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.

100-301-0186 (a)(b)(c) (i)(ii)(iii)-During visit there was a child who was identified with food allergies who did not have an individual care plan on site. 110-301-0186 (2) During the visit the licensor observed there was no medication on site for chldren who were identified as having food allergies.

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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.