According to WAC 170-295-7020 and the Washington State Child Care Licensing Guidebook, childcare centers must:
Track each child’s immunization status.
Seeing that each child has a completed certificate of immunization status form on file prior to their first day of care.
Developing a system to audit and update as scheduled, the information on the certificate.
Meeting any requirement of the Department of Health WAC 246-100-166.
Having available on the premises the certificate of immunization status forms for review by the health specialist, licensor, the Department of Health, and nurse consultant.
The certificate of immunization status forms for enrolled children must be accessible and maintained on the premises in a confidential manner.
If a parent or guardian chooses not to immunize a child, they must sign the exempt portion of the certificate of immunization status form.
It is important to know that only the state Certificate of Immunization form (CIS form) meets licensing requirements for immunization records in the state of Washington. If a parent brings in a different form, you must ask them to copy the information onto the CIS form.
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