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;

At the time of the onsite Monitor Visit, there were 5 sanitizing bottles of J-512 Sanitizer in the childcare side of the cafeteria, and 10 bottles on the other side of the coned off cafeteria, accessible to children. At the time of the onsite Monitor Visit, there were push brooms and dustpans in the cafeteria, accessible to children. At the time of the onsite Monitor Visit, the janitor closet (with cleaners, aerosols, chemicals, janitorial supplies, and wet mop sink propped open and accessible to children.

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0260(2) · Saws, power tools, lawn mowers, and other maintenance and janitorial equipment must be inaccessible to children.

At the time of the onsite Monitor Visit, there were 5 sanitizing bottles of J-512 Sanitizer in the childcare side of the cafeteria, and 10 bottles on the other side of the coned off cafeteria, accessible to children. At the time of the onsite Monitor Visit, there were push brooms and dustpans in the cafeteria, accessible to children. At the time of the onsite Monitor Visit, the janitor closet (with cleaners, aerosols, chemicals, janitorial supplies, and wet mop sink propped open and accessible to children. 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.

At the time of the onsite Monitor Visit, there were 5 sanitizing bottles of J-512 Sanitizer in the childcare side of the cafeteria, and 10 bottles on the other side of the coned off cafeteria, accessible to children. At the time of the onsite Monitor Visit, there were push brooms and dustpans in the cafeteria, accessible to children. At the time of the onsite Monitor Visit, the janitor closet (with cleaners, aerosols, chemicals, janitorial supplies, and wet mop sink propped open and accessible to children. WAC/RCW Correction Date Disputed Date Disputed

Open Not marked corrected in the state record

Open / not marked corrected.

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.

At the time of the onsite Monitor Visit, there were two inhalers and one low blood sugar nasal spray that were in the first aid kit without a medication authorization, or the child's information on the label with directions from the provider. At the time of the onsite Monitor Visit, two inhalers and one low blood sugar nasal spray were accessible to kids in the first aid kit. WAC/RCW Correction Date Disputed Date Disputed 110-301-0215(3)(c) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

At the time of the onsite Monitor Visit, there were two inhalers and one low blood sugar nasal spray that were in the first aid kit without a medication authorization, or the child's information on the label with directions from the provider.

Open Not marked corrected in the state record

Open / not marked corrected.

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

At the time of the onsite Monitor Visit, the three first aid kits were on a cart/floor in the children's play area of the cafeteria, accessible to children. At the time of the onsite Monitor Visit, the first aid kit had a lot of used supplies strewn throughout the first aid kit, with a lot of supplies kept in a non-clan/sanitary way. WAC/RCW Correction Date Disputed Date Disputed 110-301-0106(10)(a)(b) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

At the time of the onsite Monitor Visit, there were two staff present without a current food handler's card documented in MERIT or available for review. One of these two staff prepared and served snack. At the time of the onsite Monitor Visit, multiple staff, including three who were present, did not have a current bloodborne pathogens training (as per labor and industry standards) in MERIT or onsite for review. At the time of the onsite Monitor Visit, multiple staff including two staff present, and the director did not have First Aid or CPR verified in MERIT or onsite for review.

Open Not marked corrected in the state record

Open / not marked corrected.