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) The exit doors in the cafeteria do not make a sound when the doors are opened that would alert staff to prevent children from leaving the licensed space unsupervised. The exit doors in the gymnasium do have devices attached that may sound when doors are opened, but the receiver was not plugged in or available and it could not be assessed whether those devices are working properly.

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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)b)c) One enrolled child who is in attendance today did not have a current and complete immunization form, exemption form, or immunization record from the WA IIS on file. Risk Corrected Correction Date WAC/RCW Disputed Level On Site Date Disputed Short 110-301-0345(5)(b) 09/04/2024 Term

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

3)c)d)e) A child left the licensed portable and was briefly out of visual and auditory range of the staff this afternoon. The licensor notified the staff that the child had walked out unaccompanied, and the staff found the child near the back door of the school. 3)c)d)e) This afternoon there were 4 children outside of the portable without any of the staff providing supervision. One of the children's parents was with them, but staff were not positioned to be able to see the children, were not attending to the children to be aware of what they were doing, or available to promptly assist or redirect if needed. 5)b) When staff brought children into the gymnasium this afternoon they did not have the door chime sensor to allow them to hear when doors were opened to prevent children from leaving unsupervised. 5)c)vii) When the licensor arrived to the program today, several children were observed running out to play on the climbing structure on the playground. The staff person responsible to supervise went to the door to the school and was allowing a few other children to go inside to get a drink of water, one by one. The children on the climbing structure continued to play as the staff person monitored the children inside the building from the open door. The climbing structure is quite a distance from the building across the blacktop, and is not easily supervised if a staff person is attending to children inside the building. It would be too far for the staff person to respond immediately if there were an accident. The staff person was not providing active supervision to the children who were playing on the climbing structure at this time. Risk Corrected Correction Date WAC/RCW Disputed Level On Site Date Disputed 110-301-0345(5)(c)(i)(ii)(iii)(iv)(v)(vi)(vii)(viii) Serious 09/04/2024

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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.

3)c)d)e) A child left the licensed portable and was briefly out of visual and auditory range of the staff this afternoon. The licensor notified the staff that the child had walked out unaccompanied, and the staff found the child near the back door of the school.

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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) The key was left in the safety latch on the cabinet with the toxic products in it, under the sink in the classroom. A child could unlock it and access it. 2) There was a vacuum cleaner in the classroom that was accessible to children. Janitorial equipment must be inaccessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-301-0260(2) Serious 11/01/2023

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110-301-0260(2) · Saws, power tools, lawn mowers, and other maintenance and janitorial equipment must be inaccessible to children. 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)a) The key was left in the safety latch on the cabinet with the toxic products in it, under the sink in the classroom. A child could unlock it and access it. 2) There was a vacuum cleaner in the classroom that was accessible to children. Janitorial equipment must be inaccessible to children. WAC/RCW Correction Date Disputed Date Disputed 110-301-0186(1)(a)(b)(c)(i)(ii)(iii)(iv) Serious 11/15/2023

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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)a)b)c) One child file states there is a food allergy but does not identify the food the child is allergic to. There is no individual care plan on file to provide a treatment plan for staff to follow in case of allergic reaction. 1) Another child with an identified food allergy does not have written instructions from the health care provider on file. There is a health plan that is signed by the parents and staff, but the health care provider has not signed the plan. 2) An emergency medication for a child's food allergy has recently expired. WAC/RCW Correction Date Disputed Date Disputed 110-301-0186(2) Serious 11/15/2023

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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.

1)a)b)c) One child file states there is a food allergy but does not identify the food the child is allergic to. There is no individual care plan on file to provide a treatment plan for staff to follow in case of allergic reaction.

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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) A prescription medication for a child's medical condition does not have a prescription label with the child's name, date the prescription was filled, name and contact information of the prescribing health professional, dosage amount and length of time to give the medication, and instructions for administration and storage. WAC/RCW Correction Date Disputed Date Disputed 110-301-0470(4)(a) Short Term 11/01/2023

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110-301-0470(4)(a) · A school-age provider must practice and record emergency drills with staff and children as follows: (a) Fire and evacuation drill once each calendar month;

4)a) There was no fire evacuation drill documented for the month of October 2023

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