; and
(d) Lower staff to child ratios.
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(2) When children are in the kitchen, you must:
(a) Supervise food preparation activities involving children; and
(b) Make the kitchen environmentally safe for children to participate in planned kitchen activities.
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(a) Be encouraged to handle and manipulate a variety of objects;
(b) Have a safe environment for climbing, moving and exploring;
(c) Be provided with materials and opportunities for large and small muscle development;
(d) Have daily opportunities to be talked and read to;
(e) Have daily indoor opportunities for freedom of movement outside their cribs, in an open, uncluttered space;
(f) Be placed in a prone (lying on the tummy) position part of the time they are awake and observed;
(g) Not be left in car seats once they arrive at the center even if they are asleep; and
(h) Not be left in playpens for extended periods of time excluding sleep time.
(2) Staff must:
(a) Talk to and interact with each infant and toddler often and encourage them to respond. Naming objects and describing care encourages language development;
(b) Hold and cuddle infants and toddlers to encourage strong relationships; and
(c) Respond to and investigate cries or other signs of distress immediately.
(3) Toys, objects and other play materials must:
(a) Be cleanable;
(b) Be nontoxic; and
(c) Not cause a choking hazard for infants or toddlers.
(4) Time in swings, exercisers and other confining equipment must not exceed fifteen minutes every four hours; and
(5) Baby walkers must not be used.
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(1) You must provide a safe play area adjoining the indoor premises directly or reachable by a safe route or method;
(2) The outdoor play area must have adequate drainage and be free from health and safety hazards;
(3) You must make sure the play area contains a minimum of seventy-five usable square feet per child using the play area at any one time. If the center uses a rotational schedule of outdoor play periods so only a portion of the child population uses the play area at one time, you may reduce correspondingly the child's play area size;
(4) If you provide full-time care, you must ensure the center's activity schedule provides the child daily morning and afternoon outdoor play;
(5) If you provide drop-in care only, at our discretion we may approve equivalent, separate, indoor space for the child's large muscle play;
(6) You must ensure appropriate child grouping by developmental or age levels, staff-to-child ratio adherence, and maintain group maintenance;
(7) Staff must be outdoors with the children in continuous visual and auditory range;
(8) You must provide a variety of age-appropriate play equipment for climbing, pulling, pushing, riding and balancing activities; and
(9) You must arrange, design, construct, and maintain equipment and ground cover to prevent child injury.
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HEALTH AND NUTRITION(a) Written in a clear and easily understood manner;
(b) Shared with all new staff during orientation;
(c) Posted for staff and families to review; and
(d) Reviewed and signed by a physician, a physician's assistant or registered nurse when you change your policies and procedures or type of care that you provide, or at least every three years when you are due for re-licensure. (For example, if you go from caring for children from twelve months and older to caring for infants, you need to update your health policies and procedures and have them reviewed and signed.)
(2) Your health policies and procedures must have information on how you plan to:
(a) Provide general cleaning of areas including but not limited to bathrooms, floors, walls, and doorknobs;
(b) Clean and sanitize areas including but not limited to food contact surfaces, kitchen equipment, diapering areas, toys, toileting equipment and areas, equipment that might be shared with several children such as sleep mats, cribs or high chairs;
(c) Prevent, manage and report communicable diseases;
(d) Handle minor injuries such as nosebleeds, scrapes and bruises;
(e) Provide first aid;
(f) Screen children daily for illnesses;
(g) Notify parents that children have been exposed to infectious diseases and parasites;
(h) Handle minor illnesses;
(i) Handle major injuries and medical emergencies that require emergency medical treatment or hospitalization;
(j) Manage medication;
(k) Assist with handwashing and general hygiene including diapering and toileting;
(l) Handle food;
(m) Provide nutritious meals and snacks;
(n) Respond during any disasters;
(o) Care for children that may have special needs;
(p) Care for infants and obtain infant nurse consultation (if licensed for four or more infants); and
(q) Place infants to sleep on their backs to reduce the risk of Sudden Infant Death Syndrome (SIDS).
(3) Your health policies and procedures must have information on when you plan to:
(a) Require ill children to stay home and for how long;
(b) Allow the ill child to return; and
(c) Call a parent to pick up their child and how you will care for the child until the parent arrives.
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(1) When arriving at work;
(2) After toileting a child;
(3) Before, during (may use wet wipe) and after diapering a child;
(4) After personal toileting;
(5) After attending to an ill child;
(6) Before and after preparing, serving, or eating food;
(7) Before and after giving medication;
(8) After handling, feeding or cleaning up after animals;
(9) After handling bodily fluids;
(10) After smoking;
(11) After being outdoors or involved in outdoor play; and
(12) As needed.
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(2) You must exclude children and staff with the following symptoms from care:
(a) Diarrhea (three or more watery stools or one bloody stool within twenty-four hours);
(b) Vomiting (two or more times within twenty-four hours);
(c) Open or oozing sores, unless properly covered with cloths or with bandages;
(d) For suspected communicable skin infection such as impetigo, pinkeye, and scabies: The child may return twenty-four hours after starting antibiotic treatment;
(e) Lice or nits; and
(f) Fever of 100°F or higher and who also have one or more of the following:
(i) Earache;
(ii) Headache;
(iii) Sore throat;
(iv) Rash; or
(v) Fatigue that prevents participation in regular activities.
(3) Children and staff who have a reportable disease may not be in attendance at the child care center unless approved by the local health authority.
(4) You must not take ear or rectal temperatures. Oral temperatures can be taken for preschool through school age if single use disposable covers are used over the thermometer.
(5) When a child becomes ill or injured while in your care, you must:
(a) Keep a confidential, individualized, written record in the child's file that includes the:
(i) Date of an illness or injury;
(ii) Treatment provided while in care; and
(iii) Names of the staff providing the treatment.
(b) Provide a copy of the illness or injury report to the parent; and
(c) Keep a current, written incident log listing date of illness or injury, the child's name, names of staff involved, and a brief description of the incident for tracking and analysis.
(6) You must notify parents in writing when their children have been exposed to infectious diseases or parasites. The notification may consist of either a letter to parents or posting a notification for parents in a visible location.
(7) You are a mandated disease reporter to the health department per WAC 246-101-415. You can obtain a list of reportable diseases, timeframes for reporting and reporting phone numbers from your local health department.
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(1) On arrival at the center;
(2) After using the toilet;
(3) After the child is diapered;
(4) After outdoor play;
(5) After playing with animals;
(6) After touching body fluids (such as blood or after nose blowing or sneezing); and
(7) Before and after the child eats or participates in food activities.
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(a) Child's first and last name;
(b) Name of medication;
(c) Reason for giving medication;
(d) Amount of medication to give;
(e) How to give the medication (route);
(f) How often to give the medication;
(g) Start and stop dates;
(h) Expected side effects; and
(i) How to store the medication consistent with directions on the medication label.
(2) The parent consent form is good for the number of days stated on the medication bottle for prescriptions. You cannot give medication past the days prescribed on the medication bottle even if there is medication left.
(3) You can give the following medications with written parent consent if the medication bottle label tells you how much medication to give based on the child's age and weight:
(a) Antihistamines;
(b) Nonaspirin fever reducers/pain relievers;
(c) Nonnarcotic cough suppressants;
(d) Decongestants;
(e) Ointments or lotions intended to reduce or stop itching or dry skin;
(f) Diaper ointments and nontalc powders, intended only for use in the diaper area; and
(g) Sun screen for children over six months of age.
(4) All other over the counter medications must have written directions from a health care provider with prescriptive authority before giving the medication.
(5) You cannot mix medications in formula or food unless you have written directions to do so from a health care provider with prescriptive authority.
(6) You cannot give the medication differently than the age and weight appropriate directions or the prescription directions on the medication label unless you have written directions from a health care provider with prescriptive authority before you give the medication.
(7) If the medication label does not give the dosage directions for the child's age or weight, you must have written instructions from a health care provider with prescriptive authority in addition to the parent consent prior to giving the medication.
(8) You must have written consent from a health care provider with prescriptive authority prior to providing:
(a) Vitamins;
(b) Herbal supplements; and
(c) Fluoride.
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(a) The child's first and last names;
(b) If a prescription, the date the prescription was filled;
(c) The expiration date; and
(d) easy to read instructions on how to give the medication (i.e., the bottle is in the original package or container with a clean and readable label).
(2) You must store medications:
(a) In a container inaccessible to children (including staff medications);
(b) Away from sources of moisture;
(c) Away from heat or light;
(d) Protected from sources of contamination;
(e) According to specific manufacturers or pharmacists directions;
(f) Separate from food (medications that must be refrigerated must be in a container to keep them separate from food); and
(g) In a manner to keep external medications that go on the skin separate from internal medications that go in the mouth or are injected into the body.
(3) All controlled substances must be in a locked container.
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(1) Obtain written parental consent prior to use;
(2) Use for no longer than six months; and
(3) Notify the parents of the:
(a) Name of the product used;
(b) Active ingredients in the product; and
(c) Sun protective factor (SPF) in sun screen.
(4) Apply the ointments in a manner to prevent contaminating the bulk container.
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(1) Give it back to the parent; or
(2) Dispose of it by flushing medication(s) down the toilet.
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(a) Have a written statement from the parent requesting the child take their own medication;
(b) Have a written statement from a health care provider with prescriptive authority stating that the child is physically and mentally capable of taking their own medication; and
(c) Meet all other criteria in this chapter 388-295 WAC including storage of medications.
(2) A staff member must observe and document that the child took the medication.
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(1) Child's full name, date, time, name of medication and amount given (indicate if self-administered);
(2) Initial of staff person giving medication or observing the child taking the medication with a corresponding signature on the medication record to validate the initials; and
(3) Provide a written explanation why a medication that should have been given was not given.
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(2) You must have documentation that the staff person has been oriented.
(3) Before a staff may administer medications they must ask parents to provide instruction on specialized medication administration procedures or observations, i.e., how to use the nebulizer, epi-pens or individual child's preference for swallowing pills.
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(2) Nondairy milk substitutes may be served only with written permission of the child's parent.
(3) The amount of required milk fat in the milk product is determined by the child's age:
| If the age of the child is: | Then the fat content of the milk must be: |
| (a) Under 12 months | Full strength formula or full strength breast milk unless there is specific written instructions from a licensed health care provider. |
| (b) Between 12 months and 24 months | Full strength whole milk unless there is specific written instruction from a licensed health care provider. |
| (c) Over 24 months | With or without fat content of providers or parents choice. |
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| If you are open: | You must serve at least: |
| (a) Nine hours or less | (i) Two snacks and one meal; or (ii) One snack and two meals. |
| (b) Over nine hours | (i) Two snacks and two meals; or (ii) Three snacks and one meal. |
(a) Food at intervals not less than two hours and not more than three and one-half hours apart;
(b) Offer breakfast or snack to children in morning care whether or not the child ate before arriving at the center;
(c) Breakfast to the child in nighttime care if the child remains at the center after the child's usual breakfast time;
(d) A snack or meal for children arriving after school;
(e) Dinner to children in nighttime care if the children are at the center after their usual dinnertime or have not had dinner; and
(f) An evening snack to children in nighttime care.
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(a) Prepare, date, and conspicuously post menus one week or more in advance, containing the meals and snacks to be served;
(b) Provide two weeks or more of meal and snack menu variety before repeating the menu;
(c) Keep six months of past menus on-site for inspection by the department;
(d) Make substitutions of comparable nutrient value and record changes on the menu, when needed;
(e) Provide daily a minimum of one serving of Vitamin C fruit, vegetable, or juice;
(f) Provide three or more times weekly foods high in Vitamin A; and
(g) You must maintain at least a three day supply of food for emergency purposes based on the number of children in child care.
(2) Each meal (breakfast, lunch and dinner) the child eats at the center must contain:
(a) A milk product (such as milk, cottage cheese, yogurt, cheese);
(b) Meat or meat alternative (such as meat, fish, legumes, tofu, beans, egg) excluding the breakfast meal;
(c) A bread or bread alternative (such as cereals, bagels, rice cakes);
(d) A fruit or vegetable (a total of two servings daily). When juice is served in place of a fruit or vegetable it must be one hundred percent fruit or vegetable juice.
(3) When meals are not provided by the center you must:
(a) Notify parents in writing that meals must meet the daily nutritional requirements;
(b) Provide adequate storage for keeping potentially hazardous foods (such as meats of any type, cooked potato, cooked legumes, cooked rice, sprouts, cut melons or cantaloupes, milk, cheese);
(c) Refrigerate foods requiring refrigeration at 45°F or less and keep frozen foods at 10°F until they are cooked or consumed.
(4) Each snack the child eats at the center must include at least two of the following four components:
(a) A milk product (such as milk, cottage cheese, yogurt, cheese);
(b) A meat or meat alternative (such as meat, legumes, beans, egg);
(c) Bread or bread alternative (such as cereals, bagels, rice cakes); and
(d) Fruit or vegetable (total of two servings).
(5) Each snack or meal must include something to drink. The drink could be water or one of the required components such as milk, fruit or vegetable juice.
(6) You may allow parents to bring in snacks for all the children that may not meet the nutritional requirements on special occasions such as birthdays. The snacks provided by parents must be limited to store purchased:
(a) Uncut fruits and vegetables; and
(b) Foods prepackaged in original manufacturer's containers.
(7) If a child has a food allergy or special menu requirements due to a health condition, you must:
(a) Receive written directions from the child's parent to provide nutrient supplements (such as fluoride, iron), a medically modified diet (such as a fluid restriction or diabetic diet), or an allergy diet. For allergy diets, the parent and child's health care provider must identify the foods the child is allergic to;
(b) Post each child's food allergies in locations where food is prepared and served;
(c) Include the allergies on the individual health care plan;
(d) Specify an alternative food with comparable nutritive value; and
(e) Notify staff of the allergies and reactions. NOTE: You can require parents to supply food for supplements and special diets.
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(1) Monitor and oversee food handling and service at the center; and
(2) Provide orientation and on going training as needed for all staff involved in food handling. Anyone cooking full meals must have a food handlers permit.
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(1) Prepare or serve food that is not tampered with or spoiled and is obtained from an approved source including, but not limited to, a licensed caterer, a food service company or a grocery store. Food sources that are not approved include:
(a) Left over food that was previously served from outside your center;
(b) Home canned, frozen or prepared food unless it is for the person's own children;
(c) Donated food from restaurants or caterers that was previously served;
(d) Game meat that has not been inspected by the USDA; and
(e) Donated meat, fish, poultry or milk that is not from a source inspected for sale.
(2) Prepare all food on site unless it is provided by a:
(a) Licensed satellite kitchen, catering kitchen or other source licensed by the local health jurisdiction; or
(b) Parent for individual children.
(3) Have a signed contract or agreement with any satellite kitchen or the catering service that you use. Your contract must include written proof that the caterer and the method of transporting the food are approved by the local health jurisdiction as meeting the requirements of department of health, chapter 246-215 WAC.
(4) Have a written policy if you use a satellite kitchen that describes:
(a) A description of how food will be handled once it is on-site; and
(b) What back up system you will use if the food does not arrive, not enough food arrives, or the food cannot be served.
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(a) Food will be cooked to the minimum correct internal temperature:
(i) Ground beef and pork sausage 155°F;
(ii) Pork 150°F;
(iii) Fish and seafood 140°F;
(iv) Poultry and stuffing 165°F;
(v) Eggs 140°F;
(vi) Beef (not ground) and lamb 140°F.
(b) Previously prepared food is reheated one time only to an internal temperature of 165°F within sixty minutes;
(c) Hot food is kept at a temperature of 140°F or above until served;
(d) Cold food is kept at a temperature of 45°F or less;
(e) Refrigerators have a thermometer in or near the door and are kept at 45°F or less; and
(f) Freezers have a thermometer in or near the door and are kept at 10°F or less.
(2) You must develop a system to record the temperature of each perishable food once it arrives from a satellite kitchen or a catering service. The system must include keeping records on site for six months with the following information:
(a) The name and the temperature of the food;
(b) The date and time the temperature was checked; and
(c) The name and signature or recognized initials of the person who is checking and recording the food temperatures.
(3) You may serve previously prepared food that has not been previously served that was stored at the proper temperature for up to forty-eight hours after preparation. Leftover foods or open foods in the refrigerator must be labeled with the date that they were opened or cooked.
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(1) In the original containers or in clean, labeled containers that are airtight and off the floor;
(2) In a manner that prevents contamination from other sources;
(3) In an area separate from toxic materials such as cleaning supplies, paint, or pesticides;
(4) That is not past the manufacturer's expiration or freshness date;
(5) In a refrigerator or freezer if cooling is required;
(6) Raw meat, poultry or fish must be stored in the refrigerator, below cooked or ready to eat foods;
(7) Foods not requiring refrigeration must be stored at least six inches above the floor in a clean, dry, ventilated storeroom or other areas; and
(8) Dry bulk foods not in their original containers, must be stored in containers with tight fitting covers. Containers must be labeled and dated.
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(a) In a refrigerator;
(b) Under cool running water, in a pan placed in a sink with the stopper removed;
(c) In a microwave, if the food is to be cooked immediately; or
(d) As part of the continuous cooking process.
(2) You may not use the microwave oven to thaw and heat infant formula, breast milk any infant food or as the initial source for cooking food.
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(1) Kitchen walls, counter tops, floors, cabinets and shelves that are:
(a) Maintained in good repair to include being properly sealed without chips or cracks;
(b) Moisture resistant; and
(c) Maintained in a clean and sanitary condition.
(2) A commercial or noncommercial type range with a properly vented hood or exhaust fan, except when serving only snacks;
(3) A commercial or noncommercial type refrigerator, freezer or a combination refrigerator with sufficient space for proper storage and cooling of food;
(4) Hand washing facilities located in or adjacent to the food preparation area with hand washing procedures posted at each sink used for hand washing and followed by all persons who participate in food preparation.
(5) A method to clean and sanitize equipment using:
(a) A two compartment sink and a domestic or home type automatic dishwasher capable of reaching a temperature of 140°F; or
(b) The means to appropriately clean and sanitize dishes and utensils through the use of a three compartment sink method where sink one is used to wash, sink two is used to rinse, and sink three contains a sanitizing ingredient;
(7) You may use a microwave oven to reheat foods if the food is:
(a) Rotated or stirred during heating;
(b) Covered to retain moisture; and
(c) Held for two minutes prior to serving to allow the temperature to spread evenly throughout the food.
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(a) Cleaned between use by different children;
(b) Free from cracks or chips;
(c) Individual; and
(d) Developmentally appropriate.
(2) You must not directly serve food on the table without a plate or paper napkin;
(3) You must use gloves, tongs, or spoons to serve food;
(4) You may have inclined jet-type drinking fountains. Bubble-type drinking fountains and drinking fountains attached to or part of sinks used for any purpose other than the drinking fountain cannot be used; and
(5) You must not have drinking fountains in restrooms.
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CARE OF YOUNG CHILDREN
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(1) Have written policies on providing, preparing, storing and sanitizing infant formula, food and utensils; and
(2) Work with the infant's parent to develop a plan for the infant's feedings that is acceptable to the parent and incorporates the following guidelines:
| Developmental Stage/Age of Infant | Type of Feeding |
| (a) Under 4 months of age | Serve only formula or breast milk unless you have a written order from the child's health care provider. |
| (b) When baby can: (at about
4-6 months of age) Site with support Hold heath steady Close lips over the spoon Keep food in mouth and swallow it. |
Begin iron fortified baby cereal and plain pureed fruits and vegetables upon consultation with parents. |
| (c) When baby can: (at about
6-8 months) Sit without support Begin to chew Sip from a cup with help Grasp and hold onto things |
Start small amounts of juice, or
water in a cup. Let baby begin to feed self. Start semi-solid foods such as cottage cheese, mashed tofu, mashed soft vegetables or fruits. |
| (d) When baby can: (at about
8-10 months) Take a bite of food Pick up finger foods and get them into the mouth Begin to hold a cup while sipping from it |
Small pieces of cheese, tofu,
chicken, turkey, fish or ground
meat. Small pieces of soft cooked vegetables, peeled soft fruits. Toasted bread squares, unsalted crackers or pieces of soft tortilla. Cooked plain rice or noodles. Only formula, breast mile, juice or water in the cup. |
| (e) When a baby can: (10-12
months) Finger Feed Chew and swallow soft, mashed and chopped foods Start to hold and use a spoon Drink from a cup |
Begin offering small sized,
cooked foods. Variety of whole grain cereals, bread and crackers, tortillas. Cooked soft meats, mashed legumes (lentils, pinto beans, kidney beans, etc.), cooked egg yolks, soft casseroles. |
| (f) When a baby can eat a variety of foods from all food groups without signs of an allergic reaction | Fruit pieces and cooked
vegetables. Yogurt, cheese slices. Offer small amounts of formula, breast milk or water in the cup during meals. |
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Reviser's note: The typographical error in the above section occurred in the copy filed by the agency and appears in the Register pursuant to the requirements of RCW 34.08.040.
NEW SECTION
WAC 388-295-4030
What is a safe way to prepare bottles?
(1) Parents may bring filled bottles labeled with the infant's
name from home for daily use (see WAC 388-295-4040).
(2) To prepare bottles you must:
(a) Prepare and fill bottles by washing hands prior to bottle preparation;
(b) Use a sink that is only for bottle preparation, other food preparation or other approved source of water. Water from a handwashing sink may not be used for bottle preparation; and
(c) Do not heat a bottle in a microwave or allow bottles to warm at room temperature for more than an hour, to limit bacterial growth.
(3) The bottle preparation sink must:
(a) Be located at least eight feet from the outermost edge of diaper changing tables or counters and sinks used for diaper changing; or
(b) Have a barrier to prevent cross-contamination that is placed between the sink used for food or bottle preparation and the diaper changing table, counter or sink. If a barrier is used, it must be:
(i) Solid (without cracks or breaks);
(ii) Sealed;
(iii) Moisture-resistant; and
(iv) At least twenty-four inches in height from the counter surface.
(4) If the infant room does not have a sink that is dedicated to bottle and food preparation, you must provide a clean source of water for preparing bottles such as getting water from the kitchen and keeping it in a container with an airtight cover that:
(a) Is located at least eight feet from the outermost edge of diaper changing tables or counters and sinks used for diaper changing; or
(b) Has a barrier that meets the requirements in WAC 388-295-4030 (3)(b) to prevent cross-contamination that is placed between the sink used for food or bottle preparation and the diaper changing table, counter or sink.
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(1) Be sure the correct formula or breast milk is provided to the infant by labeling all bottles with the infant's full name and the date the bottle was filled;
(2) Have a refrigerator accessible to staff to store bottles and unserved, leftover infant food;
(3) Throw away the contents of any bottle not fully consumed within one hour. Do not put bottles that have been used back into the refrigerator;
(4) Throw away unused bottle contents within twelve hours of preparing or arriving at the center;
(5) Not serve infant formula past the expiration date on the manufacturers container; and
(6) Keep bottle nipples covered when not in use to reduce risk of cross contamination and exposure.
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(1) Label the contents with the child's name and date it was brought into the center;
(2) Store the frozen breast milk at 10°F or less;
(3) Thaw the breast milk in the refrigerator, under warm running water or in a pan of warm water; and
(4) Keep frozen breast milk in the center for no more than two weeks.
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(2) While feeding infants:
(a) Hold infants for bottle feedings to prevent choking;
(b) Place infants who can sit in high chairs for feeding and sit and face the child during the feeding;
(c) Do not prop a bottle;
(d) To prevent tooth decay, do not give a bottle to a reclining child unless the bottle contains only water and offer juice only from a cup; and
(e) Take the bottle from the child when the child finishes feeding.
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(1) Using positive reinforcement;
(2) Cultural sensitivity;
(3) Not using foods as a reinforcement; and
(4) Following a routine established between the parent and you.
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(1) Located in the toilet room or similar area that meets the requirements of WAC 388-295-5100 designed for toileting;
(2) On a floor that is moisture resistant and washable;
(3) Immediately emptied into a toilet; and
(4) Cleaned in a designated sink or utility sink separate from classrooms and sanitized after each use. The sink must also be cleaned and sanitized after cleaning potty-chairs.
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(2) You must provide each infant with a single-level crib (stacking cribs must not be used), infant bed, bassinet or playpen for napping until you and the parent agree that the child can safely use a mat, cot or other approved sleeping equipment.
(3) Cribs, if used, must:
(a) Be sturdy and made of wood, metal or plastic with a secure latching device;
(b) Be constructed with vertical slats that are no more than two and three-eighths inches apart or be solid plexiglas;
(c) Have corner posts that extend less than one-sixteenth of an inch above the sides and railing;
(d) Not have cutout designs on the end panels;
(e) Have a rail height and end panel as measured from the top of the rail or panel in its lowest position to the top of the mattress support in its highest position of at least nine inches;
(f) Have a rail height and end panel as measured from the top of the rail or panel in its highest position to the top of the mattress support in its lowest position of at least twenty-six inches; and
(g) Not use crib bumper pads, stuffed toys, quilts, lambskins, and pillows in cribs, infant beds, bassinets or playpens.
(4) You must provide a crib, infant bed, playpen or bassinet mattress that is:
(a) Snug fitting and touches each side of the crib to prevent the infant from becoming entrapped between the mattress and crib side rails;
(b) Waterproof; and
(c) Easily cleaned and sanitized, without tears and, tape.
(5) You must space cribs to allow walking room between cribs and to reduce the spread of germs by:
(a) Spacing cribs a minimum of thirty inches apart. Cribs may be placed end to end if a barrier is provided. If barriers are provided, arrangements must permit the staff to observe and have immediate access to each child.
(b) Providing a moisture resistant and easily cleanable solid barrier on the side or end adjacent to another crib.
(6) You must be sure that the child has bedding that is:
(a) An appropriate fitting sheet or cover for the sleeping surface;
(b) A clean light weight blanket or suitable cover for the child; and
(c) Laundered at least weekly and more often if the bedding becomes soiled.
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(2) Once infants are able to turn over, continue to place them on their back to sleep. You do not need to wake the infants to return them to their back while sleeping.
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(a) Have a washable, moisture resistant diaper-changing surface that is cleaned and sanitized between children;
(b) Be a table or counter with a protective barrier on all sides that is at least three and one-half inches higher than the surface that the child lays on;
(c) Have a garbage can with a lid, plastic liner, and method for disposing of hand drying supplies so that a garbage can lid does not have to be opened with hands;
(d) Be on moisture impervious and washable flooring that extends at least two feet surrounding the diaper changing and handwashing area; and
(e) Be directly adjacent to a sink used for hand washing supplied with:
(i) Warm running water (between 85°F and 120°F);
(ii) Soap; and
(iii) A sanitary method for drying hands (single use towels).
(2) You must have the diaper changing procedure posted and must follow the steps included.
(3) You must not leave the child unattended during the diaper change.
(4) You must not use the safety belts on diaper changing tables because they are neither cleanable nor safe.
(5) You must not place anything on the diaper-changing table, counter or sink except the child, changing pad and diaper changing supplies.
(6) Disposable diapers must be:
(a) Individually bagged and placed into a cleanable, covered container equipped with a waterproof liner;
(b) Removed from the facility and the liner changed at least daily and more often if odor is present; and
(c) Disposed of according to local disposal requirements.
(7) Re-useable diapers must be:
(a) Individually bagged and placed without rinsing into a separate, cleanable, covered container equipped with a waterproof liner before transporting to the laundry, given to the commercial service or returned to parents for laundry; and
(b) Removed from the facility daily or more often if odor is present.
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(2) If you are required to have an infant nurse consultant, you must:
(a) Have a written agreement with a nurse consultant who is a currently licensed registered nurse (RN) who has either worked in pediatrics (care of children) or public health in the past year or has taken or taught classes in pediatric nursing at the college level in the past five years;
(b) Have at least one monthly on-site visit from your nurse consultant when you have infants enrolled (you may skip the monthly visit if no infants are enrolled);
(c) Have the nurse or a designee that meets the requirements of a nurse consultant available by phone as needed; and
(d) Have written notes of the nurse consultant visit on-site that includes topics discussed, areas of concern, date and signature.
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SAFETY AND ENVIRONMENT(a) A supply for each vehicle used to transport children; and
(b) A portable supply, which can be taken on walks and field trips.
(2) You must store first aid supplies:
(a) Inaccessible to children;
(b) In an area easily accessible to staff;
(c) Easily separated from food; and
(d) In a clean and safe manner to prevent contamination such as in a tackle box or other container, away from chemicals and moisture.
(3) Your first aid kit must include at least:
(a) A current first-aid manual;
(b) Sterile gauze pads;
(c) Small scissors;
(d) Band-Aids of various sizes;
(e) Roller bandages;
(f) Large triangular bandage (sling);
(g) Nonsterile protective gloves;
(h) Adhesive tape;
(i) Tweezers;
(j) One-way CPR barrier or mask; and
(k) At least one unexpired bottle of Syrup of Ipecac that must be given only at the direction of a poison control center.
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(a) Burns (for example: Chemicals or other potentially flammable substances);
(b) Drowning;
(c) Choking (for example: Ropes, wires, blind cords, fences not meeting requirements);
(d) Cuts (for example: Broken glass, sharp objects, abrasive surfaces);
(e) Entrapments (for example: The following items must not have openings between three and one-half inches and nine inches wide: Deck and fence rails, stair rails or other equipment);
(f) Falls from excessive heights;
(g) Gunshots by ensuring no firearm or another weapon are on the premises;
(h) Hearing loss by keeping noise at a level where a normal conversation can be heard;
(i) Objects falling on the children (for example heavy items on open shelving that could fall in an earthquake or similar emergency);
(j) Pinches from equipment (for example broken or cracked areas);
(k) Poison (such as cleaning supplies or lead-based paint);
(l) Puncture (for example equipment, building edges or playground equipment with sharp points or jagged edges);
(m) Shear or crush (for example lawn and garden equipment used for yard maintenance);
(n) Shock by electricity;
(o) Trap (for example compost bins, old freezers, dryers or refrigerators); and
(p) Trip (for example cable wires, ropes, jagged or cracked walkways).
(2) To further prevent injuries, you must
(a) Provide child height handrails on at least one side of the steps, stairways, and ramps;
(b) Provide guardrails for elevated play areas and stairs;
(c) Use listed tamper resistant receptacles or use tamper resistant, nonmoveable, nonremovable cover plates in areas accessible to children preschool age and younger;
(d) Shield light bulbs and tubes by using a protective barrier to prevent shattering into child-accessible areas, food, and storage areas;
(e) Provide screens for windows or limit the opening capability of any windows within reach of children to less than three and one-half inches. Windows with limited opening capabilities cannot be the designated fire escape window. Windows protected with guards must not block outdoor light or air in areas used by children;
(f) Provide a barrier for glass areas such as windows or sliding glass doors that extend down to the child's eye level by placing a barrier between the child and glass or something placed on the glass at the child's eye level such as stickers or art work so that the child does not try to go through the solid glass;
(g) Not place cribs, play pens, bassinets, infant beds, indoor climbing structures next to windows unless of safety glass; and
(h) When using heaters capable of reaching 110°F on the surface, you must protect children from burn hazards by making them inaccessible to children or locating them where children cannot reach them.
(3) You may not use portable heaters.
(4) You must implement a method to monitor entrance and exit doors to prevent children from exiting the buildings unsupervised. You may use:
(a) A door alarm;
(b) A bell that can be heard throughout the building;
(c) Adult supervision at the exits; or
(d) Other method to alert the staff (you cannot lock the door to prevent an exit. It is against the fire code).
(5) You must maintain one or more telephones on the premises in working order that is accessible to staff at all times.
(6) You must maintain a flashlight or other emergency lighting device in working condition.
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(2) The fire plan must follow the requirements in chapter 212-12 WAC or the state fire marshal requirements.
(3) In areas where local emergency plans are in place, such as school district emergency plan, centers may follow those procedures and actions in developing their own plan.
(4) The disaster plan must be:
(a) Specific to the child care center;
(b) Relevant to the types of disasters that might occur in the location of your child care center;
(c) Able to be implemented during hours of operation; and
(d) Posted in every classroom for easy access by parents and staff.
(5) Your disaster plan must identify:
(a) The designated position of the person (example: director, lead teacher, program supervisor, etc.) who is responsible for each part of the plan;
(b) Procedures for accounting for all children and staff during and after the emergency;
(c) How the premises will be evacuated, if necessary, and the meeting location after evacuation;
(d) How to address care of children with special needs during and after the disaster;
(e) How children will be provided for until parents are able to pick them up;
(f) How parents will be contacted or will be directed to contact the child care center; and
(g) Transportation arrangements, if necessary.
(6) The disaster plan must be read, reviewed and signed annually by the director, staff and parents. Your written records must include signatures and dates of persons completing the annual disaster plan review on-site.
(7) In addition to the requirements for fire drills and training set forth by the state fire marshal in chapter 212-12 WAC, you must:
(a) Document staff education and training of the disaster plan;
(b) Conduct and document quarterly disaster drills for children and staff (you do not have to conduct a drill quarterly for each potential disaster - just one drill per quarter);
(c) Keep written documentation of the drills on-site; and
(d) Debrief and evaluate the plan in writing after each disaster incident or drill.
(8) You must keep the twelve month record indicating the date and time you conducted the required monthly fire evacuation drills on-site for the current year plus the previous calendar year.
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(a) Designed to be cleaned frequently;
(b) Moisture-resistant; and
(c) Free from cracks, chips or tears.
(2) Examples of cleanable surfaces include linoleum, tile, sealed wood, and plastic.
(3) You must maintain the building, equipment and premises in a clean and sanitary manner that protects the children from illness including but not limited to:
(a) Ensure that floors around sinks, toilets, diaper change areas and potty chairs are moisture resistant and easily cleanable for at least twenty-four inches surrounding the surfaces; and
(b) Take measures to control rodents, fleas, cockroaches, and other pests in and around the center premises such as:
(i) Keep all trash and garbage cans tightly sealed;
(ii) Screen open windows and doors;
(iii) Seal and store food properly; and
(iv) Keep floors and other areas free from crumbs and food debris.
(4) Surfaces can be cleaned:
(a) With any cleaning solution such as soap and water, cleanser or cleaning spray;
(b) With a concentration according to label directions; and
(c) Rinsed as needed per label directions.
(5) You may use a bleach solution to sanitize in the following areas:
(a) Diapering areas;
(b) Surfaces exposed to body fluids;
(c) Bathrooms and bathroom equipment;
(d) Table tops;
(e) High chairs;
(f) Toys;
(g) Dishes;
(h) Floors; and
(i) Sleeping mats.
(6) You may use any solution that is intended for sanitizing if the solution is approved by the department. When you use a product other than bleach to sanitize, you must:
(a) Follow the label directions for use including concentration, contact time and rinsing; and
(b) Be sure that if you use the product on food contact surfaces and items that children might put into their mouths, the label states the product is safe for food contact surfaces.
(7) The following are surfaces that need to be cleaned and sanitized and a minimum schedule for that cleaning:
(a) Tables and counters used for food serving and high chairs before and after each meal or snack;
(b) Sinks, counters and floors daily, or more often if necessary;
(c) Refrigerators monthly or more often as needed;
(d) Bathrooms (including sinks, toilets, counters and floors) daily and more often if necessary;
(e) Floors will be swept, cleaned and sanitized daily;
(f) Carpet vacuumed at least daily and shampooed as needed but at lest every six months;
(g) Toys that children place in their mouth between use by different children;
(h) Infant and toddler toys daily; and
(i) Sleeping mats, cribs and other forms of bedding between use by different children and at least weekly.
(8) Your health policies and procedures must describe your frequency for general cleaning, dusting, cleaning toys, toy shelves, and equipment.
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(a) Ensure that pools are inaccessible to children when not in use;
(b) Provide a certified lifeguard at all times in addition to required staff, when children use a swimming pool; and
(c) Follow any guidelines established by your local health jurisdiction or the state department of health.
(2) You must prohibit children from using or having access to a hot tub spa, small portable wading pools, whirlpool, or other similar equipment.
(3) If you have a water table you must empty and sanitize water tables or similar water play containers after each use and more often if necessary.
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(a) Stored in original containers or in department approved safety containers that identify contents;
(b) Stored to comply with fire safety regulations adopted by the state fire marshal's office; and
(c) Ventilated either by mechanical ventilation to the outdoors or through a window that opens on the exterior wall.
(2) Your janitorial or housekeeping storage must have:
(a) Floor surfaces that are moisture impervious and easily cleanable;
(b) A designated utility or service sink for disposing of wastewater; and
(c) A place for mop storage that is ventilated to the outside.
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(2) Hot water that is accessible to children must be between 85°F and 120°F.
(3) To be sure your water is safe for drinking, cleaning, cooking and handwashing, you must:
(a) Receive drinking water from a public water system approved by and maintained in compliance with either the department of health or a local health jurisdiction under chapter 246-290 WAC (Group A systems) or chapter 246-291 WAC (Group B systems); or
(b) Have a source of potable water approved for child care center use by the state department of health or the local health jurisdiction; and
(c) Take any other actions required or requested by the state department of health, the local health jurisdiction or the department of social and health services to ensure the safety and reliability of the water supply.
(4) If your water connection is interrupted or your water source becomes contaminated:
(a) A correction must be made within twenty-four hours or the facility must close until corrections can be made; or
(b) The facility must obtain an alternative source of potable water approved by the state department of health or local health jurisdiction in an amount adequate to ensure the requirements in this chapter for safe drinking water, hand-washing, sanitizing, dishwashing, and cooking are met.
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(2) If you have an on-site sewage system, you must:
(a) Have written verification that the system has been approved by the department of health or local health jurisdiction; and
(b) Locate your drain field and venting to be sure that:
(i) Playgrounds are not on and do not interfere with the access to or operation of the on-site sewage system including the drain field; and
(ii) That drain field venting does not vent onto the playground.
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(a) Prevent unauthorized people from entering; and
(b) Prevent children from escaping and having access to hazardous areas.
(2) At a minimum fences and gates must:
(a) Be safe, and maintained in good repair; and
(b) Be designed to discourage climbing and prevent entrapment.
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(a) A toilet room that is vented to the outdoors;
(b) A room with flooring that is moisture resistant and
washable;
(c) One flush-type toilet and one adjacent sink for hand washing within auditory (hearing) range of the child care classrooms for every fifteen children and staff;
(d) Toileting privacy for children of opposite genders who are six years of age and older, or when a younger child demonstrates a need for privacy; and
(e) A mounted toilet paper dispenser within arms reach of the user with a constant supply of toilet paper for each toilet.
(2) Children eighteen months of age or younger are not included when determining the number of required flush-type toilets.
(3) If urinals are provided, the number of urinals must not replace more than one-third of the total required toilets.
(4) Toilet fixture heights must be as follows:
| If the age group is: | The toilet fixture height must be: |
| (a) Toddler: Eighteen months through 29 months |
(i) Ten - 12 inches (child size); or (ii) Fourteen - 16 inches (adult size) with a safe, easily cleanable platform that is moisture impervious and slip resistant. |
| (b) Preschool or older: Thirty months of age through five years of age not enrolled in kindergarten or elementary school |
(i) Ten - 12 inches (child size); or (ii) Fourteen - 16 inches (adult size) with a safe, easily cleanable platform that is moisture impervious and slip resistant. |
| If the age group is: | The sink height must be: |
| (a) Toddler: Twelve months through 29 months |
(i) Eighteen - 22 inches; or (ii) Provide a moisture and slip resistant platform for children to safely reach and use the sink. |
| (b) Preschool or older: Thirty months of age through five years of age not enrolled in kindergarten or elementary school |
(i) Twenty-two - 26 inches; or (ii) Provide a moisture and slip resistant platform for children to safely reach and use the sink. |
| (c) School age: Over five years of age or enrolled in kindergarten or elementary school |
(i) Twenty-six - 30 inches; or (ii) Provide a moisture and slip resistant platform for children to safely reach and use the sink. |
(7) The sink for hand washing must:
(a) Be located in or immediately outside of each toilet room;
(b) Have water controls that are accessible by the intended user; and
(c) Not be used for food preparation, as a drinking water source or a storage area.
(8) You must have:
(a) Single use paper towels and dispensers; or
(b) Heated air-drying devices.
(9) You must use soap from some type of dispenser to prevent the spread of bacteria from the soap.
(10) If the center is equipped with a bathing facility, you must:
(a) Have parent permission to bathe children;
(b) Equip the bathing facility with a conveniently located grab bar and a nonskid pad or surface; and
(c) Provide constant supervision for the child five years of age and younger and older children who require supervision.
(11) You must make the bathing facility inaccessible to children when not in use.
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(a) Cleaned and rinsed;
(b) Sanitized with hot water that reaches at least 140°F or use an alternative method such as chlorine bleach that has been approved by the department;
(c) Stored to keep soiled linen and laundry separate from clean linen;
(d) Separate from kitchen and food preparation areas; and
(e) Inaccessible to children.
(2) You also must ensure the dryer is ventilated to outside the building.
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(1) You must:
(a) Provide a separate, firm and waterproof mat or mattress, cot, sleeping bag or bed for each child or have a system for cleaning the equipment between children;
(b) Place mats or cots at least thirty inches apart at the sides and arrange children head to toe or toe to toe;
(c) Be sure that the bedding consists of a clean sheet or cover for the sleeping surface and a clean blanket or suitable cover for the child;
(d) Be sure the bedding is laundered weekly or more often if necessary and between uses by different children;
(e) Store each child's bedding separately from bedding used by other children. Once the bedding has been used, it is considered dirty. One child's bedding cannot touch another child's bedding during storage;
(f) Keep mats clean and in good repair. Once a mat is torn it is not cleanable. Duct tape or fabric cannot be used to repair sleeping mats or mattresses; and
(g) Use only cots where the cot surface is of a material that can be cleaned with a detergent solution, disinfected and allowed to air dry.
(2) You may not use the upper bunk of a bunk bed for children under six years of age.
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(a) Sixty-eight°F to 75°F during winter months; and
(b) Sixty-eight°F to 82°F during the summer months.
(2) In addition, you must:
(a) Equip the room or building with a mechanical air cooling system or equivalent when the inside temperature of child-occupied areas exceeds 82°F. This includes but is not limited to, swamp coolers, fans, air conditioners, or drip systems;
(b) Not take children outdoors during extremes temperatures that put children at risk for physical harm.
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(a) Establish a policy on the use of pesticides that includes your posting and notification requirements;
(b) Provide a written copy of your pesticide policies annually or on enrollment to parents that includes your posting and notification requirements;
(c) Notify parents, guardians, and any other interested parties forty-eight hours in advance of the application of pesticides; and
(d) Require the pesticide applicator to provide a copy of the records required within twenty-four hours of when the pesticide is applied.
(2) Your notification must include a heading stating "Notice: Pesticide Application and..." at a minimum must state the:
(a) Product name of the pesticide being used;
(b) Intended date and time of application;
(c) Location where the pesticide was applied;
(d) Pest to be controlled; and
(e) Name and number of a contact person at the facility.
(3) To notify people that a pesticide has been used, you must place a marker at each primary point of entry to the center grounds. The marker must be:
(a) A minimum of four inches by five inches;
(b) Printed in colors contrasting to the background; and
(c) Left in place for at least twenty-four hours following the pesticide application or longer if a longer restricted period is stated on the label.
(4) The marker must include:
(a) A headline that states "This landscape has recently been sprayed or treated with pesticides";
(b) Who has treated the landscape; and
(c) Who to call for more information.
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(a) Notify the parents in writing that animals are on the premises and the potential health risks associated with the animals to include how to address the needs of children having allergies to animals;
(b) Have a signed document from each parent stating they understand the potential health risks;
(c) Not hang pet containers or cages in corridors, entryways or over where children eat, sleep, and play;
(d) Post handwashing signs in areas where pets are housed;
(e) Have containers or cages to prevent debris from spilling out of the container or cage. The container or cage must not be located in corridors, entrance ways, or where children eat, or play;
(f) Assign responsible staff to ensure pet containers, cages, and litter boxes are cleaned and disinfected at least weekly and more often if needed;
(g) Not allow animals in food preparation areas. If the sink is used for cleaning food or utensils it cannot be used to clean pet supplies;
(h) Not allow animals in rooms that typically are used by infants or toddlers;
(i) Keep on file proof of current rabies vaccinations for all dogs and cats;
(j) Meet local requirements in counties with immunization, vaccination and licensing requirements for animals; and
(k) Organize children into small groups for supervised activity for handling of pets.
(2) You must develop policies and procedures for management of pets to include:
(a) How the needs of children who have allergies to pets will be accommodated;
(b) How pet containers, cages, litter boxes will be cleaned and sanitized and who will do it;
(c) How pets will receive food and water, and be kept clean and who will do it;
(d) Curricula for teaching children and staff about safety and hygiene when handling pets; and
(e) Pets (excluding aquatic animals) showing signs of illness must be removed from the facility until they have been seen, treated and given approval to return to the center by a veterinarian. Written proof of veterinary visits must be maintained on file.
(3) Reptiles must be in an aquarium or other totally self-contained area except during educational activities involving the reptile.
(4) Animals with a history of biting or other aggressive behaviors must not be on the premises of the child care center.
(5) You must ensure children wash their hands after handling animals.
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AGENCY PRACTICES(2) You must:
(a) Post a nondiscrimination poster where families and staff can easily read it;
(b) Have a written nondiscrimination policy; and
(c) Comply with the requirements of the Americans with Disabilities Act.
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(1) Respect and facilitate the rights of the child in care to observe the tenets of the child's faith, consistent with state and federal laws;
(2) Not punish or discourage the child for exercising these rights; and
(3) Maintain a written description of the center's religious polices and practices that affect the child in care.
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(2) You must immediately report an instance when you or the staff have reason to suspect that child physical, sexual, or emotional abuse, child neglect, or child exploitation as defined in chapter 26.44 RCW has occurred. This report must be made to children's administration central intake.
(3) If there is immediate danger to a child you must also make a report to local law enforcement.
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(2) You, your staff, parents, and volunteers must not smoke:
(a) Inside the center building;
(b) While supervising children outdoors; or
(c) In a motor vehicle while transporting children.
(3) You, your staff, parents, and volunteers may smoke outdoors, off the premises and out of view of the children.
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(a) The child's parent;
(b) You;
(c) An employee or volunteer who has received a Washington state patrol background check clearance; and
(d) A representative of a governmental agency who has specific, verifiable authority supported by documentation for the access.
(2) You must not allow anyone else unsupervised access to a child in care. A parent can only have unsupervised access to his or her own child unless the parent signs an authorization for an individual to have unsupervised access to their own child. (For example a therapist.)
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RECORDS, REPORTING, AND POSTING(a) Completed enrollment application signed by the parent;
(b) Name, birth date, dates of enrollment and termination, and other identifying information;
(c) Name, address, and home and business telephone number of the parent and other person to be contacted in case of an emergency;
(d) Health history;
(e) Individual plan of care when needed for chronic health conditions and life threatening medical conditions;
(f) Written consent from the parent for you to seek and approve medical care in an emergency situation, a court order waiving the right of informed consent, or parent's alternate plans for emergency medical and surgical care if the parent can not be reached;
(g) Information on how to contact the parents, especially in emergencies;
(h) Instructions from parent or health care providers related to medications, specific food or feeding requirements, allergies, treatments, and special equipment or health care needs if necessary;
(i) Written records of any illness or injury that occurs during child care hours and the treatment provided; and
(j) Written records of any medications given while the child is at child care.
(2) You must include the following authorizations in each child's record:
(a) Name, address, and telephone number of the person authorized to remove the child from the center;
(b) Written parental consent for transportation to and from school; and
(c) Written parental consent for transportation provided by the center to and from field trips, including field trip location, date of trip, departure and arrival times and any other additional information the parent may need to be advised of.
(3) You can use any health history form you choose as long as it includes:
(a) The date of the child's last physical exam or the date the child was last seen by a health care provider for reasons other than immunizations;
(b) Allergies, expected symptoms, and method of treatment if necessary;
(c) Health and developmental concerns or issues;
(d) Any life threatening medical condition that requires an individual health plan;
(e) A list of current medications used by the child;
(f) Name, address and phone number of the child's health care provider; and
(g) Name, address and phone number of the child's dentist, if the child has a dentist.
(4) The individual records, including the certificate of immunization status, must be kept on the premises:
(a) For each child currently in care; and
(b) For one year after the child leaves your care.
(5) Attendance records, sign in and out records and invoices for state-paid children must be kept for fives years after the child leaves your care.
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(a) See that each child has a completed certificate of immunization status form submitted or on file before the first day of child care;
(b) Develop a system to audit and update as scheduled the information on the certificate of immunization status forms;
(c) Meet any requirement of the department of health WAC 246-100-166; and
(d) Have available on the premises the certificate of immunization status forms for review by the health specialist, licensor, the department of health, and nurse consultant.
(2) You may accept a child whose immunizations are started but not up to date on a "conditional" basis if:
(a) For children whose records are difficult to obtain (such as foster children), there is written proof that the case worker or health care provider is in the process of obtaining the child's immunization status prior to the child starting child care; or
(b) The required immunizations are started prior to children starting child care; and
(c) The immunizations are completed as rapidly as medically possible. You must work with the parent, health care provider, or local health department to obtain an immunization plan.
(3) If a parent or health care provider chooses not to immunize a child, they must sign the exempt portion of the certificate of immunization status form.
(4) You may have a policy that states you will not accept children who have been exempted from immunizations by their parent or guardian, unless that exemption is due to an illness protected by the American With Disabilities Act (ADA).
(5) The certificate of immunization status forms for children who are currently enrolled must be accessible and maintained on the premises in a confidential manner.
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(1) The parent or other person authorized by the parent to take the child to or from the center must sign in the child on arrival and must sign the child out at departure, using a full legal signature;
(2) When the child leaves the center to attend school or participate in off-site activities as authorized by the parent you or your staff must sign out the child, and sign in the child on return to the center; and
(3) Attendance records and invoices for state paid children must be kept on the premises for at least five years after the child leaves your care.
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(1) Copies of the most recent child care center checklists for licensing renewal and facility licensing compliance agreement for any deficiencies noted; and
(2) Copies of the most recent child care centers monitoring checklist and facility licensing compliance agreement for and deficiencies noted.
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(a) An application for employment on a form prescribed by us, or on a comparable form approved by the department; and
(b) A criminal history and background inquiry form.
(2) You must submit the criminal history and background inquiry form to us within seven calendar days of the employee's first day of work. The form authorizes a criminal history background inquiry for that person.
(3) Until the criminal background inquiry results are returned and show the employee to not be disqualified, the employee is not to be unsupervised with the children.
(4) We will discuss the information on the criminal history background inquiry form with you, the director, or other person responsible for the operation of the center, such as a human resources professional, if applicable.
(5) If you employ five or more people you must have written personnel policies. These policies must describe staff benefits, if any, and duties and qualifications of staff.
(6) You must maintain a system of record keeping for personnel. In addition to the other requirements in this chapter, you must keep the following information on file on the premises for yourself, each staff person and volunteer:
(a) An employment application, including work and education history;
(b) A photo copy of the Social Security card;
(c) A photo copy of a photo identification issued by a government entity;
(d) Documentation that a criminal history and background inquiry form was submitted;
(e) Written documentation of trainings and meetings such as but not limited to:
(i) Orientation;
(ii) On-going trainings;
(iii) Bloodborne Pathogen training (including HIV/Aids);
(iv) CPR/First Aid;
(v) Food handler's cards (if applicable);
(vi) STARS;
(vii) Staff meetings; and
(viii) Child abuse and neglect.
(f) Documentation of the results of Tuberculosis (TB) testing by the Mantoux skin test prior to starting work.
(7) Training documentation must include a certificate, card, or form with a copy placed in each individual employees file that contains the:
(a) Topic presented;
(b) Number of clock hours;
(c) Date and names of persons attending; and
(d) Signature and organization of the person conducting the training.
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(1) A death or a serious injury or illness that requires medical treatment or hospitalization of a child in care must be reported by telephone and in writing to the parent, licensor, and child's social worker, if the child has a social worker;
(2) Any instance when you or your staff have reason to suspect the occurrence of any physical, sexual, or emotional child abuse or child neglect, child endangerment, or child exploitation as required under described in chapter 26.44 RCW. You may make a report by calling the statewide number at 1-800-562-5624 or 1-866-Endharm; and
(3) An occurrence of food poisoning or reportable communicable disease, as required by the state board of health to the local public health department and to the licensor, by telephone.
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(1) Center's address, location, space or phone number;
(2) Maximum number and age ranges of children you wish to serve compared to the current license specifications;
(3) Number and qualifications of the center's staffing pattern that may affect staff capability to carry out the specified program, including:
(a) Change of ownership, chief executive, director, or program supervisor; and
(b) Death, retirement, or incapacity of the person licensed;
(4) Name of the licensed corporation, or name by which the center is commonly known, or changes in the center's articles of incorporation and by-laws;
(5) A fire, major structural change, or damage to the premises; and
(6) Plans for major remodeling of the center, including planned use of space not previously approved by the fire marshal's office or us.
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(1) The center's child care license issued under this chapter;
(2) A schedule of regular duty hours with the names of staff;
(3) A typical activity schedule, including operating hours and scheduled mealtimes;
(4) Meal and snack menus for the month;
(5) Evacuation plans and procedures, including a diagram of exiting routes;
(6) Emergency telephone numbers near the telephone;
(7) Nondiscrimination poster;
(8) For the staff, you must post:
(a) Dietary restrictions and nutrition requirements for particular children;
(b) Handwashing practices;
(c) Diaper changing procedures, if applicable;
(d) Disaster preparedness plan; and
(e) Center policies and procedures.
(9) You must post a notification advising parents that you are required to keep the following licensing information available on site for their review:
(a) Copies of the most recent child care center checklist for licensing renewal and facility licensing compliance agreement for any deficiencies noted; and
(b) Copies of the most recent child care centers monitoring checklist and facility licensing compliance agreement for any deficiencies noted.
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3217.1 The following sections of the Washington Administrative Code are repealed:
| WAC 388-150-005 | Authority. |
| WAC 388-150-010 | Definitions. |
| WAC 388-150-020 | Scope of licensing. |
| WAC 388-150-040 | Local ordinances and codes. |
| WAC 388-150-050 | Waivers. |
| WAC 388-150-060 | Dual licensure. |
| WAC 388-150-070 | Application and reapplication for licensing--Investigation. |
| WAC 388-150-080 | Licensed capacity. |
| WAC 388-150-085 | Initial license. |
| WAC 388-150-090 | When can my license application be denied and when can my license be suspended or revoked? |
| WAC 388-150-092 | Civil penalties. |
| WAC 388-150-093 | Civil penalties--Amount of penalty. |
| WAC 388-150-094 | Civil penalties--Posting of notice of penalty. |
| WAC 388-150-095 | Civil penalties--Unlicensed programs. |
| WAC 388-150-096 | Civil penalties--Separate violations. |
| WAC 388-150-097 | Civil penalties--Penalty for nonpayment. |
| WAC 388-150-098 | Probationary license. |
| WAC 388-150-100 | Activity program. |
| WAC 388-150-110 | Learning and play materials. |
| WAC 388-150-120 | Staff-child interactions. |
| WAC 388-150-130 | Behavior management and discipline. |
| WAC 388-150-140 | Rest periods. |
| WAC 388-150-150 | Evening and nighttime care. |
| WAC 388-150-160 | Off-site trips. |
| WAC 388-150-165 | Transportation. |
| WAC 388-150-170 | Parent communication. |
| WAC 388-150-180 | Staff pattern and qualifications. |
| WAC 388-150-190 | Group size and staff-child ratios. |
| WAC 388-150-200 | Staff development and training. |
| WAC 388-150-210 | Health care plan. |
| WAC 388-150-220 | Health supervision and infectious disease prevention. |
| WAC 388-150-230 | Medication management. |
| WAC 388-150-240 | Nutrition. |
| WAC 388-150-250 | Kitchen and food service. |
| WAC 388-150-260 | Drinking and eating equipment. |
| WAC 388-150-270 | Care of young children. |
| WAC 388-150-280 | General safety, maintenance, and site. |
| WAC 388-150-290 | Water safety. |
| WAC 388-150-295 | Water supply, sewage, and liquid wastes. |
| WAC 388-150-310 | First-aid supplies. |
| WAC 388-150-320 | Outdoor play area. |
| WAC 388-150-330 | Indoor play area. |
| WAC 388-150-340 | Toilets, handwashing sinks, and bathing facilities. |
| WAC 388-150-350 | Laundry. |
| WAC 388-150-360 | Nap and sleep equipment. |
| WAC 388-150-370 | Storage. |
| WAC 388-150-380 | Program atmosphere. |
| WAC 388-150-390 | Discrimination prohibited. |
| WAC 388-150-400 | Religious activities. |
| WAC 388-150-410 | Special requirements regarding American Indian children. |
| WAC 388-150-420 | Child abuse, neglect, and exploitation. |
| WAC 388-150-430 | Prohibited substances. |
| WAC 388-150-440 | Limitations to persons on premises. |
| WAC 388-150-450 | Child records and information. |
| WAC 388-150-460 | Program records. |
| WAC 388-150-470 | Personnel policies and records. |
| WAC 388-150-480 | Reporting of death, injury, illness, epidemic, or child abuse. |
| WAC 388-150-490 | Reporting of circumstantial changes. |
| WAC 388-150-500 | Posting requirements. |
| WAC 388-150-990 | Purpose and authority. |
| WAC 388-150-991 | Waiver of fees. |
| WAC 388-150-992 | Fee payment and refunds. |
| WAC 388-150-993 | Denial, revocation, suspension, and reinstatement. |