Date of Adoption: June 10, 2002.

     Purpose: Adoption of these rules will correct technical errors made when they were amended in WSR 01-02-031. The language in these WAC will not be altered by adoption of these amendments.

     Citation of Existing Rules Affected by this Order: Amending WAC 388-151-020, 388-151-097, 388-151-230, and 388-155-320.

     Statutory Authority for Adoption: Chapter 74.15 RCW.

     Other Authority: RCW 34.05.395.

      Adopted under notice filed as WSR 02-03-095 on January 18, 2002.

     Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted at Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted on the Agency's Own Initiative: New 0, Amended 0, Repealed 0.

     Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 4, Repealed 0.

     Number of Sections Adopted Using Negotiated Rule Making: New 0, Amended 0, Repealed 0;      Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 0, Repealed 0.
     Effective Date of Rule: Thirty-one days after filing.

June 10, 2002

Brian H. Lindgren, Manager

Rules and Policies Assistance Unit

     (2) The department does not need to license the person or organization operating a school-age child care center (([if chapter 74.15 RCW exempts the person or organization from the licensing requirements])) if chapter 74.15 RCW exempts the person or organization from the licensing requirements. The person or organization claiming an exemption from the licensing requirements must provide the department proof of entitlement to the exemption at the licensor's request.

     (3) You may use the following matrix to determine whether or not you are exempt from licensing:

Child care	Recreational
The child care facility assumes responsibility for the child and his welfare.	Children are free to come and go as they choose.
Children are signed in and can only be released to an authorized adult.	No responsibility is assumed in lieu of parent.
A specific registration procedure and required forms must be completed.	No registration form or procedure.
Must adhere to DSHS standards; has specific requirements regarding staff-child ratio and group size.	No required staff-child ratio or group size requirements.
Specific DSHS requirements regarding policies and procedures are in a parent handbook.	No specific detailed policies and procedures. General "house rules" apply at each site.
There are specific program goals and activities; calendars of activities are posted and available.	Activities occur on a daily basis; no long-term goals or activities exist.

     (4) The person or organization that serves state-paid children must:

     (a) Be licensed or certified;

     (b) Follow billing policies and procedures in Child Care Subsidies, a brochure for providers, DSHS 22-877(X), and;

     (c) Bill the department at the person's or organization's customary rate or the DSHS rate, whichever is less.

[Statutory Authority: RCW 74.15.020. 01-02-031, § 388-151-020, filed 12/22/00, effective 1/22/01. Statutory Authority: Chapter 74.15 RCW. 93-02-020 (Order 3493), § 388-151-020, filed 12/30/92, effective 1/30/93.]

[Statutory Authority: RCW 74.15.020. 01-02-031, § 388-151-097, filed 12/22/00, effective 1/22/01. Statutory Authority: RCW 74.15.030. 96-20-095, § 388-151-097, filed 10/1/96, effective 11/1/96.]

     (1) Must give medications, prescription and nonprescription, only on the written approval of a parent, person, or agency having authority by court order to approve medical care;

     (2) Must give prescription medications:

     (a) Only as specified on the prescription label; or

     (b) As authorized, in writing, by a physician or other person legally authorized to prescribe medication.

     (3) Must give the following classifications of nonprescription medications, with written parent authorization, only at the dose, duration, and method of administration specified on the manufacturer's label for the age or weight of the child needing the medication:

     (a) Antihistamines;

     (b) Nonaspirin fever reducers/pain relievers;

     (c) Nonnarcotic cough suppressants;

     (d) Decongestants;

     (e) Anti-itching ointments or lotions, intended specifically to relieve itching;

     (f) Diaper ointments and powders, intended specifically for use in the diaper area of the child; and

     (g) Sun screen.

     (4) Must give other nonprescription medication:

     (a) Not included in the categories listed in subsection (3) of this section; or

     (b) Taken differently than indicated on the manufacturer's label; or

     (c) Lacking labeled instructions, only when disbursement of the nonprescription medication is as required under subsection (4)(a), (b), and (c) of this section:

     (i) Authorized, in writing, by a physician; or

     (ii) Based on established medical policy approved, in writing, by a physician or other person legally authorized to prescribe medication.

     (5) Must accept from the child's parent, guardian, or responsible relative only medicine in the original container, labeled with:

     (a) The child's first and last names;

     (b) The date the prescription was filled; or

     (c) The medication's expiration date; and

     (d) Legible instructions for administration, such as manufacturer's instructions or prescription label.

     (6) Must keep medication, refrigerated or nonrefrigerated, in an orderly fashion and inaccessible to the child;

     (7) Must store external medication in a compartment separate from internal medication;

     (8) Must keep a record of medication disbursed;

     (9) Must return to the parent or other responsible party, or must dispose of medications no longer being taken; and

     (10) May, at your option, permit self-administration of medication by a child in care if:

     (a) The child is physically and mentally capable of properly taking medication without assistance;

     (b) You include in the child's file a parental or physician's written statement of the child's capacity to take medication (([without])) without assistance; and

     (c) You have stored the child's medications and other medical supplies so the medications and medical supplies are inaccessible to other children in care.

[Statutory Authority: RCW 74.15.020. 01-02-031, § 388-151-230, filed 12/22/00, effective 1/22/01. Statutory Authority: Chapter 74.15 RCW. 93-02-020 (Order 3493), § 388-151-230, filed 12/30/92, effective 1/30/93.]

     (a) Adjoining directly the indoor premises; or

     (b) Reachable by a safe route and method; and

     (c) Promoting the child's active play, physical development, and coordination; and

     (d) Protecting the child from unsupervised exit with an enclosure at least forty-eight inches high; and

     (e) Preventing child access to roadways and other dangers.

     (2) The licensee must ensure the home's activity schedule affords the child sufficient daily time to participate actively in outdoor play.

     (3) The licensee must provide a variety of age appropriate play equipment for climbing, pulling, pushing, riding, and balancing activities. The licensee must arrange, design, construct, and maintain equipment and ground cover to prevent the child's injury. The licensee's quantity of outdoor play equipment must offer the child a range of outdoor play options.

     (([(4) Preschool children and younger must be in visual and auditory range when outside.

     (5) School-age children must be in auditory range when outside.]))

     (4) Preschool children and younger must be in visual and auditory range when outside.

     (5) School-age children must be in auditory range when outside.

[Statutory Authority: RCW 74.15.030. 00-06-040, § 388-155-320, filed 2/28/00, effective 3/30/00; 91-04-048 (Order 3136), § 388-155-320, filed 2/1/91, effective 3/4/91.]

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