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;

At the time of inspection, it was observed that immediate doors did not have device to alert staff if a child tries to open a door and leave unsupervised. A child was observed in the hallway for a few minutes without staff knowledge. Risk WAC/RCW

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0356(3)(a)(b)(c) · A licensee must not exceed the total capacity or age range stated on the school-age program license at any time except as provided in this section. All children on the premises, signed in to the school-age program, on an off-site trip from the school-age program, or being transported by the school-age program staff are counted in capacity including the children of staff. (a) A licensee must receive department approval to care for a child with special needs, pursuant to WAC 110-301-0300, if the child is older than the maximum age identified on the license. A child with documented special needs may be in care up to age nineteen and must be counted in capacity and staff-to-child ratio. (b) A child with special needs who requires individualized supervision pursuant WAC 110-301-0300 counts toward capacity but does not count in the staff-to-child ratio. (c) A child who turns thirteen years old permitted by chapter 110-15 WAC must be counted in both capacity and staff-to-child ratio.

At the time of inspection, there were 26 children present in M1 classroom. This classroom's capacity is set at 23.

Open Not marked corrected in the state record

Open / not marked corrected.

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.

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0105(3)(a)(b)(c)(i)(ii)(iii) · A school-age provider, including volunteers must provide documentation signed within the last twelve months by a licensed health care professional of tuberculosis (TB) testing or treatment consisting of: (a) A negative TB symptom screen and negative TB risk assessment; (b) A previous positive FDA-approved TB test and a current negative chest radiograph and documentation of clearance to safely work in a school-age program; or (c) A positive symptom screening or a positive risk assessment with documentation of: (i) A current negative FDA-approved TB test; (ii) A previous or current positive FDA-approved TB test; and (iii) A current negative chest radiograph and documentation of clearance to safely work in a school-age program.

At the time of the visit the program director did not have documentation of TB test Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0106(10)(a)(b) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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) At the time of the visit the program director has not yet completed food handler training 0106 (3)(a)(b)(c) At the time of the visit the program director and staff have not yet completed school age basics 0106 (8) At the time of the visit the program director has not yet completed Blood borne pathogens training 0106 (9)(b)(i)(ii) At the time of the visit the program director has not yet completed CPR/first aid training Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed

Open Not marked corrected in the state record

Open / not marked corrected.

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 (10)(a)(b) At the time of the visit the program director has not yet completed food handler training 0106 (3)(a)(b)(c) At the time of the visit the program director and staff have not yet completed school age basics 0106 (8) At the time of the visit the program director has not yet completed Blood borne pathogens training 0106 (9)(b)(i)(ii) At the time of the visit the program director has not yet completed CPR/first aid training Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0106(8) Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0106(8) · A school-age provider who directly care for children must complete the prevention of exposure to blood and body fluids training that meets Washington state department of labor and industries' requirements prior to being granted a license or working with children. This training must be repeated pursuant to Washington state department of labor and industries regulations.

0106 (10)(a)(b) At the time of the visit the program director has not yet completed food handler training 0106 (3)(a)(b)(c) At the time of the visit the program director and staff have not yet completed school age basics 0106 (8) At the time of the visit the program director has not yet completed Blood borne pathogens training 0106 (9)(b)(i)(ii) At the time of the visit the program director has not yet completed CPR/first aid training Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short

Open Not marked corrected in the state record

Open / not marked corrected.

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 (10)(a)(b) At the time of the visit the program director has not yet completed food handler training 0106 (3)(a)(b)(c) At the time of the visit the program director and staff have not yet completed school age basics 0106 (8) At the time of the visit the program director has not yet completed Blood borne pathogens training 0106 (9)(b)(i)(ii) At the time of the visit the program director has not yet completed CPR/first aid training Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0215(3)(c) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

At the time of the visit an epi-pen with epiry date of 09/04/2024 was observed in the emergency backpack.

Open Not marked corrected in the state record

Open / not marked corrected.