Health Practices – Child, staff, and household member illness Family Home WAC Center WAC Proposed WAC Satisfactory/Minor/Major revisions; Concerns; Suggested Alternate Language Conflicts with ECEAP, Head Start, Schools District Standards and Practices WAC 170-296A-3210 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 contagious diseases described in WAC 246-110-010, the licensee must, within 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, WAC 170-295-3030 When is a child or staff member too ill to be at child care? (1) Your staff must check all children for signs of illness when they arrive at the center and throughout the day. (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 contagious skin infection such as impetigo and scabies: The child may return twenty-four hours after starting antibiotic treatment; and 170-300-0205 Child, staff, and household member illness. An early learning provider must check all children for signs of illness when they arrive at the early learning program and throughout the day. Parents or guardians of a child should be notified as soon as possible if the child develops signs or symptoms of illness. Weight #6 If an early learning provider becomes ill, a Licensee, Center Director, Assistant Director, or Program Supervisor must determine whether that person should be required to leave the premises. Weight #6 When a child becomes ill, a Licensee, Center Director, Assistant Director, or four
staff person, or household member with contagious disease as described in 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. (e) Fever of 100 degrees Fahrenheit 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 Program Supervisor must determine whether the child should be sent home or isolated from others. When isolation is necessary, an early learning provider must provide a mat or cot in an area away from other children. A provider must supervise the child to prevent contact between the ill child and healthy children. Weight #6 An ill child must be sent home or isolated from other children; If the illness or condition prevents the child from participating in normal activities; If the illness or condition requires more care and attention than the early learning provider can give; If the required amount of care for the ill child compromises or places at risk the
(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 You can obtain a list of reportable diseases, time frames for reporting and reporting phone numbers from your local health department. health and safety of other children in care; or If there is a risk that the child’s illness or condition will spread to other children or individuals. Weight #7 Unless covered under an individual care plan or protected by the ADA, an ill child, staff member, or other individual must be sent home or isolated from children in care if he or she has: A fever equal to or greater than 100 degrees Fahrenheit for a person’s temperature measured under the arm or by a forehead (temporal artery) scanner; A fever 101 degrees Fahrenheit measured orally for preschool age children or older;
Health Practices - Immunizations Family Home WAC Center WAC Proposed WAC Satisfactory/Minor/Major revisions; Concerns; Suggested Alternate Language Conflicts with ECEAP, Head Start, Schools District Standards and Practices WAC 170-296A-3250 Immunization tracking The licensee is required to track each child's immunization status. The licensee must: (1) Except as provided in WAC 170-296A-3275 or have a complete current certificate of immunization status (CIS) form or similar form supplied by a health care professional for each child, submitted on or before the child's first day of child care; (2) Develop a system to update and keep individual immunization records current to include when immunizations are received; and (3) Have the CIS or similar forms for each currently enrolled child available in the licensed space for review by the licensor. WAC 170-296A-3275 WAC 170-295-7020 Am I required to track immunizations? (1) You are required to track each child's immunization status. To be sure that the children have the required immunizations for their age, you or your staff must: (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 state board of health WAC 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. 170-300-0210 Immunizations. (1) An early learning provider must obtain from the parent or guardian of an enrolled child one of the following immunization records: (a) A current and complete DOH certificate of immunization status (CIS) (found at ); (b) A current and complete immunization form from the Washington State Immunization Information System (WA IIS); or (c) A current and complete DOH certificate of exemption (COE) form signed and dated by a health care provider, pursuant to WAC (found at ). Weight #6
Accepting a child who does not have current immunizations (1) The licensee may accept a child who is not current with immunizations on a conditional basis if immunizations are: (a) Initiated before or on enrollment; and (b) Completed as soon as medically possible. (2) The licensee must have on file a document signed and dated by the parent or guardian stating when the child's immunizations will be brought up to date. (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. (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. (2) Unless the requirements of subsection (4) are met, an early learning provider must exclude a child from care, on or before the child’s first day of attendance, if the parent or guardian fails to provide an immunization record. Weight #5 (3) To track the immunization status for each child in care, an early learning provider must implement a system to maintain and update each child’s immunization records. For each child currently enrolled in the early learning program, the CIS form, the immunization form from the WA IIS, or COE form must be available in the licensed space for review by department licensors, health specialists, and health consultants. Weight #5 (4) An early learning provider may accept a child into care who is not current on immunizations or does not
indicated on the permission form; (b) Permission to give medications to a child signed by the child's parent or guardian, and by a licensed medical professional when appropriate; and (c) That only the licensee or primary staff person may give medication or observe a child taking his or her own medication as described in WAC 170-296A-3550. (3) If the licensee chooses not to give any medications to children in care, the licensee must inform parents in the parent/guardian handbook. (4) If the licensee or primary staff person decides not to give a specific medication to a child after having received written permission by the child's parent or guardian, the licensee or primary staff person must immediately notify the parent or guardian of the decision to not give the medication. (5) The licensee must make reasonable accommodations and give medication if a child (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 may not give medication past the days prescribed on the medication bottle even if there is medication left. (3) You may 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; (g) Sun screen for children over six months reasonable accommodations for giving medication, mandatory medication documentation, and forms pursuant to WAC (Health policy). Weight #7 (3) An early learning provider must administer medication to children in care as follows: Prescription Medication. Prescription medication must only be given to the child named on the prescription. Prescription medication must be prescribed by a health care professional with prescriptive authority for a specific child. A medication authorization form that allows a provider to give prescription medication to a child must be signed by the child’s parent or
prescription prescription prescription 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. WAC 170-295-3070 How must I store medications? (1) You must store medications in the original container labeled with: (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; Non-prescription medication. medication brought to the early learning program by a parent or guardian must be in the original packaging. A parent or guardian must label medication with their child’s first and last name, the expiration date, medical need, dosage amount, and length of time to give the medication; medication must only be given to the child named on the label provided by
WAC 170-296A-3375 Medication permission. (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. WAC 170-295-3090 How do I handle left over medication? You must not keep old medications on site. When a child is finished with a medication, you must either: (1) Give it back to the parent; or (2) Dispose of it by flushing medication(s) down the toilet. WAC 170-295-3100 When can children take their own medication? (1) Children can take their own medication if they: (a) Have a written statement from the parent requesting the the provider a signed and dated written statement from the child’s health care provider that has prescriptive authority stating that the child is physically and mentally capable of taking his or her own medication; and (c) An early learning program staff member must observe and document that the child took the medication. Weight #7 (5) Medication must be stored and maintained as directed on the packaging or prescription label, including applicable refrigeration requirements. Medication must be maintained in a manner that prevents cross contamination. An early learning provider must comply with the following additional medication storage requirements:
(d) Hand wipes with alcohol. (3) The licensee must keep a written record of medication administration (medication log) that includes the: (a) Child's name; (b) Name of medication; (c) Dose given; (d) Dates and time of each medication given; and (e) Name and signature of the person giving the medication. (4) The licensee must return any unused medication to the child's parent or guardian. (5) Medication permission forms and medication logs must be kept confidential. The licensee must allow a child's parent or guardian to review their own child's medication administration records. (6) Medication permission forms and medication logs for the previous twelve months must be kept in the licensed space and be available for review by the licensor. WAC 170-296A-3425 Can anyone else give medication to children in my care? (1) Only staff persons who have been oriented to your center's medication policies and procedures can give medications. 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 (6) An early learning provider must receive written authorization from a child’s parent or guardian and health care provider with prescriptive authority prior to administering: (a) Vitamins; (b) Herbal supplements; (c) Fluoride; (d) Homeopathic or naturopathic medication; and (e) Teething gel or tablets (amber bead necklaces are prohibited). Weight #7 (7) An early learning provider must not give or allow another to give any medication to a child for the purpose of sedating the child unless the medication has been prescribed for a specific child for that particular purpose by a qualified health care professional. Weight #8 (8) An early learning provider must not accept or give to a
child only if the following conditions are met: (1) The medication is prescribed only for the child the medication is being given to; (2) The parent or guardian has provided written permission as described in WAC ; (3) The prescribed medication is given in the amount and frequency prescribed by the child's health care professional with authority; (4) The prescribed medication must only be given for the purpose or condition that the medication is prescribed to treat; (5) The medication must: (a) Be in the original container; (b) Be labeled with the child's first and last name; (c) Have a nonexpired expiration date; (6) The container must have or the parent or guardian must provide information from the pharmacy about: (a) Medication storage; the provider and parent or guardian, or the designee. Weight #7 (11) Parents or guardians must provide to early learning providers appropriate medication measuring devices. Weight #6 (12) A parent or guardian may authorize an early learning provider to administer the following for up to 180 calendar days: Diaper ointments used as needed and intended only for the diaper area of children; Sunscreen; Lip balm or lotions; and Hand sanitizers or hand wipes with alcohol, which may be used only for children over 24 months old. Weight #4 (13) An early learning provider must keep a current written
(b) Potential adverse reactions or side effects; and (7) The medication has been stored at the proper temperature noted on the container label or pharmacy instructions. WAC 170-296A-3525 Nonprescription medications. The licensee or primary staff person may give nonprescription medications, as defined in this chapter, only when the following conditions are met: (1) The parent or guardian has given signed written permission as provided in WAC . (2) The nonprescription medication is: (a) Given to or used with a child only in the dosage, frequency and as directed on the manufacturer's label; (b) Given in accordance to the age or weight of the child needing the medication; medication log that includes: A child’s first and last name; The name of the medication that was given to the child; (c) The dose amount that was given to the child; Notes about any side effects exhibited by the child; (d) The date and time of each medication given or reasons that a particular medication was not given; and The name and signature of the person that gave the medication. Weight #6 (14) An early learning provider must return a child’s unused medication to that child’s parent or guardian. If this is not possible, a provider must follow the Food and Drug Administration (FDA) recommendations for
(c) Given only for the purpose or condition that the medication is intended to treat; (d) Is in the original container; and (e) Has a nonexpired expiration date, if applicable. (3) The medication container or packaging includes, or the parent or guardian provides information about: (a) Medication storage; (b) Potential adverse reactions or side effects. (4) The medication has been stored at the proper temperature noted on the container label or instructions. WAC 170-296A-3550 Children taking their own medication. The licensee may permit a child to take his or her own medication if: (1) The licensee follows all of the requirements in WAC (1) through (6); (2) The child is physically and mentally capable of properly taking the medicine; medication disposal. Weight #5 (15) An early learning provider must keep medication authorization forms and medication logs for no less than twelve months, confidential, within the licensed space, and available for review by department staff. Weight #5
(a) A working flush-type toilet; (b) Privacy for toileting for children of the opposite sex who are years of age or older and for other children demonstrating a need for privacy; (c) A mounted toilet paper dispenser and toilet paper for each toilet; and (d) A toilet of an appropriate height and size for children, or have a platform for the children to use that is safe, easily cleanable and resistant to moisture. (2) Bathroom and toileting areas must be ventilated by the use of a window that can be opened or an exhaust fan. WAC 170-296A-4650 Bathroom floors (1) Floors in a bathroom or toileting area must have a washable surface and be resistant to moisture. The floor must be cleaned and disinfected as provided in WAC daily or more often if needed. (2) Removable rugs may be used in the bathroom. The rugs (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. WAC 170-295-4090 Can I use potty-chairs for toilet training? You may use potty-chairs that are: (1) Located in the toilet room or similar area that meets the requirements of WAC 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. 170-295-5100 What are the requirements for licensed space that complies with the following: One working toilet (center early learning programs for every 15 children and staff) that is an appropriate height and size for children. To comply with height and size requirements for children, a platform may be used that is easily cleanable and resistant to moisture and slipping. For purposes of calculating the number of flush-type toilets, a child in diapers is not included in the calculation until the child begins toilet training; One working sink and faucet (center early learning programs for every 15 children and staff) that is an appropriate height and size for children. type
must be laundered and sanitized as provided in WAC at least weekly or more often if needed. WAC 170-296A-4675 Bathroom sinks A sink used for handwashing must be located in or next to bathrooms. The sink must: (1) Have warm running water; and (2) Be of appropriate height and size for children, or have a platform for the children to use that is safe, easily cleanable and resistant to moisture. WAC 170-296A-7350 Toilet training The licensee must discuss toilet training with the child's parent or guardian when a child is ready for training. The licensee or staff must use: (1) Positive reinforcement; (2) Culturally sensitive methods; (3) Developmentally appropriate methods; and (4) A routine developed in agreement with the parent or guardian. toilets, handwashing sinks and bathing facilities? (1) You must provide: (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 handwashing 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 toilets. (3) If urinals are provided, the number of urinals must not replace more than one-third of the total required toilets. type To comply with the height and size requirements for children, a platform may be used that is easily cleanable and resistant to moisture and slipping. For handwashing, a faucet must provide warm running water between 80 and 120 degrees Fahrenheit; Sinks and faucets must be located in the bathroom or immediately outside each bathroom; Bathroom sinks must have water controls that are accessible to the intended user;and
WAC 170-296A-7375 Potty chairs or modified toilet seats (1) When potty chairs are used, the licensee or staff must immediately after each use: (a) Empty the potty chair into the toilet; and (b) Clean and disinfect the potty chair as provided in WAC . (2) The floor under the potty chairs must be made of a material that is resistant to moisture. (3) When a modified toilet seat is used, it must be cleaned and disinfected as provided in WAC daily or more often when soiled. (4) If a sink or basin is used to clean a potty chair or modified toilet seat, the sink or basin must be cleaned and disinfected afterwards as provided in WAC . (4) Toilet fixture heights must be as follows: (5) Handwashing sink heights must be as follows: Bathroom sinks must not be used as a drinking source or for food preparation. The bathroom must provide privacy while toileting for children of the opposite sex who are four years old or older, and for other children who demonstrate a need for privacy; A mounted toilet paper dispenser for each toilet must be within arm’s reach of a child; A window or exhaust fan must ventilate each bathroom; The bathroom floor must have a washable surface, resistant to moisture, and cleaned and disinfected on a daily basis or more often as needed; and
(6) Infants are not included when determining the number of sinks required for handwashing. (7) The sink for handwashing must: (a) Be located in or immediately outside of each toilet room; (b) Have water controls that are accessible by the intended user; and If an early learning program premises is equipped with a bathtub or shower, the provider must: Not give a bath or shower to any child without the parent or guardian’s written, signed, and dated consent; Only use the bath or shower to clean a child after an accident such as diarrhea or vomiting incident; Ensure the area around a bathtub or shower is equipped with a conveniently located grab bar, or a nonskid floor,
(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 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. pad, or surface; Provide constant supervision to a child taking a shower or bath; and Make the bathing facility inaccessible to children when not being used by children. Weight #6 An early learning provider must discuss toilet training procedures with a child’s parent or guardian when a child is ready for training. A provider must facilitate the toilet training process by encouraging the child with: Positive reinforcement (which may not include food items); Culturally sensitive methods;
(3) The diapering area must be cleaned and disinfected as provided in WAC between each use. (4) A nonabsorbent, disposable covering that is discarded after each use may be used on the diaper changing mat. (5) The diaper changing surface must be free of all other items not used in diapering the child. WAC 170-296A-7275 Diaper disposal (1) The licensee must provide a container specifically for diaper and diapering supply disposal that is not used for other household trash. The diaper disposal container must: (a) Have a tight cover; (b) Be lined with a disposable plastic trash bag; and (c) Be within arm's reach of the diaper changing area. (2) If disposable diapers are used, the diaper disposal container must be emptied to the outside garbage can or container daily. changing and handwashing area; and (e) Be directly adjacent to a sink used for handwashing supplied with: (i) Warm running water (between 85 degrees Fahrenheit and 120 degrees Fahrenheit); (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 table, counter or sink except the child, changing pad and diaper changing supplies. (6) Disposable diapers must be: preparation and clean up; Have a sturdy surface or mat that: Is not torn or repaired with tape; Washable; Has a moisture resistant surface that is cleaned and between children, even if using a covering that is discarded after each use; Large enough to prevent the area
handwashing area; and either: A table or counter large enough to accommodate the length of a child, with a protective barrier at least three and inches high on all sides; or A wall mounted diaper changing station that meets manufacturer guidelines and specifications in addition to the requirements of this section. Weight #5 If reusable or cloth diapers are used, the diapers must: Not be rinsed; and
Health Practices – Pets and animals Family Home WAC Center WAC Proposed WAC Satisfactory/Minor/Major revisions; Concerns; Suggested Alternate Language Conflicts with ECEAP, Head Start, Schools District Standards and Practices WAC 170-296A-4800 Pet and animal policy A licensee who has a pet or other animals on the premises must: (1) Inform children's parents and guardians that the licensee has a pet or other animals; and (2) Have a pet/animal policy in the parent handbook that includes: (a) How children will have access to pets or other animals; (b) How children will be kept safe around pets or other animals; (c) Pet or animal immunizations; and (d) Handling of pet or animal waste. WAC 170-296A-4850 Pet/animal health and safety WAC 170-295-5170 Can we have animals at the center? (1) When animals are on the center premises you must: (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 170-300-0225 Pets and animals. An early learning provider may have pets or other animals on the early learning program premises. Weight NA Before allowing pets or animals on the early learning program premises, an early learning provider must have and implement a pet and animal policy. Weight #5 An early learning provider must provide written notice to children's parents and guardians that pets or animals are allowed and on the premises. Weight #5 (4) Pets or other animals that have contact with children must:
Pets or other animals that have contact with children must: (1) Have current immunizations for contagious diseases if applicable; (2) Show no signs of disease, worms or parasites; and (3) Be nonaggressive. WAC 170-296A-4875 Pets or other animals interacting with children. The licensee: (1) Or primary staff person must directly supervise, or instruct staff to directly supervise, children preschool age and younger when the children are interacting with pets or other animals. (2) Must have children and staff wash their hands as required under WAC after interacting with pets or other animals, or after handling an animal's toys, bedding, litter or equipment. (3) Must have a written plan to keep a pet or other animal inaccessible to the children if 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. (a) Have all required vaccinations pursuant to local and county regulations; (b) Show no signs of illness, disease, worms, or parasites. If these symptoms appear, the pet or animal must be removed from the premises until appropriately treated for the condition; and (c) Be nonaggressive. If the pet or animal exhibits aggressive behavior, the pet or animal must be removed from the premises. Weight #7 (5) An early learning provider must: (a) Directly supervise children who interact with pets or other animals; (b) Require children and early learning program staff to
Health Practices – First aid supplies Family Home WAC Center WAC Proposed WAC Satisfactory/Minor/Major revisions; Concerns; Suggested Alternate Language Conflicts with ECEAP, Head Start, Schools District Standards and Practices WAC 170-296A-4075 1) The licensee must have a complete first-aid kit at all times: (a) In the licensed space; (b) On any off-site trip; and (c) In any vehicle used to transport children in care. (2) A complete first-aid kit must include clean: (a) Disposable nonporous protective gloves; (b) Adhesive bandages of various sizes; (c) Small scissors; (d) Tweezers; (e) An elastic wrapping bandage; (f) Sterile gauze pads; (g) Ice packs; (h)(i) Mercury free thermometer that is: (A) Used with a disposable sleeve; or (B) Cleaned and sanitized after each use; or WAC 170-295-5010 (1) You must maintain on the premises adequate first-aid supplies conforming to the center's first-aid policies and procedures. The center's supplies must include: (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) Separate 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. 170-300-0230 First aid supplies. (1) An early learning provider must maintain a complete first aid kit in the licensed space, on any off-site trip, and in a vehicle used to transport children in care. Weight #7 (2) A first-aid kit must only include: (a) Disposable nonporous protective gloves; (b) Adhesive bandages of various sizes; (c) Small scissors; (d) Tweezers; (e) An elastic wrapping bandage; (f) Sterile gauze pads; (g) Ice packs; (h) A mercury free thermometer that uses disposable sleeves, or is aid