110-300-0186(2) · An early learning provider must arrange with the parents or guardians of a child in care to ensure the early learning program has the necessary medication, training, and equipment to properly manage a child's food allergies.

110-300-0186(1): It was observed that one child with allergy lacked individual care plan. 110-300-0186(2): Parents of one child provided Benadryl with a higher dosage or active ingredient instead of the Claritin prescribed by the doctor in the medication authorization form. Risk WAC/RCW

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110-300-0186(1) · An early learning 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 110-300-0300 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 early learning 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.

110-300-0186(1): It was observed that one child with allergy lacked individual care plan. 110-300-0186(2): Parents of one child provided Benadryl with a higher dosage or active ingredient instead of the Claritin prescribed by the doctor in the medication authorization form. Risk

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110-300-0165(2)(d) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (d) Making inaccessible to children plastic bags and other suffocation hazards;

110-300-0165(2)(d): Plastic bags were observed to be accessible to children under the sink in classroom #5. 110-300-0165(4)(f): It was observed that the stairway leading to the classroom from the upper playground had a 5-inch gap under each step and a 4.5-inch gap between the lower part of the deck and the ground on the right side of the stairway. Risk WAC/RCW

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110-300-0260(5) · Saws, power tools, lawn mowers, toilet plungers, toilet brushes, and other maintenance and janitorial equipment must be inaccessible to children.

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110-300-0215(3)(a)(i) · An early learning provider must administer medication to children in care as follows: (i) Prescription medication. Prescription medication must only be given to the child named on the prescription. Prescription medication must be prescribed by a health care professional with prescriptive authority for a specific child. Prescription medication must be accompanied with medication authorization form that has the medical need and the possible side effects of medication. Prescription medication must be labeled with: (A) A child's first and last name; (B) The date the prescription was filled; (C) The name and contact information of the prescribing health professional; (D) The expiration date, dosage amount, and length of time to give the medication; and (E) Instructions for the administration and storage.

There was a epi pen in a bag and there was no prescription (name or other information) on the pen. There was a bottle of benedryl that was expired and there was no name on the bottle. There was zyrtec with no name. WAC/RCW Correction Date Disputed Date Disputed

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110-300-0215(3)(a)(ii) · An early learning provider must administer medication to children in care as follows: (ii) Nonprescription oral medication. Nonprescription (over-the-counter) oral medication brought to the early learning program by a parent or guardian must be in the original packaging. (A) Nonprescription (over-the-counter) medication needs to be labeled with child's first and last name and accompanied with medication authorization form that has the expiration date, medical need, dosage amount, age, and length of time to give the medication. Early learning providers must follow the instructions on the label or the parent must provide a medical professional's note; and (B) Nonprescription medication must only be given to the child named on the label provided by the parent or guardian.

There was a epi pen in a bag and there was no prescription (name or other information) on the pen. There was a bottle of benedryl that was expired and there was no name on the bottle. There was zyrtec with no name. WAC/RCW Correction Date Disputed Date Disputed 110-300-0146(1)(a)(b) Serious 05/01/2024

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110-300-0146(1)(a)(b) · Playground equipment and surfacing used by an early learning provider must comply with applicable CPSC guidelines, as now and hereafter amended including, but not limited to, installing, arranging, designing, constructing, and maintaining outdoor play equipment and surfacing. (a) Climbing play equipment must not be placed on or above concrete, asphalt, packed soil, lumber, or similar hard surfaces;(b) The ground under swings and play equipment must be covered by a shock absorbing material (grass alone is not an acceptable) such as: (i) Pea gravel at least nine inches deep; (ii) Playground wood chips at least nine inches deep; (iii) Shredded recycled rubber at least six inches deep; or (iv) Any material that has a certificate of compliance, label, or documentation stating it meets ASTM standards F1292.

There is playground equipment that does not comply with CSPC guidelines, they do not have at least 9 inches of playchips.

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110-300-0106(12) · Early learning providers who prepare or serve food to children at an early learning program must obtain a current food worker card prior to preparing or serving food. Food worker cards must: (a) Be obtained through the local health jurisdiction, in person or online; and (b) Be renewed prior to expiring.

Binbin and Koji need Food handlers Clark, Michaela, Kelly and Kavitha need CCB

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