Section 170-297-1250. License application packet—Contents.

(1) The individual or entity seeking a license under this chapter is the license applicant.

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

(a) A completed department application form;

(b) A copy of the applicant's orientation certificate;

(c) Completed background clearance forms for each staff person or volunteer having unsupervised or regular access to the child in care;

(d) Parent, staff and operation policies (handbooks). See WAC 170-297-2350, 170-297-2375, 170-297-2400, and 170-297-2425;

(e) A floor plan, including proposed licensed and unlicensed space with emergency exits and emergency exit pathways identified;

(f) A Washington state business license, or a tribal, county, or city business or occupation license, as applicable;

(g) An on-site septic system inspection report if applicable under WAC 170-297-1375;

(h) Well water testing results if applicable under WAC 170-297-1400;

(i) A lead or arsenic evaluation agreement, only for a site located in the Tacoma smelter plume under WAC 170-297-1360;

(j) The license fee under WAC 170-297-1325;

(k) A federal employer identification number; and

(l) A staffing plan to include:

(i) The number and position types and qualifications of staff to meet the projected capacity of the facility;

(ii) How the applicant or licensee will verify that staff hired meet the qualifications as provided in this chapter; and

(iii) Projected staff training plan for the first year of the program.

(3) In addition to subsection (2)(a) through (l) of this section, if the license applicant is an individual, the following must be submitted with the license application:

(a) A copy of a current government issued photo identification;

(b) A copy of the license applicant's Social Security card under 42 U.S.C. 666(a)(13) and RCW 26.23.150 regarding child support, or, if the license applicant does not have a Social Security card, a sworn declaration stating that he or she does not have a Social Security card.

(4) In addition to subsection (2)(a) through (l) of this section, if the license applicant is an entity, a copy of the certificate of incorporation, partnership agreement or similar business organization document must be submitted with the license application.

(5) The licensee must submit a copy of the federal Internal Revenue Service letter showing the applicant's employer identification number (EIN) if the applicant plans to employ staff.

[Statutory Authority: Chapter 43.215 RCW. WSR 12-23-057, § 170-297-1250, filed 11/19/12, effective 12/20/12.]

Chapter 43.215 RCW. WSR 12-23-057, § 170-297-1250, filed 11/19/12, effective 12/20/12.

Rules

170-297-2350,170-297-2375,170-297-2400,170-297-2425,170-297-1375,170-297-1400,170-297-1360,170-297-1325,