(1) Before or on the child's first day of attendance, you must have on file a record of immunization status.
(2) Your staff must observe the child daily for signs of illness. You must care for or discharge to the child's home the ill child based on your policies concerning ill children.
(3) If a child becomes ill while in care:
(a) You must furnish a separate care area with an appropriate rest surface and bedding, as needed; and
(b) Your staff must sanitize equipment the child uses if staff suspects the child has a communicable disease.
(4) You may use the separate care room or area for other purposes when not needed for separation of the child.
(5) Your staff must ensure that the child washes hands:
(a) Before the child eats;
(b) Before the child participates in food activities; and
(c) After the child's toileting.
(6) Your staff must follow your center's policies for cleaning and disinfecting the environment.
(7) You must have extra clothing available for circumstances arising during outdoor play.
(8) Your staff must ensure that the children do not share personal hygiene or grooming items.
(9) You must have on file, upon employment, for each center employee, volunteer, and other person having regular contact with the children in care results of a negative tuberculin (TB) skin test, by the Mantoux method, or results of a chest X ray. You need not require the TB test or chest X ray for an individual if, such a test is against medical advice. The department does not require periodic retesting.
(10) You must not permit a person with a reportable communicable disease to be on duty in the center or have contact with the child in care unless a health care provider approves the contact in writing.
(11) Staff must wash hands:
(a) After personal toileting;
(b) After attending to an ill child;
(c) After nose blowing;
(d) After smoking; and
(e) Before serving or preparing food.
[06-15-075, recodified as § 170-151-220, filed 7/13/06, effective 7/13/06. Statutory Authority: RCW 74.15.020. 01-02-031, § 388-151-220, filed 12/22/00, effective 1/22/01. Statutory Authority: Chapter 74.15 RCW. 93-02-020 (Order 3493), § 388-151-220, filed 12/30/92, effective 1/30/93.]