Section 170-296A-1250. Initial license application packet—Contents.

(1) The individual seeking an initial license under this chapter is the license applicant.

(2) A license applicant must submit a license application packet that includes:

(a) A completed department application form and copy of the applicant's orientation certificate;

(b) Copy of license applicant's current government issued photo identification;

(c) Documentation of the license applicant's high school diploma or equivalent education under WAC 170-296A-1725;

(d) Resume for the license applicant;

(e) References from three individuals not related to the license applicant;

(f)(i) Copy of license applicant's Social Security card pursuant to 42 U.S.C. 666 (a)(13) and RCW 26.23.150 regarding child support.

(ii) If the license applicant does not have a Social Security card, the applicant must provide a sworn declaration stating that he or she does not have a Social Security card.

(g) Copy of the federal Internal Revenue Service letter showing the applicant's employer identification number (EIN) if the applicant plans to employ staff;

(h) Tuberculosis test results or required documentation for the license applicant, each staff person, and household members sixteen years old or older. See WAC 170-296A-1750;

(i) Copy of first-aid/CPR training and HIV/AIDS training certificates for the license applicant and each staff person required to complete such training as described in WAC 170-296A-1825 and 170-296A-1850;

(j) Copy of the license applicant's state food handler permit as described in WAC 170-296A-7675;

(k) Completed background clearance forms for the license applicant and each staff person, household members sixteen years old and older, and anyone sixteen years and older who may have unsupervised access to the children in care;

(l) A completed noncriminal background check application form for each assistant and volunteer fourteen to sixteen years of age, and each individual age thirteen to sixteen residing in the home;

(m) Parent, staff and operation policies (handbooks). See WAC 170-296A-2350, 170-296A-2375, 170-296A-2400, and 170-296A-2425;

(n) Floor plan, including proposed:

(i) Licensed space;

(ii) Licensed space usage;

(iii) Evacuation routes and emergency exits;

(iv) Unlicensed space;

(v) Licensed space used specifically for sleeping infants, if applicable; and

(vi) Licensed space used for sleeping children for overnight care, if applicable.

(o) Septic system inspection report if applicable under WAC 170-296A-1375;

(p) Well water testing report if applicable under WAC 170-296A-1400;

(q) Lead or arsenic evaluation agreement, only if the home is located in the Tacoma smelter plume under WAC 170-296A-1360; and

(r) The license fees and other fees under WAC 170-296A-1325.

(3) If there will be more than one individual whose name will appear on the license, each individual license applicant must provide information required in subsection (2)(b) through (f) and (2)(h) through (k) of this section.

[Statutory Authority: RCW 43.215.060, 43.215.070, 43.43.832(6), chapter 43.215 RCW, 2011 c 293 [c 295], and 2011 c 297. WSR 11-23-068, § 170-296A-1250, filed 11/14/11, effective 3/31/12.]

RCW 43.215.060, 43.215.070, 43.43.832(6), chapter 43.215 RCW, 2011 c 293 [c 295], and 2011 c 297. WSR 11-23-068, § 170-296A-1250, filed 11/14/11, effective 3/31/12.

Rules

170-296A-1725,170-296A-1750,170-296A-1825,170-296A-1850,170-296A-7675,170-296A-2350,170-296A-2375,170-296A-2400,170-296A-2425,170-296A-1375,170-296A-1400,170-296A-1360,170-296A-1325,