Written Plan for Dangerous or Aggressive Pet or Animal WAC 110-300B-4875(3) THE LICENSEE MUST HAVE A WRITTEN PLAN TO KEEP A PET OR OTHER ANIMAL INACCESSIBLE TO THE CHILDREN IF THE PET OR ANIMAL IS KNOWN TO BE DANGEROUS OR AGGRESSIVE. LICENSEE SECTION: LICENSEE NAME DATE TELEPHONE NUMBER ( ) - PLAN: TYPE OF PET OR ANIMAL: (Pet’s name and identifying markers) WHERE WILL THE PET OR ANIMAL BE WHILE THE CHILDREN ARE IN CARE? EXPLAIN IN DETAIL HOW THIS PET OR ANIMAL WILL BE PREVENTED FROM HAVING ACCESS TO THE CHILDREN: (attach photo(s) of pets described above, if available) OTHER COMMENTS: (To include if this animal has previously had contact with animal control) I understand I must keep the above mentioned animal(s) from having any interaction with the children in care. I also understand I must include in the parent/guardian handbook how the children will be kept safe around any pets or any other animals. I declare this information is true and accurate to the best of my knowledge and I understand that my licensor may make a site visit to verify the information. Licensee Signature: Date:
Written Plan for Dangerous or Aggressive Pet or Animal WAC 110-300B-4875(3) THE LICENSEE MUST HAVE A WRITTEN PLAN TO KEEP A PET OR OTHER ANIMAL INACCESSIBLE TO THE CHILDREN IF THE PET OR ANIMAL IS KNOWN TO BE DANGEROUS OR AGGRESSIVE. LICENSEE SECTION: LICENSEE NAME DATE TELEPHONE NUMBER ( ) - PLAN: TYPE OF PET OR ANIMAL: (Pet’s name and identifying markers) WHERE WILL THE PET OR ANIMAL BE WHILE THE CHILDREN ARE IN CARE? EXPLAIN IN DETAIL HOW THIS PET OR ANIMAL WILL BE PREVENTED FROM HAVING ACCESS TO THE CHILDREN: (attach photo(s) of pets described above, if available) OTHER COMMENTS: (To include if this animal has previously had contact with animal control) I understand I must keep the above mentioned animal(s) from having any interaction with the children in care. I also understand I must include in the parent/guardian handbook how the children will be kept safe around any pets or any other animals. I declare this information is true and accurate to the best of my knowledge and I understand that my licensor may make a site visit to verify the information. Licensee Signature: Date:
10.9.3.25FHWrittenPlan-DangerousPetAnimal.docx