(1) The licensee or designee must report a staff person, volunteer, or child diagnosed with a notifiable condition as defined in chapter 246-101 WAC to the local health jurisdiction or the state department of health.

(2) The licensee or designee must contact the local health jurisdiction for the list of notifiable conditions and reporting requirements.

(3) A person must be excluded from the program when diagnosed with a notifiable condition and must not return to the program until approved to do so by the local health officer. A licensed school age child care center staff person or volunteer who has not been vaccinated against or shown proof of immunity to measles, mumps, or rubella must not be allowed on the school age child care center premises except as provided in (a) and (b) of this subsection.

(a) A licensed school age child care center program may allow a person to be employed or volunteer on the school age child care center premises for up to thirty calendar days if the person signs a written attestation attesting to having received the measles, mumps, and rubella vaccine, or having immunity from measles, mumps, and rubella, but requiring additional time to obtain and provide immunization records. The required records must include immunization records indicating the employee or volunteer has received the measles, mumps, and rubella vaccine; or records that show proof of immunity from measles through documentation of laboratory evidence of antibody titer or a health care provider's attestation of the person's history of measles sufficient to provide immunity against measles.

(b) A school age child care center program may allow a person to be employed or volunteer on the school age child care center premises if the person provides the school age child care center with a written certification signed by a health care practitioner, as defined in RCW 28A.210.090(3), that the measles, mumps, and rubella vaccine is, in the practitioner's judgment, not advisable for the person. This subsection (3)(b) of this section does not apply if a person's health care practitioner determines that the measles, mumps, and rubella vaccine is no longer contraindicated.