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).

It was observed that not all files had current immunization records within the last 12 months. One CIS form stated "not complete" and a plan was not created with the parents. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3) · Medication administration. An early learning 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 using appropriate cleaned and sanitized medication measuring devices.

One child had diaper cream on site that was expired and a medicaiton form was not completed by the parents. One child had Claritin on site, when their doctor's note was written for Zyrtec. The Claritin was expired. In multiple classrooms, diaper creams were accessible to children. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0215(3)(a)(ii) · An early learning provider must administer medication to children in care as follows: (ii) Nonprescription oral medication. Nonprescription (over-the-counter) oral medication brought to the early learning 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. Early learning providers must follow the instructions on the label or the parent 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.

One child had diaper cream on site that was expired and a medicaiton form was not completed by the parents. One child had Claritin on site, when their doctor's note was written for Zyrtec. The Claritin was expired. In multiple classrooms, diaper creams were accessible to children. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

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.

One child had diaper cream on site that was expired and a medicaiton form was not completed by the parents. One child had Claritin on site, when their doctor's note was written for Zyrtec. The Claritin was expired. In multiple classrooms, diaper creams were accessible to children. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0470(4)(a) · An early learning 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 disaster drill. It was observed that there was no fire drill completed for Sept/Nov 2024 Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-300-0470(4)(b) · An early learning provider must practice and record emergency drills with staff and children as follows: (b) Earthquake, lockdown, or shelter-in-place drill once every three calendar months;

It was observed that the program had not completed a disaster drill.

Open Not marked corrected in the state record

Open / not marked corrected.