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.

3)a)i) One prescription medication was not accompanied by a medication authorization form that has the medical need and possible side effects of the medication.

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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;

1)a) Portable 8 is accessible to children in care. There were clorox wipes and bin with hygiene products such as shaving cream in an unsecured cabinet in that room. WAC/RCW Correction Date Disputed Date Disputed 110-301-0215(3)(c) Serious 09/14/2023

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110-301-0215(3)(c) · 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. 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.

3)c) Portable 8 is accessible to children in care. There was a bin in an unsecured cabinet in that room that had a box of alka seltzer in it. WAC/RCW Correction Date Disputed Date Disputed 110-301-0210(1)(2)(a)(b)(c) Long Term 10/23/2023

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110-301-0210(1)(2)(a)(b)(c) · (1) Before attending a school-age program, a child must be vaccinated against or show proof of acquired immunity for the vaccine-preventable disease, pursuant to chapter 246-105 WAC. A school-age provider may accept children without proof of vaccinations or immunity as otherwise indicated in this section. '(2) Pusuant to WAC 246-105-050, a school-age provider must receive for each enrolled child: (a) A current and complete DOH-approved certificate of immunization status (CIS) form or an alternative in lieu of CIS pursuant to WAC 246-105-050(3); (b) A department approved certificate of exemption (COE) form, if applicable; or (c) A current immunization record from the Washington state immunzation information system (WA IIS).

2)a) One child's immunization record appears to be missing one date for the Hepatitis B vaccine. WAC/RCW Correction Date Disputed Date Disputed 110-301-0345(5)(b) Short Term 09/15/2023

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110-301-0345(5)(b) · A school-age provider must: (b) Be able to hear when doors in the immediate area are opened to prevent children from leaving unsupervised;

5)b) Portable 8 is not being used by the program any longer as the school is using it for a music classroom. The door between portable 7 and portable 8 does not lock, so children can open it. There is no sounding device to alert staff if the children were to leave through that door unsupervised.

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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;

1)a) There was a container of Clorox wipes and a bin with toxic products in it in portable 8. The room is not currently being used, but it is accessible to children. Correction WAC/RCW Disputed Date Disputed Date 110-301-0210(1)(2)(a)(b)(c) Long Term 09/01/2023

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110-301-0210(1)(2)(a)(b)(c) · 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. (1) Before attending a school-age program, a child must be vaccinated against or show proof of acquired immunity for the vaccine-preventable disease, pursuant to chapter 246-105 WAC. A school-age provider may accept children without proof of vaccinations or immunity as otherwise indicated in this section. '(2) Pusuant to WAC 246-105-050, a school-age provider must receive for each enrolled child: (a) A current and complete DOH-approved certificate of immunization status (CIS) form or an alternative in lieu of CIS pursuant to WAC 246-105-050(3); (b) A department approved certificate of exemption (COE) form, if applicable; or (c) A current immunization record from the Washington state immunzation information system (WA IIS).

2) Immunization records for children attending the program today could not be located. Correction WAC/RCW Disputed Date Disputed Date 110-301-0106(10)(a)(b) Serious 09/06/2023

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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.

10)a) One assistant teacher did not have a current food worker card on file or verified in MERIT. 3)b)c) One assistant teacher working for 8 months has not completed the school-age basics training as required. 9)a)b) One lead staff did not have documentation of current CPR and First aid training on file or verified in MERIT. Correction WAC/RCW Disputed Date Disputed Date 110-301-0345(5)(c)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii) Serious 08/31/2023

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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.

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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.

3)c)i) There was a box of alka seltzer in a bin in a cabinet in portable 8. The room is not currently being used, but it is accessible to children.

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