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;

At the time of the visit, cleaning and sanitizing spray bottles are placed on a table accessible to the children. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0215(3) Serious

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110-301-0215(3) · Medication administration. A school-age provider must not give medication to any child without written and signed consent from that child's parent or guardian, must administer medication pursuant to directions on the medication label, and must use cleaned and sanitized medication measuring devices.

0215 (3) At the time of the visit, the licensor observed medications without signed medication authorization. 0215 (3) (a)(i)(A)(B)(C)(D)(E) At the time of the visit, the licensor observed medications without label 0215 (3)(c) At the time of the visit, the licensor observed expired medications. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0215(3)(a)(i)(A)(B)(C)(D)(E) Serious

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110-301-0100(2)(a)(i)(ii)(A)(B)(iii)(iv) · Program directors manage the overall school-age program operations and facilities and set appropriate program and staff expectations. The program director is not responsible for being on-site at the program, unless the program director is filling in for an on-site role. (a) A program director must meet the following qualifications: (i) Be at least eighteen years old; (ii) Complete forty-five college credits in any one hundred-level or above college coursework or equivalent as approved and verified in the electronic workforce registry by the department as follows: (A) A program director working at the time this chapter becomes effective must have completed at least twelve college credits in any one hundred-level or above college coursework or equivalent and complete an additional thirty-three college credits in any one hundred-level or above college coursework or equivalent within five years of the date this section becomes effective; (B) A program director hired or promoted after this chapter becomes effective must have completed twelve college credits in any one hundred-level or above college coursework or equivalent prior to being hired or promoted, and complete an additional thirty-three college credits in any one hundred-level or above coursework or equivalent within five years of the time of hire or promotion. (iii) Complete the applicable preservice requirements, pursuant to WAC 110-301-0105; and (iv) Have their continued professional development progress documented annually.

0100 (2) (a)(i)(ii)(A)(B)(iii)(iv) At the time of the visit, the licensor observed that program director did not have college credits approved and verified in MERIT 0100 (4)(a)(b)(c)(d)(e) At the time of the visit, the liensor observed that lead staff did not have High school or college credits approved and verified in MERIT

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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.

0215 (3) At the time of the visit, the licensor observed medications without signed medication authorization. 0215 (3) (a)(i)(A)(B)(C)(D)(E) At the time of the visit, the licensor observed medications without label 0215 (3)(c) At the time of the visit, the licensor observed expired medications. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0215(3)(c) Serious

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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.

0215 (3) At the time of the visit, the licensor observed medications without signed medication authorization. 0215 (3) (a)(i)(A)(B)(C)(D)(E) At the time of the visit, the licensor observed medications without label 0215 (3)(c) At the time of the visit, the licensor observed expired medications. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0230(1) Term

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110-301-0230(1) · School-age program directors, site directors, lead teachers, assistant teachers, and any other school-age providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must have a current pediatric and adult first-aid and CPR certificate, pursuant to WAC 110-301-0106.

At the time of the visit, the licensor observed that staff S.M. have not completed CPR/First aid training. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0106(3)(a)(b)(c) Term

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110-301-0106(3)(a)(b)(c) · License applicants, program directors, site directors, lead teachers, and assistant teachers must complete the school-age 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.

0106 (3) At the time of the visit, the licensor observed staff S.W. led a group of students on a fieldtrip. Staff S.W. have not completed 30 hours SA basics, 0106 (9) At the time of the visit, the licensor observed staff S.W. have not completed CPR/first aid training. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0106(9)(a)(b)(i)(ii) Term

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110-301-0106(9)(a)(b)(i)(ii) · Program directors, site directors, lead teachers, assistant teachers, and any other school-age providers counted in staff-to-child ratio, or who could potentially be counted in ratio, must be trained in first-aid and cardiopulmonary resuscitation (CPR). (a) Proof of training can be shown with a certification card, certificate, or instructor letter. (b) The first-aid and CPR training and certification must: (i) Be delivered in person and include a hands-on component for first aid and CPR demonstrated in front of an instructor certified by the American Red Cross, American Heart Association, American Safety and Health Institute, or other nationally recognized certification program; and (ii) Include child and adult first-aid and CPR.

0106 (3) At the time of the visit, the licensor observed staff S.W. led a group of students on a fieldtrip. Staff S.W. have not completed 30 hours SA basics, 0106 (9) At the time of the visit, the licensor observed staff S.W. have not completed CPR/first aid training. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0100(2)(a)(i)(ii)(A)(B)(iii)(iv) Term

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110-301-0215(3) · Medication administration. A school-age provider must not give medication to any child without written and signed consent from that child's parent or guardian, must administer medication pursuant to directions on the medication label, and must use cleaned and sanitized medication measuring devices.

0215 (3) Medication authorizations are missing in some of the medications observed in the grab and go bag. 0215 (3) (c) Expired epi-pen and allergy medication observed in grab and go bag. WAC/RCW Correction Date Disputed Date Disputed 110-301-0215(3)(c) Serious

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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.

0215 (3) Medication authorizations are missing in some of the medications observed in the grab and go bag. 0215 (3) (c) Expired epi-pen and allergy medication observed in grab and go bag. WAC/RCW Correction Date Disputed Date Disputed 110-301-0106(10)(a)(b) Serious

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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.

0106 (10)(a)(b) Some staff have not completed food handler training 0106 (3)(a)(b)(c) Program director and some staff have not completed school age basics training 0106 (8) Program director and staff have not completed or renewed Blood Borne pathogen training 0106 (9)(a)(b)(i)(ii) Some staff have not completed first aid / CPR training

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