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Care plan documents
These care plan templates were developed to meet WAC licensing standards for Early Learning programs, School-Age programs, and Outdoor Nature-Based programs (WAC 110-300, 110-301, and 110-302).
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Print out the appropriate Care Plan Packet
If a child in your program has a health condition or behavioral health need, print out the appropriate Care Plan Packet below. If a family has provided a care plan signed by a licensed healthcare provider, skip to Step 3. Note: If you use one of the packets below, you do not need a separate Medication Authorization Form.
- Allergy Care Plan Packet (500 KB)
- Asthma Care Plan Packet (699 KB)
- Diabetes Care Plan Packet (854 KB)
- Food Intolerance Care Plan Packet (302 KB)
- Seizure Care Plan Packet (933 KB)
- Individual Care Plan Packet (242 KB) - Use this for health conditions not listed above or behavioral health needs.
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Complete the care plan packet
Have a licensed healthcare provider and parent or guardian complete the care plan packet and return it to your program.
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Print out the appropriate checklist
All items in the checklist are required for a care plan to be compliant with Washington Administrative Code (WAC).
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Review the checklist for completion
Use the checklist to review the care plan and make sure all items are complete. If all items are complete, stop here.
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What to do if a checklist is incomplete
If you cannot complete the checklist, the care plan is missing information. You will need to do one of the following:
- Return the care plan to the healthcare provider or family to complete the missing information.
- Print the pages you need from the Care Plan Packet listed in Step 1. Give them to the healthcare provider or family to be completed.
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Ensure that items are complete
Use the checklist to review the care plan and make sure all items are complete.