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 inspection, site director and staff did not have documentation of TB test Risk Corrected On Correction WAC/RCW Disputed Date Disputed Level Site Date 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 ofthe inspection site director and staff did not have documentation of food handler training 0106 (3)(a)(b) At the time of inspection, site director and staff have not yet completed 30 hours school age basics 0106 (3)(a)(b)(c) At the time of inspection, site director and staff have not yet completed 30 hours school age basics 0106 (8) At the time of inspection, site director and staff did not have documentation of blood borne pathogens training 0106 (9) (a)(b)(c) (i)(ii)(iii) At the time of inspection, site director and staff counted in staff-to-child ratio did not have documentation of CPR/first aid training 0106 (9) a)(b)(c) (i)(ii) At the time of inspection, site director and staff counted in staff-to-child ratio did not have documentation of CPR/first aid training Risk Corrected On Correction WAC/RCW Disputed Date Disputed Level Site Date Short 110-301-0230(1) Term

Open Not marked corrected in the state record

Open / not marked corrected.

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 inspection the site director and staff did not have documentation of CPR/first aid training Risk Corrected On Correction WAC/RCW Disputed Date Disputed Level Site Date 110-301-0260(1)(a) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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 chemicals are observed in the storage cabinet accessible to children. Risk Corrected On Correction WAC/RCW Disputed Date Disputed Level Site Date Long 110-301-0505(1)(2) Term

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0505(1)(2) · (1) Postings listed in subsection (2) of this section that are part of a school-age program must be clearly visible to parents, guardians, and school-age program staff. (2) Postings on school-age premises must include: (a) The school-age program license, pursuant to WAC 110-301-0010; (b) Floor plan with emergency routes and exits identified in each school-age program area, pursuant to WAC 110-301-0400(1)(b)(i) and 110-301-0470(2)(a)(i); (c) Dietary restrictions, known allergies, and nutrition requirements, if applicable, in a location easily accessible for staff but not available to those who are not parents or guardians of the enrolled child, pursuant to 110-301-0186(1); (d) Handwashing practices at each handwashing sink, pursuant to WAC 110-301-0200(1); (e) Pesticide treatment, if applicable, pursuant to RCW 43.216.280 and 17.21.410(1)(d); (f) Emergency numbers and information including, but not limited to: (i) 911 or emergency services number; (ii) Name, address and directions from the nearest arterial street or nearest cross street to the facility; (iii) The department's toll-free number; (iv) Washington poison center toll-free number; and (v) The department's child protective services. (g) The location of emergency medical information for children and staff; (h) A notice of any current or pending enforcement action, including probationary licenses pursuant to RCW 43.216.687. Notice must be posted: (i) Immediately upon receipt; and (ii) For at least two weeks or until the violation causing the enforcement action is corrected, whichever is longer. (i) No smoking and No vaping signs, pursuant to WAC 110-301-0420(2)(f); (j) A copy of a department approved waiver or variance from a rule of this chapter, if applicable. Waivers or variances must be posted for parent or guardian view when related to the overall program (not related to any specific child), and as long as the waiver or variance is approved; (k) Notice that Insurance coverage has lapsed or been terminated, if applicable, pursuant to RCW 43.216.700; and (l) Any other information listed in RCW 43.216.687.

At the time of inspection, the childcare license and emergency numbers are not posted.

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.

110-301-0100(3)(a)(i)(ii)(A)(B)(iii) · Site directors plan and implement the school-age program services under the oversight of a program director. The site director is responsible for being on-site during the program's operating hours. (a) A site director must meet the following qualifications: (i) Be at least eighteen years old; (ii) Complete thirty 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 site 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 eighteen college credits in any one hundred-level or above coursework or equivalent within five years of the date this section becomes effective; (B) A site director hired or promoted after this chapter becomes effective must have completed twelve college credits in any one hundred-level or above coursework or equivalent prior to being hired or promoted, and complete an additional eighteen 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) At the time of review, the program director has not submitted education for verification and approval in MERIT 0100 (3) At the time of review, the site director has not submitted education for verification and approval in MERIT 0100 (5) At the time of review, the staff did not have documentation of high school diploma Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0105(3)(a)(b)(c)(i)(ii)(iii) Term

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 review 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 review, the program director has not yet completed food handler training 0106 (3)(a)(b)(c) At the time of review, the program director, site director and staff have not yet completed school-age basics training 0106 (8) At the time of the review, the program director has not yet completed blood borne pathogens training 0106 (9) At the time of the review, the program director and staff have not yet 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

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 review, the program director has not yet completed food handler training 0106 (3)(a)(b)(c) At the time of review, the program director, site director and staff have not yet completed school-age basics training 0106 (8) At the time of the review, the program director has not yet completed blood borne pathogens training 0106 (9) At the time of the review, the program director and staff have 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 review, the program director has not yet completed food handler training 0106 (3)(a)(b)(c) At the time of review, the program director, site director and staff have not yet completed school-age basics training 0106 (8) At the time of the review, the program director has not yet completed blood borne pathogens training 0106 (9) At the time of the review, the program director and staff have not yet 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

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 review, the program director has not yet completed food handler training 0106 (3)(a)(b)(c) At the time of review, the program director, site director and staff have not yet completed school-age basics training 0106 (8) At the time of the review, the program director has not yet completed blood borne pathogens training 0106 (9) At the time of the review, the program director and staff have not yet completed CPR/first aid training Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0165(2)(b)(i)(ii) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0165(2)(b)(i)(ii) · A school-age provider must take steps to prevent hazards to children including, but not limited to: (b)For any program that does not operate on public or private school premises, eliminating and not using in the licensed space, pursuant to RCW 43.216.380, any window blinds or other window coverings with pull cords or inner cords capable of forming a loop and posing risk of strangulation to children. (i) Window blinds and other window coverings that have been manufactured or properly retrofitted in a manner that eliminates the formation of loops posing a risk of strangulation are allowed; and (ii) A window covering must not be secured to the frame of a window or door used as an emergency exit in a way that would prevent the window or door from opening easily;

At the time of the visit the licensors observed window blind chords accessible to the children. The site director corrected the issue onsite by rolling up the chords on a bracket. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0166(3)(c) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

110-301-0166(3)(c) · To ensure a safe exit from the premises during an emergency, the early learning provider must comply with the following requirements: (c) Exit doors that are not designated as an emergency exit door may be locked during operating hours. For any program that does not operate on public or private school premises, locking interior doors in school-age program space must be designed to be unlocked from either side. An unlocking device must be readily available.

At the time of the visit, the licensors observed stacked chairs blocking the emergency exit Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0215(3) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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.

At the time of the visit the licensors did not observe medication permission for a child with epi-pen Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed Short 110-301-0230(1) Term

Open Not marked corrected in the state record

Open / not marked corrected.

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 licensors determined that staff CPR/first aid training does not meet the licensing requirements. Risk Corrected On Correction Date WAC/RCW Disputed Level Site Date Disputed 110-301-0260(1)(a) Serious

Open Not marked corrected in the state record

Open / not marked corrected.

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;

0260 (1)(a) At the time of the visit, the licensors observed cleaning chemicals and aerosol spray accessible to the children.

Open Not marked corrected in the state record

Open / not marked corrected.