110-300-0260(1)(a) · An early learning provider must ensure all poisonous or dangerous substances including, but not limited to fuels, solvents, oils, laundry, dishwasher, other detergents, sanitizing products, disinfectants and items labeled “keep out of reach of children” are stored: (a) In a location that is inaccessible to children;

Laundry room with contents inside, observed unlocked and accessible to children.

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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.

No health care plan or written instruction for food substitution observed for 2 students with food allergies (epi pen) in the classroom for staff to follow. No written health care plan in the classroom accessible to staff to use and follow. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3)(a)(i) Serious

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110-300-0215(3)(a)(i) · 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. An early learning 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 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 the administration and storage.

An epi pen was observed with no prescription box to indicate who the prescription was for. No medication authorization form was accompanied with the medication or information that would indicate possible side effects of the medication or how to give the medication. The child's first and last name was written on a zippy bag only. No date observed when the prescription was filled or contact info of the prescribing health care professional. No written consent signed consent observed with an epi pen medication observed in the classroom. No medication label as the medication box was missing. WAC/RCW Correction Date Disputed Date Disputed 110-300-0215(3) Serious

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110-300-0215(3) · Medication administration. An early learning 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 using appropriate cleaned and sanitized medication measuring devices.

An epi pen was observed with no prescription box to indicate who the prescription was for. No medication authorization form was accompanied with the medication or information that would indicate possible side effects of the medication or how to give the medication. The child's first and last name was written on a zippy bag only. No date observed when the prescription was filled or contact info of the prescribing health care professional. No written consent signed consent observed with an epi pen medication observed in the classroom. No medication label as the medication box was missing. WAC/RCW Correction Date Disputed Date Disputed

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110-300-0105(2) · Early learning providers and household members in a family home early learning program must complete and pass a department background check, pursuant to chapter 110-06 WAC.

Greg Jones has not completed a portable background check, shows withdrawn in Merit.

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