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.

Ahmed Zayan, Amalu Johns, Maya Gomez have not completed SA Basics and were working unsupervised with their assigned group of children. Risk Corrected WAC/RCW Level On Site Short 110-301-0230(1) Term

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Several staff files were unavailable for review. These staff were seen working in the program at the time of the visit. Maya Gomez, Ahmed Zayan Risk Corrected WAC/RCW Level On Site Short 110-301-0241(1)(a) Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0241(1)(a) · 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;

Children were seen to eat snack at a table that was set up with a table cloth where parents were signing in and out. The table was not cleaned and santized before or after the children ate their snack. Risk Corrected WAC/RCW Level On Site 110-301-0260(1)(a) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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;

The school's sanitizer and janitor supplies and cleaning products were accessible to children. Sanitizing wipes were placed on a desk accessible to children and the door to the hallway was wide open where the janitor items were located. Risk Corrected WAC/RCW Level On Site 110-301-0260(3) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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

The school's sanitizer and janitor supplies and cleaning products were accessible to children. Sanitizing wipes were placed on a desk accessible to children and the door to the hallway was wide open where the janitor items were located. Risk Corrected WAC/RCW Level On Site Short 110-301-0345(5)(b) Term

Open Not marked corrected in the state record

Open / not marked corrected.

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 to the designated space are propped open. A child can easily walk out of the designates space undetected. Risk Corrected WAC/RCW Level On Site Short 110-301-0470(1)(a)(b)(c)(d)(e)(f)(g) Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0470(1)(a)(b)(c)(d)(e)(f)(g) · A school-age provider must have and follow a written emergency preparedness plan. The plan must be reviewed and approved by the department prior to when significant changes are made. Emergency preparedness plans must: (a) Be designed to respond to fire, natural disasters, and other emergencies that might affect the school-age program; (b) Be specific to the school-age program and able to be implemented during hours of operation; (c) Address what the provider would do if the provider has an emergency and children may be left unsupervised; (d) Address what the school-age program must do if parents or guardians are not able to get to their children for up to three days; (e) Must follow requirements in chapter 212-12 WAC , Fire marshal standards, and the state fire marshal's office requirements; (f) Be reviewed at program orientation, annually with all school-age program staff with documented signatures, and when the plan is updated; and (g) Be reviewed with parents or guardians when a child is enrolled and when the plan is updated.

emergency drills were not documented for September (new school year, new form) Licensor was unable to see where the emergency plan addresses what the program would do if parents are unable to get to their children for up to three days,

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0470(2)(a)(i)(ii)(iii)(iv)(v)(vi)(A)(B)(C)(D)(vii)(viii)(ix)(b)(i)(ii)(iii)(c)(i)(ii)(d) · The written emergency preparedness plan must cover at a minimum: (a) Disaster plans, including fires that may require evacuation: (i) An evacuation floor plan that identifies room numbers or names of rooms, emergency exit pathways, and emergency exit doors; (ii) Methods to be used for sounding an alarm and calling 911; (iii) Actions to be taken by a person discovering an emergency; (iv) How the school-age provider will evacuate children, especially those who cannot walk independently. This may include children with disabilities, functional needs requirements, or other special needs; (v) Where the alternate evacuation location is; (vi) What to take when evacuating children, including: (A) First-aid kit(s); (B) Copies of emergency contact information; (C) Child medication records; and(D) Individual children's medication, if applicable; (vii) How the provider will maintain the required staff-to-child ratio and account for all children; (viii) How parents or guardians will be able to contact the school-age program; and (ix) How children will be reunited with their parents or guardians after the event. (b) Earthquake procedures including: (i) What a provider will do during an earthquake; (ii) How a provider will account for all children; and (iii) For any program that does not operate on public or private school premises, how a provider will coordinate with local or state officials to determine if the licensed space is safe for children after an earthquake. (c) Public safety related lockdown scenarios where an individual at or near a school-age program is harming or attempting to harm others with or without a weapon. This plan must include lockdown of the school-age program or shelter-in-place steps including: (i) How doors and windows will be secured to prevent access, if needed; and (ii) Where children will safely stay inside the school-age program; (d) How parents or guardians will be contacted after the emergency ends.

emergency drills were not documented for September (new school year, new form) Licensor was unable to see where the emergency plan addresses what the program would do if parents are unable to get to their children for up to three days, An evacuation floor plan that identifies room numbers or names of rooms, emergency exit pathways, and emergency exit doors;(ii) Methods to be used for sounding an alarm and calling 911;(iii) Actions to be taken by a person discovering an emergency;(iv) How the school-age provider will evacuate children, especially those who cannot walk independently. This may include children with disabilities, functional needs requirements, or other special needs;(vii) How the provider will maintain the required staff-to-child ratio and account for all children;(viii) How parents or guardians will be able to contact the school-age program; and(ix) How children will be reunited with their parents or guardians after the event.

Not marked corrected in the state record

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.

During the recheck visit this items was still not corrected. Specific treatment plan is not included on the ICP for a child with a peanut allergy.

Open Not marked corrected in the state record

Open / not marked corrected.

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;

Purell wipes are seen stored on a table accessible to children. Purell spray was seen stored in the supply closet in a cabinet, on the top shelf, with the doors to the cabinet open, and doors to the storage closet open. Plastic bugs were on the floor in this supply closet where a child had been playing. WAC/RCW Correction Date Disputed Date Disputed 110-301-0260(3) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Specific treatment plan is not included on the ICP for a child with a peanut allergy.

Open Not marked corrected in the state record

Open / not marked corrected.