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Home › WA › Bothell › Ymca Northshore - Fernwood Elementary
3933 Jewell Road, Bothell WA 98012 · License #280734 · Center · School-Age Program
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When they operate
Ages served
110-301-0100(3)(a)(i)(ii)(A)(B)(iii) · Site directors plan and implement the school-age program services under the oversight of a program director. The site director is responsible for being on-site during the program's operating hours. (a) A site director must meet the following qualifications: (i) Be at least eighteen years old; (ii) Complete thirty college credits in any one hundred-level or above college coursework or equivalent as approved and verified in the electronic workforce registry by the department as follows: (A) A site director working at the time this chapter becomes effective must have completed at least twelve college credits in any one hundred-level or above college coursework or equivalent and complete an additional eighteen college credits in any one hundred-level or above coursework or equivalent within five years of the date this section becomes effective; (B) A site director hired or promoted after this chapter becomes effective must have completed twelve college credits in any one hundred-level or above coursework or equivalent prior to being hired or promoted, and complete an additional eighteen college credits in any one hundred-level or above coursework or equivalent within five years of the time of hire or promotion. (iii) Complete the applicable preservice requirements, pursuant to WAC 110-301-0105; and (iv) Have their continued professional development progress documented annually.
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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.
Generated from this facility's specific inspection record
Data synced from Washington State Department of Children, Youth & Families on Jul 9, 2026 · Source records · Report an error
Six, possibly seven children, had food allergies (seventh child may be a preference vs. allergy, it was unclear). There were no individual care plans on site for these children in case of an allergic reaction. Risk Corrected Correction Date WAC/RCW Disputed Level On Site Date Disputed 110-301-0186(2) Serious
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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.
Several children with life-threatening food allergies according to their child file did not have medication on site to manage their symptoms in case of a reaction. Risk Corrected Correction Date WAC/RCW Disputed Level On Site Date Disputed 110-301-0186(4) Serious
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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.
All three providers on site served food to children today. None of these providers had reviewed each child's individual care plan. Risk Corrected Correction Date WAC/RCW Disputed Level On Site Date Disputed Short 110-301-0197(4)(a)(b)(c)(d)(e)(f) Term
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110-301-0197(4)(a)(b)(c)(d)(e)(f) · Food must be stored as follows: (a) In original containers or in clean, labeled, dated, and airtight food grade containers, if appropriate. (b) Food not required to be refrigerated or frozen must not be stored directly on the floor; (c) In a manner that prevents contamination; (d) Food and food service items (such as utensils, napkins, and dishes) must not be stored in an area with toxic materials (such as cleaning supplies, paint, or pesticides); (e) Food that is past the manufacturer's expiration or best served by date must not be served to enrolled children; and (f) Raw meat must be stored in the refrigerator or freezer below cooked or ready to eat foods.
Eggo waffles were not labeled or dated and were stored out of their original containers. Risk Corrected Correction Date WAC/RCW Disputed Level On Site Date Disputed Long 110-301-0210(1)(2)(a)(b)(c) Term
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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).
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110-301-0215(3)(a)(ii)(A)(B) · A school-age provider must administer medication to children in care as follows: (ii) Nonprescription oral medication. Nonprescription (over-the-counter) oral medication brought to the school-age 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. A school-age provider must follow the instructions on the label or the parent or guardian 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.
Benadryl was on site for one child. The benadryl was not accompanied by a medication authorization form. Risk Corrected Correction Date WAC/RCW Disputed Level On Site Date Disputed 110-301-0260(1)(a) Serious
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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 with mop solution, mixed with either a detergent or sanitizing product, was accessible to children in the licensed space. Risk Corrected Correction Date WAC/RCW Disputed Level On Site Date Disputed Short 110-301-0345(3)(a)(b)(c)(d)(e)(f)(i)(ii)(iii)(iv)(v) Term
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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.
Two boys in the line for snack were observed hitting one another over and over on their buttocks and laughing loudly. I observed that none of the three providers noticed this. E.P. and C.M. had their backs to the children in the staff line. A.S. was looking down to serve the snack. I made eye contact with the boys and they stopped this activity.
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110-301-0106(1) · A school-age provider licensed, working, or volunteering in a school-age program before the date this section becomes effective must complete the applicable training requirements of this section within three months of the date this section becomes effective unless otherwise indicated. State or federal rules may require health and safety training described under this chapter to be renewed annually. A school-age provider hired after the date this section becomes effective must complete the training requirements of subsections (4) through (8) of this section within three months of the date of hire and prior to working in an unsupervised capacity with children.
Assistant N.D. has been in her role for more than three months and has not completed School Age Child Care Basics. Risk Corrected On WAC/RCW Correction Date Disputed Date Disputed Level Site 110-301-0186(4) Serious
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A school-age provider must review each child's individual care plan information for food allergies prior to serving food to children.
Two of five child files reviewed contained Individual Care Plans. The provider could not produce verification that any provider who may administer food to these children had reviewed the individual care plan information. Risk Corrected On WAC/RCW Correction Date Disputed Date Disputed Level Site Long 110-301-0210(1)(2)(a)(b)(c) Term
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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).
One of five child files contained an immunization record that was date 12.15.2020 and did not appear to be up-to-date. Risk Corrected On WAC/RCW Correction Date Disputed Date Disputed Level Site 110-301-0260(3) Serious
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110-301-0260(3) · Storage areas and storage rooms must be inaccessible to children.
Gym storage room which contains electrical unit was observed propped open and accesible to children in the gym. Risk Corrected On WAC/RCW Correction Date Disputed Date Disputed Level Site
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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;
35 children were observed in the multi-purpose room upon this licensor's arrival. The children were not separated until after snack time. This does not meet group size requirements. Doors in gym or multi-purpose room do not chime or make a noise when opened. Two of the doors in the gymnasium were propped open. Risk Corrected On WAC/RCW Correction Date Disputed Date Disputed Level Site Short 110-301-0356(5) Term
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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.
35 children were observed in the multi-purpose room upon this licensor's arrival. The children were not separated until after snack time. This does not meet group size requirements. Doors in gym or multi-purpose room do not chime or
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110-301-0260(2) · Saws, power tools, lawn mowers, and other maintenance and janitorial equipment must be inaccessible to children.
Mop and bucket with water inside and vacuum are accessible to children in the licensed space. WAC/RCW Correction Date Disputed Date Disputed 110-301-0165(3)(b) Serious
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110-301-0165(3)(b) · A school-age provider must take measures intended to prevent other hazards to children in care in school-age program space including, but not limited to: (b) Burns. Equipment, materials, or products that may be hot enough to injure a child must be made inaccessible to children;
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110-301-0170(3)(b)(i) · To ensure a safe environment for children in care, a school-age provider must comply with the following fire safety requirements: (b) Furnaces and other heating devices. (i) An appliance or heating device that has a surface capable of burning a child or reaching 110 degrees Fahrenheit must be inaccessible to children in care unless a program activity involves such an appliance or device and children are being actively supervised;
The kitchen was unlocked today. WAC/RCW Correction Date Disputed Date Disputed 110-301-0106(10)(a)(b) Serious
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110-301-0106(10)(a)(b) · A school-age provider who prepares or serves food to children at a school-age 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.
Site Coordinator Erin Simmons has not completed Child Care Basics. She also does not have an educational exemption or any education in MERIT. She was working in an unsupervised capacity today with 13 children. Evan P. was in ratio today due to there being 33-32 children. He does not have Child Care Basics, nor has completed any of the federally required trainings. WAC/RCW Correction Date Disputed Date Disputed 110-301-0106(4) Serious
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110-301-0106(4) · 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 complete the recognizing and reporting suspected child abuse, neglect, and exploitation training as approved or offered by the department according to subsection (1) of this section. Training must include the prevention of child abuse and neglect as defined in RCW 26.44.020 and mandatory reporting requirements under RCW 26.44.030.
Site Coordinator Erin Simmons has not completed Child Care Basics. She also does not have an educational exemption or any education in MERIT. She was working in an unsupervised capacity today with 13 children. Evan P. was in ratio today due to there being 33-32 children. He does not have Child Care Basics, nor has completed any of the federally required trainings. WAC/RCW Correction Date Disputed Date Disputed 110-301-0120(2) Serious
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110-301-0120(2) · A school-age provider must be excluded from the school-age premises when that provider's illness or condition poses a risk of spreading a harmful disease or compromising the health and safety of others. The illnesses and conditions that require a staff member to be excluded are pursuant to WAC 110-301-0205.
We were unable to locate verification of MMR vaccination for Erin Simmons and Evan P. today. WAC/RCW Correction Date Disputed Date Disputed 110-301-0215(3)(a)(i)(A)(B)(C)(D)(E) Serious
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110-301-0215(3)(a)(i)(A)(B)(C)(D)(E) · 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.
Rescue medications were stored in a locked medication box. Medication authorization forms were not stored with all medications found in the locked medication box. WAC/RCW Correction Date Disputed Date Disputed
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110-301-0215(3)(c) · Medication must be stored and maintained as directed on the packaging or prescription label, including applicable refrigeration requirements. A school-age provider must comply with the following additional medication storage requirements: (i) Medication must be inaccessible to children except as provided for in this subsection (3) (a) (v) (A) of this section; (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.
Rescue medications were stored in a locked medication box. Medication authorization forms were not stored with all medications found in the locked medication box.
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