110-300-0186(1) · An early learning 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 110-300-0300 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 early learning 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.

Child C. does not have individual care plan for dairy allergy. Child SL allergic to tomato- no individula care plan. Child O. allergic to fish- no individula care plan.

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110-300-0186(2) · An early learning provider must arrange with the parents or guardians of a child in care to ensure the early learning program has the necessary medication, training, and equipment to properly manage a child's food allergies.

Child C. does not have individual care plan for dairy allergy. Child SL allergic to tomato- no individula care plan. Child O. allergic to fish- no individula care plan. Child EY has Benadryl and Ep-pen for nut allergy. Individula care plan is missing information about symptoms, substitute foods, names of medications and how to administer medications. The plan is not signed by a medical provider. Parents have not trained staff on medication administration. WAC/RCW Correction Date Disputed Date Disputed 110-300-0165(2)(b) Serious

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110-300-0165(2)(b) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (b) Eliminating and not using in the licensed space, pursuant to RCW 43.216.380, any window blinds or other window coverings with pull cords or inner cords capable of forming a loop and posing risk of strangulation to children; (i) Window blinds and other window coverings that have been manufactured or properly retrofitted in a manner that eliminates the formation of loops posing a risk of strangulation are allowed; and (ii) A window covering must not be secured to the frame of a window or door used as an emergency exit in a way that would prevent the window or door from opening easily;

Window blinds were loose, not attached to safety hooks on the wall. Plastic bags accessible under the sink in classroom 2.

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110-300-0165(2)(d) · An early learning provider must take steps to prevent hazards to children including, but not limited to: (d) Making inaccessible to children plastic bags and other suffocation hazards;

Window blinds were loose, not attached to safety hooks on the wall. Plastic bags accessible under the sink in classroom 2. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(3) Short Term

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110-300-0106(3) · License applicants, center directors, assistant directors, program supervisors, lead teachers, assistant teachers, and aides must complete the child care 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 MK and SV, and SK don't have CORE training after 3 months of employment. Staff MK doesn't have emergency prepredenss, children experiencing homelessnes, or child abuse neglect, and exploitation training. Staff SV doesn't have emergency prepredenss, children experiencing homelessnes, or child abuse neglect, and exploitation training. staff SK Staff MK doesn't have emergency prepredenss, children experiencing homelessnes, or child abuse neglect, and exploitation training. Staff SK doesn't have food worker training. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(4) Serious

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110-300-0106(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. Early learning providers 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.

Staff MK and SV, and SK don't have CORE training after 3 months of employment. Staff MK doesn't have emergency prepredenss, children experiencing homelessnes, or child abuse neglect, and exploitation training. Staff SV doesn't have emergency prepredenss, children experiencing homelessnes, or child abuse neglect, and exploitation training. staff SK Staff MK doesn't have emergency prepredenss, children experiencing homelessnes, or child abuse neglect, and exploitation training. Staff SK doesn't have food worker training. WAC/RCW Correction Date Disputed Date Disputed 110-300-0106(12) Serious

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110-300-0106(12) · Early learning providers who prepare or serve food to children at an early learning 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.

Staff MK and SV, and SK don't have CORE training after 3 months of employment. Staff MK doesn't have emergency prepredenss, children experiencing homelessnes, or child abuse neglect, and exploitation training. Staff SV doesn't have emergency prepredenss, children experiencing homelessnes, or child abuse neglect, and exploitation training. staff SK Staff MK doesn't have emergency prepredenss, children experiencing homelessnes, or child abuse neglect, and exploitation training. Staff SK doesn't have food worker training.

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