PDFWAC 246-105-040

Requirements based on national immunization guidelines.

The department shall develop and distribute implementation guidelines for schools and child care centers that are consistent with the national immunization guidelines described in this section and the requirements in WAC 246-105-090.
(1) Unless otherwise stated in this section, a child must be vaccinated against, or provide documentation of immunity against, each vaccine-preventable disease listed in WAC 246-105-030 at ages and intervals according to the national immunization guidelines in the "Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedule for Children and Adolescents Aged 18 Years or Younger—United States, 2019"; as published in the Morbidity and Mortality Weekly Report (MMWR) 2019; 68(5):112-114.
(2) As part of the implementation guidelines, the department shall align the ages and intervals specified in the national immunization guidelines and this chapter with a corresponding grade level.
(3) In addition to the ages and intervals required by subsections (1) and (2) of this section, the following vaccine administration guidelines shall apply.
(a) Schools shall accept proof of immunization status by grade level as required by subsection (2) of this section.
(b) Schools and child care centers may accept one of the following as proof of a child's immunization status against varicella:
(i) Documentation on the CIS form that the child received age appropriate varicella vaccine; or
(ii) Diagnosis or verification of a history of varicella disease by a health care provider acting within their scope of practice; or
(iii) Diagnosis or verification of a history of herpes zoster by a health care provider acting within their scope of practice; or
(iv) Serologic proof of immunity against varicella; or
(v) Documentation by the parent that a child has a history of varicella. This type of proof will be accepted only for certain grade levels described in the department's implementation guidelines according to WAC 246-105-090(2).
[Statutory Authority: RCW 28A.210.140 and RCW 28A.210.080, 28A.210.100. WSR 19-21-161, § 246-105-040, filed 10/22/19, effective 11/22/19. Statutory Authority: RCW 28A.210.140 and 28A.210.060. WSR 17-16-124, § 246-105-040, filed 7/31/17, effective 8/31/17; WSR 16-15-103, § 246-105-040, filed 7/20/16, effective 8/20/16. Statutory Authority: RCW 28A.210.140 and 28A.210.090. WSR 14-06-037, § 246-105-040, filed 2/25/14, effective 3/28/14. Statutory Authority: RCW 28A.210.140. WSR 12-17-018, § 246-105-040, filed 8/2/12, effective 9/2/12; WSR 11-05-060, § 246-105-040, filed 2/11/11, effective 3/14/11; WSR 09-02-003, § 246-105-040, filed 12/26/08, effective 1/26/09.]