1. (1) Licensees must comply with the following to prevent communicable disease:

   1. (a) Prohibit personnel with a contagious disease as defined in WAC 246-110-010 from being on duty until they are no longer in an infectious stage as determined by:

      1. (i) CDC guidelines;
      2. (ii) The local health jurisdiction; or
      3. (iii) A licensed health care provider;
   2. (b) Promote personal hygiene to help prevent the spread of germs;

   3. (c) Develop and follow written infection control policies and procedures approved by the department that include, but are not limited to:

      1. (i) Isolation of sick children and youth;
      2. (ii) Germ control procedures;
      3. (iii) Hygiene, including handwashing, toilet use, diapering, and laundering;
      4. (iv) Prevention of the transmission of communicable diseases including management and reporting;
      5. (v) First aid;
      6. (vi) Care of minor illnesses;
      7. (vii) Actions to be taken for medical emergencies; and
      8. (viii) Infant care procedures if licensed to care for infants; and
   4. (d) Arrange to have an RN or a licensed health care provider help develop and periodically review their policies and procedures described in (c) of this subsection if licensed to care for 13 or more children or youth.
2. (2) The department may recommend licensees who are licensed for fewer than 13 children or youth consult with an RN or a licensed health care provider to help develop and periodically review their policies and procedures described in subsection (1)(c) of this section.

[Statutory Authority: RCW 74.15.030. WSR 25-23-103, s 110-145-2960, filed 11/18/25, effective 5/1/26.]