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.

Staff persons KM and AS have not completed their School Age Basics training within 3 months of starting role. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0215(3) · Medication administration. A school-age provider must not give medication to any child without written and signed consent from that child's parent or guardian, must administer medication pursuant to directions on the medication label, and must use cleaned and sanitized medication measuring devices.

Medication Administration form has a different program listed for authorization. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0505(1)(2) · (1) Postings listed in subsection (2) of this section that are part of a school-age program must be clearly visible to parents, guardians, and school-age program staff. (2) Postings on school-age premises must include: (a) The school-age program license, pursuant to WAC 110-301-0010; (b) Floor plan with emergency routes and exits identified in each school-age program area, pursuant to WAC 110-301-0400(1)(b)(i) and 110-301-0470(2)(a)(i); (c) Dietary restrictions, known allergies, and nutrition requirements, if applicable, in a location easily accessible for staff but not available to those who are not parents or guardians of the enrolled child, pursuant to 110-301-0186(1); (d) Handwashing practices at each handwashing sink, pursuant to WAC 110-301-0200(1); (e) Pesticide treatment, if applicable, pursuant to RCW 43.216.280 and 17.21.410(1)(d); (f) Emergency numbers and information including, but not limited to: (i) 911 or emergency services number; (ii) Name, address and directions from the nearest arterial street or nearest cross street to the facility; (iii) The department's toll-free number; (iv) Washington poison center toll-free number; and (v) The department's child protective services. (g) The location of emergency medical information for children and staff; (h) A notice of any current or pending enforcement action, including probationary licenses pursuant to RCW 43.216.687. Notice must be posted: (i) Immediately upon receipt; and (ii) For at least two weeks or until the violation causing the enforcement action is corrected, whichever is longer. (i) No smoking and No vaping signs, pursuant to WAC 110-301-0420(2)(f); (j) A copy of a department approved waiver or variance from a rule of this chapter, if applicable. Waivers or variances must be posted for parent or guardian view when related to the overall program (not related to any specific child), and as long as the waiver or variance is approved; (k) Notice that Insurance coverage has lapsed or been terminated, if applicable, pursuant to RCW 43.216.700; and (l) Any other information listed in RCW 43.216.687.

Copy of license not posted for parents and visitors to view.

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0106(4) · 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.

BS and MM did not have SA basics documented as completed. Many of these trainings are included in the SA bascis. MM and BM were not able to produce evidence that they completed the federally mandated trainings. MM was not able to produce her CPR/First aid credential, BBP training, or Food handler's card. Correction WAC/RCW Disputed Date Disputed Date 110-301-0106(5) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0345(5)(c)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii) · A school-age provider must: (c) Actively supervise children when the children: (i) Interact with pets or animals; (ii) Engage in water or sand play; (iii) Play in an area in close proximity to a body of water; (iv) Use a safe route to access an outdoor play area not immediately adjacent to the school-age program; (v) Engage in planned activities in the kitchen; (vi) Ride on public transportation; (vii) Engage in outdoor play; and (viii) During field trips.

It was observed that a child was standing on top of a hand rail for a handicap ramp that was holding onto the fence, this posed a danger, as the child could slip and fall. The staff did not intervene in this situation for a few minutes. It was observed that while the group was outside for recess, some children were out of hearing or seeing range. Correction WAC/RCW Disputed Date Disputed Date 110-301-0230(2)(b) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

A first-aid kit must: (b) Be inaccessible to children;

It was observed that both first aid back packs were set down in an area accessible to children on the playground. Staff were not nearby the backpacks to ensure children could not access them. MM was not able to produce her CPR/First aid credential Correction WAC/RCW Disputed Date Disputed Date 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.

It was observed that an Epi Pen and antihistamine was accessible to children in the first aid backpack. Not stored with label Correction WAC/RCW Disputed Date Disputed Date 110-301-0215(3)(a)(i)(A)(B)(C)(D)(E) Serious

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. 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.

It was observed that an Epi Pen and antihistamine was accessible to children in the first aid backpack. Not stored with label Correction WAC/RCW Disputed Date Disputed Date 110-301-0106(1) Long Term

Open Not marked corrected in the state record

Open / not marked corrected.

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.

BS and MM did not have SA basics documented as completed. Many of these trainings are included in the SA bascis. MM and BM were not able to produce evidence that they completed the federally mandated trainings. MM was not able to produce her CPR/First aid credential, BBP training, or Food handler's card. Correction WAC/RCW Disputed Date Disputed Date 110-301-0106(3)(a)(b)(c) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

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.

BS and MM did not have SA basics documented as completed. Many of these trainings are included in the SA bascis. MM and BM were not able to produce evidence that they completed the federally mandated trainings.

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0106(5) · A school-age provider must complete the emergency preparedness training as approved or offered by the department according to subsection (1) of this section.

BS and MM did not have SA basics documented as completed. Many of these trainings are included in the SA bascis. MM and BM were not able to produce evidence that they completed the federally mandated trainings. MM was not able to produce her CPR/First aid credential, BBP training, or Food handler's card. Correction WAC/RCW Disputed Date Disputed Date 110-301-0106(6) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0106(6) · 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 serving children experiencing homelessness training as approved or offered by the department according to subsection (1) of this section.

BS and MM did not have SA basics documented as completed. Many of these trainings are included in the SA bascis. MM and BM were not able to produce evidence that they completed the federally mandated trainings. MM was not able to produce her CPR/First aid credential, BBP training, or Food handler's card. Correction WAC/RCW Disputed Date Disputed Date 110-301-0470(4)(a) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0470(4)(a) · A school-age provider must practice and record emergency drills with staff and children as follows: (a) Fire and evacuation drill once each calendar month;

It was observed that the program had not completed a fire drill in December or November. Correction WAC/RCW Disputed Date Disputed Date 110-301-0230(1) Short 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.

It was observed that both first aid back packs were set down in an area accessible to children on the playground. Staff were not nearby the backpacks to ensure children could not access them. MM was not able to produce her CPR/First aid credential Correction WAC/RCW Disputed Date Disputed Date

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.

BS and MM did not have SA basics documented as completed. Many of these trainings are included in the SA bascis. MM and BM were not able to produce evidence that they completed the federally mandated trainings. MM was not able to produce her CPR/First aid credential, BBP training, or Food handler's card. Correction WAC/RCW Disputed Date Disputed Date 110-301-0106(8) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0106(8) · A school-age provider who directly care for children must complete the prevention of exposure to blood and body fluids training that meets Washington state department of labor and industries' requirements prior to being granted a license or working with children. This training must be repeated pursuant to Washington state department of labor and industries regulations.

BS and MM did not have SA basics documented as completed. Many of these trainings are included in the SA bascis. MM and BM were not able to produce evidence that they completed the federally mandated trainings. MM was not able to produce her CPR/First aid credential, BBP training, or Food handler's card. Correction WAC/RCW Disputed Date Disputed Date 110-301-0106(9)(a)(b)(i)(ii) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0106(9)(a)(b)(i)(ii) · 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. 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 be trained in first-aid and cardiopulmonary resuscitation (CPR). (a) Proof of training can be shown with a certification card, certificate, or instructor letter. (b) The first-aid and CPR training and certification must: (i) Be delivered in person and include a hands-on component for first aid and CPR demonstrated in front of an instructor certified by the American Red Cross, American Heart Association, American Safety and Health Institute, or other nationally recognized certification program; and (ii) Include child and adult first-aid and CPR.

BS and MM did not have SA basics documented as completed. Many of these trainings are included in the SA bascis. MM and BM were not able to produce evidence that they completed the federally mandated trainings. MM was not able to produce her CPR/First aid credential, BBP training, or Food handler's card.

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.

It was observed that an EpiPen was not stored with the prescription label WAC/RCW Correction Date Disputed Date Disputed 110-301-0260(1)(a) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0260(1)(a) · 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 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;

It was observed that sanitizing solution was hung on the stairway railing in an area that is accessible to children. Hand sanitizer was also placed on a desk that is accessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-301-0470(4)(d) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0470(4)(d) · A school-age provider must practice and record emergency drills with staff and children as follows: (d) Drills must be recorded on a department form and include: (i) The date and time of the drill; (ii) The number of children and staff who participated; (iii) The length of the drill; and (iv) Notes about how the drill went and how it may be improved.

It was observed that the fire drill times were not recorded on the department form. WAC/RCW Correction Date Disputed Date Disputed 110-301-0241(1)(a) Short 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;

It was reported that the program toys were only cleaned once a month, while the tables were only cleaned once a day. WAC/RCW Correction Date Disputed Date Disputed 110-301-0241(1)(d)(i)(ii) Short Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0241(1)(d)(i)(ii) · 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 develop and follow a cleaning schedule that includes: (d) Toys, which must be cleaned and sanitized as follows: (i) Weekly or more often as needed; and (ii) When a toy comes into contact with a child's mouth or bodily fluids it must be removed from use until it can be cleaned and sanitized prior to reuse;

It was reported that the program toys were only cleaned once a month, while the tables were only cleaned once a day.

Open Not marked corrected in the state record

Open / not marked corrected.