110-301-0186(1)(a)(b)(c)(i)(ii)(iii)(iv) · A school-age provider must obtain written instructions (the individual care plan) from the child's health care provider and parent or guardian when caring for a child with a known food allergy or special dietary requirement due to a health condition. The individual care plan pursuant to WAC 110-301-0300 must: (a) Identify foods that must not be consumed by the child and steps to take in the case of an unintended allergic reaction; (b) Identify foods that can substitute for allergenic foods; and (c) Provide a specific treatment plan for the school-age provider to follow in response to an allergic reaction. The specific treatment plan must include the: (i) Names of all medication to be administered; (ii) Directions for how to administer the medication; (iii) Directions related to medication dosage amounts; and (iv) Description of allergic reactions and symptoms associated with the child's particular allergies.

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110-301-0186(2) · A school-age provider must arrange with the parents or guardians of a child in care to ensure the school-age program has the necessary medication, training, and equipment to properly manage a child's food allergies.

O186 (2) The parental medication training and authorization form was not on file to verify required staff medication administration training had been completed. The licensor provided guidance to the program that this documentation must be obtained, completed, and maintained on file prior to staff administering any medications. The licensor further advised that maintaining this record is necessary to ensure staff are properly trained, authorized, and able to safely administer medications in accordance with licensing requirements and program policy. Verified Risk Corrected On WAC/RCW Corrected Disputed Date Disputed Level Site Date 110-301-0215(3) Serious