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.

0106(10) Cynthia Plascencia, Christina Naan, Corona Xiomara, and Jenifer Carillo Escalante don't have proof of BBP training. 0106(12) Cynthia Plascenica serving food to children. Doesn't have food worker's permit. Corona Xiomara and Yenifer Carillo Escalante have no food worker's permits. 0106(3) Imene Hadef doesn't have Basic training after 9 monts of employment. 0106(8) Corona Xiomara and Yenifer Carillo Escalante have expired safe sleep training. 0106(11) Cynthia Plascencia expired CPR/1stAid card, Xiomara Corona expired 1st Aid card,

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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;

0165(2)(d) Plastic bags were found under the changing table in Toddler's 2 classroom (the area was supposed to be locked but the lock was broken). 0165(3)(d) Secondary fridge in the "resource" room was accessible to children. The room was open and the fridge was not locked. 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.

0186(1) Children HW is allergic to dairy and child LX is allergic to nuts. No individual care plan for either child. Risk WAC/RCW

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110-300-0210(1)(2) · (1) On or before their children's first day of attending an early learning program, the parents or guardians of enrolled children must give to early learning providers proof of vaccination or acquired immunity for the vaccine-preventable disease, required under RCW 43.216.690 and chapter 246-105 WAC. Early learning providers may accept children without proof of vaccinations or immunity as otherwise indicated in this section. (2) Early learning providers must receive for each enrolled child upon enrollment and annually thereafter, as required by RCW 43.216.690 and WAC 246-105-050: (a) A current, complete, and medically verified certificate of immunization status (CIS) form; (b) A department approved certificate of exemption (COE) form, if applicable; or (c) A current immunization record from the Washington state immunization information system (WA IIS).

0210(1)(2) Children HW, AW, FH, and GA did not have CIS forms. Risk WAC/RCW

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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.

0215(3)(a)(i) UK's epi pen is missing side effects of medication.

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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.

Child UK allergic to peanuts/epi-pen. Individual care plan is missing substitute foods and written instructions from the parent (parent

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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;

0165(2)(d) Plastic bags accessible to children in early pre-k room. 0165(5)(a) Two outlets in the pre-k room not temper resistant. 0165(2)(c) Cords dangling in one of the classrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(8) Short Term

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110-300-0106(8) · License applicants and early learning providers licensed to care for infants must complete the safe sleep training as approved or offered by the department. This training must be completed annually and: (a) Prior to being licensed; (b) Prior to caring for infants; or (c) According to subsection (1) of this section.

Staff NG and CM have expired safe sleep training.

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