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.

1) One individual care plan (health plan) for a food allergy is signed by the parent, but does not include written instructions from the child's health care provider as required. The plan is not clear regarding when to administer emergency medication. 4) The food allergy individual care plan does not have documentation of having been reviewed by all staff working at this site who are responsible for serving food to children.

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110-301-0186(4) · A school-age provider must review each child's individual care plan information for food allergies prior to serving food to children.

1) One individual care plan (health plan) for a food allergy is signed by the parent, but does not include written instructions from the child's health care provider as required. The plan is not clear regarding when to administer emergency medication. 4) The food allergy individual care plan does not have documentation of having been reviewed by all staff working at this site who are responsible for serving food to children. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Long 110-301-0210(1)(2)(a)(b)(c) 11/18/2024 Term

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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).

1)2)a)b)c) One child in care did not have a current/complete immunization record on file or a certificate of exemption in lieu of a certificate of immunization status.

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110-301-0186(4) · A school-age provider must review each child's individual care plan information for food allergies prior to serving food to children.

4) There is no documentation to show that the staff have reviewed the individual care plan for a child with a food allergy. WAC/RCW Correction Date Disputed Date Disputed 110-301-0215(3)(a)(i)(A)(B)(C)(D)(E) Serious 01/05/2024

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110-301-0215(3)(a)(i)(A)(B)(C)(D)(E) · 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 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)A)B)C)D)E) There was one prescription medication for use in emergencies that did not have a prescription label with the child's name, date the prescription was filled, name and contact information for the prescribing health professional, expiration date, dosage amount, and length of time to give the medication, and instructions for administration and storage. WAC/RCW Correction Date Disputed Date Disputed 110-301-0300(1)(a) Short Term 01/12/2024

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110-301-0300(1)(a) · A school-age provider must develop an individual care plan for each child with special needs. Plans and documentation required under this section must: (a) Meet the requirements of this section;

1)a) There was a child with an identified health issue and emergency medication who did not have an individual care plan on file.

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