This document is a model Health Policy for child care centers. It includes
both WAC items and what Snohomish Health District considers to be
best practice when caring for children.
To meet licensing requirements a health policy must be individualized for
each child care center. This document contains many sections marked in
red that need to be filled in with specific information relevant to your
center. Make sure to take out any red words in parentheses or in italics
that were put in to help you complete this document. Do not hesitate to
add additional points to reflect your center’s policies. Items in green are
best practice, rather than required and can be removed if you choose.
Make sure you read through the entire policy as you work on it. If any
items are unclear or are in conflict with what you do at your center, make
any necessary changes to reflect your own center’s practices. For
example, if you do not care for infants, make sure to remove all sections
from your plan that relate to infants. Call the Communicable Disease
Outreach program if you have questions or need clarification on which
items are required by WAC. The WACs can be found on the Department
of Early Learning’s website www.del.wa.gov.
Once finalized, your health policy should reflect exactly what is done in
your center. Use your health policy to train all staff and to inform parents.
Note: The table of contents has been set up so that it can be easily updated. Make
all changes to the document, including any page breaks. When you are finished,
click once somewhere in the middle of the table of contents which should select the
entire table. Then right click, select “update field” and then “update entire table.”
The table of contents will automatically update itself.
Communicable Disease Outreach Program
ChildCareCenterHealthPolicy_CD
2015_01_MHAS
3020 Rucker Avenue, Suite 202  Everett, WA 98201-3900  fax: 425.339.8706  tel: 425.339.5278
This model health policy references various forms, logs, and other policies that are
necessary for recordkeeping. Below is a list of these items. The Communicable
Disease Outreach program has examples of all of these forms and policies. Please
contact the Communicable Disease Outreach program for copies or assistance with
personalizing these documents.
 Model Policies
o
o
o
o
Bloodborne Pathogen Exposure Control Plan
Pet Policy
Pesticide Policy
Disaster Plan
 Example Forms
o
o
o
o
o
o
o
o
o
Injury Report
Record of Injury & Incidents
Medication Treatment Form
Medication Count Verification Form
Childhood Health History
CIS Form
Abuse/Neglect Report Form
Diapering Log
Healthy Child Care Cleaning Schedule
 Individual Care Plans
o Individual Plan of Care (general form)
o Asthma Plan
o Emergency Plan of Severe Allergies
 Other Useful Documents
o
o
o
o
o
Keep Me Home If…
Menu Planner
Child Care Food Transportation Temperature Log (for catered foods)
Child Care Classroom Refrigerator Temperature Log
Playground Maintenance Checklist
Child Care Center Health Policy
Snohomish Health District
Page 2
Health Policy
Name of Center:
Address:
City/State/Zip:
Phone Number:
Ages of Children:
Director’s Name:
Director’s Emergency or Evening Phone Number:
Out-of-Area Contact:
Facilities Contact (optional):
Emergency telephone numbers:
Fire/Police/Ambulance:
Poison Center:
Animal Control:
C.P.S.:
C.P.S. (after-hours):
911
1-800-222-1222
425-388-3440
1-866-363-4267 or 425-339-1830
1-800-562-5624
Hospital used for life-threatening emergencies:
Name of Hospital:
Address:
Phone:
* For non-threatening emergencies, the center will defer to parent preference as listed on the child’s
registration form.
Other important telephone numbers:
DEL Health Specialist:
Lalaine Diaz Lalaine.diaz@del.wa.gov
206 760-2027
DEL Licensor:
Communicable Disease Reporting Line: Snohomish Health District 425-339-5278
Child Care Health Consultation:
Snohomish Health District 425-339-5278
Snohomish Health District Website: www.snohd.org
Child Care Center Health Policy
Communicable Disease Outreach Program
ChildCareCenterHealthPolicy_CD
2015_01_MHAS
3020 Rucker Avenue, Suite 202  Everett, WA 98201-3900  fax: 425.339.8706  tel: 425.339.5278
TABLE OF CONTENTS
TABLE OF CONTENTS ................................................................................................................................ 2
INJURY/ EMERGENCY PROCEDURES ...................................................................................................... 3
CONTACT OR EXPOSURE TO BODY FLUIDS ........................................................................................... 4
INJURY PREVENTION ................................................................................................................................. 4
MEDICATION MANAGEMENT ..................................................................................................................... 5
POLICY AND PROCEDURE FOR EXCLUDING ILL CHILDREN ................................................................ 11
COMMUNICABLE DISEASE REPORTING ................................................................................................. 12
HEALTH RECORDS ................................................................................................................................... 13
ILLNESS PREVENTION PRACTICES ........................................................................................................ 14
IMMUNIZATIONS ....................................................................................................................................... 14
HANDWASHING ......................................................................................................................................... 15
TOOTHBRUSHING ..................................................................................................................................... 16
GENERAL CLEANING, SANITIZING, AND LAUNDRY ............................................................................... 17
INFANT CARE ............................................................................................................................................ 22
DIAPERING ................................................................................................................................................ 29
FOOD SERVICE ......................................................................................................................................... 31
NUTRITION ................................................................................................................................................ 36
PHYSICAL ACTIVITY ................................................................................................................................. 38
WATER PLAY ............................................................................................................................................. 39
SCREEN TIME............................................................................................................................................ 40
DISASTER PREPAREDNESS .................................................................................................................... 40
STAFF HEALTH.......................................................................................................................................... 41
CHILD ABUSE AND NEGLECT .................................................................................................................. 42
CHILDREN WITH SPECIAL NEEDS / INCLUSION..................................................................................... 42
BEHAVIOR MANAGEMENT/GUIDANCE PRACTICES .............................................................................. 43
PEST CONTROL ........................................................................................................................................ 44
ANIMAL POLICY ......................................................................................................................................... 45
SMOKING ................................................................................................................................................... 46
TRANSPORTATION SAFETY .................................................................................................................... 47
ATTENDANCE RECORDS ......................................................................................................................... 47
SIGNATURES ............................................................................................................................................. 49
Child Care Center Health Policy
Snohomish Health District
Page 2
INJURY/ EMERGENCY PROCEDURES
MINOR EMERGENCIES
Staff trained in first aid will refer to the (name of first aid guide) located with the first aid supplies.
Gloves will be used if any body fluids are present. Staff will refer to the child’s emergency form and
call parents/guardians, emergency contacts, or health care provider as necessary.
Staff will record the incident on either the (name of injury form) or the (name of the illness form).
These forms are kept (where). These forms will include the date, time, place, and cause of the
injury or illness, if known. A copy will be given to the parent/guardian the same day and another
copy placed in the child’s file. (WAC 170-295-3030-5)
The incident will also be recorded on the Incident Log, which will be located (where).
(WAC 170-295-
3030-5c)
Incident Logs will be reviewed monthly by the (title of responsible person). The logs will be
reviewed for trends. Corrective action will be taken to prevent further injury or illness. All reports,
including this log, are considered confidential.
LIFE-THREATENING EMERGENCIES
If more than one staff person is present: one staff person will stay with the injured/ill child and send
another staff person to call 911. If only one staff person is present: person will assess for breathing
and circulation, administer CPR for one minute (for children), if necessary, and then call 911.
Staff will provide first aid as needed according to the (name of first aid guide) located with the first
aid supplies. Gloves will be worn if any body fluids are present.
A staff person will contact the parent/guardian(s) or the child’s alternate emergency contact
person.
A staff person will stay with the injured/ill child, including transport to a hospital if necessary, until a
parent, guardian, or emergency contact arrives.
The incident will be recorded on either the (name of injury form) or the (name of the illness form)
and Incident Log as described in “Minor Injuries” section.
Serious injuries/illnesses, which require medical attention, will be reported to the licensor
immediately. A copy of the illness or injury form will be sent to the licensor no later than the day
after the incident. A copy will be placed in the child’s file. (WAC 170-295-7060-1)
FIRST AID
When children are in care, staff members with current training in Cardio-Pulmonary Resuscitation
(CPR) and First Aid are with each group or classroom. Documentation of staff training is kept in
personnel files. (WAC 170-295-7050-6d)
First aid kits are inaccessible to children and located (where). (WAC 170-295-4120-2)
Child Care Center Health Policy
Snohomish Health District
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The first aid kits contain:
first aid guide
sterile gauze pads
small scissors
adhesive tape
Band-Aids (different sizes)
roller bandages
large triangular bandage
gloves (Nitrile or latex)
tweezers for surface splinters
CPR mouth barrier
digital thermometer with sleeves
blood cleanup kit
A bottle of Syrup of Ipecac will be stored (where – examples include in the office, locked with
medications, in the first aid kit, etc.). Syrup of Ipecac is administered only after calling Poison
Control. (WAC 170-295-5010-3k)
A fully stocked first aid kit will be taken on all walks, field trips, and playground trips and will be kept
in each vehicle used to transport children (remove red-type if you do not transport children). (WAC
170-295-5010-1) These travel first aid kits will also contain:
 liquid soap and paper towels
 water
 instant hand sanitizer (for staff use only)
 chemical ice (non-toxic)
 change for phone calls and/or cell phone (choose one or both)
 an emergency dose of critical medication such as an Epipen, Jr. or
asthma inhaler for those children who need it
All first aid kits will be checked by the (title of assigned person) and restocked (how often) or
sooner if necessary.
CONTACT OR EXPOSURE TO BODY FLUIDS
When staff reports blood contact or exposure, the center will follow the (name of center’s
bloodborne pathogen exposure control plan) and the current guidelines set by the Washington
State Department of Labor and Industries. (WAC 170-295-1110-2)
The (name of center’s bloodborne pathogen exposure control plan) is stored (where).
Each staff will keep written documentation of bloodborne pathogen training including HIV/AIDS.
(WAC 170-295-7050-6d), (WAC 170-295-1110-1)
INJURY PREVENTION
The child care site will be inspected at least (quarterly, monthly) for hazards by the (title of
assigned person).
Hazards include, but are not limited to: (WAC 170-295-5020-1)
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Snohomish Health District
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safety hazards (broken toys, equipment, drowning, choking, sharp objects, entrapments,
unshielded light bulbs, etc)
proper security of the center (secure doors, proper supervision, etc)
trip/fall hazards (heights, rugs, cords, uncontained toys, heavy items up high, windows
on upper stories, etc)
poisoning hazards (plants, chemical storage, etc)
electrical hazards (electrical cords, unprotected outlets, etc)
burn hazards (unprotected heaters, space heaters, cooking equipment, etc)
strangulation hazards (blind cords)
____________________________________________________________
____________________________________________________________
Toys will be age-appropriate (WAC 170-295-2010-1), safe, in good repair, and not broken (WAC 170-295-5020-1).
Mirrors will be shatterproof. The provider will periodically review the CPSC website for recalled
items at www.cpsc.gov.
Hazards or contamination will be reported immediately to the (title of responsible person). This
person will ensure that the hazard or contamination is removed, made inaccessible, or repaired
immediately to prevent injury. Staff will review their rooms daily and remove any broken or
damaged equipment, toys, etc.
Remove references to loose-fill material if your playground has rubber mats. The playground will
be inspected daily before use for broken equipment, environmental hazards, garbage, animal
contamination, areas of low surfacing material such as at the ends of slides and under swings, and
other hazards by the (title of assigned person). (WAC 170-295-2130-1b) Loose-fill surfacing material will be
raked (weekly, daily).
Playground equipment will be free from entrapments, entanglements, and protrusions and will be
checked for these hazards (how often: monthly or quarterly) by the (title of assigned person). (WAC
170-295-2120-7) This safety inspection is documented on a (name of playground maintenance
checklist), which is kept (where).
Proper supervision will be maintained during all outdoor play. Staff will position themselves to
observe the entire play area. (WAC 170-295-2130-5)
The accident and injury log will be monitored by the (title of assigned person) at least (how often)
to identify accident trends and implement a plan of correction. (WAC 170-295-3030-5c)
MEDICATION MANAGEMENT
Choose one of the three statements and delete the other two: (WAC 170-295-3050)
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Snohomish Health District
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(No medications will be given) Medications will not be provided by the child care. Parents
administer all medications. If a child has a condition where the Americans with Disabilities Act
(ADA) applies, reasonable accommodations will be made and the child will be given medication.
– OR –
(Prescription medications only) Medications are provided only to those children with a health care
provider’s prescription. If a child has a condition where the Americans with Disabilities Act (ADA)
applies, reasonable accommodations will be made and the child will be given medication.
– OR –
(Prescription or over-the-counter medications) Medications are provided to any child with a health
care provider’s prescription or a medication consent form from the child’s parent/guardian as
appropriate. If a child has a condition where the Americans with Disabilities Act (ADA) applies,
reasonable accommodations will be made and the child will be given medication.
MEDICATION RULES
In order for staff to give a child medication, the medication must have a (name of medication
authorization form) consent form filled out with the following information: (WAC 170-295-3060-1)
 the child’s first and last name
 the child’s parent/guardian signature
 the medical provider’s signature (if necessary; see next section)
 the name of the medication
 reason for giving the medication
 amount of medication to give
 how to give the medication or route of administration
 how often to give the medication
 start and stop dates
 possible side effects (use package insert or pharmacist’s written information)
 how to store the medicine consistent with directions on the label
The consent is good for the number of days stated on the consent form, not to exceed the number
of days stated on a prescription medication container. (WAC 170-295-3060-2)
 For acute (short-term) conditions, the number of days must be one month or less. After
one month, a new consent must be obtained.
 For chronic (long-term) illnesses, the consent can be used for up to six months.
 For “as needed” medications (such as diaper ointments and sunscreens), the consent
can be used for up to six months.
All medications must be in the original container and labeled with the following information:
295-3070-1)
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child’s first and last name
instructions and dosage recommendations for the child’s weight and age
duration, dosage, frequency, and amount to be given
Child Care Center Health Policy
Snohomish Health District
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(WAC 170-
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if a prescription, the date it was filled
expiration date
Medication is not given past the days prescribed on the medication bottle even if there is
medication left. (WAC 170-295-3060-2)
REQUIRED CONSENT
A parent/legal guardian is the sole consent to medication being given, without the consent of a
health care provider, if and only if the medication is over-the-counter and is one of the following
types: (WAC 170-295-3060-3)
 antihistamine
 non-aspirin fever reducer/pain reliever (see last paragraph)
 cough, cold, or flu medication (not recommended - see next two paragraphs)
 ointment or lotion specifically intended to reduce or stop itching, treat dry skin, or care for
a wound
 diaper ointment or non-talc powder intended for the use in the diaper area
 sunscreen for children over 6 months of age
 hand sanitizers for children over 12 months of age
Optional and Recommended paragraph: Many over-the-counter medications are not approved for
young children. The Food and Drug Administration recommends that cough and cold products not
be given to children younger than 2 years. According to the American Academy of Pediatrics,
cough suppressants, antihistamines, and decongestants may not be effective in children younger
than 6 and can have potentially serious side effects, even when given as directed. Based on this
information, over-the-counter cough and cold medications will not be administered to children
younger than 2 years (optional: 6 years) unless the parent provides written and signed instructions
from a health care provider in addition to the completed consent form.
(Include this paragraph if you will administer any oral medications with only parental consent) This
child care agrees to administer certain over-the-counter medications. It is the parent’s responsibility
to ensure that incompatible medications are not given together or that multiple medications
containing acetaminophen are not given together.
A health care provider’s consent, along with parent/guardian consent, is required for:
(WAC 170-295-
3060-4,6-8)
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prescription medications
over-the-counter medications that are not one of the medications listed above
over-the-counter medication with a label that does not include the age or weight of the
child being treated
vitamins, herbal supplements, teething aids, and fluoride
A health care provider’s consent is accepted in 3 different ways:
 The health care provider’s name is on the original pharmacist’s label (along with the
child’s name, name of the medication, dosage, duration, and expiration date).
Child Care Center Health Policy
Snohomish Health District
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The health care provider signs a note that includes the information required on the
pharmacist’s label (such as when medications are given in the clinic). Note: medications
must be in the original container.
The health care provider signs a completed (name of medication authorization form).
“AS NEEDED” MEDICATIONS
“As needed” medications are given when the above requirements are met and the signed (name of
medication authorization form) also includes the:
 symptoms that require the medication
 the length of time the medication is to be given (ex. 1 week)
 the maximum amount of medication that can be given in a day
 the minimum amount of time between consecutive doses
SUNSCREEN
When sunscreen is necessary, it is applied only when the above requirements are met. In addition,
the following special requirements are adhered to:
 choose 1: the center provides the sunscreen – or – parents provide sunscreen for their
child
 sunscreen is applied at least 15 minutes before sun exposure
 spray-on sunscreens are not used
 when used, spray on sunscreens are only applied outside and are never sprayed in a
child’s face (apply to face using gloved hand)
 the following method is used to apply sunscreen: (describe method used – examples
include squeezing sunscreen from bottle onto a clean paper towel for each child, having
older children self-apply with supervision, spray-on to gloved hand and then applied,
using clean gloves for each child, etc.).
BULK MEDICATIONS
If the center does not allow the use of bulk medications (where one container of medication, like
sunscreen, is used for many children), take this section out. “Bulk medications” include containers
of sunscreen; diaper ointments and non-talc powders, intended for use in the diaper area; etc.
These bulk medications are given only when the above requirements are met AND:
 written parental consent prior to use is obtained
 it is used no longer than six months (write the date opened on the container)
 parents are notified of the name of the product used, the active ingredients, and Sun
Protection Factor (SPF) of the sunscreen
 products are applied in a manner to prevent contaminating the bulk container
When administering bulk medications, the method used to prevent contamination of the bulk
container is (describe method used – examples include squeezing medication from bottle onto a
clean paper towel for each child, or only spray-on sunscreens are used, or using clean gloves for
each child, etc.). (WAC 170-295-3080)
ADMINISTRATION
Medications are administered by the (title of individual(s) who will administer medications).
Child Care Center Health Policy
Snohomish Health District
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Only staff persons who have been oriented to (name of center)’s medication policies and
procedures can give medications. Documentation of this training will be kept (where).These
policies are reviewed with all staff members who administer medications (how often). (WAC 170-2953130)
Before a staff member may administer medications, parents will provide instructions and
demonstrate the use of specialized medication administration procedures (for example: how to use
the nebulizer or EpiPen, children’s preferences for swallowing pills, how to deliver eye drops, etc).
(WAC 170-295-3130)This is documented (where – medication administration form, individual health plan,
other).
To give liquid medication, staff use a measuring device designed specifically for oral or liquid
medication. Measuring devices for individual use are provided by the parent and stored (how). (WAC
170-295-3110)
Medications are not mixed in formula or food unless there are written directions to do so from a
health care provider with prescriptive authority before the medication is given. (WAC 170-295-3060-5)
Staff administering medications will wash hands before preparing medications and after giving the
medication. (WAC 170-295-3020-7) Medications are prepared on a clean surface away from
toileting/diapering areas.
Staff will carefully read labels on medications before each administration, noting:
 child’s name
 medication name
 amount to be given
 time and dates to be given
 how long to give
 how to give (e.g. by mouth, to diaper area, in ear, etc)
Staff will make sure information on the label is consistent with information on the (name of
medication authorization form).
CHILDREN TAKING THEIR OWN MEDICATION
Children may take their own medication if the above requirements are met AND:
 There’s a written statement from the parent requesting the child take their own
medication.
 There’s a written statement from the health care provider with prescriptive authority
stating that the child is physically and mentally capable of taking their own medication.
 All storage criteria stated in this policy are met.
 A staff member observes and documents that the child took the medication. (WAC 170-2953100)
Child Care Center Health Policy
Snohomish Health District
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DOCUMENTATION
Each time staff administer a medication, staff will immediately document the necessary information
on a (name of medication treatment form; can be the back of the center’s medication authorization
form). This written record will include: (WAC 170-295-3120)
 child’s full name, date, time, name of medication, and amount given (indicate if selfadministered)
 the full signature of the staff person giving each dose of medication or observing the
child taking the medication (if staff initial after each administration, a full corresponding
signature is needed on the form to validate the initials)
 a written explanation why a medication that should have been given was not given
 any observations of the child in relation to the medication taken (example: side effects or
relief of symptoms)
 when “as needed” medications are administered, staff must document the symptoms
that prompted administration
Staff will report any side effects that occur to (title of individual) and to the parent immediately. This
will be documented on the (name of medication form; for example, the back of the medication
authorization form).
For children with special health needs, detailed instructions for medications or medication delivery
devices, such as nebulizers, insulin pumps, or EpiPens, will be documented on the (program
name) Individual Plan of Care form.
Medication authorization and documentation forms are considered confidential and will be stored
(where).
Outdated medication authorization/treatment forms will be kept in the child’s file while in care and
are kept up to one year after the child leaves care.
The program implements the following system for tracking administration of controlled substances:
(Describe system: for example, only 1 week’s worth of medication will be accepted from the parent
at a time. Pills will be counted at each administration. This will be documented on (name of
medication count verification form).)
STORAGE
Children’s medication will be kept (where). This is a location inaccessible to children; away from
sources of moisture, heat, and light; away from food; and protected from sources of contamination.
(WAC 170-295-3070-2)
Staff medication will be stored (where) inaccessible to children. Staff medications are clearly
identified as such.
External medications that go on the skin will be kept as stated above but also separate from oral or
injectable medications. (WAC 170-295-3070-2g)
All controlled substances will be kept as stated above and in a locked container.
(WAC 170-295-3070-3)
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Snohomish Health District
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Medications requiring refrigeration will be stored in a labeled container to keep them separated
from food. (WAC 170-295-3070-2f)
EpiPens will be stored in an unlocked location, inaccessible to children, but easily accessible to
staff in an emergency. This location is (where; the same room as the child is recommended).
MEDICATION ERRORS
The child care works to prevent medication errors by ensuring proper training of staff and reviewing
the 5 “R”s before each medication administration – right child, right medicine, right dose, right time,
and right route of administration.
If a medication error does occur, the (title of staff person) will contact poison control and the child’s
parent immediately. 911 will be called if the child shows any signs of distress. The error and what
was done to handle it will be documented on (name of form) and will be kept with the child’s
records. The director and licensor will be notified.
Staff will review the cause of the error and develop a plan to prevent future errors.
DISPOSAL
Outdated medications or medications no longer being used will promptly be returned to parents or
guardians. (WAC 170-295-3090) If the parent/guardian is not available, the (title of person) will call 1-800732-9253 or go to www.MedicineReturn.com for instructions on proper disposal. Medication is not
flushed down the toilet.
POLICY AND PROCEDURE FOR EXCLUDING ILL CHILDREN
Staff will check all children for signs of illness when they arrive at the center and throughout the
day. If the following signs of a possibly contagious illness are present, a child will not be admitted
to the center that day, or will be excluded. The parent will be called to pick up their child. The child
will be kept (where) and the (title of staff member) will care for the child until the parent arrives. (WAC
170-295-3010) Are there consequences for parents who do not pick up a child in a timely manner? If so,
describe here.
Staff members will follow the same exclusion criteria as children and not come to work, or will
leave if these signs develop.
Children and staff with the following symptoms will be excluded: (WAC 170-295-3030-2)
 temperature of at least 100º F under arm (axillary) or 101º F orally AND who also have
one or more of the following:
o headache
o earache
o sore throat
o rash
o fatigue
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vomiting on 2 or more occasions within the past 24 hours
diarrhea (increased fluidity and/or frequency of bowel movements relative to the person's
usual pattern) occurring 3 or more times within 24 hours; or any bloody stool
any suspected communicable infection of the skin or eyes such as impetigo, MRSA,
pinkeye, and scabies
open or oozing sores, unless properly covered and 24 hours have passed since starting
treatment, if treatment is necessary
lice or nits (optional)
fatigue, irritability, or confusion that prevents participation in regular activities, such as
sleeping or resting more than usual for that child, not wanting to eat, or multiple cold
symptoms that keep the child from regular activities
________________________________________________________________
________________________________________________________________
Temperatures are taken with a digital thermometer with single-use disposable covers over the
thermometer (or – single use thermometers that are disposed of after a single use – or – a digital
thermometer that is cleaned and sanitized after each use). Oral temperatures may be taken on
preschool- through school-age children; under arm (axillary) temperatures are taken on all other
children. No rectal nor ear temperatures are taken. (WAC 170-295-3030-4)
Parents are notified in writing when their children have been exposed to infectious diseases or
parasites/lice. The notification may consist of either a letter to parents which will be delivered by
(how – placing in children’s cubbies, placing by the sign-in book, other) and/or posting a
notification for parents (where). (WAC 170-295-3030-6)
Following an illness or injury, children will be readmitted to the program when:
 they no longer have the above symptoms
 they have been without fever for 24 hours without being treated by an antipyretic such as
acetaminophen (Tylenol) or ibuprofen
 24 hours have passed since starting appropriate treatment
 they no longer have significant discomfort
 the center has been advised by a Public Health Nurse on communicable disease
guidelines for child care
Following surgery or injury requiring medical care, a note from the physician stating that the child
may return to routine child care activities and environment may be required.
COMMUNICABLE DISEASE REPORTING
Licensed child care facilities are required to report communicable diseases to their local public
health department. (WAC 246-101-415 and (WAC 170-295-3030-7) The following is a partial list of the official
diseases that must be reported. They were selected because they represent diseases that are
most likely to be found in child care settings. For a complete list of reportable diseases, call the
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Snohomish Health District
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Snohomish Health District. Children and staff who have a reportable disease may not be in
attendance at the center unless approved by the local health department. (WAC 170-295-3030-3)
The following communicable diseases will be reported to the Snohomish Health District at 425339-5278, giving the caller’s name, the name of the child care program, address, telephone
number, and name of child involved:
Animal bites
Campylobacteriosis (Campy)
Cryptosporidiosis
Cyclosporiasis
Diphtheria
Enterohemorrhagic E. Coli, including E. Coli
0157:H7
Food or waterborne illness
Giardiasis
Haemophilus Influenza Type B (HIB)
Hepatitis A (acute infection)
Hepatitis B (acute and chronic infection)
Hepatitis C (acute and chronic infection)
Influenza (if more than 10% of children and staff
are out ill)
Listeriosis
Measles (rubeola)
Meningococcal disease
Mumps
Pertussis (Whooping cough)
Polio
Rubella
Salmonellosis
Shigellosis
Tetanus
Tuberculosis (TB)
Yersiniosis
Should a child at the center become ill and expose others to any of the above mentioned diseases,
parents and legal guardians will be notified in the following manner (Describe method of
communication, including time line for notification of parents, method of contact, use of health
department for further questions). (WAC 170-295-3030-6) The letter will be written by the Snohomish
Health District. Delivery of this information to parents will be the responsibility of the (title of
responsible person).
Even though a disease may not require a report, the child care may consult with the
Communicable Disease Outreach program at the Snohomish Health District at 425-339-5278 for
information about common childhood illness or disease prevention, and to determine when a child
or staff member may return to the center.
HEALTH RECORDS
Each child’s file will contain:
 identifying information about the child (WAC 170-295-7010-1b)
 health, developmental, nutrition, and dental histories (WAC 170-295-7010)
 date of last physical exam (WAC 170-295-7010-3a)
 health care provider and dentist names, addresses, and phone numbers
(WAC 170-295-7010-
3g)


allergies (WAC 170-295-3160-7c) (WAC 170-295-7010-h)
Individualized Care Plans for special needs or considerations (medical, physical, or
behavioral) (WAC 170-295-7010-1e)
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




list of current medications (WAC 170-295-7010-1h)
current immunization record (CIS form) (WAC 170-295-7010-4)
consents for emergency care (WAC 170-295-7010-1f)
preferred hospital for emergency care (WAC 170-295-7010-1f)
authorization to take the child out of the facility to obtain emergency health care
(WAC 170-295-7010-1f)
The above information will be collected by the (title of responsible person) before a child enters the
program and will be updated annually or sooner if changes are brought to the attention of a staff
person.
ILLNESS PREVENTION PRACTICES
The following additional illness prevention practices will take place:



Children will sleep at least 30 inches apart at the sides and in a head to toe or toe to toe
arrangement. (WAC 170-295-5120-1b)
Windows will be opened at least 15 minutes each day.
Daily outside activity must be provided in the morning and afternoon (if you provide full time
care). (WAC 170-295-2130-2) Children will have at least 30 minutes of outside time each day.
IMMUNIZATIONS
To protect all children and the staff, and to meet state health requirements, the center only accepts
children fully immunized for their age. (CFOC pg. 297) The Certificate of Immunization Status (CIS) for
each child is kept on file to show the Department of Health and the Department of Early Learning
(DEL) that the center is in compliance with licensing standards. (WAC-295-7020-1d)
A completed CIS form is collected upon enrollment in the following manner: (Describe method of
initially collecting immunization information: the parent or staff may transfer the immunization dates
from the health care provider’s immunization record onto a CIS form. The parent must sign the
CIS form to verify the information.) (WAC-295-7020-1a,b)
Children may attend child care without an immunization: (WAC-295-7020-3)
 when the parent signs the exemption form stating they have Religious Membership
Exemption, OR
 when the parent signs the exemption form stating they have
religious/personal/philosophical reasons for not obtaining specific immunization(s), AND
 the health care provider signs that the parent has received a consult regarding risks of
not immunizing, OR
 the parent and health care provider signs that the child is medically exempt
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The CIS form is kept (where – child’s file, immunizations binder, other) (WAC 170-295-7020-4-b) and is
returned to parent/guardian when the child leaves the program. A copy of individual records,
including the CIS, must be kept for five years after the child leaves. (WAC 170-295-7010-4-b)
The CIS records are reviewed and updated (how often) by the (title of responsible person).
In the event that a vaccine preventable disease to which children are susceptible occurs in the
facility, the health department will be consulted regarding the potential exclusion of children who
are unimmunized for that disease. (CFOC page 298). This is for the un-immunized child’s protection and
to reduce the spread of the disease. (CFOC page 298). A current list of exempted children is kept
(where)
HANDWASHING
Children and center staff wash their hands using the following method: (CFOC pages 111-112)
(1) Turn on water and adjust the temperature, then wet hands with warm water
(2) Apply a liberal amount of soap to hands.
(3) Rub hands in a wringing motion from wrists to fingertips for not less than 20 seconds.
(4) Rinse hands with warm water.
(5) Dry hands with a paper towel.
(6) Use the paper towel to turn off the water faucet(s).
Staff will wash hands: (WAC 170-295-3020)
 upon arrival at the center
 before handling foods, cooking activities, eating, or serving food
 after toileting self, children, or changing a diaper
 after handling or coming in contact with body fluids such as mucus, blood, saliva, urine,
or feces
 after cleaning or taking out garbage
 after attending to an ill child
 before and after giving medications
 after handling, feeding, or cleaning up after animals
 after smoking
 after being outdoors or involved in outdoor play
 as needed
Children will be assisted or supervised in hand washing: (WAC 170-295-3040)
 upon arrival at the center
 before meals, snacks, or cooking activities
 after toileting or diapering (Staff may wipe the hands of a child under the age of 6
months with a diaper wipe after diapering instead of a hand wash)
 after outdoor play
 after coming in contact with body fluids
 after touching animals
 as needed
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All handwashing sinks are stocked with warm water (85°F - 120°F), (WAC 170-295-5070-2) liquid soap,
(WAC 170-295-5100-9) and paper towels. Cloth towels are not used for drying hands. (WAC 170-295-5100-8)
Handwashing reminders are posted at all handwashing sinks. (WAC 170-295-7080-8b)
Handwashing is to be done at sinks dedicated to this purpose only. Handwashing sinks are
located (describe locations of handwashing sinks). (WAC 170-295-5100-7) Children are able to access
the handsinks by themselves (how? where child height sinks are provided, by using a step stool,
etc.). Infants’ hands are washed by being held up by the provider in the infant room.
No handwashing occurs in sinks designated for food preparation. No food preparation occurs in
handwashing sinks. (WAC 170-295-5100-7c)Handwashing sinks are not used for drinking water. (WAC 170295-5100-7c)
In the kitchen, hands will be washed (where – in the separate handwashing sink, in the designated
compartment of the two-compartment sink, etc.).
The use of hand sanitizers (is/is not) permitted at this facility. If hand sanitizers are used, describe
how and when they are used by staff and include the following 3 sentences. The use of hand
sanitizer is NOT a replacement for handwashing. Hand sanitizers are used only on children who
are older than 24months of age. (CFOC page 111) Instructions for the proper use of hand sanitizers are
posted in the classrooms. Antimicrobial soaps should not be used (CFOC page 111)
TOOTHBRUSHING
This section is optional. Delete if the center does not have a toothbrushing program.
Toothbrushing is done in the (list the classrooms that do toothbrushing) (how often).
Toothbrushing will be supervised to ensure: (CFOC page 102)
 the establishment of a routine which enhances learning
 that children under the age of six (two) use no more than a pea size amount of fluoride
toothpaste
 proper toothbrushing technique
 that toothbrushes are not shared and that they are handled properly
 that excess toothpaste is spit out
Each child will have his/her own toothbrush that will:
 be stored properly to decrease cross contamination
o open to air with bristles up
o unable to drip on one another
o do not contact each other or any other thing
o toothbrush caps are not used
 be clearly marked with the child’s name on the handle with a non-toxic, permanent marker
 have soft, rounded nylon bristles and be sized appropriately for the child
 be replaced twice each year when used less than twice a day, 5 days a week, or sooner if
the bristles become splayed or the toothbrush is contaminated
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Teachers/child care staff will brush their own teeth to model the desired behavior. Staff training will
be provided yearly on the etiology of tooth decay, oral health promotion, and toothbrushing
protocol.
Choose ONE option below (the sink method or the table method):
Children brush teeth at the sink, located (where). The toothbrushing procedure at the sink is:
 A pitcher of water is obtained from a food preparation sink.
 The sink will be cleaned with the 3-step process (wash, rinse, sanitize).
 Teacher will hand each child their toothbrush and a small paper cup with no more than a
pea sized portion of toothpaste on the edge.
 No more than two children will be at the sink at one time.
 Children apply the toothpaste to the brush.
 Teach the children to brush in a pattern and move from area to area (left-to-right, inside and
outside, top-to-bottom) around the mouth. Finish with the top of the teeth.
 Brushing should continue for at least one minute. Exposure to fluoridated toothpaste is
effective even with unsatisfactory brushing technique.
 Child spits excess toothpaste into the sink. A stepping stool is provided.
 Child returns the toothbrush to the teacher who rinses it under the faucet (or in child’s own
cup of water) and replaces it in the toothbrush rack.
 After all the children have brushed, the sink is cleaned with the 3-step process.
– OR –
Children brush teeth while sitting at the table. The toothbrushing procedure at the table is:
 Table area is washed, rinsed, and sanitized.
 Each child is given a paper towel and a small paper cup with no more than a pea sized
portion of toothpaste on the edge.
 Children apply the toothpaste to the brush.
 Teach the children to brush in a pattern and move from area to area (left-to-right, inside and
outside, top-to-bottom) around the mouth. Finish with the top of the teeth.
 Brushing should continue for at least one minute. Exposure to fluoridated toothpaste is
effective even with unsatisfactory brushing technique.
 Child spits the excess toothpaste into the empty paper cup.
 Clean water is poured into a new cup for rinsing the toothbrush.
 Child returns the toothbrush to the teacher who replaces it in the toothbrush holder.
 Cups are immediately discarded.
 After all the children have brushed, the table is washed, rinsed, and sanitized.
GENERAL CLEANING, SANITIZING, AND LAUNDRY
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The child care center is maintained in a clean and sanitary manner that helps protect the children
from illness. Surfaces in the center are designed and maintained to be easily cleanable. A
cleanable surface is one that is:
 designed to be cleaned frequently
 resistant to moisture
 free from cracks, chips, or tears (WAC 170-295-5040-1)
PRODUCT STORAGE
Cleaning, sanitizing, and disinfecting supplies are stored in the original containers, inaccessible to
children, in a manner to avoid spills, and separate from food and food preparation areas. Cleaning
supplies for the kitchen are stored (where). Other cleaning products are stored (where). This
location is ventilated to the outside (by mechanical ventilation or through a window). (WAC 170-295-5060)
PRODUCTS USED
Cleaning means the removal of dirt, grease, food, art material, body fluids, or other substance from
the area. Cleaning is done with (soap and water – or – name of cleaning product). (WAC 170-295-5040-4)
Surfaces are rinsed with water between cleaning and sanitizing steps.
(WAC 170-295-5040-4c)
If using bleach and water as a sanitizer or disinfectant solution, include this section and chart.
Sanitizing means the removal of germs and bacteria to a level that will not cause illness.
Disinfecting removes a larger number of germs than sanitizing. Sanitizing and disinfecting are
done with solutions of bleach and water. The bleach used contains no scents or surfactants.
Bleach is added to a container of cold water and solutions are made fresh daily. Two (2) minutes
of contact time of the solution with the surface is allowed. After the minimum contact time, the
sanitizer may be wiped off with paper towels or the surface may be allowed to air dry.
Only bleach products with the percent of sodium hypochlorite written on the bottle will be used.
The recipes on the following chart will be used to prepare the solutions based on the percent
sodium hypochlorite in the bleach.
Disinfecting Solutions
For use on diaper change tables, hand washing sinks, bathrooms (including
toilet bowls, toilet seats, training rings, soap dispensers, potty chairs), door
and cabinet handles, etc.
Water
1 Gallon
1 Quart
2.75%
Bleach
1/3 cup + 1
Tablespoon
1 ½ Tablespoons
5.25-6.25%
Bleach
8.25%
Bleach
3 Tablespoons
2 Tablespoons
2 ¼ teaspoons
1 ½ teaspoons
Sanitizing Solutions
For use on eating utensils, food use contact surfaces, mixed use tables, high
chair trays, crib frames and mattresses, toys, pacifiers, floors, sleep mats, etc.
Water
1 Gallon
2.75%
Bleach
1 Tablespoon
5.25-6.25%
Bleach
2 teaspoons
8.25%
Bleach
1 teaspoon
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1 Quart
1 teaspoon
½ teaspoon
¼ teaspoon
If using a sanitizer or disinfectant other than bleach and water, include this section and chart.
Sanitizing means the removal of germs and bacteria to a level that will not cause illness.
Disinfecting removes a larger number of germs than sanitizing. General sanitizing is done with
(name of sanitizing solution). The label for this product states that the product is safe for food
contact surfaces. (WAC 170-295-5040-6b) Floors, bathrooms, and diaper changing areas are disinfected
with (name of disinfecting solution). The use of these products was reviewed by the local health
department and Department of Early Learning on (date). When using these products, the label
directions are followed, including concentration, contact time, and rinsing. (WAC 170-295-5040-6a) The
label instructions state:
 Sanitizer: (write name of product and label instructions here – include mixing
instructions, contact, time, and rinsing requirements)

Disinfectant: (write name of product and label instructions here – include mixing
instructions, contact, time, and rinsing requirements)
AREA
Diapering area,
bathroom,
handwashing
sinks, door and
cabinet handles,
faucets, toilets
Food contact
surfaces, mixed
use tables, high
chair trays, toys,
pacifiers, floors,
sleeping mats,
crib frames and
mattresses,
dishes, eating
utensils, pots
and pans,
kitchen
Amount of
Chemical
Fill in amount
needed
Amount of
Water
Fill in water
needed
Contact time
Rinse?
Fill in contact
time
Rinse
needed
–or–
No rinse
needed
Fill in amount
needed
Fill in water
needed
Fill in contact
time
Rinse
needed
–or–
No rinse
needed
The following guidelines will be used when preparing and using chemical cleaners, sanitizers, and
disinfectants:
 Wear gloves and eye protection when mixing chemicals.
 A funnel is used when pouring chemicals into the spray bottle to avoid spills.
 Make dilutions of sanitizer and disinfectant in a well-ventilated area. Never mix solutions in
the classroom.
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




Never store incompatible chemicals in the same space. For example, bleach and ammonia
products should never be mixed or stored together.
Adjust spray bottles to a heavy spray setting, rather than a fine mist.
Avoid applying disinfectant strength when children are in the immediate area.
If possible, or if chemical odors are present, ventilate the area.
(include this bullet if mixing chemical/water solutions, such as bleach water) An eyewash is
available and located (where) per Department of Labor and Industries requirements.
Whenever possible, the sanitizer and/or disinfectant solution is made in large quantity, divided into
spray bottles, and labeled with the preparation date.
Cleaner, water-only, sanitizer, and disinfectant spray bottles are labeled with contents.
(WAC 170-295-
5060-1a)
The use of sponges is not permitted in the center.
Disposal of wastewater is done in the utility sink – or – service sink.
(WAC 170-295-50602b)
CLEANING SCHEDULE
This center’s minimum schedule for general cleaning is:

Tables, highchairs, and counters used for food service will be cleaned and sanitized
before and after each meal or snack. (WAC 170-295-5040-7a)

Sinks, countertops, and floors will be cleaned and sanitized/disinfected daily. (WAC 170-2955040-7b)

Bathrooms will be cleaned and disinfected daily. This includes sinks, toilets, counters,
and floors. Toilet seats will be cleaned and disinfected throughout the day and as
needed. (WAC 170-295-5040-7d)

Remove the following information on potty chairs if you do not use them at the center:
Potty-chairs will be immediately emptied into toilet, and then washed, and disinfected in
a designated sink or utility sink separate from classrooms. This designated sink is
located (where). The sink must then be cleaned and sanitized. (WAC 170-295-4090)

Carpeting, rugs, and furniture will be vacuumed daily. This includes carpeting that may
be on walls or surfaces other than the floor. Carpets will be cleaned monthly in infant
areas and every (three/six) months in other child-occupied rooms. Carpet cleaning will
be done by (name of carpet cleaning company or title of staff person responsible; note:
professional steam cleaning is strongly recommended). Spot cleaning will be done as
necessary. Vacuuming and mopping of the center will not occur while children are
present (carpet sweepers are ok to use). (WAC 170-295-5040-7f)

Hard floors will be swept and mopped with (name of floor cleaning product) daily and
sanitized daily. (WAC 170-295-5040-7e) Utility mops will be hung to dry in an area with
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ventilation to the outside (WAC 170-295-5060-2c) and inaccessible to children. Mop heads are
(washed how often in the washing machine; replaced how often; other).

Toys will be washed, rinsed, sanitized, and air-dried or toys that are dishwasher safe can
be run through a full wash and dry cycle. This is done (how often in each room –daily for
high use infant/toddler toys and weekly for other toys). (WAC 170-295-5040-7h)

Toys that children place in their mouth will be sanitized between uses by different
children. (WAC 170-295-5040-7g)The following system for ongoing rotation of mouth toys will be
implemented in infant and young toddler rooms: (describe the system). Only washable
toys will be used. (WAC 170-295-5040-7)

All garbage cans which contain food waste are kept covered.

Cloth toys and dress up toys will be laundered according to the ‘Laundry’ section of this
policy.

Remove this information if water tables are not used. Water tables will be emptied and
sanitized after each use or more often as needed. Children will wash hands before and
after play and be closely supervised. (WAC 170-295-5050-3)

For art activities, the handwashing sink can be used IF the counters, sinks, and faucets
are cleaned, rinsed, and sanitized prior to use as an art sink.

Nap mats/cots will be cleaned and sanitized (how often), between uses by different
children, after a child has been ill, and as needed. (WAC 170-295-5040-7i)They will be stored
(describe how and where mats/cots and bedding will be stored so that sleeping surfaces
don’t touch if they are not sanitized after each use). (WAC 170-295-5120-1e) Nap mats will be in
good repair. (WAC 170-295-5120-1f)

Remove this information if the center does not care for infants. In infant areas, cribs
mattresses and railings will be sanitized (daily or weekly), before use by a different child,
after a child has been ill, and as needed. Highchairs will be washed, rinsed, and
sanitized after each use.

General cleaning of the center is done (how often) and more often when children or staff
members are ill. Dusting is done (how often). Toy shelves are cleaned and sanitized
(how often). Door knobs are cleaned and disinfected (how often) and more often when
children or staff members are ill. Wastebaskets will have disposable liners and are
emptied daily or more often if necessary. (WAC 170-295-5040-8)

Room deodorizers are not used at the center due to the risk of allergy/lung irritation.

Cleaning duties are assigned to specific staff. These assignments are posted (where).
As cleaning duties are completed, the staff person will mark off that duty.
(WAC 170-295-5040-3b)
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LAUNDRY
Linens and bedding are (sent home – OR – are washed by the center at a temperature of at least
140oF – or – with bleach or other product in the rinse cycle). (WAC 170-295-5110-a)This center’s
minimum schedule for laundry is:

Linens and bedding are (washed/sent home) weekly or more frequently as needed. (WAC 170295-5040-7i)

Remove this information if the center does not care for infants. Infant bedding is changed
(how often – at least weekly, daily is recommended) or more frequently if soiled. (WAC 170-2954100-7)

Cloth toys and dress up clothes are laundered (how often). If they cannot be washed in the
washing machine, they will be hand washed in warm soapy water, rinsed, then dipped into a
(bleach or other product) solution for (amount of time) and allowed to air dry.

Bedding will be stored (describe how and where bedding will be stored separately from
other children – such as removed from mats and stored separately in children’s cubbies).
(WAC 170-295-5120-1e)
Soiled laundry is kept inaccessible to children (where/how). Soiled laundry is kept separate
from clean laundry. (WAC 170-295-5110-1c) Laundry machines are separate from kitchen and food
preparation areas and are inaccessible to children. (WAC 170-295-5110-1d,e) Dryers are vented to the
outside of the building. (WAC 170-295-5110-2)
Children’s coats and other personal items will not touch during storage.
(WAC 170-295-5140)
A change of clothes is available for the children and is provided by (parents/center). These
clothes are stored (where). If parents provide the extra clothing, include the following
statement: The center has a few sets of extra clothes available in case a parent forgets. (WAC 170295-4140)
Staff members are encouraged to wear an apron over street clothes to decrease the spread of
communicable disease – OR – staff members are encouraged to have a change of clothing
available on-site.
INFANT CARE
Monthly consultation visits in the infant room are conducted by (name of infant nurse consultant).
The consultant is a currently licensed (choose 1: Registered Nurse, Nurse Practitioner, Physician
Assistant, or Physician), with training and/or experience in pediatrics or public health. Nurse
consultation records are kept (where). (WAC 170-295-4130)
Infants will be at least (how old – one month (minimum) (WAC 170-295-4010), six weeks) of age when
enrolled.
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INTERACTIONS AND ENVIRONMENT
Infant room staff members have been trained in understanding and reacting appropriately to infant
cues. Staff members interact regularly with each infant throughout the day by: (WAC 170-295-2120)
 encouraging infants to handle and manipulate a variety of objects
 providing a safe environment for climbing, moving, exploring
 providing materials and opportunities for large and small muscle development
 reading and talking to infants
 providing daily indoor opportunities for freedom of movement outside their cribs, in an
open, uncluttered space. The room has areas where all infants can be safely placed on
the floor at any given time. Infants are placed (choose one: directly on the floor, on mats
on the floor, on blankets). (Note: Mats are recommended because they are easy to clean
and sanitize when soiled). Include this sentence if blankets are used: Floor play
blankets are used only for that purpose and are changed when soiled with spit-up or
other body fluids.
 placing infants on their tummy part of the time when they are awake and staff are
observing them
 providing outdoor opportunities (how often; 20-30 minutes per day is recommended)
 ________________________________________________________________
 ________________________________________________________________
 ________________________________________________________________
 ________________________________________________________________
The infant room has been designed so that all accessible spaces are safe and secure for infant
exploration and whole body movement. Infants will either be held or placed on the floor near an
observant and engaged staff person.
(Choose one of the following two options):
 Use of infant containers (swings, infant seats, saucers, and other confining equipment) will
be limited to short periods of time when staff feel they need to contain an infant (such as
when changing the diaper of another infant). The infants will be placed in these containers
for no more than (how long—recommend 20 minutes) collectively each day, unless
otherwise specified in writing by the child’s health care provider. Baby walkers are never
used. (WAC 170-295-2120-3)
– OR –

To maximize an infant’s physical, emotional, and cognitive development, this center has a
“No Container” policy. Swings, infant seats, saucers, and other confining equipment will not
be used.
This center maintains a “No-Shoes” policy in the infant room. All parents and staff are required to
remove their shoes upon entering the infant room.
INFANT BOTTLE FEEDING
Infants will be fed according to their need rather than an adult prescribed time schedule. Infants
are held when fed a bottle. Bottles will not be propped. Infants able to hold their own bottle will be
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held when possible (if it is not possible, the teacher will sit close and interact with the child during
the feeding time). Infants will not be given a bottle while lying down unless the bottle contains only
water. Lying with a bottle puts a baby at risk for baby bottle tooth decay, choking and ear
infections. Bottles will be removed from the infant when he/she finishes feeding. When feeding an
infant, staff will watch for cues (signs) to know when the infant has had enough. (WAC 170-295-4070)
Food preparation areas in the infant room will be cleaned and sanitized daily.
All bottles and containers of breast milk must be labeled with the infant’s full name and the date.
This is done by (whom – classroom staff or parents). Staff must ensure that the correct formula or
breast milk is given to each infant. (WAC 170-295-4030-1 or -404-1)
A refrigerator located (where) is used to store bottles and unserved, leftover infant food. (WAC 170-2954040-2)The refrigerator temperature is checked (how often) to ensure it is not more than 41°F. A log
of these temperatures is kept (where). Bottles will be stored in the coldest part of the refrigerator,
not in the door. A thermometer will be kept in the door of the refrigerator. (WAC 170-295-3190-1e,f)
If bottles are provided by the parents, include this section: Full bottles will be refrigerated
immediately upon arrival at the center, unless being fed to an infant right away. Any prepared
formula or thawed breast milk not used will be sent home with the family at the end of the day. (WAC
170-295-4030-1)Frozen breast milk is stored at 10°F or less (where). This milk is stored at the center for
no more than 2 weeks. (WAC 170-295-4050)
If bottles are prepared at the center, include this section:
This center prepares bottles (when – in the morning, on demand, other). Staff uses the following
steps to prepare bottles: (WAC 170-295-4030)
 Staff must wash hands before preparing or serving bottles.
 All infant bottles and baby foods are prepared (where – by the food preparation sink in
the classroom, in the kitchen). Cold water used for mixing bottles or drinking is obtained
from (where – the designated food prep sink in the classroom, a pitcher brought in from
the kitchen). Water from a hand washing sink is not used for bottle preparation. (WAC 170




295-4030-2b,4)
Include this bullet if the infant room has a food preparation area: The food preparation
area has a sink that is separated from the diaper changing area by (what – eight feet of
space – or – a solid barrier 24 inches in height from the counter surface). (WAC 170-295-40303)
Powdered formula in cans will be dated when opened and stored in a cool, dark place.
Unused portions will be discarded or sent home one month after opening.
Formula will be mixed as directed on the can.
Formula will not be used past the manufacturer’s expiration date. (WAC 170-295-4040-5)
If prepared bottles are not warmed immediately, the bottles are stored in the refrigerator.
Formula and breast milk bottles are warmed (how/where – under running warm water, in a bottle
warmer, or in a container of water or crock pot that is not warmer than 120°F). (If a crock pot is
used, include this sentence: The crock pot will be secured to avoid it being knocked off the
counter.) Bottles are never warmed in a microwave. A microwave heats unevenly and can cause
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“hot spots”, posing a burn risk. Microwaving also destroys much of the nutritional component in
breast milk. (WAC 170-295-4030-2c,d)
Frozen breast milk is thawed (how – in the refrigerator, under warm running water, in a container of
water less than 120°F) then warmed as stated above. Thawed breast milk will not be refrozen.
(WAC 170-295-4050-3)
The contents of any bottle not fully consumed within an hour are thrown away. Bottles that have
been used don’t go back into the refrigerator. (WAC 170-295-4040-3) Bacteria begin to multiply once
bottles are taken from the refrigerator and warmed. Families are advised to send several small
bottles or portions, enough for one day only (WAC 170-295-4040-4), to minimize the amount of breast milk
or formula that is discarded.
Bottle nipples are kept covered when not in use to reduce cross contamination.
(WAC 170-295-4040-6)
BOTTLE CLEANING
Bottles, bottle caps, nipples, and other equipment used for bottle feeding are provided by the
(whom – parent/guardian, child care center). These items will not be reused without first being
cleaned and sanitized by (how – washing in a dishwasher; or washing, rinsing, and boiling for one
minute; or the parent/guardian – parents are asked to bring enough bottles to last an entire day).
(WAC 170-295-4060)
CARING FOR BREASTFED INFANTS (OPTIONAL section)
Our child care welcomes breastfed babies and actively accommodates mothers nursing their
babies. Staff knows the benefits of breastfeeding for babies and moms. The staff encourages
pregnant mothers to continue breastfeeding when returning to work or school. The (title of person)
will provide information and resources to new moms needing assistance with pumping, safe
storage and transfer of breast milk, and other support. Staff safely store and handle breast milk
brought into the center.
The infant room (or other appropriate space) provides comfortable places for nursing and private
places for pumping. Staff is trained to develop a trusting relationship with all parents and
caregivers. They help assist new moms and babies with the home to child care transition. They
communicate often with parents, encourage parents to drop-in any time and understand the unique
needs of the breastfed baby (may need to feed more often, coordinating bottle feedings with
mom’s visits, delayed introduction to solid foods). Staff is trained to create a positive feeding
environment for all infants and recognize and respond appropriately to infant feeding cues.
INFANT FOOD SAFETY
When they begin to self-feed, infants’ hands are washed with soap and water before eating.
Staff members wash hands thoroughly before preparing any infant foods. (WAC 170-295-3020-6) Staff
never touches infant food with bare hands. Baby foods are prepared (where – by the food
preparation sink in the classroom, in the kitchen). Cold water used for preparing baby foods is
obtained from (where – the designated food prep sink in the classroom, a pitcher brought in from
the kitchen). (WAC 170-295-4030-2b. 4) Water from a hand washing sink is NOT used to prepare baby
foods. (WAC 170-295-4030-2b)
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Include this bullet if the infant room has a food preparation area: The infant food preparation area
has a sink that is separated from the diaper changing area by (what – eight feet of space – or – a
solid barrier 24 inches in height from the counter surface). (WAC 170-295-4030-3a,b)
Baby food is served from a dish with a clean spoon, not from the baby food jar. Opened baby food
jars are kept covered and refrigerated, and are discarded or sent home with the family after 24
hours. Unconsumed baby food portions in the serving bowl will be thrown away.
INFANT AND TODDLER SOLID FOODS
The center will work with the infant's parent/guardian to develop a plan for the infant's feedings that
is acceptable to the parent/guardian. (WAC 170-295-4020-2) New foods are never introduced at the
center; the introduction of new foods is always done by the family first (Note: The American
Academy of Pediatrics recommends waiting to introduce solid baby food until the child is 6 months
of age.) The center uses the following guidelines:
Developmental Stage/Age of Infant
Under 6 months of age
(Note: WAC states 4 months)
Type of Feeding
Serve only formula or breast milk unless family
provides a written order from the child's health
care provider.
When baby can: (at about 6 months)
Sit with support
Hold head steady
Close lips over the spoon
Keep food in mouth and swallow it
Continue serving formula or breast milk. Any
substitution requires a written order from the
child's health care provider.
AND
Begin iron fortified baby cereal and plain pureed
fruits and vegetables upon consultation with
parents.
When baby can: (at about 6-8 months)
Sit without support
Begin to chew
Sip from a cup with help
Grasp and hold onto things
Continue serving formula or breast milk. Any
substitution requires a written order from the
child's health care provider.
AND
Start small amounts of water in a cup.
AND
Let baby begin to feed self.
AND
Start semi-solid foods such as cottage cheese,
mashed tofu, mashed soft vegetables or fruits.
When baby can: (at about 8-10 months)
Take a bite of food
Pick up finger foods and get them
into the mouth
Begin to hold a cup while sipping
from it
Continue serving formula or breast milk. Any
substitution requires a written order from the
child's health care provider.
AND
Begin offering small pieces of cheese, tofu, chicken,
turkey, fish or ground meat.
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Begin offering small pieces of soft cooked
vegetables, peeled soft fruits.
Begin offering toasted bread squares, unsalted
crackers or pieces of soft tortilla.
Begin offering cooked plain rice or noodles.
AND
Serve only formula, breast milk, diluted juice or
water in the cup.
When a baby can: (at about 10-12 months)
Finger Feed
Chew and swallow soft, mashed and
chopped foods
Start to hold and use a spoon
Drink from a cup
Continue serving formula or breast milk. Any
substitution requires a written order from the
child's health care provider.
AND
Begin offering small sized, cooked foods.
Begin offering a variety of whole grain cereals,
bread and crackers, tortillas.
Begin offering cooked soft meats, mashed legumes
(lentils, pinto beans, kidney beans, etc.), cooked
egg yolks, soft casseroles.
When a baby can: (about 12 months)
Offer small amounts of formula, breast milk or water
Eat a variety of foods from all food
in the cup during meals.
groups without signs of an allergic AND
reaction
Begin offering whole milk.
Begin offering fruit pieces and cooked vegetables.
Begin offering yogurt and cheese slices.
Cracked high chair trays or table-tops are not approved for food service. Infant finger food can be
placed directly on an appropriate, clean, sanitized high chair tray. Staff members face infants and
allow them to control the pace of the feeding. Toddlers will eat from plates, have a paper napkin,
and developmentally appropriate utensils. Staff members serving or preparing food wear gloves
and use tongs or spoons to minimize bare hand contact.
No egg whites (allergy risk) or honey (bacteria risk) will be given to children less than 12
of age.
months
Juice will be limited; it will only be offered in a cup and always diluted.
NAPPING PRACTICES FOR INFANTS AND TODDLERS
Children 29 months of age or younger will be allowed to follow their individual sleep pattern.
Alternative, quiet activities (no TV or video) will be provided for the child who is not napping.
170-295-2050-2)
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(WAC
Sleeping schedules are discouraged. However, parents may request that an infant be woken up if
sleeping more than 3 hours. This may be necessary to assist with the infant’s 24-hour sleep/wake
cycle.
A (what – crib, basinet, play yard, etc) will be furnished for napping. (WAC 170-295-5120) When the child
care provider and parent agree, and the infant can safely do so, transitioning to a mat or cot will
happen. (WAC 170-295-4100-2) Note: if children sleep in something other than cribs, make all necessary
changes in this section.
Because infants sleeping on their stomachs are at a higher risk of death from Sudden Infant Death
Syndrome, S.I.D.S., the following will take place at this center:
 Infants will sleep on their backs unless they roll over themselves. Infants are not
awakened to return them to their backs if they roll over themselves. (WAC 170-295-4110-1)
 Crib sheets will fit the mattress snugly and securely in all corners and sides. (WAC 170-2954100-6a)
 Cribs will not contain bumper pads, pillows, soft toys, fleece, cushions, or thick blankets.
 Only one thin blanket will be used and kept no higher than chest level. The blanket will
be tucked around the foot of the mattress. (WAC 170-295-4100-6b) - OR –
No blankets will be used in the crib. Infants will be dressed comfortably for sleep in sleep
sacks or one-piece sleepers. (American Academy of Pediatrics recommendation)
 Soft bedding and toys will not be allowed in cribs.
 Hanging mobiles will be removed once the child is able to sit up and/or reach the mobile.
 Should a parent or legal guardian request an alternate sleep position it must be specified
in writing by the parent/guardian and the child’s health care provider. (WAC 170-295-4110-1)
If you use something other than cribs, remove this section. Cribs will meet the following safety
requirements: (WAC 170-295-4100-3)
 must meet CPSC requirements (note: this is met if the crib was made on or after June 28,


2011. May also meet requirements if it was made between July 1, 2010 and June 27, 2011 if a
certificate of compliance was obtained from the manufacturer)
sturdy and in good repair (no sharp edges, points, unsealed rough surfaces, splinters,
peeling paint, cracks, missing/broken parts)
mattresses will be firm, snug fitting, intact, and waterproof, and will fit snugly against the
crib frame (WAC 170-295-4100-4)
Documentation must be kept on-site stating that each crib at the child care meets the CPSC
requirements (WAC 170-295-4100-3d)
If you use something other than play yards, remove this section. Play yards will meet the following
safety requirements: (WAC 170-295-4100-4)
 have no holes in the netting
 play yards will be sturdy and in good repair
 play yards will be checked to ensure they have not been recalled due to sides that do
not properly lock, protruding bolts, or other safety concerns
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Because sleeping in infant seats or swings makes it harder for infants to breathe fully and may
inhibit gross motor development, infants will not sleep in car seats, swings, and infant seats.
Children who arrive at the center asleep in car seats will be immediately transferred to their crib.
(WAC 170-295-4100-1)
Cribs and play yards will be spaced at least 30 inches apart or separated by a solid barrier, such
as Plexiglas. (WAC 170-295-4100-5)
Light levels will be high enough so children can be easily observed when sleeping.
Cribs will not be located directly under windows unless windows are constructed of safety glass or
have an applied polymer safety coating. (WAC 170-295-5020-1g)
The center will have at least one evacuation crib for every 4 infants. Evacuation cribs will have:
 four inch or larger wheels
 a reinforced bottom
 space for a maximum of four infants per crib
Write here any additional policies related to infant and toddler napping:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____________________________________________________________________
DIAPERING
Diapers are changed at the changing station only. The center’s diaper changing station(s):
 has a washable, moisture-impervious surface (WAC 170-295-4120-1a)
 has a protective barrier that is at least 3.5 inches high (WAC 170-295-4120-1b)
 has a foot-operated garbage can (WAC 170-295-4120-1c)
 is on moisture impervious flooring extending 2’ or more (WAC 170-295-4120-1d)
 is located adjacent to a hand washing sink (WAC 170-295-4120-1e)
 is (where in relation to food preparation areas – located 8 feet away from food
preparation areas, has a solid barrier between the changing station and food preparation
areas)
 does not have safety belts (WAC 170-295-4120-4)
The diaper changing procedure is posted. (WAC 170-295-4120-2)The proper diaper changing procedure is
as follows:
 Wash hands. (WAC 170-295-3020-3)
 (optional) Put on disposable gloves.
 Gather necessary materials and have them in reach.
 (optional) Cover surface with paper.
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








Place child on the changing table and remove diaper.
Clean child’s bottom with diaper wipes. Wipe from front to back. Use only one swipe
per diaper wipe.
Remove disposable gloves and use them to wrap up dirty items. Discard all dirty items
in a foot-operated step can. (WAC 170-295-4120-6a)
Provider wipes own hands with a wet wipe. (WAC 170-295-3020-3)
Diaper and dress the child.
Wash the child’s hands with soap and water. (WAC 170-295-3040-3) For infants younger than 6
months, a diaper wipe can be used to wipe off the child’s hands.
Return child to a safe area.
Remove and discard paper. Clean with soapy water, and then rinse with water. Disinfect
the changing table and any equipment or supplies you touched with (what – bleach
water solution, name of other disinfectant). Allow (how long – varies depending on
disinfectant) of contact time with the disinfectant. (WAC 170-295-4120-1a)
Wash hands with soap and water. (WAC 170-295-3020-3)
If you do not do stand-up diapering, remove this section. Stand-up diapering is done at this child
care (when – for older children, when children are in pull-ups only, etc). The stand-up diapering
procedure is as follows:
 Wash hands. (WAC 170-295-3020-3)
 (optional) Put on disposable gloves.
 Gather necessary materials and have them in reach.
 Coach child in pulling down pants and removing diaper/pull-up/underpants and assist as
needed.
 Put soiled diaper/pull-up/underpants in plastic bag.
 Coach child in cleaning diaper area front to back using a clean, damp wipe for each
stroke and assist as needed.
 Remove disposable gloves and use them to wrap up dirty items. Discard all wipes and
other dirty items in a foot-operated step can. (WAC 170-295-4120-6a)
 Close and dispose of plastic bag into hands-free covered trash can lined with a plastic
garbage bag or send home.
 Provider and child wipe hands with a wet wipe.
 If a signed medication authorization indicates, apply ointment using disposable gloves.
Then remove gloves.
 Coach child in putting on clean diaper/pull-up/underpants and clothing.
 Wash the child’s hands with soap and water. (WAC 170-295-3040-3)
 Return child to a safe area.
 Any contaminated equipment will be cleaned , rinsed with water and then disinfected
with (what – bleach water solution, name of other disinfectant). Allow (how long – varies
depending on disinfectant) of contact time with the disinfectant. (WAC 170-295-4120-1a)
 Wash hands with soap and water. (WAC 170-295-3020-3)
Children are not left unattended during the diaper changing procedure.
(WAC 170-295-4120-3)
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Nothing but the child, changing pad (, paper), and diaper supplies is placed on the changing table,
counter, or sink. The changing surface is not used for other activities, including writing. (WAC 170-2954120-5)
Each diaper change is recorded on a (name of diapering log).
Disposable diapers are removed from the facility and the garbage liner is changed daily and more
often if necessary. These diapers are disposed of with curbside garbage. (WAC 170-295-4120-6)
Note: remove if reusable diapers are not used. Reusable diapers are not rinsed, are individually
bagged, and are (what – stored in a cleanable, covered container with a waterproof liner, given to
a commercial service, sent to a laundry, or returned to the parent or guardian). (WAC 170-295-4120-7)
Soiled clothing is not rinsed, is individually bagged, and is returned to the parent or guardian.
FOOD SERVICE
This section should specifically reflect how and where you prepare foods. For example, if only
snacks are served, this must be clearly stated and described. Supply as much detail as possible
for this section. Contact your local health department child care health consultant if you need
assistance with this section.
FOOD PREPARATION FACILITY
This center prepares food (where; examples include the center kitchen, individual classrooms, staff
lounge, etc). The following items and equipment are present in the food preparation area(s):
(Remove all items that do not apply)
 # Refrigerator(s) (WAC 170-295-3220-3)
 # Freezers(s)
 3-compartment sink (WAC 170-295-3220-5b)
 2-compartment sink (with dishwasher) (WAC 170-295-3220-5a)
 separate handwashing sink (WAC 170-295-220-4)
 oven and stove with properly vented hood or exhaust fan (WAC 170-295-3220-2)
 commercial dishwasher
 residential-type dishwasher
 microwave
 adequate counter space that is moisture resistant , well maintained (WAC 170-295-3220-1)
 ___________________
 ___________________
FOOD SUPPLY
This center purchases food from (where). All food meets the following criteria:
 All food that is past the expiration date is discarded. (WAC 170-295-3200-4)
 Severely dented cans are discarded.
 Only pasteurized milk and juice is served.
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



Choose 1 option: Children (may/must) bring sack lunches from home. (WAC 170-295-3180-2b)
Parents are expected to supply nutritional food for their child’s sack lunch. – OR – Sack
lunches are not allowed at this center. Exceptions are made for children with special
dietary needs.
All food served is prepared at the center’s kitchen (or other location?). Home-prepared
foods (other than sack lunches) are not permitted at this center. (WAC 170-295-3180-1,2)
Optional: The center uses only pre-cooked chicken and ground beef.
Leftover foods are defined as previously prepared food that has not been served and
were stored at the proper temperature. Choose 1 option: No leftover foods are served. –
OR – Un-served foods that are removed from the original packaging are stored at the
proper temperature. Leftover foods in the refrigerator are labeled with the date that they
were opened and are served or discarded within 48 hours. This center does NOT serve
leftovers that require preparation or cooking. – OR – Leftover foods that have been
cooked will be properly cooled and reheated. Un-served foods are stored at the proper
temperature. Leftover foods or opened foods in the refrigerator are labeled with the date
that they were prepared or opened and are served or discarded within 48 hours. (WAC 170295-3190-3)
If the center receives food from another site, that is considered catering and this section must be
included and followed. This center receives food from a permitted catering facility. The center
follows WAC 170-295-3180 regarding who can cater the center’s food. These steps are followed to
assure the safety of the food: (WAC 170-295-3180-2a,3,4;)
 Upon delivery, the food is checked with a stem thermometer. Any food that does not
arrive at the proper temperature will be refused. (WAC 170-295-3190-2)
 Food is labeled with the date upon arrival.
 Documentation on this catering facility is kept (where). This documentation is kept for the
previous 6 months and includes:
o a copy of the catering permit
o the name and temperature of the food upon arrival
o the date and time the temperature was checked
o the name and signature of the person who is checking and recording the food
temperatures (WAC 170-295-3190-2)
 This center has a back-up system if the food does not arrive, if the food arrives at an
improper temperature, or if for some other reason that the food cannot be served. This
backup system is (describe system).
FOOD STORAGE
Food is stored away from and never below kitchen and other chemicals. (WAC 170-295-3200-3)
Raw meat, poultry, fish and unpasteurized eggs are stored away from and below all other foods.
(WAC 170-295-3200-6)
All food items are stored off the floor. Dry food items are stored (where; in cabinets, on shelves, in
a different room, in a shed, etc). All dry goods are stored in labeled containers with tight-fitting lids.
(WAC 170-295-3200-1,7) These containers are labeled with the date when the item was opened. (WAC 170295-3200-8)
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All refrigerated foods are kept sealed or covered (except when cooling foods to 41°F).
3200-5) All refrigerated foods are dated.
(WAC 170-295-
TEMPERATURE CONTROL
Refrigerators and freezers have thermometers placed in or near the door. Refrigerator temperature
is maintained at 41oF or less. (WAC 170-295-3190-1) The refrigerator temperature is checked daily and is
recorded on a (name of form). Freezer temperatures are maintained at 10oF or less. (WAC 170-2953190-1)
(Include these temperatures if food is cooked at the center) Foods are cooked to the correct
internal temperature as follows: (WAC 170-295-3190-1)
 poultry = 165oF
 ground beef and ground pork = 155oF
 beef = 145oF
 pork = 145oF
 eggs = 145oF
 fish & seafood = 145oF
 cooked vegetables = 140oF
Packaged foods are cooked according to the label instructions.
Food temperatures will be monitored using a stem thermometer. The stem thermometer is stored
(where) and is calibrated (how often).
Hot holding food: hot food will be held at a temperature of 135oF or above until served. (WAC 170-2953190-1)
Cold holding food: food requiring refrigeration will be held at a temperature of 41 oF or less until
served. (WAC 170-295-3190-1)
If the center uses a microwave, include this paragraph. If the microwave is used to heat food: (WAC
170-295-3220-6)




the food is rotated and stirred during heating
the food is covered to retain moisture
the internal temperature is monitored and cooked until the food reaches the proper
cooking temperature listed above
the food is allowed to sit for 2 minutes prior to serving to allow the temperature to spread
evenly throughout the food
Thawing of frozen foods is done:
 by placing in the refrigerator,
 by placing in a pan in the sink with cool water running over the food,
 during the cooking process if the food is to be cooked immediately, or
 in the microwave (WAC 170-295-3210)
If sack lunches are brought from home, include this paragraph. Sack lunches from home are kept
cool to prevent bacteria growth. (WAC 170-295-3160-3) Choose one of the following:
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
– OR –

Parents are expected to include an ice pack, gel pack, frozen juice box, ice cubes in a
leak-proof container, or other cold product to keep the lunch at a cool temperature.
Staff will check sack lunches from home and refrigerate any lunches that contain any of
the following items: meat products, sliced fruit or vegetables, dairy products, other
perishables.
HANDLING LEFTOVERS (Include this section only if the center serves cooked leftovers)
Before storing cooked foods, the food is cooled by (choose one of the following) (WAC 170-295-3190-1)
 Placing food in shallow containers 2” deep or less. Leave uncovered and immediately
put the pan into the refrigerator on a top shelf.
– OR –
 Cooling to 70oF within 2 hours and then to 41oF within 4 additional hours. Temperatures
during the cooling process will be taken and recorded every hour.
Once food has cooled to a temperature of 41oF or less, the food is covered, dated, and stored in
the refrigerator.
Previously prepared foods may be reheated one time only to an internal temperature of 165 oF
within 60 minutes. (WAC 170-295-3190-1b)
Leftovers that were prepared more than 48 hours ago are discarded.
(WAC 170-295-3190-3)
FOOD HANDLING
All staff will wash hands with soap and water (WAC 170-295-3020-6) at a designated hand washing sink
prior to preparing or serving food, even if food service gloves are worn. (WAC 170-295-3190-1)
Food preparation is not done in handwashing sinks.
(WAC 170-295- 5100-7c)
If the center washes fresh produce, include this paragraph. This center prepares and serves fresh
fruits and vegetables. (WAC 170-295-3190-1) (Choose one of the following)
 All produce is washed in a dedicated food preparation sink that is used for no other
purpose and is not part of a multi-compartment sink, where an adjacent compartment is
used for handwashing. This sink is cleaned and sanitized prior to any food preparation,
including the rinsing of produce.
– OR –
 Produce is washed in a food preparation sink that may be used for other purposes such
as dishwashing, food disposal, cleaning toys, etc. This sink is cleaned and sanitized prior
to any food preparation, including the rinsing of produce. Also, a colander is used so that
produce never touches the bottom of the sink.
Ill staff will not prepare or handle food. (WAC 170-295-3190-1)
This center maintains a ‘No Bare-Hand Contact’ rule when handling ready-to-eat foods. The cook
wears gloves or uses utensils when preparing ready-to-eat foods. Gloves are changed when they
become contaminated. Staff in the classrooms wear gloves or use utensils when serving food to
the children. (WAC 170-295-3230-3)
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If the center serves meals or snacks family-style, include the following paragraph. When meals are
served family-style, children use utensils to serve themselves. Steps are taken to ensure children
only touch their own food. Children are supervised so that they do not touch each other’s food.
Staff members sit with the children during meals and snacks.
In addition to food preparation, the cook has the following responsibilities at the center – List
responsibilities here. The cook does not change diapers unless all food preparation has been
completed for the day. Optional: The cook does not substitute in infant or toddler rooms unless all
food preparation is completed for the day.
KITCHEN CLEANING AND SANITIZING
All chemicals and cleaning supplies are stored away from and below food and food preparation
areas. All chemicals are stored in their original containers. All spray bottles are labeled with the
contents and the date. (WAC 170-295-5060-1a)
To ensure food safety, the kitchen will be kept clean. Refrigerators will be cleaned and sanitized
monthly, or more often as needed. (WAC 170-295-5040-7c)Tabletops where the children eat are washed
and sanitized before every meal and snack. (WAC 170-295-5040-7a) Kitchen counters, sinks, and faucets
will be washed, rinsed, and sanitized daily before any food preparation and as needed during food
preparation. (WAC 170-295-5040-7b)
Sponges are not used on food contact surfaces. Cutting boards will be washed, rinsed, and
sanitized between each use. (WAC 170-295-3220-1c)
All dishes, cups, utensils, etc. will be washed (how – Using a three-step method whereby dishes
are washed with soap and water, rinsed, and then sanitized with (name of sanitizer), or in an
automatic dishwasher capable of reaching 140oF, or in an automatic dishwasher that sanitizes the
dishes with (name of chemical – bleach, iodine, quaternary ammonia). (WAC 170-295-3230-1a)
FOOD WORKER EDUCATION
Choose one of the following three paragraphs to include in your plan.
This center’s cook has a current Washington State Food Worker Card. The cook oversees the food
handling at the center. He/She will provide orientation and on-going training as needed for all staff
involved in food handling. Documentation will be posted (where). (WAC 170-295-3170)
- OR Our center does not prepare full meals. This center has at least one person on site whenever food
is prepared or served who has a current Washington State Food Worker Card. This person
oversees the food handling at the center. He/She will provide orientation and on-going training as
needed for all staff involved in food handling. Documentation will be posted (where). (WAC 170-2953170)
- OR Child Care Center Health Policy
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The cook and at least one staff member per classroom have current Washington State Food
Worker Cards. The cook (or other designated person) will provide orientation and on-going training
as needed for all staff involved in food handling. Documentation will be posted (where).
- OR All staff members preparing or serving food have a Washington State Food Worker Card.
Documentation will be posted (where). (WAC 170-295-3170)
NUTRITION
If parents provide food for their children, include this paragraph. When parents provide their
children meals or snacks, they must meet the nutritional requirements as outlined by the
Washington State Meal Pattern for Child Care. (WAC 170-295-3160-3) If the meal provided does not
meet nutritional requirements, the center will supplement the meal with the missing
components. The center will help the parent provide more nutritionally adequate meals in the
future by (how) (examples: giving parents a Pack-a-Sack brochure from the Child Care Health
Program, sending home a summary of what a sack meal must contain, etc.)
If parents are allowed to bring in food for special occasions, include this paragraph. Parents
are allowed to bring in snacks for all the children that may not meet the nutritional
requirements on special occasions such as birthdays. The snacks provided by parents must
be limited to store purchased uncut fruits and vegetables and foods prepackaged in original
manufacturer’s containers. Before bringing in the food for a special occasion,
parents/guardians must discuss the food choices with staff to address any food safety and
allergy concerns. (WAC 170-295-3160-6) Parents are discouraged from bringing in treats high in
sugar.
Only pasteurized milk or pasteurized dairy products are served. Nondairy milk substitutions will
only be served with written permission from the child’s (parent – or – health care provider) for
children over the age of twelve months. The (center will – or – parents must) provide an
appropriate milk substitute (such as calcium-fortified rice milk or soymilk. The amount of required
milk fat in the milk product is determined by the child's age: (WAC 170-295-3140)
If the age of the child is: Then the fat content of the milk must be:
Under 12 months
Full strength formula or full strength breast milk unless there
are specific written instructions from a licensed health care
provider.
Between 12 months and
24 months
Full strength whole milk or breast milk unless there is specific
written instruction from a licensed health care provider.
Over 24 months
With fat content of provider’s or parent’s choice; 2% or 1% is
recommended by pediatricians
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The center will prepare, date, and conspicuously post menus of snacks and meals at least one
week in advance. The center uses a (how many – note: must be 2 or more) week cycle menu, with
no repeated meal/snack combinations, to ensure variety. The past menus will be kept on-site for 6
months. If needed, substitutions of comparable nutrient value may be made and any changes will
be recorded on the menu. (WAC 170-295-3160-1)
The menu will:
 consist of a wide variety of foods that are low in fat, sugar, and salt
 place emphasis on serving fruits and vegetables often
 include a Vitamin-C rich food every day (WAC 170-295-3160-1e)
 include Vitamin-A rich foods three or more times each week (WAC 170-295-3160-1f)
 Optional: include a protein or dairy for each afternoon snack
 Optional: incorporate ethnic, cultural, and seasonal foods regularly
Meals and snacks will be served every 2 to 3 ½ hours. (WAC 170-295-3150-2a) The following
meals/snacks are provided by the center:
Time:
Meal/Snack
___________________
________________________________
___________________
________________________________
___________________
________________________________
___________________
________________________________
___________________
________________________________
If the center serves breakfast, include the following section. (Note: It is recommended to serve
a breakfast if the center opens before 7:00). Each breakfast meal contains: (WAC 170-295-3160-2a)
 a fruit or vegetable (the center serves fruit instead of juice most often)
 a dairy product (such as milk, cheese, yogurt, or cottage cheese)
 a grain product (such as bread, cereal, rice cake, or bagel)
Each lunch and dinner meal contains: (WAC 170-295-3160-2b)
 a dairy product (such as milk, cheese, yogurt, or cottage cheese)
 meat or meat alternative (such as beef, fish, poultry, legumes, tofu, or beans)
 a grain product (such as bread, cereal, rice cake, or bagel)
 fruits or vegetables (two fruits, two vegetables, or one fruit and one vegetable to
equal the total portion size required)
Each snack contains two of the four components: (WAC 170-295-3160-4)
 a dairy product (such as milk, cheese, yogurt, or cottage cheese)
 meat or meat alternative (such as meat, legumes, beans, egg)
 a grain product (such as bread, cereal, rice cake, or bagel)
 fruit or vegetable
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Each snack or meal includes a liquid to drink. The drink could be water or one of the required
components such as milk or fruit/vegetable juice. (WAC 170-295-3160-5)
When juice is served in place of a fruit or vegetable it must be one hundred percent fruit or
vegetable juice. (WAC 170-295-3160-2ai)
If a child has a food allergy or special dietary need, the parent and the child’s health care
provider will identify a protocol for managing the child’s special dietary need. The center will
develop an allergy management plan or an individual care plan with parent input for the chi ld.
This plan will include (describe: information on alternative foods with comparable nutritive
value, a requirement that the parents must supply food for the special diet, etc.) (WAC 170-295-31607a)
The center will post children’s food allergies where food is prepared. This list will be kept
confidential (how – covering with a piece of paper labeled “food allergies”, placed in a
cupboard, etc) and will include the child’s allergic reactions. (WAC 170-295-3160-7b,e)
Mealtime and snack time will support children’s development of healthy eating habits. For
safety and role-modeling, staff members sit, eat, and have casual conversations with children
during mealtimes. Staff members are trained in helping serve food family-style.
Coffee, tea and other hot beverages will not be consumed by staff while children are in their care,
in order to prevent scalding injuries. (WAC 170-295-5020-1a) Staff will not consume pop or other nonnutritional beverages while children are in their care. During meal and snack times, staff will eat
only those foods that are served to the children.
PHYSICAL ACTIVITY
All children birth to age five should engage in daily physical activity that promotes fitness for health
and movement skills. Promoting and fostering enjoyment of movement and motor skill competence
and confidence at an early age helps to ensure that children develop active, healthy habits.
Current research also shows that regular physical activity of infants and young children is an
important component of early brain development and learning. Our center follows the NASPE
guidelines for physical activity for children age birth to five (Active Start, NASPE, 2002):
INFANTS (Remove this section if center does not care for infants)
Positive early movement experiences increase the infant’s chances of achieving full developmental
potential throughout life. Infants will:
 be placed in a safe setting (name areas: carpeted floor, mats, sectioned-off areas etc) that
encourages exploration and does not restrict movement for prolonged periods of time;
Container use will be limited to (name time frame) – OR – This center does not use any
containers except for high-chairs when solid foods are introduced.
 have help from staff to facilitate movement by:
o receiving regular, attentive interaction (using facial, verbal and non-verbal
expressions) that encourages playful activity
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o having an open environment suitable for the exploration and development of rolling
over, reaching, sitting, crawling, creeping and standing
o having daily “tummy time” – placing infant on his/her tummy to promote wiggling and
scooting which contributes to large motor skill development
TODDLERS
With ample opportunity for exploration and learning, basic movement skills like running, jumping,
throwing, and kicking will develop. Toddlers will:
 not be sedentary for more than 60 minutes at a time except when sleeping
 get at least 30 minutes of staff guided, playful activity that contributes to the development of
movement skills (walking, jumping, hopping, side-stepping etc)
 have opportunities throughout the day (several hours) for unstructured physical activities
and play in a safe area both indoors and outdoors that promotes exploration and playful
practice of movement skills
PRESCHOOLERS AND PRE-KINDERGARTEN
Instruction and positive reinforcement is critical during this time in order to ensure that children
develop gross motor and movement skills before entering school. Children 3 – 5 will:
 not be sedentary for more than 60 minutes at a time except when sleeping
 accumulate at least 60 minutes of guided, structured activities that encourage playful
practice of movement skills in a variety of activities and settings
 engage in at least an hour and up to several hours of unstructured physical activities in a
safe area both indoors and outdoors suitable for large muscle activities (gross motor
movement)
SCHOOL-AGERS
Instruction and positive reinforcement will help develop children’s knowledge, skills, and
confidence to enjoy a lifetime of healthful physical activity. Children in grades K-6 will
 not be sedentary for more than 60 minutes at a time except when sleeping
 accumulate at least 60 minutes of guided, structured activities that encourage playful
practice of movement skills in a variety of activities and settings
 engage in at least an hour and up to several hours of unstructured physical activities in a
safe area both indoors and outdoors suitable for large muscle activities (gross motor
movement)
WATER PLAY
Wading pools are not used at this child care due to the high risk of disease spread. (WAC 170-2955050-2) Instead sprinklers, water-only spray bottles, paintbrushes, watering cans, and other
forms of water play are done.
Water tables are emptied and sanitized after each use, and more often if necessary.
295-5050-3)
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(WAC 170-
Remove the paragraph if you do not go off site for water activities. When water play occurs
outside of the licensed area, written parent permission will be obtained, a certified lifeguard
will be on duty, and infants and toddlers will be kept within reach (with one-to-one staff-to-child
ratio if water depth exceeds 24”).
If you have a swimming pool on site (a pool more than 2 feet deep), add a paragraph here
about the safety measures you put in place. Make sure they comply with WAC 170-295-50501).
SCREEN TIME
Choose one of the following paragraphs to include in your plan.
This center does not allow screen time at all, with the exception of no more than ½ hour of
educational media used per week. Educational media includes such things as small video clips of
an educational nature.
- OR Our center allows the use of (television, children’s videos, computers). Our policy is: (write the
details of your screen time policy here. Include where screens are located in your facility, the
maximum allowable use per classroom per week, etc.).
DISASTER PREPAREDNESS
This center has developed a disaster preparedness policy. See the (title of center’s comprehensive
disaster plan). This plan is located (where) and a copy is kept in the disaster kit. (WAC 170-295-5030)
Parents should read, review, sign, and date the plan upon enrollment.
discussed with parents annually.
(WAC 170-295-5030-6b) The
plan is
Annually, the director and staff will be oriented to this disaster policy and documentation of staff
orientation will be kept in the disaster plan manual. The (title of person) will be responsible for
orienting new staff or substitutes to these plans. (WAC 170-295-5030-6a)
Procedures for medical, dental, poison, earthquake, fire, and other emergency situations will be
posted in each classroom. (WAC 170-295-5030-4d) These plans include:
 which staff is responsible for each part of the plan (WAC 170-295-5030-5a)
 procedure for accounting for all children during and after an emergency (WAC 170-295-5030-5b)
 evacuation routes and meeting location (WAC 170-295-5030-5c)
 Individualized Care Plans for children with special needs (WAC 170-295-5030-5d)
 how children will be cared for until parents are able to pick them up (WAC 170-295-5030-5e)
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

how contact will be made with parents/guardians when normal lines of communication
are not available (WAC 170-295-5030-5f)
transportation arrangements, if necessary (WAC 170-295-5030-5g)
Fire drills are conducted monthly, as per the state fire marshal in WAC 212-12. Documentation,
including date and time of the drill and a debriefing/evaluation of the drill, is kept (where). (WAC 170295-5030-8)
Disaster and earthquake preparation and prevention training are documented. (WAC 170-295-5030-1a)
Staff members receive training on how to use the fire extinguisher (how often) by (whom).
Quarterly, the center conducts and documents a disaster drill. One type of disaster will be chosen
for staff and children to practice, such as earthquake or intruder alert. Parents will be notified of the
drill. (WAC 170-295-5030-7b)
Food, water, medication, and supplies for 72 hours of survival are available for each staff and
child. These supplies are stored (where) and are checked (how often).
STAFF HEALTH
TUBERCULOSIS (TB)
New employees must have the results of a one step Mantoux Tuberculin (TB) skin test prior to
starting work. The new employee doesn’t need the test if: (WAC 170-295-1120)
 they have had a documented negative TB skin test within one year prior to employment
 they have had a positive TB skin test in the past; they will always have a positive skin
test, despite having undergone treatment. These employees do not need documentation
of a skin test. Instead, documentation must be on record that the employee has had a
negative (normal) chest x-ray, or documented proof of treatment.
Staff must be re-tested for TB when the center is notified that any staff has been exposed to TB.
The center will comply with the public health department for follow-up.
PERTUSSIS
All staff members (choose 1: have received a Tdap booster –or – are encouraged to receive a
Tdap booster) to help prevent the spread of pertussis, based on CDC recommendation.
OTHER ILLNESS
Staff members who have a communicable disease are expected to remain at home until the period
of communicability has passed. Staff will also follow the same procedures listed under “Exclusion
of Ill Children” in this policy. (WAC 170-295-3030-2)
The (title of person) will review the (name of center’s Bloodborne Pathogen Exposure Control Plan)
with each staff person (when, within 10 days of hire.) (WAC 170-295-1080-7) Staff are offered the
Hepatitis B vaccine series (when; upon employment – or – within 24 hours of a bloodborne
pathogen exposure event). WISHA rule http://www.lni.wa.gov/wisha/rules/bbpathogens/default.htm
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Staff immunizations will be recorded upon employment. Recommendations of immunizations for
child care providers will be available to staff.
OTHER HEALTH ISSUES
Adult sized bathrooms will be on-site.
Staff receive training on topics like stress management and body mechanics.
Separate space will be provided for staff to work or take breaks. This space is available (where).
Optional: Step stools will be provided for children to reach the sink and diaper changing table (with
supervision) to help protect employees’ backs.
Staff members who are pregnant or considering pregnancy should inform their health care provider
that they work with young children and discuss possible risks.
For staff who become stressed or frustrated, the following will be provided (describe what is
available).
CHILD ABUSE AND NEGLECT
Any instance when staff have reason to suspect the occurrence of any physical, sexual, or
emotional child abuse or neglect, child endangerment, or child exploitation as required under RCW
chapter 26.44, a report is filed by the staff directly involved with the child. (WAC 170-295-6040-2) The
child’s file is on hand when placing the call. Call 1-866-ENDHARM, (1-866-363-4267) or the local
C.P.S. office at 425-339-1830. (WAC 170-295-7060-2) These phone numbers and the reporting system is
posted by all –or- some phones (CFOC page 123). The witnessing staff person will make the call, with
the assistance of the (title of responsible person) if needed. The (title of responsible person) will
contact the licensor immediately after a report of abuse is made. (WAC 170-295-7060-2)
If there is an immediate danger to a child, a report is made to local law enforcement. (WAC 170-295-60403)
Signs of child abuse or neglect are recorded on the (name of report form), which are located
(where). (CFOC page 124)
Documentation of staff orientation or training on the indicators of child abuse and neglect are kept
in staff files. Regular trainings occur every (at time of employment and ongoing--how frequently).
(CFOC Page 30)
CHILDREN WITH SPECIAL NEEDS / INCLUSION
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Children with special needs are accepted into the program under the guidelines of the Americans
with Disabilities Act (ADA). Confidentiality is assured with all families and staff in the program. All
families are treated with dignity and with respect for their individual needs and/or differences.
A written (name of form; examples include Individual Care Plan, Plan of Care, Children with
Special Needs Form, etc) is developed by the director, parent/guardian, and teacher for each child
with special needs. It includes instructions from the parent and health care provider regarding
medications, specific food or feeding requirements, life-threatening allergies, treatments, and
special equipment or health needs. (WAC 170-295-7010-1e,h)
Dietary restrictions and nutrition requirements for particular children are posted.
(WAC 170-295-7080-8,a)
Teachers, volunteers, cooks, and bus drivers (or others) will be oriented to any special needs or
diet restrictions before the child first enters the program. Plans for children with special needs will
be documented and staff will be oriented to the Individualized Care Plan for that child.
The parent provides training to staff on any procedures that will be done to the child while in care.
This written plan of care is updated (how often) or sooner if needed. The director seeks further
information or training if necessary for center staff from local resources.
This plan includes how the child’s special need would be met in the case of a disaster. At a
minimum the center will plan for the child to stay at the center for 72 hours without being able to
contact the child’s parents.
Children with special needs are given the opportunity to participate in the program to the fullest
extent possible. This is accomplished by consulting with outside agencies/organizations as
needed. The center cooperates with other agencies that can provide services to the child on-site.
The center has a policy as to how they try to accommodate an undiagnosed special need in which
a parent refuses to seek medical and/or developmental assessment and intervention for their child.
All staff members receive general training on working with children with special needs and updated
trainings on specific special needs that are encountered in their classrooms. Describe how staff
training is tracked and documented.
BEHAVIOR MANAGEMENT/GUIDANCE PRACTICES
The center’s written behavior management and guidance practices are kept (where) (WAC 170-295-20401), Staff guide the child’s behavior based on an understanding of the individual child’s needs and
stage of development. (WAC 170-295-2040-2) Staff promote developmentally appropriate social behavior,
self control, and respect for the rights of others. (WAC 170-295-2040-3) Staff ensure that behavior
management and guidance practices are fair, reasonable, consistent, and related to the child’s
behavior. (WAC 170-295-2040-4)
Behavior management principles are based on (what principles – describe).
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Noise levels in the center are kept low, so that teachers can be heard without the need to raise
their voices. (WAC 170-295-5020-1h)
Staff members get to know each individual child’s needs and stage of development and guide each
child accordingly. Staff point out positive social interactions rather than only focusing on negative
behavior. Staff help children problem solve when conflicts arise. Staff members exhibit a range of
techniques such as ignoring, consequences, cool-off, and re-directing when behavior issues occur.
Describe other behavior management practices briefly or refer to parent behavior handbook.
Behavior plans are implemented in coordination with the parent/guardian when necessary.
Community resources are consulted when needed.
Teaching staff receive the following training on behavior management: Describe the behavior
training that teaching staff receive. Include information on the frequency of this training and who
provides the training (such as Child Care Resource & Referral, Compass Health, local hospitals,
independent STARS trainers).
PEST CONTROL
As of July 1, 2002, public schools and licensed child care centers must provide annual notification
of their pest control policies and methods, establish a system to notify employees and families of
children of planned pesticide use, and post signs where pesticides have been applied. (Chapter 17.21
RCW, the Pesticide Application Act).
The impact of pesticides on children’s health can range from irritation to skin and mucous
membranes, to difficulty breathing, rash or vomiting. Long term exposure may lead to
developmental delay, immune or endocrine system disruption, or cancer.
In addition, children with special needs, asthma and allergies can be highly sensitive to pesticides
and suffer from mild to severe reactions to pesticides and pesticide residue.
We are dedicated to using the least amount of chemical control of pests in our program in order to
provide the healthiest environment possible for our children.
(Annually or Upon enrollment), parents are provided with a copy of our pesticide policy. (WAC 170-2955160-1b) The policy is located (where). Please request template or download it from the SHD
website.
Choose one of the following and modify the text to fit your situation:
(WAC 170-295-5160)
Pesticides, including weed killers, are not routinely used on the child care property. If pests are
found on the property, non-chemical methods of pest control are used. Pesticides are only used for
emergency situations, such as nests of stinging insects. In such an emergency situation, pesticides
will not be used when children are present and parents will be notified of the situation.
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-
OR –
Whenever possible, non-chemical methods of pest control are used. When pest problems persist,
we may choose to use chemical pest control, such as rodent baits, weed killers, or insect sprays.
When chemical pest control measures are taken, they will be applied by a Certified Pest Control
operator, will not be applied while children are present, and will not be placed in a location
accessible to children. All surfaces will be wiped down and rooms aired out before children are
allowed to enter them. Parents will be notified 48 hours in advance of the application, unless the
pesticide is used to control pests that post an immediate risk to children’s health or safety.
-
OR –
Whenever possible, non-chemical methods of pest control are used. When pest problems persist,
we may choose to use to self-apply chemicals to control pests. We may use such products as
rodent baits, weed killers, or insect sprays. When chemical pest control measures are taken, they
will not be applied while children are present and will not be placed in a location accessible to
children. All surfaces will be wiped down and rooms aired out before children are allowed to enter
them. Parents will be notified 48 hours in advance of the application, unless the pesticide is used
to control pests that post an immediate risk to children’s health or safety.
ANIMAL POLICY
Animals on site
Include this section only if the child care has animals on-site.
Animals in this center will be carefully chosen in regards to care, temperament, health risks, and
appropriateness for young children. Children five years of age or less must not physically handle
reptiles and amphibians. (WAC 170-295-5170-3)
The following animals are on-site at the child care: (List below what animals and where they are
and potential health risks associated with these animals)


animal or insect: ____________________________________
location animals ARE NOT in rooms that typically are used by infants or toddlers (WAC 170-295-5170-1a, b):
________________________________________________________________________________

potential health risks ___________________________________
Parents are notified in writing that we have animals and will sign a document that they understand
the potential health risks of contact with the animals: (WAC 170-295-5170-1a, b)
For additional child care animal information, including cleaning and handwashing policies, please
refer to this center’s animal policy (title of pet policy, such as “Care and Handling of Pets”) which is
kept (where). (WAC 170-295-5170)
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VISITING ANIMALS (Choose one and delete the other)
Occasionally an animal may visit the child care or children may have contact with animals while on
a field trip.
-
or -
This child care program does not have any pets on-site. Parents/families are discouraged from
bringing their own pets on-site. We do not have animal-related educational activities. We may take
an occasional animal-related field trip.
When animals visit our center or we go on a field trip, the following policies will be implemented:
 Parents will be notified, in writing, of the type of animal that will be visiting and any
potential health risks associated with that animal by (how). (WAC 170-295-5170-1a)
 Parents will sign that they understand the potential health risks.(how-) (WAC 170-295-5170-1a)
 The site director will ensure that no children are allergic to the animal.
 The site director will have primary responsibility of supervising all activities associated
with the animal’s visit as related to safety and hygiene. This includes making sure that
the animal has an acceptable temperament for interactions with children and that the
animal is current on all vaccinations (if appropriate). (WAC 170-295-5170-1j) Any animal that has
a history of biting or other aggressive behaviors will not be allowed on-site. (WAC 170-295






5170-4)
The animal will be properly cared for while on-site. This is the responsibility of the
visiting animal’s owner.
The animal will not be allowed in any food preparation areas or areas typically used by
infants or toddlers. (WAC 170-295-51701h)
Items associated with the animal, including cages, food, water, etc., will not be placed on
food-contact surfaces. (WAC 170-295-5170-1e)
Children will be closely supervised while handling the animal. Children will be in small
groups of 3 or fewer while handling the animal. (WAC 170-295-5170-1k)
Children will immediately wash hands after handling or feeding the animal. (WAC 170-2955170-5) Handwashing will be closely supervised by staff.
After the animal leaves the site, staff will clean and sanitize the area. Sinks that are used
for food preparation or cleaning dishes are not used to clean animal supplies or cages. If
necessary, animal supplies will be cleaned (in which sink – preferably a janitorial or utility
sink).
Staff will wash hands after cleaning and sanitizing the area.
SMOKING
Choose which sentence describes your policy regarding smoking.
Smoking is not permitted. Staff, parents, or volunteers are not allowed to smoke in or around
children at any time.
(WAC 170-295-6050-2a, b, c)
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-
OR –
Staff, parents, or volunteers are allowed to smoke outdoors, off the premises and out of view of the
children. Hands are washed well after smoking. (WAC 170-295-6050-3) A smoking jacket is worn while
smoking to reduce exposing children to toxins and contaminants left on clothes and hair from third
hand smoke. These residual chemicals may trigger asthma and allergies in some children.
Employees who smoke are provided information about tobacco counseling.
TRANSPORTATION SAFETY
Include this section if the child care transports children. Otherwise delete. All vehicles will be
maintained in good operating condition. (WAC 170-295-2070-4) A safety check will be done (how often) by
the driver. All vehicle maintenance is conducted by (who). Vehicles will be properly licensed and
insured. (WAC 170-295-2070-4)
Child-adult ratios for the youngest child in the group will be maintained in vehicles. (WAC 170-295-2070-6)
All adults and children riding in the vehicle will use age-appropriate safety restraints (seatbelts, car
seats, booster seats). Restraints for children with special needs will be appropriate for the child.
(WAC 170-295-2070-6) Car seats and booster seats are provided by (the center – or – parents/guardians).
To ensure car seats and booster seats are properly installed, (describe steps taken – examples
include taking vehicle with seats installed to a car seat safety check location, insisting parents
provide car seat installation information from the manufacturer, etc.).
All vehicles will contain a first aid kit (WAC 170-295-2070-4c-i), (type of communication – cell phone, two
way radio) as a means of communication (WAC 170-295-2070-4c-iv), emergency supplies for children with
special needs (example: EpiPen or inhaler), and all children’s emergency information (WAC 170-2952070-4c-iii). Drivers will not use cell phones while operating the vehicle.
Signed field trip permission slips are kept on-site at the center.
Drivers will have a current driver’s license, background check, and CPR/ First Aid training. (WAC 170295-2070-3) Drivers receive training on safe vehicle operation from (who). This training consists of
(describe training).
ATTENDANCE RECORDS
Daily attendance records will be kept.
Choose one of the following two paragraphs to include in your plan and delete the other.
The parent or other authorized person will sign their child in upon arrival and sign the child out
upon departure using their full signature and writing the time of arrival and departure. (WAC 170-2957030)
Child Care Center Health Policy
Snohomish Health District
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-
OR -
The child’s attendance will be taken using an electronic system as per WAC 170-295-7032.
Attendance records will be kept at the facility for a minimum of 5 years after child leaves. (WAC 170295-7031)
See next page for signature page
Child Care Center Health Policy
Snohomish Health District
Page 48
Name of Center
Health Policy Review
Month 2015
SIGNATURES
This program’s health policies have been reviewed as complete. The signing of
the document does not imply observation of procedures in practice, nor the
quality of the program. I have reviewed these health policies and they appear to
meet minimum licensing requirements developed by the Washington State
Department of Early Learning for child care facilities certified by them.
Review Date:
Month and day, 2015
Reviewed by:_________________
Alba Suárez, RN, BSN
Registered Nurse
Reviewed by:_________________
Micha Horn, MS, RS
Environmental Health Specialist
_______________________
Director’s Name
Director, Name of Center
Child Care Center Health Policy
Snohomish Health District
Page 49