WSR 13-21-110
PERMANENT RULES
DEPARTMENT OF
EARLY LEARNING
[Filed October 22, 2013, 8:08 a.m., effective November 22, 2013]
Effective Date of Rule: Thirty-one days after filing.
Purpose: To align chapter 170-296A WAC with department of health changes to chapter 246-110 WAC by removing references to "communicable disease" and replacing them with "contagious disease" and revising department of early learning's definition of "communicable disease" to refer to WAC 246-110-010.
Citation of Existing Rules Affected by this Order: Amending WAC 170-296A-2250, 170-296A-3200, 170-296A-3210, and 170-296A-4850.
Statutory Authority for Adoption: RCW 43.215.060 and 43.215.070, chapter 43.215 RCW.
Adopted under notice filed as WSR 13-17-067 on August 16, 2013.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 4, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 0.
Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 4, Repealed 0.
Date Adopted: October 22, 2013.
Elizabeth M. Hyde
Director
AMENDATORY SECTION (Amending WSR 11-23-068, filed 11/14/11, effective 3/31/12)
WAC 170-296A-2250 Reporting incidents to a child's parent or guardian and the department.
The licensee must report to a child's parent or guardian and the department:
(1) Immediately:
(a) Any incident reported under WAC 170-296A-2200, after calling 911;
(b) Any incident reported under WAC 170-296A-2225, after calling 911 and Washington poison center;
(c) A child's demonstrated acts, gestures or behaviors that may cause serious intentional harm to self, others or property; or
(d) Use of physical restraint with a child.
(2) Within twenty-four hours:
(a) Their child's injury or other health concern that does not require professional medical treatment (report to parent only);
(b) Change in child care staff, including serious illness or incapacity of the licensee that may impact child care staffing;
(c) Additions to the household of persons sixteen years old or older;
(d) Change in the licensee's phone number or e-mail; or
(e) Their child's exposure to a ((communicable)) contagious disease from the list in WAC ((170-296A-3210)) 246-110-010; and
(3) The licensee's plans to move, as soon as the licensee plans to move. See WAC 170-296A-1475.
AMENDATORY SECTION (Amending WSR 12-21-050, filed 10/12/12, effective 11/12/12)
WAC 170-296A-3200 Health plan.
The licensee must have a written health plan. The health plan must include:
(1) ((Communicable)) Contagious disease procedures and exclusion of ill persons under WAC 170-296A-3210;
(2) Immunization tracking under WAC 170-296A-3250 through 170-296A-3300;
(3) Medication management under WAC 170-296A-3315 through 170-296A-3550;
(4) Injury treatment under WAC 170-296A-3575 through 170-296A-3600;
(5) Handwashing and hand sanitizers under WAC 170-296A-3625 through 170-296A-3675;
(6) Caring for children with special health needs under WAC 170-296A-0050;
(7) Cleaning, sanitizing, and disinfecting procedures;
(8) A bloodborne pathogens plan under WAC 170-296A-1850; and
(9) Notifying the health department when a licensee, staff person, volunteer, household member, or child in care is diagnosed with a notifiable condition as required under WAC 170-296A-2325.
AMENDATORY SECTION (Amending WSR 12-21-050, filed 10/12/12, effective 11/12/12)
WAC 170-296A-3210 ((Communicable)) Contagious disease procedure.
(1) When the licensee becomes aware that he or she, a household member, staff person or child in care has been diagnosed with any of the ((following communicable diseases:
Disease:
Also known as:
Chickenpox
Varicella
Conjunctivitis
(bacterial)
Pink eye
Diphtheria
 
E. coli infection
 
Giardiasis
 
Hepatitis A virus
 
Invasive haemophilus influenza disease (except otitis media)
 
Measles
 
Meningitis (bacterial)
Meningococcal meningitis
Mumps
 
Pertussis
Whooping cough
Rubella
German measles
Salmonellosis
Salmonella or "food poisoning"
Shigellosis
Shigella
Tuberculosis (active)
TB
(1))) contagious diseases described in WAC 246-110-010, the licensee must, within twenty-four hours notify:
(a) The local health jurisdiction or DOH, except notice is not required for a diagnosis of chickenpox or conjunctivitis;
(b) The department; and
(c) Parents or guardians of each of the children in care.
(2) The licensee must follow the health plan before providing care or before readmitting the household member, staff person or child into the child care.
(3) The licensee's health plan must include provisions for excluding or separating a child, staff person, or household member with ((communicable)) contagious disease as described in ((subsection (1) of this section)) WAC 246-110-010 or any of the following:
(a) Fever of one hundred one degrees Fahrenheit or higher measured orally, or one hundred degrees Fahrenheit or higher measured under the armpit (axially), if the individual also has:
(i) Earache;
(ii) Headache;
(iii) Sore throat;
(iv) Rash; or
(v) Fatigue that prevents the individual from participating in regular activities.
(b) Vomiting that occurs two or more times in a twenty-four hour period;
(c) Diarrhea with three or more watery stools, or one bloody stool, in a twenty-four hour period;
(d) Rash not associated with heat, diapering, or an allergic reaction; or
(e) Drainage of thick mucus or pus from the eye.
AMENDATORY SECTION (Amending WSR 11-23-068, filed 11/14/11, effective 3/31/12)
WAC 170-296A-4850 Pet/animal health and safety.
Pets or other animals that have contact with children must:
(1) Have current immunizations for ((communicable)) contagious diseases if applicable;
(2) Show no signs of disease, worms or parasites; and
(3) Be nonaggressive.