OPTIONS SURROUND CARE-WASHINGTON

101223(a)(1) · Personal Rights (1) To be accorded dignity in his/her personal relationships with staff and other persons.

Per Lead Teacher, Options For Learning witll create a Behavior Contract for CHild #1 that will be reviewed and signed by their parent. Contract will entail requirements for parent to pick up Child #1 during outbursts, and potential termination if child is not deemed safe for the program, staff, and other Based on interview and observation Licensee did not ensure that children in care are accorded digity in relationship with Child #1, who has a history of outbursts, who threw an item, and hitting another child. This was a potential risk to the health, safety and personal rights of children in care children in care. Assistance being provided should also be explained in contract. Signed copy will be submitted to LPA by POC date. Ana Chico NAME OF LICENSING PROGRAM MANAGER: Nolan Tcheng NAME OF LICENSING PROGRAM ANALYST: LICENSING PROGRAM ANALYST SIGNATURE: DATE: 11/05/2025 I acknowledge receipt of this form and understand my appeal rights as explained and received.

101229(a)(1) · 101229(a)(1) Responsibility for Providing Care and Supervision The licensee shall provide care and supervision as necessary to meet the children's needs. (1) No child(ren) shall be left without the supervision of a Licensee shall provide additional training (Section 101229 Responsibility for Providing Care and Supervision) to staff that is assigned to this facility during time of incident and provide proof to the department by the POC date. teacher at any time, except as specified in Sections 101216.2(e)(1) and 101230(c)(1). Supervision shall include visual observation.

Based on interviews, C1 was missing for a period of time during a field trip. SUPERVISOR'S NAME: Ana Chico