Washington Administrative Code

Training programs approved under this chapter must:(1) Participate in the renewal process established by the department every two years. Failure to renew will result in automatic withdrawal of approval of the program; and(2) Comply with any changes to this chapter or training sta…

When a training program approved under this chapter closes, it shall notify the department in writing, stating the reason and the date of intended closing.[Statutory Authority: RCW 69.51A.290. WSR 16-07-086, § 246-72-140, filed 3/17/16, effective 3/18/16.]

(1) The following nonrefundable fees will be charged for certificates:Title of FeeFeeApplication for certificate$95.00Renewal of certificate$90.00Late renewal penalty$50.00Expired certificate reissuance$50.00Duplicate certificate$10.00Verification of credential$15.00(2) Refund of…

The purpose of this rule is to promote and establish consistent standards for milk banks that provide health care facilities and providers and International Board-Certified Lactation Consultants donated human milk or human milk derived products prescribed for inpatient use that w…

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Adulterated" means the addition of a substance other than human milk to artificially increase the volume of a donation to a milk bank.(2) "Compensation" means monetary…

A milk bank must, at a minimum, have:(1) An executive director or milk bank coordinator to oversee business, clinical, and laboratory operations;(2) A medical director who provides clinical guidance and policy review;(3) Staff, including health care professionals, donor screeners…

A milk bank must screen a milk donor consistent with the requirements of this section in order to register with the department.(1) A milk bank must screen a milk donor prior to their first milk donation including, but not limited to:(a) A donor must be screened verbally or in wri…

A milk bank must meet the following milk handling restrictions in order to register with the department:(1) Milk may not be donated if it has been heat-treated in any way by the milk donor.(2) Milk may be temporarily stored by a milk donor in the refrigerator for a maximum of 96 …

(1) A milk bank must instruct a milk donor verbally or in writing, in a language of the donor's choice about:(a) Potential risks such as medication, dietary supplement, and herbal supplement use, illnesses, and recreational drug use;(b) The potential that the milk bank may requir…

A milk bank must maintain detailed standard operating procedures that are available to all staff. Standard operating procedures must be updated every two years. Standard operating procedures must include, at a minimum, procedures addressing the following:(1) Donor screening and s…

A milk bank must meet the following minimum operating standards to register with the department:(1) A milk processing facility must be suitable in size, construction, and design to ensure sanitary operations for milk processing activities and comply with all United States Food an…

A milk bank must meet the following milk processing criteria in order to register with the department:(1) A milk bank must use an electronic inventory system to account for every ounce of donated human milk received, processed, dispensed, discarded, or used for research.(2) Donat…

A milk bank that obtains donor human milk from donors who are compensated must also test the donor human milk to ensure that it is unadulterated and contains only human milk.(1) To ensure donor human milk is unadulterated a milk bank may use methods including, but not limited to,…

(1) The department may issue a certification to a milk bank that demonstrates to the satisfaction of the department that it meets the standards under this chapter.(2) Certifications are valid for five years and may be renewed with the department upon expiration.(3) To apply for c…

Each board of school directors in the state shall provide for and require hearing and vision screening of children attending schools in their districts to determine if any child demonstrates reduced hearing or vision that may negatively impact their learning. Each board of school…

The definitions, abbreviations, and acronyms in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "AAPOS" or "American Association for Pediatric Ophthalmology and Strabismus" means the national organization that advances the quality of c…

(1) Schools shall conduct annual screening for hearing and vision (both near and distance) for students:(a) In kindergarten and in grades one, two, three, five, and seven; and(b) Showing signs of possible reductions in auditory or visual acuity that may negatively impact their le…

(1) A school shall conduct all hearing screenings using tools and procedures that are linguistically, developmentally, and age-appropriate, and shall use screening tools identified in WAC 246-760-030.(2) A school shall conduct hearing screening according to the tool's instruction…

(1) Schools shall use hearing screening equipment that delivers tonal stimuli at frequencies of 1,000, 2,000, and 4,000 hertz (Hz) at a sound level of 20 decibels (dB), measured at the earphones, consistent with Acoustical Society of America (ASA)/American National Standards Inst…

(1) Schools shall screen all students referenced in WAC 246-760-020 using hearing screening equipment that delivers tonal stimuli at 1,000, 2,000, and 4,000 Hz.(2) The screener shall:(a) Conduct screenings in an environment free of extraneous noise, to the extent possible in a sc…

(1) If a student does not respond to one or more frequencies in either ear during a hearing screening or gets a "refer" result from an OAE:(a) The school must rescreen the student within six weeks, allowing a minimum of one to two weeks between screenings when possible; and(b) Th…

Each school district shall designate a district audiologist, school nurse, speech language pathologist, health assistant or other staff member to be responsible for the hearing screening program. This person must:(1) Oversee the hearing screening program; and(2) Have the training…

(1) A school shall conduct all vision screening using tools and procedures that are linguistically, developmentally and age-appropriate. For distance vision and near vision acuity screening schools shall use screening tools identified in WAC 246-760-071.(2) A school shall conduct…

(1) A school must use the standardized optotype-based distance vision and near vision acuity screening tools approved for each grade as well as the rescreening and referral criteria by grade outlined in Table 1 of this section. When using a screening tool with a single isolated o…

(1) A school shall:(a) Screen children with their corrective lenses on;(b) Place the results of screening, any referrals, and referral results in each student's health record; and(c) Forward the results to the student's new school if the student transfers.(2) If a student meets t…

(1) Persons performing visual screening may include, but are not limited to, school nurses, school principals, other school personnel, or lay persons who have completed training in vision screening; and ophthalmologists, optometrists, or opticians who donate their professional se…

The purpose of the fruit and vegetable incentives program is to:(1) Improve access and affordability to culturally relevant fruits and vegetables for individuals and families with limited financial resources;(2) Increase fruit and vegetable consumption and nutrition security amon…

The following definitions apply throughout this chapter unless otherwise specified:(1) "Authorized farm stand" means a farm stand in Washington that has met the selection criteria established by the department and has signed a contract with the department allowing participation i…

(1) To become authorized to offer basic food incentives, a farmers' market or farm stand must:(a) Be in good standing with the United States Department of Agriculture as an authorized farmers' market or farm stand that can accept SNAP benefits through electronic benefit transfer;…

(1) To become authorized to offer basic food incentives, the grocery store must:(a) Be in good standing with the United States Department of Agriculture as an authorized grocer that can accept SNAP benefits through electronic benefit transfer;(b) Apply as a grocery store on a for…

(1) To become a health care system authorized to distribute fruit and vegetable vouchers, an applicant must:(a) Apply as a health care system on a form determined by the department;(b) Complete all required training on fruit and vegetable voucher requirements offered by the depar…

(1) To become authorized to accept fruit and vegetable vouchers as distributed by a health care system under WAC 246-770-050, a retailer must:(a) Apply as a retailer on a form provided by the department including documentation that the retailer meets the following criteria:(i) Ha…

(1) The purpose of the farmers market nutrition program (FMNP) is to:(a) Provide access to:(i) Locally grown, fresh, nutritious, unprepared fruits and vegetables, and fresh cut herbs to women, infants over five months of age, and children, who participate in the special supplemen…

The definitions in this section apply throughout this chapter unless the context clearly implies otherwise.(1) "Authorized" or "authorization" means an applicant has met the selection criteria and has been issued a signed contract with the department allowing participation in the…

(1) To become authorized to participate in the FMNP, an applicant must:(a) Apply as a farmers market on a form provided by the department;(b) Meet the selection criteria in subsection (2) of this section;(c) Complete training on FMNP requirements; and (d) Receive a contract or ag…

The authorized farmers' market must:(1) Comply with the FMNP requirements and the terms and conditions of their contract;(2) Accept training and technical assistance on FMNP requirements from department staff;(3) Provide in person training to authorized growers, market employees …

(1) The department shall consider a mobile market for FMNP authorization, when the applicant meets all of the following:(a) Submits a completed application to the department on a form provided by the department;(b) Meets the selection criteria in subsection (2) of this section;(c…

The authorized mobile market must:(1) Comply with the FMNP requirements and the terms and conditions of their contract or agreement;(2) Accept training and technical assistance on FMNP requirements from department staff;(3) Provide in-person training to mobile market employees an…

(1) To become authorized to participate in the WIC FMNP, WIC CVB, and WIC SFMNP an applicant shall:(a) Apply as a grower on a form provided by the department;(b) Meet the grower selection criteria in subsection (2) of this section;(c) Complete training on WIC FMNP, WIC CVB, and S…

(1) To become authorized to participate in the WIC FMNP, WIC CVB, and SFMNP an applicant must:(a) Apply as a farm store on a form provided by the department;(b) Meet the farm store selection criteria in subsection (2) of this section;(c) Complete training on WIC FMNP, WIC CVB, an…

The authorized grower or authorized farm store must:(1) Comply with the WIC FMNP, WIC CVB, and SFMNP requirements and the terms and conditions of the contract;(2) Accept training and technical assistance on WIC FMNP, WIC CVB, and SFMNP requirements and ensure that all persons wor…

(1) Participants can use WIC FMNP, WIC CVB, and SFMNP benefits to buy locally grown, unprocessed (except for washing), fresh fruits, vegetables, and cut herbs. SFMNP participants may purchase honey.(2) Federal regulations do not allow participants to buy the following items with …

(1) Authorized farmers markets, authorized mobile markets, authorized growers or authorized farm stores who do not comply with federal WIC regulations, including those at 7 C.F.R. 248.16, this chapter, or a contract or agreement with the department are subject to sanctions, such …

(1) Proceedings under this chapter shall be in accordance with chapter 246-10 WAC. If a provision of chapter 246-10 WAC conflicts with a provision of 7 C.F.R. 246.18, the federal regulation shall prevail.(2) An authorized farmers market, authorized mobile market, authorized growe…

(1) The federal Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides supplemental foods and nutrition education to pregnant, postpartum and breastfeeding people, infants and young children from qualifying families through payment of cash grants t…

The definitions in this section apply throughout this chapter unless the context clearly indicates otherwise.(1) "Administrative appeal" means a proceeding required by statute or constitutional right and conducted under the rules of this chapter, which provides an opportunity to …

(1) To become an authorized vendor and receive a vendor agreement, a retail business must apply to the department as provided under WAC 246-790-075.(2) The department shall make available to the applicant copies of the agreement and all applicable regulations, policies, and guide…

(1) To be considered for WIC vendor authorization, an applicant must:(a) Be a food vendor that meets or exceeds all selection criteria listed in WAC 246-790-077;(b) Apply to the department using the required format;(c) Provide complete and truthful information in the application;…

At the time of application, applicants must meet the following criteria; all authorized vendors must continue to meet the following criteria throughout the period of authorization:(1) Purchase WIC approved infant formula directly from an infant formula manufacturer or supplier na…

(1) Authorized vendors shall:(a) Comply with the terms and conditions of their vendor agreements;(b) Continue to meet the vendor selection criteria in WAC 246-790-077 throughout the term of the agreement;(c) Notify the department prior to ownership changes;(d) Notify the departme…