Right At School - Somerset Elem Sa

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.

The individual care plan does not give RAS staff permission to respond to the child's emergency, but rather the elementary school staff. Appropraite food substitutes are not included. 12/19/2025 Jacob explains they are working on getting this information from parents.

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.

The program has not arranged with the parents to ensure they have tne necessary training to properly manage a child's food allergy. 12/19/2025 Jacob explains they are working on getting this information from parents. Verified Risk Corrected Date WAC/RCW Completed Disputed Level On Site Disputed Date Long 110-301-0210(1)(2)(a)(b)(c) Term

110-301-0210(1)(2)(a)(b)(c) · (1) Before attending a school-age program, a child must be vaccinated against or show proof of acquired immunity for the vaccine-preventable disease, pursuant to chapter 246-105 WAC. A school-age provider may accept children without proof of vaccinations or immunity as otherwise indicated in this section. '(2) Pusuant to WAC 246-105-050, a school-age provider must receive for each enrolled child: (a) A current and complete DOH-approved certificate of immunization status (CIS) form or an alternative in lieu of CIS pursuant to WAC 246-105-050(3); (b) A department approved certificate of exemption (COE) form, if applicable; or (c) A current immunization record from the Washington state immunzation information system (WA IIS).

Children records stored in a file box did not include CIS or immunization records. Licensor reviewed many files that did not include this inform. Of 5 intentionally reviewed children files, 2 did not include immunization information. 12/19/2025 Jacob explains they are working on getting this information from parents. Verified Risk Corrected Date WAC/RCW Completed Disputed Level On Site Disputed Date Short 110-301-0241(1)(a) Term

A school-age provider must develop and follow a cleaning schedule that includes: (a) Food preparation areas, tables and chairs, and food service counters, which must be cleaned and sanitized before and after each meal and snack with single use paper towels or one-time use wiping cloths;

A mop was reused to clean the table tops and bench seats of the tables, dipping it into the bucket of liquid. Verified Risk Corrected Date WAC/RCW Completed Disputed Level On Site Disputed Date 110-301-0260(1)(a) Serious

110-301-0260(1)(a) · A school-age provider must ensure all poisonous or dangerous substances including, but not limited to fuels, solvents, oils, laundry, dishwasher, other detergents, sanitizing products, and disinfectants are stored: (a) In a location that is inaccessible to children;

A mop bucket of liquid was kept by the parent pickup door. It remained in this location throughout the visit, even when not in use. Madison states it is filled with liquid used to clean the tables. Verified Risk Corrected Date WAC/RCW Completed Disputed Level On Site Disputed Date Short 110-301-0345(3)(a)(b)(c)(d)(e)(f)(i)(ii)(iii)(iv)(v) Term

110-301-0345(3)(a)(b)(c)(d)(e)(f)(i)(ii)(iii)(iv)(v) · A school-age provider must supervise children in care by: (a) Scanning the environment looking and listening for both verbal and nonverbal cues to anticipate problems and plan accordingly; (b) Visibly checking children on many occasions with little time in between; (c) Positioning themselves to supervise all areas accessible to children; (d) Attending to children and being aware of what children are doing at all times; (e) Being available and able to promptly assist or redirect a child as necessary; and (f) Considering the following when deciding whether increased supervision is needed: (i) Ages of children; (ii) Individual differences and abilities of children; (iii) Layout of the indoor and outdoor licensed space and play area; (iv) The risk associated with the activities children are engaged in; and (v) Any nearby hazards including those in the licensed or unlicensed space.

110-301-0345(5)(b) · A school-age provider must: (b) Be able to hear when doors in the immediate area are opened to prevent children from leaving unsupervised;

Doors in the immediate are are not able to be heard when opened to prevent children from leaving unsupervised as they were either propped open or did not make a sound when opened. Teachers did not supervise the children moving between the cafe and gym. This door was opened. Verified Risk Corrected Date WAC/RCW Completed Disputed Level On Site Disputed Date Short 110-301-0460(3) Term

110-301-0460(3) · Each child's health record and the information described in subsection (2)(a) through (e) of this section must be available to staff for medical administration or emergencies.

The box containing child files did not contain health information for each child. Licensor intentionally reviewed 5 child files. Of those all 5 did not contain health records. Verified Risk Corrected Date WAC/RCW Completed Disputed Level On Site Disputed Date Short

110-301-0470(4)(a) · A school-age provider must practice and record emergency drills with staff and children as follows: (a) Fire and evacuation drill once each calendar month;

The emergency drill record was not available to verify it is being maintained to reflect monthly drills being conducted and documented.

110-301-0106(3)(a)(b)(c) · License applicants, program directors, site directors, lead teachers, and assistant teachers must complete the school-age basics training as approved or offered by the department: (a) Prior to being granted a license; (b) Prior to working unsupervised with children; or (c) Within three months of the date this section becomes effective if already employed or being promoted to a new role.

Sheena Mathews as not completed SA Basics according to MERIT. She has been working unsupervised with children and has been employed greater than 3 months.

110-301-0106(3)(a)(b)(c) · License applicants, program directors, site directors, lead teachers, and assistant teachers must complete the school-age basics training as approved or offered by the department: (a) Prior to being granted a license; (b) Prior to working unsupervised with children; or (c) Within three months of the date this section becomes effective if already employed or being promoted to a new role.

(9) Onchada do not have CPR/FA cards 3) Nhat, Sheena and Onchada do not have SA Basics completed and recorded in MERIT. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0106(9)(a)(b)(i)(ii) Term

Program directors, site directors, lead teachers, assistant teachers, and any other school-age providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must be trained in first-aid and cardiopulmonary resuscitation (CPR). (a) Proof of training can be shown with a certification card, certificate, or instructor letter. (b) The first-aid and CPR training and certification must: (i) Be delivered in person and include a hands-on component for first aid and CPR demonstrated in front of an instructor certified by the American Red Cross, American Heart Association, American Safety and Health Institute, or other nationally recognized certification program; and (ii) Include child and adult first-aid and CPR.

(9) Onchada do not have CPR/FA cards 3) Nhat, Sheena and Onchada do not have SA Basics completed and recorded in MERIT. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0186(1)(a)(b)(c)(i)(ii)(iii)(iv) Serious

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.

A child with an allergy to nuts does not have all WAC required information included on their ICP. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0186(2) Serious

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.

A child with an allergy to nuts does not have all WAC required information included on their ICP. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0230(1) Term

110-301-0230(1) · School-age program directors, site directors, lead teachers, assistant teachers, and any other school-age providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must have a current pediatric and adult first-aid and CPR certificate, pursuant to WAC 110-301-0106.

Onchada do not have CPR/FA cards Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0345(5)(b) Term

110-301-0345(5)(b) · A school-age provider must: (b) Be able to hear when doors in the immediate area are opened to prevent children from leaving unsupervised;

The newly installed alerts on the doors were not able to be heard on the café doors leading to the bathrooms, hallway (rest of school) and outside because the doors were propped open.

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.

1) a child with allergies does not have an ICP on file. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0215(3)(a)(i)(A)(B)(C)(D)(E) Serious

A school-age 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 the 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 administration and storage.

A child with an epi pen does not have medication authorization or prescription label on their epi pen. One epi pen is in a baggie which has the child's name only. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0260(1)(a) Serious

110-301-0260(1)(a) · A school-age provider must ensure all poisonous or dangerous substances including, but not limited to fuels, solvents, oils, laundry, dishwasher, other detergents, sanitizing products, and disinfectants are stored: (a) In a location that is inaccessible to children;

1a) the janitor mop bucket is seen at the entrance door with liquid in it Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0345(5)(b) Term

110-301-0345(5)(b) · A school-age provider must: (b) Be able to hear when doors in the immediate area are opened to prevent children from leaving unsupervised;

Doors in the immediate area do not make a sound when opened to prevent children from leaving unsupervised.

110-301-0300(1)(a) · A school-age provider must develop an individual care plan for each child with special needs. Plans and documentation required under this section must: (a) Meet the requirements of this section;

Children are in care with diagnosed needs, but do not have ICPs on file. example- 3/6/24 a child diagnosed ADHD was overwhelmed with the chaos of the program and attempted to leave. Licensor encouraged a written plan to be developed between the parents and the program manager in ways to best support this child as there was not on ICP for her. Correction WAC/RCW Disputed Date Disputed Date 110-301-0345(2)(a)(b)(c)(d)(e) Short Term

110-301-0345(2)(a)(b)(c)(d)(e) · Non-Compliances: This section of the Inspection Report lists non-compliances found during any licensing inspection. Information from this section will be reported to Child Care Check and be can be used to determine current and future licensing and enforcement actions. A school-age provider must meet capacity, group size, and staff-to-child ratios while children are in care. This includes, but is not limited to: (a) Indoor and outdoor play activities; (b) Off-site activities; (c) During transportation; (d) Meal times; (e) Evening and overnight care, if applicable; and (f) When children are on different floor levels of the school-age program.

2) The program continues to exceed capacity in licensed spaces, ratio and group size. 3) The staff struggle with meeting supervision requirements. Incidents continue to occurr without staff seeing, due to exceeding ratios and group sizes. There are too many children for staff to supervise at one time. 5b) the doors in the immediate area cannot be heard to open. Children were seen to leave spaces unnoticed. Correction WAC/RCW Disputed Date Disputed Date 110-301-0345(3)(a)(b)(c)(d)(e)(f)(i)(ii)(iii)(iv)(v) Short Term

110-301-0345(3)(a)(b)(c)(d)(e)(f)(i)(ii)(iii)(iv)(v) · A school-age provider must supervise children in care by: (a) Scanning the environment looking and listening for both verbal and nonverbal cues to anticipate problems and plan accordingly; (b) Visibly checking children on many occasions with little time in between; (c) Positioning themselves to supervise all areas accessible to children; (d) Attending to children and being aware of what children are doing at all times; (e) Being available and able to promptly assist or redirect a child as necessary; and (f) Considering the following when deciding whether increased supervision is needed: (i) Ages of children; (ii) Individual differences and abilities of children; (iii) Layout of the indoor and outdoor licensed space and play area; (iv) The risk associated with the activities children are engaged in; and (v) Any nearby hazards including those in the licensed or unlicensed space.

2) The program continues to exceed capacity in licensed spaces, ratio and group size. 3) The staff struggle with meeting supervision requirements. Incidents continue to occurr without staff seeing, due to exceeding ratios and group sizes. There are too many children for staff to supervise at one time. 5b) the doors in the immediate area cannot be heard to open. Children were seen to leave spaces unnoticed. Correction WAC/RCW Disputed Date Disputed Date 110-301-0345(5)(b) Short Term

110-301-0345(5)(b) · Non-Compliances: This section of the Inspection Report lists non-compliances found during any licensing inspection. Information from this section will be reported to Child Care Check and be can be used to determine current and future licensing and enforcement actions. A school-age provider must: (b) Be able to hear when doors in the immediate area are opened to prevent children from leaving unsupervised;

2) The program continues to exceed capacity in licensed spaces, ratio and group size. 3) The staff struggle with meeting supervision requirements. Incidents continue to occurr without staff seeing, due to exceeding ratios and group sizes. There are too many children for staff to supervise at one time. 5b) the doors in the immediate area cannot be heard to open. Children were seen to leave spaces unnoticed. Correction WAC/RCW Disputed Date Disputed Date 110-301-0356(5) Short Term

110-301-0356(5) · In each classroom or well-defined space, the maximum group size of thirty children and ratio of 1:15 staff members to children, including children related to staff or the licensee, must be met. Group size may exceed thirty children only for special events such as assemblies or performances.

5) The program continues to exceed group size of 30. 4) Staff are not fully qualified to be unsupervised with children. Correction WAC/RCW Disputed Date Disputed Date 110-301-0356(4) None

110-301-0356(4) · A licensee must provide qualified staff to fulfill staffing requirements, staff-to-child ratios, and group size during operating hours, including off-site activities or when transporting children in care.

5) The program continues to exceed group size of 30. 4) Staff are not fully qualified to be unsupervised with children.

110-301-0356(5) · In each classroom or well-defined space, the maximum group size of thirty children and ratio of 1:15 staff members to children, including children related to staff or the licensee, must be met. Group size may exceed thirty children only for special events such as assemblies or performances.

Staff were not fully qualified. The group sizes in the spaces exceeded 30 children. The staff to child ratio was also exceeded. Charles has not completed SA basics and was unsupervised with at least 17 children. Sheena Mathew and Lindsey Tang were responsible for 17 children each for a total of 34 children which exceeded the group size and capacity of cafe 1. Neither Sheena or Lindsey meet the qualifications of a lead. Lindsey was unsupervised with her group at one time as they were in the portable (only 13 children during that time). Correction WAC/RCW Disputed Date Disputed Date 110-301-0345(2)(a)(b)(c)(d)(e) Short Term

A school-age provider must meet capacity, group size, and staff-to-child ratios while children are in care. This includes, but is not limited to: (a) Indoor and outdoor play activities; (b) Off-site activities; (c) During transportation; (d) Meal times; (e) Evening and overnight care, if applicable; and (f) When children are on different floor levels of the school-age program.

Lindsey Tang left the portable with some children. She led the group out of the portable, but 2 children remained in the portable. Lindsey did not ensure all children were with her. She was more than half way to the gym doors before the other 2 children caught up with the group. Lindsey never noticed the children were not with the group or that they were still in the classroom. Sheena Mathew and Lindsey Tang were responsible for 17 children each for a total of 34 children which exceeded the group size and capacity of cafe 1. Charles was with his group of 17-21 children alone before Zsanna joined him. Correction WAC/RCW Disputed Date Disputed Date 110-301-0345(3)(a)(b)(c)(d)(e)(f)(i)(ii)(iii)(iv)(v) Short Term

110-301-0345(3)(a)(b)(c)(d)(e)(f)(i)(ii)(iii)(iv)(v) · A school-age provider must supervise children in care by: (a) Scanning the environment looking and listening for both verbal and nonverbal cues to anticipate problems and plan accordingly; (b) Visibly checking children on many occasions with little time in between; (c) Positioning themselves to supervise all areas accessible to children; (d) Attending to children and being aware of what children are doing at all times; (e) Being available and able to promptly assist or redirect a child as necessary; and (f) Considering the following when deciding whether increased supervision is needed: (i) Ages of children; (ii) Individual differences and abilities of children; (iii) Layout of the indoor and outdoor licensed space and play area; (iv) The risk associated with the activities children are engaged in; and (v) Any nearby hazards including those in the licensed or unlicensed space.

Lindsey Tang left the portable with some children. She led the group out of the portable, but 2 children remained in the portable. Lindsey did not ensure all children were with her. She was more than half way to the gym doors before the other 2 children caught up with the group. Lindsey never noticed the children were not with the group or that they were still in the classroom. Sheena Mathew and Lindsey Tang were responsible for 17 children each for a total of 34 children which exceeded the group size and capacity of cafe 1. Charles was with his group of 17-21 children alone before Zsanna joined him.

110-301-0356(5) · In each classroom or well-defined space, the maximum group size of thirty children and ratio of 1:15 staff members to children, including children related to staff or the licensee, must be met. Group size may exceed thirty children only for special events such as assemblies or performances.

In P-303, staff person L was with a group of 17 children alone.

110-301-0215(3) · Medication administration. A school-age provider must not give medication to any child without written and signed consent from that child's parent or guardian, must administer medication pursuant to directions on the medication label, and must use cleaned and sanitized medication measuring devices.

A child with known allergies, perscribed an epi pen and albuterol does not have written permission and signed consent from the parents to administer the meds. Staff training is not documented. WAC/RCW Correction Date Disputed Date Disputed 110-301-0260(1)(a) Serious

110-301-0260(1)(a) · A school-age provider must ensure all poisonous or dangerous substances including, but not limited to fuels, solvents, oils, laundry, dishwasher, other detergents, sanitizing products, and disinfectants are stored: (a) In a location that is inaccessible to children; Non-Compliances: This section of the Inspection Report lists non-compliances found during any licensing inspection. Information from this section will be reported to Child Care Check and be can be used to determine current and future licensing and enforcement actions.

cleaners were seen stored accessible to children. Purell surface cleaner was located on the thigh high table in the gym. On the floor was a spray bottle of 3M neutral cleaner and a spray bottle labeled "detergent solution." Purell wipes were stored on the rolling cart in the main gym. 3) The storage room door was standing open during the visit. also the teacher storage closet was opened with a teacher purse on the top shelf. WAC/RCW Correction Date Disputed Date Disputed 110-301-0260(3) Serious

110-301-0260(3) · Storage areas and storage rooms must be inaccessible to children.

cleaners were seen stored accessible to children. Purell surface cleaner was located on the thigh high table in the gym. On the floor was a spray bottle of 3M neutral cleaner and a spray bottle labeled "detergent solution." Purell wipes were stored on the rolling cart in the main gym. 3) The storage room door was standing open during the visit. also the teacher storage closet was opened with a teacher purse on the top shelf. WAC/RCW Correction Date Disputed Date Disputed 110-301-0186(1)(a)(b)(c)(i)(ii)(iii)(iv) Serious

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.

1) a specific treatment plan is not completed for a child with food allergies.

110-301-0186(4) · A school-age provider must review each child's individual care plan information for food allergies prior to serving food to children.

1) a specific treatment plan is not completed for a child with food allergies. 4) all educators have a full list of students with allergies, but are unaware of who have allergies or not in their assigned group WAC/RCW Correction Date Disputed Date Disputed 110-301-0230(2)(b) Serious

110-301-0230(2)(b) · A first-aid kit must: (b) Be inaccessible to children;

1)Staff are not accurately attached to this facility's MERIT record and staff files are not available for review to see that the staff in attendance today have current First Aid/CPR to cover pediatric and adults. 2) 2 orange backpacks which have first aid kits in them, were seen on the floor of the gym, accessible to children.