110-300-0197(3) · For all foods offered by the provider or given to an enrolled child by a parent or guardian, the provider must: (a) Provide appropriate refrigeration to preserve foods from spoiling. Foods that may be subject to spoiling include, but are not limited to, meats, cooked potatoes, cooked legumes, cooked rice, sprouts, cut melons, cut cantaloupes, milk, and cheese; and (b) Refrigerate foods requiring refrigeration at 41 degrees Fahrenheit or less and freeze foods required to be frozen at 10 degrees Fahrenheit or less.

Thens licenor observed cooked rice and beans being eated by several children. These items were brought by the parents in the children's lunchboxes in the morning. They were not refrigerated by the staff. Staff are not consistently checking children's lunches upon morning drop-off to see if they contain items that need to be refrigerated. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious

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110-300-0215(3)(a)(i) · 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. 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.

Medication authorization forms were not observed to be stored with any of the medications stored on-site. Two epipens were observed stored at child level in the Dolphin and Starfish classrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(c) Serious

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110-300-0215(3)(c) · Medication must be stored and maintained as directed on the packaging or prescription label, including applicable refrigeration requirements. An early learning provider must comply with the following additional medication storage requirements: (i) Medication must be inaccessible to children; (ii) Controlled substances must be locked in a container or cabinet which is inaccessible to children; (iii) Medication must be kept away from food in a separate, sealed container; and (iv) External medication (designed to be applied to the outside of the body) must be stored to provide separation from internal medication (designed to be swallowed or injected) to prevent cross contamination.

Medication authorization forms were not observed to be stored with any of the medications stored on-site. Two epipens were observed stored at child level in the Dolphin and Starfish classrooms. WAC/RCW Correction Date Disputed Date Disputed 110-300-0230(2)(b) Serious

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110-300-0230(2)(b) · A first-aid kit must: (b) Be inaccessible to children

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110-300-0260(1)(a) · An early learning provider must ensure all poisonous or dangerous substances including, but not limited to fuels, solvents, oils, laundry, dishwasher, other detergents, sanitizing products, disinfectants and items labeled “keep out of reach of children” are stored: (a) In a location that is inaccessible to children;

Hand sanitizer was accessible to children in Sharks and Starfish classrooms. It was made inaccessible to children today. WAC/RCW Correction Date Disputed Date Disputed 110-300-0345(5)(b) Short Term

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110-300-0345(5)(b) · An early learning provider must: (b) Be able to hear when doors in the immediate area are opened to prevent children from leaving unsupervised;

Except for Sharks classroom, door alarms/sensors on classroom doors were not activated and did not chime when opened today. Double doors leading to unlicensed space and elevator had an alarm that was also not activated/on. WAC/RCW Correction Date Disputed Date Disputed 110-300-0186(1) Serious

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110-300-0186(1) · 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. 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.

The provider had difficulty finding the Individual Care Plan for two children with severe food allergies.

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